MINNESOTA CEMENT MASONS HEALTH AND WELFARE FUND: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- MINNESOTA CEMENT MASONS HEALTH AND WELFARE FUND (EIN 41-6023462)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-10-15
- IRS object ID
- 201342889349300824
- Schema version
- 2012v2.1
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-10-15T13:31:34-05:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 320043599 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LEGACY PROFESSIONALS LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6800 FRANCE AVENUE SO SUITE 550 | AddressLine1 |
| City | EDINA | City |
| State | MN | State |
| ZIP Code | 55435 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 416023462 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MINNESOTA CEMENT MASONS HEALTH & WELFARE | BusinessNameLine1 |
| Business Name Line2 | C/O ZENITH AMERICAN SOLUTIONS | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | MINN | NameControl |
| Phone | 6512561804 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2520 PILOT KNOB ROAD NO 325 | AddressLine1 |
| City | MENDOTA HEIGHTS | City |
| State | MN | State |
| ZIP Code | 55120 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | GREGORY MASSEY | Name |
| Title | TRUSTEE | Title |
| Phone | 6512561804 | Phone |
| Date Signed | 2013-10-09 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | ERIC C BAERTSCH | Name |
| PTIN | P00964071 | PTIN |
| Phone | 9528413950 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | GREGORY MASSEY | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2520 PILOT KNOB ROAD NO 325 | AddressLine1 |
| City | MENDOTA HEIGHTS | City |
| State | MN | State |
| ZIP Code | 55120 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 11460636 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| Web Site | N/A | WebSite |
| Type Of Organization Trust | X | TypeOfOrganizationTrust |
| Year Formation | 1960 | YearFormation |
| State Legal Domicile | MN | StateLegalDomicile |
| Activity Or Mission Description | TO PROVIDE HEALTH BENEFITS | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 8 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 1 | NbrIndependentVotingMembers |
| Total Nbr Employees | 3 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 0 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 7081031 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 7989287 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 260760 | InvestmentIncomePriorYear |
| Investment Income Current Year | 381781 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 22246 | OtherRevenuePriorYear |
| Other Revenue Current Year | 33151 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 7364037 | TotalRevenuePriorYear |
| Total Revenue Current Year | 8404219 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 5883416 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 6944511 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 0 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 0 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 687449 | OtherExpensePriorYear |
| Other Expenses Current Year | 552004 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 6570865 | TotalExpensesPriorYear |
| Total Expenses Current Year | 7496515 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 793172 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 907704 | RevenuesLessExpensesCY |
| Total Assets BOY | 11800517 | TotalAssetsBOY |
| Total Assets EOY | 13282667 | TotalAssetsEOY |
| Total Liabilities BOY | 55044 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 69806 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 11745473 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 13212861 | NetAssetsOrFundBalancesEOY |
| Mission Description | TO PROVIDE HEALTH BENEFITS | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Description | TO PROVIDE HEALTH CARE, DEATH AND DISABILITY BENEFITS FOR ELIGIBLE MEMBERS AND THEIR DEPENDENTS OR BENEFICIARIES | Description |
| Described In501 C3 | 0 | DescribedIn501C3 |
| Schedule B Required | 0 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 0 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 0 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 0 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 226 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 3 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 8 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 1 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 1 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 0 | WhistleblowerPolicy |
| Document Retention Policy | 0 | DocumentRetentionPolicy |
| Compensation Process CEO | 0 | CompensationProcessCEO |
| Compensation Process Other | 0 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ZENITH AMERICAN SOLUTIONS | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 6512561804 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2520 PILOT KNOB ROAD SUITE 325 | AddressLine1 |
| City | MENDOTA HEIGHTS | City |
| State | MN | State |
| ZIP Code | 55120 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (11 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation |
|---|---|---|---|---|---|
| GREG JOHNSON | |||||
| TRUSTEE | 2.00 | X | 0 | 91539 | 51756 |
| GREG MASSEY | |||||
| SECRETARY | 2.00 | X | 0 | 90359 | 55205 |
| ARLAND ANDERSON | |||||
| CHAIRMAN-PAST | 2.00 | X | 0 | 0 | 0 |
| STEVE BULACH | |||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 |
| ROBERT RIDGE | |||||
| TRUSTEE | 2.00 | X | 0 | 91189 | 51756 |
| DAVE SCHUTTA | |||||
| TRUSTEE | 2.00 | X | 0 | 36713 | 20121 |
| STEVE FRITZ | |||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 |
| MIKE SYVERSRUD | |||||
| ALTERNATE TRUSTEE | 2.00 | X | 0 | 77694 | 51756 |
| TIM WORKE | |||||
| CHAIRMAN | 2.00 | X | 0 | 0 | 0 |
| DAVID JOSLIN | |||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 |
| JAMES TURITTO | |||||
| ALTERNATE TRUSTEE | 2.00 | X | 0 | 0 | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 0 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 387494 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 230594 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 0 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (2 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| ZENITH AMERICAN SOLUTIONS INC | |||||
| 2520 PILOT KNOB ROAD SUITE 325 | MENDOTA HEIGHTS | MN | 55120 | THIRD PARTY ADMINISTRATOR | 305854 |
| FELHABER LARSON FENLON & VOGT | |||||
| 444 CEDAR STREET SUITE 2100 | ST PAUL | MN | 55101 | ATTORNEY | 119482 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 2 | NumberOfContractorsGT100K |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| EMPLOYER CONTRIB | 900099 | 7462454 | 7462454 |
| SELF-PAY CONTRIB | 900099 | 526833 | 526833 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 7989287 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 310164 | TotalRevenueColumn |
| Exclusion | $310,164 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 3128034 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 3056417 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 71617 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 71617 | TotalRevenueColumn |
| Exclusion | $71,617 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | CATALYST RX REBATES | Description |
| Business Code | 900099 | BusinessCode |
| Total Revenue Column | 33151 | TotalRevenueColumn |
| Exclusion | $33,151 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 33151 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 8404219 | TotalRevenueColumn |
| Related Or Exempt Function Income | 7989287 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $414,932 | ExclusionAmount |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6944511 | Total |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 208590 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 119482 | Total |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 44804 | Total |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3000 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 40506 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 65464 | Total |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 39776 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11324 | Total |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9420 | Total |
Other Expenses OtherExpenses (2 entries)
| DescriptionDescription | TotalTotal |
|---|---|
| GOVERNMENT COMPLIANCE | 8158 |
| DUES & SUBSCRIPTIONS | 1480 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7496515 | Total |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 588028 | BOY |
| EOY | 400327 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4109203 | BOY |
| EOY | 4684336 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 542301 | BOY |
| EOY | 499342 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3065 | BOY |
| EOY | 7050 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6557920 | BOY |
| EOY | 7691612 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11800517 | BOY |
| EOY | 13282667 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 55044 | BOY |
| EOY | 69806 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 55044 | BOY |
| EOY | 69806 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Do Not Follow SFAS117 | X | DoNotFollowSFAS117 |
Cap Stck Trst Prin Current Funds CapStckTrstPrinCurrentFunds
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Paid In Cap Srpls Land Bldg Eqp Fund PaidInCapSrplsLandBldgEqpFund
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11745473 | BOY |
| EOY | 13212861 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11745473 | BOY |
| EOY | 13212861 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11800517 | BOY |
| EOY | 13282667 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 907704 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 559684 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Separate | X | FinancialStatementSeparate |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 0 | TotalOfBookValueLandBuildings |
| Footnote In Part XIII | X | FootnoteInPartXIII |
| Tot Revenue Etc Audited Fincl Stmt | 8923397 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 559684 | NetUnrealizedGainsInvestments |
| Revenue Not Rptd F990 | 559684 | RevenueNotRptdF990 |
| Revenue Subtotal | 8363713 | RevenueSubtotal |
| Investment Expenses Not Included | 40506 | InvestmentExpensesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 40506 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 8404219 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 7456009 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 7456009 | ExpensesSubtotal |
| Investment Expenses Not Included2 | 40506 | InvestmentExpensesNotIncluded2 |
| Expenses Not Rptd On Fin Stmt | 40506 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 7496515 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | Identifier |
| Return Reference | PART X, LINE 2: | ReturnReference |
| Explanation | 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 LIMITATIONS EXPIRE. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (4 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 3 | ALTHOUGH THE BOARD OF TRUSTEES RETAINS THE ULTIMATE RESPONSIBILITY, THEY HAVE DELEGATED THE DAY TO DAY ADMINISTRATIVE DUTIES TO ZENITH AMERICAN SOLUTIONS AS THE THIRD PARTY ADMINISTRATOR OF THE PLAN. |
| FORM 990, PART VI, SECTION B, LINE 11 | FORM 990 IS PROVIDED TO, REVIEWED, AND APPROVED BY THE ENTIRE BOARD OF TRUSTEES BEFORE FORM 990 IS FILED. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE TRUSTEES EVALUATE ANY POSSIBLE CONFLICTS OF INTEREST ANNUALLY WITH THE PLAN'S ATTORNEY. IN ADDITION, TO ENSURE THE PLAN OPERATES IN A MANNER CONSISTENT WITH NONPROFIT PURPOSES AND DOES NOT ENGAGE IN ACTIVITIES THAT COULD JEOPARDIZE ITS LAWFUL STATUS AND FIDUCIARY OBLIGATIONS, PERIODIC REVIEWS OF COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY ARE CONDUCTED. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE PLAN MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO PARTICIPANTS UPON REQUEST. THESE DOCUMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (8 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Controlled OrgControlledOrg | EINEIN |
|---|---|---|---|---|---|---|---|---|
| KANSAS CITY CEMENT MASONS | ||||||||
| 6405 METCALF SUITE 200 | OVERLAND PARK | KS | 66202 | CONTRIBUTING EMPLOYER | KS | 501(C)5 | 0 | |
| CITY OF MINNEAPOLIS FINANCE - ACCOUNTS PAYABLE | ||||||||
| 350 S 5TH ST ROOM 210 1/2 | MINNEAPOLIS | MN | 55415 | CONTRIBUTING EMPLOYER | MN | GOVERNMENT | 0 | 416005375 |
| CITY OF ST PAUL | ||||||||
| 15 W KELLOGG BLVD ROOM 700 | ST PAUL | MN | 55102 | CONTRIBUTING EMPLOYER | MN | GOVERNMENT | 0 | |
| ST PAUL PUBLIC SCHOOLS | ||||||||
| 360 COLBORNE STREET | ST PAUL | MN | 55102 | CONTRIBUTING EMPLOYER | MN | GOVERNMENT | 0 | 410901311 |
| UNIVERSITY OF MINNESOTA-PAYROLL | ||||||||
| 1300 S SECOND STREET SUITE 545 | MINNEAPOLIS | MN | 55454 | CONTRIBUTING EMPLOYER | MN | GOVERNMENT | 0 | |
| MN CEMENT PLAST SHOPHANDS JATT | ||||||||
| 2180 OLD HIGHWAY 8 | NEW BRIGHTON | MN | 55112 | CONTRIBUTING EMPLOYER | MN | TAX EXEMPT TRUST | 0 | |
| WASHINGTON - IDAHO PEN INCOMIN EMPL RETIRE TRUST | ||||||||
| 111 W CATALDO STE 220 | SPOKANE | WA | 99201 | CONTRIBUTING EMPLOYER | WA | TAX EXEMPT TRUST | 0 | |
| CEMENT MASONS LOCAL UNION NO 633 | ||||||||
| 312 CENTRAL AVE | MINNEAPOLIS | MN | 55414 | CONTRIBUTING EMPLOYER | MN | 501(C)5 | 0 | 411694340 |
Form990 Schedule R Part III Form990ScheduleRPartIII (14 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Legal Domicile StateLegalDomicileState | Predominant Income TypePredominantIncomeType | Disproportionate AllocationsDisproportionateAllocations | General Or Managing PartnerGeneralOrManagingPartner |
|---|---|---|---|---|---|---|---|---|
| BULACH CUSTOM ROCK | ||||||||
| 1870 50TH ST EAST | INVER GROVE HTS | MN | 55077 | 202170380 | MN | PARTNERSHIP | 0 | 0 |
| CREATIVE CURB LLC | ||||||||
| 64358 375TH STREET | WATKINS | MN | 55389 | 411912020 | MN | PARTNERSHIP | 0 | 0 |
| D R FRANTZ CONCRETE CONST INC | ||||||||
| 595 RANDOLPH AVE | ST PAUL | MN | 55102 | 274181656 | MN | PARTNERSHIP | 0 | 0 |
| OPUS DESIGN BUIDERSLLC | ||||||||
| 10350 BREN ROAD WEST | MINNETONKA | MN | 55343 | 264612094 | MN | PARTNERSHIP | 0 | 0 |
| PCI ROADS LLC | ||||||||
| 14123-42ND STREET NE | ST MICHAEL | MN | 55376 | 262953566 | MN | PARTNERSHIP | 0 | 0 |
| RAM CONSTRUCTION SER OF MI INC | ||||||||
| 13800 ECKLES ROAD | LIVONIA | MI | 48150 | MI | PARTNERSHIP | 0 | 0 | |
| CMS LLC | ||||||||
| 4050 GARDEN VIEW DRIVE SUITE 101 | GRAND FORKS | ND | 58201 | ND | PARTNERSHIP | 0 | 0 | |
| COMMERCIAL SHOTBLAST SER LLC | ||||||||
| 14524 SUNFISH LAKE DR NW | RAMSEY | MN | 55303 | MN | PARTNERSHIP | 0 | 0 | |
| DIRTWORX LLC | ||||||||
| 2605-160TH ST W 112 | ROSEMOUNT | MN | 55068 | MN | PARTNERSHIP | 0 | 0 | |
| EA SCHULTZ CONSTRUCTIONLLC | ||||||||
| 417 38TH ST SW | FARGO | ND | 58103 | ND | PARTNERSHIP | 0 | 0 | |
| HANSON MASONRY & CONCRETE LLC | ||||||||
| PO BOX 272 | OWEN | WI | 54460 | WI | PARTNERSHIP | 0 | 0 | |
| PULLMAN POWER LLC | ||||||||
| 1575 UNIVERSAL AVE SUITE 230 | KANSAS CITY | MO | 64120 | MO | PARTNERSHIP | 0 | 0 | |
| CREATE CONSTRUCTION LLC | ||||||||
| 18517 100TH AVE NORTH | MAPLE GROVE | MN | 55311 | 202752864 | MN | PARTNERSHIP | 0 | 0 |
| NORTHLAND CONCRETE & MAS LLC | ||||||||
| 12026 RIVERWOOD DRIVE | BURNSVILLE | MN | 55337 | 200254774 | MN | PARTNERSHIP | 0 | 0 |
Form990 Schedule R Part IV Form990ScheduleRPartIV (168 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Type Of EntityTypeOfEntity | Controlled OrgControlledOrg | EINEIN |
|---|---|---|---|---|---|---|---|---|
| A & A STANLEY CONSTRUCTION | ||||||||
| PO BOX 186 | COLERAINE | MN | 55722 | CONTRIBUTING EMPLOYER | MN | C | 0 | |
| ACME CONCRETE PAVING INC | ||||||||
| 4124 E BROADWAY | SPOKANE | WA | 99202 | CONTRIBUTING EMPLOYER | WA | C | 0 | |
| ADOLFSON & PETERSON CONST SERV | ||||||||
| 6701 W 23RD STREET | MINNEAPOLIS | MN | 55426 | CONTRIBUTING EMPLOYER | MN | C | 0 | 462704949 |
| ARTLOW SYSTEMS INC | ||||||||
| 170 S GARY AVENUE | CAROL STREAM | IL | 60188 | CONTRIBUTING EMPLOYER | IL | C | 0 | |
| BADGER SWIMPOOLS INC | ||||||||
| N789 GOLF | PRAIRE DU SAC | WI | 53578 | CONTRIBUTING EMPLOYER | WI | C | 0 | |
| BOUGALIS INC | ||||||||
| 800 GREYHOUND BLVD | HIBBING | MN | 55746 | CONTRIBUTING EMPLOYER | MN | C | 0 | |
| C AND C WINGER INC | ||||||||
| 6872 HWY 135 NORTH | EMBARASS | MN | 55732 | CONTRIBUTING EMPLOYER | MN | C | 0 | |
| C R FISCHER AND SONS INC | ||||||||
| 3240 220TH STREET WEST PO BOX 448 | FARMINGTON | MN | 55024 | CONTRIBUTING EMPLOYER | MN | C | 0 | |
| C R MEYER AND SONS COMPANY | ||||||||
| 895 WEST 20TH AVE NORTH PO BOX 2157 | OSHKOSH | WI | 54902 | CONTRIBUTING EMPLOYER | WI | C | 0 | 390467980 |
| CBI SERVICES INC | ||||||||
| 14107 S ROUTE 59 | PLAINFIELD | IL | 60544 | CONTRIBUTING EMPLOYER | IL | C | 0 | |
| CEMSTONE PRODUCTS COMPANY | ||||||||
| 2025 CENTRE PT BLVD | MENDOTA HTS | MN | 55120 | CONTRIBUTING EMPLOYER | MN | C | 0 | |
| CHARD TILING & EXC INC | ||||||||
| 26239 HWY 25 | BELLE PLAINE | MN | 56011 | CONTRIBUTING EMPLOYER | MN | C | 0 | 411378307 |
| CHIPPEWA CONCRETE SERVICESINC | ||||||||
| 3030 110TH STREET | CHIPPEWA FALLS | WI | 54729 | CONTRIBUTING EMPLOYER | WI | C | 0 | 391329639 |
| CHRIS JENSEN & SON COMPANY INC | ||||||||
| PO BOX 16094 | DULUTH | MN | 55816 | CONTRIBUTING EMPLOYER | MN | C | 0 | |
| CONCRETE CONCEPTS & SOLUTIONS | ||||||||
| 3600 LABORE ROAD STE 8 | ST PAUL | MN | 55110 | CONTRIBUTING EMPLOYER | MN | C | 0 | |
| CONCRETE IDEA INC | ||||||||
| 13961 44TH LANE NE | ST MICHAEL | MN | 55576 | CONTRIBUTING EMPLOYER | MN | C | 0 | |
| CONCRETE MASTERS INC | ||||||||
| 496A FARWELL AVENUE | S SAINT PAUL | MN | 55075 | CONTRIBUTING EMPLOYER | MN | C | 0 | |
| CONCRETE POLISHING & RESURF | ||||||||
| 911 OGDEN AVENUE | SUPERIOR | WI | 54880 | CONTRIBUTING EMPLOYER | WI | C | 0 | |
| CONCRETE SAWING SERVICES | ||||||||
| 911 OGDEN AVENUE | SUPERIOR | WI | 54880 | CONTRIBUTING EMPLOYER | WI | C | 0 | |
| CONE CONSTRUCTION | ||||||||
| 25929 COUNTY ROAD 59 | BOVEY | MN | 55709 | CONTRIBUTING EMPLOYER | MN | C | 0 | 411490325 |
| CONSTRUCTION SPECIALISTS INC | ||||||||
| 5833 MEADOWLARK LANE | PRIOR LAKE | MN | 55372 | CONTRIBUTING EMPLOYER | MN | C | 0 | |
| CORVAL GROUP | ||||||||
| 1633 EUSTIS STREET | ST PAUL | MN | 55108 | CONTRIBUTING EMPLOYER | MN | C | 0 | |
| COST OF WISCONSININC | ||||||||
| 4201 HWY P | JACKSON | WI | 53037 | CONTRIBUTING EMPLOYER | WI | C | 0 | |
| CURB MASTERS INC | ||||||||
| 493 FARWELL AVE STE A | SOUTH ST PAUL | MN | 55075 | CONTRIBUTING EMPLOYER | MN | C | 0 | 411606037 |
| CURRY CONCRETE CONST INC | ||||||||
| PO BOX 728 | GILBERT | MN | 55741 | CONTRIBUTING EMPLOYER | MN | C | 0 | |
| CUSTOM ROCK CONTRACTING INC | ||||||||
| 2020 WEST SEVENTH STREET | ST PAUL | MN | 55116 | CONTRIBUTING EMPLOYER | MN | C | 0 | |
| DJ KRANZ CO INC | ||||||||
| 725 HIGHWAY 169 NORTH | MINNEAPOLIS | MN | 55441 | CONTRIBUTING EMPLOYER | MN | C | 0 | |
| DAVIS DRYWALL INC | ||||||||
| 1100 INDUSTRIAL PK DR SE | BEMIDJI | MN | 56601 | CONTRIBUTING EMPLOYER | MN | C | 0 | |
| DIVERSIFIED COATINGS INC | ||||||||
| 7594 HWY 65 NE | FRIDLEY | MN | 55432 | CONTRIBUTING EMPLOYER | MN | C | 0 | 262739523 |
| DULUTH SUPERIOR ERECTION INC | ||||||||
| 2384 BECKS ROAD | DULUTH | MN | 55810 | CONTRIBUTING EMPLOYER | MN | C | 0 | |
| FRENCH LAKE CURB COMPANY | ||||||||
| PO BOX 127 | KIMBALL | MN | 55353 | CONTRIBUTING EMPLOYER | MN | C | 0 | |
| GEORGE SIEGFRIED | ||||||||
| 510 PERRO CREEK DRIVE PO BOX 84 | BAYPORT | MN | 55003 | CONTRIBUTING EMPLOYER | MN | C | 0 | 411296389 |
| GERALD DAVIDSON CONST INC | ||||||||
| 6114 HIGHWAY 73 | FLOODWOOD | MN | 55736 | CONTRIBUTING EMPLOYER | MN | C | 0 | |
| GOEBEL CONSTR CO INC | ||||||||
| 316 N BROADWAY STREET | JORDAN | MN | 55352 | CONTRIBUTING EMPLOYER | MN | C | 0 | |
| GRAHAM CONSTRUCTION SER INC | ||||||||
| 2995 LONEOAK CIRCLE | EAGAN | MN | 55121 | CONTRIBUTING EMPLOYER | MN | C | 0 | |
| HALVORSON CONCRETE INC | ||||||||
| 1345 157TH AVE NE SUITE C | ANOKA | MN | 55304 | CONTRIBUTING EMPLOYER | MN | C | 0 | |
| HAMMERLUND CONSTRUCTION INC | ||||||||
| 3201 WEST HIGHWAY 2 | GRAND RAPIDS | MN | 55744 | CONTRIBUTING EMPLOYER | MN | C | 0 | 411667364 |
| HANSEN CONCRETE INC | ||||||||
| 8722 47TH ST | SPICER | MN | 56288 | CONTRIBUTING EMPLOYER | MN | C | 0 | |
| HICKS CONCRETE CONST | ||||||||
| 7545 COMMERCE STREET PO BOX 259 | CORCORAN | MN | 55340 | CONTRIBUTING EMPLOYER | MN | C | 0 | |
| INDUSTRIAL CONSTRUCTION SPECIA | ||||||||
| 1919 GALLOWAY STREET | EAU CLAIRE | WI | 54702 | CONTRIBUTING EMPLOYER | WI | C | 0 | |
| J P CONCRETE INC | ||||||||
| 7684 HWY 2 | SAGINAW | MN | 55779 | CONTRIBUTING EMPLOYER | MN | C | 0 | |
| J R JENSEN CONTRUCTION COMPANY | ||||||||
| 814 21ST AVE E | SUPERIOR | WI | 54880 | CONTRIBUTING EMPLOYER | WI | C | 0 | |
| JAMAR COMPANY | ||||||||
| 1100 OLD HIGHWAY 8 NW | ST PAUL | MN | 55112 | CONTRIBUTING EMPLOYER | MN | C | 0 | |
| JOHNNY MASONRY INC | ||||||||
| PO BOX 38 | NEWPORT | MN | 55055 | CONTRIBUTING EMPLOYER | MN | C | 0 | 410902683 |
| JOHNSON WILSON CONSTRUCTORS | ||||||||
| 4431 WEST MICHIGAN STREET | DULUTH | MN | 55816 | CONTRIBUTING EMPLOYER | MN | C | 0 | 411730171 |
| KELLEHER CONSTRUCTIONINC | ||||||||
| 11531 RUPP DRIVE | BURNSVILLE | MN | 55337 | CONTRIBUTING EMPLOYER | MN | C | 0 | 411458718 |
| KELLY STUCCO SYSTEMS | ||||||||
| 4850 WILDERNESS LK CIRCLE | ELKO | MN | 55020 | CONTRIBUTING EMPLOYER | MN | C | 0 | |
| KMAC INC | ||||||||
| PO BOX 548 | HUTCHINSON | MN | 55350 | CONTRIBUTING EMPLOYER | MN | C | 0 | |
| KRAUS ANDERSON CONSTRUCTION | ||||||||
| PO BOX 158 | CIRCLE PINES | MN | 55014 | CONTRIBUTING EMPLOYER | MN | C | 0 | |
| L S BLACK CONSTRUCTORS INC | ||||||||
| 1959 SLOAN PLACE | ST PAUL | MN | 55117 | CONTRIBUTING EMPLOYER | MN | C | 0 | |
| LADC COMPANIESINC | ||||||||
| 22751 INDUSTRIAL BLVD | ROGERS | MN | 55374 | CONTRIBUTING EMPLOYER | MN | C | 0 | |
| LENCI ENTERPRISES INC | ||||||||
| PO BOX 6 | VIRGINIA | MN | 55792 | CONTRIBUTING EMPLOYER | MN | C | 0 | 410983437 |
| LEWIS CONSTRUCTION INC | ||||||||
| 9507 CAMP PHILLIPS ROAD | SCHOFIELD | WI | 54476 | CONTRIBUTING EMPLOYER | WI | C | 0 | |
| LOEFFEL CONSTRUCTION | ||||||||
| 350 STATE HWY 7 | EXCELSIOR | MN | 55331 | CONTRIBUTING EMPLOYER | MN | C | 0 | |
| LOUHI & KIVELA MASONRY INC | ||||||||
| 4074 NORTH SALMI ROAD | HIBBING | MN | 55746 | CONTRIBUTING EMPLOYER | MN | C | 0 | |
| LUNDA CONST CO | ||||||||
| P O BOX 669 | BLACK RIVER FALLS | WI | 54615 | CONTRIBUTING EMPLOYER | WI | C | 0 | 390648769 |
| M A MORTENSON COMPANY | ||||||||
| 700 MEADOW LN N | MINNEAPOLIS | MN | 55440 | CONTRIBUTING EMPLOYER | MN | C | 0 | 410740923 |
| M-Z CONSTRUCTION INC | ||||||||
| 1770 CO RD J | LINDEN | WI | 53553 | CONTRIBUTING EMPLOYER | WI | C | 0 | |
| MACHILL CONSTRUCTION SERVICES | ||||||||
| 9726 UTICA ROAD SOUTH | BLOOMINGTON | MN | 55437 | CONTRIBUTING EMPLOYER | MN | C | 0 | |
| MAVO SYSTEMS INC | ||||||||
| 4330 CENTERVILLE ROAD | WHITE BEAR LAKE | MN | 55127 | CONTRIBUTING EMPLOYER | MN | C | 0 | |
| MAXGRAY CONSTRUCTION INC | ||||||||
| 2501 5TH AVE WEST PO BOX 689 | HIBBING | MN | 55746 | CONTRIBUTING EMPLOYER | MN | C | 0 | 410844324 |
| MIDDLETON CONSTRUCTION | ||||||||
| 215 INDUSTRIAL DRIVE | ARLINGTON | WI | 53911 | CONTRIBUTING EMPLOYER | WI | C | 0 | |
| MINNESOTA CONCRETE SPECIALTIES | ||||||||
| 3147 CALIFORNIA ST NE 101 | MINNEAPOLIS | MN | 55418 | CONTRIBUTING EMPLOYER | MN | C | 0 | 411721840 |
| MIRON CONSTRUCTION CO INC | ||||||||
| PO BOX 509 | NEENAH | WI | 54957 | CONTRIBUTING EMPLOYER | WI | C | 0 | |
| NEECK CONSTRUCTION INC | ||||||||
| 655 20TH AVE NE | MINNEAPOLIS | MN | 55418 | CONTRIBUTING EMPLOYER | MN | C | 0 | 411558139 |
| NORTHERN INDUSTRIAL ERECTORS | ||||||||
| 2500 GLENWOOD DRIVE | GRAND RAPIDS | MN | 55744 | CONTRIBUTING EMPLOYER | MN | C | 0 | 411526818 |
| OMAHA CONSTRUCTION INDUSTRY | ||||||||
| 11414 WEST CENTER RD SUITE 247 | OMAHA | NE | 68144 | CONTRIBUTING EMPLOYER | NE | C | 0 | |
| PALMER SODERBERG INC | ||||||||
| PO BOX 7101 | ROCHESTER | MN | 55903 | CONTRIBUTING EMPLOYER | MN | C | 0 | 410806156 |
| PREMIUM POURED FLOORS | ||||||||
| 1480 W 3RD AVE | SHAKOPEE | MN | 55379 | CONTRIBUTING EMPLOYER | MN | C | 0 | |
| PRIDE BILT INC | ||||||||
| PO BOX 323 | HENNING | MN | 56551 | CONTRIBUTING EMPLOYER | MN | C | 0 | |
| QC COMPANIES | ||||||||
| 14043 LINCOLN ST NE | HAM LAKE | MN | 55306 | CONTRIBUTING EMPLOYER | MN | C | 0 | |
| QUALITY CUTTING & CORING INC | ||||||||
| 1630-91ST AVE NE STE 110 | BLAINE | MN | 55449 | CONTRIBUTING EMPLOYER | MN | C | 0 | |
| QUALITY DRYWALL & PLASTERING | ||||||||
| 4961 RICE LAKE RD STE 104 | EAST GULL LAKE | MN | 55803 | CONTRIBUTING EMPLOYER | MN | C | 0 | |
| RIIHILUOMA RAY INC | ||||||||
| 1415 HWY 33 SO | CLOQUET | MN | 55720 | CONTRIBUTING EMPLOYER | MN | C | 0 | |
| RYAN COMPANIES USINC | ||||||||
| 50 SOUTH 10TH ST | MINNEAPOLIS | MN | 55403 | CONTRIBUTING EMPLOYER | MN | C | 0 | 410882483 |
| SCHMIDT CURB COMPANY INC | ||||||||
| 13195 95TH STREET NE | ELK RIVER | MN | 55330 | CONTRIBUTING EMPLOYER | MN | C | 0 | 411555068 |
| SCOTT ESSEN | ||||||||
| 3074 S LANDELA RD | MAPLE | WI | 54854 | CONTRIBUTING EMPLOYER | WI | C | 0 | |
| SEAL-TREAT INC | ||||||||
| 9823 VALLEY VIEW ROAD | EDEN PRAIRIE | MN | 55344 | CONTRIBUTING EMPLOYER | MN | C | 0 | 410853687 |
| SEBCO INC | ||||||||
| 923 MARQUETTE AVE SOUTH | MINNEAPOLIS | MN | 55402 | CONTRIBUTING EMPLOYER | MN | C | 0 | |
| SHAW LUNDQUIST ASSOCIATESINC | ||||||||
| 2757 WEST SERVICE ROAD | EAGAN | MN | 55121 | CONTRIBUTING EMPLOYER | MN | C | 0 | 411235783 |
| STERLING STONE & TILE INC | ||||||||
| 4110 210TH LANE NW | OAK GROVE | MN | 55303 | CONTRIBUTING EMPLOYER | MN | C | 0 | |
| STONE CONSTRUCTION INC | ||||||||
| 2181 107TH LANE NE | BLAINE | MN | 55449 | CONTRIBUTING EMPLOYER | MN | C | 0 | |
| T L CONSTRUCTION INC | ||||||||
| 10196 BIRCH ROAD | FLOODWOOD | MN | 55736 | CONTRIBUTING EMPLOYER | MN | C | 0 | |
| TARRAF CONSTRUCTION INC | ||||||||
| 7454 WASHINGTON AVE S | EDEN PRAIRIE | MN | 55344 | CONTRIBUTING EMPLOYER | MN | C | 0 | |
| TFE INC | ||||||||
| 5920 HIGHWAY 5 | ALBORN | MN | 55702 | CONTRIBUTING EMPLOYER | MN | C | 0 | |
| THOR CONSTRUCTION INC | ||||||||
| 6001 S DECATUR BLVD J | LAS VEGAS | NV | 89118 | CONTRIBUTING EMPLOYER | NV | C | 0 | 411379796 |
| TOTAL CONSTRUCTION & EQUIPMENT | ||||||||
| 10195 INVER GROVE TRAIL | IGH | MN | 55076 | CONTRIBUTING EMPLOYER | MN | C | 0 | |
| TWIN CITIES SPECIALTIES | ||||||||
| 360 W LARPENTEUR AVE W SUITE 102 | ST PAUL | MN | 55113 | CONTRIBUTING EMPLOYER | MN | C | 0 | 412002783 |
| U S COATINGS | ||||||||
| 1960 CLIFF LAKE RD SUITE 129 | EAGAN | MN | 55122 | CONTRIBUTING EMPLOYER | MN | C | 0 | |
| URBAN COMPANIES | ||||||||
| 3781 LABORE ROAD | ST PAUL | MN | 55110 | CONTRIBUTING EMPLOYER | MN | C | 0 | |
| VERA CONSTRUCTION | ||||||||
| 1718 FREMONT AVE N STE 2 | MINNEAPOLIS | MN | 55411 | CONTRIBUTING EMPLOYER | MN | C | 0 | |
| XCEL ENERGYNSP | ||||||||
| 414 NICOLLET MALL | MINNEAPOLIS | MN | 55401 | CONTRIBUTING EMPLOYER | MN | C | 0 | 841393401 |
| STEENBERG-WATRUD CONST INC | ||||||||
| 10967 CLARK ROAD | INVER GROVE HGTS | MN | 55077 | CONTRIBUTING EMPLOYER | MN | C | 0 | 411864664 |
| NORTHLAND CONSTRUCTION | ||||||||
| 1420 LONDON RD SUITE 204 | DULUTH | MN | 55805 | CONTRIBUTING EMPLOYER | MN | S | 0 | 412000987 |
| ALVIN E BENIKE INC | ||||||||
| 2960 HIGHWAY 14 WEST | ROCHESTER | MN | 55901 | CONTRIBUTING EMPLOYER | MN | S | 0 | 410856655 |
| AMENDOLA BUILDERS INC | ||||||||
| 405 EAST SUPERIOR STREET | DULUTH | MN | 55802 | CONTRIBUTING EMPLOYER | MN | S | 0 | 205760244 |
| AMES CONSTRUCTION INC | ||||||||
| 2000 AMES DRIVE | BURNSVILLE | MN | 55306 | CONTRIBUTING EMPLOYER | MN | S | 0 | 410871375 |
| ANCHOR BLOCK COMPANY | ||||||||
| 5959 BAKER ROAD STE 390 | MINNETONKA | MN | 55345 | CONTRIBUTING EMPLOYER | MN | S | 0 | |
| ARNIE MACKEY CONST INC | ||||||||
| 407 LAKE SHORE DRIVE E SUITE 1 | ASHLAND | WI | 54806 | CONTRIBUTING EMPLOYER | WI | S | 0 | |
| AXEL H OHMAN INC | ||||||||
| 247 W 61ST STREET | MINNEAPOLIS | MN | 55419 | CONTRIBUTING EMPLOYER | MN | S | 0 | |
| BOLDT COMPANY | ||||||||
| PO BOX 419 | APPLETON | WI | 54912 | CONTRIBUTING EMPLOYER | WI | S | 0 | 390174190 |
| BRUCE'S CONTRACTINGINC | ||||||||
| 2050 COUNTY 41 NW | BACKUS | MN | 56435 | CONTRIBUTING EMPLOYER | MN | S | 0 | 411740470 |
| CAPITAL CONCRETE INC | ||||||||
| 17682 121ST AVE | KIMBALL | MN | 55353 | CONTRIBUTING EMPLOYER | MN | S | 0 | |
| CARLSON LA VINE INC | ||||||||
| 2965 PARTRIDGE ROAD | ROSEVILLE | MN | 55113 | CONTRIBUTING EMPLOYER | MN | S | 0 | 411800715 |
| CENTURY CONST COMPANY INC | ||||||||
| 820 N CONCORD ST STE 101 | SOUTH ST PAUL | MN | 55075 | CONTRIBUTING EMPLOYER | MN | S | 0 | 411795602 |
| CLAUSEN CONSTRUCTION INC | ||||||||
| 16720 WELCOME AVE SE | PRIOR LAKE | MN | 55372 | CONTRIBUTING EMPLOYER | MN | S | 0 | 411958364 |
| CONSTRUCTION RESULTS CORP | ||||||||
| 14170 23RD AVE NORTH | PLYMOUTH | MN | 55447 | CONTRIBUTING EMPLOYER | MN | S | 0 | 411951935 |
| CROSSTOWN MASONRY INC | ||||||||
| 1322 159TH AVE NE | HAM LAKE | MN | 55304 | CONTRIBUTING EMPLOYER | MN | S | 0 | 411920475 |
| CUSTOM DRYWALL INC | ||||||||
| 488 ATWATER CIRCLE | ST PAUL | MN | 55103 | CONTRIBUTING EMPLOYER | MN | S | 0 | 410951511 |
| DAYCO CONCRETE COMPANY INC | ||||||||
| 1850 LAKE DRIVE WEST | CHANHASSEN | MN | 55317 | CONTRIBUTING EMPLOYER | MN | S | 0 | 411238749 |
| DONLAR CONSTRUCTION COMPANY | ||||||||
| 550 SHOREVIEW PARK ROAD | SHOREVIEW | MN | 55126 | CONTRIBUTING EMPLOYER | MN | S | 0 | 410991753 |
| DOYLE CONNER CO | ||||||||
| 1619 3RD AVE SE | ROCHESTER | MN | 55904 | CONTRIBUTING EMPLOYER | MN | S | 0 | 205810813 |
| DUNCAN CONCRETE INC | ||||||||
| 23966 340TH STREET | BROWERVILLE | MN | 56438 | CONTRIBUTING EMPLOYER | MN | S | 0 | 411712957 |
| EDWARD KRAEMER & SONS INC | ||||||||
| ONE PLAINVIEW ROAD PO BOX 220 | PLAIN | WI | 53577 | CONTRIBUTING EMPLOYER | WI | S | 0 | 390884623 |
| FITOL-HINTZ CONSTRUCTION | ||||||||
| 817 VANDALIA STREET | ST PAUL | MN | 55114 | CONTRIBUTING EMPLOYER | MN | S | 0 | 202927454 |
| FLOOR TECHNOLOGIESINC | ||||||||
| 900 HAMEL ROADPO BOX 253 | HAMEL | MN | 55340 | CONTRIBUTING EMPLOYER | MN | S | 0 | 410985836 |
| GLOBAL SPECIALTY | ||||||||
| 3220 TERMINAL DRIVE | EAGAN | MN | 55121 | CONTRIBUTING EMPLOYER | MN | S | 0 | 411666450 |
| GRESSER COMPANIES INC | ||||||||
| 2905 LEXINGTON AVE SOUTH | EAGAN | MN | 55121 | CONTRIBUTING EMPLOYER | MN | S | 0 | 411927979 |
| GRIDOR CONSTRUCTION INC | ||||||||
| 3990 27TH STREET SE | BUFFALO | MN | 55313 | CONTRIBUTING EMPLOYER | MN | S | 0 | 410958872 |
| GUSTAFSON & GOUDGE INC | ||||||||
| ATTN SHARI PO BOX 28 | CLEARBROOK | MN | 56634 | CONTRIBUTING EMPLOYER | MN | S | 0 | 411560850 |
| HIBBING EXCAVATING INC | ||||||||
| 3402 15TH AVENUE EAST | HIBBING | MN | 55746 | CONTRIBUTING EMPLOYER | MN | S | 0 | 411931598 |
| HMI (HOME MENDERS INC) | ||||||||
| 2112 PONDEROSA CIRCLE | DULUTH | MN | 55811 | CONTRIBUTING EMPLOYER | MN | S | 0 | 410999596 |
| HOLLENBACK & NELSON INC | ||||||||
| 1206 114TH LANE NW | COON RAPIDS | MN | 55448 | CONTRIBUTING EMPLOYER | MN | S | 0 | 410870511 |
| HOVLAND INC | ||||||||
| 4177 THUNDERCHIEF LANE | HERMANTOWN | MN | 55811 | CONTRIBUTING EMPLOYER | MN | S | 0 | 411589809 |
| IACARELLA CONSTRUCTION | ||||||||
| 6475 185TH AVE NW | RAMSEY | MN | 55303 | CONTRIBUTING EMPLOYER | MN | S | 0 | 461450190 |
| INDUSTRIAL MAINTENANCE SERVICE | ||||||||
| PO BOX 369 | WELLS | MI | 49894 | CONTRIBUTING EMPLOYER | MI | S | 0 | 383349411 |
| JAMES STEELE CONSTRUCTION CO | ||||||||
| 1410 SYLVAN ST | ST PAUL | MN | 55117 | CONTRIBUTING EMPLOYER | MN | S | 0 | 411692325 |
| JE DUNN NORTH CENTRAL | ||||||||
| 1001 LOCUST STREET | KANSAS CITY | MO | 64106 | CONTRIBUTING EMPLOYER | MO | S | 0 | 440229405 |
| JMF CONSTRUCTION INC | ||||||||
| 3141 ZIMMERMAN RD | DULUTH | MN | 55804 | CONTRIBUTING EMPLOYER | MN | S | 0 | 203843221 |
| JOSEPH CONST OF ST PAUL INC | ||||||||
| 1084 EARL STREET | ST PAUL | MN | 55106 | CONTRIBUTING EMPLOYER | MN | S | 0 | 411429498 |
| KNIFE LAKE CONCRETE INC | ||||||||
| 2026 ROWLAND ROAD | MORA | MN | 55051 | CONTRIBUTING EMPLOYER | MN | S | 0 | 411375740 |
| KNUTSON CONSTRUCTION SERVICES | ||||||||
| 55OO WAYZATA BLVD SUITE 300 | MINNEAPOLIS | MN | 55416 | CONTRIBUTING EMPLOYER | MN | S | 0 | 411523574 |
| KOMITT CONCRETE INC | ||||||||
| 5228 77TH AVE SE | EYOTA | MN | 55934 | CONTRIBUTING EMPLOYER | MN | S | 0 | 412001579 |
| KTM PAVING INC | ||||||||
| 5513 HIGHWAY 2 | HERMANTOWN | MN | 55810 | CONTRIBUTING EMPLOYER | MN | S | 0 | |
| LEGENDS CONCRETEINC | ||||||||
| 6892 31ST AVE SW | ROCHESTER | MN | 55902 | CONTRIBUTING EMPLOYER | MN | S | 0 | 411932460 |
| MAERTENS-BRENNY CONSTRUCTION | ||||||||
| 8251 MAIN ST NE | MINNEAPOLIS | MN | 55432 | CONTRIBUTING EMPLOYER | MN | S | 0 | 411376065 |
| MAGNEY CONSTRUCTION INC | ||||||||
| 1401 PARK ROAD | CHANHASSEN | MN | 55317 | CONTRIBUTING EMPLOYER | MN | S | 0 | 411780718 |
| MARCY CONSTRUCTION COMPANY | ||||||||
| 2246 EDGEWOOD AVE | ST LOUIS PARK | MN | 55426 | CONTRIBUTING EMPLOYER | MN | S | 0 | 411639550 |
| MARKET & JOHNSONINC | ||||||||
| 2350 GALLOWAY PO BOX 630 | EAU CLAIRE | WI | 54703 | CONTRIBUTING EMPLOYER | WI | S | 0 | 391095048 |
| MCGOUGH CONSTRUCTION CO | ||||||||
| 2737 N FAIRVIEW AVE | ST PAUL | MN | 55113 | CONTRIBUTING EMPLOYER | MN | S | 0 | 410774787 |
| MEYER CONTRACTING INC | ||||||||
| 11000 93RD AVE NORTH | MAPLE GROVE | MN | 55369 | CONTRIBUTING EMPLOYER | MN | S | 0 | 411584157 |
| MIDWEST CONCRETE SPECIALTIES | ||||||||
| 16700 CHIPPENDALE AVE | ROSEMOUNT | MN | 55068 | CONTRIBUTING EMPLOYER | MN | S | 0 | 411963899 |
| MN STATE CURB & GUTTER CORP | ||||||||
| 14698 GALAXIE AVE W | ST PAUL | MN | 55124 | CONTRIBUTING EMPLOYER | MN | S | 0 | 411511874 |
| MORCON CONSTRUCTION INC | ||||||||
| 5905 GOLDEN VALLEY ROAD | GOLDEN VALLEY | MN | 55422 | CONTRIBUTING EMPLOYER | MN | S | 0 | 411427933 |
| NORTH COUNTRY CONCRETE INC | ||||||||
| 7040 143RD AVE NW | RAMSEY | MN | 55304 | CONTRIBUTING EMPLOYER | MN | S | 0 | 411845888 |
| PARAGON COMPANY INC | ||||||||
| PO BOX 240934 | ST PAUL | MN | 55124 | CONTRIBUTING EMPLOYER | MN | S | 0 | 205004575 |
| PARK CONSTRUCTION COMPANY | ||||||||
| 1481 81ST AVE NE | SPRING LAKE PARK | MN | 55432 | CONTRIBUTING EMPLOYER | MN | S | 0 | 410466820 |
| RAINBOW INC | ||||||||
| 7324 36TH AVE N | NEW HOPE | MN | 55427 | CONTRIBUTING EMPLOYER | MN | S | 0 | 410836196 |
| REDSTONE CONST CO INC | ||||||||
| PO BOX 218 | MORA | MN | 55051 | CONTRIBUTING EMPLOYER | MN | S | 0 | 411293518 |
| RICE LAKE CONTRACTING CORP | ||||||||
| PO BOX 517 | DEERWOOD | MN | 56444 | CONTRIBUTING EMPLOYER | MN | S | 0 | 411505802 |
| RON KASSA CONSTRUCTION INC | ||||||||
| 6005 250TH ST E | ELKO | MN | 55020 | CONTRIBUTING EMPLOYER | MN | S | 0 | 411861276 |
| RYAN CONTRACTING INC | ||||||||
| PO BOX 246 | ELKO | MN | 55020 | CONTRIBUTING EMPLOYER | MN | S | 0 | 411688270 |
| S M HENTGES &SONS INC | ||||||||
| 650 QUAKER AVE | JORDAN | MN | 55352 | CONTRIBUTING EMPLOYER | MN | S | 0 | 411517673 |
| SERICE CONSTRUCTION INC | ||||||||
| 7109 CAHILL AVE E | INVER GR HTS | MN | 55075 | CONTRIBUTING EMPLOYER | MN | S | 0 | 411366336 |
| SHAFER CONTRACTING COMPANY INC | ||||||||
| PO BOX 128 | SHAFER | MN | 55074 | CONTRIBUTING EMPLOYER | MN | S | 0 | 410945051 |
| SHEEHY CONSTRUCTION COMPANY | ||||||||
| 360 LARPENTEUR AVE W 200 | ST PAUL | MN | 55113 | CONTRIBUTING EMPLOYER | MN | S | 0 | 411571203 |
| STANDARD SIDEWALK INC | ||||||||
| PO BOX 49504 | BLAINE | MN | 55449 | CONTRIBUTING EMPLOYER | MN | S | 0 | 410858478 |
| STAPF CONCRETE CONST INC | ||||||||
| 3800 BAGLEY AVE | WEBSTER | MN | 55088 | CONTRIBUTING EMPLOYER | MN | S | 0 | 161615178 |
| SUMMIT CONCRETE & MASONRY CONS | ||||||||
| 39821 GRAND AVENUE | NORTH BRANCH | MN | 55056 | CONTRIBUTING EMPLOYER | MN | S | 0 | 411864290 |
| SURFACE ART & PREP INC | ||||||||
| 579 SCHOMMER DR STE A | HUDSON | WI | 54016 | CONTRIBUTING EMPLOYER | WI | S | 0 | 680540694 |
| TERRAZZO & CONCRETE REST | ||||||||
| 1707 MILLER TRUNK HWY | DULUTH | MN | 55811 | CONTRIBUTING EMPLOYER | MN | S | 0 | 412009048 |
| THOMAS & SONS CONST INC | ||||||||
| 13925 NORTHDALE BLVD PO BOX 303 | ROGERS | MN | 55374 | CONTRIBUTING EMPLOYER | MN | S | 0 | 411272961 |
| TI-ZACK CONCRETE INC | ||||||||
| 39352 221ST AVE | LECENTER | MN | 56057 | CONTRIBUTING EMPLOYER | MN | S | 0 | 411961752 |
| WAGNER CONST OF HAMPTON INC | ||||||||
| 22105 LEWISTON BLVD | HAMPTON | MN | 55031 | CONTRIBUTING EMPLOYER | MN | S | 0 | 411871178 |
| WATSON-FORSBERG COMPANY | ||||||||
| 6465 WAYZATA BLVD STE 110 | MINNEAPOLIS | MN | 55426 | CONTRIBUTING EMPLOYER | MN | S | 0 | 410901320 |
| YAW CONSTRUCTION GROUP INC | ||||||||
| 4640 LYNDALE AVE NORTH | MINNEAPOLIS | MN | 55412 | CONTRIBUTING EMPLOYER | MN | S | 0 | 861166634 |
| YOUNG & DAVIS DRYWALL INC | ||||||||
| P O BOX 605 | BEMIDJI | MN | 56619 | CONTRIBUTING EMPLOYER | MN | S | 0 | 411691130 |
| 3-D CONCRETE & CONSTRUCTION | ||||||||
| 5468 CARNATION AVE | VIRGINA | MN | 55792 | CONTRIBUTING EMPLOYER | MN | S | 0 | 462685337 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 1 | OtherTransferFromOtherOrg |
Form990 Schedule R Part VII Form990ScheduleRPartVII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Explanation | THE INFORMATION REPORTED IN PARTS III AND IV REGARDING THE FUND'S CONTRIBUTING EMPLOYERS IS THE INFORMATION THAT WAS READILY AVAILABLE TO THE FUND. | Explanation |