STRATEGY STUDIO / PUBLIC DATA EXPLORER

CONSTRUCTION INDUSTRY & LABORERS HEALTH & WELFARE TRUST: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
CONSTRUCTION INDUSTRY & LABORERS HEALTH & WELFARE TRUST (EIN 88-6002912)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-07
IRS object ID
201203129349301785
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)
Timestamp2012-11-07T15:48:33-08:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BERRY & CO CPAS LTDBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line17030 SMOKE RANCH RDAddressLine1
CityLAS VEGASCity
StateNVState
ZIP Code891281202ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN886002912EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1CONSTRUCTION INDUSTRY AND LABORERS HEALTH AND WELFARE PLANBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCONSNameControl
Phone7027348601Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 26449AddressLine1
CityLAS VEGASCity
StateNVState
ZIP Code891260449ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameTHOMAS WHITEName
TitleTRUSTEETitle
Phone7027348601Phone
Date Signed2012-11-07DateSigned
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonTHOMAS WHITENameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1PO BOX 26449AddressLine1
CityLAS VEGASCity
StateNVState
ZIP Code89126ZIPCode
FieldValueIRS element (for citing)
Gross Receipts47115414GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteN/AWebSite
Type Of Organization TrustXTypeOfOrganizationTrust
Year Formation1962YearFormation
State Legal DomicileNVStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE HEALTH, ACCIDENT, LIFE AND DISABILITY BENEFITS FOR ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS.ActivityOrMissionDescription
Nbr Voting Members Governing Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees3TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year22680348ProgramServiceRevenuePriorYear
Program Service Revenue CY19953446ProgramServiceRevenueCY
Investment Income Prior Year761021InvestmentIncomePriorYear
Investment Income Current Year527105InvestmentIncomeCurrentYear
Other Revenue Prior Year1413873OtherRevenuePriorYear
Other Revenue Current Year601662OtherRevenueCurrentYear
Total Revenue Prior Year24855242TotalRevenuePriorYear
Total Revenue Current Year21082213TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year35242578BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY16472123BenefitsPaidToMembersCY
Salaries Etc Prior Year21073SalariesEtcPriorYear
Salaries Etc Current Year763SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year4368133OtherExpensePriorYear
Other Expenses Current Year3691475OtherExpensesCurrentYear
Total Expenses Prior Year39631784TotalExpensesPriorYear
Total Expenses Current Year20164361TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-14776542RevenuesLessExpensesPriorYear
Revenues Less Expenses CY917852RevenuesLessExpensesCY
Total Assets BOY22073943TotalAssetsBOY
Total Assets EOY22943394TotalAssetsEOY
Total Liabilities EOY0TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY22073943NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY22943394NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE HEALTH, ACCIDENT, LIFE AND DISABILITYMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
DescriptionTO PROVIDE HEALTH, ACCIDENT, LIFE AND DISABILITY BENEFITS FOR ELIGIBLE 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 CounselingfalseCreditCounseling
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 StmttrueConsolidatedAuditFinancialStmt
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 With109610NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees3NumberOfEmployees
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
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
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 PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
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 Line1WILSON-MCSHANEBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number9528540795TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line13001 METRO DR SUITE 500AddressLine1
CityBLOOMINGTONCity
StateMNState
ZIP Code55425ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (9 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirector
THOMAS WHITE
TRUSTEE4.00X
KEITH MARTIAL
TRUSTEE4.00X
CHELSY TORRES
TRUSTEE4.00X
JACK SCHAEFER
TRUSTEE4.00X
WALTER ELLIOT
TRUSTEE4.00X
MITCHELL WEISS
TRUSTEE4.00X
DAN O'SHEA
TRUSTEE4.00X
MARCO HERNANDEZ
TRUSTEE4.00X
RICK COLVIN
TRUSTEE4.00X
FieldValueIRS element (for citing)
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (4 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
BROWNSTEIN HYATT FARBER SCHRECK
410 17TH STREET SUITE 2200DENVERCA80202LEGAL342339
WILSON-MCSHANE
3001 METRO DR SUITE 500BLOOMINGTONMN55425ADMINSTRATOR1104000
THE SEGAL COMPANY
1230 W WASHINGTON ST SUITE 501TEMPEAZ85281CONSULTING127955
BERRY & COMPANY CPAS
7030 SMOKE RANCH RDLAS VEGASNV89128ACCOUNTING140823
FieldValueIRS element (for citing)
Number Of Contractors GT100 K4NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumn
EMPLOYER CONTRIBUTIONS52510017606216
EMPLOYEE SELF-PAYMENTS5251002347230
FieldValueIRS element (for citing)
Total Program Service Revenue19953446TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column390738TotalRevenueColumn
Exclusion$390,738ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities26169568Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities26033201Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities136367Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column136367TotalRevenueColumn
Exclusion$136,367ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
STOP LOSS REIMBURSEMENTS9000991618116181
OTHER INCOME900099585481585481
FieldValueIRS element (for citing)
Total Other Revenue601662TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column21082213TotalRevenueColumn
Related Or Exempt Function Income20555108RelatedOrExemptFunctionIncome
Exclusion$527,105ExclusionAmount

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total16472123Total

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total763Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total366268Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total152723Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total63097Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total92433Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total35027Total

Insurance Insurance

FieldValueIRS element (for citing)
Total27789Total

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotal
ADMINISTRATIVE FEES1104000
ADVOCATE EXPENSE273781
CONSULTING FEES475493
COLLECTIONS OFFICE EXPENSE175487

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total925377Total

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total20164361Total

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY3937290BOY
EOY3701865EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1055364BOY
EOY4999517EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis271912LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec210696LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY87143BOY
EOY61216EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY16994146BOY
EOY14180796EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY22073943BOY
EOY22943394EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY
FieldValueIRS element (for citing)
Do Not Follow SFAS117XDoNotFollowSFAS117

Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc

FieldValueIRS element (for citing)
BOY22073943BOY
EOY22943394EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY22073943BOY
EOY22943394EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY22073943BOY
EOY22943394EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses917852ReconcilationRevenueExpenses
Reconcilation Other Changes-48401ReconcilationOtherChanges
Method Of Accounting CashXMethodOfAccountingCash
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis271912OtherCostOrOtherBasis
Depreciation210696Depreciation
Book Value61216BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings61216TotalOfBookValueLandBuildings
Total Revenue21082213TotalRevenue
Total Expenses20164361TotalExpenses
Excess Or Deficit For Year917852ExcessOrDeficitForYear
Net Unrealized GL On Investments48401NetUnrealizedGLOnInvestments
Other-$225,562OtherAmount
Total Adjustments-177161TotalAdjustments
Excess Or Deficit Per FS740691ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt21043877TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments48401NetUnrealizedGainsInvestments
Other Revenues-86737OtherRevenues
Revenue Not Rptd F990-38336RevenueNotRptdF990
Revenue Subtotal21082213RevenueSubtotal
Total Revenue Per Form99021082213TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt20303186TotExpensesEtcAuditedFinclStmt
Other Expenses Included138825OtherExpensesIncluded
Expenses Not Rptd F990138825ExpensesNotRptdF990
Expenses Subtotal20164361ExpensesSubtotal
Total Expenses Per Form99020164361TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifierExplanationExplanation
Pt XI Line 8ADJUSTMENTS MADE TO REFLECT CASH BASIS FORM 990
Pt XII Line 2dADJUSTMENTS MADE TO REFLECT CASH BASIS FORM 990
Pt XIII Line 2dADJUSTMENTS MADE TO REFLECT CASH BASIS FORM 990

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierExplanationExplanation
Pt VI, Line 11aFORM 990 WAS PROVIDED TO ALL TRUSTEES FOR REVIEW PRIOR TO FILING.
Pt VI, Line 12cTHE BOARD OF TRUSTEES ARE REQUIRED TO DISCLOSE ANY CONFLICTS THAT HAVE ARISEN.
Pt VI, Line 19PURSUANT TO ERISA.
Form 990EZ, Part II, Line 24CORPORATE BONDS CORPORATE STOCKS US GOVERNMENT SECURITIES
Form 990, Part IX, Line 24fCLINIC