2017-06-21T07:30:45-05:00 2016-11-30 205520612 L M HENDERSON & COMPANY LLP 450 E 96TH ST STE 200 INDIANAPOLIS IN 46240 990 2015-12-01 350923209 INDIANA LABORERS WELFARE FUND INDI 8122382551 PO BOX 1587 TERRE HAUTE IN 47808 DAVID FRYE SEC-TREASURER 8122382551 2017-06-08 true MICHELLE L ZIMMERMAN P00266120 3175661000 2017-06-21 2015 2018-03-14 21:41:22Z DAVID FRYE PO BOX 1587 TERRE HAUTE IN 47808 414400047 false X NOT APPLICABLE X 1953 IN PROVIDE HEALTH & WELFARE BENEFITS TO MEMBERS 14 14 252 14 0 0 75464655 77771391 5893353 6119510 5679 18524 81363687 83909425 0 76985641 82768794 2317424 2563983 0 0 8585066 7245464 87888131 92578241 -6524444 -8668816 251553733 248679933 12801508 15070845 238752225 233609088 PROVIDE HEALTH & WELFARE BENEFITS TO MEMBERS false false PROVIDE UNDER COLLECTIVE BARGAINING FINANCIAL SUPPORT FOR PROGRAMS OF LIFE INSURANCE, HEALTH, ACCIDENT, AND OTHER RELATED BENEFITS TO APPROXIMATELY 9,113 PARTICIPANTS. false false false false false false false false false true false false true true true true false false false false false false false false false false false false false false false false false false false false false false false false true false false true 804 0 252 true false false false false false false X 14 14 false false false false false false false true true false false true true true true false true true true false IN X JANETTA ENGLAND 8122382551 413 SWAN STREET TERRE HAUTE IN 47807 X BRIAN SHORT TRUSTEE X 0 0 0 JACK BAKER TRUSTEE X 0 0 0 DOUGLAS S BANNING JR TRUSTEE X 0 0 0 TOM FLEENOR TRUSTEE X 0 0 0 MURRAY MILLER TRUSTEE X 0 0 0 WILLIAM A HASSE III TRUSTEE X 0 0 0 WILLIAM K ROACH TRUSTEE X 0 0 0 DAVID FRYE SEC-TREASURE X X 0 0 0 FRANCIS GANTNER CHAIRMAN X X 0 0 0 JIM TERRY TRUSTEE X 0 0 0 MIKE MCCANN TRUSTEE X 0 0 0 JAMES W DANIELS TRUSTEE X 0 0 0 JIM MCDONALD TRUSTEE X 0 0 0 JEFF CHAPMAN TRUSTEE X 0 0 0 false false false ANTHEM INC 220 VIRGINIA AVENUE INDIANAPOLIS IN 46204 MED CLAIMS PROC 2852602 E-PLAN 22601 N 19TH AVE 202 PHOENIX AZ 85027 MED CLAIMS PROC 1260253 AMERICAN HEALTH HOLDINGS 7400 W CAMPUS RD F-510 NEW ALBANY OH 43054 MED CLAIMS PROC 470557 BASYS INC 3700 KOPPERS STREET SUITE 400 BALTIMORE MD 21227 MED CLAIMS PROC 412286 SMITH GRAHAM & CO 140 BROADWAY 45TH FLOOR NEW YORK NY 10005 INVESTMENT MGR 332404 7 EMPLOYER CONTRIBUTIONS 525100 68855929 68855929 PARTICIPANT CONTRIBUTIONS 525100 7909967 7909967 ADMINISTRATIVE FEES 525100 973634 973634 INTEREST ON CONTRIBUTIONS 525100 31861 31861 77771391 4986612 4986612 331622770 750 330490622 1132148 750 1132898 1132898 MISCELLANEOUS INCOME 900099 18524 18524 18524 83909425 83909425 82768794 1564328 419762 317399 262494 88460 34660 1057665 82000 372798 557024 96142 28544 34082 64904 ANTHEM ACCESS FEES 3059806 OTHER ADMINISTRATIVE FEES 1665501 BAD DEBTS 41154 RESEARCH FEES 36052 26672 92578241 0 0 0 12723663 10147865 6683031 7599284 249509 205430 1803114 1345936 476446 457178 139623239 121818800 91797845 108451376 251553733 248679933 4384805 3747756 8416703 11323089 12801508 15070845 X 238752225 233609088 238752225 233609088 251553733 248679933 -8668816 3525679 X false true X true false 89227 89227 1462167 1123302 338865 251720 222634 29086 457178 LIMITED PARTNERSHIPS 61671973 GROUP ANNUITY INS. CONTRACT 26702966 COLLECTIVE FUND 19358145 ACCRUED INTEREST & DIVIDENDS 527636 MEDICARE PART D REIMBURSEMENT 158569 ACCRUED INTEREST ON CONTRIBUTIONS 17829 OTHER RECEIVABLES 14258 108451376 CLAIMS INCURRED BUT NOT REPORTED 11040840 DUE TO OTHER FUNDS 208089 MEDICAL CLAIMS PAYABLE 74160 11323089 X 85403805 3525679 3525679 81878126 1057665 973634 2031299 83909425 90546942 90546942 1057665 973634 2031299 92578241 SCHEDULE D, PAGE 3, PART X THE FUND IS TAX EXEMPT UNDER INTERNAL REVENUE CODE PARAGRAPH 501(C)(9). THE EXEMPTION RULING WAS OBTAINED MAY 10, 1957. THE FUND OBTAINED ITS LATEST DETERMINATION LETTER ON JANUARY 11, 1983 IN WHICH THE INTERNAL REVENUE SERVICE STATED THAT THE FUND, AS THEN DESIGNED, WAS IN COMPLIANCE WITH THE APPLICABLE REQUIREMENTS OF THE INTERNAL REVENUE CODE. THE FUND HAS BEEN RESTATED AND AMENDED SINCE RECEIVING THE DETERMINATION LETTER. HOWEVER, THE PLAN'S ADMINISTRATOR, LEGAL COUNSEL, AND CONSULTANT, BELIEVE THAT THE FUND IS CURRENTLY DESIGNED AND BEING OPERATED IN COMPLIANCE WITH THE APPLICABLE REQUIREMENTS OF THE INTERNAL REVENUE CODE. THEREFORE, THEY BELIEVE THAT THE FUND WAS QUALIFIED AND THE RELATED TRUST WAS TAX-EXEMPT AS OF THE FINANCIAL STATEMENT DATE. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE FUND MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE FUND 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 INTERNAL REVENUE SERVICE. THE FUND ADMINISTRATOR HAS ANALYZED THE TAX POSITIONS TAKEN BY THE FUND, AND HAS CONCLUDED THAT AS OF NOVEMBER 30, 2016 AND NOVEMBER 30, 2015, 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 FUND IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. THE FUND ADMINISTRATOR BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR FISCAL YEARS PRIOR TO NOVEMBER 30, 2013. SCHEDULE D, PAGE 4, PART XI, LINE 4B ADMINISTRATIVE FEES RECEIVED 973,634 SCHEDULE D, PAGE 4, PART XII, LINE 4B ADMINISTRATIVE FEES RECEIVED 973,634 FORM 990, PAGE 6, PART VI, LINE 11B FORM 990 IS REVIEWED BY THE SECRETARY-TREASURER PRIOR TO SIGNING AND FILING THE RETURN. FORM 990, PAGE 6, PART VI, LINE 12C THE TRUST FUND CONFORMS WITH ERISA RULES AND REGULATIONS WITH REGARD TO DISCLOSURE AND REVIEW OF POTENTIAL CONFLICTS OF INTEREST. FORM 990, PAGE 6, PART VI, LINE 15A COMPENSATION FOR ALL EMPLOYEES IS REVIEWED AND APPROVED BY THE BOARD OF TRUSTEES. FORM 990, PAGE 6, PART VI, LINE 15B COMPENSATION FOR ALL EMPLOYEES IS REVIEWED AND APPROVED BY THE BOARD OF TRUSTEES. FORM 990, PAGE 6, PART VI, LINE 19 GOVERNING DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. THE FUND PROVIDES A SUMMARY ANNUAL REPORT TO ALL PARTICIPANTS CONTAINING INSTRUCTIONS FOR OBTAINING A COPY OF THE FINANCIAL STATEMENTS AND FORM 5500. FORM 990, PART XI, LINE 9 ADMINISTRATIVE FEES RECEIVED -973,634 ADMINISTRATIVE FEES RECEIVED 973,634 ACORN LANDSCAPING LLC P N/A false false ALL ACCESS LLC P N/A false false AMEX NOOTER LLC P N/A false false ARISTEO INSTALLATION LLC P N/A false false BADGETT CONSTRUCTORS LLC P N/A false false BUSCH LANDSCAPING LLC P N/A false false CAS CONTRACTING LLC P N/A false false CAZARES CONCRETE LLC P N/A false false CECO CONCRETE CONSTR LLC P N/A false false CIRCLE B CONSTRUCTION SYSTEMS LLC P N/A false false CORES FOR LESS LLC P N/A false false COUNTRYSIDE ENTERPRISES LLC P N/A false false CRACKERS DEMO LLC P N/A false false CROWN CONCRETE CUTTING & CORING LLC P N/A false false DALLMAN CONTRACTORS LLC P N/A false false DAVIS AND SON EXCAVATION LLC P N/A false false DECORATIVE PAVING OF INDIANA LLC P N/A false false D7I LLC P N/A false false ELLAS CONSTRUCTION LLC P N/A false false FABCON PRECAST LLC P N/A false false FOLTZ WELDING LTD P N/A false false FREEMAN GRADING & EXCAVATING LLC P N/A 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