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FOX VALLEY LABORERS HEALTH AND WELFARE FUND: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
FOX VALLEY LABORERS HEALTH AND WELFARE FUND (EIN 36-6219639)
Tax period
2015-06-01 to 2016-05-31
Filed
2017-01-08
IRS object ID
201740089349300104
Schema version
2015v3.0
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)
Return2017-01-08T20:42:25-06:00ReturnTs
Tax Period End2016-05-31TaxPeriodEndDt

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 Line1566 W LAKE ST STE 300AddressLine1Txt
CityCHICAGOCityNm
State AbbreviationILStateAbbreviationCd
ZIP606611414ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-06-01TaxPeriodBeginDt

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
Signature2017-01-05SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonANDREW HEINPreparerPersonNm
PTINP00499757PTIN
Phone3126550037PhoneNum
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

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$41,891,132GrossReceiptsAmt
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 Employee52TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$33,430,964PYProgramServiceRevenueAmt
CY Program Service Revenue$36,364,531CYProgramServiceRevenueAmt
PY Investment Income$2,979,254PYInvestmentIncomeAmt
CY Investment Income$3,616,487CYInvestmentIncomeAmt
PY Other Revenue$617,112PYOtherRevenueAmt
CY Other Revenue$325,288CYOtherRevenueAmt
PY Total Revenue$37,027,330PYTotalRevenueAmt
CY Total Revenue$40,306,306CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$28,007,579PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$30,153,656CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$886,304PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$887,885CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$2,043,107PYOtherExpensesAmt
CY Other Expenses$2,086,228CYOtherExpensesAmt
PY Total Expenses$30,936,990PYTotalExpensesAmt
CY Total Expenses$33,127,769CYTotalExpensesAmt
PY Revenues Less Expenses$6,090,340PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$7,178,537CYRevenuesLessExpensesAmt
Total Assets BOY$76,546,889TotalAssetsBOYAmt
Total Assets EOY$84,403,228TotalAssetsEOYAmt
Total Liabilities BOY$14,973,576TotalLiabilitiesBOYAmt
Total Liabilities EOY$19,218,941TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$61,573,313NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$65,184,287NetAssetsOrFundBalancesEOYAmt
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 1,774 ELIGIBLE PARTICIPANTS AT MAY 31, 2016.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 Document771IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee52EmployeeCnt
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 BRYAN JR
TRUSTEE3.00Yes (X)$0$0$0
MIKE SHALES
Chairman3.00Yes (X)$0$0$0
VERN BAUMAN
TRUSTEE3.00Yes (X)$0$124,066$94,34240.00
AL OROSZ
TRUSTEE3.00Yes (X)$0$0$0
COREY R JOHNSON
SECRETARY3.00Yes (X)$0$129,575$83,32740.00
MARTIN D DWYER
TRUSTEE3.00Yes (X)$0$132,295$83,32740.00
DAVE SHEAHAN
FMR TRUSTEE3.00Yes (X)$0$120,063$94,34240.00
PATRICIA M SHALES
ADMINISTRATOR40.00$133,854$0$39,995Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$133,854TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$505,999TotReportableCompRltdOrgAmt
Total Other Compensation$395,333TotalOtherCompensationAmt
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$841,410
SEI INVESTMENT
ONE FREEDOM DRIVEOAKSPA19456INV MGMNT/CONSULTING$197,399
HORIZON ACTUARIAL SERVICES LLC
6120 ROLLING ROAD DRIVEMIAMIFL331565629PLAN CONSULTING$127,166
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K3CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
EMPLOYER CONTRIBUTIONS900099$34,828,813$34,828,813
MEMBER CONTRIBUTIONS900099$1,314,930$1,314,930
MEDICARE D SUBSIDIES900099$115,976$115,976
Stop Loss Reimbursements900009$104,812$104,812
FieldValueIRS element (for citing)
Total Program Service Revenue$36,364,531TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,626,253TotalRevenueColumnAmt
Exclusion$1,626,253ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$3,575,060SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$1,584,826SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$1,990,234SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,990,234TotalRevenueColumnAmt
Exclusion$1,990,234ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescREIMB SAL & RELATED EXPENSES FROMDesc
Business900099BusinessCd
Total Revenue Column$325,288TotalRevenueColumnAmt
Related Or Exempt Func Income$325,288RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$325,288OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$40,306,306TotalRevenueColumnAmt
Related Or Exempt Func Income$36,689,819RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$3,616,487ExclusionAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$30,153,656TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$471,442TotalAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$190,700TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$157,128TotalAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$68,615TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$92,079TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$62,142TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$411,193TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,204,923TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$169,128TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$69,613TotalAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,209TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$22,466TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$18,732TotalAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$29,037TotalAmt

Other Expenses OtherExpensesGrp

FieldValueIRS element (for citing)
DescPATIENT PROTECTION & AFDesc
Total$5,706TotalAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$33,127,769TotalAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$57,266BOYAmt
EOY$7,589EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$3,899,842BOYAmt
EOY$4,024,362EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$76,874BOYAmt
EOY$43,340EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$353,175LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$272,089LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$88,324BOYAmt
EOY$81,086EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$72,270,202BOYAmt
EOY$80,163,860EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$154,381BOYAmt
EOY$82,991EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$76,546,889BOYAmt
EOY$84,403,228EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$48,576BOYAmt
EOY$60,421EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$14,925,000BOYAmt
EOY$19,158,520EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$14,973,576BOYAmt
EOY$19,218,941EOYAmt
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$61,573,313BOYAmt
EOY$65,184,287EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$61,573,313BOYAmt
EOY$65,184,287EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$76,546,889BOYAmt
EOY$84,403,228EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$7,178,537ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$3,567,563NetUnrlzdGainsLossesInvstAmt
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$15,737DepreciationAmt
Book Value$6,744BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$330,694OtherCostOrOtherBasisAmt
Depreciation$256,352DepreciationAmt
Book Value$74,342BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$81,086TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
EST LIAB FUTR CLAIMS EXTENDED ELIGIBLTY$16,075,000
EST LIAB FUTR CLAIMS INCURRED BUT UNPAID$2,922,000
DEPOSITS HELD$115,000
Due to Affliated Funds$46,520
FieldValueIRS element (for citing)
Total Liability$19,158,520TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$35,781,474TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$3,567,563NetUnrealizedGainsInvstAmt
Revenue Not Reported-$3,567,563RevenueNotReportedAmt
Revenue Subtotal$39,349,037RevenueSubtotalAmt
Investment Expenses Not Incld$411,193InvestmentExpensesNotIncldAmt
Other Revenues Not Included$546,076OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$957,269RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$40,306,306TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$28,028,500TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included-$220,788OtherExpensesIncludedAmt
Expenses Not Reported-$220,788ExpensesNotReportedAmt
Expenses Subtotal$28,249,288ExpensesSubtotalAmt
Investment Expenses Not Incld2$411,193InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$4,467,288OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$4,878,481ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$33,127,769TotalExpensesPerForm990Amt

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, 2016, 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, 2016, THE PLAN IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO THE FISCAL YEAR ENDED MAY 31, 2013.
Part XI, Line 4b - Other Adjustments:MEDICARE D SUBSIDIES RECEIVED 115,976. REIMBURSED FV PENSION SALARY EXPENSE 325,288. STOP LOSS INSURANCE REIMBURSEMENTS 104,812.
Part XII, Line 2d - Other Adjustments:MEDICARE D SUBSIDIES RECEIVED -115,976. STOP LOSS INSURANCE REIMBURSEMENTS -104,812.
Part XII, Line 4b - Other Adjustments:REIMBURSED FV PENSION SALARY EXPENSE 325,288. CHANGE IN PLAN BENEFIT OBLIGATION 4,142,000.

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$119,310$0$0$0$4,756$0$59,450$0$34,892$0$218,408$0$0
COREY R JOHNSON
SECRETARY$0$128,701$0$0$0$874$0$55,413$0$27,914$0$212,902$0$0
MARTIN D DWYER
TRUSTEE$0$128,740$0$0$0$3,555$0$55,413$0$27,914$0$215,622$0$0
DAVE SHEAHAN
FMR TRUSTEE$0$119,252$0$0$0$811$0$59,450$0$34,892$0$214,405$0$0
PATRICIA M SHALES
ADMINISTRATOR$124,819$0$0$0$9,035$0$21,322$0$18,673$0$173,849$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 11THE 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 2c:THERE 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 Partnership IdRelatedOrgTxblPartnershipGrp (18 entries)

COOLING LAND CONCEPTS LLC
CROUCH-SERANKO MASONRY LLC
DOUGAL BUILDING MAINT LLC
IHC CONSTRUCTION CO LLC
IHC CONSTRUCTION CO LLC
JACK COFFEY LLC
JIM GEORGE AND SONS LLC
KENDALL EXC & SEPTIC LLC
KRAEMER NORTH AMERICA LLC
MID-AMERICA UNDERGROUND LLC
MTH UNDERLAYMENT LLC
N-TRAK GROUP LLC
ORANGE CRUSH LLC
RAGNAR BENSON LLC
RAUSCH INFRASTRUCTURE LLC
SHALES MCNUTT LLC
MECCOR INDUSTRIES LTD
V3 CONSTRUCTION TRADES LTD

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (204 entries)

AAT PIPELINE TESTING INC
ABBOTT RA EXCAVATING INC
ABITUA SEWERWATER&PLUMB IN
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
BAKER PETER & SON COMPANY
BENCHMARK CONSTRUCTION CO
BERGER EXCAVATING
BERGQUIST & ZIMMERMAN CON I
BLACKHAWK FOUNDATION CO INC
BLOCKER G A GRADING CONTR I
BOHR DON & SONS INC
BOWEN ENGINEERING CORP
BRAVO CONSTRUCTION CO INC
BUESING BROTHER INC
BUILDERS CONCRETE SERVICES
BULLEY & ANDREWS
BURROAK MASONRY INC
C & H EXCAVATING INC
CAMOSY INCORPORATED
CAMPTON CONSTRUCTION
CARMICHAEL CONSTRUCTION INC
CELLCRETE DECKS
CENTRAL BLACKTOP CO INC
CHADWICK CONTRACTING
CHAMPION PAVING CORP
CHICAGOLAND PAVING
CIVIL CONSTRUCTORS INC OF I
CONCRETE SYSTEMS INC
CONTINENTAL LAND & INFRASTR
CONTRACTING & MATERIAL CO
CORRECTIVE ASPHALT MATERIAL
COZMO PAVING
CULLEN J P & SONS INC
CURRAN CONTRACTING CO
CYBERDYNE MASONRY DYNAMICS
D CONSTRUCTION INC
DE GRAF CONCRETE CONST INC
DIAMOND MASONRY
DN TANKS INC
DOHERTY CONSTRUCTION INC
DOUBLE HEADERS CONCRETE
DREAMSCAPES BY DENNIS INC
DRIESSEN CONSTR COMPANY
DUNN COMPANY
EAGLE CONCRETE INC
ELECTRIC CONDUIT CONST
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 C MASONRY
GENEVA CONST CO
GEODYNAMICS INC
GESKE AND SONS INC
H & S CONCRETE CONSTR
H LINDEN & SONS WATR & SEWR
HARRIS J C & SONS INC
HEELS AND HARDHATS CONTRACT
HEITKOTTER INC
HENKELS & MC COY INC
HERBIG BLACKTOP INC
HUGH HENRY CONSTRUCTION
ILLINOIS CONSTR CORP
INTEGRITY MECH PIPING & PLU
INTREN INC
IVAN RICE & SONS INC
IWS INC
J & R 1ST IN ASPHALT
J E M MORRIS CONSTRUCTION I
J F BRENNAN CO INC
J L ALLEN SERVICES INC
J SQUARED MASONRY INC
J&S CONSTRUCTION WATER & SE
JACK HALL CONSTRUCTION
JENSENS PLUMBING & HEATING
JIM BURKE EXCAVATING INC
JIMMY Z MASONRY CORP
JMI 2 CORPORATION
JOHNSTON W F CONSTR INC
K R G EXCAVATING PARTNERS
KARL-STEFANS CONST CO INC
KELLENBERGER PLUMB & HEAT I
K-FIVE
KIRBY CABLE SERVICES INC
LAMP INC
LAMP INCORPORATED
LANAS CONSTRUCTION
LANDMARK CONTRACTORS INC
LANG MECHANICAL INC
LASSWELL MASONRY INC
LAWRENCE J DODD CONSTRUCTIO
LIBERTY PAVING CO INC
LITE CONSTRUCTION
LORIG CONSTRUCTION COMPANY
M & M WELDING INC
M L & L EXCAVATING INC
M&M CONCRETE INC
MAGILL CONSTRUCTION INC
MANEVAL CONSTRUCTION
MANNING T CONCRETE INC
MARC KRESMERY CONSTRUCTION
MARTIN & CO EXCAVATING
MARTIN CEMENT
MERRYMAN EXCAVATING INC
MEYER CONTRACTING INC
MICHELS PIPEDIV MICHELS CO
MID-AMERICA REGIONAL BARGAI
MID-VALLEY CONCRETE INC
MIDWEST UNDERGROUND CONTR L
MILLER K R CONTR INC
MJ TRACK WORKS
MOHAWK CONTRACTING
MONTEMAYOR CONSTRUCTION INC
MONTICELLO MASONRY INC
MORSE L J CONSTRUCTION
NKC CONVEYOR INSTALLATIO
NERI CONTRACTORS & EXCAVATI
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
OSWEGO BUILDING SUPPLIES IN
PALLERA CONSTRUCTION INC
PARKWAY FORMING INC
PEPPER CONSTRUCTION
PERFORMANCE CONST & ENG LL
PETERS MM CONSTRUCTION
PHOENIX CORP OF THE QUAD CI
PLAINFIELD GRADING & EXCAVA
PLOTE CONSTRUCTION INC
PRECISION EXCAVATING
PREFERRED CONCRETE & EXCAVA
PREMIER STAFFING SOLUTIONS
R BROWN CART dba TRAFFC SOL
RAY EDWARDS CONTRACTORS
RICO
RINGLAND-JOHNSON INC
RIVER CITY CONSTRUCTION
RIVER VALLEY LAND IMP CO IN
RIZZA CONCRETE
RJ O'NEIL INC
ROCK ROAD OF ILLINOIS
ROCKFORD CONCRETE PAVING CO
ROSE FARM PAVING INC
RYAN COMPANIES US INC
S & K EXCAVATING & TRUCKING
S & K POOL SERVICE INC
SCANDROLI CONSTRUCTION CO
SCHNEIDER EXCAVATING INC
SCHROEDER ASPHALT COMPANY L
SCHROEDER ASPHALT SERVICES
SCORPIO CONSTRUCTION
SCURTO CEMENT CONSTRUCTION
SEYLLERS INC
SINGLEY CONSTRUCTION
SJN SUBSURFACE INC
SJOSTROM & SONS INC
SOIL INSTALLERS
STARK & SON TRENCHING INC
STENSTROM EXCAV & BLACKTOP
STEWART H R INC
STOKES EX CO I MEJIA
SUBSURFACE UNDERGROUND CONS
SURE INT'L OF CRYSTAL LAKE
T B S CONSTRUCTION INC
T C I INC
TAT ENTERPRISES INC
TERPSTRA MASONRY
THE BOLDT COMPANY
THE PENA GROUP INC
THOM GRAVEL & EXCAVATING IN
TNT CONSTRUCTION
TOBIN BROS INC
TONYAN WILLIAM & SONS INC
TRIGGI CONSTRUCTION INC
TROY LEE EXCAVATING INC
VIRIDIAN ENTERPRISES INC
VISSERING CONSTRUCTION CO
WAGNER EXCAVATING
WALSH CONSTRUCTION CO
WALSH CONSTRUCTION CO II LL
WEAVER CONSTRUCTION INC
WEGMAN R C CONST CO
WHEATLAND CONCRETE INC
WHITTAKER CONST & EXCAVAT
WILKINSON EXCAVATING
WILLIAM CHARLES CONST CO LL
WILLIAMS BROTHERS CONST CO
WORKFORCE 312
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