2017-06-12T14:42:03-05:00 2016-10-31 430765316 RubinBrown LLP 1200 Main Street Suite 1000 Kansas City MO 64105 990 2015-11-01 436039074 Greater Kansas City Laborers' Welfare Fund GREA 9132365490 6405 Metcalf No Bldg 3 Overland Park KS 66202 Donald E Greenwell III Chairman 9132365490 2017-06-12 1 Suzanne B Kimbrough P01320005 8164721122 2015 2021-01-29 14:40:06Z Donald E Greenwell III 6405 Metcalf No Bldg 3 Overland Park KS 66202 24254044 0 X n/a X 1962 KS PROVIDE HEALTH & WELFARE BENEFITS 12 12 0 12 0 0 0 0 12659894 13859822 840046 392453 7659 8088 13507599 14260363 0 0 11566435 13319857 0 0 0 0 0 1409184 1395137 12975619 14714994 531980 -454631 28663218 28158349 529957 556641 28133261 27601708 PROVIDE HEALTH & WELFARE BENEFITS 0 0 THE PLAN PROVIDES HEALTH AND WELFARE BENEFITS FOR MEMBERS OF LOCAL UNIONS #'S 264 AND 1290 OF THE WESTERN MO & KS LABORERS DISTRICT COUNCIL OF THE LABORERS INTERNATIONAL UNION OF NORTH AMERICA. 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 291 0 0 0 0 0 0 0 0 X 12 12 0 1 0 0 0 0 0 1 1 0 0 1 1 1 0 1 1 0 0 0 X TIC INTERNATIONAL CORPORATION 9132365490 6405 METCALF CLOVERLEAD BLDG 3 STE OVERLAND PARK KS 66202 X Reginald L Thomas Secretary 0.30 X X 0 0 0 Mitchell Rowley Union Trustee 0.30 X 0 0 0 Jeffrey Philgreen Union Trustee 0.30 X 0 0 0 William L Livingston III Union Trustee 0.30 X 0 0 0 Jamie Desmarais Union Trustee 0.30 X 0 0 0 Leslie W Williams II Union Trustee 0.30 X 0 0 0 Don Greenwell Chairman 0.30 X X 0 0 0 Gregory A Dunn Employer Trustee 0.30 X 0 0 0 Andy Heitmann Employer Trustee 0.30 X 0 0 0 Mark R Teahan Employer Trustee 0.30 X 0 0 0 Dan R Meyer Employer Trustee 0.30 X 0 0 0 Vern Orpin Employer Trustee 0.30 X 0 0 0 0 0 0 0 0 0 0 Blue Cross Blue Shield 225 North Michigan Avenue Chicago IL 60601 Administrative Services 503811 TIC International Corporation 6405 METCALF SUITE 200 OVERLAND PARK KS 66202 THIRD PARTY ADMINISTRATORS 442400 Arnold Newbold Winter & Jackson PC 1125 GRAND BLVD SUITE 1600 KANSAS CITY MO 64106 LEGAL SERVICES 131978 Segal Co 333 West 34th Street New York NY 10001 COnsulting Services 114478 4 Employer contributions 900099 12592638 12592638 Participants contributions 900099 1267184 1267184 13859822 457338 457338 9928796 9993681 -64885 -64885 -64885 Liquidated Damages 900099 6312 6312 Miscellaneous Income 900099 1776 1776 8088 14260363 13867910 0 392453 13319857 379200 89956 95901 96038 678340 19930 3340 15687 Bank fees 10444 Dues and Subsrciptions 5051 Other expenses 1250 14714994 45445 589315 1548303 1498142 35924 32908 27033546 26037984 28663218 28158349 504957 531641 25000 25000 529957 556641 X 0 0 0 0 28133261 27601708 28133261 27601708 28663218 28158349 -454631 -76922 0 X 0 1 X 1 0 0 1 X 0 X 14183441 -76922 -76922 14260363 0 14260363 14714994 0 14714994 0 14714994 Part IV, Line 2b: Contributing employers submit contributions to the depository which are then allocated and transferred to the corresponding entity to which they belong. Part X, Line 2: 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. The Plan is subject to routine audits by taxing jurisdictions; however, there are currently no audits for any tax periods in progress. The Plan's federal tax returns for tax years 2012 and later remain subject to examination by taxing authorities. Form 990, Part VI, Section A, line 3 THE BOARD USES THE SERVICES OF TIC INTERNATIONAL, A THIRD PARTY ADMINISTRATOR, TO PAY BENEFITS AND HANDLE THE DAY-TO-DAY OPERATIONS OF THE PLAN. Form 990, Part VI, Section B, line 11 A COPY OF FORM 990 WAS PROVIDED TO THE CHAIRMAN AND SECRETARY FOR APPROVAL AND THEN A FINAL COPY IS PROVIDED TO THE BOARD BEFORE FILING. Form 990, Part VI, Section C, line 19 GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE NOT AVAILABLE TO THE PUBLIC. 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