2013-08-15T11:29:28-05:00 2012-12-31 320043599 LEGACY PROFESSIONALS LLP 311 S WACKER DR SUITE 4000 CHICAGO IL 60606 990 2012-01-01 366073848 EXCAVATING GRADING AND ASPHALT CRAFT 731 HEALTH AND WELFARE FUND EXCA 6308874150 1000 BURR RIDGE PARKWAY BURR RIDGE IL 60527 TERRENCE J HANCOCK 6308874150 2013-08-15 1 GREG WALLENBECKER P01451145 3123680500 2012 2016-02-24 21:20:13Z TERRENCE J HANCOCK 1000 BURR RIDGE PARKWAY BURR RIDGE IL 60527 17372922 0 X N/A X 1951 IL PROVIDE INSURANCE BENEFITS 6 6 17 0 0 0 0 0 10706909 10791904 652313 797091 0 0 11359222 11588995 0 0 8727502 8657817 1310594 1408219 0 0 0 794896 393808 10832992 10459844 526230 1129151 24593865 26798435 161120 128032 24432745 26670403 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 86 0 1 17 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 2.00 X 0 0 0 JOHN LISNER 2.00 X 0 0 0 DALE BOLT 2.00 X 0 0 0 DAVID SNELTON 2.00 X 0 0 0 JOSEPH BENSON 2.00 X 0 0 0 WILLIAM H COLLINS 2.00 X 0 0 0 RICHARD CLARSON 40.00 X 129856 0 10888 129856 0 10888 1 0 0 0 BLUE CROSS BLUE SHIELD 300 EAST RANDOLPH STREET CHICAGO IL 606015099 PPO PROVIDER 317675 1 EMPLOYER CONTRIBUTIONS 900099 8640117 8640117 REIMB COMMON ADMIN EXP 900099 1225431 1225431 STOP LOSS INS. INCOME 900099 363761 363761 MEMBER CONTRIBUTIONS 900099 242067 242067 RETIREE CONTRIBUTIONS 900099 151787 151787 168741 168741 10791904 333843 333843 6247175 5783927 463248 463248 463248 11588995 9566473 0 2022522 8657817 140744 681282 264658 248102 73433 70338 53644 124072 41498 29261 9482 33022 49 10067 20969 INTERIM ADMINISTRATOR R 1406 10459844 2504593 3189312 2254257 665772 706151 900728 20936 62623 55531 16094 7092 13137889 15341666 5974881 6672929 24593865 26798435 161120 128032 161120 128032 X 0 0 0 0 24432745 26670403 24432745 26670403 24593865 26798435 1129151 1108507 0 X 0 1 X 1 0 62623 55531 7092 7092 MULTI-EMPLOYER GLOBAL AGGREGATE FUND 6672929 F 6672929 X 10809299 1108507 1108507 9700792 124072 1764131 1888203 11588995 8571641 0 8571641 124072 1764131 1888203 10459844 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: 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 INCOME 363,761. SUBROGATION RECEIPTS 81,019. REIMBURSED COMMON ADMIN EXPENSES FROM RELATED BENEFIT FUNDS 1,225,431. PRESCRIPTION REBATES 93,920. PART XII, LINE 4B - OTHER ADJUSTMENTS: STOP-LOSS INSURANCE INCOME 363,761. SUBROGATION RECEIPTS 81,019. REIMBURSED COMMON ADMIN EXPENSES FROM RELATED BENEFIT FUNDS 1,225,431. PRESCRIPTION REBATES 93,920. 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 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 2005 TRUCKING INC 0 A LAMP CONCRETE CONTRACTORS 0 ARRP TRUCKING & HAULING 0 ABBEY PAVING & SEALCOATING INC 0 ACCURATE LOGISTICS INC 0 ALLSTAR ASPHALT 0 ALPHA CONSTRUCTION 0 ALSTERDA CARTAGE & COSTR CO 0 AMERICAN LANDSCAPING INC 0 ANNZA LLC 0 ARMATO PAVING INC 0 ARROW ROAD CONSTRUCTION CO 0 BECAN CONSTRUCTION COMP 0 BECHSTEIN CONSTRUCTION CORP 0 BENCHMARK CONSTRUCTION CO 0 BEVERLY ASPHALT PAVING CO 0 BIGANE PAVING COMPANY 0 BLIZZARD WINTER SERVICES INC 0 BOTTOM LINE TRUCKING INC 0 BRACK'S TRANSPORT INC 0 BRANDENBURG INDUSTRIAL SERVICE 0 BRITES CARTAGE 0 BRITES EQUIPMENT LTC INC 0 BUILDERS ASPHALT LLC 0 CC CARTAGE 0 CK ENTERPRISES 0 CSZABO CONTRACTING 0 CARDI ASPHALT PAVING CO INC 0 CENTRAL BLACKTOP CO INC 0 CHARCORP LTD 0 CHICAGOLAND TRUCKIN INC 0 CONCRETE STRUCTURES INC 0 CROWLEY CARTAGE COMPANY 0 CROWLEY-SHEPPARD ASPHALT CO 0 D & P CONSTRUCTION CO INC 0 D E TRANSPORT INC 0 D'LAND CONSTRUCTION LLC 0 D CONSTRUCTION INC 0 D J MASSAT INC 0 DMD SERVICES 0 DANNY B KEANE ENTERPRISESINC 0 DAVIS CONCRETE CONSTR CO 0 DELTA DEMOLITION INC 0 DI MEO BROS INC 0 DUBOIS PAVING COMPANY INC 0 DUNLEAVY EXCAVATING & DEMO 0 DURO PAVE CONSTRUCTION CO INC 0 DYNAMIC WRECKING & EXCAVATION 0 E KING CONSTRUCTION INC 0 ENVIRONMENTAL CLEANSING CORP 0 FASO EXCAVATING COMPANY 0 G & M CEMENT CONSTRUCTION CO 0 G & V CONSTRUCTION CO INC 0 GLANDER PAVING CO 0 GLENBROOK EXCAVATING &CONCRETE 0 GLOBE CONSTRUCTION INC 0 GRAVELTRON INC 0 GRECO CONTRACTORS INC 0 H WIGBOLDY & SONS INC 0 HAHN TRUCKING 0 HEIDI'S SERVICE CO INC 0 HENEGHAN WRECKING CO 0 HENKELS & MC COY INC 0 INDEPENDENT MECHANICAL IND 0 INTERNATIONAL PAVING INC 0 IWEMA EXCAVATING & CONTRACTING 0 J & A ULTIMATE TRUCKING INC 0 J & R 1ST IN ASPHALT INC 0 J A JOHNSON PAVING COMPANY 0 J NARDULLI CONCRETE INC 0 J&T SERVICES INC 0 J G DEMO 0 JEK TRUCKING CO INC 0 JAMES D FIALA PAVING CO INC 0 JNS INC 0 JOHN BURNS CONSTRUCTION CO 0 JOINT COUNCIL #25 0 K & A TRUCKING 0 K-FIVE CONSTRUCTION CORP 0 KORDAS AUTO & TRUCK SVC INC 0 KS ENERGY SERVICES LLC 0 LEEWAY WRECKING INC 0 LENNY HOFFMAN EXCAVATING INC 0 LINDAHL BROTHERS 0 LO VERDE CONSTRUCTION CO INC 0 LORIG CONST 0 MARTINEZ FROG'S INC 0 MARV'S TRUCKING INC 0 MC HUGH CONSTRUCTION COMPANY 0 MEADE INC 0 MICHAEL KEANE ENTERPRISESINC 0 MICHELS PIPELINE CONST 0 MIDWEST WRECKING COMPANY 0 MOONER INC 0 MQ CONSTRUCTION CO 0 NAD VENTURES INC 0 NASH BROTHERS CONSTR CO 0 NATIONAL WRECKING COMPANY 0 NPL CONSTRUCTION CO 0 OLTHOFF INC 0 ORANGE CRUSH LLC 0 PARKING LOTS PLUS LLC 0 PEE WEE TRUCKING 0 PLOTE CONSTRUCTION INC 0 R J R EXCAVATING 0 R ORSTROM ENTERPISES INC 0 R W COLLINS INC 0 RJ HARMS TRUCKING & EXCAVAT 0 RAIMONDI CARTAGE INC 0 RAUSCH CONSTRUCTION CO INC 0 RELIABLE CONTR & EQUIP CO 0 REYNAGA BROS CONSTRUCTION CORP 0 RICCIWELCH INC 0 RICO ENTERPRISES INC 0 RITE WAY SWEEPING & MAIN 0 RITEWAY CONSTRUCTION SRV INC 0 ROBERT D BLOOM 0 ROCK SOLID PAVING & EXCAVATING 0 ROSSI CONTRACTORS COMPANY 0 ROY STROM EXCAVATING & GRADING 0 ROY'S PAVING & SEALCOATING CO 0 SCHUEPFER INC 0 SCORPIO EXCAVATING INC 0 SHEPLEY MOTOR EXPRESS INC 0 SILVESTRI PAVING COMPANY 0 SMJ TRUCKING INC 0 SONICAN TRUCKING INC 0 STRADA CONSTRUCTION 0 SWANSON ASPHALT COMPANY 0 SWANSON CONTRACTING CO INC 0 T & D EXCAVATION & GRADING INC 0 TJ LAMBRECHT CONST CO 0 TANZILLO CONTRACTORS INC 0 TAYLOR EXCAV & WRECKING INC 0 THE PACIFIC COMPANY 0 THE PATCHING PEOPLE INC 0 TOURES TRUCKING INC 0 TROCH-MCNEIL PAVING COMPANY 0 V & R CARTAGE COMPANY 0 VISTAS CONST OF ILL INC 0 WE O'NEIL CONSTRUCTION CO 0 WESTERN UTILITY CONTRACTORS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 LOCAL 731 EXCAVATORS AND PAVERS PENSION TRUST FUND O 104096