2014-08-25T16:40:23-05:00 2013-12-31 320043599 LEGACY PROFESSIONALS LLP 311 S WACKER DR SUITE 4000 CHICAGO IL 60606 990 2013-01-01 366073848 EXCAVATING GRADING AND ASPHALT CRAFT 731 HEALTH AND WELFARE FUND EXCA 6308874150 1000 BURR RIDGE PARKWAY BURR RIDGE IL 60527 TERRENCE J HANCOCK TRUSTEE 6308874150 2014-08-25 1 GREG WALLENBECKER P01451145 3123680500 2013 2015-11-30 17:44:51Z TERRENCE J HANCOCK 1000 BURR RIDGE PARKWAY BURR RIDGE IL 60527 40059402 0 X N/A X 1951 IL PROVIDE INSURANCE BENEFITS 6 6 18 0 0 0 0 0 10791904 10615872 797091 2331437 0 0 11588995 12947309 0 0 8657817 9007808 1408219 1495992 0 0 0 393808 397683 10459844 10901483 1129151 2045826 26798435 28897165 128032 178731 26670403 28718434 PROVIDE HEALTH AND WELFARE BENEFITS 0 0 TO PROVIDE HEALTH AND WELFARE, LOSS OF TIME AND DEATH BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR BENEFICIARIES. 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 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 90 0 1 18 1 0 0 0 0 0 0 0 0 X 6 6 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0 0 0 1 1 0 X THE ORGANIZATION 6308874150 1000 BURR RIDGE PARKWAY BURR RIDGE IL 60527 TERRENCE J HANCOCK TRUSTEE 2.00 X 0 0 0 JOHN LISNER TRUSTEE 2.00 X 0 0 0 DALE BOLT TRUSTEE 2.00 X 0 0 0 DAVID SNELTON TRUSTEE 2.00 X 0 0 0 JOSEPH BENSON TRUSTEE 2.00 X 0 0 0 WILLIAM H COLLINS TRUSTEE 2.00 X 0 0 0 RICHARD CLARSON ADMINISTRATOR 40.00 X 148288 0 11522 RYAN LACEY COMPTROLLER 40.00 X 107068 0 11522 255356 0 23044 2 0 0 0 BLUE CROSS BLUE SHIELD 300 EAST RANDOLPH STREET CHICAGO IL 606015099 PPO PROVIDER 312462 1 EMPLOYER CONTRIBUTIONS 900099 7874113 7874113 REIMB COMMON ADMIN EXP 900099 1317690 1317690 STOP LOSS INS. REIMBURSEMENTS 900099 873178 873178 MEMBER AND RETIREE CONTRIBUTIONS 900099 386701 386701 SUBROGATION RECOVERIES 900099 83899 83899 80291 80291 10615872 377213 377213 29066317 27112093 1954224 1954224 1954224 12947309 10615872 0 2331437 9007808 159810 755520 288319 220668 71675 75550 35917 132417 52290 43137 14943 14197 1002 5325 21601 ACA - PCORI FEES 1304 10901483 3189312 3161374 665772 818543 900728 740408 20936 63797 60856 7092 2941 15341666 21677588 6672929 2496311 26798435 28897165 128032 178731 128032 178731 X 0 0 0 0 26670403 28718434 26670403 28718434 26798435 28897165 2045826 2205 0 X 0 1 X 1 0 63797 60856 2941 2941 MULTI-EMPLOYER GLOBAL AGGREGATE FUND 2496311 F 2496311 X 10462039 2205 2205 10459834 132417 2355058 2487475 12947309 8414008 0 8414008 132417 2355058 2487475 10901483 PART X, LINE 2: 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 LIMITATION EXPIRES. PART XI, LINE 4B - OTHER ADJUSTMENTS: STOP-LOSS INSURANCE RECOVERIES 873,178. SUBROGATION RECEIPTS 83,899. REIMBURSED COMMON ADMIN EXPENSES FROM RELATED BENEFIT FUNDS 1,317,690. PRESCRIPTION REBATES 80,291. PART XII, LINE 4B - OTHER ADJUSTMENTS: STOP-LOSS INSURANCE RECOVERIES 873,178. SUBROGATION RECEIPTS 83,899. REIMBURSED COMMON ADMIN EXPENSES FROM RELATED BENEFIT FUNDS 1,317,690. PRESCRIPTION REBATES 80,291. FORM 990, PART VI, SECTION A, LINE 8B THE PLAN HAS A HEALTHCARE COMMITTEE COMPRISED OF TWO TRUSTEES FROM EACH OF THE LOCAL 731 HEALTH AND WELFARE FUNDS WHICH HAS THE AUTHORITY TO ACT OF BEHALF OF THE GOVERNING BODY. 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 THROUGH REVIEW, THE FORM IS APPROVED, SIGNED AND FILED. FORM 990, PART VI, SECTION B, LINE 15 SALARIES ARE REVIEWED ANNUALLY 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 TO ANY PARTICIPANT IN THE PLAN UPON REQUEST AT THE FUND OFFICE. TEAMSTERS LOCAL NO 731 EXCAVATORS AND PAVERS PENSION TRUST FUND 1000 BURR RIDGE PARKWAY BURR RIDGE IL 60527 366513565 PROVIDE PENSION BENEFITS IL 401(A) N/A N/A 0 MEADE INC CONTRIBUTING EMPLOYER 0 LINDAHL BROTHERS CONTRIBUTING EMPLOYER 0 PLOTE CONSTRUCTION INC CONTRIBUTING EMPLOYER 0 ARROW ROAD CONSTRUCTION CO CONTRIBUTING EMPLOYER 0 ORANGE CRUSH LLC CONTRIBUTING EMPLOYER 0 K-FIVE CONSTRUCTION CORP CONTRIBUTING EMPLOYER 0 TJ LAMBRECHT CONST CO CONTRIBUTING EMPLOYER 0 SHEPLEY MOTOR EXPRESS INC CONTRIBUTING EMPLOYER 0 BRANDENBURG INDUSTRIAL SERVICE CONTRIBUTING EMPLOYER 0 BRITES CARTAGE CONTRIBUTING EMPLOYER 0 AMERICAN LANDSCAPING INC CONTRIBUTING EMPLOYER 0 RELIABLE CONTR & EQUIP CO CONTRIBUTING EMPLOYER 0 A LAMP CONCRETE CONTRACTORS CONTRIBUTING EMPLOYER 0 THE PACIFIC COMPANY CONTRIBUTING EMPLOYER 0 JNS INC CONTRIBUTING EMPLOYER 0 H WIGBOLDY & SONS INC CONTRIBUTING EMPLOYER 0 2005 TRUCKING INC CONTRIBUTING EMPLOYER 0 CENTRAL BLACKTOP CO INC CONTRIBUTING EMPLOYER 0 BEVERLY ASPHALT PAVING CO CONTRIBUTING EMPLOYER 0 ROSSI CONTRACTORS COMPANY CONTRIBUTING EMPLOYER 0 BIGANE PAVING COMPANY CONTRIBUTING EMPLOYER 0 WESTERN UTILITY CONTRACTORS CONTRIBUTING EMPLOYER 0 DMD SERVICES CONTRIBUTING EMPLOYER 0 ABBEY PAVING & SEALCOATING INC CONTRIBUTING EMPLOYER 0 NASH BROTHERS CONSTR CO CONTRIBUTING EMPLOYER 0 GLANDER PAVING CO CONTRIBUTING EMPLOYER 0 JAMES D FIALA PAVING CO INC CONTRIBUTING EMPLOYER 0 ACCURATE LOGISTICS INC CONTRIBUTING EMPLOYER 0 KORDAS AUTO & TRUCK SVC INC CONTRIBUTING EMPLOYER 0 BRITES EQUIPMENT LTC INC CONTRIBUTING EMPLOYER 0 D J MASSAT INC CONTRIBUTING EMPLOYER 0 LO VERDE CONSTRUCTION CO INC CONTRIBUTING EMPLOYER 0 REYNAGA BROS CONSTRUCTION CORP CONTRIBUTING EMPLOYER 0 J & A ULTIMATE TRUCKING INC CONTRIBUTING EMPLOYER 0 CC CARTAGE CONTRIBUTING EMPLOYER 0 D E TRANSPORT INC CONTRIBUTING EMPLOYER 0 ROY STROM EXCAVATING & GRADING CONTRIBUTING EMPLOYER 0 IWEMA EXCAVATING & CONTRACTING CONTRIBUTING EMPLOYER 0 J A JOHNSON PAVING COMPANY CONTRIBUTING EMPLOYER 0 PARKING LOTS PLUS LLC CONTRIBUTING EMPLOYER 0 ARRP TRUCKING & HAULING CONTRIBUTING EMPLOYER 0 V & R CARTAGE COMPANY CONTRIBUTING EMPLOYER 0 R W COLLINS INC CONTRIBUTING EMPLOYER 0 THE PATCHING PEOPLE INC CONTRIBUTING EMPLOYER 0 CROWLEY CARTAGE COMPANY CONTRIBUTING EMPLOYER 0 DUBOIS PAVING COMPANY INC CONTRIBUTING EMPLOYER 0 RJ HARMS TRUCKING & EXCAVAT CONTRIBUTING EMPLOYER 0 NATIONAL WRECKING COMPANY CONTRIBUTING EMPLOYER 0 DELTA DEMOLITION INC CONTRIBUTING EMPLOYER 0 ENVIRONMENTAL CLEANSING CORP CONTRIBUTING EMPLOYER 0 LENNY HOFFMAN EXCAVATING INC CONTRIBUTING EMPLOYER 0 BENCHMARK CONSTRUCTION CO CONTRIBUTING EMPLOYER 0 TAYLOR EXCAV & WRECKING INC CONTRIBUTING EMPLOYER 0 LORIG CONST CONTRIBUTING EMPLOYER 0 MQ CONSTRUCTION CO CONTRIBUTING EMPLOYER 0 K & A TRUCKING CONTRIBUTING EMPLOYER 0 ALLSTAR ASPHALT CONTRIBUTING EMPLOYER 0 ROCK SOLID PAVING & EXCAVATING CONTRIBUTING EMPLOYER 0 CHICAGOLAND TRUCKIN INC CONTRIBUTING EMPLOYER 0 SONICAN TRUCKING INC CONTRIBUTING EMPLOYER 0 GRECO CONTRACTORS INC CONTRIBUTING EMPLOYER 0 SCHUEPFER INC CONTRIBUTING EMPLOYER 0 RICO ENTERPRISES INC CONTRIBUTING EMPLOYER 0 RAUSCH CONSTRUCTION CO INC CONTRIBUTING EMPLOYER 0 DI MEO BROS INC CONTRIBUTING EMPLOYER 0 BUILDERS ASPHALT LLC CONTRIBUTING EMPLOYER 0 GLENBROOK EXCAVATING &CONCRETE CONTRIBUTING EMPLOYER 0 BECAN CONSTRUCTION COMP CONTRIBUTING EMPLOYER 0 ALSTERDA CARTAGE & COSTR CO CONTRIBUTING EMPLOYER 0 SWANSON CONTRACTING CO INC CONTRIBUTING EMPLOYER 0 CROWLEY-SHEPPARD ASPHALT CO CONTRIBUTING EMPLOYER 0 HENKELS & MC COY INC CONTRIBUTING EMPLOYER 0 HENEGHAN WRECKING CO CONTRIBUTING EMPLOYER 0 BECHSTEIN CONSTRUCTION CORP CONTRIBUTING EMPLOYER 0 G & V CONSTRUCTION CO INC CONTRIBUTING EMPLOYER 0 D CONSTRUCTION INC CONTRIBUTING EMPLOYER 0 ALPHA CONSTRUCTION CONTRIBUTING EMPLOYER 0 STRADA CONSTRUCTION CONTRIBUTING EMPLOYER 0 TANZILLO CONTRACTORS INC CONTRIBUTING EMPLOYER 0 E KING CONSTRUCTION INC CONTRIBUTING EMPLOYER 0 GLOBE CONSTRUCTION INC CONTRIBUTING EMPLOYER 0 NPL CONSTRUCTION CO CONTRIBUTING EMPLOYER 0 D'LAND CONSTRUCTION LLC CONTRIBUTING EMPLOYER 0 J G DEMO CONTRIBUTING EMPLOYER 0 MC HUGH CONSTRUCTION COMPANY CONTRIBUTING EMPLOYER 0 CONCRETE STRUCTURES INC CONTRIBUTING EMPLOYER 0 TRUCK KING HAULING CONTRACTORS CONTRIBUTING EMPLOYER 0 HAHN TRUCKING CONTRIBUTING EMPLOYER 0 D & P CONSTRUCTION CO INC CONTRIBUTING EMPLOYER 0 SCORPIO EXCAVATING INC CONTRIBUTING EMPLOYER 0 RICCIWELCH INC CONTRIBUTING EMPLOYER 0 OLTHOFF INC CONTRIBUTING EMPLOYER 0 R ORSTROM ENTERPISES INC CONTRIBUTING EMPLOYER 0 DUNLEAVY EXCAVATING & DEMO CONTRIBUTING EMPLOYER 0 ANNZA LLC CONTRIBUTING EMPLOYER 0 R J R EXCAVATING CONTRIBUTING EMPLOYER 0 RITEWAY CONSTRUCTION SRV INC CONTRIBUTING EMPLOYER 0 JOINT COUNCIL #25 CONTRIBUTING EMPLOYER 0 NAD VENTURES INC CONTRIBUTING EMPLOYER 0 J&T SERVICES INC CONTRIBUTING EMPLOYER 0 MICHAEL KEANE ENTERPRISESINC CONTRIBUTING EMPLOYER 0 J NARDULLI CONCRETE INC CONTRIBUTING EMPLOYER 0 RITE WAY SWEEPING & MAIN CONTRIBUTING EMPLOYER 0 MIDWEST WRECKING COMPANY CONTRIBUTING EMPLOYER 0 TOURES TRUCKING INC CONTRIBUTING EMPLOYER 0 BOTTOM LINE TRUCKING INC CONTRIBUTING EMPLOYER 0 DANNY B KEANE ENTERPRISESINC CONTRIBUTING EMPLOYER 0 CK ENTERPRISES CONTRIBUTING EMPLOYER 0 CHARCORP LTD CONTRIBUTING EMPLOYER 0 WE O'NEIL CONSTRUCTION CO CONTRIBUTING EMPLOYER 0 SILVESTRI PAVING COMPANY CONTRIBUTING EMPLOYER 0 DURO PAVE CONSTRUCTION CO INC CONTRIBUTING EMPLOYER 0 GRAVELTRON INC CONTRIBUTING EMPLOYER 0 DAVIS CONCRETE CONSTR CO CONTRIBUTING EMPLOYER 0 SWANSON ASPHALT COMPANY CONTRIBUTING EMPLOYER 0 ROBERT D BLOOM CONTRIBUTING EMPLOYER 0 RAIMONDI CARTAGE INC CONTRIBUTING EMPLOYER 0 MARTINEZ FROG'S INC CONTRIBUTING EMPLOYER 0 J & R 1ST IN ASPHALT INC CONTRIBUTING EMPLOYER 0 G & M CEMENT CONSTRUCTION CO CONTRIBUTING EMPLOYER 0 LEEWAY WRECKING INC CONTRIBUTING EMPLOYER 0 TROCH-MCNEIL PAVING COMPANY CONTRIBUTING EMPLOYER 0 CARDI ASPHALT PAVING CO INC CONTRIBUTING EMPLOYER 0 JEK TRUCKING CO INC CONTRIBUTING EMPLOYER 0 INDEPENDENT MECHANICAL IND CONTRIBUTING EMPLOYER 0 BRACK'S TRANSPORT INC CONTRIBUTING EMPLOYER 0 PEE WEE TRUCKING CONTRIBUTING EMPLOYER 0 FASO EXCAVATING COMPANY CONTRIBUTING EMPLOYER 0 ARMATO PAVING INC CONTRIBUTING EMPLOYER 0 VISTAS CONST OF ILL INC CONTRIBUTING EMPLOYER 0 KS ENERGY SERVICES LLC CONTRIBUTING EMPLOYER 0 CSZABO CONTRACTING CONTRIBUTING EMPLOYER 0 MARV'S TRUCKING INC CONTRIBUTING EMPLOYER 0 T & D EXCAVATION & GRADING INC CONTRIBUTING EMPLOYER 0 HEIDI'S SERVICE CO INC CONTRIBUTING EMPLOYER 0 MAR G TRUCKING INC CONTRIBUTING EMPLOYER 0 JOHN BURNS CONSTRUCTION CO CONTRIBUTING EMPLOYER 0 DI PAOLO COMPANY CONTRIBUTING EMPLOYER 0 SMJ TRUCKING INC CONTRIBUTING EMPLOYER 0 MOONER INC CONTRIBUTING EMPLOYER 0 INTERNATIONAL PAVING INC CONTRIBUTING EMPLOYER 0 TRM TRUCKING ENTER INC CONTRIBUTING EMPLOYER 0 GALLAGHER ASPHALT CORPORATION CONTRIBUTING EMPLOYER 0 DINO'S CARTAGE INC CONTRIBUTING EMPLOYER 0 BLIZZARD WINTER SERVICES INC CONTRIBUTING EMPLOYER 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 LOCAL 731 EXCAVATORS AND PAVERS PENSION TRUST FUND O 97462