STRATEGY STUDIO / PUBLIC DATA EXPLORER

ADMINISTRATIVE DISTRICT COUNCIL 1 WELFARE FUND: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
ADMINISTRATIVE DISTRICT COUNCIL 1 WELFARE FUND (EIN 36-2150067)
Tax period
2010-06-01 to 2011-05-31
Filed
2012-03-03
IRS object ID
201220639349300022
Schema version
2010v3.4
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)
Timestamp2012-03-03T11:38:53-06:00Timestamp
Tax Period End Date2011-05-31TaxPeriodEndDate

Preparer Firm PreparerFirm

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 DRIVE STE 4000AddressLine1
CityCHICAGOCity
StateILState
ZIP Code60606ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-06-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN362150067EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1ADMINISTRATIVE DISTRICT COUNCIL NO 1 WELFARE FUNDBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlADMINameControl
Phone6306178600Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1660 N INDUSTRIAL DRIVE NO 100AddressLine1
CityELMHURSTCity
StateILState
ZIP Code60126ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJAMES ALLENName
TitleTRUSTEETitle
Phone6306178600Phone
Date Signed2012-03-03DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameLEGACY PROFESSIONALS LLPName
Phone3123680500Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJAMES ALLENNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1660 N INDUSTRIAL DRIVE NO 100AddressLine1
CityELMHURSTCity
StateILState
ZIP Code60126ZIPCode
FieldValueIRS element (for citing)
Gross Receipts301381094GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteN/AWebSite
Type Of Organization TrustXTypeOfOrganizationTrust
Year Formation1950YearFormation
State Legal DomicileILStateLegalDomicile
Activity Or Mission DescriptionPROVIDE HEALTH BENEFITSActivityOrMissionDescription
Nbr Voting Members Governing Body10NbrVotingMembersGoverningBody
Nbr Independent Voting Members10NbrIndependentVotingMembers
Total Nbr Employees28TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year19807677ProgramServiceRevenuePriorYear
Program Service Revenue CY21774095ProgramServiceRevenueCY
Investment Income Prior Year3096674InvestmentIncomePriorYear
Investment Income Current Year9909319InvestmentIncomeCurrentYear
Other Revenue Prior Year45171450OtherRevenuePriorYear
Other Revenue Current Year26428OtherRevenueCurrentYear
Total Revenue Prior Year68075801TotalRevenuePriorYear
Total Revenue Current Year31709842TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year18744279BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY24664646BenefitsPaidToMembersCY
Salaries Etc Prior Year1924492SalariesEtcPriorYear
Salaries Etc Current Year2394135SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year1481462OtherExpensePriorYear
Other Expenses Current Year1641388OtherExpensesCurrentYear
Total Expenses Prior Year22150233TotalExpensesPriorYear
Total Expenses Current Year28700169TotalExpensesCurrentYear
Revenues Less Expenses Prior Year45925568RevenuesLessExpensesPriorYear
Revenues Less Expenses CY3009673RevenuesLessExpensesCY
Total Assets BOY114685212TotalAssetsBOY
Total Assets EOY119637344TotalAssetsEOY
Total Liabilities BOY613154TotalLiabilitiesBOY
Total Liabilities EOY839613TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY114072058NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY118797731NetAssetsOrFundBalancesEOY
Mission DescriptionPROVIDE HEALTH BENEFITSMissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
DescriptionTO PROVIDE MEDICAL AND DEATH BENEFITS FOR ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS.Description
Described In501 C30DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
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 Required1ScheduleJRequired
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 With10961325NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees28NumberOfEmployees
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 Members10NbrVotingGoverningBodyMembers
Number Independent Voting Members10NumberIndependentVotingMembers
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 Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy0WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
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 Line1LAUREL SCOTTI - ADMINISTRATORBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number6306178600TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1660 N INDUSTRIAL DRIVE SUITE 100AddressLine1
CityELMHURSTCity
StateILState
ZIP Code60126ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (16 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
JAMES ALLEN
TRUSTEE1.00X000
RICHARD LAUBER
TRUSTEE1.00X000
JOSEPH GAGLIARDO
TRUSTEE1.00X000
BERNIE VAN ETTEN
TRUSTEE1.00X000
MICHAEL LOWERY
TRUSTEE1.00X000
TIMOTHY AIKENS
TRUSTEE1.00X000
GREG POSCH
TRUSTEE1.00X000
AL ESCHE
TRUSTEE1.00X000
RICHARD PORTER
TRUSTEE1.00X000
MICHAEL PILOLLA
TRUSTEE1.00X000
LAUREL SCOTTI
ADMINISTRATOR40.00132648038838X
TERRENCE SHANNON
FIELD REPRESENTATIVE37.00107440060510X
CHRIS LAUGHLIN
FIELD REPRESENTATIVE37.00107440060510X
WILLIAM MCINTYRE
FIELD REPRESENTATIVE37.00107440060510X
WILLIAM KENNEDY
FIELD REPRESENTATIVE37.00105529033666X
ROBERT RUDIS
FIELD REPRESENTATIVE37.00105529060510X
FieldValueIRS element (for citing)
Total Reportable Comp From Org666026TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation314544TotalOtherCompensation
Number Individuals GT100 K6NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
BLUE CROSS BLUE SHIELD
300 EAST RANDOLPH STREETCHICAGOIL606015099PPO PROVIDER770576
MEDICAL EXCESS
21555 WEST SWAN COURTKILDEERIL60047STOP LOSS INSURANCE PROVIDER253733
LEGACY PROFESSIONALS LLP
311 S WACKER DR STE 4000CHICAGOIL60606AUDITOR AND PAYROLL COMPLIANCE AUDITOR150864
RELIASTAR LIFE INSURANCE COMPANY
22624 NETWORK PLACECHICAGOIL60673LIFE INSURANCE PROVIDER136440
WURTS ASSOCIATES
999 THIRD AVENUE SUITE 4200SEATTLEWA98104INVESTMENT CONSULTANT134792
FieldValueIRS element (for citing)
Number Of Contractors GT100 K7NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
CONTRACTOR CONTRIBUTIO9000991743944417439444
COBRA INCOME90009913511861351186
REIMB. OF SHARED EXPEN90009913172051317205
RETIRED MEMBERS' CONTR900099529670529670
STOP-LOSS INSURANCE PR900099260509260509

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column876081TotalRevenueColumn
Related Or Exempt Function Income876081RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue21774095TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column7654526TotalRevenueColumn
Exclusion$7,654,526ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities271926045Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities269671252Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities2254793Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column2254793TotalRevenueColumn
Exclusion$2,254,793ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
SECURITIES LITIGATION90009918085$18,085
MISCELLANEOUS INCOME9000998343$8,343
FieldValueIRS element (for citing)
Total Other Revenue26428TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column31709842TotalRevenueColumn
Related Or Exempt Function Income21774095RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$9,935,747ExclusionAmount

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total24664646Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total171486Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total1267101Total

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total403150Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total428766Total

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total123632Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total277016Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total170319Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total183298Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total121297Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total336942Total

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total128139Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total151045Total

Travel Travel

FieldValueIRS element (for citing)
Total87411Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total21325Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total56867Total

Insurance Insurance

FieldValueIRS element (for citing)
Total65770Total

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotal
DOCUMENT SCANNING22417
LICENSE FEES11156
STORAGE4099
MEMBERSHIP DUES3961
MISCELLANEOUS326

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total28700169Total

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY535517BOY
EOY460315EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY8089075BOY
EOY8890648EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY4811627BOY
EOY3900379EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY19452BOY
EOY20000EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis488583LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec233429LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY291870BOY
EOY255154EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY100937671BOY
EOY60016764EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
EOY46094084EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY114685212BOY
EOY119637344EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY613154BOY
EOY839613EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY613154BOY
EOY839613EOY
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)
BOY114072058BOY
EOY118797731EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY114072058BOY
EOY118797731EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY114685212BOY
EOY119637344EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses3009673ReconcilationRevenueExpenses
Reconcilation Other Changes1716000ReconcilationOtherChanges
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 Basis336706OtherCostOrOtherBasis
Depreciation189581Depreciation
Book Value147125BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis151877OtherCostOrOtherBasis
Depreciation43848Depreciation
Book Value108029BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings255154TotalOfBookValueLandBuildings

Other Securities OtherSecurities (3 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
SSGA S&P 500 INDEX SECURITIES LENDING QP CTF11335032F
SSGA TIPS INDEX NON-LENDING QP CTF16454542F
SSGA COMMON AND COLLECTIVE FUNDS18304510F
FieldValueIRS element (for citing)
Total Of Book Value Securities46094084TotalOfBookValueSecurities
Total Revenue31709842TotalRevenue
Total Expenses28700169TotalExpenses
Excess Or Deficit For Year3009673ExcessOrDeficitForYear
Net Unrealized GL On Investments1716000NetUnrealizedGLOnInvestments
Total Adjustments1716000TotalAdjustments
Excess Or Deficit Per FS4725673ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt31925339TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments1716000NetUnrealizedGainsInvestments
Revenue Not Rptd F9901716000RevenueNotRptdF990
Revenue Subtotal30209339RevenueSubtotal
Investment Expenses Not Included183298InvestmentExpensesNotIncluded
Other Revenues Not Included1317205OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt1500503RevenueNotRptdOnFinStmt
Total Revenue Per Form99031709842TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt27199666TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal27199666ExpensesSubtotal
Investment Expenses Not Included2183298InvestmentExpensesNotIncluded2
Other Expenses Not Included1317205OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt1500503ExpensesNotRptdOnFinStmt
Total Expenses Per Form99028700169TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X: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 EXPIRES.
PART XII, LINE 4B - OTHER ADJUSTMENTS:ALLOCATED SHARED EXPENSES TO RELATED PLANS
PART XIII, LINE 4B - OTHER ADJUSTMENTS:ALLOCATED SHARED EXPENSES TO RELATED PLANS

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement

Form990 Schedule J Part II Form990ScheduleJPartII (5 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
LAUREL SCOTTI
13264800000201820186560171486000
TERRENCE SHANNON
10744000000437200167900167950000
CHRIS LAUGHLIN
10744000000437200167900167950000
WILLIAM MCINTYRE
10744000000437200167900167950000
ROBERT RUDIS
10552900000437200167900166039000

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
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' REVIEW, THE FORM IS APPROVED AND FILED.
IT IS THE POLICY OF THE TRUSTEES THAT THE EXISTENCE OF A POTENTIAL CONFLICT SHALL BE DISCLOSED BEFORE ANY TRANSACTION IS CONSUMMATED. IT SHALL BE THE CONTINUING RESPONSIBILITY OF FUND PERSONNEL TO SCRUTINIZE THEIR TRANSACTIONS AND OUTSIDE BUSINESS INTERESTS AND RELATIONSHIPS FOR POTENTIAL CONFLICTS AND TO IMMEDIATELY MAKE SUCH DISCLOSURES TO THE TRUSTEES.FORM 990, PART VI, SECTION B, LINE 12C
SALARIES ARE ANNUALLY REVIEWED AND APPROVED BY THE BOARD OF TRUSTEES.FORM 990, PART VI, SECTION B, LINE 15
THE GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST AT THE FUND OFFICE.FORM 990, PART VI, SECTION C, LINE 19
CHANGES IN NET ASSETS OR FUND BALANCES:NET UNREALIZED GAINS ON INVESTMENTS: 1,716,000.FORM 990, PART XI, LINE 5:
FORM 990, PART VII, SECTION A, LINE 1A: THE ORGANIZATION'S ADMINISTRATOR IS ALSO THE ADMINISTRATOR OF TWO OTHER ENTITIES. THE REPORTING ORGANIZATION IS REIMBURSED BY THESE ENTITIES FOR THEIR ALLOCATED PORTION OF HER SALARY, FRINGES AND TAXES. THE AVERAGE HOURS PER WEEK REPORTED ON LINE 1A IS THE WEEKLY AMOUNT DEDICATED TO ALL THREE ORGANIZATIONS. FORM 990, PART VII, SECTION A, LINE 1A: THE ORGANIZATION'S FIELD REPRESENTATIVES ALSO PERFORM SERVICES FOR SEVERAL OTHER ENTITIES. THE REPORTING ORGANIZATION IS REIMBURSED BY THESE ENTITIES FOR THEIR ALLOCATED PORTION OF THEIR SALARIES, FRINGES AND TAXES. THE AVERAGE HOURS PER WEEK REPORTED ON LINE 1A IS THE WEEKLY AMOUNT DEDICATED TO ALL OF THE ORGANIZATIONS.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1BRICKLAYERS OF IL DC NO 1 BAC ANNUITY TRUST FUNDBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1660 N INDUSTRIAL DR STE 100AddressLine1
CityELMHURSTCity
StateILState
ZIP Code60126ZIPCode
FieldValueIRS element (for citing)
EIN373794397EIN
Primary ActivitiesPROVIDE RETIREMENT, DISABILITY & SURVIVOR 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 Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
BRICKLAYERS AND STONE MASONS OF IL DC NO 1 BAC ANNUITY TRUST FUND
N371372
BRICKLAYERS AND STONE MASONS OF IL DC NO 1 BAC ANNUITY TRUST FUND
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