2023-11-13T09:43:22-06:00 2022-12-31 410746749 CLIFTONLARSONALLEN LLP 220 SOUTH SIXTH STREET SUITE 300 MINNEAPOLIS MN 55402 990 2022-01-01 366090694 BOILERMAKERS NATIONAL HEALTH & WELFARE FUND BOIL 9139067517 12200 N AMBASSADOR DRIVE 326 KANSAS CITY MO 64163 MARIO RODRIGUEZ CHIEF INVESTMENT OFFICER 9139067517 2023-11-10 1 MARIO RODRIGUEZ 999009999 0 DOUG BERTOSSI P00637990 6123764500 2023-11-10 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z MARIO RODRIGUEZ 12200 N AMBASSADOR DRIVE 326 KANSAS CITY MO 64163 538077092 0 X WWW.BNF-KC.COM X 1954 MO TO PROVIDE HEALTH AND WELFARE BENEFITS 16 16 0 0 0 0 0 0 196849036 193640587 57816100 20597476 1201071 969 255866207 214239032 0 0 186129358 186702048 1526726 1469487 0 0 0 8732013 8894197 196388097 197065732 59478110 17173300 1261871691 1158235747 28486314 28211650 1233385377 1130024097 X TO PROVIDE HEALTH AND WELFARE BENEFITS 0 1 PROVIDE HEALTH AND WELFARE BENEFITS FOR 14,310 PARTICIPANTS AND THEIR DEPENDENTS 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 0 0 1 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 1 0 0 1 5 0 0 0 0 0 0 0 0 0 0 X 16 16 0 0 0 0 0 1 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X TONYA PAVELAC-WALKER 9139067497 12200 N AMBASSADOR DRIVE SUITE 326 KANSAS CITY MO 64163 X RONNIE TRAXLER MANAGEMENT TRUSTEE - CHAIR 1.19 40.00 X X 0 0 0 JOHN FULTZ SEE SCHEDULE O 0.62 40.00 X X 0 0 0 PATRICK GALLAGHER SEE SCHEDULE O 1.19 40.00 X X 0 0 0 SHELDON TRAXLER MANAGEMENT TRUSTEE-VICE CH 1.08 40.00 X X 0 0 0 J MICHAEL CARROLL MANAGEMENT TRUSTEE 1.73 40.00 X 0 0 0 JOSEPH REYNOLDS MANAGEMENT TRUSTEE 0.65 40.00 X 0 0 0 CLAY HERFORD SEE SCHEDULE O 0.46 40.00 X 0 0 0 MICHAEL WEST SEE SCHEDULE O 0.50 40.00 X 0 0 0 WILLIAM MULCONNERY SEE SCHEDULE O 1.54 40.00 X 0 0 0 CHRISTOPHER O'NEILL SEE SCHEDULE O 1.35 40.00 X 0 0 0 ANTHONY HOWELL SEE SCHEDULE O 0.46 40.00 X 0 0 0 CRAIG BELFATTO MANAGEMENT TRUSTEE 0.54 40.00 X 0 0 0 AARON LANDOLT MANAGEMENT TRUSTEE 0.46 40.00 X 0 0 0 ED MCWHORTER III MANAGEMENT TRUSTEE 1.15 40.00 X 0 0 0 JOHN VALVO MANAGEMENT TRUSTEE 1.15 40.00 X 0 0 0 TIMOTHY JEFFERIES SEE SCHEDULE O 1.15 40.00 X 0 0 0 TIMOTHY SIMMONS SEE SCHEDULE O 0.00 40.00 X 0 0 0 LORI JASPERSON CHIEF OPERATIONS OFFICER 23.30 46.70 X 98599 191269 89261 MARIO RODRIQUEZ CHIEF INVESTMENT OFFICER 10.00 40.00 X 95918 276720 150002 194517 467989 239263 0 0 1 0 EXPRESS SCRIPTS PO BOX 52150 PHOENIX AZ 85072 ADMINISTRATIVE SERVICES 33611882 CIGNA HEALTH AND LIFE INSURANCE COMPANY 900 COTTAGE GROVE RD BLOOMFIELD C BLOOMFIELD CT 06002 ADMINISTRATIVE SERVICES 6475059 WILSON-MCSHANE CORPORATION 12200 N AMBASSADOR DRIVE SUITE 400 KANSAS CITY MO 64163 MANAGEMENT SERVICES 2190254 INVESCO CORE REAL ESTATE 1101 CALIFORNIA ST SUITE 475 KANSAS CITY KS 66101 INVESTMENT MANAGER 771895 NATIONAL INVESTMENT SERVICES 777 E WISCONSIN AVE SUITE 2350 MILWAUKEE WI 53202 INVESTMENT MANAGER 741900 18 EMPLOYER CONTRIBUTIONS 525100 149000422 149000422 EMPLOYEE CONTRIBUTIONS 525100 34767578 34767578 PRESCRIPTION REBATES 525100 9639915 9639915 DELINQUENT EMPLOYER IN 525100 200928 200928 MEDICARE SUBSIDY 525100 31744 31744 193640587 22575951 22575951 321859585 323838060 -1978475 -1978475 -1978475 MISCELLANEOUS INCOME 525100 969 969 969 214239032 193640587 0 20598445 186702048 194517 500931 473205 279737 21097 1768500 252546 360115 5533113 261091 296345 104103 84580 66958 11620 155206 JOINT COMMITTEE ON ADMI 20 197065732 900641 -387777 53195607 56391318 8074656 8013149 507344 489851 67153 179245 339704952 302228476 854390848 786242400 5030490 5079085 1261871691 1158235747 1353665 1205092 3617567 3767115 23515082 23239443 28486314 28211650 X 0 0 0 0 1233385377 1130024097 1233385377 1130024097 1261871691 1158235747 17173300 -120534580 0 X X 0 1 X 1 0 0 LIMITED PARTNERSHIPS 269012124 F LIMITED LIABILITY COMPANIES 214836096 F 103-12 INVESTMENT ENTITIES 51529113 F COMMON COLLECTIVE TRUST 250727463 F CAYMAN ISLANDS EXEMPTED COMPANIES 137604 F 786242400 DUE TO RELATED ORGANIZATION 64709 LIABILITY FOR SECURITIES ON LOAN 22916582 DUE TO BROKER 258152 23239443 X 88171339 -120534580 -120534580 208705919 5533113 5533113 214239032 191532619 0 191532619 5533113 5533113 197065732 PART X, LINE 2: THE TRUST ESTABLISHED UNDER THE FUND TO HOLD THE FUND'S ASSETS IS INTENDED TO QUALIFY PURSUANT TO SECTION 501(C)(9) UNDER THE INTERNAL REVENUE CODE (IRC) AND, ACCORDINGLY, THE TRUST'S NET INVESTMENT INCOME IS EXEMPT FROM INCOME TAXES. THE TRUST OBTAINED ITS LATEST TAX EXEMPTION LETTER, DATED OCTOBER 27, 1977, IN WHICH THE INTERNAL REVENUE SERVICE STATED THAT THE TRUST, AS THEN DESIGNED, WAS IN COMPLIANCE WITH THE APPLICABLE REQUIREMENTS OF THE INTERNAL REVENUE CODE. THE TRUST HAS BEEN AMENDED SINCE RECEIVING THE TAX EXEMPTION LETTER. HOWEVER, THE PLAN ADMINISTRATOR AND THE PLAN'S COUNSEL BELIEVE THAT THE TRUST IS CURRENTLY DESIGNED AND BEING OPERATED IN COMPLIANCE WITH THE APPLICABLE REQUIREMENTS OF THE INTERNAL REVENUE CODE. THEREFORE, THEY BELIEVE THAT THE TRUST WAS QUALIFIED AND THE RELATED TRUST WAS TAX EXEMPT AS OF THE FINANCIAL STATEMENT DATE. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE PLAN MANAGEMENT TO EVALUATE THE TAX POSITIONS TAKEN BY THE PLAN AND TO RECOGNIZE A TAX LIABILITY IF THE PLAN HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY THE TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, 0 0 INVESTMENT IN CAYMAN ISLAND EXEMPTED COMPANIES 137604 0 0 0 0 0 0 137604 0 137604 0 0 0 0 0 0 PART III ACCOUNTING METHOD: X 0 0 0 MARIO RODRIQUEZ CHIEF INVESTMENT OFFICER 71066 202265 0 0 24852 74455 31725 90296 7275 20706 134918 387722 0 0 LORI JASPERSON CHIEF OPERATIONS OFFICER 97732 189716 0 0 867 1553 25759 50002 4590 8910 128948 250181 0 0 PART I, LINE 3 THE RELATED ORGANIZATION USED THE FOLLOWING METHODS TO DETERMINE COMPENSATION: WRITTEN EMPLOYMENT CONTRACT AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. SUBSTANTIAL CONTRIBUTOR CONTRIBUTOR DELINQUENT CONTRIBUTIONS X 245154 245154 1 1 1 SUBSTANTIAL CONTRIBUTOR CONTRIBUTOR DELINQUENT CONTRIBUTIONS X 85133 85133 1 1 0 SUBSTANTIAL CONTRIBUTOR CONTRIBUTOR DELINQUENT CONTRIBUTIONS X 8645 8645 1 1 0 SUBSTANTIAL CONTRIBUTOR CONTRIBUTOR DELINQUENT CONTRIBUTIONS X 31503 31503 1 1 0 SUBSTANTIAL CONTRIBUTOR CONTRIBUTOR DELINQUENT CONTRIBUTIONS X 119416 119416 1 1 0 489851 FORM 990, PART III, LINE 3 1. EFFECTIVE 01/01/2022, ADDED MDLIVE AS A TELEHEALTH PROVIDER 2. TERMINATED AMERICAN WELL AS A TELEHEALTH PROVIDER EFFECTIVE 06/30/2022 3. REMOVED PLAN PROVISIONS THAT LIMIT IN-NETWORK BENEFITS TO INDIVIDUALS WHO DO NOT HAVE MEDICARE AS THEIR PRIMARY COVERAGE 4. RETIRE FUND OFFICE EMPLOYEES WILL AUTOMATICALLY BE ENROLLED IN THE FUNDS MEDICARE ADVANTAGE PLAN ONCE MEDICARE BECOMES THEIR PRIMARY COVERAGE. 5. EFFECTIVE 07/01/2022, ADDED A BENEFIT FOR SECOND VIRTUAL OPINIONS THROUGH CLEVELAND CLINIC FORM 990, PART VI, SECTION A, LINE 7A THE BOARD IS APPOINTED BY THE BARGAINING ORGANIZATIONS, 50% BY THE EMPLOYERS AND 50% BY THE UNION. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY THE ORGANIZATION'S PUBLIC ACCOUNTING FIRM BASED ON INFORMATION PROVIDED BY MANAGEMENT. ONCE THE RETURN IS AVAILABLE, IT IS PROVIDED TO MANAGEMENT FOR REVIEW BEFORE BEING PROVIDED TO THE GOVERNING BODY FOR REVIEW BEFORE FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION DOES REQUIRE ANNUAL DISCLOSURES FOR POTENTIAL CONFLICTS OF INTEREST OF ANY POTENTIAL OR ACTUAL CONFLICTS OF INTEREST, WHICH ARE REVIEWED BY THE ORGANIZATION. THE AFFECTED TRUSTEE OR EMPLOYEE MUST CEASE PARTICIPATION IN THE DECISION OR TRANSACTION UNTIL IT IS DETERMINED THAT THE AFFECTED TRUSTEE OR EMPLOYEE MAY CONTINUE TO PARTICIPATE IN THE DECISION OR TRANSACTION. POTENTIAL OR ACTUAL CONFLICTS OF INTEREST ARE ALSO REVIEWED FOR COMPLIANCE WITH ERISA REQUIREMENTS. THE ORGANIZATION DOES REQUIRE FULL DISCLOSURE FOR POTENTIAL CONFLICTS OF INTEREST WHEN CONDUCTING SEARCHES FOR NEW VENDORS AND SERVICE PROVIDERS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS FINANCIAL STATEMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE UPON REQUEST. THE PLAN AND TRUST DOCUMENTS AND SUMMARY ANNUAL REPORT ARE ON THE WEBSITE AND AVAILABLE UPON REQUEST. FORM 990, PART VII, SECTION A THE FOLLOWING TRUSTEES ARE COMPENSATED BY A NON-PROFIT RELATED ORGANIZATION AND COMPENSATION INFORMATION WILL BE MADE AVAILABLE UPON REQUEST. JOHN T. FULTZ, UNION TRUSTEE - SECRETARY PATRICK M. GALLAGHER, UNION TRUSTEE - ASST. SECRETARY MARK KEFFELER, UNION TRUSTEE CLAY HERFORD, UNION TRUSTEE MICHAEL WEST, UNION TRUSTEE WILLIAM MULCONNERY, UNION TRUSTEE CHRISTOPHER O'NEILL, UNION TRUSTEE ANTHONY HOWELL, UNION TRUSTEE TIMOTHY JEFFERIES, UNION TRUSTEE TIMOTHY SIMMONS, UNION TRUSTEE FORM 990, PART XII, LINE 2C THE ORGANIZATION HAS NOT CHANGED THEIR PROCESS FOR THE OVERSIGHT OR THE SELECTION OF THE INDEPENDENT ACCOUNTANT FROM THE PRIOR YEAR. BOILERMAKERS LOCAL LODGE 1 SOUTHEAST DISTRICT LODGE 3 BOILERMAKERS LOCAL LODGE 4 BOILERMAKERS LOCAL LODGE 5 BOILERMAKERS LOCAL LODGE 11 BOILERMAKERS LOCAL LODGE 13 BOILERMAKERS LOCAL LODGE 26 BOILERMAKERS LOCAL LODGE 27 BOILERMAKERS LOCAL LODGE 28 BOILERMAKERS LOCAL LODGE 29 BOILERMAKERS LOCAL LODGE 40 BOILERMAKERS LOCAL LODGE 45 BOILERMAKERS DISTRICT 57 BOILERMAKERS LOCAL LODGE 60 BOILERMAKERS LOCAL LODGE 83 BOILERMAKERS LOCAL LODGE 85 BOILERMAKERS LOCAL LODGE 92 BOILERMAKERS LOCAL LODGE 101 BOILERMAKERS LOCAL LODGE 105 BOILERMAKERS LOCAL LODGE 107 BOILERMAKERS LOCAL LODGE 108 BOILERMAKERS LOCAL LODGE 154 BOILERMAKERS LOCAL LODGE 169 BOILERMAKERS LOCAL LODGE 237 BOILERMAKERS LOCAL LODGE 242 BOILERMAKERS LOCAL LODGE 363 BOILERMAKERS LOCAL LODGE 374 BOILERMAKERS LOCAL LODGE 433 BOILERMAKERS LOCAL LODGE 455 BOILERMAKERS LOCAL LODGE 502 BOILERMAKERS LOCAL LODGE 549 BOILERMAKERS LOCAL LODGE 627 BOILERMAKERS LOCAL LODGE 647 BOILERMAKERS LOCAL LODGE 667 BOILERMAKERS LOCAL LODGE 693 BOILERMAKERS LOCAL LODGE 744 IBB LOCAL 1 TRAINING AND EDUCA BM L 83 SUPPLEMENTAL TRAINING BOILERMAKERS LOCAL 107 DEVELOP WESTERN STATES JOINT APPRENTIC BOILERMAKER L 549 APPRENTICE & LOCAL 374 DEVELOPMENT & TRAINI BOILERMAKER L 85 JOINT TRAININ GREAT LAKES AREA APPRENTICESHIP LONE STAR DISTRICT LODGE BOILERMAKERS DISTRICT 5 (MISSI SOUTHEASTERN AREA JOINT APPREN LOCAL LODGE #647 DEVELOPMENT & NORTHEASTERN AREA APPRENTICESH BNAP ADMINISTRATIVE CITY OF LOS ANGELES DEPT OF MOST OFFICE BOILERMAKER - 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MN) 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 RELATED ORGANIZATION AS AN INDIVIDUAL OR SOLE PROPRIETOR: CP ENVIROMENTAL LLC CRAWFORD BOILER & ENGINEERING SEA MACHINE MFG LLC