2015-01-12T16:32:45-06:00 2014-05-31 470900880 CALIBRE CPA GROUP PLLC 566 W LAKE ST SUITE 300 CHICAGO IL 60661 990 2013-06-01 366147408 FOX VALLEY & VICIN CONSTRUCTION WEL FUND FOXV 4144761220 3333 N MAYFAIR RD No 201 MILWAUKEE WI 53226 Art Sturms TRUSTEE 4144761220 2015-01-12 1 COREY BILKEY P00499751 3126550037 2013 2016-02-25 16:41:14Z ART STURMS 3333 N MAYFAIR RD No 201 MILWAUKEE WI 53226 28788837 0 X N/A X 1961 WI TO PROVIDE MEDICAL, DENTAL, VISION, TEMPORARY DISABILITY, AND DEATH BENEFITS. 11 11 4 0 0 0 0 0 7463404 7068863 761765 360384 0 0 8225169 7429247 0 0 6807056 6071775 0 0 0 0 0 813645 748035 7620701 6819810 604468 609437 21193973 22155209 4088849 3484814 17105124 18670395 X TO PROVIDE MEDICAL, DENTAL, VISION, TEMPORARY DISABILITY, AND DEATH BENEFITS 0 0 TO PROVIDE MEDICAL, DENTAL, VISION, TEMPORARY DISABILITY, AND DEATH BENEFITS TO ELIGIBLE MEMBERS TO PROVIDE MEDICAL, DENTAL, VISION, TEMPORARY DISABILITY, AND DEATH BENEFITS TO 607 ELIGIBLE MEMBERS AND THEIR DEPENDENTS. 0 0 0 0 0 0 0 0 0 0 0 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 3 0 1 4 1 0 0 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 0 0 0 X TRACY WHITE 4144761220 3333 MAYFAIR RD MILWAUKEE WI 53226 PETER CULVER Secretary 2.00 40.00 X 0 126509 61924 DONALD DEETJEN Trustee 2.00 X 0 0 0 DAN AUSSEM Chairman 2.00 X 0 0 0 RUBEN COLLAZO Trustee 2.00 40.00 X 0 0 0 JAMES ZUIDEMA TRUSTEE 2.00 X 0 0 0 JOHN SZECH Trustee 2.00 X 0 0 0 JOSH BOLLER Trustee 2.00 X 0 0 0 KENNETH SANDENO Trustee 2.00 X 0 0 0 ART STURMS Trustee 2.00 40.00 X 0 100542 64765 DAVE FLEURY TRUSTEE 2.00 40.00 X 0 185825 0 ANTHONY FRESCURA JR TRUSTEE 2.00 40.00 X 0 87314 43807 0 500190 170496 0 0 1 0 ZENITH AMERICAN SOLUTIONS 18861-90th AVENUE SUITE A MOKENA IL 60448 ADMINISTRATOR 237078 BLUE CROSS BLUE SHIELD OF IL 300 E RANDOLPH ST CHICAGO IL 60601 INSURANCE ADMIN 226720 2 EMPLOYER CONTRIBUTIONS 525100 6357338 6357338 EMPLOYEE CONTRIBUTIONS 525100 711525 711525 7068863 477628 477628 21242346 21359590 -117244 -117244 -117244 7429247 7068863 0 360384 6071775 240387 27204 53489 36679 339139 34048 10024 7065 6819810 -74062 -66968 866395 834351 34219 53444 7215732 21315166 13070403 0 81286 19216 21193973 22155209 37112 16896 4051737 3467918 4088849 3484814 X 0 0 0 0 17105124 18670395 17105124 18670395 21193973 22155209 609437 955834 0 X X 0 1 X 1 0 0 EXTENDED ELIGIBILITY 2629000 EST LIAB FUT CLMS INCRRD NOT REPRTD 662200 CLAIMS PAYABLE 165500 DUE TO ASSOCIATED FUNDS 11218 3467918 X 8348402 955834 955834 7392568 36679 36679 7429247 7367431 0 7367431 36679 -584300 -547621 6819810 Part X, Line 2: AS OF MAY 31, 2014, THERE WERE 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 THE TAXING JURISDICTIONS; HOWEVER THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIOD 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 XII, Line 4b - Other Adjustments: CHANGE IN CURRENT BENEFIT OBLIGATIONS -584,300. 0 0 0 PETER CULVER Secretary 0 109482 0 0 0 17027 0 42567 0 19357 0 188433 0 0 ART STURMS Trustee 0 100542 0 0 0 0 0 0 0 64765 0 165307 0 0 DAVE FLEURY TRUSTEE 0 185825 0 0 0 0 0 0 0 0 0 185825 0 0 Form 990, Part VI, Section B, line 11 THE TRUSTEES AUTHORIZE THE FUND'S THIRD-PARTY ADMINISTRATOR AND A DESIGNATED TRUSTEE TO REVIEW THE FORM 990 BEFORE IT IS FILED. Form 990, Part VI, Section B, line 12c THE TRUSTEES ARE GOVERNED BY THE TRUST DOCUMENT AND HAVE A FIDUCIARY RESPONSIBILITY UNDER ERISA TO ADMINISTER THE PLAN IN THE BEST INTEREST OF THE MEMBERSHIP. THE US DEPARTMENT OF LABOR REQUIRES ALL LABOR TRUSTEES TO REPORT ON FORM LM-30 POTENTIAL SITUATIONS WHERE THERE MAY BE CONFLICTS OF INTEREST. THIS INFORMATION IS OPEN TO THE PUBLIC. Form 990, Part VI, Section C, line 19 A SUMMARY ANNUAL REPORT IS DISTRIBUTED TO ALL PARTICIPANTS. PARTICIPANTS ARE ABLE TO REQUEST THE AUDITOR'S REPORT AND OTHER FINANCIAL INFORMATION FROM THE PLAN ADMINISTRATOR AND/OR THE US DEPARTMENT OF LABOR. ALSO, FORM 5500 IS OPEN TO PUBLIC INSPECTION THROUGH THE US DEPARTMENT OF LABOR. Form 990, Part XII, Line 2c: The process has not changed from the prior year. 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