STRATEGY STUDIO / PUBLIC DATA EXPLORER

EXCAVATING GRADING AND ASPHALT CRAFT-731 HEALTH & WELFARE FUND: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
EXCAVATING GRADING AND ASPHALT CRAFT-731 HEALTH & WELFARE FUND (EIN 36-6073848)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-07-11
IRS object ID
201201939349300340
Schema version
2011v1.2
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)
Timestamp2012-07-11T13:35:54-05:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN320043599EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1LEGACY PROFESSIONALS LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1311 S WACKER DR SUITE 4000AddressLine1
CityCHICAGOCity
StateILState
ZIP Code60606ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN366073848EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1EXCAVATING GRADING AND ASPHALT CRAFTBusinessNameLine1
Business Name Line2731 HEALTH AND WELFARE FUNDBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlEXCANameControl
Phone6308874150Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11000 BURR RIDGE PARKWAYAddressLine1
CityBURR RIDGECity
StateILState
ZIP Code60527ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameTERRENCE J HANCOCKName
TitleTRUSTEETitle
Phone6308874150Phone
Date Signed2012-07-11DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameGREG WALLENBECKERName
PTINP01451145PTIN
Phone3123680500Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonTERRENCE J HANCOCKNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11000 BURR RIDGE PARKWAYAddressLine1
CityBURR RIDGECity
StateILState
ZIP Code60527ZIPCode
FieldValueIRS element (for citing)
Gross Receipts18821043GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteN/AWebSite
Type Of Organization TrustXTypeOfOrganizationTrust
Year Formation1951YearFormation
State Legal DomicileILStateLegalDomicile
Activity Or Mission DescriptionPROVIDE INSURANCE BENEFITSActivityOrMissionDescription
Nbr Voting Members Governing Body6NbrVotingMembersGoverningBody
Nbr Independent Voting Members6NbrIndependentVotingMembers
Total Nbr Employees16TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year9979943ProgramServiceRevenuePriorYear
Program Service Revenue CY10706909ProgramServiceRevenueCY
Investment Income Prior Year700066InvestmentIncomePriorYear
Investment Income Current Year652313InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year10680009TotalRevenuePriorYear
Total Revenue Current Year11359222TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year7297541BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY8727502BenefitsPaidToMembersCY
Salaries Etc Prior Year1369551SalariesEtcPriorYear
Salaries Etc Current Year1310594SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year756514OtherExpensePriorYear
Other Expenses Current Year794896OtherExpensesCurrentYear
Total Expenses Prior Year9423606TotalExpensesPriorYear
Total Expenses Current Year10832992TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1256403RevenuesLessExpensesPriorYear
Revenues Less Expenses CY526230RevenuesLessExpensesCY
Total Assets BOY24179625TotalAssetsBOY
Total Assets EOY24593865TotalAssetsEOY
Total Liabilities BOY237563TotalLiabilitiesBOY
Total Liabilities EOY161120TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY23942062NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY24432745NetAssetsOrFundBalancesEOY
Mission DescriptionPROVIDE HEALTH AND WELFARE BENEFITSMissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
DescriptionTO PROVIDE HEALTH AND WELFARE, LOSS OF TIME AND DEATH BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR BENEFICIARIES.Description
Described In501 C30DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109672NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees16NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Form8899 Filed0Form8899Filed
Form1098 C Filed0Form1098CFiled
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members6NbrVotingGoverningBodyMembers
Number Independent Voting Members6NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees0MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons0AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement0RegularMonitoringEnforcement
Whistleblower Policy0WhistleblowerPolicy
Document Retention Policy0DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1THE ORGANIZATIONBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number6308874150TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11000 BURR RIDGE PARKWAYAddressLine1
CityBURR RIDGECity
StateILState
ZIP Code60527ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (7 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
TERRENCE J HANCOCK
TRUSTEE2.00X000
JOHN LISNER
TRUSTEE2.00X000
WILLIAM H COLLINS
TRUSTEE2.00X000
DAVID SNELTON
TRUSTEE2.00X000
JOSEPH BENSON
TRUSTEE2.00X000
DALE BOLT
TRUSTEE2.00X000
WILLIAM WOLDMAN
ADMINISTRATOR40.0096731045567X
FieldValueIRS element (for citing)
Total Reportable Comp From Org96731TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation45567TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1BLUE CROSS BLUE SHIELDBusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1300 EAST RANDOLPH STREETAddressLine1
CityCHICAGOCity
StateILState
ZIP Code606015099ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesPPO PROVIDERDescriptionOfServices
Compensation310602Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
EMPLOYER CONTRIBUTIONS90009981089758108975
REIMB COMMON ADMIN EXP9000991171524$1,171,524
STOP LOSS INS. INCOME900099650495650495
MEMBER CONTRIBUTIONS900099442718442718
RETIREE CONTRIBUTIONS900099191313191313

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column141884TotalRevenueColumn
Related Or Exempt Function Income141884RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue10706909TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column294859TotalRevenueColumn
Exclusion$294,859ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities7819275Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities7461821Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities357454Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column357454TotalRevenueColumn
Exclusion$357,454ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column11359222TotalRevenueColumn
Related Or Exempt Function Income9535385RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$1,823,837ExclusionAmount

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total8727502Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total142298Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total630382Total

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total243189Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total225956Total

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total68769Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total88050Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total46750Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total136895Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total374161Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total20671Total

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total6667Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total29547Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total74Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total10699Total

Insurance Insurance

FieldValueIRS element (for citing)
Total22855Total

Other Expenses OtherExpenses

FieldValueIRS element (for citing)
DescriptionINTERIM ADMINISTRATOR RDescription
Total58527Total

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total10832992Total

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY2495548BOY
EOY2504593EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY3335852BOY
EOY2254257EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY891140BOY
EOY706151EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis65244LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec49150LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY26793BOY
EOY16094EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY11797677BOY
EOY13137889EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY5632615BOY
EOY5974881EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY24179625BOY
EOY24593865EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY237563BOY
EOY161120EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY237563BOY
EOY161120EOY
FieldValueIRS element (for citing)
Do Not Follow SFAS117XDoNotFollowSFAS117

Cap Stck Trst Prin Current Funds CapStckTrstPrinCurrentFunds

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Paid In Cap Srpls Land Bldg Eqp Fund PaidInCapSrplsLandBldgEqpFund

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc

FieldValueIRS element (for citing)
BOY23942062BOY
EOY24432745EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY23942062BOY
EOY24432745EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY24179625BOY
EOY24593865EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses526230ReconcilationRevenueExpenses
Reconcilation Other Changes-35547ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule D IRS990ScheduleD

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis65244OtherCostOrOtherBasis
Depreciation49150Depreciation
Book Value16094BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings16094TotalOfBookValueLandBuildings

Other Securities OtherSecurities

FieldValueIRS element (for citing)
DescriptionINTERNATIONAL BROTHERHOOD OF TEAMSTERS DIVERSISFIED GLOBAL FIXED PORTFOLIODescription
Book Value5974881BookValue
Method Of ValuationFMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities5974881TotalOfBookValueSecurities
Total Revenue11359222TotalRevenue
Total Expenses10832992TotalExpenses
Excess Or Deficit For Year526230ExcessOrDeficitForYear
Net Unrealized GL On Investments-35547NetUnrealizedGLOnInvestments
Total Adjustments-35547TotalAdjustments
Excess Or Deficit Per FS490683ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt9292397TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-35547NetUnrealizedGainsInvestments
Revenue Not Rptd F990-35547RevenueNotRptdF990
Revenue Subtotal9327944RevenueSubtotal
Investment Expenses Not Included136895InvestmentExpensesNotIncluded
Other Revenues Not Included1894383OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt2031278RevenueNotRptdOnFinStmt
Total Revenue Per Form99011359222TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt8801714TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal8801714ExpensesSubtotal
Investment Expenses Not Included2136895InvestmentExpensesNotIncluded2
Other Expenses Not Included1894383OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt2031278ExpensesNotRptdOnFinStmt
Total Expenses Per Form99010832992TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
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 PLAN'S RETURNS ARE SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE UNTIL THE APPLICABLE STATUTE OF LIMITATION EXPIRES.
PART XII, LINE 4B - OTHER ADJUSTMENTS:STOP-LOSS INSURANCE INCOME 650,495. SUBROGATION RECEIPTS 16,750. REIMBURSED COMMON ADMIN EXPENSES FROM RELATED BENEFIT FUNDS 1,171,524. PRESCRIPTION REBATES 55,614.
PART XIII, LINE 4B - OTHER ADJUSTMENTS:STOP-LOSS INSURANCE INCOME 650,495. SUBROGATION RECEIPTS 16,750. REIMBURSED COMMON ADMIN EXPENSES FROM RELATED BENEFIT FUNDS 1,171,524. PRESCRIPTION REBATES 55,614.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 8BTHE ORGANIZATION HAS NO COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY.
FORM 990, PART VI, SECTION B, LINE 11THE 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 15SALARIES ARE REVIEWED ANNUALLY AND APPROVED BY THE BOARD OF TRUSTEES.
FORM 990, PART VI, SECTION C, LINE 19THE GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE TO ANY PARTICIPANT IN THE PLAN UPON REQUEST AT THE FUND OFFICE.
FORM 990, PART XI, LINE 5:NET UNREALIZED LOSSES ON INVESTMENTS: -35,547.CHANGES IN NET ASSETS OR FUND BALANCES:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1TEAMSTERS LOCAL NO 731 EXCAVATORS AND PAVERS PENSION TRUST FUNDBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11000 BURR RIDGE PARKWAYAddressLine1
CityBURR RIDGECity
StateILState
ZIP Code60527ZIPCode
FieldValueIRS element (for citing)
EIN366513565EIN
Primary ActivitiesPROVIDE PENSION BENEFITSPrimaryActivities
Legal Domicile StateILLegalDomicileState
Exempt Code Section401(A)ExemptCodeSection
Public Charity StatusN/APublicCharityStatus
Direct Controlling Entity NAN/ADirectControllingEntityNA
Controlled Org0ControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1LOCAL 731 EXCAVATORS AND PAVERS PENSION TRUST FUNDBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeNTransactionType
Amount Involved89400AmountInvolved