2012-03-02T11:06:38-08:00 2011-05-31 Levinson Simon Hein & Bilkey PC 566 West Lake Street Suite 300 Chicago IL 606611414 990 2010-06-01 366147408 FOX VALLEY & VICIN CONSTRUCTION WEL FUND FOXV 6302327166 2100 MAYFAIR RD MILWAUKEE WI 53226 PETER CULVER 2012-03-02 Corey Bilkey 2010 2016-02-24 21:20:13Z 12257961 false false X N/A X 1961 WI TO PROVIDE MEDICAL, DENTAL, VISION, TEMPORARY DISABILITY, AND DEATH BENEFITS 11 11 5 0 0 7272329 7174146 104775 731447 0 7377104 7905593 0 7076451 6684839 0 0 0 1069573 980169 8146024 7665008 -768920 240585 18397378 19858226 3555894 3719918 14841484 16138308 TO PROVIDE MEDICAL, DENTAL, VISION, TEMPORARY DISABILITY, AND DEATH BENEFITS false false TO PROVIDE MEDICAL, DENTAL, VISION, TEMPORARY DISABILITY, AND DEATH BENEFITS TO 637 ELIGIBLE MEMBERS AND THEIR DEPENDENTS. false false false false false false false false false false true true false false true false true false false false false false false false false false false false false false false false false false false false false false false false false false false false false false true false false false false true 431 0 true 5 true false false false false false false false false false false false false false false false X 11 11 false true false false false false false true true false false false false true true true true true false false false false X RITA BECKER 4144761220 2100 MAYFAIR RD MILWAUKEE WI 53226 X RUSS WILDER 2.00 X 0 0 0 RUBEN COLLAZO 2.00 X 0 0 0 RICHARD COLOMBO 2.00 X 0 0 0 PETER CULVER 2.00 X 0 0 0 MICHAEL DRIESSEN 2.00 X 0 0 0 KENNETH SANDENO 2.00 X 0 0 0 JOSH BOLLER 2.00 X 0 0 0 JOHN SZECH 2.00 X 0 0 0 JO DEE BENOIT 2.00 X 0 0 0 JAMES ZUIDEMA 2.00 X 0 0 0 DONALD DEETJEN 2.00 X 0 0 0 DAN AUSSEM 2.00 X 0 0 0 CHUCK FRANTINI 2.00 X 0 0 0 ART STURMS 2.00 X 0 0 0 0 false false false INDEPENDENT EMPLOYEE BENEFITS CORP 28 N FIRST ST GENEVA IL 60134 ADMINISTRATOR 386316 BLUE CROSS BLUE SHIELD OF IL 300 E RANDOLPH ST CHICAGO IL 60601 INSURANCE ADMIN 223784 2 0 EMPLOYER CONTRIBUTIONS 525100 6140809 6140809 EMPLOYEE CONTRIBUTIONS 525100 1033337 1033337 7174146 588426 588426 0 0 0 4495389 4352368 143021 143021 143021 0 0 0 0 7905593 7174146 731447 0 0 0 6684839 0 0 0 0 0 0 386321 65665 37309 0 0 46877 402016 0 23687 0 0 0 0 0 5923 0 0 5800 6571 0 7665008 0 0 0 -270479 -108279 0 0 865556 801729 0 0 0 0 42641 64653 64513 47803 20510 16710 7558795 6034260 10101510 12962912 0 0 78845 86241 18397378 19858226 29114 48918 3526780 3671000 3555894 3719918 X 14841484 16138308 14841484 16138308 18397378 19858226 X 240585 1056239 X false true true X false false 64513 47803 16710 16710 12962912 EXTENDED ELIGIBILITY 2739500 EST LIAB FUT CLMS INCRRD NOT REPRTD 745200 CLAIMS PAYABLE 186300 3671000 7905593 7665008 240585 1056239 144220 1200459 1441044 8914955 1056239 1056239 7858716 46877 46877 7905593 7473911 7473911 46877 144220 191097 7665008 Part XIII, Line 4b Part XIII, Line 4b: Other revenue amounts included on 990 but not included in F/S CHANGE IN CURRENT BENEFIT OBLIGATIONS $144220 Part XI, Line 8 Part XI, Line 8: Other Changes in Net Assets or Fund Balances CHANGE IN CURRENT BENEFIT OBLIGATIONS $ -0 SCHEDULE D, PART XI, LINE 8 OTHER CHANGES IN NET ASSETS OR FUND BALANCES:PURSUANT TO AN AGREEMENT OF MERGER BETWEEN THE FOX VALLEY & VICINITY CONSTRUCTION WORKERS WELFARE FUND AND THE LAKE COUNTY, ILLINOIS PLASTERERS AND CEMENT MASONS WELFARE FUND (LCWF), ALL OF THE ASSETS AND LIABILITIES OF LCWF WERE TO BE MERGED INTO THE FOX VALLEY & VICINITY CONSTRUCTION WORKERS WELFARE FUND EFFECTIVE MAY 31, 2009. THE NET ASSETS TRANSFERRED FROM LCWF TOTALED $1,541,479. Form 990, Part VI, Line 19 Form 990, Part VI, Line 19: Other Organization Documents Publicly Available A SUMMARY ANNUAL REPORT IS DISTRIBUTED TO ALL PARTICIPANTS. PARTICIPANTS ARE ABLE TO REQUEST THE AUDITOR'S REPORT AND OTHER FINANCIAL INFORMATION FROM THE PLAN ADMINISTRATOR AND/OR THE US DEPARTMENT OF LABOR. ALSO, FORM 5500 IS OPEN TO PUBLIC INSPECTION THROUGH THE US DEPARTMENT OF LABOR. Form 990, Part VI, Line 12c Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts THE TRUSTEES ARE GOVERNED BY THE TRUST DOCUMENT AND HAVE A FIDUCIARY RESPONSIBILITY UNDER ERISA TO ADMINISTER THE PLAN IN THE BEST INTEREST OF THE MEMBERSHIP.THE US DEPARTMENT OF LABOR REQUIRES ALL LABOR TRUSTEES TO REPORT ON FORM LM-30 POTENTIAL SITUATIONS WHERE THERE MAY BE CONFLICTS OF INTEREST. THIS INFORMATION IS OPEN TO THE PUBLIC. Form 990, Part VI, Line 11 Form 990, Part VI, Line 11: Form 990 Review Process THE TRUSTEES AUTHORIZE THE FUND'S THIRD-PARTY ADMINSTRATOR AND A DESIGNATED TRUSTEE TO REVIEW THE FORM 990 BEFORE IT IS FILED. Form 990, Part VI, Line 3 Form 990, Part VI, Line 3: Description of Delegated Duties to Management Company INDEPENDENT EMPLOYEE BENEFITS CORPORATION IS THE THIRD PARTY ADMINISTRATOR HIRED TO ADMINISTER THE FUND'S DAY-TO-DAY OPERATIONS. FOX VALLEY CONSTRUCTION WORKERS PENSION 28 N FIRST STREET GENEVA IL 60134 366147407 PROVIDE PENSION BENEFITS IL 401 A N/A false false false false false false false false false false false false false false false false false false false