2015-01-12T11:10:56-06:00 2014-05-31 320043599 LEGACY PROFESSIONALS LLP 311 S WACKER DRIVE STE 4000 CHICAGO IL 60606 990 2013-06-01 362150067 ADMINISTRATIVE DISTRICT COUNCIL 1 WELFARE FUND ADMI 6306178600 660 N INDUSTRIAL DRIVE NO 100 ELMHURST IL 60126 JAMES ALLEN TRUSTEE 6306178600 2015-01-12 1 CRAIG RESCH P00844633 3123680500 2013 2016-02-25 16:41:14Z JAMES ALLEN 660 N INDUSTRIAL DRIVE NO 100 ELMHURST IL 60126 273974748 0 X N/A X 1950 IL PROVIDE HEALTH BENEFITS 10 5 26 0 0 0 0 0 22914532 22020326 1392645 4430878 7323 13573 24314500 26464777 0 0 22422825 23150461 2199358 2354159 0 0 0 1505802 1489865 26127985 26994485 -1813485 -529708 122458311 124021411 372004 367778 122086307 123653633 PROVIDE HEALTH BENEFITS 0 0 TO PROVIDE MEDICAL AND DEATH BENEFITS FOR ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS. 0 0 0 0 0 0 0 0 0 1 0 0 0 0 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 1278 0 1 26 1 0 0 0 0 0 0 0 0 X 10 5 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 1 1 1 0 X MILAN DIKLICH - ADMINISTRATOR 6306178600 660 N INDUSTRIAL DRIVE SUITE 100 ELMHURST IL 60126 JAMES ALLEN TRUSTEE 1.00 40.00 X 0 191178 80716 RICHARD LAUBER SR TRUSTEE 1.00 0.00 X 0 0 0 JOSEPH GAGLIARDO TRUSTEE 1.00 40.00 X 0 125832 67694 BERNIE VAN ETTEN TRUSTEE 1.00 0.00 X 0 0 0 MICHAEL LOWERY TRUSTEE 1.00 40.00 X 0 159210 74547 TIMOTHY AIKENS TRUSTEE 1.00 40.00 X 0 126357 67694 GREG POSCH TRUSTEE 1.00 40.00 X 0 125950 67694 MICHAEL PILOLLA TRUSTEE 1.00 0.00 X 0 0 0 RICHARD LAUBER JR TRUSTEE 1.00 0.00 X 0 0 0 JAMES ZUIDEMA TRUSTEE - NEW 1.00 0.00 X 0 0 0 LAUREL SCOTTI ADMINISTRATOR - PAST 19.00 21.00 X 129197 0 11076 MILAN DIKLICH ADMINISTRATOR - NEW 19.00 21.00 X 62308 0 31372 CHRIS LAUGHLIN FIELD REPRESENTATIVE 40.00 0.00 X 105083 0 71900 296588 728527 472693 2 0 1 0 BLUE CROSS BLUE SHIELD 300 EAST RANDOLPH STREET CHICAGO IL 606015099 PPO PROVIDER 710528 WURTS ASSOCIATES 999 THIRD AVENUE SUITE 4200 SEATTLE WA 98104 INVESTMENT CONSULTANT 173503 LEGACY PROFESSIONALS LLP 311 S WACKER DR STE 4000 CHICAGO IL 60606 AUDITOR AND PAYROLL COMPLIANCE AUDITOR 149092 THE SEGAL COMPANY PO BOX 4092 CHURCH ST STATION NEW YORK NY 10261 ACTUARY/CONSULTANT 118466 4 CONTRACTOR CONTRIBUTIONS 900099 17765792 17765792 REIMB. OF SHARED EXPENSES FROM RE 900099 1272333 1272333 STOP-LOSS INSURANCE PROCEEDS 900099 1086520 1086520 RETIRED MEMBERS' CONTRIBUTIONS 900099 717185 717185 PARTICIPANT CONTRIBUTIONS 900099 303779 303779 874717 874717 22020326 861616 861616 251079233 247509971 3569262 3569262 3569262 MISCELLANEOUS INCOME 900099 13345 13345 SECURITIES LITIGATION INCOME 900099 228 228 13573 26464777 22020326 0 4444451 23150461 218410 1181023 428090 413576 113060 230170 149085 228747 165252 262720 147267 112844 38920 8935 73551 67213 MEMBERSHIP DUES 3402 DOCUMENT SCANNING 1400 MISCELLANEOUS 359 26994485 91137 2556637 4282588 11247357 4283283 3902999 20600 21558 558278 416106 174454 142172 11912904 106150688 101693345 0 122458311 124021411 372004 367778 372004 367778 X 0 0 0 0 122086307 123653633 122086307 123653633 122458311 124021411 X -529708 1050688 1046346 X 0 1 X 1 0 366214 321290 44924 192064 94816 97248 142172 X 26014385 1050688 1050688 24963697 228747 1272333 1501080 26464777 25493405 0 25493405 228747 1272333 1501080 26994485 PART X, LINE 2: PART X: THE PLAN FILES FORM 990, RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX AND FORM 5500, ANNUAL RETURN/REPORT OF EMPLOYEE BENEFIT PLAN. THE PLAN'S RETURNS ARE SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE UNTIL THE APPLICABLE STATUTE OF LIMITATIONS EXPIRES. PART XI, LINE 4B - OTHER ADJUSTMENTS: ALLOCATED SHARED EXPENSES TO RELATED PLANS 1,272,333. PART XII, LINE 4B - OTHER ADJUSTMENTS: ALLOCATED SHARED EXPENSES TO RELATED PLANS 1,272,333. X 0 0 0 JAMES ALLEN TRUSTEE 0 156516 0 0 0 34662 0 61084 0 19632 0 271894 0 0 JOSEPH GAGLIARDO TRUSTEE 0 109482 0 0 0 16350 0 48979 0 18715 0 193526 0 0 MICHAEL LOWERY TRUSTEE 0 132801 0 0 0 26409 0 54915 0 19632 0 233757 0 0 TIMOTHY AIKENS TRUSTEE 0 109482 0 0 0 16875 0 48979 0 18715 0 194051 0 0 GREG POSCH TRUSTEE 0 109482 0 0 0 16468 0 48979 0 18715 0 193644 0 0 CHRIS LAUGHLIN FIELD REPRESENTATIVE 95497 0 0 0 9586 0 48868 0 23032 0 176983 0 0 0 FORM 990, PART VI, SECTION A, LINE 2 RICHARD LAUBER, SR., TRUSTEE IS THE FATHER OF RICHARD LAUBER, JR., TRUSTEE. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS PROVIDED TO THE ENTIRE BOARD OF TRUSTEES AND FUND ADMINISTRATOR PRIOR TO FILING. AFTER THE BOARDS' REVIEW, THE FORM IS APPROVED AND FILED. FORM 990, PART VI, SECTION B, LINE 12C IT IS THE POLICY OF THE TRUSTEES THAT THE EXISTENCE OF A POTENTIAL CONFLICT SHALL BE DISCLOSED BEFORE ANY TRANSACTION IS CONSUMMATED. IT SHALL BE THE CONTINUING RESPONSIBILITY OF FUND PERSONNEL TO SCRUTINIZE THEIR TRANSACTIONS AND OUTSIDE BUSINESS INTERESTS AND RELATIONSHIPS FOR POTENTIAL CONFLICTS AND TO IMMEDIATELY MAKE SUCH DISCLOSURES TO THE TRUSTEES. FORM 990, PART VI, SECTION B, LINE 15 SALARIES ARE ANNUALLY 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 XI, LINE 9: NET ASSETS TRANSFERRED FROM FOX VALLEY AND VICINITY CONST. WORKERS H&W FUND 1,046,346. FORM 990, PART VII, SECTION A, LINE 1A: THE ORGANIZATION'S ADMINISTRATOR IS ALSO THE ADMINISTRATOR OF TWO OTHER ENTITIES. THE REPORTING ORGANIZATION IS REIMBURSED BY THESE ENTITIES FOR THEIR ALLOCATED PORTION OF HIS SALARY, FRINGES AND TAXES. 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