2013-01-15T09:45:10-06:00 2012-02-29 341854260 CBIZ MHM LLC 8181 E TUFTS AVENUE SUITE 600 DENVER CO 80237 990 2011-03-01 846067792 CONTRACTORS HEALTH TRUST F/K/A COLORADO CONTRACTORS TRUST CONT 3034285586 PO BOX 21240 DENVER CO 80221 THOMAS LAAKE 3034285586 2013-01-15 1 RICHARD SCORESBY CPA P00573067 7202007000 2011 2016-02-25 16:41:14Z BOB BROWN 2380 S TEJON STREET ENGLEWOOD CO 80110 18955890 0 X N/A X 1968 CO PROVIDER OF HEALTH AND WELFARE BENEFITS 4 4 0 4 0 0 0 0 16327360 14969679 132423 -89141 0 0 16459783 14880538 0 0 12324747 10819106 0 23028 0 0 0 2983781 3055141 15308528 13897275 1151255 983263 6252727 7411692 34625 24441 6218102 7387251 PROVIDER OF HEALTH AND WELFARE BENEFITS 0 0 THE PLAN PROVIDES HEALTH, LIFE, ACCIDENT, DISABILITY, HOSPITAL,MEDICAL AND SICKNESS BENEFITS TO QUALIFIED PARTICIPANTS. 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 X 4 4 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 0 0 0 X KATHY SCHULER 3039352475 2380 S TEJON STREET ENGLEWOOD CO 80110 X X BOB STEWART 2.00 X 0 0 0 VON R FRANSEN 2.00 X 0 0 0 STEVE MCWILLIAMS 2.00 X 0 0 0 DAVID BOWMAN 2.00 X 0 0 0 BOB BROWN 40.00 X 0 0 0 0 0 0 0 0 0 0 ANTHEM 700 BROADWAY DENVER CO 80273 MEDICAL BENEFITS 491633 FRINGE BENEFIT SERVICES 79 CONNELLY BLVD SHARON PA 16146 MEDICAL BENEFITS 379253 THE SEGAL COMPANY 5670 GREENWOOD PLZ BLVD 425 GREENWOOD VILLAGE CO 801112499 CONSULTING 110000 3 EMPLOYER CONTRIBUTIONS 900099 14969679 14969679 14969679 157843 157843 3828368 4075352 -246984 -246984 -246984 14880538 14880538 0 0 10819106 13333 6500 3195 43467 16500 23212 1277141 19270 8923 7352 1722 1949 1483242 COMMISSION EXPENSE 61292 PRINTED MATERIALS 45760 HOSPITAL CLAIMS REVIEW 28423 MISCELLANEOUS 19636 17252 13897275 1154013 1163558 696969 772881 6831 3133 10223 1949 0 8274 4364914 5448846 30000 15000 6252727 7411692 34625 24441 34625 24441 X 0 0 0 0 6218102 7387251 6218102 7387251 6252727 7411692 X 983263 185886 X X 0 1 1 X 0 10223 1949 8274 8274 14880538 13897275 983263 185886 185886 1169149 15066424 185886 185886 14880538 0 14880538 13897275 0 13897275 0 13897275 NEW DESIGN CONSTRUCTION OFFICER IS A TRUSTEE 429164 SEE SUPPLEMENTAL INFORMATION 0 BOWMAN CONSTRUCTION SUPPLY INC OFFICER IS A TRUSTEE 170923 SEE SUPPLEMENTAL INFORMATION 0 ASPHALT PAVING COMPANY OFFICER IS A TRUSTEE 1136035 SEE SUPPLEMENTAL INFORMATION 0 SCHEDULE L, PART IV, COLUMN D BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: THE INTERESTED PERSONS LISTED IN COLUMN A ARE COMPANIES THAT PAID CONTRIBUTIONS TO THE ORGANIZATION FOR THEIR EMPLOYEE'S HEALTH BENEFITS. THE AMOUNT OF THE CONTRIBUTIONS ARE IN COLUMN C. FORM 990, PART VI, SECTION A, LINE 8B COMMITTEES WITH AUTHORITY: THE TRUST DOES NOT HAVE ANY COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11 REVIEW OF FORM 990: A COPY OF FORM 990 WILL BE EMAILED TO EACH TRUSTEE AND THE LEGAL COUNSEL FOR THEIR INPUT BEFORE THE FORM IS FILED. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST POLICY: THE BOARD OF TRUSTEES CONDUCTS PERIODIC REVIEWS OF COMPENSATION AND BENEFITS ARRANGEMENTS TO MAKE SURE THEY ARE REASONABLE, CONFORM TO THE TRUST'S WRITTEN POLICIES, AND ARE PROPERLY RECORDED. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS: THE TRUST DOES NOT MAKE DOCUMENTS AVAILABLE TO THE PUBLIC. EXPLANATION OF CHANGE IN STATUS OF A TRUSTEE FORM 990, PART VII, LINE 5 BOB BROWN WAS A TRUSTEE UNTIL THE END OF 2011. COMMENCING 1/1/2012, HE IS THE EXECUTIVE DIRECTOR OF THE ORGANIZATION. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 185,886. FORM 990, PART XII, LINE 2C THE PROCESS FOR REVIEWING THE FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM PRIOR YEAR. ASSOCIATED GENERAL CONTRACTORS 1114 W 7TH AVE STE 200 DENVER CO 80204 840187229 MEMBERSHIP ASSOCIATION CO 501(C)(6) N/A 0 COLORADO CONTRACTORS ASSOCIATION 6880 S YOSEMITE CT 200 CENTENNIAL CO 80112 MEMBERSHIP ASSOCIATION CO 501(C)(6) N/A 0 APC CONSTRUCTION CO LLC 14802 W 44TH AVE GOLDEN CO 80401 271451736 CONSTRUCTION CO N/A UNRELATED 0 0 BETONE LLC PO BOX 23196 SILVERTHORNE CO 80498 CONSTRUCTION CO N/A UNRELATED 0 0 M & D CONSTRUCTION LLC 7388 S REVERE PKWY STE 803 CENTENNIAL CO 80112 352325687 CONSTRUCTION CO N/A UNRELATED 0 0 MARTIN VEJVODA & ASSOC 3443 S GALENA ST STE 200 DENVER CO 80231 841038838 CONSTRUCTION CO N/A UNRELATED 0 0 TRICON 2 LLC PO BOX 1330 CASTLE ROCK CO 80104 841185033 CONSTRUCTION CO N/A UNRELATED 0 0 WELLS LOVE & SCOBY 225 CANYON BLVD BOULDER CO 80302 840790514 CONSTRUCTION CO N/A UNRELATED 0 0 O'BRYAN PARTNERSHIP INC 620 MAIN STREET UNIT 8 FRISCO CO 80443 CONSTRUCTION CO N/A UNRELATED 0 0 AC EXCAVATING INC 6897 LEE STREET ARVADA CO 80004 841223844 CONSTRUCTION CO N/A AGGREGATE INDUSTRIES INC 1707 COLE BLVD STE 100 GOLDEN CO 80401 CONSTRUCTION CO N/A AINSWORTH ROCK SALES PO BOX 16561 DENVER CO 80216 840856296 CONSTRUCTION CO N/A BECO EQUIPMENT COMPANY 5555 DAHLIA STREET COMMERCE CITY CO 80022 840892199 CONSTRUCTION CO N/A BERICH MASONRY MTN DIV INC PO BOX 1393 ENGLEWOOD CO 80110 263299007 CONSTRUCTION CO N/A BOWMAN CONSTRUCTION SUPPLY 10801 E 54TH AVE DENVER CO 80239 840593938 CONSTRUCTION CO N/A BRADLEY BLASTING PO BOX 465 MORRISON CO 80465 841601135 CONSTRUCTION CO N/A BRADLEY ENGINEERING PO BOX 465 MORRISON CO 80465 840909413 CONSTRUCTION CO N/A BYERLY & COSYLEON INC 1700 WILDHORSE ROAD PUEBLO CO 81007 840860044 CONSTRUCTION CO N/A CALABRESE TRUCKING INC 6441 OSCEOLA STREET ARVADA CO 80003 840766788 CONSTRUCTION CO N/A CLEAR CREEK TRUCKING CO PO BOX 16473 DENVER CO 80216 840859173 CONSTRUCTION CO N/A CODY FLOORING & TILE INC 1960 W BATES AVE ENGLEWOOD CO 80110 841423519 CONSTRUCTION CO N/A CONSTRUCTION CONCEPTS INC 14125 MEAD STREET LONGMONT CO 80504 841176277 CONSTRUCTION CO N/A COULSON EXCAVATING 3609 N COUNTY RD 13 LOVELAND CO 80538 840702158 CONSTRUCTION CO N/A DAVE'S WELDING 1417 AIRPORT ROAD RIFLE CO 81650 CONSTRUCTION CO N/A DEFALCO CONSTRUCTION COMPANY P O BOX 820 LONGMONT CO 80502 840486436 CONSTRUCTION CO N/A DENVER INTERNAT'L STEEL PIPE P O BOX 33147 DENVER CO 80233 841028419 CONSTRUCTION CO N/A DICK CASEY CONCRETE CO PO BOX 1815 RIFLE CO 81650 841228674 CONSTRUCTION CO N/A DOUGLAS COUNTY ASPHALT CO P O BOX 422 SEDALIA CO 80135 840890084 CONSTRUCTION CO N/A FRINGE BENEFIT SERVICES 7010 N BROADWAY STE 106 DENVER CO 80221 CONSTRUCTION CO N/A GE JOHNSON 25 N CASCADE AVE STE 400 COLO SPRINGS CO 80903 840571619 CONSTRUCTION CO N/A GOULD CONSTRUCTION PO BOX 130 GLENWOOD SPGS CO 81602 742034624 CONSTRUCTION CO N/A GRAND RIVER CONSTRUCTION PO BOX 1236 GLENWOOD SPGS CO 81602 840825141 CONSTRUCTION CO N/A H E WHITLOCK INC 4808 DILLON DR PUEBLO CO 81008 840484282 CONSTRUCTION CO N/A HAMON CONTRACTORS INC 5670 FRANKLIN STREET DENVER CO 80216 841129267 CONSTRUCTION CO N/A IDEAL FENCING CORP 5795 IDEAL DRIVE ERIE CO 80516 840960348 CONSTRUCTION CO N/A IMI INC 3761 NORWOOD DR LITTLETON CO 80125 841021220 CONSTRUCTION CO N/A J-2 CONTRACTING PO BOX 129 GREELEY CO 80632 841346070 CONSTRUCTION CO N/A JALISCO INTERNATIONAL INC 6663 COLORADO BLVD COMMERCE CITY CO 80022 840995655 CONSTRUCTION CO N/A JAMES T AYERS JR PC 7931 S BROADWAY STE 349 LITTLETON CO 80122 CONSTRUCTION CO N/A JHL CONSTRUCTORS INC 7076 S ALTON WAY CENTENNIAL CO 80112 840941087 CONSTRUCTION CO N/A LAWRENCE CONSTRUCTION CO 9002 N MOORE RD LITTLETON CO 80125 840471706 CONSTRUCTION CO N/A MASTERWORKS MECHANICAL INC 461 YAMPA AVE CRAIG CO 81625 841300600 CONSTRUCTION CO N/A MILES RIPPY EXCAVATING INC 1297 COUNTY ROAD 240 GLENWOOD SPRING CO 81601 CONSTRUCTION CO N/A MOUNTAIN CONSTRUCTORS INC PO BOX 405 PLATTEVILLE CO 80651 840895413 CONSTRUCTION CO N/A MYERS & COMPANY BOX 2570 555 BASALT AVE BASALT CO 81621 840788200 CONSTRUCTION CO N/A NATIVE EXCAVATING INC 1878 13TH STREET STEAMBOAT SPGS CO 80487 840912818 CONSTRUCTION CO N/A NEW DESIGN CONSTRUCTION CO 2350 E 70TH AVE DENVER CO 80229 840988540 CONSTRUCTION CO N/A NEXT LEVEL PHYSICAL THERAPY 251 VIOLET ST UNIT 150 GOLDEN CO 80401 203059448 CONSTRUCTION CO N/A NORTHWEST READY MIX INC 2930 E US HWY 40 STE 2 CRAIG CO 81625 204752811 CONSTRUCTION CO N/A PARKER STEEL COMPANY 10270 S PROGRESS WAY PARKER CO 80134 841034125 CONSTRUCTION CO N/A PAUL'S CUSTOM GRINDING 3601 BRIGHTON BOULEVARD DENVER CO 80216 CONSTRUCTION CO N/A PAVEOVER INC 6151 HANOVER RD NW ALBUQUERQUE NM 87121 850454712 CONSTRUCTION CO N/A PLUM CREEK STRUCTURES 9160 N MOORE RD LITTLETON CO 80125 841480718 CONSTRUCTION NM N/A PRECISION EXCAVATING INC P O BOX 790 HAYDEN CO 81639 841085393 CONSTRUCTION CO N/A PRECISION SIDING 7000 N BROADWAY 3-300 DENVER CO 80221 CONSTRUCTION CO N/A PREMIER SPECIALTY CONTRACTORS 2311 S PLATTE RIVER DR DENVER CO 80223 840614397 CONSTRUCTION CO N/A PROFESSIONAL BENEFIT SERVICES 2255 N 44TH ST STE 250 PHOENIX AZ 85008 CONSTRUCTION CO N/A PROFITOOL INC 6855 S HAVANA STE 600 CENTENNIAL CO 80112 840738981 CONSTRUCTION AZ N/A RICE AND RICE INC 8150 RICE LANE FOUNTAIN CO 80817 753077987 CONSTRUCTION CO N/A RIFLE EQUIPMENT 1605 AIRPORT RD RIFLE CO 81650 840959241 CONSTRUCTION CO N/A RMC CORPORATION PO BOX 908 COLO SPRINGS CO 80901 840447129 CONSTRUCTION CO N/A SAUNDERS CONSTRUCTION INC 6950 S JORDAN RD CENTENNIAL CO 80112 840706521 CONSTRUCTION CO N/A SCHMIDT CONSTRUCTION CO 2635 DELTA DRIVE COLO SPRINGS CO 80910 381253012 CONSTRUCTION CO N/A SOUTHWEST CONTRACTING INC P O BOX 719 CORTEZ CO 81321 263948381 CONSTRUCTION CO N/A STETTNER MILLER & COHN 1050 17TH ST SUITE 1700 DENVER CO 80265 840778040 CONSTRUCTION CO N/A STUTSMAN-GERBAZ INC 30376 HIGHWAY 82 SNOWMASS CO 81654 840520673 CONSTRUCTION CO N/A SWINERTON & WALBERG CO 12400 HWY 281 N STE 200 SAN ANTONIO TX 78216 941499330 CONSTRUCTION CO N/A T LOWELL CONSTRUCTION CO 3211 S I-25 CASTLE ROCK CO 80104 CONSTRUCTION TX N/A TLM CONSTRUCTORS INC PO BOX 505 SWINK CO 81077 841188026 CONSTRUCTION CO N/A VALLEY ELECTRIC SUPPLY INC PO BOX 1507 GLENWOOD SPRING CO 81602 840636634 CONSTRUCTION CO N/A WESTERN COMFORT SYSTEMS INC 6525 W 4TH STREET GREELEY CO 80634 841212377 CONSTRUCTION CO N/A WESTERN SLOPE AGGREGATE INC 0304 HWY 133 CARBONDALE CO 81623 CONSTRUCTION CO N/A WINSLOW CRANE SERVICE 3002 S HURON STREET ENGLEWOOD CO 80110 840430683 CONSTRUCTION CO N/A ZAK DIRT INC 14290 HILLTOP ROAD LONGMONT CO 80504 840713877 CONSTRUCTION CO N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0