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LOCAL NO 731 I B OF T HEALTH AND WELFARE FUND: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
LOCAL NO 731 I B OF T HEALTH AND WELFARE FUND (EIN 36-2392752)
Tax period
2012-07-01 to 2013-06-30
Filed
2014-02-01
IRS object ID
201400329349300410
Schema version
2012v2.1
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)
Timestamp2014-02-01T10:21:33-06:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN320043599EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1LEGACY PROFESSIONALS LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1311 S WACKER DRIVE STE 4000AddressLine1
CityCHICAGOCity
StateILState
ZIP Code60606ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN362392752EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1PRIVATE SCAVENGERS HEALTH & WELFARE FUNDBusinessNameLine1
Business Name Line2731 I B OF TBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlPRIVNameControl
Phone6308874150Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11000 BURR RIDGE PKWYAddressLine1
CityBURR RIDGECity
StateILState
ZIP Code60527ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameTERRENCE J HANCOCKName
TitleTRUSTEETitle
Phone6308874150Phone
Date Signed2014-02-01DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameTIMOTHY CIBULKAName
PTINP00841100PTIN
Phone3123680500Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonTERRENCE J HANCOCKNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11000 BURR RIDGE PKWYAddressLine1
CityBURR RIDGECity
StateILState
ZIP Code60527ZIPCode
FieldValueIRS element (for citing)
Gross Receipts31643017GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteN/AWebSite
Type Of Organization TrustXTypeOfOrganizationTrust
Year Formation1953YearFormation
State Legal DomicileILStateLegalDomicile
Activity Or Mission DescriptionPROVIDE HEALTH BENEFITSActivityOrMissionDescription
Nbr Voting Members Governing Body6NbrVotingMembersGoverningBody
Nbr Independent Voting Members6NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year21577118ProgramServiceRevenuePriorYear
Program Service Revenue CY21616670ProgramServiceRevenueCY
Investment Income Prior Year2226255InvestmentIncomePriorYear
Investment Income Current Year2271072InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year23803373TotalRevenuePriorYear
Total Revenue Current Year23887742TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year21707812BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY22866926BenefitsPaidToMembersCY
Salaries Etc Prior Year0SalariesEtcPriorYear
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year931276OtherExpensePriorYear
Other Expenses Current Year954550OtherExpensesCurrentYear
Total Expenses Prior Year22639088TotalExpensesPriorYear
Total Expenses Current Year23821476TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1164285RevenuesLessExpensesPriorYear
Revenues Less Expenses CY66266RevenuesLessExpensesCY
Total Assets BOY42004965TotalAssetsBOY
Total Assets EOY42894581TotalAssetsEOY
Total Liabilities BOY141128TotalLiabilitiesBOY
Total Liabilities EOY100702TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY41863837NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY42793879NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE HEALTH BENEFITSMissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
DescriptionTO PROVIDE MEDICAL, DENTAL, VISION, LIFE AND LOSS OF TIME BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS.Description
Described In501 C30DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096189NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members6NbrVotingGoverningBodyMembers
Number Independent Voting Members6NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees0MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons0AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement0RegularMonitoringEnforcement
Whistleblower Policy0WhistleblowerPolicy
Document Retention Policy0DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1MR TERRENCE J HANCOCKBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number6308874150TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11000 BURR RIDGE PARKWAYAddressLine1
CityBURR RIDGECity
StateILState
ZIP Code60527ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (7 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
TERRENCE J HANCOCK
TRUSTEE0.50X000
JOHN LISNER
TRUSTEE0.50X000
TIM DUNLAP
TRUSTEE0.50X000
THOMAS YONKER
TRUSTEE0.50X000
LAWRENCE GROOT
TRUSTEE0.50X000
STEVE VOGRIN
TRUSTEE0.50X000
RICHARD CLARSON
ADMINISTRATOR40.00129856010888X
FieldValueIRS element (for citing)
Total Reportable Comp From Org129856TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation10888TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources1CompensationFromOtherSources

Contractor Compensation ContractorCompensation (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
BLUE CROSS BLUE SHIELD
300 EAST RANDOLPH STREETCHICAGOIL606015099PPO PROVIDER846604
HEALTH MANAGEMENT CONCEPTS INC
181 COMMODORE DRIVEJUPITERFL33477WELLNESS BENEFITS121481
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
EMPLOYER CONTRIB.9000991823598118235981
PARTICIPANT & RETIREE CONTRIB.90009933806893380689
FieldValueIRS element (for citing)
Total Program Service Revenue21616670TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column210642TotalRevenueColumn
Exclusion$210,642ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities9815705Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities7755275Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities2060430Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column2060430TotalRevenueColumn
Exclusion$2,060,430ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column23887742TotalRevenueColumn
Related Or Exempt Function Income21616670RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$2,271,072ExclusionAmount

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total22866926Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total50883Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total30814Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total163595Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total37493Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total91578Total

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total23637Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total66946Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total9481Total

Insurance Insurance

FieldValueIRS element (for citing)
Total15622Total

Other Expenses OtherExpenses

FieldValueIRS element (for citing)
DescriptionREIMB. OF ADMN EXPDescription
Total464501Total

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total23821476Total

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY2041414BOY
EOY1567615EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY722746BOY
EOY599887EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY2385648BOY
EOY2577750EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY15632BOY
EOY22957EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis68606LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec58172LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY15267BOY
EOY10434EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY13170202BOY
EOY20230616EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY23654056BOY
EOY17885322EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY42004965BOY
EOY42894581EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY46013BOY
EOY50078EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY95115BOY
EOY50624EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY141128BOY
EOY100702EOY
FieldValueIRS element (for citing)
Do Not Follow SFAS117XDoNotFollowSFAS117

Cap Stck Trst Prin Current Funds CapStckTrstPrinCurrentFunds

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Paid In Cap Srpls Land Bldg Eqp Fund PaidInCapSrplsLandBldgEqpFund

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc

FieldValueIRS element (for citing)
BOY41863837BOY
EOY42793879EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY41863837BOY
EOY42793879EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY42004965BOY
EOY42894581EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses66266ReconcilationRevenueExpenses
Reconciliation Unrealized Invest863776ReconciliationUnrealizedInvest
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule D IRS990ScheduleD

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis68606OtherCostOrOtherBasis
Depreciation58172Depreciation
Book Value10434BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings10434TotalOfBookValueLandBuildings

Other Securities OtherSecurities

FieldValueIRS element (for citing)
DescriptionCOMMON AND COLLECTIVE TRUSTDescription
Book Value17885322BookValue
Method Of ValuationFMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities17885322TotalOfBookValueSecurities

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
DUE TO RELATED ORGANIZATIONS$17,476
DUE TO BROKER$33,148
FieldValueIRS element (for citing)
Total Of Amounts50624TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt24587923TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments863776NetUnrealizedGainsInvestments
Revenue Not Rptd F990863776RevenueNotRptdF990
Revenue Subtotal23724147RevenueSubtotal
Investment Expenses Not Included163595InvestmentExpensesNotIncluded
Revenue Not Rptd On Fin Stmt163595RevenueNotRptdOnFinStmt
Total Revenue Per Form99023887742TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt23657881TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal23657881ExpensesSubtotal
Investment Expenses Not Included2163595InvestmentExpensesNotIncluded2
Expenses Not Rptd On Fin Stmt163595ExpensesNotRptdOnFinStmt
Total Expenses Per Form99023821476TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X, LINE 2:ReturnReference
ExplanationTHE PLAN FILES FORM 990, RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX AND FORM 5500, ANNUAL RETURN/REPORT OF EMPLOYEE BENEFIT PLAN. THE PLANS RETURNS ARE SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE UNTIL THE APPLICABLE STATUTE OF LIMITATION EXPIRES.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonRICHARD CLARSONNamePerson
TitleADMINISTRATORTitle
Base Compensation Filing Org129856BaseCompensationFilingOrg
Comp Based On Related Orgs0CompBasedOnRelatedOrgs
Bonus Filing Org0BonusFilingOrg
Bonus Related Orgs0BonusRelatedOrgs
Other Compensation Filing Org0OtherCompensationFilingOrg
Other Compensation Related Orgs0OtherCompensationRelatedOrgs
Deferred Comp Filing Org0DeferredCompFilingOrg
Deferred Comp Related Orgs0DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org10888NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs0NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org140744TotalCompensationFilingOrg
Total Compensation Related Orgs0TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceIdentifierIdentifierExplanationExplanation
PART I, LINE 7
PART IIISUPPLEMENTAL INFORMATIONFORM 990, PART VII, ITEM 5 AND SCHEDULE J, PART II: RICHARD CLARSON IS THE ADMINISTRATOR OF THE SCAVENGERS HEALTH AND WELFARE FUND (THE REPORTING ORGANIZATION) IN ADDITION TO PERFORMING SIMILAR DUTIES FOR THE REPORTING ORGANIZATION'S 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 REPORTING ORGANIZATION. HIS COMPENSATION IS COMPRISED OF WAGES AND CONTRIBUTIONS TO A HEALTH BENEFIT PLAN. HE IS CONSIDERED AN OFFICER OF THE REPORTING ORGANIZATION FOR 990 REPORTING PURPOSES.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION A, LINE 8BTHE PLAN HAS A HEALTHCARE COMMITTEE COMPRISED OF TWO TRUSTEES FROM EACH OF THE LOCAL 731 HEALTH AND WELFARE FUNDS WHICH HAS AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY.
FORM 990, PART VI, SECTION B, LINE 11THE 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 15SALARIES 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 19THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST AT THE FUND OFFICE.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1LOCAL #731 PRIVATE SCAVENGER & GARAGE ATTEND PENS TRUST FDBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11000 BURR RIDGE PARKWAYAddressLine1
CityBURR RIDGECity
StateILState
ZIP Code60527ZIPCode
FieldValueIRS element (for citing)
EIN366513567EIN
Primary ActivitiesTO PROVIDE RETIREMENT BENEFITS FOR ELIGIBLE PARTICIPANTSPrimaryActivities
Legal Domicile StateILLegalDomicileState
Exempt Code Section401(A)ExemptCodeSection
Public Charity StatusN/APublicCharityStatus
Direct Controlling Entity NAN/ADirectControllingEntityNA
Controlled Org0ControlledOrg

Form990 Schedule R Part IV Form990ScheduleRPartIV (52 entries)

Primary ActivityPrimaryActivityControlled OrgControlledOrg
ACCURATE RECYCLING SOLUTIONS
CONTRIBUTING EMPLOYER0
ADVANCED DISPOSAL SERVICE
CONTRIBUTING EMPLOYER0
ALLIED WASTE SERVICES
CONTRIBUTING EMPLOYER0
ARC DISPOSAL COMPANY
CONTRIBUTING EMPLOYER0
AUBURN DISPOSAL INC
CONTRIBUTING EMPLOYER0
BOLT SCAVENGER SERVICE INC
CONTRIBUTING EMPLOYER0
CHICAGO DISPOSAL INC
CONTRIBUTING EMPLOYER0
CLASSIC CARRIERS INC
CONTRIBUTING EMPLOYER0
D & P CONSTRUCTION CO INC RECY
CONTRIBUTING EMPLOYER0
DISPOSAL MANAGEMENT SYSTEMS
CONTRIBUTING EMPLOYER0
DJURIC TRUCKING
CONTRIBUTING EMPLOYER0
ECONOMY DISPOSAL SERVICE INC
CONTRIBUTING EMPLOYER0
EMESCO MARINE SERVICES
CONTRIBUTING EMPLOYER0
EMIL & ED'S TIRE
CONTRIBUTING EMPLOYER0
ENO INC
CONTRIBUTING EMPLOYER0
FLOOD BROS DISPOSAL
CONTRIBUTING EMPLOYER0
G & J INC
CONTRIBUTING EMPLOYER0
GROOT INDUSTRIES INC
CONTRIBUTING EMPLOYER0
H F P ENTERPRISES INC
CONTRIBUTING EMPLOYER0
H2 TRANSPORT INC
CONTRIBUTING EMPLOYER0
HERITAGE DISPOSAL LLC
CONTRIBUTING EMPLOYER0
HOMEWOOD DISPOSAL
CONTRIBUTING EMPLOYER0
HOOSIER HAULERS WASTE SERV INC
CONTRIBUTING EMPLOYER0
ILLIANA DISTRIBUTION SYSTEMS
CONTRIBUTING EMPLOYER0
INDEPENDENT RECYCLING SER INC
CONTRIBUTING EMPLOYER0
J & B TRUCKING
CONTRIBUTING EMPLOYER0
J & H DISPOSAL SERVICES INC
CONTRIBUTING EMPLOYER0
JGB TRUCKING
CONTRIBUTING EMPLOYER0
KAL TRUCKING INC
CONTRIBUTING EMPLOYER0
LAKE SHORE WASTE SERVICES LLC
CONTRIBUTING EMPLOYER0
LAND & LAKES DISPOSAL SERV LLC
CONTRIBUTING EMPLOYER0
LAND OF LINCOLN DEVELOPMENT CO
CONTRIBUTING EMPLOYER0
MBL RECYCLING INC
CONTRIBUTING EMPLOYER0
MIDWEST MARINE TERMINALS INC
CONTRIBUTING EMPLOYER0
MIDWEST REM ENTEPRISES INC
CONTRIBUTING EMPLOYER0
PRAIRIE DISPOSAL SERVICE INC
CONTRIBUTING EMPLOYER0
PULLMAN WASTE PROCESSING INC
CONTRIBUTING EMPLOYER0
RAY SCHRAMER & COMPANY
CONTRIBUTING EMPLOYER0
RECYCLING SYSTEMS INC
CONTRIBUTING EMPLOYER0
RIVERSIDE CONSTRUCTION
CONTRIBUTING EMPLOYER0
SKYLINE DISPOSAL CO INC
CONTRIBUTING EMPLOYER0
SOLLE TRUCKING
CONTRIBUTING EMPLOYER0
STA-CLEAN SYSTEMS INC
CONTRIBUTING EMPLOYER0
STROM REFUSE & REMOVAL SERVICE
CONTRIBUTING EMPLOYER0
TC TRANSPORT
CONTRIBUTING EMPLOYER0
TRI STATE DISPOSAL INC
CONTRIBUTING EMPLOYER0
U S ARBOR INC
CONTRIBUTING EMPLOYER0
UNION RECYCLING & WASTE
CONTRIBUTING EMPLOYER0
VANS DISPOSAL
CONTRIBUTING EMPLOYER0
WASTE MANAGEMENT
CONTRIBUTING EMPLOYER0
WILLEN ENTERPRISES INC
CONTRIBUTING EMPLOYER0
ZENERE EXCAVATING
CONTRIBUTING EMPLOYER0
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1LOCAL 731 GARAGE ATTENDANTS PENSION TRUST FUNDBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeKTransactionType
Amount Involved66946AmountInvolved
Method Of Amt DeterminationALLOCATION APPROVED BY TRUSTEESMethodOfAmtDetermination