2018-06-25T15:44:13-05:00 2017-12-31 320043599 LEGACY PROFESSIONALS LLP 4 WESTBROOK CORPORATE CENTER STE 700 WESTCHESTER IL 60154 990 2017-01-01 362196729 CEMENT MASONS INSTITUTE LOCAL 502 WELFARE TRUST FUND CEME 7085449105 739 25TH AVENUE BELLWOOD IL 60104 PATRICK J LA CASSA TRUSTEE 7085449105 2018-06-25 1 BRUCE A PAVLIK P00748405 3123680500 2017 2022-09-23 18:48:47Z PATRICK J LA CASSA 739 25TH AVENUE BELLWOOD IL 60104 35945513 0 X N/A X 1950 IL PROVIDE HEALTH BENEFITS 12 6 27 0 0 0 0 0 21550314 22607756 1078196 821209 4090 951 22632600 23429916 0 0 17836564 16779592 1482973 1526122 0 0 0 885422 866035 20204959 19171749 2427641 4258167 46354839 53428822 608308 616329 45746531 52812493 PROVIDE HEALTH BENEFITS 0 0 TO PROVIDE MEDICAL AND LIFE INSURANCE TO PARTICIPANTS. 0 0 0 0 0 0 0 0 0 1 0 0 0 0 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 1 520 0 1 27 1 0 0 0 0 0 0 0 0 X 12 6 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X WILLIAM BEEMAN 7085449105 739 S 25TH AVENUE BELLWOOD IL 60104 X PATRICK LA CASSA TRUSTEE 2.00 55.00 X 0 170765 142718 LAWRENCE PICARDI SR TRUSTEE 2.00 55.00 X 0 162088 136453 STEVE BAUMGARTNER TRUSTEE 2.00 2.00 X 0 0 0 SANDRA HUNT TRUSTEE 2.00 2.00 X 2965 0 1986 ROBERT KUTROVATZ TRUSTEE - NEW 2.00 2.00 X 0 0 0 MICHAEL PIRRON TRUSTEE 2.00 2.00 X 0 0 0 ANTONIO ACEVEDO TRUSTEE 2.00 2.00 X 2965 0 1986 JOHN HALLBERG TRUSTEE 2.00 2.00 X 0 0 0 ROBERT KRUG TRUSTEE - PAST 2.00 2.00 X 0 0 0 MICHAEL KOLBERG TRUSTEE 2.00 2.00 X 0 0 0 PHIL DIEKEMPER TRUSTEE 2.00 2.00 X 0 0 0 JAY LA SALA TRUSTEE 2.00 2.00 X 4735 0 3232 ADAM HIGGINS TRUSTEE 2.00 2.00 X 4735 0 3232 WILLIAM BEEMAN ADMINISTRATOR 22.00 18.00 X 133393 218 60936 DUANE EXLINE COLLECTION COORDINATOR 15.00 25.00 X 120388 0 56656 269181 333071 407199 2 0 1 0 BLUE CROSS BLUE SHIELD 300 EAST RANDOLPH STREET CHICAGO IL 606015099 PPO PROVIDER 573408 ARNOLD & KADJAN 203 N LASALLE ST SUITE 1650 CHICAGO IL 60601 LEGAL 307909 LEGACY PROFESSIONALS LLP 4 WESTBROOK CORPORATE CENTER STE 7 WESTCHESTER IL 60154 ACCOUNTING 238673 3 CONTRACTOR CONTRIBUTIONS 900099 21406364 21406364 REIMBURSED ADMINISTRATIVE EXPENSE 900099 753177 753177 PRESCRIPTION DRUG REBATES 900099 271758 271758 PARTICIPANT SELF-CONTRIBUTIONS 900099 176457 176457 22607756 801989 801989 12534817 12515597 19220 19220 19220 MISCALLENOUS INCOME 900099 951 951 951 23429916 22607756 0 822160 16779592 216736 726249 365367 148579 69191 119863 214159 95221 50062 99276 73107 119948 3183 37470 20696 27778 FEES MANDATED BY ACA 5272 19171749 1843793 3146159 1261639 3006790 2337582 2360403 157499 74459 52797 8651 232455 154716 64734 77739 40636795 44754621 46354839 53428822 608308 616329 608308 616329 X 0 0 0 0 45746531 52812493 45746531 52812493 46354839 53428822 4258167 2807795 0 X 0 1 X 1 0 34001 29975 4026 178120 121352 56768 20334 3389 16945 77739 X 25389313 2807795 2807795 22581518 95221 753177 848398 23429916 18323351 0 18323351 95221 753177 848398 19171749 PART X, LINE 2: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE THE PLAN TO EVALUATE TAX POSITIONS TAKEN BY THE PLAN AND RECOGNIZE A TAX LIABILITY IF THE PLAN HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY TAX AUTHORITIES. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. PART XI, LINE 4B - OTHER ADJUSTMENTS: REIMBURSED ADMINISTRATIVE EXPENSES 753,177. PART XII, LINE 4B - OTHER ADJUSTMENTS: REIMBURSED ADMINISTRATIVE EXPENSES 753,177. X 0 0 0 PATRICK LA CASSA TRUSTEE 0 169650 0 0 0 1115 0 93000 0 49718 0 313483 0 0 LAWRENCE PICARDI SR TRUSTEE 0 161245 0 0 0 843 0 88896 0 47557 0 298541 0 0 WILLIAM BEEMAN ADMINISTRATOR 132413 0 0 0 980 218 47081 0 13855 0 194329 218 0 0 DUANE EXLINE COLLECTION COORDINATOR 120388 0 0 0 0 0 42801 0 13855 0 177044 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PROVIDED TO THE ENTIRE BOARD OF TRUSTEES AND FUND ADMINISTRATOR PRIOR TO FILING. AFTER THE BOARDS' REVIEW, THE FORM IS APPROVED AND FILED. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD OF TRUSTEES AND THE FUND ADMINISTRATOR SHALL REGULARLY AND CONSISTENTLY MONITOR AND ENFORCE COMPLIANCE WITH THIS POLICY TAKING ALL STEPS THEY DEEM NECESSARY TO ENSURE SUCH MONITORING AND ENFORCEMENT. FORM 990, PART VI, SECTION B, LINE 15 SALARIES ARE ANNUALLY 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 VII, SECTION A, LINE 1A: THE ORGANIZATION'S ADMINISTRATOR AND HIGHEST COMPENSATED EMPLOYEE ARE SHARED WITH NUMEROUS RELATED ORGANIZATIONS. THE REPORTING ORGANIZATION IS RESPONSIBLE FOR PAYROLL AND IS REIMBURSED BY THE RELATED ORGANIZATIONS FOR THEIR ALLOCATED PORTION OF THE SALARY AND RELATED EXPENSES. 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