2011-11-08T10:40:10-06:00 2010-12-31 LEGACY PROFESSIONALS LLP 4530 WEST 77TH STREET STE 300 EDINA MN 55435 990 2010-01-01 416187750 MINNESOTA LABORERS HEALTH AND WELFARE FUND MINN 6512561900 2520 PILOT KNOB ROAD NO 325 MENDOTA HEIGHTS MN 55120 GARY REED 6512561900 2011-11-07 1 LEGACY PROFESSIONALS LLP 9528413950 2010 2016-03-07 17:11:31Z GARY REED 2520 PILOT KNOB ROAD NO 325 MENDOTA HEIGHTS MN 55120 139838408 0 X WWW.MINNESOTALABORERS.ORG X 1968 MN THE FUND PROVIDES LIFE, HEALTH AND WELFARE BENEFITS. 14 14 62 0 0 0 0 0 72317757 71338274 8737017 6094945 0 0 81054774 77433219 0 0 73796598 66562419 0 0 0 0 0 3499908 4724147 77296506 71286566 3758268 6146653 228033530 249848122 903067 952179 227130463 248895943 PROVIDE HEALTH AND WELFARE BENEFITS 0 0 TO PROVIDE HEALTH, DENTAL, AND DEATH BENEFITS FOR ELIGIBLE PARTICIPANTS AND BENEFICIARIES UNDER THE TERMS OF THE PLAN. 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 1323 0 1 62 1 0 0 0 0 0 0 0 0 X 14 14 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 0 0 0 0 0 X ZENITH ADMINISTRATORS INC 6512561900 2520 PILOT KNOB ROAD SUITE 325 MENDOTA HEIGHTS MN 55120 X DALE JOHNSON 1.00 X 0 0 0 KEITH KRAMER 1.00 X 0 0 0 MIKE HART 1.00 X 0 0 0 DAVE BORST 1.00 X 0 0 0 GREG BOELKE 1.00 X 0 0 0 TOM VEVEA 1.00 X X 0 0 0 JAMES BRADY 1.00 X 0 0 0 GARY REED 1.00 X X 0 0 0 MITCH TREPTOW 1.00 X 0 0 0 ED DRAKE 1.00 X 0 0 0 TIM MACKEY 1.00 X 0 0 0 BART BODWAY 1.00 X 0 0 0 JOHN NESSE 1.00 X 0 0 0 TOM HAUGH 1.00 X 0 0 0 DAVE SAUNDERS 1.00 X 0 0 0 0 0 0 0 0 0 0 ZENITH ADMINISTRATORS 2520 PILOT KNOB ROAD MENDOTA HEIGHTS MN 55120 CONTRACT ADMINISTRATOR 1726328 MEDICA 401 CARLSON PARKWAY MINNETONKA MN 55305 PREFERRED PROVIDER ORGANIZATION ACCESS 943173 ANDERSON HELGEN DAVIS & NISSEN 150 SOUTH FIFTH STREET MINNEAPOLIS MN 55402 LEGAL COUNSEL 329508 DELTA DENTAL PO BOX 59238 MINNEAPOLIS MN 554590238 PREFERRED PROVIDER ORGANIZATION ACCESS 214174 SAND CREEK GROUP 610 NORTH MAIN STREET STILLWATER MN 55082 EMPLOYEE ASSISTANCE PROGRAMS 107652 5 EMPLOYER CONTRIB 900099 63758272 63758272 PARTICIPANT CONTRIB 900099 6300245 6300245 EARLY RETIREE REINSURA 900099 870534 870534 RETIREE DRUG SUBSIDY 900099 338171 338171 LIQUIDATED DAMAGES 900099 71052 71052 71338274 4526610 4526610 63973524 62405189 1568335 1568335 1568335 77433219 71338274 0 6094945 66562419 367594 344314 110933 484781 3002241 323771 25683 42146 GOVERNMENT COMPLIANCE 22684 71286566 -318034 -1223123 23387516 19183084 6409431 6975014 5260 198155196 210337789 14256894 394161 318464 228033530 249848122 506374 555444 396693 396735 903067 952179 X 0 0 0 0 227130463 248895943 227130463 248895943 228033530 249848122 X 6146653 15618827 X 0 1 1 X 0 0 LIMITED PARTNERSHIP 14256894 F 14256894 DEFERRED INCOME 396735 396735 77433219 71286566 6146653 15618827 15618827 21765480 92567265 15618827 15618827 76948438 484781 484781 77433219 70801785 0 70801785 484781 484781 71286566 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 EXPIRES. 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 ADMINISTRATORS AS THE THIRD PARTY ADMINISTRATOR OF THE PLAN. FORM 990, PART VI, SECTION B, LINE 11 THE 990 IS PROVIDED TO, AND REVIEWED AND APPROVED BY THE BOARD OF TRUSTEES BEFORE IT IS FILED. FORM 990, PART VI, SECTION B, LINE 12C 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 C, LINE 19 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. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 15,618,827. LABORERS PENSION FUND 2520 PILOT KNOB RD SUITE 325 MENDOTA HEIGHTS MN 55120 416083775 TO PROVIDE PENSION BENEFITS MN 401 (A) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0