STRATEGY STUDIO / PUBLIC DATA EXPLORER

FOX VALLEY LABORERS HEALTH AND WELFARE FUND: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
FOX VALLEY LABORERS HEALTH AND WELFARE FUND (EIN 36-6219639)
Tax period
2013-06-01 to 2014-05-31
Filed
2015-01-11
IRS object ID
201510119349300201
Schema version
2013v4.0
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)
Return2015-01-11T10:42:16-06:00ReturnTs
Tax Period End2014-05-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN470900880PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CALIBRE CPA GROUP PLLCBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1566 W LAKE ST STE 300AddressLine1
CityCHICAGOCity
StateILState
ZIP Code606611414ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-06-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN366219639EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1FOX VALLEY LABORERS HEALTH & WELFARE FNDBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlFOXVBusinessNameControlTxt
Phone8477420900PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12371 BOWES ROAD No 500AddressLine1
CityELGINCity
StateILState
ZIP Code601235523ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDAN BREJCPersonNm
Person TitleTrustee/SecretaryPersonTitleTxt
Phone8477420900PhoneNum
Signature2015-01-05SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonANDREW HEINPreparerPersonNm
PTINP00499757PTIN
Phone3126550037PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeYes (X)AddressChangeInd
Principal OfficerMIKE SHALESPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12371 BOWES ROAD No 500AddressLine1
CityELGINCity
StateILState
ZIP Code601235523ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$47,099,993GrossReceiptsAmt
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 Independent6VotingMembersIndependentCnt
Total Employee43TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$25,243,963PYProgramServiceRevenueAmt
CY Program Service Revenue$27,803,015CYProgramServiceRevenueAmt
PY Investment Income$2,003,979PYInvestmentIncomeAmt
CY Investment Income$2,831,720CYInvestmentIncomeAmt
PY Other Revenue$284,716PYOtherRevenueAmt
CY Other Revenue$295,670CYOtherRevenueAmt
PY Total Revenue$27,532,658PYTotalRevenueAmt
CY Total Revenue$30,930,405CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$19,795,277PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$27,192,597CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$790,666PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$802,471CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$1,564,291PYOtherExpensesAmt
CY Other Expenses$1,758,867CYOtherExpensesAmt
PY Total Expenses$22,150,234PYTotalExpensesAmt
CY Total Expenses$29,753,935CYTotalExpensesAmt
PY Revenues Less Expenses$5,382,424PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,176,470CYRevenuesLessExpensesAmt
Total Assets BOY$61,944,759TotalAssetsBOYAmt
Total Assets EOY$68,249,473TotalAssetsEOYAmt
Total Liabilities BOY$9,011,114TotalLiabilitiesBOYAmt
Total Liabilities EOY$12,464,785TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$52,933,645NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$55,784,688NetAssetsOrFundBalancesEOYAmt
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 1,467 ELIGIBLE PARTICIPANTS AT MAY 31, 2014.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 Document710IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee43EmployeeCnt
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 Member6IndependentVotingMemberCnt
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 SHALESBusinessNameLine1
FieldValueIRS element (for citing)
Phone8477420900PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12371 BOWES ROAD SUITE 500AddressLine1
CityELGINCity
StateILState
ZIP Code601235523ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (7 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
DAN BREJC
Secretary3.0040.00Yes (X)$0$128,027$74,629
JOHN BRYAN JR
TRUSTEE3.00Yes (X)$0$0$0
MIKE SHALES
Chairman3.00Yes (X)$0$0$0
VERN BAUMAN
Trustee3.0040.00Yes (X)$0$118,071$87,822
JEFF FROST
Trustee3.0050.00Yes (X)$0$135,508$95,726
AL OROSZ
Trustee3.00Yes (X)$0$0$0
PATRICIA M SHALES
ADMINISTRATOR40.00$123,220$0$36,460Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$123,220TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$381,606TotReportableCompRltdOrgAmt
Total Other Compensation$294,637TotalOtherCompensationAmt
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/AddressLine1CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmt
BLUE CROSS BLUE SHIELD
300 EAST RANDOLPH STCHICAGOIL60601PPO ACCESS FEES$650,351
SEI INVESTMENT
ONE FREEDOM DRIVEOAKSPA19456INV MGMNT/CONSULTING$139,558
HORIZON ACTUARIAL SERVICES LLC
6120 ROLLING ROAD DRIVEMIAMIFL331565629PLAN CONSULTING$112,928
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K3CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
EMPLOYER CONTRIBUTIONS900099$26,553,072$26,553,072
MEMBER CONTRIBUTIONS900099$1,156,126$1,156,126
MEDICARE D SUBSIDIES900099$93,817$93,817
FieldValueIRS element (for citing)
Total Program Service Revenue$27,803,015TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,373,813TotalRevenueColumnAmt
Exclusion$1,373,813ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$17,627,495SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$16,169,588SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$1,457,907SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,457,907TotalRevenueColumnAmt
Exclusion$1,457,907ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescREIMB SAL & RELATED EXPENSES FROMDesc
Business900099BusinessCd
Total Revenue Column$295,670TotalRevenueColumnAmt
Related Or Exempt Func Income$295,670RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$295,670OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$30,930,405TotalRevenueColumnAmt
Related Or Exempt Func Income$28,098,685RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$2,831,720ExclusionAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$27,192,597TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$451,309TotalAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$166,874TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$135,142TotalAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$49,146TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$108,038TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$57,535TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$353,619TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,011,845TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$141,436TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$34,479TotalAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,394TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$7,368TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$15,955TotalAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$27,198TotalAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$29,753,935TotalAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY-$41,660BOYAmt
EOY-$90,585EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$19,932BOYAmt
EOY$44,954EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,595,463BOYAmt
EOY$3,088,427EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$45,314BOYAmt
EOY$80,613EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$300,586LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$261,739LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$49,776BOYAmt
EOY$38,847EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$59,199,814BOYAmt
EOY$64,968,429EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$76,120BOYAmt
EOY$118,788EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$61,944,759BOYAmt
EOY$68,249,473EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$62,114BOYAmt
EOY$69,785EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$8,949,000BOYAmt
EOY$12,395,000EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$9,011,114BOYAmt
EOY$12,464,785EOYAmt
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$52,933,645BOYAmt
EOY$55,784,688EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$52,933,645BOYAmt
EOY$55,784,688EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$61,944,759BOYAmt
EOY$68,249,473EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$1,176,470ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$1,674,573NetUnrlzdGainsLossesInvstAmt
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$6,744DepreciationAmt
Book Value$15,737BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$278,105OtherCostOrOtherBasisAmt
Depreciation$254,995DepreciationAmt
Book Value$23,110BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$38,847TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
EST LIAB FUTR CLAIMS EXTENDED ELIGIBLTY$9,660,000
EST LIAB FUTR CLAIMS INCURRED BUT UNPAID$2,690,000
DEPOSITS HELD$45,000
FieldValueIRS element (for citing)
Total Liability$12,395,000TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$31,861,872TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$1,674,573NetUnrealizedGainsInvstAmt
Other Revenue-$353,619OtherRevenueAmt
Revenue Not Reported$1,320,954RevenueNotReportedAmt
Revenue Subtotal$30,540,918RevenueSubtotalAmt
Other Revenues Not Included$389,487OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$389,487RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$30,930,405TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$25,589,829TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included-$93,817OtherExpensesIncludedAmt
Expenses Not Reported-$93,817ExpensesNotReportedAmt
Expenses Subtotal$25,683,646ExpensesSubtotalAmt
Other Expenses Not Included$4,070,289OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$4,070,289ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$29,753,935TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 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, 2014, 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, 2014, THE PLAN IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO THE FISCAL YEAR ENDED MAY 31, 2011.
Part XI, Line 2d - Other Adjustments:INVESTMENT MANAGEMENT EXPENSE -353,619.
Part XI, Line 4b - Other Adjustments:MEDICARE D SUBSIDIES RECEIVED 93,817. REIMBURSED FV PENSION SALARY EXPENSE 295,670.
Part XII, Line 2d - Other Adjustments:MEDICARE D SUBSIDIES RECEIVED -93,817.
Part XII, Line 4b - Other Adjustments:REIMBURSED FV PENSION SALARY EXPENSE 295,670. INVESTMENT MANAGEMENT EXPENSE 353,619. CHANGE IN PLAN BENEFIT OBLIGATION 3,421,000.

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 (4 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
DAN BREJC
Secretary$0$124,796$0$0$0$3,231$0$48,119$0$26,510$0$202,656$0$0
VERN BAUMAN
Trustee$0$113,516$0$0$0$4,555$0$54,595$0$33,227$0$205,893$0$0
JEFF FROST
Trustee$0$134,605$0$0$0$903$0$35,093$0$60,633$0$231,234$0$0
PATRICIA M SHALES
ADMINISTRATOR$110,877$0$3,500$0$8,843$0$20,091$0$16,369$0$159,680$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:No change in process from prior year.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtControlled OrganizationControlledOrganizationInd
FOX VALLEY & VICINITY LABORERS PENSION
2371 BOWES Rd NO 500ELGINIL601235523366147409PENSION FUNDIL401(a)0
LABORERS LOCAL #149
2418 W INDIAN TRAILAURORAIL60506361264214LABOR UNIONIL501(c)(5)0
LABORERS LOCAL #1035
110 N STATE PO BOX 211MARENGOIL601520211362063944LABOR 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 (23 entries)

BOSLY CONSTRUCTION LLC
BUILDERS CONCRETE SERVICES LLC
CONSOLIDATED CONSTR SERV LLC
COOLING LAND CONCEPTS LLC
CORRECTIVE ASP MATERIALS LLC
CROUCH-SERANKO MASONRY LLC
DOUGAL BUILDING MAINT LLC
GFS CONSTRUCTION LLC
IHC CONSTRUCTION CO LLC
JACK COFFEY LLC
JIM GEORGE AND SONS LLC
KENDALL EXC & SEPTIC LLC
KRESMERY MARC CONSTRUCTION LLC
MID-AMERICA UNDERGROUND LLC
MIDWEST UNDERGROUND CONTR LLC
MTH UNDERLAYMENT LLC
MURPHY & ASSOCIATES LTD
N-TRAK GROUP LLC
PIPE-LINERS LTD
RAGNAR BENSON LLC
SHALES MCNUTT LLC
WALSH CONSTRUCTION CO II LLC
WILLIAM CHARLES CONST CO LLC

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (197 entries)

AAT PIPELINE TESTING INC
ABBOTT RA EXCAVATING INC
ABITUA SEWERWATER&PLUMB INC
ACCESS CONTROL CO INC
ALBERICI J
ALLIANCE CONCR SAW & DRILL IV
ALLIANCE CONTRACTORS INC
ALPINE CONCRETE INC
ARROW ROAD CONSTRUCTION CO
ARRP PAVING AND TRUCKING INC
ARTLOW SYSTEMS
ASC INSULATION & FIREPROOFING
BAKER PETER & SON COMPANY
BARTON ELECTRIC
BENCHMARK CONSTRUCTION
BENNETT CONSTRUCTION INC
BERGER EXCAVATING
BERGQUIST & ZIMMERMAN CON INC
BLOCKER G A GRADING CONTR INC
BOHR DON & SONS INC
BRAVO CONSTRUCTION CO INC
BROWN R CART DBA TRAFFIC SOL
BUESING BROTHER INC
BULLEY & ANDREWS
BURROAK MASONRY INC
C & H EXCAVATING INC
CAMOSY INCORPORATED
CAMPTON CONSTRUCTION
CARLSON ALBIN & CO
CARMICHAEL CONSTRUCTION INC
CELLCRETE DECKS
CENTRAL BLACKTOP
CHADWICK CONTRACTING
CHAMPION PAVING CORP
CHICAGOLAND PAVING
CIVIL CONSTRUCTORS INC OF ILL
CLEARPATH CONSTRUCTION INC
CONCRETE SYSTEMS INC
CONTRACTING & MATERIAL CO
COUNTRYMAN INC
CURRAN CONTRACTING CO
CYBERDYNE MASONRY DYNAMICS COR
D & H EXCAVATING INC
D CONSTRUCTION INC
DEKALB PAVING INC
DIAMOND MASONRY
DIENST SEWER & WATER INC
DODD LAWRENCE J CONST INC
DOHERTY CONSTRUCTION INC
DOUBLE HEADERS CONCRETE
DREAMSCAPES BY DENNIS INC
DRIESSEN CONSTR COMPANY
DUNNET BAY CONSTRUCTION
EAGLE CONCRETE INC
ELECTRIC CONDUIT CONST
ENGSTROM CONSTRUCTION CO
EVANS & SON BLACKTOP
EVEREST EXCAVATING INC
FABCON INC
FERRO P T CONSTRUCTION
FLOOR SYSTEMS OF CHICAGO INC
FLOOR TECH SOLUTIONS INC
FOX EXCAVATING INC
FREEHILL ASPHALT INC
FRIDH JOHN SONS INC
G A RICH & SONS INC
G M RANDA INC
GENEVA CONST CO
GEO DYNAMICS INC
GESKE AND SONS INC
H & S CONCRETE CONSTR
HAGEN MASONRY & STONE INC
HARRIS J C & SONS INC
HEITKOTTER INC
HENKELS & MC COY INC
HOWARD IMMEL CONST
HUGH HENRY CONSTRUCTION
ILLINOIS CONSTR CORP
INTREN INC
IWS INC
J & R 1ST IN ASPHALT
J & S CONSTRUCTION
J E M CONCRETE CUTTERS INC
J E M MORRIS CONSTRUCTION INC
J H FINDORFF & SON INC
J L ALLEN CO
JACK HALL CONSTRUCTION
JENSEN PLUMBING & HEATING INC
JIM BURKE EXCAVATING INC
JIMMY Z MASONRY CORP
JMI CORP CO GJ FOSTER & ASSOC
JOHNSTON W F CONSTR INC
K R G EXCAVATING PARTNERS
K-FIVE
KARL-STEFANS CONST CO INC
KEEN CONCRETE INC
KELLENBERGER PLUMB & HEAT INC
KENDALL CO BLACKTOP
KEUP K CONCRETE CONST INC
KIRBY CABLE SERVICES INC
LAMP INCORPORATED
LANAS CONSTRUCTION
LANDMARK CONTRACTORS INC
LANG MECHANICAL INC
LASSWELL MASONRY INC
LIBERTY PAVING CO INC
LINDEN HARRY AND SON
LITE CONSTRUCTION
LORIG CONSTRUCTION COMPANY
LYNN SUPPLY & SERVICES INC
M & M WELDING INC
MANEVAL CONSTRUCTION
MANNING T CONCRETE INC
MARTIN & CO EXCAVATING
MARTIN CEMENT
MECCOR INDUSTRIES LTD
MERRYMAN EXCAVATING INC
MID-VALLEY CONCRETE
MILLER K R CONTR INC
MOHAWK CONTRACTING
MONTEMAYOR
MONTICELLO MASONRY INC
MORSE L J CONSTRUCTION
MPZ MASONRY INC
NERI CONTRACTORS & EXCAVATING
NORTHERN CONTRACTING INC
NORTHERN ILLINOIS SERVICE CO
NORTHERN PIPELINE CONST CO
NORTHWEST CONTRACTORS INC
O'NEIL RJ INC
O'NEIL W E CONSTRUCTION CO
OLSON R CONST CO CONTR INC
ORANGE CRUSH LLC
OSWEGO BUILDING SUPPLIES INC
OSWEGO EXCAVATING LLC
PALLERA CONSTRUCTION INC
PARKWAY FORMING INC
PEPPER CONSTRUCTION
PETERS MM CONSTRUCTION
PHOENIX CORP OF THE QUAD CITIE
PLAINFIELD GRADING & EXCAVATIN
PLOTE CONSTRUCTION
PREFERRED CONCRETE
PRO-PRECAST SOLUTIONS
R A UBERT CONSTRUCTION INC
RAY EDWARDS CONTRACTORS
RICO
RINGLAND-JOHNSON INC
RIVER VALLEY LAND IMP CO INC
RIZZA CONCRETE
ROCK ROAD OF ILLINOIS
ROCK SOLID STABIL & RECLAM INC
ROCKFORD CONCRETE PAVING CONST
ROCKFORD STRUCTURES
ROSE FARM PAVING INC
ROUTE 66 CONSTRUCTION
RUIZ CONSTRUCTION SYSTEMS INC
RYAN COMPANIES US INC
S & K EXCAVATING & TRUCKING
S & K POOL SERVICE INC
SCANDROLI CONSTRUCTION CO
SCHAAL CONTRACTING
SCHNEIDER EXCAVATING INC
SCHRAMM CONSTRUCTION CORP
SCHROEDER ASPHALT SERVICES INC
SCORPIO CONSTRUCTION
SCURTO CEMENT CONSTRUCTION
SEYLLERS INC
SINGLEY CONSTRUCTION
SJOSTROM & SONS INC
STARK & SON TRENCHING INC
STENSTROM EXCAV & BLACKTOP GRP
STEWART H R INC
SUBSURFACE UNDER CONST INC
SWALLOW CONSTRUCTON CO
SWEDBERG & ASSOCIATES INC
T B S CONSTRUCTION INC
T C I INC
T SQUARED CONSTRUCTION INC
TABITHA VENTURES INC
TERPSTRA MASONRY
THE BOLDT COMPANY
THE PENA GROUP INC
TOBIN BROS INC
TONYAN WILLIAM & SONS INC
TR EXCAVATING INC
TRIGGI CONSTRUCTION INC
TROY LEE EXCAVATING INC
UNION FENCE INC
VIRIDIAN ENTERPRISES INC
WAGNER EXCAVATING
WEAVER CONSTRUCTION INC
WEGMAN R C CONST CO
WHEATLAND CONCRETE INC
WHITTAKER CONST & EXCAVAT INC
WILKINSON EXCAVATING
WILLIAMS BROTHERS CONST CO
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