2012-11-12T10:39:24-06:00 2011-12-31 320043599 LEGACY PROFESSIONALS LLP 6800 FRANCE AVENUE SO SUITE 550 EDINA MN 55435 990 2011-01-01 416187750 MINNESOTA LABORERS HEALTH AND WELFARE FUND MINN 6512561900 2520 PILOT KNOB ROAD NO 325 MENDOTA HEIGHTS MN 55120 GARY REED 6512561900 2012-11-07 1 ERIC C BAERTSCH P00964071 9528413950 2011 2016-02-24 21:20:13Z GARY REED 2520 PILOT KNOB ROAD NO 325 MENDOTA HEIGHTS MN 55120 104809041 0 X WWW.MINNESOTALABORERS.ORG X 1968 MN PROVIDE HEALTH AND WELFARE BENEFITS 14 14 58 0 0 0 0 0 71338274 77722466 6094945 6112445 0 0 77433219 83834911 0 0 66562419 69366908 0 0 0 0 0 4724147 2170010 71286566 71536918 6146653 12297993 249848122 265577163 952179 1207494 248895943 264369669 PROVIDE HEALTH AND WELFARE BENEFITS 0 0 TO PROVIDE HEALTH, DENTAL, AND DEATH BENEFITS TO THE ELIGIBLE DEPENDENTS, BENEFICIARIES AND PARTICIPANTS OF THE PLAN. 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1267 0 1 58 1 0 0 0 0 0 0 0 0 X 14 14 0 1 0 0 0 0 0 1 0 0 0 1 1 1 1 0 0 0 0 0 X ZENITH AMERICAN SOLUTIONS INC 6512561900 2520 PILOT KNOB ROAD SUITE 325 MENDOTA HEIGHTS MN 55120 X GARY REED 1.00 X X 0 0 0 JAMES BRADY 1.00 X 0 0 0 DAVE SAUNDERS 1.00 X 0 0 0 TOM HAUGH 1.00 X 0 0 0 MITCH TREPTOW 1.00 X 0 0 0 TIM MACKEY 1.00 X 0 0 0 DAVE BORST 1.00 X 0 0 0 TOM VEVEA 1.00 X X 0 0 0 DANIEL SHOEMAKER 1.00 X 0 0 0 JOHN NESSE 1.00 X 0 0 0 BART BODWAY 1.00 X 0 0 0 GREG BOELKE 1.00 X 0 0 0 MIKE HART 1.00 X 0 0 0 KEITH KRAMER 1.00 X 0 0 0 0 0 0 0 0 0 0 ZENITH AMERICAN SOLUTIONS INC 2520 PILOT KNOB ROAD MENDOTA HEIGHTS MN 55120 CONTRACT ADMINISTRATOR 1771040 MEDICA 401 CARLSON PARKWAY MINNETONKA MN 55305 PREFERRED PROVIDER ORGANIZATION ACCESS 908741 ANDERSON HELGEN DAVIS & NISSEN 150 SOUTH FIFTH STREET MINNEAPOLIS MN 55402 LEGAL COUNSEL 383734 ENVISION RX OPTIONS 2181 E AURORA ROAD TWINSBURG MN 44087 PREFERRED PROVIDER ORGANIZATION ACCESS 226983 DELTA DENTAL PO BOX 59238 MINNEAPOLIS MN 554590238 PREFERRED PROVIDER ORGANIZATION ACCESS 206474 8 EMPLOYER CONTRIBUTIONS 900099 71705115 71705115 PARTICIPANT CONTRIBUTI 900099 5143023 5143023 MEDICARE PART D SUBSID 900099 353762 353762 COBRA SUBSIDY INCOME 900099 263059 263059 PRESCRIPTION REBATES 900099 195982 195982 61525 61525 77722466 5320133 5320133 21766442 20974130 792312 792312 792312 83834911 77722466 0 6112445 69366908 438607 104036 566049 586596 404905 17206 38501 GOVERNMENT COMPLIANCE 14110 71536918 -1223123 -1669093 19183084 17023359 6975014 6383352 210337789 41447152 14256894 202037318 318464 355075 249848122 265577163 555444 527050 396735 680444 952179 1207494 X 0 0 0 0 248895943 264369669 248895943 264369669 249848122 265577163 X 12297993 3175733 X 0 1 1 X 0 0 LIMITED PARTNERSHIP 14609881 F MUTUAL FUND - NON PUBLICLY TRADED 18519446 F COMMON COLLECTIVE TRUST FUNDS 168907991 F 202037318 DEFERRED INCOME 425150 DUE TO BROKER 255294 680444 83834911 71536918 12297993 3175733 3175733 15473726 86444595 3175733 3175733 83268862 566049 566049 83834911 70970869 0 70970869 566049 566049 71536918 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 LIMITATIONS EXPIRE. FORM 990, PART VI, SECTION A, LINE 3 ALTHOUGH THE TRUSTEES RETAIN THE ULTIMATE RESPONSIBILITY, THE BOARD OF TRUSTEES HAS DELEGATED THE DAY TO DAY ADMINISTRATIVE DUTIES TO ZENITH AMERICAN SOLUTIONS, INC. AS THE THIRD PARTY ADMINISTRATOR OF THE PLAN. FORM 990, PART VI, SECTION A, LINE 8B THE PLAN HAS NO COMMITTEES WITH THE AUTHORITY TO ACT ON BEHALF OF THE TRUSTEES. FORM 990, PART VI, SECTION B, LINE 11 THE 990 IS PROVIDED TO THE ENTIRE BOARD OF TRUSTEES AND PLAN ADMINISTRATOR PRIOR TO FILING. AFTER THE BOARD'S REVIEW, THE FORM IS APPROVED AND FILED. FORM 990, PART VI, SECTION B, LINE 12C TO ENSURE THE PLAN OPERATES IN A MANNER CONSISTENT WITH ITS PURPOSES AND DOES NOT ENGAGE IN ACTIVITIES THAT COULD JEOPARDIZE ITS STATUS AND FIDUCIARY OBLIGATIONS, TRUSTEES ARE REQUIRED TO FOLLOW THE CONFLICT OF INTEREST POLICY WHICH STATES THAT ANY TRUSTEE WHO SENSES THAT A COURSE OF ACTION HE OR SHE HAS PURSUED, IS PRESENTLY PURSUING, OR IS CONTEMPLATING PURSUING MAY PRESENT A CONFLICT OF INTEREST TO IMMEDIATELY COMMUNICATE ALL THE FACTS TO THE CHAIRMAN AND SECRETARY OF THE BOARD OF TRUSTEES. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO ANY PARTICIPANT IN THE PLAN UPON REQUEST AT THE FUND OFFICE. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 3,175,733. MINNESOTA LABORERS PENSION FUND 2520 PILOT KNOB RD SUITE 325 MENDOTA HEIGHTS MN 55120 416083775 TO PROVIDE RETIREMENT BENEFITS FOR ELIGIBLE PARTICIPANTS MN 401 (A) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0