2014-09-11T17:13:04-05:00 2013-10-31 430765316 RUBINBROWN LLP 10975 GRANDVIEW DR SUITE 600 OVERLAND PARK KS 66210 990 2012-11-01 436039074 GREATER KANSAS CITY LABORERS WELFARE FUN GREA 9132365490 6405 METCALF NO BLDG 3 OVERLAND PARK KS 66202 DONALD E GREENWELL III 9132365490 2014-09-11 1 JAMES RITTS P00362910 9134914144 2012 2015-11-30 17:44:51Z DONALD E GREENWELL III 6405 METCALF NO BLDG 3 OVERLAND PARK KS 66202 35571069 0 X N/A X 1962 KS PROVIDE HEALTH & WELFARE BENEFITS 12 12 0 0 0 0 0 0 12296179 12111544 653567 710281 896 42838 12950642 12864663 0 0 9964936 9483177 14975 0 0 0 0 1414076 1455074 11393987 10938251 1556655 1926412 25228459 27414588 428428 383339 24800031 27031249 PROVIDE HEALTH & WELFARE BENEFITS 0 0 THE PLAN PROVIDES HEALTH AND WELFARE BENEFITS FOR MEMBERS OF LOCAL UNIONS #'S 264 AND 1290 OF THE WESTERN MO & KS LABORERS DISTRICT COUNCIL OF THE LABORERS INTERNATIONAL UNION OF NORTH AMERICA. 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 313 0 1 0 0 0 0 0 0 0 X 12 12 1 1 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 X TIC INTERNATIONAL CORPORATION 9132365490 6405 METCALF CLOVERLEAD BLDG 3 STE OVERLAND PARK KS 66202 X REGINALD L THOMAS 0.30 X X 0 0 0 MITCHELL ROWLEY 0.30 X 0 0 0 EDWARD FREEMAN 0.30 X 0 0 0 WILLIAM L LIVINGSTON III 0.30 X 0 0 0 MARK R NIDIFFER 0.30 X 0 0 0 LESLIE W WILLIAMS II 0.30 X 0 0 0 DON GREENWELL 0.30 X X 0 0 0 GREGORY A DUNN 0.30 X 0 0 0 GEOFFREY P MOORE 0.30 X 0 0 0 MARK R TEAHAN 0.30 X 0 0 0 DAN R MEYER 0.30 X 0 0 0 DANIEL S WEST 0.30 X 0 0 0 0 0 0 0 0 0 0 TIC INTERNATIONAL CORPORATION 6405 METCALF SUITE 200 OVERLAND PARK KS 66202 THIRD PARTY ADMINISTRATORS 370459 ARNOLD NEWBOLD WINTER & JACKSON PC 1125 GRAND BLVD SUITE 1600 KANSAS CITY MO 64106 LEGAL SERVICES 125432 THE SEGAL COMPANY 101 N WACKER DR SUITE 500 CHICAGO IL 60606 ACTUARIAL SERVICES 116803 3 EMPLOYER CONTRIBUTIONS 900099 10906486 10906486 PARTICIPANTS CONTRIBUTIONS 900099 1205058 1205058 12111544 570472 570472 22846215 22706406 139809 139809 139809 MISCELLANEOUS INCOME 900099 40401 40401 LIQUIDATED DAMAGES 900099 2437 2437 42838 12864663 12154382 0 710281 9483177 368150 130311 137608 91954 662531 26422 3112 23696 BANK FEES 6488 OTHER EXPENSES 3822 DUES AND SUBSRCIPTIONS 980 10938251 88235 2378310 2951530 1524100 1593321 81513 79822 21244536 22701680 25228459 27414588 219871 358339 208557 25000 428428 383339 X 0 0 0 0 24800031 27031249 24800031 27031249 25228459 27414588 1926412 304806 0 X 0 1 X 1 0 0 1 X 0 13169469 304806 304806 12864663 0 12864663 10938251 0 10938251 0 10938251 PART IV, LINE 2B: CONTRIBUTING EMPLOYERS SUBMIT CONTRIBUTIONS TO THE DEPOSITORY WHICH ARE THEN ALLOCATED AND TRANSFERRED TO THE CORRESPONDING ENTITY TO WHICH THEY BELONG. FORM 990, PART VI, SECTION A, LINE 2 REGINALD THOMAS AND LESLIE WILLIAMS II, MITCHELL ROWLEY AND EDWARD FREEMAN, AND WILLIAM LIVINGSTON III AND MARK NIDIFFER HAVE A BUSINESS RELATIONSHIP. FORM 990, PART VI, SECTION A, LINE 3 THE BOARD USES THE SERVICES OF TIC INTERNATIONAL, A THIRD PARTY ADMINISTRATOR, TO PAY BENEFITS AND HANDLE THE DAY-TO-DAY OPERATIONS OF THE PLAN. FORM 990, PART VI, SECTION B, LINE 11 A COPY OF FORM 990 WAS PROVIDED TO THE CHAIRMEN AND SECRETARY FOR APPROVAL AND THEN A FINAL COPY IS PROVIDED TO THE BOARD BEFORE FILING. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE NOT AVAILABLE TO THE PUBLIC. 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