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CONSTRUCTION INDUSTRY LABORERS WELFARE FUND: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
CONSTRUCTION INDUSTRY LABORERS WELFARE FUND (EIN 44-0568755)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-08-13
IRS object ID
201342259349301174
Schema version
2012v2.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-08-13T08:08:00-07:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CUNEO LAWSON SHAY & STALEYBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11100 MAIN STREET SUITE 2880AddressLine1
CityKANSAS CITYCity
StateMOState
ZIP Code64105ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN440568755EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1CONSTRUCTION INDUSTRY LABORERS WELFARE FUNDBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCONSNameControl
Phone9132365490Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line16405 METCALF BLDG 3AddressLine1
CityOVERLAND PARKCity
StateKSState
ZIP Code66202ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NamePERRI PRYORName
TitleCHAIRMANTitle
Phone9132365490Phone
Date Signed2013-08-12DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameR STEPHEN STALEYName
Phone8168420805Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonPERRI PRYORNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1601 SOUTH FOURTH STREETAddressLine1
CityST CHARLESCity
StateMOState
ZIP Code63301ZIPCode
FieldValueIRS element (for citing)
Gross Receipts71885392GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteN/AWebSite
Type Of Organization TrustXTypeOfOrganizationTrust
Year Formation1952YearFormation
State Legal DomicileKSStateLegalDomicile
Activity Or Mission DescriptionProvide health & welfare benefitsActivityOrMissionDescription
Nbr Voting Members Governing Body10NbrVotingMembersGoverningBody
Nbr Independent Voting Members10NbrIndependentVotingMembers
Total Nbr Employees86TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year38872934ProgramServiceRevenuePriorYear
Program Service Revenue CY41903851ProgramServiceRevenueCY
Investment Income Prior Year2987182InvestmentIncomePriorYear
Investment Income Current Year3402887InvestmentIncomeCurrentYear
Other Revenue Prior Year16660OtherRevenuePriorYear
Other Revenue Current Year4721OtherRevenueCurrentYear
Total Revenue Prior Year41876776TotalRevenuePriorYear
Total Revenue Current Year45311459TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year39641368BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY35604029BenefitsPaidToMembersCY
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year3396847OtherExpensePriorYear
Other Expenses Current Year3963200OtherExpensesCurrentYear
Total Expenses Prior Year43038215TotalExpensesPriorYear
Total Expenses Current Year39567229TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-1161439RevenuesLessExpensesPriorYear
Revenues Less Expenses CY5744230RevenuesLessExpensesCY
Total Assets BOY80680110TotalAssetsBOY
Total Assets EOY87617717TotalAssetsEOY
Total Liabilities BOY2088768TotalLiabilitiesBOY
Total Liabilities EOY1538297TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY78591342NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY86079420NetAssetsOrFundBalancesEOY
Mission DescriptionProvide health & welfare benefitsMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
DescriptionTHE FUND PROVIDES HEALTH AND WELFARE BENEFITS FOR APPROXIMATELY 5200 COVERED PARTICIPANTS AND THEIR DEPENDENTS.Description
Described In501 C3falseDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingtrueCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredfalseScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096989NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees86NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members10NbrVotingGoverningBodyMembers
Number Independent Voting Members10NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiestrueDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicyfalseWhistleblowerPolicy
Document Retention PolicyfalseDocumentRetentionPolicy
Compensation Process CEOfalseCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1TIC INTERNATIONALBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number9132365490TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line16405 METCALF BLDG 3 STE 200AddressLine1
CityOVERLAND PARKCity
StateKSState
ZIP Code66202ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (10 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
PERRI L PRYOR
Chairman0.00X000
STEVE C GLENN
Secretary0.00X000
GABRIEL T JONES
Trustee0.00X000
JASON P MENDENHALL
Trustee0.00X000
MARK R NIDIFFER
Trustee0.00X000
JAMES SPARKS
Trustee0.00X000
STEVE WHELAN
Trustee0.00X000
JOE GARRISON
Trustee0.00X000
GEORGE C HORNUNG
Trustee0.00X000
DAVID KAESTNER
Trustee0.00X000
FieldValueIRS element (for citing)
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
BLUE CROSS BLUE SHIELD
PO BOX 419169KANSAS CITYMO64141Preferred Provider Org1873111
TIC INTERNATIONAL
6405 METCALF 200SHAWNEE MISSIONKS66202TPA/Employer Auditor713180
GEBER LIFE INSURANCE
1311 MAMARONECK AVE SUITE 350WHITE PLAINSNY10650Inxurance Carrier477791
ARNOLD NEWBOLD ETAL
1125 GRAND 1600KANSAS CITYMO64106Attorney177661
LDI PHARMACY SVS
680 CRAIG RD SUITE 200CREVE COEURMO63141Prescription manager171842
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumn
Employer Contributions90009937556596
Participant Contributions9000994347255
FieldValueIRS element (for citing)
Total Program Service Revenue41903851TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column2349726TotalRevenueColumn
Exclusion$2,349,726ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities27627094Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities26573933Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities1053161Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column1053161TotalRevenueColumn
Exclusion$1,053,161ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Liquidated Damages90009920352035
Other Income90009926862686
FieldValueIRS element (for citing)
Total Other Revenue4721TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column45311459TotalRevenueColumn
Related Or Exempt Function Income41908572RelatedOrExemptFunctionIncome
Exclusion$3,402,887ExclusionAmount

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total35604029Total
Program Services35604029ProgramServices

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total608098Total
Program Services608098ProgramServices

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total177661Total
Program Services177661ProgramServices

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total139164Total
Program Services139164ProgramServices

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total180791Total
Program Services180791ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total62559Total
Program Services62559ProgramServices

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total8659Total
Program Services8659ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total6855Total
Program Services6855ProgramServices

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total7463Total
Program Services7463ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total157Total
Program Services157ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total514694Total
Program Services514694ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
Preferred Provider Fees19511451951145
Prescription Drug Fees172516172516
Consulting9850098500
Bank charges2693826938

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total8000Total
Program Services8000ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total39567229Total
Program Services39567229ProgramServices

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY847840BOY
EOY1444893EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY8897494BOY
EOY11131196EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY3215143BOY
EOY3742830EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY87248BOY
EOY64273EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis31564LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec30975LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY746BOY
EOY589EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY66942883BOY
EOY68649414EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
EOY2230230EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY688756BOY
EOY354292EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY80680110BOY
EOY87617717EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY469047BOY
EOY451439EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY1275398BOY
EOY1086858EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY344323BOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY2088768BOY
EOY1538297EOY
FieldValueIRS element (for citing)
Do Not Follow SFAS117XDoNotFollowSFAS117

Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc

FieldValueIRS element (for citing)
BOY78591342BOY
EOY86079420EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY78591342BOY
EOY86079420EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY80680110BOY
EOY87617717EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses5744230ReconcilationRevenueExpenses
Reconciliation Unrealized Invest1743848ReconciliationUnrealizedInvest
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee EtcfalseAgentTrusteeEtc
Included On FStrueIncludedOnFS

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis31564OtherCostOrOtherBasis
Depreciation30975Depreciation
Book Value589BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings589TotalOfBookValueLandBuildings
Tot Revenue Etc Audited Fincl Stmt46874516TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments1743848NetUnrealizedGainsInvestments
Revenue Not Rptd F9901743848RevenueNotRptdF990
Revenue Subtotal45130668RevenueSubtotal
Investment Expenses Not Included180791InvestmentExpensesNotIncluded
Revenue Not Rptd On Fin Stmt180791RevenueNotRptdOnFinStmt
Total Revenue Per Form99045311459TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt39386438TotExpensesEtcAuditedFinclStmt
Expenses Subtotal39386438ExpensesSubtotal
Investment Expenses Not Included2180791InvestmentExpensesNotIncluded2
Expenses Not Rptd On Fin Stmt180791ExpensesNotRptdOnFinStmt
Total Expenses Per Form99039567229TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

IdentifierIdentifierExplanationExplanation
Pt IV Line 2bThe Welfare Plan serves as depository for several collectively bargained funds.
EMPLOYERS SUBMIT CONTRIBUTIONS TO THE DEPOSITORY WHICH ARE THEN ALLOCATED AND TRANSFERRED TO THE CORRESPONDING ENTITY TO WHICH THEY BELONG. THE AMOUNT PAYABLE TO THE OTHER FUNDS AT 12-31-12 IS REPORTED ON THE BALANCE SHEET ON LINE 21.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierExplanationExplanation
Pt VI, Line 3The Fund is contracted with TIC International, a third party administrator,
who pays claims and handles the day to day operation of the Fund.
Pt VI, Line 11bCopies of form 990 are provided to the Chairman and Co-Chairman for review.
Pt VI, Line 19No documents available to the public.
Pt VI, Line 12cThe conflict of interest policy is reviewed annually at a board meeting.
Pt XIFund balance changed by unrealized gain on investments.
Form 990, Part IX, Line 24fDUES AND SUBSCRIPTIONS 955. 955. TELEPHONE 121. 121. EQUIPMENT RENTAL 1080. 1080. MISCELLANEOUS 5844. 5844.