2015-11-02T10:44:59-06:00 2014-12-31 470900880 CALIBRE CPA GROUP PLLC 19615 SOUTH LAGRANGE ROAD MOKENA IL 60448 990 2014-01-01 366073848 EXCAVATING GRADING AND ASPHALT CRAFT 731 HEALTH AND WELFARE FUND EXCA 6308874150 1000 BURR RIDGE PARKWAY BURR RIDGE IL 60527 TERRY HANCOCK TRUSTEE 6308874150 2015-11-02 1 CHARLES DIGIOVANNI P00284901 7089957180 2014 2016-04-25 22:37:26Z TERRENCE J HANCOCK 1000 BURR RIDGE PARKWAY BURR RIDGE IL 60527 58541734 0 X N/A X 1951 IL TO PROVIDE MEDICAL, DENTAL, VISION, LIFE AND DISABILITY BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR BENEFICIARIES 6 6 20 0 0 0 0 0 10615872 9951561 2331437 891019 0 0 12947309 10842580 0 0 9007808 9451974 1495992 1536124 0 0 0 397683 317012 10901483 11305110 2045826 -462530 28897165 28699026 178731 1068231 28718434 27630795 TO PROVIDE MEDICAL, DENTAL, VISION, LIFE AND DISABILITY BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR BENEFICIARIES 0 0 TO PROVIDE MEDICAL, DENTAL, VISION, LIFE AND DISABILITY BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR BENEFICIARIES 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 95 0 1 20 1 0 0 0 0 0 0 X 6 6 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 0 0 1 1 0 X THE ORGANIZATION 6308874150 1000 BURR RIDGE PARKWAY BURR RIDGE IL 60527 X TERRENCE J HANCOCK TRUSTEE 2.00 X 0 0 0 JOHN LISNER TRUSTEE 2.00 X 0 0 0 DALE BOLT TRUSTEE 2.00 X 0 0 0 WILLIAM COLLINS TRUSTEE 2.00 X 0 0 0 JOSEPH BENSON TRUSTEE 2.00 X 0 0 0 DAVID SNELTEN TRUSTEE 2.00 X 0 0 0 RICHARD CLARSON ADMINISTRATOR 40.00 X 157100 0 11648 RYAN LACEY CONTROLLER 40.00 X 113615 0 11648 PATRICIA BOCCONCELLI CLAIMS MANAGER 40.00 X 101595 0 11648 372310 0 34944 3 0 1 0 BLUE CROSS BLUE SHIELD 300 E RANDOLPH ST CHICAGO IL 606015099 PPO PROVIDER 304415 1 EMPLOYER CONTRIBUTION 900099 8304211 8304211 REIMB COMMON ADMIN EXP 900099 1372610 1372610 MEMBER AND RETIREE CONTRIBUTION 900099 274740 274740 9951561 656755 656755 47933418 47699154 234264 234264 234264 10842580 9951561 0 891019 9451974 168748 821275 245938 227022 73141 53508 35268 102096 40726 28137 15707 17953 902 894 21821 11305110 3161374 2420871 818543 220599 740408 1161851 63797 61750 2941 2047 21677588 22369481 2496311 2524177 28897165 28699026 178731 116676 0 951555 178731 1068231 X 0 0 0 0 28718434 27630795 28718434 27630795 28897165 28699026 X -462530 188891 -814000 X X 0 1 X 1 0 63797 61750 2047 2047 MULTI-EMPLOYER GLOBAL AGGREGATE FUND 2524177 F 2524177 DUE TO BROKER 41555 CLAIMS PAYABLE & INCURRED NOT REPORTED 910000 951555 X 9556765 188891 188891 9367874 102096 1372610 1474706 10842580 9734404 0 9734404 102096 1468610 1570706 11305110 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 DECEMBER 31, 2014 AND 2013, 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 DECEMBER 31, 2014, THE PLAN'S ADMINISTRATOR BELIEVES THAT THE PLAN IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO DECEMBER 31, 2011. PART XI, LINE 4B - OTHER ADJUSTMENTS: REIMBURSED COMMON ADMIN EXPENSES FROM RELATED BENEFIT FUNDS 1,372,610. PART XII, LINE 4B - OTHER ADJUSTMENTS: REIMBURSED COMMON ADMIN EXPENSES FROM RELATED BEENFIT FUNDS 1,372,610. INCREASE IN CLAIMS PAYABLE AND CLAIMS INCURRED BUT NOT REPORTED 96,000. 0 0 0 RICHARD CLARSON ADMINISTRATOR 157100 0 0 0 0 0 0 0 11648 0 168748 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS PROVIDED TO ONE OR MORE TRUSTEES AND THE FUND ADMINISTRATOR PRIOR TO FILING. AFTER THE BOARDS THROUGH REVIEW, THE FORM IS APPROVED, SIGNED AND FILED. FORM 990, PART VI, SECTION B, LINE 15 SALARIES ARE REVIEWED ANNUALLY AND APPROVED BY THE BOARD OF TRUSTEES. FORM 990, PART VI, SECTION C, LINE 19 ALL GOVERNING DOCUMENTS, POLICIES AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST FROM THE FUND OFFICE FORM 990, PART XI, LINE 9: DECEMBER 31, 2013 LIABILITY FOR CURRENT AND UNREPORTED CLAIMS -814,000. FORM 990, PART XII, LINE 1: IN PREVIOUS YEARS THE ORGANIZATION DID NOT RECORD CLAIMS PAYABLE AND INCURRED BUT NOT REPORTED CLAIMS. STARTING IN THE CURRENT YEAR, THESE ITEMS ARE NOW BEING RECORDED. PART XII, LINE 2C THE PROCESS HAS NOT CHANGED FROM PRIOR YEAR FORM 990, PART VI, SECTION A, LINE 8B THE PLAN HAS A HEALTHCARE COMMITTEE COMPRISED OF TWO TRUSTEES FROM EACH OF THE LOCAL 731 HEALTH AND WELFARE FUNDS WHICH HAS THE AUTHORITY TO ACT OF BEHALF OF THE GOVERNING BODY. TEAMSTERS LOCAL NO 731 EXCAVATORS AND PAVERS PENSION TRUST FUND 1000 BURR RIDGE PARKWAY BURR RIDGE IL 60527 366513565 PROVIDE PENSION BENEFITS IL 401(A) N/A N/A 0 INTERNATIONAL BROTHERHOOD OF TEAMSTERS LOCAL 731 UNION 1000 BURR RIDGE PARKWAY BURR RIDGE IL 60527 361053335 LABOR UNION IL 501(C)(5) N/A N/A 0 2005 TRUCKING INC CONTRIBUTING EMPLOYER 0 A LAMP CONCRETE CONTRACTORS CONTRIBUTING EMPLOYER 0 A R R P TRUCKING & HAULING CONTRIBUTING EMPLOYER 0 ABBEY PAVING & SEALCOATING INC CONTRIBUTING EMPLOYER 0 ACCURATE LOGISTICS INC CONTRIBUTING EMPLOYER 0 ALLSTAR ASPHALT INC CONTRIBUTING EMPLOYER 0 ALSTERDA CARTAGE & CONST CO CONTRIBUTING EMPLOYER 0 AMERICAN LANDSCAPING INC CONTRIBUTING EMPLOYER 0 ANNZA LLC CONTRIBUTING EMPLOYER 0 ARROW ROAD CONSTRUCTION CO CONTRIBUTING EMPLOYER 0 BECAN CONSTRUCTION COMPANY CONTRIBUTING EMPLOYER 0 BECHSTEIN CONSTRUCTION CORP CONTRIBUTING EMPLOYER 0 BENCHMARK CONSTRUCTION CO CONTRIBUTING EMPLOYER 0 BEVERLY ASPHALT PAVING CO CONTRIBUTING EMPLOYER 0 BIGANE PAVING COMPANY CONTRIBUTING EMPLOYER 0 BLIZZARD WINTER SERVICES INC CONTRIBUTING EMPLOYER 0 BOTTOM LINE TRUCKING INC CONTRIBUTING EMPLOYER 0 BRACK'S TRANSPORT INC CONTRIBUTING EMPLOYER 0 BRANDENBURG INDUSTRIAL SERVICE CONTRIBUTING EMPLOYER 0 BRITES CARTAGE CONTRIBUTING EMPLOYER 0 BRITES EQUIPMENT LTC INC CONTRIBUTING EMPLOYER 0 BUILDERS ASPHALT L L C CONTRIBUTING EMPLOYER 0 CC CARTAGE CONTRIBUTING EMPLOYER 0 CK ENTERPRISES CONTRIBUTING EMPLOYER 0 CARDI ASPHALT PAVING CO INC CONTRIBUTING EMPLOYER 0 CENTRAL BLACKTOP CO INC CONTRIBUTING EMPLOYER 0 CHICAGOLAND TRUCKIN INC CONTRIBUTING EMPLOYER 0 CONCRETE STRUCTURES INC CONTRIBUTING EMPLOYER 0 CROWLEY CARTAGE COMPANY CONTRIBUTING EMPLOYER 0 CROWLEY-SHEPPARD ASPHALT CO CONTRIBUTING EMPLOYER 0 D & P CONSTRUCTION CO INC CONTRIBUTING EMPLOYER 0 D E TRANSPORT INC CONTRIBUTING EMPLOYER 0 D'LAND CONSTRUCTION LLC CONTRIBUTING EMPLOYER 0 D CONSTRUCTION INC CONTRIBUTING EMPLOYER 0 D J MASSAT INC CONTRIBUTING EMPLOYER 0 D M D SERVICES CONTRIBUTING EMPLOYER 0 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0 J A JOHNSON PAVING COMPANY CONTRIBUTING EMPLOYER 0 J NARDULLI CONCRETE INC CONTRIBUTING EMPLOYER 0 J E K TRUCKING CO INC CONTRIBUTING EMPLOYER 0 JAMES D FIALA PAVING CO INC CONTRIBUTING EMPLOYER 0 JG DEMO INC CONTRIBUTING EMPLOYER 0 JNS INC CONTRIBUTING EMPLOYER 0 JOINT COUNCIL #25 CONTRIBUTING EMPLOYER 0 K & A TRUCKING CONTRIBUTING EMPLOYER 0 K-FIVE CONSTRUCTION CORP CONTRIBUTING EMPLOYER 0 KORDAS AUTO & TRUCK SVC INC CONTRIBUTING EMPLOYER 0 KS ENERGY SERVICES LLC CONTRIBUTING EMPLOYER 0 LEEWAY WRECKING INC CONTRIBUTING EMPLOYER 0 LENNY HOFFMAN EXCAVATING INC CONTRIBUTING EMPLOYER 0 LINDAHL BROTHERS CONTRIBUTING EMPLOYER 0 LO VERDE CONSTRUCTION CO INC CONTRIBUTING EMPLOYER 0 LORIG CONST CONTRIBUTING EMPLOYER 0 MARTINEZ FROG'S INC CONTRIBUTING EMPLOYER 0 MARV'S TRUCKING INC CONTRIBUTING EMPLOYER 0 MC HUGH CONSTRUCTION COMPANY CONTRIBUTING EMPLOYER 0 MEADE INC CONTRIBUTING EMPLOYER 0 MICHAEL KEANE ENTERPRISESINC CONTRIBUTING EMPLOYER 0 MICHELS PIPELINE CONST CONTRIBUTING EMPLOYER 0 MIDWEST MILLING AND PAVING CO CONTRIBUTING EMPLOYER 0 MIDWEST WRECKING COMPANY CONTRIBUTING EMPLOYER 0 MOONER INC CONTRIBUTING EMPLOYER 0 MQ CONSTRUCTION CO CONTRIBUTING EMPLOYER 0 MT CARMEL STABILIZATION GROUP CONTRIBUTING EMPLOYER 0 N A D VENTURES INC CONTRIBUTING EMPLOYER 0 NASH BROTHERS CONSTR CO CONTRIBUTING EMPLOYER 0 NATIONAL WRECKING COMPANY CONTRIBUTING EMPLOYER 0 OLTHOFF INC CONTRIBUTING EMPLOYER 0 ORANGE CRUSH LLC CONTRIBUTING EMPLOYER 0 PARKING LOTS PLUS LLC CONTRIBUTING EMPLOYER 0 PLOTE CONSTRUCTION INC CONTRIBUTING EMPLOYER 0 PRECISION PIPELINE LLC CONTRIBUTING EMPLOYER 0 R J R EXCAVATING CONTRIBUTING EMPLOYER 0 R ORSTROM ENTERPISES INC CONTRIBUTING EMPLOYER 0 R W COLLINS INC CONTRIBUTING EMPLOYER 0 RJ HARMS TRUCKING & EXCAVAT CONTRIBUTING EMPLOYER 0 RAIMONDI CARTAGE INC CONTRIBUTING EMPLOYER 0 RAUSCH CONSTRUCTION CO INC CONTRIBUTING EMPLOYER 0 RELIABLE CONTR & EQUIP CO CONTRIBUTING EMPLOYER 0 REYNAGA BROS CONSTRUCTION CORP CONTRIBUTING EMPLOYER 0 RICCIWELCH INC CONTRIBUTING EMPLOYER 0 RICO ENTERPRISES INC CONTRIBUTING EMPLOYER 0 ROBERT D BLOOM CONTRIBUTING EMPLOYER 0 ROCK SOLID PAVING & EXCAVATING CONTRIBUTING EMPLOYER 0 ROSSI CONTRACTORS INC CONTRIBUTING EMPLOYER 0 ROY STROM EXCAVATING & GRADING CONTRIBUTING EMPLOYER 0 ROY'S PAVING & SEALCOATING CO CONTRIBUTING EMPLOYER 0 SCHUEPFER INC CONTRIBUTING EMPLOYER 0 SCORPIO EXCAVATING INC CONTRIBUTING EMPLOYER 0 SHEPLEY MOTOR EXPRESS INC CONTRIBUTING EMPLOYER 0 SILVESTRI PAVING COMPANY CONTRIBUTING EMPLOYER 0 SONICAN TRUCKING INC CONTRIBUTING EMPLOYER 0 SPECIALTIES COMPANY LLC CONTRIBUTING EMPLOYER 0 STRADA CONSTRUCTION CONTRIBUTING EMPLOYER 0 SWANSON ASPHALT COMPANY CONTRIBUTING EMPLOYER 0 SWANSON CONTRACTING CO INC CONTRIBUTING EMPLOYER 0 T & D EXCAVATION & GRADING INC CONTRIBUTING EMPLOYER 0 TANZILLO CONTRACTORS INC CONTRIBUTING EMPLOYER 0 TAYLOR EXCAV & WRECKING INC CONTRIBUTING EMPLOYER 0 THE PACIFIC COMPANY CONTRIBUTING EMPLOYER 0 THE PATCHING PEOPLE INC CONTRIBUTING EMPLOYER 0 TOURES TRUCKING INC CONTRIBUTING EMPLOYER 0 TROCH-MCNEIL PAVING COMPANY CONTRIBUTING EMPLOYER 0 V & R CARTAGE COMPANY CONTRIBUTING EMPLOYER 0 VISTAS CONST OF ILL INC CONTRIBUTING EMPLOYER 0 WE O'NEIL CONSTRUCTION CO CONTRIBUTING EMPLOYER 0 WESTERN UTILITY CONTRACTORS CONTRIBUTING EMPLOYER 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1