2016-05-05T17:53:57-05:00 2015-06-30 470900880 CALIBRE CPA GROUP PLLC 19615 SOUTH LAGRANGE ROAD MOKENA IL 60448 990 2014-07-01 362392752 PRIVATE SCAVENGERS HEALTH & WELFARE FUND 731 I B OF T PRIV 6308874150 1000 BURR RIDGE PARKWAY BURR RIDGE IL 60527 JOHN J LISNER TRUSTEE 6308874150 2016-05-05 1 CHARLES DIGIOVANNI P00284901 7089957180 2014 2016-08-17 19:52:53Z TERRENCE J HANCOCK 1000 BURR RIDGE PARKWAY BURR RIDGE IL 60527 43086029 0 X N/A X 1953 IL TO PROVIDE MEDICAL, DENTAL, VISION, LIFE AND LOSS OF TIME BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS 6 3 0 0 0 0 0 0 22596211 23165960 2029250 238303 0 0 24625461 23404263 0 0 21823964 25647737 0 0 0 0 0 971391 898730 22795355 26546467 1830106 -3142204 47911410 44532034 2270689 2149948 45640721 42382086 TO PROVIDE MEDICAL, DENTAL, VISION, LIFE AND LOSS OF TIME BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS 0 0 TO PROVIDE MEDICAL, DENTAL, VISION, LIFE AND LOSS OF TIME BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS 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 1 195 0 1 0 0 0 0 0 0 0 X 6 3 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 0 0 1 1 0 X TERRENCE J HANCOCK 6308874150 1000 BURR RIDGE PKWY BURR RIDGE IL 60527 TERRENCE J HANCOCK TRUSTEE 0.50 40.00 X 0 264356 82080 JOHN LISNER TRUSTEE 0.50 40.00 X 0 218910 82080 TIM DUNLAP TRUSTEE 0.50 40.00 X 0 132725 56995 THOMAS YONKER TRUSTEE 0.50 X 0 0 0 LAWRENCE GROOT TRUSTEE 0.50 X 0 0 0 STEVE VOGRIN TRUSTEE 0.50 X 0 0 0 RICHARD CLARSON ADMINISTRATOR 20.00 20.00 X 157100 0 11648 157100 615991 232803 1 0 1 1 BLUE CROSS BLUE SHIELD 300 EAST RANDOLPH STREET CHICAGO IL 606015099 PPO PROVIDER 796487 HEALTH MANAGEMENT CONCEPTS INC 181 COMMODORE DRIVE JUPITER FL 33477 WELLNESS BENEFITS 149370 2 EMPLOYER CONTRIBUTIONS 900099 19346136 19346136 PARTICIPANT AND RETIREE CONTRIBUT 900099 3819824 3819824 23165960 317064 317064 19603005 19681766 -78761 -78761 -78761 23404263 23165960 0 238303 25647737 59030 37361 104362 34398 85376 38380 59826 3028 16352 SHARED ADMIN EXPENSES R 460617 26546467 2213782 1701775 903711 9617 2280500 2288423 17492 17694 68606 63217 8417 5389 21304468 18786694 21183040 21722442 47911410 44532034 194746 200656 2075943 1949292 2270689 2149948 X 0 0 0 0 45640721 42382086 45640721 42382086 47911410 44532034 -3142204 -116431 0 X X 0 1 X 1 0 68606 63217 5389 5389 COMMON COLLECTIVE TRUST 21722442 F 21722442 DUE TO AFFILIATED FUNDS 51622 DUE TO BROKER 670 CURRENT AND INCURRED BUT NOT REPORTED CLAIMS PAYABLE 1897000 1949292 X 23183470 -116431 -116431 23299901 104362 104362 23404263 26570105 0 26570105 104362 -128000 -23638 26546467 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 JUNE 30, 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 JUNE 30, 2015, THE PLAN'S ADMINISTRATOR BELIEVES THAT THE PLAN IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO JUNE 30, 2012. PART XII, LINE 4B - OTHER ADJUSTMENTS: CHANGE IN CLAIMS PAYABLE AND INCURRED BUT UNREPORTED CLAIMS -128,000. 0 0 0 TERRENCE J HANCOCK TRUSTEE 0 264356 0 0 0 0 0 69970 0 12110 0 346436 0 0 JOHN LISNER TRUSTEE 0 218910 0 0 0 0 0 69970 0 12110 0 300990 0 0 TIM DUNLAP TRUSTEE 0 132725 0 0 0 0 0 44885 0 12110 0 189720 0 0 RICHARD CLARSON ADMINISTRATOR 157100 0 0 0 0 0 0 0 11648 0 168748 0 0 0 PART III FORM 990, PART VII, ITEM 5 AND SCHEDULE J, PART II RICHARD CLARSON IS THE ADMINISTRATOR OF THE FILING ORGANIZATION IN ADDITION TO PEFORMING SIMILAR DUTIES FOR THE FILING ORGANIZATION'S RELATED AND AFFILIATED, BUT UNRELATED ORGANIZATIONS. HIS COMPENSATION IS PAID DIRECTLY BY THE EXCAVATING, GRADING AND ASPHALT CRAFT LOCAL 731 HEALTH AND WELFARE FUND AND A PORTION IS REIMBURSED TO THAT FUND BY THE FILING ORGANIZATION. 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 REVIEWED BY ADMINISTRATIVE PERSONNEL AND THE FUND ADMINISTRATOR. AT LEAST ONE TRUSTEE ALSO REVIEWS THE FORM PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 15 SALARIES ARE INCLUDED IN AN ANNUAL COST ALLOCATION STUDY WITH OTHER TEAMSTERS LOCAL 731 BENEFIT FUNDS. THE STUDY IS REVIEWED AND APPROVED BY THE BOARD OF TRUSTEES. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST AT THE FUND OFFICE. FORM 990, PART XII, LINE 2C EXPLANATION: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. LOCAL 731 PRIVATE SCAVENGERS AND GARAGE ATTENDANTS PENSION TRUST FUND 1000 BURR RIDGE PARKWAY BURR RIDGE IL 60527 366513567 TO PROVIDE RETIREMENT BENFITS FOR ELIGIBLE PARTICIPANTS IL 401(A) 0 INTERNATIONAL BROTHERHOOD OF TEAMSTERS LOCAL 731 UNION 1000 BURR RIDGE PARKWAY BURR RIDGE IL 60527 361053335 LOCAL UNION IL 501(C)(5) 0 ALLIED WASTE SERVICES CONTRIBUTING EMPLOYER 0 WASTE MANAGEMENT - C I D CORP CONTRIBUTING EMPLOYER 0 GROOT RECYCLING & WASTE CONTRIBUTING EMPLOYER 0 HOMEWOOD SCAVENGER SERVICE INC CONTRIBUTING EMPLOYER 0 LAKE SHORE WASTE SERVICES LLCRECYCLING SYSTEMS INC CONTRIBUTING EMPLOYER 0 ADVANCED DISPOSAL SERVICES CONTRIBUTING EMPLOYER 0 FLOOD BROTHERS DISPOSAL CONTRIBUTING EMPLOYER 0 STROM REFUSE & REMOVAL SERVICE CONTRIBUTING EMPLOYER 0 D & P CONSTRUCTION CO INC RECY CONTRIBUTING EMPLOYER 0 TRI STATE DISPOSAL INC CONTRIBUTING EMPLOYER 0 INDEPENDENT RECYCLING SER INC CONTRIBUTING EMPLOYER 0 AUBURN DISPOSAL INC CONTRIBUTING EMPLOYER 0 CHICAGO DISPOSAL INC CONTRIBUTING EMPLOYER 0 MBL RECYCLING INC CONTRIBUTING EMPLOYER 0 J & B TRUCKING CONTRIBUTING EMPLOYER 0 MIDWEST MARINE TERMINALS INC CONTRIBUTING EMPLOYER 0 ENO INC CONTRIBUTING EMPLOYER 0 MIDWEST REM ENTEPRISES INC CONTRIBUTING EMPLOYER 0 ILLIANA DISTRIBUTION SYSTEMS CONTRIBUTING EMPLOYER 0 ECONOMY DISPOSAL SERVICE INC CONTRIBUTING EMPLOYER 0 DISPOSAL MANAGEMENT SYSTEMS CONTRIBUTING EMPLOYER 0 H2 TRANSPORT INC CONTRIBUTING EMPLOYER 0 BOLT SCAVENGER SERVICE INC CONTRIBUTING EMPLOYER 0 DJURIC TRUCKING CONTRIBUTING EMPLOYER 0 JGB TRUCKING CONTRIBUTING EMPLOYER 0 LAND OF LINCOLN DEVELOPMENT CO CONTRIBUTING EMPLOYER 0 RAY SCHRAMER & COMPANY CONTRIBUTING EMPLOYER 0 VANS DISPOSAL CONTRIBUTING EMPLOYER 0 ZENERE EXCAVATING CONTRIBUTING EMPLOYER 0 EMESCO MARINE SERVICES CONTRIBUTING EMPLOYER 0 ACCURATE RECYCLING SOLUTIONS CONTRIBUTING EMPLOYER 0 EMIL & ED'S TIRE CONTRIBUTING EMPLOYER 0 G & J INC CONTRIBUTING EMPLOYER 0 H F P ENTERPRISES INC CONTRIBUTING EMPLOYER 0 HERITAGE DISPOSAL LLC CONTRIBUTING EMPLOYER 0 PRAIRIE DISPOSAL SERVICE INC CONTRIBUTING EMPLOYER 0 RIVERSIDE CONSTRUCTION CONTRIBUTING EMPLOYER 0 WILLEN ENTERPRISES INC CONTRIBUTING EMPLOYER 0 KAL TRUCKING INC CONTRIBUTING EMPLOYER 0 UNION RECYCLING & WASTE CONTRIBUTING EMPLOYER 0 STA-CLEAN SYSTEMS INC CONTRIBUTING EMPLOYER 0 A-H ROLLOFF SERVICES CO CONTRIBUTING EMPLOYER 0 LAND & LAKES DISPOSAL SERV LLC CONTRIBUTING EMPLOYER 0 CLASSIC CARRIERS INC CONTRIBUTING EMPLOYER 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 1 LOCAL 731 GARAGE ATTENDANTS PENSION TRUST FUND K 59826 ALLOCATION APPROVED BY TRUSTEES