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MINNESOTA LABORERS HEALTH AND WELFARE FUND: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
MINNESOTA LABORERS HEALTH AND WELFARE FUND (EIN 41-6187750)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-08
IRS object ID
201113129349301121
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)
Timestamp2011-11-08T10:40:10-06:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

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 Line14530 WEST 77TH STREET STE 300AddressLine1
CityEDINACity
StateMNState
ZIP Code55435ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN416187750EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MINNESOTA LABORERS HEALTH AND WELFARE FUNDBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMINNNameControl
Phone6512561900Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12520 PILOT KNOB ROAD NO 325AddressLine1
CityMENDOTA HEIGHTSCity
StateMNState
ZIP Code55120ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameGARY REEDName
TitleSECRETARYTitle
Phone6512561900Phone
Date Signed2011-11-07DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameLEGACY PROFESSIONALS LLPName
Phone9528413950Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonGARY REEDNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12520 PILOT KNOB ROAD NO 325AddressLine1
CityMENDOTA HEIGHTSCity
StateMNState
ZIP Code55120ZIPCode
FieldValueIRS element (for citing)
Gross Receipts139838408GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteWWW.MINNESOTALABORERS.ORGWebSite
Type Of Organization TrustXTypeOfOrganizationTrust
Year Formation1968YearFormation
State Legal DomicileMNStateLegalDomicile
Activity Or Mission DescriptionTHE FUND PROVIDES LIFE, HEALTH AND WELFARE BENEFITS.ActivityOrMissionDescription
Nbr Voting Members Governing Body14NbrVotingMembersGoverningBody
Nbr Independent Voting Members14NbrIndependentVotingMembers
Total Nbr Employees62TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year72317757ProgramServiceRevenuePriorYear
Program Service Revenue CY71338274ProgramServiceRevenueCY
Investment Income Prior Year8737017InvestmentIncomePriorYear
Investment Income Current Year6094945InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year81054774TotalRevenuePriorYear
Total Revenue Current Year77433219TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year73796598BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY66562419BenefitsPaidToMembersCY
Salaries Etc Prior Year0SalariesEtcPriorYear
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year3499908OtherExpensePriorYear
Other Expenses Current Year4724147OtherExpensesCurrentYear
Total Expenses Prior Year77296506TotalExpensesPriorYear
Total Expenses Current Year71286566TotalExpensesCurrentYear
Revenues Less Expenses Prior Year3758268RevenuesLessExpensesPriorYear
Revenues Less Expenses CY6146653RevenuesLessExpensesCY
Total Assets BOY228033530TotalAssetsBOY
Total Assets EOY249848122TotalAssetsEOY
Total Liabilities BOY903067TotalLiabilitiesBOY
Total Liabilities EOY952179TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY227130463NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY248895943NetAssetsOrFundBalancesEOY
Mission DescriptionPROVIDE HEALTH AND WELFARE BENEFITSMissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
DescriptionTO PROVIDE HEALTH, DENTAL, AND DEATH BENEFITS FOR ELIGIBLE PARTICIPANTS AND BENEFICIARIES UNDER THE TERMS OF THE PLAN.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 Equip0ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
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 Required0ScheduleJRequired
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 With10961323NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees62NumberOfEmployees
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
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members14NbrVotingGoverningBodyMembers
Number Independent Voting Members14NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties1DelegationOfManagementDuties
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 Policy0DocumentRetentionPolicy
Compensation Process CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1ZENITH ADMINISTRATORS INCBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number6512561900TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12520 PILOT KNOB ROAD SUITE 325AddressLine1
CityMENDOTA HEIGHTSCity
StateMNState
ZIP Code55120ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (15 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
DALE JOHNSON
TRUSTEE-EMPLOYER1.00X000
KEITH KRAMER
TRUSTEE-EMPLOYER1.00X000
MIKE HART
TRUSTEE-EMPLOYER1.00X000
DAVE BORST
TRUSTEE-UNION1.00X000
GREG BOELKE
TRUSTEE-EMPLOYER1.00X000
TOM VEVEA
CHAIRMAN-EMPLOYER1.00X000X
JAMES BRADY
TRUSTEE-UNION1.00X000
GARY REED
SECRETARY-UNION1.00X000X
MITCH TREPTOW
TRUSTEE-UNION1.00X000
ED DRAKE
TRUSTEE-UNION-PAST1.00X000
TIM MACKEY
TRUSTEE-UNION1.00X000
BART BODWAY
TRUSTEE-EMPLOYER1.00X000
JOHN NESSE
TRUSTEE-EMPLOYER1.00X000
TOM HAUGH
TRUSTEE-UNION1.00X000
DAVE SAUNDERS
TRUSTEE-UNION1.00X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
ZENITH ADMINISTRATORS
2520 PILOT KNOB ROADMENDOTA HEIGHTSMN55120CONTRACT ADMINISTRATOR1726328
MEDICA
401 CARLSON PARKWAYMINNETONKAMN55305PREFERRED PROVIDER ORGANIZATION ACCESS943173
ANDERSON HELGEN DAVIS & NISSEN
150 SOUTH FIFTH STREETMINNEAPOLISMN55402LEGAL COUNSEL329508
DELTA DENTAL
PO BOX 59238MINNEAPOLISMN554590238PREFERRED PROVIDER ORGANIZATION ACCESS214174
SAND CREEK GROUP
610 NORTH MAIN STREETSTILLWATERMN55082EMPLOYEE ASSISTANCE PROGRAMS107652
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
EMPLOYER CONTRIB9000996375827263758272
PARTICIPANT CONTRIB90009963002456300245
EARLY RETIREE REINSURA900099870534870534
RETIREE DRUG SUBSIDY900099338171338171
LIQUIDATED DAMAGES9000997105271052
FieldValueIRS element (for citing)
Total Program Service Revenue71338274TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column4526610TotalRevenueColumn
Exclusion$4,526,610ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities63973524Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities62405189Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities1568335Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column1568335TotalRevenueColumn
Exclusion$1,568,335ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column77433219TotalRevenueColumn
Related Or Exempt Function Income71338274RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$6,094,945ExclusionAmount

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total66562419Total

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total367594Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total344314Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total110933Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total484781Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total3002241Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total323771Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total25683Total

Insurance Insurance

FieldValueIRS element (for citing)
Total42146Total

Other Expenses OtherExpenses

FieldValueIRS element (for citing)
DescriptionGOVERNMENT COMPLIANCEDescription
Total22684Total

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total71286566Total

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY-318034BOY
EOY-1223123EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY23387516BOY
EOY19183084EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY6409431BOY
EOY6975014EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY5260BOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY198155196BOY
EOY210337789EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
EOY14256894EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY394161BOY
EOY318464EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY228033530BOY
EOY249848122EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY506374BOY
EOY555444EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY396693BOY
EOY396735EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY903067BOY
EOY952179EOY
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)
BOY227130463BOY
EOY248895943EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY227130463BOY
EOY248895943EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY228033530BOY
EOY249848122EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses6146653ReconcilationRevenueExpenses
Reconcilation Other Changes15618827ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Total Of Book Value Land Buildings0TotalOfBookValueLandBuildings

Other Securities OtherSecurities

FieldValueIRS element (for citing)
DescriptionLIMITED PARTNERSHIPDescription
Book Value14256894BookValue
Method Of ValuationFMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities14256894TotalOfBookValueSecurities

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDEFERRED INCOMEDescription
Amount$396,735Amount
FieldValueIRS element (for citing)
Total Of Amounts396735TotalOfAmounts
Total Revenue77433219TotalRevenue
Total Expenses71286566TotalExpenses
Excess Or Deficit For Year6146653ExcessOrDeficitForYear
Net Unrealized GL On Investments15618827NetUnrealizedGLOnInvestments
Total Adjustments15618827TotalAdjustments
Excess Or Deficit Per FS21765480ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt92567265TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments15618827NetUnrealizedGainsInvestments
Revenue Not Rptd F99015618827RevenueNotRptdF990
Revenue Subtotal76948438RevenueSubtotal
Investment Expenses Not Included484781InvestmentExpensesNotIncluded
Revenue Not Rptd On Fin Stmt484781RevenueNotRptdOnFinStmt
Total Revenue Per Form99077433219TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt70801785TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal70801785ExpensesSubtotal
Investment Expenses Not Included2484781InvestmentExpensesNotIncluded2
Expenses Not Rptd On Fin Stmt484781ExpensesNotRptdOnFinStmt
Total Expenses Per Form99071286566TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X:ReturnReference
ExplanationTHE 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.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION A, LINE 3ALTHOUGH THE TRUSTEES RETAIN THE ULTIMATE RESPONSIBILITY, THE BOARD OF TRUSTEES HAS DELEGATED THE DAY TO DAY ADMINISTRATIVE DUTIES TO ZENITH ADMINISTRATORS AS THE THIRD PARTY ADMINISTRATOR OF THE PLAN.
FORM 990, PART VI, SECTION B, LINE 11THE 990 IS PROVIDED TO, AND REVIEWED AND APPROVED BY THE BOARD OF TRUSTEES BEFORE IT IS FILED.
TO ENSURE THE PLAN OPERATES IN A MANNER CONSISTENT WITH NONPROFIT PURPOSES AND DOES NOT ENGAGE IN ACTIVITIES THAT COULD JEOPARDIZE ITS LAWFUL STATUS AND FIDUCIARY OBLIGATIONS, PERIODIC REVIEWS OF COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY ARE CONDUCTED BY THE BOARD OF TRUSTEES.FORM 990, PART VI, SECTION B, LINE 12C
THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST AND FINANCIAL STATEMENTS ARE AVAILABLE TO PARTICIPANTS AND BENEFICIARIES UPON REQUEST AT THE MAIN OFFICE OF THE PLAN. THESE DOCUMENTS ARE NOT OPEN TO PUBLIC INSPECTION.FORM 990, PART VI, SECTION C, LINE 19
CHANGES IN NET ASSETS OR FUND BALANCES:NET UNREALIZED GAINS ON INVESTMENTS: 15,618,827.FORM 990, PART XI, LINE 5:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1LABORERS PENSION FUNDBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12520 PILOT KNOB RD SUITE 325AddressLine1
CityMENDOTA HEIGHTSCity
StateMNState
ZIP Code55120ZIPCode
FieldValueIRS element (for citing)
EIN416083775EIN
Primary ActivitiesTO PROVIDE PENSION BENEFITSPrimaryActivities
Legal Domicile StateMNLegalDomicileState
Exempt Code Section401 (A)ExemptCodeSection
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 Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg