2017-11-09T12:02:21-06:00 2016-12-31 320043599 LEGACY PROFESSIONALS LLP 6800 FRANCE AVENUE SO SUITE 550 EDINA MN 55435 990 2016-01-01 237032783 MINNESOTA LABORERS VACATION FUND MINN 6512561900 2520 PILOT KNOB ROAD NO 325 MENDOTA HEIGHTS MN 55120 TIM MACKEY TRUSTEE 6512561900 2017-10-31 1 ERIC C BAERTSCH P00964071 9528413950 12.197.118.215 2017-10-31 14:00:40 CD P 611F71761DA557811C6832571D80EF68BADC29AD 611F71761DA557811C6832571D80EF68BADC29AD 2016 2021-01-29 14:40:06Z TAMMY BRAASTAD 2520 PILOT KNOB ROAD NO 325 MENDOTA HEIGHTS MN 55120 36044982 0 X N/A X 1968 MN PROVIDE VACATION BENEFITS 8 4 0 0 0 0 0 0 35391358 36011233 33039 33749 0 0 35424397 36044982 0 0 33529451 34884215 0 0 0 0 0 216496 227456 33745947 35111671 1678450 933311 18879232 19833479 6131 24190 18873101 19809289 THE TRUST IS ESTABLISHED FOR THE PURPOSE OF PAYING, EITHER FROM PRINCIPAL OR INCOME OR BOTH, VACATION BENEFITS FOR THE BENEFIT OF PARTICIPANTS, THEIR FAMILIES AND BENEFICIARIES. 0 0 TO PROVIDE VACATION BENEFITS TO ELIGIBLE PARTICIPANTS OR PAY THEIR WORKING DUES UNDER THE TERMS OF THE SUMMARY PLAN DESCRIPTION. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 X 8 4 0 1 0 0 0 1 0 1 1 0 0 1 1 0 0 0 1 0 0 0 X ZENITH AMERICAN SOLUTIONS INC 6512561900 2520 PILOT KNOB ROAD SUITE 325 MENDOTA HEIGHTS MN 55120 TAMMY BRAASTAD CHAIRPERSON 1.00 X 0 0 0 MITCHELL NOHRENBERG TRUSTEE 1.00 40.00 X 0 119701 35658 JOSH COOPER TRUSTEE 1.00 X 0 0 0 TODD PUFAHL SECRETARY 1.00 40.00 X X 0 156198 84952 STEVE HALGREN TRUSTEE 1.00 X 0 0 0 DENISE WOODS TRUSTEE 1.00 X 0 0 0 TIM MCCAULEY TRUSTEE 1.00 40.00 X 0 105917 58126 STEVE BUCK TRUSTEE 1.00 40.00 X 0 151628 43654 0 533444 222390 0 0 1 0 ZENITH AMERICAN SOLUTIONS INC 2520 PILOT KNOB ROAD MENDOTA HEIGHTS MN 55120 CONTRACT ADMINISTRATOR 155937 1 EMPLOYER CONTRIBUTIONS 900099 35882071 35882071 SERVICE FEES 900099 96207 96207 LIQUIDATED DAMAGES 900099 28677 28677 LEGAL FEE RECOVERY 900099 4278 4278 36011233 33749 33749 36044982 36011233 0 33749 34884215 115782 23279 21689 30263 29269 6105 MEMBER LOCATOR SERVICE 1069 35111671 3667969 6127474 12736592 11472572 2473211 2232538 1460 895 18879232 19833479 6131 24190 6131 24190 X 0 0 0 0 18873101 19809289 18873101 19809289 18879232 19833479 933311 2877 0 X 0 1 X 1 0 0 X 36043581 2877 2877 36040704 4278 4278 36044982 35107393 0 35107393 4278 4278 35111671 PART X, LINE 2: THE PLAN FILES FORM 990, RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX, AND FORM 5500, ANNUAL RETURN/REPORT OF EMPLOYEE BENEFIT PLAN. THE PLAN'S RETURNS ARE SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE UNTIL THE APPLICABLE STATUTE OF LIMITATION EXPIRES. PART XI, LINE 4B - OTHER ADJUSTMENTS: LEGAL FEE RECOVERY 4278. PART XII, LINE 4B - OTHER ADJUSTMENTS: LEGAL FEE RECOVERY 4278. 0 0 0 MITCHELL NOHRENBERG TRUSTEE 0 119701 0 0 0 0 0 21016 0 14642 0 155359 0 0 TODD PUFAHL SECRETARY 0 156198 0 0 0 0 0 68552 0 16400 0 241150 0 0 TIM MCCAULEY TRUSTEE 0 105917 0 0 0 0 0 42282 0 15844 0 164043 0 0 STEVE BUCK TRUSTEE 0 151628 0 0 0 0 0 27663 0 15991 0 195282 0 0 FORM 990, PART II - SIGNATURE BLOCK SUBSEQUENT TO PLAN YEAR END, TODD PUFAHL RESIGNED FROM THE BOARD OF TRUSTEES. TIM MACKEY WAS APPOINTED TO THE BOARD AND WILL BE SIGNING THIS FORM 990. FORM 990, PART VI, SECTION A, LINE 3 ALTHOUGH THE TRUSTEES RETAIN ULTIMATE RESPONSIBILITY, THE BOARD OF TRUSTEES HAS DELEGATED THE DAY TO DAY ADMINISTRATIVE DUTIES TO ZENITH AMERICAN SOLUTIONS, INC. AS THE THIRD PARTY ADMINISTRATOR OF THE PLAN. FORM 990, PART VI, SECTION A, LINE 7A THE PLAN IS ADMINISTERED BY EMPLOYER ASSOCIATION TRUSTEES AND UNION TRUSTEES. THE EMPLOYER ASSOCIATION TRUSTEES SHALL BE DESIGNATED BY THE ASSOCIATION OF GENERAL CONTRACTORS AND BY THE PLUMBING CONTRACTORS AND THE MASONRY CONTRACTORS JOINTLY. THE UNION TRUSTEES SHALL BE DESIGNATED BY THE LABORERS DISTRICT COUNCIL OF MINNESOTA & NORTH DAKOTA AND LOCAL 563. FORM 990, PART VI, SECTION B, LINE 11B THE 990 IS PROVIDED TO THE ENTIRE BOARD OF TRUSTEES AND THE PLAN ADMINISTRATOR PRIOR TO FILING. AFTER THE BOARD'S REVIEW, THE FORM IS APPROVED AND FILED. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO ANY PARTICIPANT IN THE PLAN UPON REQUEST AT THE PLAN ADMINISTRATOR'S OFFICE. 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