2014-04-07T16:53:51-05:00 2013-05-31 362152389 BANSLEY AND KIENER LLP 8745 W HIGGINS RD CHICAGO IL 60631 990 2012-06-01 362151212 HEALTH & WELFARE DEPT OF THE CONSTR & GEN LBRS DIST CNCL OF CH & VICIN HEAL 7085620200 11465 CERMAK ROAD WESTCHESTER IL 60154 JAMES S JORGENSEN 7085620200 2014-04-02 1 PAUL A MERKEL P00420901 3122632700 2012 2015-11-30 17:44:51Z JAMES S JORGENSEN 11465 CERMAK ROAD WESTCHESTER IL 60154 531743634 0 X WWW.CHICAGOLABORERSFUNDS.COM X 1950 IL SEE STATEMENT A 12 0 411 0 0 0 0 0 208168409 222639188 7372122 6688232 0 0 215540531 229327420 0 0 164521992 177890781 7664397 8016774 0 0 0 3936586 4143129 176122975 190050684 39417556 39276736 319024912 387392048 133220986 140246600 185803926 247145448 THE FUND PROVIDES HEALTH, PRESCRIPTION, DENTAL, VISION AND LOSS OF TIME BENEFITS TO ELIGIBLE PARTICIPANTS AND DEPENDENTS. 0 0 TO PROVIDE HEALTH, PRESCRIPTION, DENTAL, VISION AND LOSS OF TIME BENEFITS TO ELIGIBLE PARTICIPANTS AND DEPENDENTS. 0 0 0 0 0 0 0 0 0 1 1 0 1 1 0 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 1 442 0 1 411 1 0 0 0 0 0 0 X 12 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 0 0 0 X X MR JAMES S JORGENSEN 7085620200 11465 CERMAK ROAD WESTCHESTER IL 60154 CHARLES GALLAGHER 2.50 X 0 0 0 ANTONIO CASTRO 2.50 45.00 X 0 176094 42278 DAVID LORIG 2.50 X 0 0 0 JULIE CHAMBERLIN 2.50 X 0 0 0 RICHARD GRABOWSKI PAST 2.50 X 0 0 0 DENNIS MARTIN 2.50 X 0 0 0 JAMES CONNOLLY 2.50 40.00 X 0 323659 131821 MARTIN FLANAGAN 2.50 50.00 X 0 185191 99669 RICHARD KUCZKOWSKI 2.50 41.00 X 0 178691 91600 SCOTT PAVLIS 2.50 41.00 X 0 175755 14188 CLIFTON HORN 2.50 X 0 0 0 CHARLES LOVERDE III 2.50 70.00 X 0 346680 138321 ANTHONY J RICCARDI 2.50 X 0 0 0 JAMES S JORGENSEN 15.00 25.00 X 265785 0 104199 PATRICK WALLACE 20.00 20.00 X 135360 0 64735 SALLY ETZ 36.00 4.00 X 134482 0 68864 EUGENIA MASHOS 20.00 20.00 X 122985 0 60614 JERROD OLSZEWSKI 20.00 20.00 X 134621 0 63935 LORI WILLIAMS 40.00 X 122960 0 65027 916193 1386070 945251 13 0 1 0 ALLISON SLUTSKY & KENNEDYPC 230 W MONROE SUITE 2600 CHICAGO IL 60606 LEGAL SERVICES 439418 BANSLEY AND KIENER LLP 8745 W HIGGINS ROAD SUITE 200 CHICAGO IL 60631 ACCOUNTING SERVICES 307103 OGLEETREE DEAKINS NASH SMOAK & STEWAR 20 S CLARK STREET 25TH FLOOR CHICAGO IL 60603 LEGAL SERVICES 266260 LEVINSON SIMON HEIN & BILKEY PC 566 W LAKE STREET SUITE 3 WEST CHICAGO IL 60661 LEGAL SERVICES 229616 THE SEGAL COMPANY 101 N WACKER DRIVE SUITE 500 CHICAGO IL 60606 BENEFIT CONSULTING AND ACTUARIAL SERVICE 208900 8 EMPLOYER CONTRIBUTIONS 900099 214383600 214383600 SUPPLEMENTAL EARLY RETIREMENT 900099 4847374 4847374 COBRA PAYMENTS 900099 1262314 1262314 GOVERNMENT DRUG SUBSIDY 900099 1029431 1029431 LIQUIDATED DAMAGES - DELINQUENT C 900099 792697 792697 323772 323772 222639188 6009814 6009814 303094632 302416214 678418 678418 678418 229327420 222639188 0 6688232 177890781 198013 4140762 1679223 1643984 354792 571873 333594 676454 217355 742062 329423 341089 37119 211670 137638 OUTSIDE SERVICES 425730 INTERNAL LEGAL COLLECTI 74369 GENERAL EXPENSES 36263 CONTINUED PROFESSIONAL 8490 190050684 11288804 35362537 224498 184270 5492321 4530610 444081 961711 233223486 275999916 45568983 46085250 28275060 28798364 319024912 387392048 3602431 1562574 129618555 138684026 133220986 140246600 X 0 0 0 0 185803926 247145448 185803926 247145448 319024912 387392048 X 39276736 22742350 -677564 X 0 1 X 0 0 5303711 4347384 956327 188610 183226 5384 961711 PRIVATE EQUITY PARTNERSHIP 19994687 F MUTUAL FUNDS 29665 F REAL ESTATE INVESTMENT FD 1812589 F COMMON TRUST FUND 11149098 F POOLED FUNDS 13099211 F 46085250 EMPLOYER CONTRIBUTIONS - NET OF ALLOWANCE 23469424 DUE FROM BROKERS 597762 ACCRUED INTEREST 544505 MEDICAL CLAIMS REIMBURSEMENT 2948845 DUE FROM OTHER FUNDS 1237828 28798364 BANK OVERDRAFT 1396664 CLAIMS CURRENTLY PAYABLE 4698900 ESTIMATED LIABILITIES FOR CLAIMS INCURRED, NOT REPORTED 18793400 ESTIMATED LIABILITIES FOR ACCUMULATED ELIGIBILITY 75270000 ESTIMATED LIABILITY FOR HRA PROGRAM BENEFITS PAYABLE 25616681 NON-CURRENT PENSION LIABILITY 12908381 138684026 251393316 22742350 22742350 228650966 676454 676454 229327420 180858457 0 180858457 676454 8515773 9192227 190050684 PART XII, LINE 4B - OTHER ADJUSTMENTS: INCREASE IN BENEFIT OBLIGATIONS X X 0 0 0 ANTONIO CASTRO 0 176094 0 0 0 0 0 0 0 42278 0 218372 0 0 JAMES CONNOLLY 0 323659 0 0 0 0 0 0 0 131821 0 455480 0 0 MARTIN FLANAGAN 0 185191 0 0 0 0 0 0 0 99669 0 284860 0 0 RICHARD KUCZKOWSKI 0 178691 0 0 0 0 0 0 0 91600 0 270291 0 0 SCOTT PAVLIS 0 175755 0 0 0 0 0 0 0 14188 0 189943 0 0 CHARLES LOVERDE III 0 346680 0 0 0 0 0 0 0 138321 0 485001 0 0 JAMES S JORGENSEN 253003 0 0 0 12782 0 0 0 104199 0 369984 0 0 0 PATRICK WALLACE 128586 0 0 0 6774 0 0 0 64735 0 200095 0 0 0 SALLY ETZ 134482 0 0 0 0 0 0 0 68864 0 203346 0 0 0 EUGENIA MASHOS 116211 0 0 0 6774 0 0 0 60614 0 183599 0 0 0 JERROD OLSZEWSKI 127040 0 0 0 7581 0 0 0 63935 0 198556 0 0 0 LORI WILLIAMS 122960 0 0 0 0 0 0 0 65027 0 187987 0 0 0 FORM 990, PART VI, SECTION A, LINE 8B THERE ARE NO SUBCOMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE BOARD OF TRUSTEES. FORM 990, PART VI, SECTION B, LINE 11 THE BOARD AUTHORIZES THE FUND ADMINISTRATOR, JAMES JORGENSEN, TO REVIEW AND APPROVE THE FORM 990 PRIOR TO THE DATE THAT FILING OCCURS WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12 THE FUND'S LEGAL COUNSEL INFORMS THE BOARD OF TRUSTEES OF THEIR FIDUCIARY OBLIGATIONS AND WHAT CONSTITUTES A CONFLICT OF INTEREST. THE BOARD OF TRUSTEES DETERMINE AND APPROVE THE SALARY FOR THE OFFICE EMPLOYEES AND THE FUND ADMINISTRATOR, JAMES JORGENSEN. THE FUND ADMINISTRATOR AND CERTAIN EMPLOYEES' SALARIES AND BENEFITS ARE PAID BY THE WELFARE FUND AND ALLOCATED WITH AND REIMBURSED BY THE LABORERS' PENSION FUND AND THE LABORERS' STAFF PENSION FUND. FORM 990, PART VI, SECTION C, LINE 19 PARTICIPANTS OF THE FUND MAY REQUEST GOVERNING AND OTHER POLICY DOCUMENTS UPON REQUEST OR THEY MAY ACCESS CERTAIN DOCUMENTS FROM THE FUND'S WEBSITE. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: PENSION-RELATED CHANGES OTHER THAN NET PERIODIC COST -677,564. PART V, LINE 2A A TOTAL OF 411 FORM W-2S WERE ISSUED FOR CALENDAR YEAR 2012. EIGHTY-SEVEN (85) FORM W-2S WERE ISSUED FOR EMPLOYEES AND THREE HUNDRED AND TWENTY-SIX (326) FORM W-2S WERE ISSUED FOR THIRD PARTY SICK PAY BENEFITS PAID TO COLLECTIVELY BARGAINED PARTICIPANTS OF THE PLAN. LABORERS' WELFARE FUND - BOARD OF TRUSTEES 11465 CERMAK ROAD WESTCHESTER IL 60154 362151212 IL 0 INT CNST & GEN LAB DIST 999 MCCLINTOCK DR STE 300 BURR RIDGE IL 605270824 IL INT LOCAL #1 9726 FRANKLIN AVE FRANKLIN PARK IL 601311702 IL INT LOCAL #1001 323 S ASHLAND AVE CHICAGO IL 606072703 IL INT LOCAL #1092 3841 S HALSTED ST CHICAGO IL 606091612 IL INT LOCAL #118 2430 E RAND RD ARLINGTON HEIGHTS IL 600045877 IL INT LOCAL #152 409 TEMPLE AVE HIGHLAND PARK IL 600351428 IL INT LOCAL #2 8842 OGDEN AVE BROOKFIELD IL 605132147 IL INT LOCAL #225 8270 ARCHER AVE WILLOW SPRINGS IL 604801464 IL INT LOCAL #25 9838 W ROOSEVELT RD STE 1 WESTCHESTER IL 601542777 IL INT LOCAL #269 13256 S BRANDON AVE CHICAGO IL 606331453 IL INT LOCAL #288 732 N CASS AVE WESTMONT IL 605591018 IL INT LOCAL #4 3841 S HALSTED ST CHICAGO IL 606091612 IL INT LOCAL #5 PO BOX 769 CHICAGO HEIGHTS IL 604120769 IL INT LOCAL #6 4670 N ELSTON AVE CHICAGO IL 606304233 IL INT LOCAL #75 1923 DONMAUR DR CREST HILL IL 604031904 IL INT LOCAL #76 5930 W GUNNISON ST CHICAGO IL 606303128 IL INT LOCAL #96 660 EAST NORTH AVE LOMBARD IL 60148 IL INT LOCAL 681 4004 N CASS AVE WESTMONT IL 605591104 IL LABORERS TRAINING FUND 1200 OLD GARY AVE CAROL STREAM IL 601883714 IL LDCLMCC 999 MCCLINTOCK DR STE 301 BURR RIDGE IL 605270824 IL LECET FUND 999 MCCLINTOCK DR STE 302 BURR RIDGE IL 605270824 IL 3K SYSTEMS INC DBA ABILITY RO 4-C'S CONSTRUCTION A & D MASONRY & CONST CO A A CONTE & SON INC A AND A CONTRACTORS INC A HORN INC A K A WRECKING COMPANY A LAMP CONC CONTR INC A N G VENTURE INC A ONE GROUP LTD A S SUMERLAN INC AAA KAIROS PLUMBING A-ARMOR PLATE SEALCOATING INC ABBEY PAVING & SEALCOAT ABC BORING INC ABD TANK & PUMP CO ABLE MASONRY ACCU FLOW FLOORS ACCURATE LOGISTICS INC ACCURATE TANK CONSTRUCTION ACER ENTERPRISES INC ACES ENVIRONMENTAL ACHILLES INC ACMS GROUP INC ACURA INC ADAMS MASONRY INC ADJUSTABLE FORMS INC ADLER PLUMBING & HEATING INC ADVANCE CAST STONE CO ADVANCE CONSTRUCTION CO INC ADVANCE J GIANNINI INC ADVANCE 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