2016-11-05T10:44:55-05:00 2015-12-31 470900880 CALIBRE CPA GROUP PLLC 19615 SOUTH LAGRANGE ROAD MOKENA IL 60448 990 2015-01-01 366073848 EXCAVATING GRADING & ASPHALT CRAFT 731 HEALTH AND WELFARE FUND EXCA 6308874150 1000 BURR RIDGE PARKWAY BURR RIDGE IL 60527 TERRY HANCOCK TRUSTEE 6308874150 2016-11-05 1 CHARLES DIGIOVANNI P00284901 7089957180 2015 2017-02-10 21:41:12Z TERRENCE J HANCOCK 1000 BURR RIDGE PARKWAY BURR RIDGE IL 60527 57204511 0 X N/A X 1951 IL TO PROVIDE MEDICAL, DENTAL, VISION, LIFE AND DISABILITY BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR BENEFICIARIES 6 6 17 0 0 0 0 0 9951561 10543477 891019 590821 0 0 10842580 11134298 0 0 9451974 10772428 1536124 1445538 0 0 0 317012 321957 11305110 12539923 -462530 -1405625 28699026 28285648 1068231 2246854 27630795 26038794 TO PROVIDE MEDICAL, DENTAL, VISION, LIFE AND DISABILITY BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR BENEFICIARIES 0 0 TO PROVIDE MEDICAL, DENTAL, VISION, LIFE AND DISABILITY BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR BENEFICIARIES 0 0 0 0 0 0 0 0 0 1 1 0 0 1 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 1 100 0 1 17 1 0 0 0 0 0 0 X 6 6 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 0 1 1 1 0 X THE ORGANIZATION 6308874150 1000 BURR RIDGE PARKWAY BURR RIDGE IL 60527 TERRENCE J HANCOCK TRUSTEE 2.00 X 0 268296 84938 JOHN LISNER TRUSTEE 2.00 X 0 222148 84938 DALE BOLT TRUSTEE 2.00 X 0 173041 68133 WILLIAM COLLINS TRUSTEE 2.00 X 0 0 0 JOSEPH BENSON TRUSTEE 2.00 X 0 0 0 DAVID SNELTEN TRUSTEE 2.00 X 0 0 0 RICHARD CLARSON ADMINISTRATOR 40.00 X 159030 0 11714 RYAN LACEY CONTROLLER 40.00 X 115020 0 11714 PATRICIA BOCCONCELLI CLAIMS MANAGER 40.00 X 102025 0 11714 376075 663485 273151 3 0 1 0 BLUE CROSS BLUE SHIELD 300 E RANDOLPH ST CHICAGO IL 606015099 PPO PROVIDER 363737 1 EMPLOYER CONTRIBUTION 900099 9014609 9014609 REIMB COMMON ADMIN EXP 900099 1301986 1301986 MEMBER AND RETIREE CONTRIBUTION 900099 226882 226882 10543477 590374 590374 46070660 46070213 447 447 447 11134298 10543477 0 590821 10772428 170744 809064 163363 231511 70856 48341 43949 80039 43392 36668 24702 17538 2386 554 24388 12539923 2420871 943610 220599 2982209 1161851 1072251 63797 62303 2047 1494 22369481 20822470 2524177 2463614 28699026 28285648 116676 59012 951555 2187842 1068231 2246854 X 0 0 0 0 27630795 26038794 27630795 26038794 28699026 28285648 -1405625 -186376 0 X X 0 1 X 1 0 63797 62303 1494 1494 MULTI-EMPLOYER GLOBAL AGGREGATE FUND 2463614 F 2463614 DUE TO BROKER 1087021 CLAIMS PAYABLE & INCURRED NOT REPORTED 1047000 DUE TO RELATED ORGANIZATIONS (NET) 53821 2187842 X 9565897 -186376 -186376 9752273 80039 1301986 1382025 11134298 11020898 0 11020898 80039 1438986 1519025 12539923 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 ORGANIZATION HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE TAXING AUTHORITIES. AS OF DECEMBER 31, 2015 AND 2014, 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 PLAN IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. AT DECEMBER 31, 2015, THE PLAN'S ADMINISTRATOR BELIEVES THAT THE PLAN IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO DECEMBER 31, 2012. PART XI, LINE 4B - OTHER ADJUSTMENTS: REIMBURSED COMMON ADMIN EXPENSES FROM RELATED BENEFIT FUNDS 1,301,986. PART XII, LINE 4B - OTHER ADJUSTMENTS: REIMBURSED COMMON ADMIN EXPENSES FROM RELATED BEENFIT FUNDS 1,301,986. INCREASE IN CLAIMS PAYABLE AND CLAIMS INCURRED BUT NOT REPORTED 137,000. 0 0 0 TERRENCE J HANCOCK TRUSTEE 0 258274 0 9940 0 82 0 72774 0 12164 0 353234 0 0 JOHN LISNER TRUSTEE 0 213584 0 8220 0 344 0 72774 0 12164 0 307086 0 0 DALE BOLT TRUSTEE 0 166297 0 6400 0 344 0 55969 0 12164 0 241174 0 0 RICHARD CLARSON ADMINISTRATOR 159030 0 0 0 0 0 0 0 11714 0 170744 0 0 0 FORM 990, PART VII, ITEM 5 AND SCHEDULE J, PART II RICHARD CLARSON IS THE ADMINISTRATOR OF THE FILING ORGANIZATION IN ADDITION TO PERFORMING SIMILAR DUTIES FOR THE FILING ORGANIZATION'S RELATED ORGANIZATIONS AS WELL AS AFFILIATED BUT UNRELATED ORGANIZATIONS. HIS COMPENSATION IS PAID DIRECTLY BY THE FILING ENTITY AND A PORTION IS REIMBURSED BY THE RELATED ORGANIZATIONS AS WELL AS AFFILIATED BUT UNRELATED ORGANIZATIONS. HIS COMPENSATION IS COMPRISED OF WAGES AND CONTRIBUTIONS TO A HEALTH BENEFIT PLAN. HE IS CONSIDERED AN OFFICER OF THE FILING ORGANIZATION FOR 990 REPORTING PURPOSES. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS PROVIDED TO ONE OR MORE TRUSTEES AND THE FUND ADMINISTRATOR PRIOR TO FILING. AFTER THE BOARDS THROUGH REVIEW, THE FORM IS APPROVED, SIGNED AND FILED. FORM 990, PART VI, SECTION B, LINE 15 SALARIES ARE REVIEWED ANNUALLY AND APPROVED BY THE BOARD OF TRUSTEES. FORM 990, PART VI, SECTION C, LINE 19 ALL GOVERNING DOCUMENTS, POLICIES AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST FROM THE FUND OFFICE PART XII, LINE 2C EXPLANATION: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. FORM 990, PART VI, SECTION A, LINE 8B THE PLAN HAS A HEALTHCARE COMMITTEE COMPRISED OF TWO TRUSTEES FROM EACH OF THE LOCAL 731 HEALTH AND WELFARE FUNDS WHICH HAS THE AUTHORITY TO ACT OF BEHALF OF THE GOVERNING BODY. TEAMSTERS LOCAL NO 731 EXCAVATORS AND PAVERS PENSION TRUST FUND 1000 BURR RIDGE PARKWAY BURR RIDGE IL 60527 366513565 PROVIDE PENSION BENEFITS IL 401(A) N/A N/A 0 INTERNATIONAL BROTHERHOOD OF TEAMSTERS LOCAL 731 UNION 1000 BURR RIDGE PARKWAY BURR RIDGE IL 60527 361053335 LABOR UNION IL 501(C)(5) N/A N/A 0 2005 TRUCKING INC CONTRIBUTING EMPLOYER 0 A LAMP CONCRETE CONTRACTORS CONTRIBUTING EMPLOYER 0 A R R P TRUCKING & HAULING CONTRIBUTING EMPLOYER 0 ABBEY PAVING & SEALCOATING INC CONTRIBUTING EMPLOYER 0 ACCURATE LOGISTICS INC CONTRIBUTING EMPLOYER 0 ALLSTAR ASPHALT INC CONTRIBUTING EMPLOYER 0 ALSTERDA CARTAGE & CONST CO CONTRIBUTING EMPLOYER 0 AMERICAN LANDSCAPING INC CONTRIBUTING EMPLOYER 0 ANNZA LLC CONTRIBUTING EMPLOYER 0 ARROW ROAD CONSTRUCTION CO CONTRIBUTING EMPLOYER 0 BASELINE TRUCKING INC CONTRIBUTING EMPLOYER 0 BECAN CONSTRUCTION COMPANY CONTRIBUTING EMPLOYER 0 BECHSTEIN CONSTRUCTION CORP CONTRIBUTING EMPLOYER 0 BENCHMARK CONSTRUCTION CO CONTRIBUTING EMPLOYER 0 BEVERLY ASPHALT PAVING CO CONTRIBUTING EMPLOYER 0 BIGANE PAVING COMPANY CONTRIBUTING EMPLOYER 0 BOTTOM LINE TRUCKING INC CONTRIBUTING EMPLOYER 0 BRACK'S TRANSPORT INC CONTRIBUTING EMPLOYER 0 BRANDENBURG DRAINAGE CONTRIBUTING EMPLOYER 0 BRANDENBURG INDUSTRIAL SERVICE CONTRIBUTING EMPLOYER 0 BRITES CARTAGE CONTRIBUTING EMPLOYER 0 BRITES EQUIPMENT LTC INC CONTRIBUTING EMPLOYER 0 BUILDERS ASPHALT L L C CONTRIBUTING EMPLOYER 0 C SZABO CONTRACTING CONTRIBUTING EMPLOYER 0 CC CARTAGE CONTRIBUTING EMPLOYER 0 CK ENTERPRISES CONTRIBUTING EMPLOYER 0 CARDI ASPHALT PAVING CO INC CONTRIBUTING EMPLOYER 0 CENTRAL BLACKTOP CO INC CONTRIBUTING EMPLOYER 0 CHADWICK CONTRACTING COMPANY CONTRIBUTING EMPLOYER 0 CHICAGOLAND TRUCKIN INC CONTRIBUTING EMPLOYER 0 CHUCKY'S CARTAGE COMPANY INC CONTRIBUTING EMPLOYER 0 CONCRETE STRUCTURES OF THE MID CONTRIBUTING EMPLOYER 0 CROWLEY CARTAGE COMPANY CONTRIBUTING EMPLOYER 0 CROWLEY-SHEPPARD ASPHALT CO CONTRIBUTING EMPLOYER 0 D & P CONSTRUCTION CO INC CONTRIBUTING EMPLOYER 0 D E TRANSPORT INC CONTRIBUTING EMPLOYER 0 D'LAND CONSTRUCTION LLC CONTRIBUTING EMPLOYER 0 D CONSTRUCTION INC CONTRIBUTING EMPLOYER 0 D J MASSAT INC CONTRIBUTING EMPLOYER 0 DANNY B KEANE ENTERPRISESINC CONTRIBUTING EMPLOYER 0 DAVIS CONCRETE CONSTR CO CONTRIBUTING EMPLOYER 0 DELTA DEMOLITION INC CONTRIBUTING EMPLOYER 0 DI MEO BROS INC CONTRIBUTING EMPLOYER 0 DOUBLE T TRUCKING LLC CONTRIBUTING EMPLOYER 0 DUBOIS PAVING COMPANY INC CONTRIBUTING EMPLOYER 0 DUNLEAVY EXCAVATING & DEMO CONTRIBUTING EMPLOYER 0 DUROPAVE CONSTRUCTION CO INC CONTRIBUTING EMPLOYER 0 E KING CONSTRUCTION INC CONTRIBUTING EMPLOYER 0 ENVIRONMENTAL CLEANSING CORP CONTRIBUTING EMPLOYER 0 G & M CEMENT CONSTRUCTION INC CONTRIBUTING EMPLOYER 0 G & V CONSTRUCTION CO INC CONTRIBUTING EMPLOYER 0 GLANDER PAVING CO CONTRIBUTING EMPLOYER 0 GLENBROOK EXCAVATING & CONCRET CONTRIBUTING EMPLOYER 0 GLOBE CONSTRUCTION INC CONTRIBUTING EMPLOYER 0 GRAVELTRON INC CONTRIBUTING EMPLOYER 0 GRECO CONTRACTORS INC CONTRIBUTING EMPLOYER 0 H WIGBOLDY & SONS INC CONTRIBUTING EMPLOYER 0 HAHN TRUCKING CONTRIBUTING EMPLOYER 0 HENEGHAN WRECKING CO CONTRIBUTING EMPLOYER 0 HENKELS & MC COY INC CONTRIBUTING EMPLOYER 0 INTERUNITED TRUCKING CORP CONTRIBUTING EMPLOYER 0 IWEMA EXCAVATING & CONTRACTING CONTRIBUTING EMPLOYER 0 J A JOHNSON PAVING COMPANY CONTRIBUTING EMPLOYER 0 J NARDULLI CONCRETE INC CONTRIBUTING EMPLOYER 0 J E K TRUCKING CO INC CONTRIBUTING EMPLOYER 0 JAMES D FIALA PAVING CO INC CONTRIBUTING EMPLOYER 0 JG DEMO INC CONTRIBUTING EMPLOYER 0 JNS INC CONTRIBUTING EMPLOYER 0 JOINT COUNCIL #25 CONTRIBUTING EMPLOYER 0 K & A TRUCKING CONTRIBUTING EMPLOYER 0 K-FIVE CONSTRUCTION CORP CONTRIBUTING EMPLOYER 0 KORDAS AUTO & TRUCK SVC INC CONTRIBUTING EMPLOYER 0 KS ENERGY SERVICES LLC CONTRIBUTING EMPLOYER 0 LANEY DIRECTIONAL DRILLING CONTRIBUTING EMPLOYER 0 LEEWAY WRECKING INC CONTRIBUTING EMPLOYER 0 LENNY HOFFMAN EXCAVATING INC CONTRIBUTING EMPLOYER 0 LINDAHL BROTHERS CONTRIBUTING EMPLOYER 0 LISA TRUCKING INC CONTRIBUTING EMPLOYER 0 LO VERDE CONSTRUCTION CO INC CONTRIBUTING EMPLOYER 0 LORIG CONST CONTRIBUTING EMPLOYER 0 MARTINEZ FROG'S INC CONTRIBUTING EMPLOYER 0 MARV'S TRUCKING INC CONTRIBUTING EMPLOYER 0 MC CLENDON TRUCKING INC CONTRIBUTING EMPLOYER 0 MC HUGH CONSTRUCTION COMPANY CONTRIBUTING EMPLOYER 0 MEADE INC CONTRIBUTING EMPLOYER 0 MICHAEL KEANE ENTERPRISESINC CONTRIBUTING EMPLOYER 0 MICHELS PIPELINE CONST CONTRIBUTING EMPLOYER 0 MIDWEST MILLING AND PAVING CO CONTRIBUTING EMPLOYER 0 MIDWEST WRECKING COMPANY CONTRIBUTING EMPLOYER 0 MOONER INC CONTRIBUTING EMPLOYER 0 MQ CONSTRUCTION CO CONTRIBUTING EMPLOYER 0 MT CARMEL STABILIZATION GROUP CONTRIBUTING EMPLOYER 0 N A D VENTURES INC CONTRIBUTING EMPLOYER 0 NASH BROTHERS CONSTR CO CONTRIBUTING EMPLOYER 0 NATIONAL WRECKING COMPANY CONTRIBUTING EMPLOYER 0 NORTH SHORE TRUCK SERVICE INC CONTRIBUTING EMPLOYER 0 OLTHOFF INC CONTRIBUTING EMPLOYER 0 ORANGE CRUSH LLC CONTRIBUTING EMPLOYER 0 PARKING LOTS PLUS LLC CONTRIBUTING EMPLOYER 0 PLOTE CONSTRUCTION INC CONTRIBUTING EMPLOYER 0 PRICE GREGORY INTERNATIONAL I CONTRIBUTING EMPLOYER 0 QUALITY PAVING INC CONTRIBUTING EMPLOYER 0 R J R EXCAVATING CONTRIBUTING EMPLOYER 0 R ORSTROM ENTERPISES INC CONTRIBUTING EMPLOYER 0 R W COLLINS INC CONTRIBUTING EMPLOYER 0 RJ HARMS TRUCKING & EXCAVAT CONTRIBUTING EMPLOYER 0 RAIMONDI CARTAGE INC CONTRIBUTING EMPLOYER 0 RAUSCH CONSTRUCTION CO INC CONTRIBUTING EMPLOYER 0 RELIABLE CONTR & EQUIP CO CONTRIBUTING EMPLOYER 0 REYNAGA BROS CONSTRUCTION CORP CONTRIBUTING EMPLOYER 0 RICCIWELCH INC CONTRIBUTING EMPLOYER 0 RICO ENTERPRISES INC CONTRIBUTING EMPLOYER 0 RITEWAY CONSTRUCTION SRV INC CONTRIBUTING EMPLOYER 0 ROBERT D BLOOM CONTRIBUTING EMPLOYER 0 ROCK SOLID PAVING & EXCAVATING CONTRIBUTING EMPLOYER 0 ROSSI CONTRACTORS INC CONTRIBUTING EMPLOYER 0 ROY STROM EXCAVATING & GRADING CONTRIBUTING EMPLOYER 0 ROY'S PAVING & SEALCOATING CO CONTRIBUTING EMPLOYER 0 SCHUEPFER INC CONTRIBUTING EMPLOYER 0 SCORPIO EXCAVATING INC CONTRIBUTING EMPLOYER 0 SHEPLEY MOTOR EXPRESS INC CONTRIBUTING EMPLOYER 0 SILVESTRI PAVING COMPANY CONTRIBUTING EMPLOYER 0 SONICAN TRUCKING INC CONTRIBUTING EMPLOYER 0 SPECIALTIES COMPANY LLC CONTRIBUTING EMPLOYER 0 STRADA CONSTRUCTION CONTRIBUTING EMPLOYER 0 SWANSON ASPHALT COMPANY CONTRIBUTING EMPLOYER 0 SWANSON CONTRACTING CO INC CONTRIBUTING EMPLOYER 0 T & D EXCAVATION & GRADING INC CONTRIBUTING EMPLOYER 0 T-CAT ENTERPRISE INC CONTRIBUTING EMPLOYER 0 TANZILLO CONTRACTORS INC CONTRIBUTING EMPLOYER 0 TAYLOR EXCAV & WRECKING INC CONTRIBUTING EMPLOYER 0 THE PATCHING PEOPLE INC CONTRIBUTING EMPLOYER 0 TOURES TRUCKING INC CONTRIBUTING EMPLOYER 0 TROCH-MCNEIL PAVING COMPANY CONTRIBUTING EMPLOYER 0 V & R CARTAGE COMPANY CONTRIBUTING EMPLOYER 0 VISTAS CONST OF ILL INC CONTRIBUTING EMPLOYER 0 WE O'NEIL CONSTRUCTION CO CONTRIBUTING EMPLOYER 0 WESTERN UTILITY CONTRACTORS CONTRIBUTING EMPLOYER 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 LOCAL 731 EXCAVATORS AND PAVERS PENSION TRUST FUND O 87073