2019-10-03T11:50:44-05:00 2018-12-31 410746749 CLIFTONLARSONALLEN LLP 220 SOUTH SIXTH STREET SUITE 300 MINNEAPOLIS MN 55402 990 2018-01-01 366090694 BOILERMAKERS NATIONAL HEALTH & WELFARE FUND BOIL 9133426555 754 MINNESOTA AVENUE NO 110 KANSAS CITY KS 66101 RONNIE TRAXLER CHAIRMAN 9133426555 2019-09-27 1 DOUG BERTOSSI P00637990 6123764500 67.137.57.251 2019-09-27 14:09:15 CD P A6EA9F380BF721D75300B4AB5691CE9035CCCAEF 06C6282D018575128FE0891D0F3A4E057D2D2323 2018 2019-02-21 02:37:17Z RONNIE TRAXLER 754 MINNESOTA AVENUE NO 110 KANSAS CITY KS 66101 1035796578 0 X WWW.BNF-KC.COM X 1954 KS TO PROVIDE HEALTH AND WELFARE BENEFITS 13 13 0 0 0 0 0 0 241237119 242675607 21427155 23933309 225282 19223 262889556 266628139 0 0 238305227 233374017 899536 1072382 0 0 0 7588719 7653094 246793482 242099493 16096074 24528646 1009425985 995685760 55177317 49074224 954248668 946611536 TO PROVIDE HEALTH AND WELFARE BENEFITS 0 0 PROVIDE HEALTH AND WELFARE BENEFITS FOR 17,828 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 10 0 0 0 0 0 0 0 0 0 0 X 13 13 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 754 MINNESOTA AVENUE NO 110 KANSAS CITY KS 66101 X RONNIE TRAXLER MANAGEMENT TRUSTEE - CHAIR 1.58 40.00 X X 0 0 0 JOHN FULTZ SEE SCHEDULE O 0.92 40.00 X X 0 0 0 PATRICK GALLAGHER SEE SCHEDULE O 2.23 40.00 X X 0 0 0 J MICHAEL CARROLL MANAGEMENT TRUSTEE 1.58 40.00 X 0 0 0 MIKE DOLAN MANAGEMENT TRUSTEE 0.77 40.00 X 0 0 0 JOSEPH REYNOLDS MANAGEMENT TRUSTEE 1.35 40.00 X 0 0 0 NELSON JORDAN MANAGEMENT TRUSTEE-VICE 0.81 40.00 X X 0 0 0 MARK KEFFELER SEE SCHEDULE O 0.62 40.00 X 0 0 0 CLAY HERFORD SEE SCHEDULE O 0.62 40.00 X 0 0 0 SHELDON TRAXLER MANAGEMENT TRUSTEE 1.38 40.00 X 0 0 0 MICHAEL WEST SEE SCHEDULE O 0.46 40.00 X 0 0 0 WILLIAM MULCONNERY SEE SCHEDULE O 1.23 40.00 X 0 0 0 CHRISTOPHER O'NEILL SEE SCHEDULE O 1.73 40.00 X 0 0 0 ANTHONY HOWELL SEE SCHEDULE O 1.38 40.00 X 0 0 0 LARRY MCMANAMON MANAGEMENT TRUSTEE 0.15 40.00 X 0 0 0 LORI JASPERSON CHIEF OPERATIONS OFFICER 23.30 46.70 X 95318 183697 84014 MARIO RODRIQUEZ CHIEF INVESTMENT OFFICER 10.00 40.00 X 56453 224446 78402 151771 408143 162416 0 0 1 0 CIGNA HEALTH AND LIFE INSURANCE COMPANY 900 COTTAGE GROVE RD BLOOMFIELD C BLOOMFIELD CT 06002 ADMINISTRATIVE SERVICES 9923402 WILSON-MCSHANE CORPORATION 754 MINNESOTA AVE KANSAS CITY KS 66101 MANAGEMENT SERVICES 2111778 INVESCO CORE REAL ESTATE 1101 CALIFORNIA ST SUITE 475 KANSAS CITY KS 66101 INVESTMENT MANAGER 809071 NATIONAL INVESTMENT SERVICES 777 E WISCONSIN AVE SUITE 2350 MILWAUKEE WI 53202 INVESTMENT MANAGER 545499 AMERICAN CORE REALITY FUND 801 N BRAND BLVD SUITE 800 GLENDALE CA 91203 INVESTMENT MANAGER 497173 16 EMPLOYER CONTRIBUTIONS 525100 186111474 186111474 EMPLOYEE CONTRIBUTIONS 525100 45990171 45990171 PRESCRIPTION REBATES 525100 10438770 10438770 DELINQUENT EMPLOYER INTEREST 525100 106395 106395 MEDICARE SUBSIDY 525100 28797 28797 242675607 19613863 19613863 773487885 769168439 4319446 4319446 4319446 MISCELLANEOUS INCOME 525100 19223 19223 19223 266628139 242675607 0 23952532 233374017 151771 479352 202141 188104 51014 1858949 305669 381216 4397975 235561 173557 64599 53261 61977 41746 78482 JOINT COMMITTEE ON ADMI 102 242099493 0 244894 43191874 57820306 8784979 11649087 1062021 741913 41333 47267 360340306 346902896 577181479 569837365 18823993 8442032 1009425985 995685760 1231610 1119774 4802568 5536998 49143139 42417452 55177317 49074224 X 0 0 0 0 954248668 946611536 954248668 946611536 1009425985 995685760 24528646 -32165778 0 X 0 1 X 1 0 0 LIMITED PARTNERSHIPS 107247655 F LIMITED LIABILITY COMPANIES 214709861 F 103-12 INVESTMENT ENTITIES 125133042 F COMMON COLLECTIVE TRUST 97848222 F CAYMAN ISLANDS EXEMPTED COMPANIES 24898585 F 569837365 DUE TO RELATED ORGANIZATION 83310 LIABILITY FOR SECURITIES ON LOAN 33831372 DUE TO BROKER 8502770 42417452 X 230092416 -32165778 -32165778 262258194 4397975 -28030 4369945 266628139 237729548 0 237729548 4397975 -28030 4369945 242099493 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. PART XI, LINE 4B - OTHER ADJUSTMENTS: GAIN (LOSS) DISPOSAL OF ASSETS PART XII, LINE 4B - OTHER ADJUSTMENTS: GAIN (LOSS) DISPOSAL OF ASSETS SCHEDULE D, PART XI, LINE 4B AND PART XII, LINE 4B GAIN (LOSS) ON DISPOSAL OF ASSETS. 0 0 0 LORI JASPERSON CHIEF OPERATIONS OFFICER 87485 169824 0 0 7833 13873 25311 49133 3254 6316 123883 239146 0 0 MARIO RODRIQUEZ CHIEF INVESTMENT OFFICER 52966 199254 0 0 3487 25192 14455 54377 2010 7560 72918 286383 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 3085 3085 1 1 0 SUBSTANTIAL CONTRIBUTOR CONTRIBUTOR DELINQUENT CONTRIBUTIONS X 7147 7147 1 1 1 SUBSTANTIAL CONTRIBUTOR CONTRIBUTOR DELINQUENT CONTRIBUTIONS X 27618 27618 1 1 0 SUBSTANTIAL CONTRIBUTOR CONTRIBUTOR DELINQUENT CONTRIBUTIONS X 72087 72087 1 1 0 SUBSTANTIAL CONTRIBUTOR CONTRIBUTOR DELINQUENT CONTRIBUTIONS X 119416 119416 1 1 0 SUBSTANTIAL CONTRIBUTOR CONTRIBUTOR DELINQUENT CONTRIBUTIONS X 33608 33608 1 1 1 SUBSTANTIAL CONTRIBUTOR CONTRIBUTOR DELINQUENT CONTRIBUTIONS X 39812 39812 1 1 0 SUBSTANTIAL CONTRIBUTOR CONTRIBUTOR DELINQUENT CONTRIBUTIONS X 7989 7989 1 1 0 SUBSTANTIAL CONTRIBUTOR CONTRIBUTOR DELINQUENT CONTRIBUTIONS X 4337 4337 1 1 0 SUBSTANTIAL CONTRIBUTOR CONTRIBUTOR DELINQUENT CONTRIBUTIONS X 181661 181661 1 1 0 SUBSTANTIAL CONTRIBUTOR CONTRIBUTOR DELINQUENT CONTRIBUTIONS X 245153 245153 1 1 1 741913 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 COPIES OF FORM 990 WERE PROVIDED TO THE GOVERNING BODY MEMBERS BY EMAIL PRIOR TO THE FORM 990 BEING FILED, AND IS REVIEWED BY TRUSTEES. 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 PATRICK M. GALLAGHER, UNION TRUSTEE - ASST. SECRETARY MARK KEFFELER, UNION TRUSTEE CLAY HERFORD, UNION TRUSTEE MICHAEL WEST, UNION TRUSTEE WILLIAM MULCONNERY, UNION TRUSTEE CHRISTOPHER O'NEILL, UNION TRUSTEE ANTHONY HOWELL, UNION TRUSTEE BOILERMAKERS LOCAL 1 SOUTHEAST DISTRICT LODGE 3 BOILERMAKERS L 4 NAVAJO NATION BOILERMAKERS LOCAL 5 BOILERMAKERS LOCAL 7 BOILERMAKERS LOCAL 11 BOILERMAKERS LOCAL 13 BOILERMAKERS LOCAL 26 BOILERMAKERS LOCAL 27 BOILERMAKERS LOCAL 28 BOILERMAKERS LOCAL 29 BOILERMAKERS LOCAL 40 BOILERMAKERS LOCAL 45 BOILERMAKERS DISTRICT 57 BOILERMAKERS LOCAL 60 BOILERMAKERS LOCAL 83 BOILERMAKERS LOCAL 85 BOILERMAKERS LOCAL 92 BOILERMAKERS LOCAL 101 BOILERMAKERS LOCAL 105 BOILERMAKERS LOCAL 107 BOILERMAKERS LOCAL 108 BOILERMAKERS LOCAL 110 BOILERMAKERS LOCAL 154 BOILERMAKERS LOCAL 169 BOILERMAKERS LOCAL 237 BOILERMAKERS LOCAL 242 BOILERMAKERS LOCAL 363 BOILERMAKERS LOCAL 374 BOILERMAKERS LOCAL 433 BOILERMAKER LOCAL 455 BOILERMAKERS LOCAL 502 BOILERMAKERS LOCAL 549 BOILERMAKERS LOCAL 627 BOILERMAKERS LOCAL 647 BOILERMAKERS LOCAL 667 BOILERMAKERS LOCAL 693 BOILERMAKERS LOCAL 744 LOCAL 1 T&E FUND LOCAL 107 DEVELOP & TRAINING WESTERN STATES JAC BM L 549 APPR & TRAIN FUND L374 DEVELOP AND TRAINING FUND LOCAL 85 JOINT TRAINING & EDUC GREAT LAKES AREA APPR FUND LONE STAR DISTRICT LODGE BOILERMAKERS DISTRICT 5 SOUTHEASTERN AREA JNT APPR COM LOCAL 647 DEV & TRAINING FUND NORTHEASTERN AREA APPR FUND BNAP ADMINISTRATIVE CITY OF LOS ANGELES MOST BOILERMAKER - BLACKSMITH NATIONAL PENSION TRUST 754 MINNESOTA AVENUE KANSAS CITY KS 661012766 486168020 PENSION BENEFITS KS 401(A) N/A 0 BOILERMAKERS NATIONAL ANNUITY TRUST 754 MINNESOTA AVENUE KANSAS CITY KS 661012766 481029345 DEFINED CONTRIBUTION BENEFITS KS 401(A) N/A 0 ATI SERVICES LLC ADIRONDACK MECH SERVICES LLC ADVANCED PROJECT CONTROLS BEN HUR IND CONSTRUCTORS LLC CONSTRUCTION & TURNAROUND SERV FRESH MEADOW POWER LLC FRESH MEADOW POWER NE LLC GEAR TECH MECHANICAL LLC GIBRALTAR CHIMNEY INT'L GRACON LLC HAYES MECHANICAL ICON MECHANICAL CONST & ENG JH 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