2012-03-28T11:32:17-05:00 2011-05-31 BANSLEY AND KIENER LLP 8745 W HIGGINS RD CHICAGO IL 60631 990 2010-06-01 362151212 HEALTH & WELFARE DEPT OF THE CONSTR & GEN LBRS DIST CNCL OF CH & VICIN HEAL 7085620200 11465 CERMAK ROAD WESTCHESTER IL 60154 JAMES S JORGENSEN 7085620200 2012-03-26 1 PAUL A MERKEL 3122632700 2012-03-26 2010 2016-02-24 21:20:13Z JAMES S JORGENSEN 11465 CERMAK ROAD WESTCHESTER IL 60154 650362247 0 X WWW.CHICAGOLABORERSFUNDS.COM X 1950 IL SEE STATEMENT A 12 12 96 0 0 0 0 0 166056774 177994571 -2764044 7304047 0 0 163292730 185298618 0 0 167093352 166550627 7357558 7241660 0 0 0 4608661 4993188 179059571 178785475 -15766841 6513143 242607122 272904803 101562094 120117811 141045028 152786992 THE FUND PROVIDES HEALTH, PRESCRIPTION, DENTAL, VISION AND LOSS OF TIME BENEFITS TO ELIGIBLE PARTICIPANTS AND DEPENDENTS. 0 0 TO PROVIDE HEALTH, PRESCRIPTION, DENTAL, VISION AND LOSS OF TIME BENEFITS TO ELIGIBLE PARTICIPANTS AND DEPENDENTS. 0 0 0 0 0 0 0 0 1 1 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 465 0 1 96 1 0 0 0 0 0 0 X 12 12 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 0 0 0 X X MR JAMES S JORGENSEN 7085620200 11465 CERMAK ROAD WESTCHESTER IL 60154 CHARLES GALLAGHER 2.50 X 0 0 0 ALAN ESCHE 2.50 X 0 0 0 DAVID LORIG 2.50 X 0 0 0 TIM SCULLY 2.50 X 0 0 0 RICHARD GRABOWSKI 2.50 X 0 0 0 DENNIS MARTIN 2.50 X 0 0 0 JAMES CONNOLLY 2.50 X 0 0 0 MARTIN FLANAGAN 2.50 X 0 0 0 RICHARD KUCZKOWSKI 2.50 X 0 0 0 SCOTT PAVLIS 2.50 X 0 0 0 RICHARD SHERMAN 2.50 X 0 0 0 TIM RILEY 2.50 X 0 0 0 RYAN HILL 2.50 X 0 0 0 CLIFTON HORN 2.50 X 0 0 0 CHARLES LOVERDE III 2.50 X 0 0 0 JAMES S JORGENSEN 15.00 X 254297 0 113618 PATRICK WALLACE 20.00 X 130620 0 69578 SALLY ETZ 36.00 X 129085 0 65945 EUGENIA MASHOS 20.00 X 118120 0 65658 JERROD OLSZEWSKI 20.00 X 129021 0 69182 LORI WILLIAMS 40.00 X 117895 0 60597 879038 0 444578 11 0 1 0 ALLISON SLUTSKY & KENNEDYPC 230 W MONROE SUITE 2600 CHICAGO IL 60606 LEGAL SERVICES 340803 OGLETREE DEAKINSNASH SMOAK & STEWART 20 S CLARK STREET 25TH FLOOR CHICAGO IL 60603 LEGAL SERVICES 303144 BANSLEY AND KIENER LLP 8745 W HIGGINS ROAD SUITE 200 CHICAGO IL 60631 ACCOUNTING SERVICES 286365 THE SEGAL COMPANY 101 N WACKER DRIVE SUITE 500 CHICAGO IL 60606 BENEFIT CONSULTING AND ACTUARIAL SERVICE 272639 DOWD BLOCH & BENNETT 8 S MICHIGAN AVE 19TH FLOOR CHICAGO IL 60603 LEGAL SERVICES 246915 7 EMPLOYER CONTRIBUTIONS 900099 167063819 167063819 SUPPLEMENTAL EARLY RET 900099 4020979 4020979 COBRA PAYMENTS 900099 3565911 3565911 GOVERNMENT EARLY RETIR 900099 1630795 1630795 LIQUIDATED DAMAGES - D 900099 804078 804078 908989 908989 177994571 5875481 5875481 466492195 465063629 1428566 1428566 1428566 185298618 177994571 0 7304047 166550627 176348 3984896 1472314 1287425 320677 1274910 305576 558794 290290 778071 332589 433677 30802 168489 136853 OUTSIDE SERVICES 635022 GENERAL EXPENSES 40026 CONTINUED PROFESSIONAL 8089 178785475 13605833 14990520 61206 267717 4487481 4157999 357504 329482 187644767 201451505 19453444 32133460 21484368 23732119 242607122 272904803 2663435 1617781 98898659 118500030 101562094 120117811 X 0 0 0 0 141045028 152786992 141045028 152786992 242607122 272904803 X 6513143 5228821 X 0 1 0 X 0 4304792 3982882 321910 182689 175117 7572 329482 PRIVATE EQUITY PARTNERSHIP 10087395 F MUTUAL FUNDS 9863744 F REAL ESTATE INVESTMENT FD 1460574 F COMMON TRUST FUND 10721747 F 32133460 EMPLOYER CONTRIBUTIONS - NET OF ALLOWANCE 17880456 DUE FROM BROKERS 283256 ACCRUED INTEREST 621864 MEDICAL CLAIMS REIMBURSEMENT 3754360 DUE FROM OTHER FUNDS 1192183 23732119 BANK OVERDRAFT 1669769 CLAIMS CURRENTLY PAYABLE 3830200 ESTIMATED LIABILITIES FOR CLAIMS INCURRED, NOT REPORTED 15320900 ESTIMATED LIABILITIES FOR ACCUMULATED ELIGIBILITY 70470000 ESTIMATED LIABILITY FOR HRA PROGRAM BENEFITS PAYABLE 18189308 NON-CURRENT PENSION LIABILITY 9019853 118500030 185298618 178785475 6513143 14095537 -8866716 5228821 11741964 198835361 14095537 14095537 184739824 558794 558794 185298618 167777008 0 167777008 558794 10449673 11008467 178785475 PART XI, LINE 8 - OTHER ADJUSTMENTS: PENSION-RELATED CHANGES OTHER THAN NET PERIODIC COST 698,414. PIOR YEAR RECORDING OF NON-CURRENT PENSION LIABILITY -9,565,130. PART XIII, LINE 4B - OTHER ADJUSTMENTS: INCREASE IN BENEFIT OBLIGATIONS X X 0 0 0 JAMES S JORGENSEN 254297 0 0 0 0 0 0 0 55911 57707 310208 57707 315561 55151 PATRICK WALLACE 130620 0 0 0 0 0 0 0 34789 34789 165409 34789 161973 31960 SALLY ETZ 129085 0 0 0 0 0 0 0 59350 6595 188435 6595 183586 6108 EUGENIA MASHOS 118120 0 0 0 0 0 0 0 32829 32829 150949 32829 147423 29860 JERROD OLSZEWSKI 129021 0 0 0 0 0 0 0 34591 34591 163612 34591 148661 30701 LORI WILLIAMS 117895 0 0 0 0 0 0 0 60597 0 178492 0 174124 0 FORM 990, PART VI, SECTION A, LINE 8B THERE ARE NO SUBCOMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE BOARD OF TRUSTEES. FORM 990, PART VI, SECTION B, LINE 11 THE BOARD AUTHORIZES THE FUND ADMINISTRATOR, JAMES JORGENSEN, TO REVIEW AND APPROVE THE FORM 990 PRIOR TO THE DATE THAT FILING OCCURS WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12 THE FUND'S LEGAL COUNSEL INFORMS THE BOARD OF TRUSTEES OF THEIR FIDUCIARY OBLIGATIONS AND WHAT CONSTITUTES A CONFLICT OF INTEREST. THE BOARD OF TRUSTEES DETERMINE AND APPROVE THE SALARY FOR THE OFFICE EMPLOYEES AND THE FUND ADMINISTRATOR, JAMES JORGENSEN. THE FUND ADMINISTRATOR'S SALARY IS PAID BY THE WELFARE FUND AND ALLOCATED WITH AND REIMBURSED BY THE LABORERS' PENSION FUND AND THE LABORERS' STAFF PENSION FUND. FORM 990, PART VI, SECTION C, LINE 19 PARTICIPANTS OF THE FUND MAY REQUEST GOVERNING AND OTHER POLICY DOCUMENTS UPON REQUEST OR THEY MAY ACCESS CERTAIN DOCUMENTS FROM THE FUND'S WEBSITE. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 14,095,537. PENSION-RELATED CHANGES OTHER THAN NET PERIODIC COST 698,414. PIOR YEAR RECORDING OF NON-CURRENT PENSION LIABILITY -9,565,130. TOTAL TO FORM 990, PART XI, LINE 5: 5,228,821.