TRUSTEE

2013-04-18T16:00:03-05:00 2012-06-30 320043599 LEGACY PROFESSIONALS LLP 311 S WACKER DRIVE STE 4000 CHICAGO IL 60606 990 2011-07-01 362392752 PRIVATE SCAVENGERS HEALTH & WELFARE FUND 731 I B OF T PRIV 6308874150 1000 BURR RIDGE PKWY BURR RIDGE IL 60527 TERRENCE J HANCOCK TRUSTEE 6308874150 2013-04-18 1 TIMOTHY CIBULKA P00841100 3123680500 2011 2016-02-25 16:41:14Z TERRENCE J HANCOCK 1000 BURR RIDGE PKWY BURR RIDGE IL 60527 47203444 0 X N/A X 1953 IL PROVIDE HEALTH BENEFITS 6 6 0 0 0 0 0 0 21160576 21577118 360791 2226255 7029 0 21528396 23803373 0 0 18553698 21707812 0 0 0 0 0 926420 931276 19480118 22639088 2048278 1164285 41233331 42004965 404273 141128 40829058 41863837 TO PROVIDE HEALTH BENEFITS 0 0 TO PROVIDE MEDICAL, SURGICAL, HOSPITAL, LIFE, DENTAL, MAJOR MEDICAL AND VISION CARE BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS. 0 0 0 0 0 0 0 0 0 1 1 0 0 1 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 0 1 138 0 1 0 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 MR TERRENCE J HANCOCK 6308874150 1000 BURR RIDGE PARKWAY BURR RIDGE IL 60527 X X TERRENCE J HANCOCK TRUSTEE 0.50 X 0 0 0 JOHN LISNER TRUSTEE 0.50 X 0 0 0 TIM DUNLAP TRUSTEE 0.50 X 0 0 0 THOMAS YONKER TRUSTEE 0.50 X 0 0 0 LAWRENCE GROOT TRUSTEE 0.50 X 0 0 0 STEVE VOGRIN TRUSTEE 0.50 X 0 0 0 RICHARD CLARSON ADMINISTRATOR 40.00 X 0 0 0 0 0 0 0 0 0 0 BLUE CROSS BLUE SHIELD 300 EAST RANDOLPH STREET CHICAGO IL 606015099 PPO PROVIDER 813125 1 EMPLOYER CONTRIB. 900099 21291087 21291087 PARTICIPANT CONTRIB. 900099 157353 157353 PENSIONER CONTRIB. 900099 128678 128678 21577118 122615 122615 25503711 23400071 2103640 2103640 2103640 23803373 21577118 0 2226255 21707812 72034 48096 160028 32216 62105 16502 88002 12792 18277 REIMB. OF ADMN EXP 421224 22639088 2528620 2041414 3603547 722746 1742123 2385648 10466 15632 68168 52901 28058 15267 6437977 13170202 26882540 23654056 41233331 42004965 49968 46013 354305 95115 404273 141128 X 0 0 0 0 40829058 41863837 40829058 41863837 41233331 42004965 X 1164285 -129506 X 0 1 1 X 0 68168 52901 15267 15267 COMMON AND COLLECTIVE TRUST 23654056 F 23654056 DUE TO RELATED ORGANIZATIONS 95115 95115 23803373 22639088 1164285 -129506 -129506 1034779 23513839 -129506 -129506 23643345 160028 160028 23803373 22479060 0 22479060 160028 160028 22639088 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: THE PLAN FILES FORM 990, RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX AND FORM 5500, ANNUAL RETURN/REPORT OF EMPLOYEE BENEFIT PLAN. THE PLANS RETURNS ARE SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE UNTIL THE APPLICABLE STATUTE OF LIMITATION EXPIRES. FORM 990, PART VI, SECTION A, LINE 8B THE ORGANIZATION HAS NO COMMITTEES WITH AUTHORITY TO ACT ON 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 REVIEW, THE FORM IS APPROVED 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 AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST AT THE FUND OFFICE. SECTION B, LINE 15 SALARIES ARE INCLUDED IN AN ANNUAL COST ALLOCATION STUDY WITH OTHER TEAMSTERS LOCAL 731 BENEFIT FUNDS. THE STUDY IS APPROVED BY THE BOARD OF TRUSTEES. FORM 990, PART VII, SECTION A RICHARD CLARSON IS THE ADMINISTRATOR OF THE SCAVENGERS HEALTH AND WELFARE FUND IN ADDITION TO THE FUND'S AFFILIATED ORGANIZATIONS. HIS COMPENSATION IS NOT PAID DIRECTLY BY THE SCAVENGERS HEALTH AND WELFARE FUND, BUT HE IS CONSIDERED A KEY EMPLOYEE FOR 990 REPORTING PURPOSES. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -129,506. LOCAL #731 PRIVATE SCAV & GARAGE ATTENDANTS PENSION TST FD 1000 BURR RIDGE PARKWAY BURR RIDGE IL 60527 366513567 TO PROVIDE RETIREMENT BENEFITS FOR ELIGIBLE PARTICIPANTS IL 401(A) N/A N/A 0 ACCURATE RECYCLING SOLUTIONS 2851 MOUND ROAD JOLIET IL 60436 CONTRIBUTING EMPLOYER IL ACCURATE WASTE & RECYCLING SER 2851 MOUND ROAD JOLIET IL 60436 CONTRIBUTING EMPLOYER IL ADVANCED DISPOSAL SERVICES 90 FORT WADE ROAD PONTE VERDA FL 32081 CONTRIBUTING EMPLOYER FL REPUBLIC SERVICES INC 18500 N ALLIED WAY PHOENIX AZ 85054 CONTRIBUTING EMPLOYER AZ ARC DISPOSAL COMPANY 5050 W LAKE STREET MELROSE PARK IL 60160 CONTRIBUTING EMPLOYER IL AUBURN DISPOSAL INC 8913 S GREEN ST CHICAGO IL 60620 CONTRIBUTING EMPLOYER IL BOLT SCAVENGER SERVICE INC 5819 W ODGEN CICERO IL 60650 CONTRIBUTING EMPLOYER IL CHICAGO DISPOSAL INC 1924 177TH ST LANSING IL 60438 CONTRIBUTING EMPLOYER IL CID CORP 700 E BUTTERFIELD ROAD 4TH FLOOR LOMBARD IL 60148 CONTRIBUTING EMPLOYER IL CLASSIC CARRIERS INC 1817 N 18TH AVE MELROSE PARK IL 60160 CONTRIBUTING EMPLOYER IL CROWN RECYCLING & WASTE SERV 8475 W 53RD ST MC COOK IL 60525 CONTRIBUTING EMPLOYER IL D & P CONSTRUCTION CO INC RECY 8605 W BRYN MAWR AVE SUITE 301 CHICAGO IL 60631 CONTRIBUTING EMPLOYER IL DISPOSAL MANAGEMENT SYSTEMS 420 CUTTERS MILL SCHAUMBURG IL 60194 CONTRIBUTING EMPLOYER IL DJURIC TRUCKING 4805 SHEFFIELD AVE HAMMOND IN 46327 CONTRIBUTING EMPLOYER IN ECONOMY DISPOSAL SERVICE INC 515 ASPEN DRIVE LOMBARD IL 60148 CONTRIBUTING EMPLOYER IL EMESCO MARINE SERVICES 12100 S STONEY ISLAND CHICAGO IL 60633 CONTRIBUTING EMPLOYER IL EMIL & ED'S TIRE PO BOX 906 MATTESON IL 60443 CONTRIBUTING EMPLOYER IL ENO INC P O BOX 87350 CAROL STREAM IL 60188 CONTRIBUTING EMPLOYER IL FLOOD BROS DISPOSAL 17W697 BUTTERFIELD RD OAK BROOK TERR IL 60181 CONTRIBUTING EMPLOYER IL G & J INC 13135 HIDDEN VALLEY DRIVE HOMER GLEN IL 60491 CONTRIBUTING EMPLOYER IL GROOT RECYCLING & WASTE 2500 LANDMEIER ROAD ELK GROVE VLG IL 60007 CONTRIBUTING EMPLOYER IL H2 TRANSPORT INC P O BOX 987 MOKENA IL 60448 CONTRIBUTING EMPLOYER IL HERITAGE DISPOSAL LLC 61 DRENDEL LANE NAPERVILLE IL 60565 CONTRIBUTING EMPLOYER IL HFP ENTERPRISES INC 11209 W 85TH PL WILLOW SPRINGS IL 60480 CONTRIBUTING EMPLOYER IL HOMEWOOD SCAVENGER SERVICE INC 1501 W 175TH STREET HOMEWOOD IL 60430 CONTRIBUTING EMPLOYER IL HOOSIER HAULERS WASTE SERV INC P O BOX 1651 HIGHLAND IN 46322 CONTRIBUTING EMPLOYER IN ILLIANA DISTRIBUTION SYSTEMS 2238 W 167TH ST MARKHAM IL 60426 CONTRIBUTING EMPLOYER IL INDEPENDENT RECYCLING SER INC 2401 S LAFLIN CHICAGO IL 60608 CONTRIBUTING EMPLOYER IL INTERNATIONAL CONTRACTORS 977 S RT 83 ELMHURST IL 60126 CONTRIBUTING EMPLOYER IL J & H DISPOSAL SERVICES INC 8530 EVERGREEN LANE DARIEN IL 60561 CONTRIBUTING EMPLOYER IL JGB TRUCKING 6404 BELSHAW ROAD LOWELL IN 46356 CONTRIBUTING EMPLOYER IN KAL TRUCKING INC 16052 DEBRA DRIVE OAK FOREST IL 60452 CONTRIBUTING EMPLOYER IL LAKE SHORE WASTE SERVICES LLC 6132 OAKTON ST MORTON GROVE IL 60053 CONTRIBUTING EMPLOYER IL LAND & LAKES DISPOSAL SERV LLC 123 N NORTHWEST HWY PARK RIDGE IL 60068 CONTRIBUTING EMPLOYER IL LAND OF LINCOLN DEVELOPMENT CO 2061 E 14TH ST FORD HEIGHTS IL 60411 CONTRIBUTING EMPLOYER IL MBL RECYCLING INC 630 S HICKS RD PALATINE IL 60067 CONTRIBUTING EMPLOYER IL MIDWEST MARINE TERMINALS INC P O BOX 17390 CHICAGO IL 60617 CONTRIBUTING EMPLOYER IL MIDWEST REM ENTEPRISES INC 2601 W LEMOYNE MELROSE PARK IL 60160 CONTRIBUTING EMPLOYER IL PRAIRIE DISPOSAL SERVICE INC 32302 S KEDZIE AVE GRANT PARK IL 60940 CONTRIBUTING EMPLOYER IL PULLMAN WASTE PROCESSING INC 20635 ABBEY WOODS CT N SUITE 303 FRANKFORT IL 60423 CONTRIBUTING EMPLOYER IL RAY SCHRAMER & COMPANY 1052 E PARK AVE PO BOX 204 LIBERTYVILLE IL 60048 CONTRIBUTING EMPLOYER IL REPUBLIC SERVICES - SKYLINE 13701 S KOSTNER CRESTWOOD IL 60445 CONTRIBUTING EMPLOYER IL RIVERSIDE CONSTRUCTION 9345 SOUTHVIEW AVE BROOKFIELD IL 60513 CONTRIBUTING EMPLOYER IL SOLLE TRUCKING 16037 S 90TH AVENUE ORLAND HILLS IL 60477 CONTRIBUTING EMPLOYER IL STA-CLEAN SYSTEMS INC 12355 COPPER LANE HUNTLEY IL 60142 CONTRIBUTING EMPLOYER IL STROM REFUSE & REMOVAL SERVICE 1201 GREENWOOD AVE MAYWOOD IL 60153 CONTRIBUTING EMPLOYER IL TRI STATE DISPOSAL INC P O BOX 627 BLUE ISLAND IL 60406 CONTRIBUTING EMPLOYER IL U S ARBOR INC 5600 N RIVER RD SUITE 800 ROSEMONT IL 60018 CONTRIBUTING EMPLOYER IL UNION RECYCLING & WASTE 3333 LINCOLN WAY LYNWOOD IL 60411 CONTRIBUTING EMPLOYER IL VANS DISPOSAL 11641 RIDGELAND ALSIP IL 60803 CONTRIBUTING EMPLOYER IL VEOLIA ENVIRONMENTAL SERVICES 700 E BUTTERFIELD ROAD LOMBARD IL 60148 CONTRIBUTING EMPLOYER IL WASTE MANAGEMENT 1001 FANNIN SUITE 4000 HOUSTON TX 77002 CONTRIBUTING EMPLOYER TX WILLEN ENTERPRISES INC 16223 LOWELL AVE SOUTH HOLLAND IL 60473 CONTRIBUTING EMPLOYER IL WMI SERVICES METROPOL 02354 700 E BUTTERFIELD ROAD 4TH FLOOR LOMBARD IL 60148 CONTRIBUTING EMPLOYER IL ZENERE EXCAVATING 317 MARGARET ST THORNTON IL 60476 CONTRIBUTING EMPLOYER IL 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 1 LOCAL 731 GARAGE ATTENDANTS PENSION TRUST FUND J 88002 ALLOCATION APPROVED BY TRUSTEES SCHEDULR R, PART IV: AS PART OF ITS NORMAL DAY TO DAY OPERATIONS, THE FUND DOES NOT MAINTAIN THE INFORMATION NECESSARY TO ENTIRELY COMPLETE THIS PORTION OF FORM 990. THE FUND HAS REPORTED AS MUCH OF THE INFORMATION AS IS READILY AVAILABLE FROM FUND RECORDS IN COMPLETING THIS SECTION OF THE FORM. SCHEDULE R, PART IV, COLUMN A: THE FUND HAS OMITTED THE EMPLOYER IDENTIFICATION NUMBER OF ITS CONTRIBUTING EMPLOYERS IN THIS PART OF THE FORM DUE TO THE SENSITIVE NATURE OF THIS INFORMATION. THE INFORMATION MAY BE AVAILABLE AT THE FUND OFFICE.