STRATEGY STUDIO / PUBLIC DATA EXPLORER

FOX VALLEY LABORERS HEALTH AND WELFARE FUND: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
FOX VALLEY LABORERS HEALTH AND WELFARE FUND (EIN 36-6219639)
Tax period
2016-06-01 to 2017-05-31
Filed
2018-02-12
IRS object ID
201810439349301191
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)
Return2018-02-12T16:55:14-06:00ReturnTs
Tax Period End2017-05-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN470900880PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CALIBRE CPA GROUP PLLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1230 W MONROE STE 310AddressLine1Txt
CityCHICAGOCityNm
State AbbreviationILStateAbbreviationCd
ZIP606064701ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-06-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN366219639EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1FOX VALLEY LABORERS HEALTH & WELFARE FNDBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlFOXVBusinessNameControlTxt
Phone8477420900PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12371 BOWES ROAD No 500AddressLine1Txt
CityELGINCityNm
State AbbreviationILStateAbbreviationCd
ZIP601235523ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMIKE SHALESPersonNm
Person TitleChairmanPersonTitleTxt
Phone8477420900PhoneNum
Signature2018-02-08SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonANDREW HEINPreparerPersonNm
PTINP00499757PTIN
Phone3126550037PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address38.100.43.100IPv4AddressTxt
FieldValueIRS element (for citing)
IP2018-02-12IPDt
IP Tm16:54:57IPTm
IP TimezoneCSIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDD2F5A6855584BEFBC68452237D9336111CE352FAtSubmissionCreationDeviceId
At Submission Filing Device IdDD2F5A6855584BEFBC68452237D9336111CE352FAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMIKE SHALESPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12371 BOWES ROAD No 500AddressLine1Txt
CityELGINCityNm
State AbbreviationILStateAbbreviationCd
ZIP601235523ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$46,849,627GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501cYes (X)Organization501cInd
Website AddressN/AWebsiteAddressTxt
Type Of Organization TrustYes (X)TypeOfOrganizationTrustInd
Formation1968FormationYr
Legal Domicile StateILLegalDomicileStateCd
Activity Or MissionTO PROVIDE MEDICAL, DENTAL, VISION, TEMPORARY DISABILITY, AND DEATH BENEFITS TO ELIGIBLE MEMBERS AND THEIR DEPENDENTS.ActivityOrMissionDesc
Voting Members Governing Body6VotingMembersGoverningBodyCnt
Voting Members Independent3VotingMembersIndependentCnt
Total Employee72TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$36,364,531PYProgramServiceRevenueAmt
CY Program Service Revenue$35,645,523CYProgramServiceRevenueAmt
PY Investment Income$3,616,487PYInvestmentIncomeAmt
CY Investment Income$2,909,555CYInvestmentIncomeAmt
PY Other Revenue$325,288PYOtherRevenueAmt
CY Other Revenue$300,544CYOtherRevenueAmt
PY Total Revenue$40,306,306PYTotalRevenueAmt
CY Total Revenue$38,855,622CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$30,153,656PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$29,997,167CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$887,885PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$900,110CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$2,086,228PYOtherExpensesAmt
CY Other Expenses$2,246,975CYOtherExpensesAmt
PY Total Expenses$33,127,769PYTotalExpensesAmt
CY Total Expenses$33,144,252CYTotalExpensesAmt
PY Revenues Less Expenses$7,178,537PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$5,711,370CYRevenuesLessExpensesAmt
Total Assets BOY$84,403,228TotalAssetsBOYAmt
Total Assets EOY$94,092,176TotalAssetsEOYAmt
Total Liabilities BOY$19,218,941TotalLiabilitiesBOYAmt
Total Liabilities EOY$19,950,141TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$65,184,287NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$74,142,035NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE MEDICAL, DENTAL, VISION, TEMPORARY DISABILITY, AND DEATH BENEFITS TO ELIGIBLE MEMBERS AND THEIR DEPENDENTS.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
DescTO PROVIDE MEDICAL, DENTAL, VISION, TEMPORARY DISABILITY, AND DEATH BENEFITS TO ELIGIBLE MEMBERS AND THEIR DEPENDENTS. THERE WERE 1,829 ELIGIBLE PARTICIPANTS AT MAY 31, 2017.Desc
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 EquipmentYes (1)ReportLandBuildingEquipmentInd
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 Document831IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee72EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members6GoverningBodyVotingMembersCnt
Independent Voting Member3IndependentVotingMemberCnt
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 Committees0MinutesOfCommitteesInd
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 Policy0WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
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 Line1PAT SHALESBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8477420900PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12371 BOWES ROAD SUITE 500AddressLine1Txt
CityELGINCityNm
State AbbreviationILStateAbbreviationCd
ZIP601235523ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (8 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtHighest Compensated EmployeeHighestCompensatedEmployeeInd
JOHN PBRYAN
TRUSTEE3.00Yes (X)$0$0$0
MIKE SHALES
Chairman3.00Yes (X)$0$0$0
VERN BAUMAN
TRUSTEE3.00Yes (X)$0$125,897$89,70640.00
AL OROSZ
TRUSTEE3.00Yes (X)$0$0$0
COREY R JOHNSON
SECRETARY3.00Yes (X)$0$130,391$85,88650.00
MARTIN D DWYER
FMR TRUSTEE3.00Yes (X)$0$133,565$85,88650.00
DAVE SHEAHAN
TRUSTEE3.00Yes (X)$0$122,529$89,70640.00
PATRICIA M SHALES
ADMINISTRATOR40.00$137,074$0$44,976Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$137,074TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$512,382TotReportableCompRltdOrgAmt
Total Other Compensation$396,160TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
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
BLUE CROSS BLUE SHIELD
300 EAST RANDOLPH STCHICAGOIL60601PPO ACCESS FEES$862,077
SEI INVESTMENT
ONE FREEDOM DRIVEOAKSPA19456INV MGMNT/CONSULTING$243,392
HORIZON ACTUARIAL SERVICES LLC
6120 ROLLING ROAD DRIVEMIAMIFL331565629PLAN CONSULTING$122,690
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K3CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
EMPLOYER CONTRIBUTIONS900099$34,087,284$34,087,284
MEMBER CONTRIBUTIONS900099$1,401,032$1,401,032
Stop Loss Reimbursements900009$99,329$99,329
MEDICARE D SUBSIDIES900099$57,878$57,878
FieldValueIRS element (for citing)
Total Program Service Revenue$35,645,523TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,828,983TotalRevenueColumnAmt
Exclusion$1,828,983ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$9,074,577SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$7,994,005SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$1,080,572SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,080,572TotalRevenueColumnAmt
Exclusion$1,080,572ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescREIMB SAL & RELATED EXPENSES FROMDesc
Business900099BusinessCd
Total Revenue Column$300,544TotalRevenueColumnAmt
Related Or Exempt Func Income$300,544RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$300,544OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$38,855,622TotalRevenueColumnAmt
Related Or Exempt Func Income$35,946,067RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$2,909,555ExclusionAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$29,997,167TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$491,741TotalAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$204,892TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$116,875TotalAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$86,602TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$166,281TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$66,083TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$448,641TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,249,674TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$166,727TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$69,491TotalAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,033TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$21,040TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$18,497TotalAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$33,068TotalAmt

Other Expenses OtherExpensesGrp

FieldValueIRS element (for citing)
DescPATIENT PROTECTION & AFDesc
Total$6,440TotalAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$33,144,252TotalAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$7,589BOYAmt
EOY$29,489EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$4,024,362BOYAmt
EOY$3,921,080EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$43,340BOYAmt
EOY$79,138EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$345,554LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$274,850LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$81,086BOYAmt
EOY$70,704EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$80,163,860BOYAmt
EOY$89,804,083EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$82,991BOYAmt
EOY$187,682EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$84,403,228BOYAmt
EOY$94,092,176EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$60,421BOYAmt
EOY$64,428EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$19,158,520BOYAmt
EOY$19,885,713EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$19,218,941BOYAmt
EOY$19,950,141EOYAmt
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$65,184,287BOYAmt
EOY$74,142,035EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$65,184,287BOYAmt
EOY$74,142,035EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$84,403,228BOYAmt
EOY$94,092,176EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$5,711,370ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$3,246,378NetUnrlzdGainsLossesInvstAmt
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

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$22,481OtherCostOrOtherBasisAmt
Depreciation$20,233DepreciationAmt
Book Value$2,248BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$323,073OtherCostOrOtherBasisAmt
Depreciation$254,617DepreciationAmt
Book Value$68,456BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$70,704TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
EST LIAB FUTR CLAIMS EXTENDED ELIGIBLTY$15,829,000
EST LIAB FUTR CLAIMS INCURRED BUT UNPAID$3,815,000
DEPOSITS HELD$177,421
Due to Affliated Funds$64,292
FieldValueIRS element (for citing)
Total Liability$19,885,713TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$41,195,608TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$3,246,378NetUnrealizedGainsInvstAmt
Revenue Not Reported$3,246,378RevenueNotReportedAmt
Revenue Subtotal$37,949,230RevenueSubtotalAmt
Investment Expenses Not Incld$448,641InvestmentExpensesNotIncldAmt
Other Revenues Not Included$457,751OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$906,392RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$38,855,622TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$31,590,860TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included-$157,207OtherExpensesIncludedAmt
Expenses Not Reported-$157,207ExpensesNotReportedAmt
Expenses Subtotal$31,748,067ExpensesSubtotalAmt
Investment Expenses Not Incld2$448,641InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$947,544OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$1,396,185ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$33,144,252TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part X, Line 2:ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE PLAN MANAGMENT TO EVALUATE TAX POSISTIONS 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 MAY 31, 2017, THERE WERE NO UNCERTAIN TAX POSISTIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION IF 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 MAY 31, 2017, THE PLAN IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO THE FISCAL YEAR ENDED MAY 31, 2014.
Part XI, Line 4b - Other Adjustments:MEDICARE D SUBSIDIES RECEIVED 57,878. REIMBURSED FV PENSION SALARY EXPENSE 300,544. STOP LOSS INSURANCE REIMBURSEMENTS 99,329.
Part XII, Line 2d - Other Adjustments:MEDICARE D SUBSIDIES RECEIVED -57,878. STOP LOSS INSURANCE REIMBURSEMENTS -99,329.
Part XII, Line 4b - Other Adjustments:REIMBURSED FV PENSION SALARY EXPENSE 300,544. CHANGE IN PLAN BENEFIT OBLIGATION 647,000.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (5 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
VERN BAUMAN
TRUSTEE$0$121,511$0$0$0$4,386$0$58,720$0$30,986$0$215,603$0$0
COREY R JOHNSON
SECRETARY$0$129,533$0$0$0$858$0$57,868$0$28,018$0$216,277$0$0
MARTIN D DWYER
FMR TRUSTEE$0$129,825$0$0$0$3,740$0$57,868$0$28,018$0$219,451$0$0
DAVE SHEAHAN
TRUSTEE$0$121,462$0$0$0$1,067$0$58,720$0$30,986$0$212,235$0$0
PATRICIA M SHALES
ADMINISTRATOR$127,625$0$0$0$9,449$0$24,777$0$20,199$0$182,050$0$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 8bTHE ORGANIZATION DOES NOT HAVE COMMITTEES TO ACT ON BEHALF OF THE GOVERNING BODY.
Form 990, Part VI, Section B, line 11bTHE TRUSTEES OF THE FOX VALLEY AND VICINITY LABORERS HEALTH AND WELFARE FUND HAVE AUTHORIZED THE CHAIRMAN OF THE FUND TO REVIEW THE FORM 990 PRIOR TO FILING. A COPY OF THE FILED RETURN IS MADE AVAILABLE TO ALL TRUSTEES TO REVIEW SUBSEQUENT TO FILING.
Form 990, Part VI, Section B, line 12cTHE ACTIONS OF THE TRUSTEES ARE GOVERNED BY THE TRUST DOCUMENT AND ERISA. BOTH ESTABLISH STANDARDS OF CONDUCT FOR PLAN FIDUCIARIES. IN ADDITION, THE ADMINISTRATOR OF THE PLAN HAS SIGNED AN EMPLOYMENT CONTRACT WITH THE FUND WHICH ALSO ESTABLISHES STANDARDS OF CONDUCT. THE TRUSTEES AND ADMINISTRATOR ARE RQUIRED TO DISCLOUSE ANY POSSIBLE CONFLICTS OF INTREST TO THE ENTIRE BOARD.
Form 990, Part VI, Section B, line 15aTHE TRUSTEES OF THE FUND ANNUALLY REVIEW THE PERFORMANCE OF THE FUND'S TOP MANAGEMENT OFFICIAL (ADMINISTRATOR) AND APPROVE ANY COMPENSATION ADJUSTMENTS.
Form 990, Part VI, Section C, line 19A SUMMARY ANNUAL REPORT IS DISTRIBUTED TO ALL PARTICIPANTS ANNUALLY. PARTICIPANTS ARE ABLE TO REQUEST THE AUDITOR'S REPORT AND OTHER FINANCIAL INFORMATION FROM THE FUND OFFICE AND/OR THE US DEPARTMENT OF LABOR.
FORM 990 PART XII LINE 2CTHERE HAS BEEN NO CHANGE IN THE PROCESS FROM THE PRIOR YEAR

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtControlled OrganizationControlledOrganizationInd
FOX VALLEY & VICINITY LABORERS PENSION
2371 BOWES Rd NO 500ELGINIL601235523366147409PENSION FUNDIL401(a)0
LABORERS LOCAL #1035
3819 N Route 23 Suite AMARENGOIL601520211362063944LABOR UNIONIL501(c)(5)0
LABORERS LOCAL #582
2400 BIG TIMBER ROAD BLDG BELGINIL601247812361265047LABOR UNIONIL501(c)(5)0
FOX VALLEY ASSOCIATED GENERAL CONTRACTORS
2020 DEAN ST NO IST CHARLESIL60174362244731CONTRACTORS ASSOCIATIONIL501(c)(6)0
ILLINOIS ROAD AND TRANSPORTATION BUILDERS ASSOCIATION
500 PARK BLVD 1250ITASCAIL60143361257695CONTRACTORS ASSOCIATIONIL501(c)(6)0

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (230 entries)

3 L K CONSTRUCTION LLC
A HORN INC
AAT PIPELINE TESTING INC
ABBOTT RA EXCAVATING INC
ABITUA SEWER WATER & PLUMB
ALBERICI J
ALLIANCE CONCR SAW & DRILL
ALLIANCE CONTRACTORS INC
AMERICAN VACTOR SERVICES LL
APRIL COBRA ENTERPRISES INC
ARROW ROAD CONSTRUCTION CO
ARTLOW SYSTEMS INC
ASC INSULATION & FIREPROOFI
BENCHMARK CONSTRUCTION CO
BERGER EXCAVATING
BERGQUIST & ZIMMERMAN CON I
BERKEL & CO CONTRACTORS IN
BLOCKER G A GRADING CONTR I
BOHR DON & SONS INC
BOSLY CONSTRUCTION LLC
BRAVO CONSTRUCTION CO INC
BROWN R CARTAGE DBA TRAFFIC
BUESING BROTHER INC
BUILDERS CONCRETE SERVICES
BULLEY & ANDREWS
BURROAK MASONRY INC
C & H EXCAVATING INC
CAMOSY INCORPORATED
CAMPTON CONSTRUCTION
CARMICHAEL CONSTRUCTION INC
CELLCRETE DECKS
CHADWICK CONTRACTING
CHAMPION PAVING CORP
CHICAGOLAND PAVING
CIVIL CONSTRUCTORS INC OF I
CONCRETE SYSTEMS INC
CONDUIT CONSTRUCTORS LLC
CONIGLIO TRUCKING & EXCAVAT
CONSOLIDATED CONSTR SERV LL
CONTINENTAL LAND & INFRASTR
CONTRACTING & MATERIAL CO
COOLING LAND CONCEPTS LLC
CORRECTIVE ASPHALT MATERIAL
CROSSTOWN CONSTRUCTION
CURRAN CONTRACTING CO
CYBERDYNE MASONRY DYNAMICS
D CONSTRUCTION INC
DE GRAF CONCRETE CONST INC
DEARBORN MIDWEST CONVEYOR C
DIAMOND MASONRY
DIENST SEWER & WATER INC
DN TANKS INC
DOHERTY CONSTRUCTION INC
DOUBLE HEADERS CONCRETE
DOUGAL BUILDING MAINT LLC
DREAMSCAPES BY DENNIS INC
EAGLE CONCRETE INC
ELECTRIC CONDUIT CONST
ELITE LANDSCAPING AND CONST
ELLIOTT & WOOD INC
ENGSTROM CONSTRUCTION CO
EVANS & SON BLACKTOP
EVEREST EXCAVATING INC
FABCON INC
FISCHER EXCAVATING INC
FLOOR SYSTEMS OF CHICAGO IN
FLOOR TECH SOLUTIONS INC
FOSS LANDSCAPES INC
FOX EXCAVATING INC
FREEHILL ASPHALT INC
G A RICH & SONS INC
G C MASONRY INC
GENEVA CONST CO
GESKE AND SONS INC
H & S CONCRETE CONSTR
H LINDEN & SONS WATR & SEWR
H R STEWART INC
HARRIS J C & SONS INC
HEELS AND HARDHATS CONTRACT
HEITKOTTER INC
HENKELS & MC COY INC
HUGH HENRY CONSTRUCTION
IHC CONSTRUCTION CO LLC
ILLINOIS CONSTRUCTRORS CORP
INTERNATIONAL INDUST CONTRA
INTREN INC
IVAN RICE & SONS INC
IWS INC
J & R 1ST IN ASPHALT
J && S CONSTRUCTION SEWER &
J E M MORRIS CONSTRUCTION I
J L ALLEN SERVICES INC
J P CULLEN & SONS
JACK COFFEY LLC
JACK HALL CONSTRUCTION
JENSENS PLUMBING & HEATING
JIM BURKE EXCAVATING INC
JIM GEORGE AND SONS LLC
JIMMY Z MASONRY CORP
JMI 2 CORPORATION
JOHN E GREEN
JOHNSTON W F CONSTR INC
KANE COUNTY EXCAVATING INC
KEEN CONCRETE INC
KELLENBERGER PLUMB & HEAT I
KENDALL EXC & SEPTIC LLC
K-FIVE CONSTRUCTION
KR&G EXCAVATING PARTNERS
KRAEMER NORTH AMERICA LLC
L J MORSE CONSTRUCTION
LABORERS WORK DUES FUND
LAMP INC
LANAS CONSTRUCTION
LANDMARK CONTRACTORS INC
LANG MECHANICAL INC
LASSWELL MASONRY INC
LAWRENCE J DODD CONSTRUCTIO
LEANDER CONSTRUCTION INC
LEE MACHINERY MOVERS
LIBERTY PAVING CO INC
LITE CONSTRUCTION
LORIG CONSTRUCTION COMPANY
M & M WELDING INC
M L & L EXCAVATING INC
MM PETERS CONSTRUCTION
MAGILL CONSTRUCTION INC
MANEVAL CONSTRUCTION
MARC KRESMERY CONSTRUCTION
MARTIN & CO EXCAVATING
MARTIN CEMENT CO
MASTER CRAFT FLOORS
MECCOR INDUSTRIES LTD
MERRYMAN EXCAVATING INC
MICHELS PIPEDIV MICHELS CO
MID-AMERICA REGIONAL BARGAI
MID-AMERICA UNDERGROUND LLC
MID-VALLEY CONCRETE INC
MIDWEST UNDERGROUND CONTR L
MILLER K R CONTR INC
MOHAWK CONTRACTING
MONTEMAYOR CONSTRUCTION INC
MONTICELLO MASONRY INC
MTH UNDERLAYMENT LLC
NESLUND & ASSOCIATES INC
NORTHERN CONTRACTING INC
NORTHERN ILLINOIS SERVICE C
NORTHERN PIPELINE CONST CO
NORTHWEST CONTRACTORS INC
OLSON R CONST CO CONTR INC
O'NEIL W E CONSTRUCTION CO
ORANGE CRUSH LLC
OSMAN CONSTRUCTION CORP
OSWEGO BUILDING SUPPLIES IN
OTTO BAUM CO INC
PALLERA CONSTRUCTION INC
PARKWAY FORMING INC
PEPPER CONSTRUCTION
PERFECT POLISH
PERFORMANCE CONST & ENG LL
PETER BAKER & SON COMPANY
PHOENIX CORP OF THE QUAD CI
PLAINFIELD CONCRETE INC
PLAINFIELD GRADING & EXCAVA
PLOTE CONSTRUCTION INC
PREFERRED CONCRETE & EXCAVA
PREMIER STAFFING SOLUTIONS
R C WEGMAN CONST CO
RAGNAR BENSON LLC
RAUSCH INFRASTRUCTURE LLC
REDLINE DEMOLITION LLC
REED MACHINERY & TRANS CO
RGL II INC
RICO ENTERPRISES INC
RINGLAND-JOHNSON INC
RIVER CITY CONSTRUCTION
RIVER VALLEY LAND IMP CO IN
RIZZA CONCRETE
RJ O'NEIL INC
RMF NOOTER INC
ROCK ROAD OF ILLINOIS
ROCKFORD CONCRETE PAVING CO
ROCKFORD STRUCTURES
ROUTE 66 CONSTAKA RYAN EXC
RUDOLPH MASON CONTRACTORS
RV BUILDERS CORP
RYAN COMPANIES US INC
S & K EXCAVATING & TRUCKING
S & K POOL SERVICE INC
SCANDROLI CONSTRUCTION CO
SCHMELING CONSTRUCTION CO
SCHNEIDER EXCAVATING INC
SCHROEDER ASPHALT SERVICES
SCORPIO CONSTRUCTION
SCURTO CEMENT CONSTRUCTION
SEYLLER'S INC
SHALES MCNUTT LLC
SINGLEY CONSTRUCTION
SJN SUBSURFACE INC
SJOSTROM & SONS INC
STARK & SON TRENCHING INC
STENSTROM EXCAV & BLACKTOP
STILES INC
STOKES EX CO I MEJIA
SUBSURFACE UNDERGROUND CONS
SURE INT'L OF CRYSTAL LAKE
SWEDBERG & ASSOCIATES INC
T B S CONSTRUCTION INC
TABITHA VENTURES INC
TAT ENTERPRISES INC
TCI INC
TERPSTRA MASONRY
THE BOLDT COMPANY
THE PENA GROUP INC
THOM GRAVEL & EXCAVATING IN
TNT CONSTRUCTION
TOBIN BROS INC
TR EXCAVATING INC
TRIGGI CONSTRUCTION INC
TROY LEE EXCAVATING INC
VALLEY CONSTRUCTION COMPANY
VIRIDIAN ENTERPRISES INC
VISSERING CONSTRUCTION CO
WALSH CONSTRUCTION CO II LL
WEAVER CONSTRUCTION INC
WHEATLAND CONCRETE INC
WHITTAKER CONST & EXCAVAT
WILKINSON EXCAVATING
WILLIAM CHARLES CONST CO LL
WILLIAM TONYAN & SONS INC
WILLIAMS BROTHERS CONST CO
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 FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd