2018-05-08T14:44:30-05:00 2017-06-30 470900880 CALIBRE CPA GROUP PLLC 19615 SOUTH LAGRANGE ROAD MOKENA IL 60448 990 2016-07-01 362392752 PRIVATE SCAVENGERS HEALTH & WELFARE FUND 731 I B OF T PRIV 6308874150 1000 BURR RIDGE PKWY BURR RIDGE IL 60527 JOHN J LISNER TRUSTEE 6308874150 2018-05-08 1 CHARLES DIGIOVANNI P00284901 7089957180 2018-05-01 2016 2022-09-23 18:48:47Z TERRENCE J HANCOCK 1000 BURR RIDGE PKWY BURR RIDGE IL 60527 33743952 0 X N/A X 1953 IL TO PROVIDE MEDICAL, DENTAL, VISION, LIFE AND LOSS OF TIME BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS 5 2 0 0 0 0 0 0 23724056 26803884 420678 258420 0 0 24144734 27062304 0 0 29559215 30406790 0 0 0 0 0 830244 862444 30389459 31269234 -6244725 -4206930 39604458 37486496 2500426 2654707 37104032 34831789 TO PROVIDE MEDICAL, DENTAL, VISION, LIFE AND LOSS OF TIME BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS 0 0 TO PROVIDE MEDICAL, DENTAL, VISION, LIFE AND LOSS OF TIME BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS 0 0 0 0 0 0 0 0 0 1 1 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 200 0 1 0 0 0 0 0 0 0 X 5 2 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 0 0 1 1 0 X TERRENCE J HANCOCK 6308874150 1000 BURR RIDGE PKWY BURR RIDGE IL 60527 TERRENCE J HANCOCK TRUSTEE 0.50 40.00 X 0 277599 55595 JOHN LISNER TRUSTEE 0.50 40.00 X 0 229960 55595 THOMAS YONKER TRUSTEE 0.50 X 0 0 0 STEVE VOGRIN TRUSTEE 0.50 X 0 0 0 DALE BOLT TRUSTEE 0.50 40.00 X 0 179132 51513 RICHARD CLARSON ADMINISTRATOR 20.00 20.00 X 160768 0 12097 160768 686691 174800 1 0 1 1 BLUE CROSS BLUE SHIELD 300 EAST RANDOLPH STREET CHICAGO IL 606015099 PPO PROVIDER 909130 1 EMPLOYER CONTRIBUTIONS 900099 22705422 22705422 PARTICIPANT AND RETIREE CONTRIBUT 900099 4098462 4098462 26803884 388949 388949 6551119 6681648 -130529 -130529 -130529 27062304 26803884 0 258420 30406790 44078 45858 72096 44912 91014 47991 61167 3438 15553 SHARED ADMIN EXPENSES R 436337 31269234 614732 1457310 4101 905 2068757 2429097 17694 11480 68606 67928 4116 678 17865141 16440289 19029917 17146737 39604458 37486496 46366 38925 2454060 2615782 2500426 2654707 X 0 0 0 0 37104032 34831789 37104032 34831789 39604458 37486496 -4206930 1934687 0 X X 0 1 X 1 0 68606 67928 678 678 COMMON COLLECTIVE TRUST NIS INTERMEDIATE FIXED INCOME FD 17146737 F 17146737 DUE TO AFFILIATED FUNDS 52782 CURRENT AND INCURRED BUT NOT REPORTED CLAIMS PAYABLE 2563000 2615782 X 28924895 1934687 1934687 26990208 72096 72096 27062304 30985138 0 30985138 72096 212000 284096 31269234 PART X, LINE 2: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE PLAN MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE PLAN AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF THE ORGANIZATION HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE TAXING AUTHORITIES. AS OF JUNE 30, 2017 AND 2016, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. AT JUNE 30, 2017, THE PLAN'S ADMINISTRATOR BELIEVES THAT THE PLAN IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO JUNE 30, 2014. PART XII, LINE 4B - OTHER ADJUSTMENTS: CHANGE IN CLAIMS PAYABLE AND INCURRED BUT UNREPORTED CLAIMS 212,000. 0 0 0 TERRENCE J HANCOCK TRUSTEE 0 267311 0 10288 0 0 0 43278 0 12317 0 333194 0 0 JOHN LISNER TRUSTEE 0 221056 0 8508 0 396 0 43278 0 12317 0 285555 0 0 DALE BOLT TRUSTEE 0 172112 0 6624 0 396 0 39196 0 12317 0 230645 0 0 RICHARD CLARSON ADMINISTRATOR 160768 0 0 0 0 0 0 0 12097 0 172865 0 0 0 PART III FORM 990, PART VII, ITEM 5 AND SCHEDULE J, PART II RICHARD CLARSON IS THE ADMINISTRATOR OF THE FILING ORGANIZATION IN ADDITION TO PEFORMING SIMILAR DUTIES FOR THE FILING ORGANIZATION'S RELATED AND AFFILIATED, BUT UNRELATED ORGANIZATIONS. HIS COMPENSATION IS PAID DIRECTLY BY THE EXCAVATING, GRADING AND ASPHALT CRAFT LOCAL 731 HEALTH AND WELFARE FUND AND A PORTION IS REIMBURSED TO THAT FUND BY THE FILING ORGANIZATION. HIS COMPENSATION IS COMPRISED OF WAGES AND CONTRIBUTIONS TO A HEALTH BENEFIT PLAN. HE IS CONSIDERED AN OFFICER OF THE FILING ORGANIZATION FOR 990 REPORTING PURPOSES. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED BY ADMINISTRATIVE PERSONNEL AND THE FUND ADMINISTRATOR. AT LEAST ONE TRUSTEE ALSO REVIEWS THE FORM PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 15 SALARIES ARE INCLUDED IN AN ANNUAL COST ALLOCATION STUDY WITH OTHER TEAMSTERS LOCAL 731 BENEFIT FUNDS. THE STUDY IS REVIEWED AND APPROVED BY THE BOARD OF TRUSTEES. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST AT THE FUND OFFICE. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED. LOCAL 731 PRIVATE SCAVENGERS AND GARAGE ATTENDANTS PENSION TRUST FUND 1000 BURR RIDGE PARKWAY BURR RIDGE IL 60527 366513567 TO PROVIDE RETIREMENT BENFITS FOR ELIGIBLE PARTICIPANTS IL 401(A) 0 INTERNATIONAL BROTHERHOOD OF TEAMSTERS LOCAL 731 UNION 1000 BURR RIDGE PARKWAY BURR RIDGE IL 60527 361053335 LOCAL UNION IL 501(C)(5) 0 ALLIED WASTE SERVICES CONTRIBUTING EMPLOYER 0 WASTE MGMT CLEARING 02009 CONTRIBUTING EMPLOYER 0 GROOT RECYCLING & WASTE CONTRIBUTING EMPLOYER 0 HOMEWOOD SCAVENGER SERVICE INC CONTRIBUTING EMPLOYER 0 LAKE SHORE WASTE SERVICES LLC CONTRIBUTING EMPLOYER 0 ADVANCED DISPOSAL SERVICES CONTRIBUTING EMPLOYER 0 ARC DISPOSAL COMPANY CONTRIBUTING EMPLOYER 0 FLOOD BROTHERS DISPOSAL CONTRIBUTING EMPLOYER 0 RECYCLING SYSTEMS INC CONTRIBUTING EMPLOYER 0 STROM REFUSE & REMOVAL SERVICE CONTRIBUTING EMPLOYER 0 D & P CONSTRUCTION CO INC RECY CONTRIBUTING EMPLOYER 0 TRI STATE DISPOSAL INC CONTRIBUTING EMPLOYER 0 INDEPENDENT RECYCLING SER INC CONTRIBUTING EMPLOYER 0 AUBURN DISPOSAL INC CONTRIBUTING EMPLOYER 0 MBL RECYCLING INC CONTRIBUTING EMPLOYER 0 CHICAGO DISPOSAL INC CONTRIBUTING EMPLOYER 0 MIDWEST MARINE TERMINALS INC CONTRIBUTING EMPLOYER 0 ECONOMY DISPOSAL SERVICE INC CONTRIBUTING EMPLOYER 0 ILLIANA DISTRIBUTION SYSTEMS CONTRIBUTING EMPLOYER 0 JGB TRUCKING CONTRIBUTING EMPLOYER 0 LAND OF LINCOLN DEVELOPMENT CO CONTRIBUTING EMPLOYER 0 VANS DISPOSAL CONTRIBUTING EMPLOYER 0 PRAIRIE DISPOSAL SERVICE INC CONTRIBUTING EMPLOYER 0 ACCURATE RECYCLING SOLUTIONS CONTRIBUTING EMPLOYER 0 BOLT SCAVENGER SERVICE INC CONTRIBUTING EMPLOYER 0 ENO INC CONTRIBUTING EMPLOYER 0 A-H ROLLOFF SERVICES CO CONTRIBUTING EMPLOYER 0 H F P ENTERPRISES INC CONTRIBUTING EMPLOYER 0 HERITAGE DISPOSAL LLC CONTRIBUTING EMPLOYER 0 ZENERE EXCAVATING CONTRIBUTING EMPLOYER 0 EMESCO MARINE SERVICES CONTRIBUTING EMPLOYER 0 H2 TRANSPORT INC CONTRIBUTING EMPLOYER 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 1