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WISCONSIN MASONS HEALTH CARE FUND: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
WISCONSIN MASONS HEALTH CARE FUND (EIN 23-7422786)
Tax period
2016-09-01 to 2017-08-31
Filed
2018-04-30
IRS object ID
201801209349301010
Schema version
2016v3.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2018-04-30T09:22:07-05:00ReturnTs
Tax Period End2017-08-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN391531945PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1FREYBERG HINKLE ASHLAND POWERS & STOWELLBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line115420 W CAPITOL DRAddressLine1Txt
CityBROOKFIELDCityNm
State AbbreviationWIStateAbbreviationCd
ZIP530052621ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-09-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN237422786EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1WISCONSIN MASONS HEALTH CARE FUNDBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlWISCBusinessNameControlTxt
Phone8003625474PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12901 W BELTLINE HIGHWAY NO 100AddressLine1Txt
CityMADISONCityNm
State AbbreviationWIStateAbbreviationCd
ZIP537134226ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDAVE HAHNPersonNm
Person TitleCHAIRMANPersonTitleTxt
Phone8003625474PhoneNum
Signature2018-04-18SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonTHOMAS M POWERS CPAPreparerPersonNm
PTINP00241729PTIN
Phone2627846210PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address70.61.53.194IPv4AddressTxt
FieldValueIRS element (for citing)
IP2018-04-18IPDt
IP Tm14:55:08IPTm
IP TimezoneCDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id2A3F482710C69FCCEFE18B634FA3E25425E25BFAAtSubmissionCreationDeviceId
At Submission Filing Device IdE42FABC788F0FB532AB94CF457BA86B7C98F625FAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDAVE HAHNPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12233 BIRCH STREETAddressLine1Txt
CityEAU CLAIRECityNm
State AbbreviationWIStateAbbreviationCd
ZIP54703ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$37,045,270GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501cYes (X)Organization501cInd
Website AddressN/AWebsiteAddressTxt
Type Of Organization TrustYes (X)TypeOfOrganizationTrustInd
Formation1973FormationYr
Legal Domicile StateWILegalDomicileStateCd
Activity Or MissionTO PROVIDE HEALTH, LIFE, DENTAL, AND TEMPORARY DISABILITY BENEFITS TO ELIGIBLE PARTICIPANTS, SPOUSES, AND DEPENDENTS.ActivityOrMissionDesc
Voting Members Governing Body20VotingMembersGoverningBodyCnt
Voting Members Independent20VotingMembersIndependentCnt
Total Employee3TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$23,305,791PYProgramServiceRevenueAmt
CY Program Service Revenue$23,978,917CYProgramServiceRevenueAmt
PY Investment Income$398,340PYInvestmentIncomeAmt
CY Investment Income$579,576CYInvestmentIncomeAmt
PY Other Revenue$481,865PYOtherRevenueAmt
CY Other Revenue$55,616CYOtherRevenueAmt
PY Total Revenue$24,185,996PYTotalRevenueAmt
CY Total Revenue$24,614,109CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$27,436,281PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$22,852,934CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$2,670,229PYOtherExpensesAmt
CY Other Expenses$2,755,122CYOtherExpensesAmt
PY Total Expenses$30,106,510PYTotalExpensesAmt
CY Total Expenses$25,608,056CYTotalExpensesAmt
PY Revenues Less Expenses-$5,920,514PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$993,947CYRevenuesLessExpensesAmt
Total Assets BOY$22,980,196TotalAssetsBOYAmt
Total Assets EOY$20,859,429TotalAssetsEOYAmt
Total Liabilities BOY$13,022,635TotalLiabilitiesBOYAmt
Total Liabilities EOY$11,395,202TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$9,957,561NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$9,464,227NetAssetsOrFundBalancesEOYAmt
MissionSEE BELOWMissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$23,972,298ExpenseAmt
DescTO PROVIDE HEALTH, LIFE, DENTAL, AND TEMPORARY DISABILITY BENEFITS TO ELIGIBLE PARTICIPANTS, SPOUSES, AND DEPENDENTS.Desc
Total Program Service Expenses$23,972,298TotalProgramServiceExpensesAmt
Described In Section501c30DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building Equipment0ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document2IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee3EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members20GoverningBodyVotingMembersCnt
Independent Voting Member20IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BENEFIT PLAN ADMINISTRATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8003625474PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12901 W BELTLINE HWY SUITE 100AddressLine1Txt
CityMADISONCityNm
State AbbreviationWIStateAbbreviationCd
ZIP537134226ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
DAVID HAHN
CHAIRMAN0.002.00Yes (X)Yes (X)$0$0$0
VERN MCGIVERN - PAST
TRUSTEE1.0040.00Yes (X)$0$36,159$28,666
RANDY WEYTENS
TRUSTEE1.0040.00Yes (X)$0$84,548$60,187
WYNN JONES
TRUSTEE1.0040.00Yes (X)$0$84,548$60,187
PATRICK WHITING
TRUSTEE - NEW0.00Yes (X)$0$0$0
JEFF LECKWEE
VICE-CHAIRMAN0.00Yes (X)Yes (X)$0$0$0
JERRY SHEA
TRUSTEE0.00Yes (X)$0$0$0
BARRY SCHOLZ
SECRETARY-TREASURER0.00Yes (X)Yes (X)$0$0$0
GARY BURNS
TRUSTEE1.0040.00Yes (X)$0$91,426$62,519
DAVID BOHL
TRUSTEE - NEW0.00Yes (X)$0$0$0
JEFF STAVER
TRUSTEE0.00Yes (X)$0$0$0
DAN DOPERALSKI
TRUSTEE1.0042.00Yes (X)$0$86,620$64,615
DEAN BASTEN
TRUSTEE0.00Yes (X)$0$0$0
LARRY RASCH
TRUSTEE0.00Yes (X)$0$0$0
JASON MATTILA
TRUSTEE0.00Yes (X)$0$0$0
JIM VICK
TRUSTEE1.0040.00Yes (X)$0$83,674$60,800
MATT QUASIUS
TRUSTEE0.00Yes (X)$0$0$0
JOHN TOPP
TRUSTEE0.00Yes (X)$0$0$0
WILLIAM BONLENDER
TRUSTEE1.0040.00Yes (X)$0$84,366$59,521
ROBERT BARKER - PAST
TRUSTEE0.00Yes (X)$0$0$0
MIKE HYATT
TRUSTEE1.0040.00Yes (X)$0$86,836$58,874
TOBIN BOYLE
TRUSTEE1.0040.00Yes (X)$0$64,505$48,219
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$702,682TotReportableCompRltdOrgAmt
Total Other Compensation$503,588TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (3 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
BENEFIT PLAN ADMINISTRATION
2901 WEST BELTLINE HIGHWAY SUITE 1MADISONWI53713CONTRACT ADMINISTRATION$1,012,381
UNITED HEALTHCARE INSURANCE COMPANY
PO BOX 88822MILWAUKEEWI53228CLAIMS / PPO EXPENSE$862,447
MERCER HEALTH & BENEFITS LLC
155 NORTH WACKER DRIVE STE 1500CHICAGOIL60606CONSULTING$176,020
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K3CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
EMPLOYER CONTRIBUTIONS900099$20,904,929$20,904,929
SELF PAY CONTRIBUTIONS900099$3,073,988$3,073,988
FieldValueIRS element (for citing)
Total Program Service Revenue$23,978,917TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$389,066TotalRevenueColumnAmt
Exclusion$389,066ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$12,621,671SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$12,431,161SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$190,510SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$190,510TotalRevenueColumnAmt
Related Or Exempt Func Income$190,510RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUS INCOMEDesc
Business900099BusinessCd
Total Revenue Column$55,616TotalRevenueColumnAmt
Related Or Exempt Func Income$55,616RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$55,616OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$24,614,109TotalRevenueColumnAmt
Related Or Exempt Func Income$24,225,043RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$389,066ExclusionAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$22,852,934TotalAmt
Program Services$22,852,934ProgramServicesAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$977,740TotalAmt
Management And General$977,740ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$77,672TotalAmt
Management And General$77,672ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$25,950TotalAmt
Management And General$25,950ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$26,554TotalAmt
Management And General$26,554ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$290,324TotalAmt
Management And General$290,324ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$144,767TotalAmt
Management And General$144,767ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$40,324TotalAmt
Management And General$40,324ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$26,085TotalAmt
Management And General$26,085ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$9,104TotalAmt
Management And General$9,104ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
COST CONTAINMENT$1,025,206$1,025,206
STOP-LOSS PREMIUMS$94,158$94,158
STORAGE EXPENSE$11,655$11,655
EDUCATIONAL PROGRAM EXP$5,583$5,583

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$25,608,056TotalAmt
Program Services$23,972,298ProgramServicesAmt
Management And General$1,635,758ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,563BOYAmt
EOY$2,011EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,737,935BOYAmt
EOY$2,158,811EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$3,443,511BOYAmt
EOY$3,592,084EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$172,291BOYAmt
EOY$187,924EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$17,624,896BOYAmt
EOY$14,918,599EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$22,980,196BOYAmt
EOY$20,859,429EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$199,053BOYAmt
EOY$456,880EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$26,951BOYAmt
EOY$26,951EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$12,796,631BOYAmt
EOY$10,911,371EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$13,022,635BOYAmt
EOY$11,395,202EOYAmt
FieldValueIRS element (for citing)
Org Does Not Follow SFAS117Yes (X)OrgDoesNotFollowSFAS117Ind

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

FieldValueIRS element (for citing)
BOY$9,957,561BOYAmt
EOY$9,464,227EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$9,957,561BOYAmt
EOY$9,464,227EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$22,980,196BOYAmt
EOY$20,859,429EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$993,947ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$500,613NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
CLAIMS PAYABLE$442,000
MEMBER DOLLAR BANK$10,469,371
FieldValueIRS element (for citing)
Total Liability$10,911,371TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$25,088,168TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$500,613NetUnrealizedGainsInvstAmt
Revenue Not Reported$500,613RevenueNotReportedAmt
Revenue Subtotal$24,587,555RevenueSubtotalAmt
Investment Expenses Not Incld$26,554InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt$26,554RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$24,614,109TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$25,606,502TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$25,606,502ExpensesSubtotalAmt
Investment Expenses Not Incld2$26,554InvestmentExpensesNotIncld2Amt
Other Expenses Not Included-$25,000OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$1,554ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$25,608,056TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART X, LINE 2:U.S. GENERALLY ACCEPTED ACCOUNTING PRINCIPLES REQUIRE PLAN MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE PLAN AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF THE PLAN HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS.
PART XII, LINE 4B - OTHER ADJUSTMENTS:DECREASE IN CLAIMS PAYABLE -25,000.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
GARY BURNS
TRUSTEE$0$91,426$0$0$0$0$0$0$0$62,519$0$153,945$0$0
DAN DOPERALSKI
TRUSTEE$0$86,620$0$0$0$0$0$0$0$64,615$0$151,235$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BTHE OFFICERS AND ADMINISTRATIVE MANAGER REVIEWS THE FORM 990 WITH THE ACCOUNTANT BEFORE SIGNING AND MAKING A COPY OF THE FORM 990 AVAILABLE FOR ALL TRUSTEES.
FORM 990, PART VI, SECTION B, LINE 12CTHERE ARE ANNUAL TRUSTEE QUESTIONNAIRES.
FORM 990, PART VI, SECTION C, LINE 19THE PLAN MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XII, LINE 2CTHE BOARD OF TRUSTEES IS RESPONSIBLE FOR THE SELECTION OF AN INDEPENDENT ACCOUNTANT TO PERFORM THE AUDIT OF THE PLAN'S FINANCIAL STATEMENTS.
FORM 990, SCHEDULE R:THE PLAN MADE A REASONABLE EFFORT TO OBTAIN THE FEDERAL TAX CLASSIFICATION FROM ALL CONTRIBUTING EMPLOYERS BUT WAS UNABLE TO OBTAIN A RESPONSE FROM 31 EMPLOYERS.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtControlled OrganizationControlledOrganizationInd
OPERATIVE PLASTERERS & CEMENT MASONS LOCAL 599
8701 N LAUER STREETMILWAUKEEWI53224391960564LABOR UNIONWI501(C)(5)0
BAC DISTRICT COUNCIL
PO BOX 510617NEW BERLINWI53151391590426LABOR UNIONWI501(C)(5)0
MILWAUKEE AREA BRICKLAYERS APPRENTICESHIP TRAINING FUND
17125 W CLEVELAND AVENUENEW BERLINWI531510741391333915APPRENTICESHIP TRAININGWI501(C)(3)0
BOARD OF TRUSTEES WI MASONS' HEALTH CARE FUND
2901 W BELTLINE HIGHWAY STE 100MADISONWI537134226237422786JOINT BOARD OF TRUSTEESWI501(C)(9)0
UNIVERSAL BLASTCO MI TILE

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (5 entries)

ADVANCE BOILER & TANK
LLOYD HAMM MASONRY
HANSON MASONRY & CONCRETE
MAVID CONSTRUCTION SERVICE LLC
WALLY KING MASONRY LLC

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (144 entries)

AW OAKES & SON
AGC OF GREATER MILWAUKEE
APPLETON LATHING CORP
ARNDT HAROLD INC
ARNIE MACKEY CONSTRUCTION
ARTEAGA CONSTRUCTION INC
AUGELLI CONCRETE & EXCAVATING
BANE NELSON
BENEFIT PLAN ADMINISTRATOR OF WI
BOLDT OSCAR CONSTRUCTION CO
BORTH-WILSON INC
BUKACEK CONSTRUCTION INC
CG SCHMIDT INC
C&S CONSTRUCTION INC
CAMOSY INC
CAPELLE BROTHERS & DIEDRICH INC
CARDINAL CONSTRUCTION
CASTELLAN TILE & TERRAZZO INC
CATTELL RAYMOND INC
CAULKING PLUS INC
CLASSIC MARBLE & GRANITE
CM MORRIS GROUP INC
CONCRETE MASONRY INC
CORNERSTONE CONSTRUCTION
CORNERSTONE PAVERS LLC
CROWLEY MASONRY INC
JP CULLEN & SONS INC
D&M MASONRY LLC
DAROLD BERGER MASONRY
DICKOW & CYZAK TILE
DOYLE CONTRACTORS INC
EDGAR PRAGER & SONS
FABCON INC
FINDORFF & SON INC
FIVE STAR MASONRY LLC
FOND DU LAC MOSAIC TILE
FOWLER & HAMMER INC
FOX VALLEY & CONSTRUCTION
G&W PLASTERING INC
GAGNON INC
GEGARE TILE INC
HARBOR CITY MASONRY INC
HEIN WILLIAM CONSTRUCTION INC
HETZEL TILE
HEULER TILE COMPANY
HILLSIDE DAMPROOFING INC
HOMBURG CONTRACTORS INC
HUNZINGER CONSTRUCTION CO
IEI GENERAL CONTRACTORS INC
INTERIOR INSTALLATION
J&J LEE CONSTRUCTION
JH HASSINGER INC
JW SCHULTZ CONSTRUCTION INC
JAC MASONRY INC
JF HARRISON INC
JOHN TV & SON INC
JOHNSON TERRAZZO COMPANY
JUROWSKI RJ CONSTRUCTION INC
KMI CONSTRUCTION LLC
KOTZE CONSTRUCTION COMPANY INC
KRAEMER EDWARD
LEWIS CONSTRUCTION INC
LUNDA CONSTRUCTION
MA MORTENSON CO
MAAS BROS CONSTRUCTION COMPANY
MACCO'S COMMERCIAL INTERIORS
MAGILL CONSTRUCTION INC
MARKET & JOHNSON INC
MEGAL CONSTRUCTION COMPANY
MEYER CR & SONS CO
MICHEAL MASONRY
MICHELS CORPORATION
MIDDLETON CONSTRUCTION INC
MIRON CONSTRUCTION COMPANY INC
MORTL RESTORATION
NATIONAL MACHINERY
PARISI CONSTRUCTION COMPANY
PERFORMANCE PLASTER INC
PLATT CONSTRUCTION COMPANY
POELLINGERS INC
PUKALL COMPANY INC
QUALITY BLDG RESTORATION CO INC
QUASIUS CONSTRUCTION INC
RASCH CONSTRUCTION & ENGINE
REFRACTORY SERVICE INC
RESCH'S TILE INC
RICE IVAN & SONS
RILEY CONSTRUCTION INC
SCHERRER CONSTRUCTION COMPANY INC
SCHLEIS FLOOR COVERING
SCHMITT JOSEPH & SONS CO
SCIACHITANO CAULKING INC
SERVAIS TILE & STONE INC
SID'S SEALANTS
SMITH CD CONSTRUCTION COMPANY INC
SOMMERS CONSTRUCTION COMPANY INC
SPANCRETE INC
SPEEDWAY SAND & GRAVEL
STANDARD SIDEWALK
STEBBIBS ENGINEERING COMPANY
STRETAR MASONRY & CONCRETE
STRUCTURAL APPLICATORS INC
KENNETH F SULLIVAN INC
SUPERIOR MASONRY BUILDERS
THEOBALD RAY MASONRY INC
THOMAS A MASON COMPANY INC
TRI NORTH BUILDERS INC
TRIERWEILER CONSTRUCTION
VINTON CONSTRUCTION COMPANY
VOGEL BROTHERS BUILDING COMPANY
VONASEK & SCHIEFFER INC
WALL-TECH INC
WALSH MASONRY INC
WAUBONSEE DEVELOPMENT
WINKLER MASONRY INC
WISCONSIN TERRAZZO TILE INC
ZEISE FRANK CONSTRUCTION INC
ZENITH TECH
API INC
BERHAMMER CORP
BOURBON TILE & MARBLE INC
JP PHILLIPS INC
LIPPERT TILE CO INC
ROSSI CONSTRUCTION
MARTELL CONSTRUCTION
CLEVELAND AND MARBLIE MOSAIC CO
J&A POHL INC
J&J MASONRY INC
MAGNEY CONSTRUCTION INC
OLYMPIC COMPANIES
SHAFER GROUP INC
JIMMY Z MASONRY INC
AECOM ENERGY & CONSTRUCTION INC
BEDROCK FLINT INC
BENNET CONSTRUCTION INC
COLVIN MASONRY CO
EVANS-MASONS INC
EXECUTIVE PLASTERING CO
FOREVER FLOORS INC
GEORGE SIEGFRIED CONSTRUCTION CO
HOUSE OF STONE INC
JW FLOORING INC
PROSTAR SURFACES INC
WR WEIS COMPANY INC
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd