2012-10-02T10:39:39-05:00 2011-11-30 LEGACY PROFESSIONALS LLP 6800 FRANCE AVENUE SO SUITE 550 EDINA MN 55435 990 2010-12-01 237115412 MINNESOTA TEAMSTERS CONSTRUCTION DIVISION FRINGE BENEFIT FUNDS MINN 6512561900 C/O ZENITH AMER SOL 2520 PILOT KNOB RD NO 325 MENDOTA HEIGHTS MN 55120 DAVID LABORDE 6512561900 2012-09-14 1 LEGACY PROFESSIONALS LLP 9528413950 2010 2016-02-24 21:20:13Z DAVID LABORDE C/O ZENITH AMER SOL 2520 PILOT KNOB RD NO MENDOTA HEIGHTS MN 55120 17619670 0 X N/A X 1970 MN PROVIDE HEALTH BENEFITS 8 8 0 0 0 0 0 0 11895626 10744970 311805 707280 0 3422 12207431 11455672 0 0 10352222 11189921 0 0 0 0 0 919793 889135 11272015 12079056 935416 -623384 20881224 19841329 100129 39354 20781095 19801975 TO PROVIDE HEALTH CARE, DENTAL, DISABILITY, LIFE, AND ACCIDENTAL DEATH AND DISMEMBERMENT BENEFITS TO MEMBERS. 0 0 PAYMENT OF HEALTH CARE, DENTAL, DISABILITY, LIFE, AND ACCIDENTAL DEATH AND DISMEMBERMENT BENEFITS FOR ELIGIBLE PARTICIPANTS AND DEPENDENTS AS PROVIDED BY THE SUMMARY PLAN DESCRIPTION. 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1 514 0 1 0 0 0 0 0 0 0 0 0 X 8 8 0 1 0 0 0 0 0 1 0 0 0 1 1 0 0 0 0 0 0 0 X ZENITH AMERICAN SOLUTIONS INC 6512561900 2520 PILOT KNOB ROAD SUITE 325 MENDOTA HEIGHTS MN 55120 X MIKE WELCH 2.00 X 0 0 0 KEITH KRAMER 1.00 X 0 0 0 MARTHA HENRICKSON 1.00 X 0 0 0 TONY FRATTALONE 1.00 X 0 0 0 KENT PETERSON 1.00 X 0 0 0 STEVE SAUER 1.00 X 0 0 0 JASON ZINS 1.00 X 0 0 0 DAVID LABORDE 2.00 X 0 0 0 DAVE SCHRUNK 1.00 X 0 0 0 WAYNE PERLEBERG 1.00 X 0 0 0 QUINTEN HAUSAUER 1.00 X 0 0 0 LES KUNDO 1.00 X 0 0 0 ZACHARY RADZAK 1.00 X 0 0 0 TOM NELTON 1.00 X 0 0 0 0 0 0 0 0 0 0 ZENITH AMERICAN SOLUTIONS INC 2520 PILOT KNOB ROAD SUITE 325 MENDOTA HEIGHTS MN 55120 ADMINISTRATIVE, CLAIMS PROCESSING, AUDIT 389997 BLUELINK TPA 1200 YANKEE DOODLE ROAD PO BOX 6 ST PAUL MN 55164 PPO ACCESS FEES 216084 2 EMPLOYER CONTRIBUTIONS 900099 10126665 10126665 PARTICIPANT CONTRIB 900099 423633 423633 STOP LOSS RECOVERIES 900099 156501 156501 SUBROGATION SETTLEMENT 900099 36151 36151 LIQUIDATED DAMAGES 900099 2020 2020 10744970 621278 621278 6250000 6163998 86002 86002 86002 SECURITIES LITIGATION 900099 3422 3422 3422 11455672 10744970 0 710702 11189921 378727 46322 38270 1533 362407 40650 3220 9661 GOVERNMENT COMPLIANCE 6753 BANK CHARGES 1542 MEMBERSHIP FEES 50 12079056 413246 302399 1057341 2022195 1386585 1242490 333 0 18023719 16274245 0 20881224 19841329 82299 25725 17830 13629 100129 39354 X 0 0 0 0 20781095 19801975 20781095 19801975 20881224 19841329 X -623384 -355736 X 0 1 1 X 0 0 11455672 12079056 -623384 -355736 -355736 -979120 11098403 -355736 -355736 11454139 1533 1533 11455672 12077523 0 12077523 1533 1533 12079056 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 REPONSIBILITY, THE TRUSTEES HAVE DELEGATED THE DAY TO DAY ADMINISTRATIVE DUTIES TO ZENITH AMERICAN SOLUTIONS INC. AS THE THIRD PARTY ADMINISTRATOR OF THE FUND. FORM 990, PART VI, SECTION A, LINE 8B THERE IS NO COMMITTEE WITH AUTHORITY TO ACT ON THE BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11 FORM 990 IS PROVIDED TO AND REVIEWED BY THE ENTIRE BOARD OF TRUSTEES BEFORE THE FORM 990 IS FILED. FORM 990, PART VI, SECTION C, LINE 19 THE PLAN MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO PARTICIPANTS AT THE PLAN OFFICE. THESE DOCUMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -355,736. MN TEAMSTERS CONSTRUCTION DIV PENSION FUND 2520 PILOT KNOB ROAD STE 325 MENDOTA HEIGHTS MN 55120 416187751 TO PROVIDE PENSION BENEFITS MN 401(A) 0 MN TEAMSTERS CONSTRUCTION DIV JATC FUND 2520 PILOT KNOB ROAD STE 325 MENDOTA HEIGHTS MN 55120 411676452 TO PROVIDE TRAINING FOR APPRENTICES MN 501(C)(9) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0