2025-10-13T09:45:47-05:00 2024-11-30 320043599 LEGACY PROFESSIONALS LLP 6800 FRANCE AVENUE SO SUITE 550 EDINA MN 55435 990 2023-12-01 237115412 MINNESOTA TEAMSTERS CONSTRUCTION DIVISION FRINGE BENEFIT FUNDS MINN 6512561900 2520 PILOT KNOB ROAD 325 MENDOTA HEIGHTS MN 55120 ZACHARY RADZAK CHAIRMAN 6512561900 2025-10-13 1 0 ERIC C BAERTSCH P00964071 9528413950 2025-10-13 2023 2025-03-06 01:10:19Z ZACHARY RADZAK 2520 PILOT KNOB ROAD 325 MENDOTA HEIGHTS MN 55120 23944665 0 X N/A X 1970 MN PROVIDE HEALTH BENEFITS 8 8 1 0 0 0 0 0 18727417 19801298 561203 1017389 10300 8150 19298920 20826837 0 0 14936604 16693246 0 0 0 0 0 449582 437807 15386186 17131053 3912734 3695784 29203517 34083794 49901 30905 29153616 34052889 TO PROVIDE HEALTH CARE, DENTAL, DISABILITY, LIFE, AND ACCIDENTAL DEATH AND DISMEMBERMENT BENEFITS TO MEMBERS. 0 0 PAYMENT OF HEALTH CARE, DENTAL, DISABILITY, LIFE, AND ACCIDENTAL DEATH AND DISMEMBERMENT BENEFITS FOR ELIGIBLE PARTICIPANTS AND DEPENDENTS AS PROVIDED BY 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 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 X 8 8 0 1 0 0 0 1 0 1 0 0 0 1 1 0 0 0 0 0 0 0 X ZENITH AMERICAN SOLUTIONS INC 6512561900 2520 PILOT KNOB ROAD 325 MENDOTA HEIGHTS MN 55120 X ZACHARY RADZAK CHAIRMAN 2.00 X 0 0 0 CHAD WARD TRUSTEE 2.00 X 0 0 0 JEFF DIEDE TRUSTEE - PAST 1.00 X 0 0 0 SCOTT KROONA TRUSTEE 1.00 X 0 0 0 VIRGIL CHRISTOFFERSEN ALTERNATE TRUSTEE 1.00 X 0 0 0 JEFF OVESON ALTERNATE TRUSTEE 1.00 X 0 0 0 SHANE BLOCK TRUSTEE 1.00 X 0 0 0 CHAD LUDWIG ALTERNATE TRUSTEE 1.00 X 0 0 0 LAURA ZIEGLER TRUSTEE 1.00 X 0 0 0 JEFF ZAHN TRUSTEE 1.00 X 0 0 0 CHAD NELSON TRUSTEE 1.00 X 0 0 0 JASON ZINS TRUSTEE 1.00 X 0 0 0 NICK JOHNSON ALTERNATE TRUSTEE 1.00 X 0 0 0 ANDREW ERICHSON ALTERNATE TRUSTEE 1.00 X 0 0 0 TONY WINCHESTER ALTERNATE TRUSTEE 1.00 X 0 0 0 0 0 0 0 0 0 0 ZENITH AMERICAN SOLUTIONS INC 2520 PILOT KNOB ROAD SUITE 325 MENDOTA HEIGHTS MN 55120 ADMINISTRATION, CLAIMS PROCESSING, AUDIT 418116 BLUELINK TPA 1200 YANKEE DOODLE ROAD PO BOX 6 ST PAUL MN 55164 PPO ACCESS FEES 284851 2 EMPLOYER CONTRIBUTIONS 900099 18141868 18141868 STOP-LOSS CONTRIBUTIONS 900099 720024 720024 PRESCRIPTION DRUG REBATES 900099 492508 492508 SELF PAY - EMPLOYEES 900099 442651 442651 SUBROGATION RECEIPTS 900099 4247 4247 19801298 855217 855217 3280000 3117828 162172 162172 162172 CREDIT CARD FEE CONTRIBUTIONS 900099 6194 6194 LIQUIDATED DAMAGES 900099 1956 1956 8150 20826837 19801298 0 1025539 16693246 137401 81341 39619 25291 79142 45813 9645 10204 AFFORDABLE CARE ACT FEE 9351 17131053 3619638 4551123 1118562 2380485 1550613 2069524 21816668 24739444 1098036 343218 29203517 34083794 29869 30905 20032 0 49901 30905 X 0 0 0 0 29153616 34052889 29153616 34052889 29203517 34083794 3695784 1203489 0 X 0 1 X 1 0 0 X 22005035 1203489 1203489 20801546 25291 25291 20826837 17105762 0 17105762 25291 25291 17131053 PART X, LINE 2: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE THE PLAN TO EVALUATE TAX POSITIONS TAKEN AND RECOGNIZE A TAX LIABILITY IF THE PLAN HAS TAKEN UNCERTAIN TAX POSITIONS THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY TAX AUTHORITIES. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. FORM 990, PART VI, SECTION A, LINE 3 ALTHOUGH THE TRUSTEES RETAIN THE ULTIMATE RESPONSIBILITY, THE TRUSTEES HAVE 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 FOUR EMPLOYER ASSOCIATION TRUSTEES AND FOUR UNION TRUSTEES. THE FOUR EMPLOYER ASSOCIATION TRUSTEES SHALL BE DESIGNATED BY THE EMPLOYER ASSOCIATION. THE FOUR UNION TRUSTEES SHALL BE DESIGNATED BY THE NEGOTIATING COMMITTEE. EIGHT ALTERNATE TRUSTEES ARE APPOINTED, FOUR FROM THE EMPLOYER ASSOCIATION AND FOUR FROM THE UNIONS. EACH TRUSTEE AND ALTERNATE TRUSTEE MAY BE REMOVED ONLY BY THE PARTY WHICH APPOINTED THEM. FORM 990, PART VI, SECTION A, LINE 8B THERE IS NO COMMITTEE WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 IS PROVIDED TO AND REVIEWED BY THE ENTIRE BOARD OF TRUSTEES BEFORE THE FORM 990 IS FILED. FORM 990, PART VI, SECTION C, LINE 19 THE PLAN MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO PARTICIPANTS AT THE OFFICE OF THE THIRD PARTY ADMINISTRATOR IN MENDOTA HEIGHTS, MINNESOTA. 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