STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

KENTUCKY LABORERS DISTRICT COUNCIL HEALTH AND WELFARE FUND: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
KENTUCKY LABORERS DISTRICT COUNCIL HEALTH AND WELFARE FUND (EIN 23-7017526)
Tax period
2012-01-01 to 2012-12-31
Filed
2014-03-06
IRS object ID
201400659349300105
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)
Timestamp2014-03-06T15:50:18-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN271235638EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1MOUNTJOY CHILTON MEDLEY LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1462 S FOURTH ST SUITE 2600AddressLine1
CityLOUISVILLECity
StateKYState
ZIP Code402023445ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN237017526EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1KENTUCKY LABORERS DISTRICT COUNCILBusinessNameLine1
Business Name Line2HEALTH & WELFARE FUNDBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlKENTNameControl
Phone5028398166Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11996 BY-PASS SOUTHAddressLine1
CityLAWRENCEBURGCity
StateKYState
ZIP Code40342ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJAMES BLEVINSName
TitleCHAIRMANTitle
Phone5028398166Phone
Date Signed2014-03-04DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameREBECCA L PHILLIPS CPAName
PTINP00024055PTIN
Phone5027491900Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Amended ReturnXAmendedReturn
Name Of Principal Officer PersonJAMES BLEVINSNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11996 BY-PASS SOUTHAddressLine1
CityLAWRENCEBURGCity
StateKYState
ZIP Code40342ZIPCode
FieldValueIRS element (for citing)
Gross Receipts25583389GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteN/AWebSite
Type Of Organization TrustXTypeOfOrganizationTrust
Year Formation1967YearFormation
State Legal DomicileKYStateLegalDomicile
Activity Or Mission DescriptionEMPLOYEE BENEFIT PLAN PROVIDING ACCIDENT, SICKNESS, DISABILITY, VISION, DENTAL AND DEATH AND ACCIDENTAL DEATH & DISMEMBERMENT BENEFITS FOR ACTIVE PARTICIPANTS AND ACCIDENT, SICKNESS, VISION, DENTAL AND DEATH BENEFITS FOR RETIRED PARTICIPANTS.ActivityOrMissionDescription
Nbr Voting Members Governing Body8NbrVotingMembersGoverningBody
Nbr Independent Voting Members8NbrIndependentVotingMembers
Total Nbr Employees10TotalNbrEmployees
Total Nbr Volunteers8TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year16113461ProgramServiceRevenuePriorYear
Program Service Revenue CY17913153ProgramServiceRevenueCY
Investment Income Prior Year555775InvestmentIncomePriorYear
Investment Income Current Year294293InvestmentIncomeCurrentYear
Other Revenue Prior Year15146OtherRevenuePriorYear
Other Revenue Current Year25688OtherRevenueCurrentYear
Total Revenue Prior Year16684382TotalRevenuePriorYear
Total Revenue Current Year18233134TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year16227317BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY16150250BenefitsPaidToMembersCY
Salaries Etc Prior Year700212SalariesEtcPriorYear
Salaries Etc Current Year763377SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year810032OtherExpensePriorYear
Other Expenses Current Year756875OtherExpensesCurrentYear
Total Expenses Prior Year17737561TotalExpensesPriorYear
Total Expenses Current Year17670502TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-1053179RevenuesLessExpensesPriorYear
Revenues Less Expenses CY562632RevenuesLessExpensesCY
Total Assets BOY21336869TotalAssetsBOY
Total Assets EOY22287649TotalAssetsEOY
Total Liabilities BOY352766TotalLiabilitiesBOY
Total Liabilities EOY249617TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY20984103NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY22038032NetAssetsOrFundBalancesEOY
Mission DescriptionEMPLOYEE BENEFIT PLAN PROVIDING ACCIDENT, SICKNESS, DISABILITY, VISION, DENTAL AND DEATH AND ACCIDENTAL DEATH & DISMEMBERMENT BENEFITS FOR ACTIVE PARTICIPANTS AND ACCIDENT, SICKNESS, VISION, DENTAL AND DEATH BENEFITS FOR RETIRED PARTICIPANTS.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
DescriptionEMPLOYEE BENEFIT PLAN PROVIDING ACCIDENT, SICKNESS, DISABILITY, VISION, DENTAL AND DEATH AND ACCIDENTAL DEATH & DISMEMBERMENT BENEFITS FOR ACTIVE PARTICIPANTS AND ACCIDENT, SICKNESS, VISION, DENTAL AND DEATH BENEFITS FOR RETIRED PARTICIPANTS.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 Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
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 Required0ScheduleJRequired
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 With10961260NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees10NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members8NbrVotingGoverningBodyMembers
Number Independent Voting Members8NumberIndependentVotingMembers
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 Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1THE ORGANIZATIONBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number5028398166TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11996 BY-PASS SOUTHAddressLine1
CityLAWRENCEBURGCity
StateKYState
ZIP Code40342ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (9 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
JAMES BLEVINS
CHAIRMAN1.00XX000
DOUG HACKER
SECRETARY/TREASURER1.00XX000
PERRY BLADES
TRUSTEE1.00X000
MITCHELL ONEY
TRUSTEE1.00X000
CHRIS NELSON
TRUSTEE1.00X000
MARK EICHBERGER
TRUSTEE1.00X000
CHARLES TENNANT RETIRED 8112
TRUSTEE1.00X000
MARK ISAACS
TRUSTEE1.00X000
PAUL REYNOLDS APPOINTED 8112
TRUSTEE1.00X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
CIGNA
PO BOX 644546PITTSBURGHPA15264UTILIZATION REVIEWER356846
BENESYS
700 TOWER DR SUITE 300TROYMI48098BENEFIT CONSULTANT / SOFTWARE116609
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
EMPLOYER CONTRIBUTIONS9000991617492516174925
EMPLOYEE CONTRIBUTIONS90009917382281738228
FieldValueIRS element (for citing)
Total Program Service Revenue17913153TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column359391TotalRevenueColumn
Exclusion$359,391ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities7285157Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities7349294Securities
Other961Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-64137Securities
Other-961Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-65098TotalRevenueColumn
Exclusion-$65,098ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
CONTRIBUTION RECORDS F9000992510825108
MISCELLANEOUS REVENUE900099580$580
FieldValueIRS element (for citing)
Total Other Revenue25688TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column18233134TotalRevenueColumn
Related Or Exempt Function Income17938261RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$294,873ExclusionAmount

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total16150250Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total480477Total

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total106600Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total114000Total

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total62300Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total24415Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total36775Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total51006Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total50886Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total140638Total

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total83051Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total38823Total

Travel Travel

FieldValueIRS element (for citing)
Total27Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total2748Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total12316Total

Insurance Insurance

FieldValueIRS element (for citing)
Total8753Total

Other Expenses OtherExpenses (2 entries)

DescriptionDescriptionTotalTotal
PREFERRED PROVIDER DISC304196
MAINTENANCE & SERVICE C3241

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total17670502Total

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1212033BOY
EOY1054538EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1652114BOY
EOY1962689EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY0BOY
EOY9954EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis201942LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec174732LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY37408BOY
EOY27210EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY18435314BOY
EOY19233258EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY21336869BOY
EOY22287649EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY352766BOY
EOY249617EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY352766BOY
EOY249617EOY
FieldValueIRS element (for citing)
Do Not Follow SFAS117XDoNotFollowSFAS117

Cap Stck Trst Prin Current Funds CapStckTrstPrinCurrentFunds

FieldValueIRS element (for citing)
BOY20984103BOY
EOY22038032EOY

Paid In Cap Srpls Land Bldg Eqp Fund PaidInCapSrplsLandBldgEqpFund

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY20984103BOY
EOY22038032EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY21336869BOY
EOY22287649EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses562632ReconcilationRevenueExpenses
Reconciliation Unrealized Invest491297ReconciliationUnrealizedInvest
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
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

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis28610OtherCostOrOtherBasis
Depreciation19993Depreciation
Book Value8617BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis173332OtherCostOrOtherBasis
Depreciation154739Depreciation
Book Value18593BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings27210TotalOfBookValueLandBuildings
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt18722701TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments491297NetUnrealizedGainsInvestments
Other Revenues961OtherRevenues
Revenue Not Rptd F990492258RevenueNotRptdF990
Revenue Subtotal18230443RevenueSubtotal
Other Revenues Not Included2691OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt2691RevenueNotRptdOnFinStmt
Total Revenue Per Form99018233134TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt17668772TotExpensesEtcAuditedFinclStmt
Other Expenses Included961OtherExpensesIncluded
Expenses Not Rptd F990961ExpensesNotRptdF990
Expenses Subtotal17667811ExpensesSubtotal
Other Expenses Not Included2691OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt2691ExpensesNotRptdOnFinStmt
Total Expenses Per Form99017670502TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X, LINE 2:THE TRUST ESTABLISHED UNDER THE PLAN TO HOLD THE PLAN'S ASSETS IS INTENDED TO QUALIFY PURSUANT TO SECTION 501(C)9 OF THE INTERNAL REVENUE CODE ("IRC"), AND ,ACCORDINGLY, THE TRUST'S NET INVESTMENT INCOME IS EXEMPT FROM INCOME TAXES. THE TRUST HAS OBTAINED A FAVORABLE TAX DETERMINATION LETTER FROM THE INTERNAL REVENUE SERVICE ("IRS"), AND THE PLAN ADMINISTRATOR AND THE PLAN'S TAX COUNSEL BELIEVE THAT THE TRUST, AS AMENDED, CONTINUES TO QUALIFY AND TO OPPERATE IN ACCORDANCE WITH APPLICABLE PROVISIONS OF THE IRC. 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 IF THE ORGANIZATION HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. THE PLAN ADMINISTRATOR BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO 2009.
PART XI, LINE 2D - OTHER ADJUSTMENTS:LOSS ON ASSET DISPOSAL 961.
PART XI, LINE 4B - OTHER ADJUSTMENTS:REFUND OF DUES 580. OTHER CONSULTING FEES 2,111.
PART XII, LINE 2D - OTHER ADJUSTMENTS:LOSS ON ASSET DISPOSAL 961.
PART XII, LINE 4B - OTHER ADJUSTMENTS:REFUND OF DUES 580. OTHER CONSULTING FEES 2,111.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION B, LINE 11THE FORM 990 IS PREPARED BY THE FUND AUDITOR. IT IS REVIEWED BY THE FUND ATTORNEY, FUND CONSULTANT AND FUND ADMINISTRATOR PRIOR TO PRESENTATION TO THE BOARD OF TRUSTEES. THE BOARD OF TRUSTEES THEN REVIEW THE FORM 990 BEFORE APPROVAL AND SIGNING. AFTER APPROVAL AND EXECUTION BY BOARD OF TRUSTEES, THE FORM 990 IS FILED. (IN THIS CASE, IT IS E-FILED BY THE FUND AUDITOR)
FORM 990, PART VI, SECTION B, LINE 12CEACH TRUSTEE OR EMPLOYEE OF THE FUND HAS THE DUTY TO DISCLOSE ANY ACTUAL OR POSSIBLE CONFLICT OF INTEREST. EACH TRUSTEE OR EMPLOYEE MUST DISCLOSE THE EXISTENCE OF THE FINANCIAL INTEREST AND BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE TRUSTEES DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. AFTER DISCLOSURE OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE INTERESTED PERSON, THE BOARD OF TRUSTEES WILL DISCUSS AND VOTE TO DETERMINE IF A CONFLICT OF INTEREST EXISTS. IF A CONFLICT OF INTEREST IS DETERMINED TO EXIST, THE CHAIRPERSON OF THE BOARD OF TRUSTEES SHALL, IF APPROPRIATE, APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT. THE BOARD OF TRUSTEES SHALL THEN DETERMINE WHETHER THE FUND CAN OBTAIN WITH REASONABLE EFFORTS A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY POSSIBLE UNDER CIRCUMSTANCES NOT PRODUCING A CONFLICT OF INTEREST, THE BOARD OF TRUSTEES SHALL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED TRUSTEES WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE FUND'S BEST INTEREST, FOR ITS OWN BENEFIT, AND WHETHER IT IS FAIR AND REASONABLE.
IN DETERMINING WAGE INCREASES FOR FUND EMPLOYEES, THE TRUSTEES REVIEW THE CURRENT AND PROJECTED FINANCIAL STATUS OF THE FUND, INCLUDING CURRENT AND PROJECTED ADMINISTRATIVE COSTS, AND TAKE INTO CONSIDERATION THE WAGES FOR SIMILAR POSITIONS IN OTHER TAFT-HARTLEY TRUST FUNDS, PROJECTED COST OF LIVING TRENDS, AND EMPLOYEES' WORK HISTORIES AND JOB PERFORMANCES. THE TRUSTEES HAVE ALSO IMPLEMENTED A POLICY WHEREIN THE ADMINISTRATOR WILL PERFORM ANNUAL JOB PERFORMANCE REVIEWS FOR EACH FUND EMPLOYEE. THE FUND TRUSTEES DO NOT RECEIVE COMPENSATION OF ANY KIND. THERE IS NO CEO, EXECUTIVE DIRECTOR OR TOP MANAGEMENT OFFICIAL OF THIS FUND.
FORM 990, PART VI, SECTION C, LINE 19THEY ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
THE PROCESS HAS NOT CHANGED FROM PRIOR YEAR. THE FUND'S ADMINISTRATOR AND ASSISTANT DIRECTOR CONTINUE TO OVERSEE THE AUDIT PROCESS OF ITS FINANCIAL STATEMENTS. HOWEVER, THE FULL BOARD OF TRUSTEES FOR THE FUND ASSUMES RESPONSIBILITY FOR THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THE BOARD OF TRUSTEES REVIEWS AND APPROVES ALL MONTHLY FINANCIAL STATEMENTS AT THEIR QUARTERLY MEETINGS AND REVIEWS THE ANNUAL FINANCIAL REPORT AT A QUARTERLY MEETING.FORM 990, PART XI, LINE 2C
FORM 990THE ORIGINALLY FILED 2012 FORM 990 FOR THIS ORGANIZATION DID NOT INCLUDE THE LIST OF CONTRIBUTING EMPLOYERS ON SCHEDULE R. THIS AMENDED RETURN NOW INCLUDES THE LIST ON SCHEDULE R.EXPLANATION FOR AMENDED RETURN

Schedule R IRS990ScheduleR

Form990 Schedule R Part IV Form990ScheduleRPartIV (249 entries)

ABATEMENT SOLUTIONS TECH INC
ABC CUTTING CONTRACTORS INC
ABEL CONSTRUCTION CO INC
ACE PIPELINE
AJAX PAVING INDUSTRIES INC
ALBERICI CONSTRUCTORS INC
ALLEN REFRACTORIES CO
AMERICAN BRIDGE COMPANY
AMERICAN CONTRACTING & SERVICE
AMERICAN REFRACTORY CO
ANGELO IAFRATE CONSTRUCTION CO
APCOMPOWER INC
APEX PIPELINE SERVICES INC
API CONTRACTORS
ARC CONSTRUCTION CO INC
ARISTEO INSTALLATION
ASSOC PIPE LINE CONT INC
ASSOCIATED RAILROAD CONTRACTOR
ATLANTIC PLANT SERVICES
ATLAS INDUSTRIAL CONTRACTORS
B & B ELECTRIC CO INC
B H GREEN & SON INC
B MILLER EXCAVATING INC
BABCOCK & WILCOX CONSTRUCTION
BADGETT CONSTRUCTION LLC
BAKER CONCRETE CONSTRUCTION IN
BASS MAINTENANCE CORP
BEATY CONSTRUCTION INC
BECHTEL CONSTRUCTION CO
BERGER INC
BERKEL & COMPANY CONTR INC
BIG INCH FABRICATORS & CONSTR
BIG SANDY STONE & PIPE INC
BLUEGRASS CONCRETE CUTTING IN
BMI REFRACTORY SERVICES
BOBBY LUTTRELL & SONS LLC
BOWEN ENGINEERING CORP
BOWER AND ASSOCIATES INC
BRAND SCAFFOLD
BRAND SCAFFOLD RENTAL & ERECTI
BRANDENBURG INDUSTRIAL SERVICE
BRAYMAN CONSTRUCTION CORP
BROWN SERVICES CO LLC
BUNN ENTERPRISES INC
C J MAHAN CONSTRUCTION
CAPITOL DRILLING & SAWING OF
CARDINAL INDUSTRIAL INSULATION
CASSIDY BROTHERS INC
CBC PIPELINE LLC
CECO CONCRETE CONSTRUCTION L
CENTRAL MASONRY INC
CESA CONTRACTORS INC
CHRISTY INDUSTRIAL SERVICES
CIMCO
CITY OF LOUISA
CITY OF LOUISA WATER
CIVIL CONTRACTING LLC
CLARK NICKLES INC
COLLIER CONSTRUCTION INC
COLSON EXCAVATING LLC
CONCRETE CUTTING & BREAKING CO
CONGLETON HACKER COMPANY
CONTINENTAL PIPELINE SERVICES
CONTRACTORS RENTAL CORP
CORNERSTONE INTERIORS
COUPE CONSTRUCTION COMPANY
DANCO CONSTRUCTION INC
DAY & ZIMMERMANN NPS INC
DEIG BROS LUMBER & CONST INC
DIXIE PAVERS INC
DIXON ELECTRICAL SYSTEMS &
DK CONSTRUCTION CO INC
DK MASONRY & CONCRETE LLC
DRURY COMPANY
EAGLE EXCAVATION INC
EARLY CONSTRUCTION COMPANY
EARTH IMAGES INC
EATON CONSTRUCTION CO
EMPIRE CONTRACTORS INC
ENERFAB CORPORATION
ETHRIDGE EXCAVATING LLC
F A WILHELM CONSTRUCTION CO
FIELDS EXCAVATING INC
FLAGG CLEANING SYSTEMS INC
FORGE CONSTRUCTION LLC
FRONTIER ENTERPRISES INC
GALLAGHER-KAISER CORP
GATEWAY CONCRETE FORMING
GEIGER BROTHERS
GENESYS
GEO P REINTJES CO INC
GERALD CHAMBERS & SONS INC
GIBRALTAR CHIMNEY INT'L
GILLESPIE & POWERS
GLOBAL SCAFFOLDING
GOHMANN ASPHALT
GRAYCOR INDUSTRIAL CONST
GREER EXCAVATING
GROUT SYSTEMS
G-UB-MK
HAMON-CUSTODIS INC
HARMON CONSTRUCTION INC
HARSCO INFRASTRUCTURE AMERICAS
HAYES DRILLING INC
HAYWARD BAKER INC
HAZEX CONSTRUCTION CO
HEIMBROCK INC
HELMKAMP CONSTRUCTION CO
HUELSMAN - SWEENEY CONSTRUCTIO
HUFF SEALING CORPORATION
INDIANA LABORERS WELFARE FUND
INDUSTRIAL CONTRACTORS SKANSKA
INFRASOURCE UNDERGROUND CONST
INLAND INDUSTRIAL SRVS GRP LLC
INTERNATIONAL CHIMNEY CORP
J & H REINFORCING ERECTORS INC
J J BARNEY CONSTRUCTION
J T THORPE & SON INC
J&J GENERAL MAINTENANCE INC
JACKSON BROTHERS AUTO SVC INC
JBI CONSTRUCTION INC
JIM SMITH CONTRACTING CO
JOHNSON CONTRACTORS
KAUFMAN CONCRETE CUTTING CO
KENNETH E FOESTE MASONRY INC
KENTUCKY LABORERS DIST COUNCIL
KINSALE CONTRACTING GROUP INC
KOKOSING CONSTRUCTION CO INC
KY COOP TRUST-LECET
KY LABORERS HEALTH & WELFARE F
KY LABORERS TRAINING FUND
L E MYERS GROUP INCMYR GROUP
LABORERS COMBINED FUNDS W PA
LABORERS LOCAL #189
LABORERS LOCAL 1214
LABORERS LOCAL 1392
LABORERS LOCAL 1445
LABORERS LOCAL 576
LANEY DIRECTIONAL DRILLING CO
LAYNE HEAVY CIVIL INC
LESCO DESIGN & MFG CO
LILJA CORP
LVI ENVIROMENTAL SERVICES INC
MP LAWSON CONSTRUCTION
MAY CONTRACTING INC
MCALISTER EXCAVATING CO INC
MCKINNEY DRILLING LLC
MERSINO DEWATERING
MICHELS PIPELINE CONSTRUCTION
MI-DE-CON INC
MID-OHIO CONTRACTING INC
MIDWAY STORAGE & DISTRIBUTION
MIDWEST MOLE IN C
MIDWEST UNDERGROUND
MILLER CONSTRUCTION
MILLER PIPELINE CORP
MINNESOTA LIMITED INC
MODERN DAY CONCRETE CONST
MORETRENCH AMERICAN CORP
MORGAN CORP
MORSEY CONSTRUCTORS LLC
MURTCO MECHANICAL
NORTH EAST KY EXCAVATING CO
NORTHERN CLEARING INC
OHIO LABORERS DISTRICT COUNCIL
OMI REFRACTORIES LLC
OTIS EASTERN SERVICE INC
PACKS INC
PARCO CONSTRUCTORS GROUP LLC
PARKS DRILLING
PARKWAY CONSTRUCTION INC
PATTERSON & WILDER CONSTR CO
PERMA-FIX
PETE GOULD AND SONS INC
PEYRONNIN CONSTRUCTION
PIPELINE ENERGY GROUP
PLIBRICO REFRACTORY CONST
PRECISION COOLING TOWERS INC
PRECISION PIPELINE LLC
PRECISION PIPING & MECHANICAL
PRESSURES ON INC
PRITCHARD ELECTRIC CO INC
PROFESSIONAL CONST SERVICES
R & C CONSTR SRVCS CO LLC
R C REFRACTORY INC
RAGLE INC
RAM CONSTRUCTION SERVICES
RAY BLACK & SON INC
REYNOLDS ENTERPRISES INC
REYNOLDS INC
RICHARD GOETTLE INC
RICK EPLION PAVING INC
RICKARD FARM LLC
RISING SUN DEVELOPING INC
RIVER TOWN CONSTRUCTION LLC
ROCK SOLID MASONRY
ROSS BROS CONST CO INC
RTW INDUSTRIAL MAINTENANCE IN
S & S AND ASSOCIATES
S & S BLASTING INC
SBS INC
SCHNELL CONTRACTORS INC
SHAMROCK INTERNATIONAL CORP
SHARED SYSTEMS TECHNOLOGY INC
SHOOK CONSTRUCTION CO
SMITH MASONRY
SOUTHEAST LABORERS H & W
SOUTHERN ILLINOIS HEALTH AND W
SOUTHERN OHIO TRENCHING
ST PIPELINE
STEBBINS ENG & MANUFACTURING C
STERLING BOILER MECHANICAL
STRUCTSURE SCAFFOLD LLC
SULLIVAN COZART INC
SUMMIT CIVIL SERVICE LLC
SWIFT & STALEY INC
TC SPECIALITY CONTRACTING
TEMPLE AND TEMPLE EXCAVATING
THALLE CONSTRUCTION CO INC
THE BOLDT COMPANY
THE SELINSKY FORCE LLC
THE STEBBINS ENG & MFG CO
TRAMEL CONSTRUCTION LLC
TRANCO INDUSTRIAL SERVICES INC
TRANS - ASH
TRAVIS CONSTRUCTION CO INC
TRI AMERICA CONTRACTORS INC
TRI STATE FENCING INC
TRI STATE REFRACTORIES CORP
TRIANGLE ENTERPRISES INC
TROTTER DEVELOPMENT GRP
TRUMBULL CORPORATION
TURN KEY TUNNELING INC
TURNER INDUSTRIAL MAINTENANCE
UNITED CONSTRUCTION COMPANY I
UNIVERSAL CONTRACTING CORP
URS ENERGY & CONSTRUCTION INC
UTTER CONSTRUCTION INC
W B FOSSON & SONS
W R SMITH CONSTRUCTION INC
WALSH CONSTRUCTION COMPANY
WASHINGTON GROUPALBERICI JV
WAYMOND T HARRIS & ASSOC INC
WEDDLE BROS BUILDING GROUP LLC
WEHR CONSTRUCTORS INC
WELDED CONSTRUCTION COMPANY
WEST VIRGINIA LABORERS TRUST F
WHITTENBERG CONSTRUCTION
WISHBONE POULTRY INC
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 Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg