2025-11-11T16:28:06-06:00 2024-12-31 410746749 CLIFTONLARSONALLEN LLP 220 SOUTH SIXTH STREET SUITE 300 MINNEAPOLIS MN 55402 990 2024-01-01 366090694 BOILERMAKERS NATIONAL HEALTH & WELFARE FUND BOIL 9139067517 12200 N AMBASSADOR DRIVE 326 KANSAS CITY MO 64163 MARIO RODRIGUEZ CHIEF INVESTMENT OFFICER 9139067517 2025-11-04 1 0 DOUG BERTOSSI P00637990 6123764500 2025-10-31 2024 2025-03-06 01:10:19Z MARIO RODRIGUEZ 12200 N AMBASSADOR DRIVE 326 KANSAS CITY MO 64163 949991507 0 X WWW.BNF-KC.COM X 1954 MO TO PROVIDE HEALTH AND WELFARE BENEFITS 16 0 0 20 0 0 0 0 190586480 171719918 117163161 52893613 6885 0 307756526 224613531 0 0 180025737 181585996 1849696 1981450 0 0 0 9215633 9107529 191091066 192674975 116665460 31938556 1237021017 1313533949 26281575 40953782 1210739442 1272580167 X TO PROVIDE HEALTH AND WELFARE BENEFITS 0 1 PROVIDE HEALTH AND WELFARE BENEFITS FOR 12,887 PARTICIPANTS AND THEIR DEPENDENTS. 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 1 0 0 1 6 0 1 0 0 0 0 0 0 0 0 0 X 16 0 0 0 0 0 0 1 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X TONYA PAVELAC-WALKER 9139067497 12200 N AMBASSADOR DRIVE 326 KANSAS CITY MO 64163 X RONNIE TRAXLER MANAGEMENT TRUSTEE - CHAIR 1.10 0.56 X X 0 0 0 JOHN FULTZ SEE SCHEDULE O 0.94 1.23 X X 0 0 0 SHELDON TRAXLER MANAGEMENT TRUSTEE-VICE CH 0.85 0.40 X X 0 0 0 J MICHAEL CARROLL MANAGEMENT TRUSTEE 0.12 0.00 X 0 0 0 JOSEPH REYNOLDS MANAGEMENT TRUSTEE 0.40 0.00 X 0 0 0 WILLIAM MULCONNERY SEE SCHEDULE O 0.98 0.00 X 0 0 0 CHRISTOPHER O'NEILL SEE SCHEDULE O 0.50 0.33 X 0 0 0 ANTHONY HOWELL SEE SCHEDULE O 0.92 0.00 X 0 0 0 CRAIG BELFATTO MANAGEMENT TRUSTEE 0.71 0.00 X 0 0 0 AARON LANDOLT MANAGEMENT TRUSTEE 0.65 0.00 X 0 0 0 ED MCWHORTER III MANAGEMENT TRUSTEE 0.88 0.23 X 0 0 0 JOHN VALVO MANAGEMENT TRUSTEE 1.38 0.00 X 0 0 0 TIMOTHY JEFFERIES SEE SCHEDULE O 0.65 0.00 X 0 0 0 TIMOTHY SIMMONS SEE SCHEDULE O 0.40 0.63 X 0 0 0 LUIS MIRAMONTES SEE SCHEDULE O 0.67 0.00 X 0 0 0 LUKE VOIGT SEE SCHEDULE O 1.42 0.00 X 0 0 0 SCOTT AMBROSE MANAGEMENT TRUSTEE 0.71 0.00 X 0 0 0 BYRON CARROLL MANAGEMENT TRUSTEE 0.62 0.00 X 0 0 0 DANIEL DECARLO SEE SCHEDULE O 1.08 0.00 X 0 0 0 MICHAEL STANTON SEE SCHEDULE O 1.13 0.00 X 0 0 0 MARIO RODRIQUEZ CHIEF INVESTMENT OFFICER 12.80 27.20 X 135121 288102 150889 CHRISTINE KING RETIREMENT PLANS & MANAGING DIRECTOR 4.00 36.00 X 33323 299778 130077 LAURA PHELPS CHIEF LEGAL OFFICER 26.00 14.00 X 220942 121027 133704 BRIDGET HILLEBERT FUND EMPLOYEE 40.00 0.00 X 178207 534 77552 MARGARET SHRIVER FUND EMPLOYEE 3.20 36.80 X 9540 105899 59113 CYNTHIA DEKEYSER FUND EMPLOYEE 12.80 27.20 X 47405 100319 63287 KATHY JAMES FUND EMPLOYEE 13.60 26.40 X 46375 89675 65905 670913 1005334 680527 3 0 1 0 CIGNA HEALTH AND LIFE INSURANCE COMPANY 900 COTTAGE GROVE RD BLOOMFILED CT 45249 ADMINITRATIVE SERVICES 7118236 WILSON-MCSHANE CORPORATION AMBASSADOR DRIVE SUITE 400 KANSAS CITY MO 64163 MANAGEMENT SERVICES 2020104 NATIONAL INVESTMENT SERVICES INC 777 E WISCONSIN AVE SUITE 2350 MILWAUKEE WI 53202 INVESTMENT MANAGER 826711 CORBIN CAPITAL PARTNERS LP 575 MADISON AVENUE 21ST FLOOR NEW YORK NY 10022 INVESTMENT MANAGER 625173 TUCKER ARENSBERG PC 250 PARK AVENUE SUITE 1508 7TH FLO NEW YORK NY 10171 LEGAL SERVICES 597382 22 EMPLOYER CONTRIBUTIONS 525100 137638017 137638017 EMPLOYEE CONTRIBUTIONS 525100 24760122 24760122 PRESCRIPTION REBATES 525100 9154279 9154279 DELINQUENT EMPLOYER IN 525100 141259 141259 MEDICARE SUBSIDY 525100 26241 26241 171719918 25351548 25351548 752920041 725377976 27542065 27542065 27542065 224613531 171719918 0 52893613 181585996 389388 572899 694546 295695 28922 1721799 502712 411471 5279614 245210 313367 171055 118271 53156 34103 256751 JOINT COMMITTEE ON ADMI 20 192674975 -1295206 -2086028 51578338 41948866 7715653 7888298 458347 449702 107403 -981 268010850 294742917 899815692 965072963 10629940 5518212 1237021017 1313533949 1148003 1222867 2922519 2879896 22211053 36851019 26281575 40953782 X 0 0 0 0 1210739442 1272580167 1210739442 1272580167 1237021017 1313533949 31938556 29902169 0 X X 0 1 X 1 0 0 LIMITED PARTNERSHIPS 197230345 F LIMITED LIABILITY COMPANIES 195467666 F 103-12 INVESTMENT ENTITIES 160853318 F COMMON COLLECTIVE TRUST 411521634 F 965072963 DUE TO RELATED ORGANIZATION 119559 LIABILITY FOR SECURITIES ON LOAN 36368685 DUE TO BROKER 362775 36851019 X 249236086 29902169 29902169 219333917 5279614 5279614 224613531 187395361 0 187395361 5279614 5279614 192674975 PART X, LINE 2: THE TRUST ESTABLISHED UNDER THE FUND TO HOLD THE FUND'S ASSETS IS INTENDED TO QUALIFY PURSUANT TO SECTION 501(C)(9) UNDER THE INTERNAL REVENUE CODE (IRC) AND, ACCORDINGLY, THE TRUST'S NET INVESTMENT INCOME IS EXEMPT FROM INCOME TAXES. THE TRUST OBTAINED ITS LATEST TAX EXEMPTION LETTER, DATED OCTOBER 27, 1977, IN WHICH THE INTERNAL REVENUE SERVICE STATED THAT THE TRUST, AS THEN DESIGNED, WAS IN COMPLIANCE WITH THE APPLICABLE REQUIREMENTS OF THE INTERNAL REVENUE CODE. THE TRUST HAS BEEN AMENDED SINCE RECEIVING THE TAX EXEMPTION LETTER. HOWEVER, THE PLAN ADMINISTRATOR AND THE PLAN'S COUNSEL BELIEVE THAT THE TRUST IS CURRENTLY DESIGNED AND BEING OPERATED IN COMPLIANCE WITH THE APPLICABLE REQUIREMENTS OF THE INTERNAL REVENUE CODE. THEREFORE, THEY BELIEVE THAT THE TRUST WAS QUALIFIED AND THE RELATED TRUST WAS TAX EXEMPT AS OF THE FINANCIAL STATEMENT DATE. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE PLAN MANAGEMENT TO EVALUATE THE TAX POSITIONS TAKEN BY THE PLAN AND TO RECOGNIZE A TAX LIABILITY IF THE PLAN HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY THE TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. X 0 0 0 MARIO RODRIQUEZ CHIEF INVESTMENT OFFICER 100852 214311 0 0 34269 73791 43286 91982 4999 10622 183406 390706 0 0 LAURA PHELPS CHIEF LEGAL OFFICER 163377 87972 0 0 57565 33055 76755 41329 10153 5467 307850 167823 0 0 CHRISTINE KING RETIREMENT PLANS & MANAGING DIRECTOR 24860 223744 0 0 8463 76034 11446 103011 1562 14058 46331 416847 0 0 BRIDGET HILLEBERT FUND EMPLOYEE 131100 0 0 0 47107 534 61932 0 15620 0 255759 534 0 0 CYNTHIA DEKEYSER FUND EMPLOYEE 35728 75922 0 0 11677 24397 15253 32413 4999 10622 67657 143354 0 0 KATHY JAMES FUND EMPLOYEE 34962 67868 0 0 11413 21807 17097 33188 5311 10309 68783 133172 0 0 MARGARET SHRIVER FUND EMPLOYEE 9166 105408 0 0 374 491 3479 40013 1250 14371 14269 160283 0 0 PART I, LINE 3 THE RELATED ORGANIZATION USED THE FOLLOWING METHODS TO DETERMINE COMPENSATION: WRITTEN EMPLOYMENT CONTRACT AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. SUBSTANTIAL CONTRIBUTOR CONTRIBUTOR DELINQUENT CONTRIBUTIONS X 245153 245153 1 1 1 SUBSTANTIAL CONTRIBUTOR CONTRIBUTOR DELINQUENT CONTRIBUTIONS X 85133 85133 1 1 0 SUBSTANTIAL CONTRIBUTOR CONTRIBUTOR DELINQUENT CONTRIBUTIONS X 119416 119416 1 1 0 449702 FORM 990, PART III, LINE 3 EFFECTIVE 01/01/2024 A. INCREASED DENTAL AND ORTHODONTIA BENEFIT TO 100% OF COVERED EXPENSES UP TO AN ANNUAL BENEFIT LIMIT OF $2,000 WHEN INCURRED BY IN-NETWORK AND PREMIER PROVIDERS. ORTHODONTIA BENEFIT ALSO IS NO LONGER LIMITED TO DEPENDENT CHILDREN. B. INCREASED BENEFIT FOR INSULIN MEDICATIONS TO BE PAYABLE AT 100% OF COVERED EXPENSES ($0 COPAYMENT) EFFECTIVE 07/01/2024 A. DEDUCTIBLE NO LONGER APPLIES TO SERVICES PROVIDED BY PREFERRED LABS (LABCORP AND QUEST DIAGNOSTICS). B. INCREASED HEARING AID BENEFIT FROM $2,000 O $2,500, INCLUDING OVER THE COUNTER HEARING AIDS C. VIRTUAL OFFICE VISIT BENEFIT HAS BEEN EXPANDED TO INCLUDE ALL TELEHEALTH AND VIRTUAL VISITS. D. TELEHEALTH EXCLUSIVE PROVIDERS HAS BEEN EXPANDED TO INCLUDE BRIGHTLINE AND BRIGHTSIDE HEALTH. FORM 990, PART VI, SECTION A, LINE 1A THE ORGANIZATION'S GOVERNING BODY IS COMPOSED OF 16 VOTING MEMBERS. OF THESE MEMBERS, EIGHT ARE DESIGNATED AS 'EXECUTIVE COMMITTE,' WITH THE REMAINING EIGHT MEMBERS DESIGNATED AS 'REGULAR BOARD MEMBERS.' ACCORDING TO THE ORGANIZATION'S BYLAWS, ALL BOARD MEMBERS HAVE THE AUTHORITY TO VOTE ON MOST ORGANIZATIONAL MATTERS. THE VOTING RIGHTS ARE DETAILED IN THE ORGANIZATION'S CORPORATE DOCUMENTS AND BYLAWS. FORM 990, PART VI, SECTION A, LINE 7A THE BOARD IS APPOINTED BY THE BARGAINING ORGANIZATIONS, 50% BY THE EMPLOYERS AND 50% BY THE UNION. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY THE ORGANIZATION'S PUBLIC ACCOUNTING FIRM BASED ON INFORMATION PROVIDED BY MANAGEMENT. ONCE THE RETURN IS AVAILABLE, IT IS PROVIDED TO MANAGEMENT FOR REVIEW BEFORE BEING PROVIDED TO THE GOVERNING BODY FOR REVIEW BEFORE FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION DOES REQUIRE ANNUAL DISCLOSURES FOR POTENTIAL CONFLICTS OF INTEREST OF ANY POTENTIAL OR ACTUAL CONFLICTS OF INTEREST, WHICH ARE REVIEWED BY THE ORGANIZATION. THE AFFECTED TRUSTEE OR EMPLOYEE MUST CEASE PARTICIPATION IN THE DECISION OR TRANSACTION UNTIL IT IS DETERMINED THAT THE AFFECTED TRUSTEE OR EMPLOYEE MAY CONTINUE TO PARTICIPATE IN THE DECISION OR TRANSACTION. POTENTIAL OR ACTUAL CONFLICTS OF INTEREST ARE ALSO REVIEWED FOR COMPLIANCE WITH ERISA REQUIREMENTS. THE ORGANIZATION DOES REQUIRE FULL DISCLOSURE FOR POTENTIAL CONFLICTS OF INTEREST WHEN CONDUCTING SEARCHES FOR NEW VENDORS AND SERVICE PROVIDERS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS FINANCIAL STATEMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE UPON REQUEST. THE PLAN AND TRUST DOCUMENTS AND SUMMARY ANNUAL REPORT ARE ON THE WEBSITE AND AVAILABLE UPON REQUEST. FORM 990, PART VII, SECTION A THE FOLLOWING TRUSTEES ARE COMPENSATED BY A NON-PROFIT RELATED ORGANIZATION AND COMPENSATION INFORMATION WILL BE MADE AVAILABLE UPON REQUEST. JOHN T. FULTZ, UNION TRUSTEE - SECRETARY ANTHONY HOWELL, UNION TRUSTEE - ASST. SECRETARY DANIEL DECARLO, UNION TRUSTEE WILLIAM MULCONNERY, UNION TRUSTEE CHRISTOPHER O'NEILL, UNION TRUSTEE TIMOTHY JEFFERIES, UNION TRUSTEE TIMOTHY SIMMONS, UNION TRUSTEE LUIS MIRAMONTES, UNION TRUSTEE LUKE VOIGT, UNION TRUSTEE MICHAEL STANTON, UNION TRUSTEE FORM 990, PART XII, LINE 2C: THE ORGANIZATION HAS NOT CHANGED THEIR PROCESS FOR THE OVERSIGHT OR THE SELECTION OF THE INDEPENDENT ACCOUNTANT FROM THE PRIOR YEAR. 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