2018-10-18T11:29:08-05:00 2017-12-31 410746749 CLIFTONLARSONALLEN LLP 220 SOUTH SIXTH STREET SUITE 300 MINNEAPOLIS MN 55402 990 2017-01-01 020656066 HEARTLAND HEALTHCARE FUND HEAR 9528540795 3001 METRO DRIVE NO 500 BLOOMINGTON MN 55425 STEVEN TONDI CHAIRMAN 9528540795 2018-07-25 1 DOUG BERTOSSI P00637990 6123764500 67.137.57.251 2018-07-25 09:49:49 CD P 92465E57DADAD6C24A7EB17F4905229B30516652 DBE5E9100BD705C5801F05FB9419F1388E8E9FDA 2017 2018-06-14 16:35:46Z STEVEN TONDI 3001 METRO DRIVE NO 500 BLOOMINGTON MN 55425 46568074 0 X N/A X 2002 IA INSURED AND SELF FUNDED WELFARE BENEFITS FOR UNION MEMBERS AND THEIR DEPENDENTS. 6 0 56 6 0 0 0 0 28728098 33295822 646138 650817 0 0 29374236 33946639 0 0 28789908 31023966 0 0 0 0 0 1159978 1157809 29949886 32181775 -575650 1764864 33963594 37568096 318661 231073 33644933 37337023 INSURED AND SELF-FUNDED WELFARE BENEFITS FOR UNION MEMBERS AND THEIR DEPENDENTS. 0 0 INSURED AND SELF FUNDED WELFARE BENEFITS FOR APPROXIMATELY 2,217 UNION MEMBERS AND THEIR DEPENDENTS. 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 1 15 0 56 1 0 0 0 0 0 0 X 6 0 0 1 0 0 0 1 0 1 1 0 0 1 0 0 0 0 0 0 X WILSON MCSHANE CORPORATION 9528540795 3001 METRO DR STE 500 BLOOMINGTON MN 55425 X X STEVEN P TONDI CHAIRMAN, SEE SCHEDULE O 1.00 40.00 X X 0 0 0 DAVE FOY TRUSTEE, SEE SCHEDULE O 1.00 2.00 X 0 0 0 DAVID ARGUBRIGHT TRUSTEE, SEE SCHEDULE O 1.00 1.50 X 0 0 0 BRUCE WERNING SECRETARY, SEE SCHEDULE O 0.50 40.00 X X 0 0 0 GREG MULHERIN TRUSTEE 1.00 2.00 X 0 0 0 DANIEL AUSSEM TRUSTEE, SEE SCHEDULE O 1.00 6.00 X 0 0 0 0 0 0 0 0 0 0 WILSON MCSHANE CORPORATION 3001 METRO DRIVE BLOOMINGTON MN 55425 FUND ADMINISTRATOR 798765 BLUELINK TPA 1305 CORPORATE CENTER DRIVE EAGAN MN 55121 MEDICAL CLAIMS NETWORK 580003 2 EMPLOYER CONTRIBUTIONS 525100 31571593 31571593 EMPLOYEE CONTRIBUTIONS 525100 1724229 1724229 33295822 715401 715401 12556851 12621435 -64584 -64584 -64584 33946639 33231238 0 715401 31023966 794878 54602 48480 124441 91064 27588 1339 15417 32181775 1153057 2411757 93378 55853 2222396 2614856 177222 130232 25835285 24215183 4482256 8140215 33963594 37568096 161862 87738 156799 143335 318661 231073 X 33644933 37337023 33644933 37337023 33963594 37568096 1764864 1927226 0 X 0 1 X 1 0 0 LIMITED LIABILITY COMPANY 4909319 F COLLECTIVE TRUST FUND 3230896 F 8140215 X 35749424 1927226 1927226 33822198 124441 124441 33946639 32057334 0 32057334 124441 124441 32181775 PART X, LINE 2: THE VEBA TRUST FUNDING BENEFITS OF THE PLAN RECEIVED AN EXEMPTION LETTER FROM THE INTERNAL REVENUE SERVICE (IRS) DATED MAY 20, 2003, STATING THAT THE TRUST IS TAX-EXEMPT UNDER THE PROVISIONS OF SECTION 501(C)(9) OF THE INTERNAL REVENUE CODE (IRC). HOWEVER, AS A RESULT OF THE PLAN'S FUNDING POLICY, FROM TIME TO TIME THE TRUST MAY BE SUBJECT TO INCOME TAXES. NO FEDERAL OR STATE INCOME TAXES HAVE BEEN RECORDED IN 2017 AND 2016 FOR UNRELATED BUSINESS TAXABLE INCOME. IN ADDITION, THE PLAN AND TRUST ARE REQUIRED TO OPERATE IN CONFORMITY WITH THE IRC TO MAINTAIN THE TAX-EXEMPT STATUS OF THE TRUST. THE PLAN ADMINISTRATOR BELIEVES THAT THE PLAN IS BEING OPERATED IN COMPLIANCE WITH THE APPLICABLE REQUIREMENTS OF THE IRC AND, THEREFORE, BELIEVES THAT THE RELATED TRUST IS TAX-EXEMPT. 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 PLAN HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS. SUBSTANTIAL CONTRIBUTOR CONTRIBUTING CONTRACTOR EMPLOYER CONTRIBUTIONS X 6867 6867 0 0 0 SUBSTANTIAL CONTRIBUTOR CONTRIBUTING CONTRACTOR EMPLOYER CONTRIBUTIONS X 144 144 0 0 0 SUBSTANTIAL CONTRIBUTOR CONTRIBUTING CONTRACTOR EMPLOYER CONTRIBUTIONS X 395 395 0 0 0 SUBSTANTIAL CONTRIBUTOR CONTRIBUTING CONTRACTOR EMPLOYER CONTRIBUTIONS X 105 105 0 0 0 SUBSTANTIAL CONTRIBUTOR CONTRIBUTING CONTRACTOR EMPLOYER CONTRIBUTIONS X 6650 6650 0 0 0 SUBSTANTIAL CONTRIBUTOR CONTRIBUTING CONTRACTOR EMPLOYER CONTRIBUTIONS X 1133 1133 0 0 0 SUBSTANTIAL CONTRIBUTOR CONTRIBUTING CONTRACTOR EMPLOYER CONTRIBUTIONS X 50 50 0 0 0 SUBSTANTIAL CONTRIBUTOR CONTRIBUTING CONTRACTOR EMPLOYER CONTRIBUTIONS X 331 331 0 0 0 SUBSTANTIAL CONTRIBUTOR CONTRIBUTING CONTRACTOR EMPLOYER CONTRIBUTIONS X 626 626 0 0 0 SUBSTANTIAL CONTRIBUTOR CONTRIBUTING CONTRACTOR EMPLOYER CONTRIBUTIONS X 2867 2867 0 0 0 SUBSTANTIAL CONTRIBUTOR CONTRIBUTING CONTRACTOR EMPLOYER CONTRIBUTIONS X 15029 15029 0 0 0 SUBSTANTIAL CONTRIBUTOR CONTRIBUTING CONTRACTOR EMPLOYER CONTRIBUTIONS X 52465 52465 0 0 0 SUBSTANTIAL CONTRIBUTOR CONTRIBUTING CONTRACTOR EMPLOYER CONTRIBUTIONS X 43570 43570 0 0 0 130232 FORM 990, PART VI, SECTION A, LINE 3 WILSON-MCSHANE COMPANY WAS DELEGATED CONTROL OVER MANAGEMENT DUTIES AS PLAN ADMINISTRATOR. FORM 990, PART VI, SECTION A, LINE 7A THREE OF THE TRUSTEES ARE DESIGNATED BY THE CHICAGO REGIONAL COUNCIL OF CARPENTERS. THREE OF THE TRUSTEES ARE DESIGNATED BY THE ILLINOIS VALLEY CONTRACTORS ASSOCIATION, ILLOWA MILLWRIGHT CONTRACTORS ASSOCIATION AND THE ASSOCIATED GENERAL CONTRACTORS OF THE QUAD CITIES. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON INFORMATION SUPPLIED BY THE ORGANIZATION. A REVIEW OF THE RETURN IS CONDUCTED BY THE ORGANIZATION AND PRESENTED TO THE BOARD OF TRUSTEES PRIOR TO FILING. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE MEMBERS UPON REQUEST. FORM 990 PART VII, SECTION A, LINE 1A TRUSTEES ARE NOT COMPENSATED BY THE FUND. COMPENSATION PAID TO TRUSTEES EMPLOYED BY OTHER RELATED ORGANIZATIONS IS REPORTED ON THE FORM 990 FILED WITH THE INTERNAL REVENUE SERVICE BY THE RELATED TAX-EXEMPT ORGANIZATION. THE FOLLOWING RELATED ORGANIZATIONS REPORTED COMPENSATION FOR A TRUSTEE LISTED ON THE HEARTLAND HEALTHCARE FUND 990: STEVEN P. TONDI, CHAIRMAN QUAD CITY CONSTRUCTION INDUSTRY ADVANCEMENT TRUST EIN: 36-2652144 DAVID ARGUBRIGHT, TRUSTEE UNITED BROTHERHOOD OF CARPENTERS & JOINERS LOCAL NO 195 EIN: 36-2419940 BRUCE WERNING, SECRETARY UNITED BROTHERHOOD OF CARPENTERS & JOINERS OF AMERICA EIN: 36-1894832 DANIEL AUSSEM, TRUSTEE ILLINOIS VALLEY CONTRACTORS ASSOCIATION EIN: 36-2150421 DAVE FOY MILLWRIGHT LOCAL UNION 2158 EIN: 42-1484016 CARPENTERS LOCAL #4 LOCAL #790 NO WEST ILL & EASTERN CARP JATC CARPENTERS TRAINING PROGRAM ILLOWA MILLWRIGHTS JATC CHICAGO DISTRICT COUNCIL NORTHERN ILLINOIS UNIVERSITY PHYSICAL PLANT AGC OF ILLINOIS ILLINOIS VALLEY CONTRACTORS ASSOCIATION 1120 FIRST STREET LASALLE IL 61301 362150421 PROMOTE BETTER RELATIONS BETWEEN LOCAL CONTRACTORS, TRADE UNIONS, CONSTRUCTI IL 501(C)(6) N/A 0 MILLWRIGHT LOCAL UNION 2158 & ILLOWA BUILDING FUND 2707 62ND STREET COURT BETTENDORF IA 52722 421484016 OWNS AND LEASES OFFICE AND TRAINING SCHOOL FACILITIES TO MILLWRIGHT 2158 IA 501(C)(2) N/A 0 UNITED BROTHERHOOD OF CARPENTERS & JOINERS OF AMERICA 12 EAST ERIE STREET CHICAGO IL 60611 361894832 LABOR UNION IL 501(C)(5) N/A 0 QUAD CITY CONSTRUCTION INDUSTRY ADVANCEMENT TRUST 520 - 24TH STREET ROCK ISLAND IL 61201 362652144 PROMOTING, IMPROVING, AND ADVANCING THE CONSTRUCTION INDUSTRY IN QUAD-CITY IL 501(C)(6) N/A 0 CITY OF FULTON NORTH CENTRAL STATES REGIONAL COUNCIL OF CARPENTERS CORNERSTONE CONSTRUCTION GROUP LLC HAYES MECHANICAL INC INTERIOR BUILDING SYSTEMS ADVANTAGE INDUSTRIAL SYSTEMS AHC MECHANICAL SERVICES AIMS MECHANICAL LLC ALL PHASES CONSTRUCTION ALLIED POWER SERVICES BYRNE & JONES MARINE LLC CECO CONCRETE CONSTRUCTION CREATION CARPENTRY CO DEFCON FORCE LLC ERDMAN CONSTRUCTION LLC FOUNDATION SERVIECS HERITAGE CONSTRUCTION IPC LYDON LLC KRAEMER NORTH AMERICA PRECISION MECHANICAL PRODIGY CONSTRUCTION LL R D LAWRENCE CONST CO LTD RUSSELL CONSTRUCTION S&S FLOORING INSTAL SAFWAY SERVICES LLC STONE & WEBSTER CONSTRUCTION TURBINE PROS LLC WALBRIDGE EQUIPMENT INSTALL STENSTROM GENERAL CONTR BROWN CONSTRUCTION PRIME CONSTRUCTION SERVICES ALLOY SPECIALITES INC ANDERSON COMMERCIAL CON ATLANTIC PLANT MAINT INC AUSTED & SONS INC BUILDERS SALES & SERVICES CARPET WEAVERS COMMERCIAL CONTROL INSTALLATIONS OF IOWA INC DOORS INC FORRISTALL CONCRETE CO GOETZ CONCRETE CONSTRUCTION HEITKOTTER INC HODGE CONSTRUCTION CO INC HODGE CONSTRUCTION CO KOESTERS LINOLEUM SHOP L & L FLOORCOVERING L P W INC LEANDER CONSTRUCTION INC MILLARD FRANK & COMPANY MILLWRIGHT SERVICE INC MORTENSON CONSTRUCTION NELSON CONSTRUCTION CONTRACTING RYAN COMPANIES US INC SPELICH GENERAL CONTRACTING STARK EXCAVATING INC SWEDBERG & ASSOCIATES TIEMAN BUILDERS WILLIAMS BROS CONSTRUCTION INC WINKLER CONSTRUCTION CO ADV BUILDERS INC ALBERICI CONSTRUCTORS ALL TIMATE CONSTRUCTION ALLIED CONSTRUCTION SERVICES INC AMERICAN RIGGING & MILL ARTISAN CONTRACTING INC AUTOMATIC SYSTEMS INC AZCO INC BAUM OTTO & SON'S INC BILFINGER INDUST SERVICE BRAND ENERGY SERVICES BRENNAN J F CO INC BURKS DRYWALL BUTLER DRYWALL & PAINT CENTENNIAL CONTRACTOR CIVIL CONSTRUCTORS INC CLIMATE PROS INC COMMERCIAL CARPET CONSULTANTS CONCRETE SYSTEMS INC CONTINENTAL ENTERPRISES CONVEYING CONVENIENCE CRUZ CONCRETE CURRY KEN CONSTRUCTION INC D & L ALEXANDER INC DAVID M SCHMITT DRYWALL DIAMOND CUT INC DORAL CORPORATION DRESSER-RAND PRODUCT EDON CONSTRUCTION FINELINE INC FOSLER CONSTRUCTION FOUR POINT O INC GRANGER CONTRACTING CO GREGORY CONSTRUCTIO H & S CONCRETE INC HARGER'S ACOUSTICS HART ERECTORS HENRY F TEICHMANN HERITAGE CARPENTRY INC HOFFMAN BUILDERS INC ILLINOIS CONSTRUCTOR CO IMMEL HOWARD INC INDUSTRIAL SERVICES GROUP INC INTERIOR CONSTRUCTION INTERIOR INSTALLATION INTERNATIONAL DECORATOR IRVING CONSTRUCTION CO J B ROBERTSON CONSTRUCTION J C HARRIS & SONS INC JACK HALL CONSTRUCTION JM INDUSTRIAL SUPPLY K&S ENGINEERS INC KIEFER SPECIALTY FLOORING KNAPP CONCRETE CONT KNIGHT FLOORING INC KOJA CONSTRUCTION INC KOOLMASTER CO INC KRULL WINDOW COMPANY KWCC INC KYLER CONSTRUCTION INC LARSON & LARSON BUILDER LEECO CONSTRUCTION LIEBHART CONSTRUCTION LITE CONSTRUCTION LUNDA CONSTRUCTION CO MACHINERY & CONVEYOR MAYOU D H ROOFING CO MCCOY CONSTRUCTION CO MEYER C R & SONS CO MICHELS FOUNDATIONS MID-AMERICA SYSTEMS INC MTE MILLER TRUCKING NICAM CONSTRUCTION ONSITE WOODWORKING CORPORTION PERFORMANCE CONTRACTING PHILLIPS INTERIOR EXTERIOR SYSTEMS INC PINTER GENERAL CONTRACTING PLATINUM SCAFFOLDING POETTKER CONSTRUCTION CO PORTZEN CONSTRUCTION PRECISION BUILDERS PRECISION FLOOR AND TILE PREFERRED CONC & EXCAVATING PROSTAR SURFACES INC PULVERIZER MAINTENANCE RECORD AUTOMATIC DOORS RIGID CONSTRUCTION INC ROBERTSON JB CONSTRUCTION SCHMELING CONSTRUCTION SIEMENS WESTINGHOUSE GE SINGLEY CONSTRUCTION INC SJOSTROM & SONS STORAGE & DESIGN GROUP INC SUPERIOR FLOOR COVERING SZAREK LENNY INC TAB STOREFORCE INC THE JAMAR COMPANY THEIL R & D INC THOMPSON BROTHERS INC TRUSS PLUS INC VANGUARD CONTRACTORS INC WEAVER CONSTRUCTION INC WEITZ ABELL-HOWE WOZNIAK CONCRETE FINISHING ICON INDUSTRIAL SERVICE CALACCI CONSTRUCTION D CONSTRUCTION INC BLACKHAWK FOUNDATIONS BLAHNIK CONSTRUCTION CO BRECKE BG INC BUSH CONSTRUCTION CO INC CENTRAL CEILING SYSTEMS CENTRAL MILLWRIGHT SER CURNYN CONSTRUCTION CO DAVES FLOOR COVERINGS DAY & ZIMMERMAN NPS INC ESTES COMPANY FRANCK D G INC GENERAL CONSTRUCTORS INC H&H BUILDERS INC ILLINOIS VALLEY MACHINE KINETIC CONSTRUCTION KUDELA BUILDERS LADZINSKI CEMENT FINISH LARSEN KLAUER BUILDERS NEWELL MACHINERY CO INC NORTHERN ILL WALL & CEILING PARAMOUNT MILLWRIGHT QUAD CITY ACOUSTICAL R G CONSTRUCTION SERVICE RAYNOR DOOR CO INC RAYNOR MANUFACTURING RINGLAND JOHNSON INC RIVER VALLEY CONSTRUCTION ROCKWELL GROUP RYAN & ASSOCIATES SEITHER & CHERRY QUAD SHEPARD CONSTRUCTION SMITH CA BUILDERS INC SUITABLE BUILDERS INC TREIBER CONSTRUCTION CO VALLEY CONST CO VISSERING CONSTRUCTION 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 SCHEDULE R, PART VII THE FOLLOWING COMPANIES ARE CONTRIBUTING EMPLOYERS TO THE HEARTLAND HEALTHCARE FUND AND DEEMED TO BE A RELATED ORGANIZATION. HOWEVER, THE FUND WAS UNABLE TO OBTAIN THE SPECIFIC TAX CLASSIFICATION OF THE ORGANIZATIONS. AS SUCH, THE ENTITIES ARE NOT LISTED BY THE TAX CLASSIFICATION IN PARTS II - IV OF THE SCHEDULE R. SEE EMPLOYER LIST BELOW: INSTALLATION SERVICES RIVER CITY CONSTRUCTION BOLDT OSCAR J CONSTRUCT CATALANELLO BUILDERS CETWINSKI CONSTRUCTION DICKS FLOOR COVERING GRP MECHANCIAL CO, INC. HARGRAVE BUILDERS, INC. HEIN CONSTRUCTION CO, INC. HELKAMP CONSTRUCTION CO INSULATED PANEL COMPANY INTEGRAL FLOORING SYSTEM JONES-BLYTHE CONSTRUCTION KEEN CO LILJA MECHANICAL CONSTR MID VALLEY CONCRETE INC. MORSE L. J. CONSTRUCTION PETERSON BERTEL CO ROCKFORD CARPETLAND USA SCURTO CEMENT CONSTRUCT SYSTEMS ENTERPRISE CORP UNIVERSAL PLANT SERVICE BI STATE SEAMLESS GUTTERS COMMERCIAL FLOOR COVERING CONTEMPORARY HAMMERWORK CPI OF THE MIDWEST DASHCO, INC. HOERR P J INC MARTIN & COMPANY EXCAV MCCARTHY IMPROVEMENT MID-ILLINOIS PAINTING RAYNOR DOOR AUTH OF DE REDBUD RIDGE CUSTOM ROSE CONCRETE RUIZ CONSTRUCTION CO SEITHER & CHERRY COMPANY SWANSON PROFESSIONAL FL W SOULE & CO WINGER MECHANICAL WRIGHT-WAY INTERIOR SYSTEMS