2022-04-07T16:17:41-05:00 2021-05-31 362152389 BANSLEY AND KIENER LLP 8745 W HIGGINS RD CHICAGO IL 60631 990 2020-06-01 362151212 CHICAGO & VICINITY LABORERS' DISTRICT COUNCIL HEALTH & WELFARE PLAN CHIC 7085620200 11465 CERMAK ROAD WESTCHESTER IL 60154 CATHERINE WENSKUS ADMINISTRATOR 7085620200 2022-04-05 1 CATHERINE WENSKUS 999009999 MEGAN M MATTHYS P01355334 3122632700 2022-03-28 3 AAL1 IAL1 2020 2022-09-23 18:48:47Z CATHERINE WENSKUS 11465 CERMAK ROAD WESTCHESTER IL 60154 583812854 0 X WWW.CHICAGOLABORERSFUNDS.COM X 1950 IL SEE STATEMENT A 10 0 302 0 0 0 0 0 209136408 201388837 1124304 20656385 0 0 210260712 222045222 0 0 187031767 193310320 6666720 7480058 0 0 0 4933690 4565852 198632177 205356230 11628535 16688992 537341437 608474210 199019063 200895527 338322374 407578683 THE PLAN 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 0 1 1 0 1 1 1 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 1 0 0 1 X 439 0 1 302 1 0 0 0 0 0 0 0 0 X 10 0 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 0 0 0 0 0 X MS CATHERINE WENSKUS 7085620200 11465 CERMAK ROAD WESTCHESTER IL 60154 X CHARLES GALLAGHER TRUSTEE 1.25 1.25 X 0 0 0 DAVID LORIG TRUSTEE 1.25 1.25 X 0 0 0 JULIE CHAMBERLIN-PAST TRUSTEE 1.25 1.25 X 0 0 0 DENNIS MARTIN TRUSTEE 1.25 1.25 X 0 0 0 JAMES CONNOLLY TRUSTEE 1.25 42.25 X 0 421650 175592 MARTIN FLANAGAN TRUSTEE 1.25 51.25 X 0 300620 141272 RICHARD KUCZKOWSKI TRUSTEE 1.25 43.25 X 0 278533 130448 WILLIAM MARTIN TRUSTEE 1.25 43.25 X 0 209177 120110 CHARLES LOVERDE III TRUSTEE 1.25 51.25 X 0 418024 174357 CLIFTON HORN TRUSTEE 1.25 1.25 X 0 0 0 SAMUEL HENDERSON TRUSTEE 1.25 1.25 X 0 0 0 CATHERINE WENSKUS ADMINISTRATOR 11.00 8.00 X 0 0 62685 0 1628004 804464 0 0 1 0 SEGAL CONSULTING 101 NORTH WACKERS DR SUITE 500 CHICAGO IL 60606 CONSULTING SERVICES 185843 LEGACY PROFESSIONALS LLP 4 WESTBROOK CORPORTE CENTER 700 WESTCHESTER IL 60154 ACCOUNTING SERVICE 183845 OGLETREE DEAKINS 155 N WACKER DR SUITE 4310 CHICAGO IL 60606 LEGAL SERVICES 162916 BANSLEY AND KIENER LLP 8745 W HIGGINS ROAD SUITE 200 CHICAGO IL 60631 AUDIT & ACCOOUNTING SERVICE 144777 WILLIAM BLAIR 150 N RIVESIDE PLAZA CHICAGO IL 60606 INVESTMENT FEES 111189 7 EMPLOYER CONTRIBUTIONS 900099 198192561 198192561 COBRA PAYMENTS 900099 2337199 2337199 LIQUIDATED DAMAGES - DELINQUENT C 900099 449170 449170 INTEREST - DELINQUENT CONTRIBUTIO 900099 355334 355334 REIMBURSEMENTS 900099 54573 54573 201388837 15406933 15406933 367017084 361767632 5249452 5249452 5249452 222045222 201388837 0 20656385 193310320 104005 3414363 2441192 1255375 265123 373023 244524 1811663 366211 547141 398909 337304 12595 115781 140621 OUTSIDE SERVICES 128919 PCORI FEE 34116 INTERNAL LEGAL COLLECTI 28574 GENERAL EXPENSES 24917 1554 205356230 310621 1841271 49850411 91461412 173796 207386 4211224 3007153 975345 1204071 289875163 335771555 166615287 146862055 29540814 31126460 537341437 608474210 2235157 2069571 196783906 198825956 199019063 200895527 X 0 0 0 0 338322374 407578683 338322374 407578683 537341437 608474210 X 16688992 45099628 7467689 X 0 1 X 0 0 3999832 2800874 1198958 211392 206279 5113 1204071 PRIVATE EQUITY PARTNERSHIP 87612216 F REAL ESTATE INVESTMENT FD 210075 F PRIVATE INVESTMENT FUNDS 30208618 F COMMON TRUST FUND 28831146 F 146862055 EMPLOYER CONTRIBUTIONS - NET OF ALLOWANCE 22935863 DUE FROM BROKERS 5900 ACCRUED INTEREST 710893 MEDICAL CLAIMS REIMBURSEMENT 4447993 DUE FROM OTHER FUNDS 3025811 31126460 CLAIMS CURRENTLY PAYABLE 4437800 ESTIMATED LIABILITIES FOR CLAIMS INCURRED, NOT REPORTED 17751200 ESTIMATED LIABILITIES FOR ACCUMULATED ELIGIBILITY 107110000 ESTIMATED LIABILITY FOR HRA PROGRAM BENEFITS PAYABLE 55114898 NON-CURRENT PENSION LIABILITY 14412058 198825956 X 265333187 45099628 45099628 220233559 1811663 1811663 222045222 194951368 0 194951368 1811663 8593199 10404862 205356230 PART X, LINE 2: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE THE PLAN ADMINISTRATOR TO EVALUATE TAX POSITIONS TAKEN BY THE PLAN AND RECOGNIZE A TAX LIABILITY FOR ANY UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY TAX AUTHORITIES; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX YEARS IN PROGRESS. THE BOARD OF TRUSTEES BELIEVES THE PLAN IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO 2018. PART XII, LINE 4B - OTHER ADJUSTMENTS: INCREASE IN BENEFIT OBLIGATIONS X X 0 0 0 JAMES CONNOLLY TRUSTEE 0 396446 0 0 0 25204 0 143258 0 32334 0 597242 0 0 CHARLES LOVERDE III TRUSTEE 0 396445 0 0 0 21579 0 142023 0 32334 0 592381 0 0 MARTIN FLANAGAN TRUSTEE 0 284616 0 0 0 16004 0 108938 0 32334 0 441892 0 0 RICHARD KUCZKOWSKI TRUSTEE 0 271894 0 0 0 6639 0 98114 0 32334 0 408981 0 0 WILLIAM MARTIN TRUSTEE 0 209177 0 0 0 0 0 87776 0 32334 0 329287 0 0 FORM 990, PART V, LINE 2A A TOTAL OF 302 FORM W-2S WERE ISSUED FOR CALENDAR YEAR 2020. THE W-2S WERE ISSUED FOR DISABILITY BENEFIT PAID TO COLLECTIVELY BARGAINED PARTICIPANTS OF THE PLAN. FORM 990, PART VI, SECTION B, LINE 11B THE BOARD AUTHORIZES THE ADMINISTRATOR, CATHERINE WENSKUS, 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 PLAN'S LEGAL COUNSEL INFORMS THE BOARD OF TRUSTEES OF THEIR FIDUCIARY OBLIGATIONS AND WHAT CONSTITUTES A CONFLICT OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF TRUSTEES DETERMINE AND APPROVE THE SALARY FOR THE OFFICE EMPLOYEES AND THE ADMINISTRATOR, CATHERINE WENSKUS. BEGINNING JANUARY 1, 2017, THE ADMINISTRATOR AND EMPLOYEES' SALARIES ARE PAID BY THE CHICAGO & VICINITY LABORERS' DISTRICT COUNCIL PENSION PLAN. FORM 990, PART VI, SECTION C, LINE 19 PARTICIPANTS OF THE PLAN MAY REQUEST GOVERNING AND OTHER POLICY DOCUMENTS UPON REQUEST OR THEY MAY ACCESS CERTAIN DOCUMENTS FROM THE PLAN'S WEBSITE. FORM 990, PART VII, SECTION A BEGINNING JANUARY 1, 2017 SALARIES FOR THE ADMINISTRATOR AND EMPLOYEES ARE PAID BY THE CHICAGO & VICINITY LABORERS' DISTRICT COUNCIL PENSION PLAN (PENSION PLAN). THE PENSION PLAN IS NOT A RELATED ORGANIZATION AS DEFINED IN THE IRS FORM 990 INSTRUCTIONS. THE SALARIES PAID BY THE PENSION PLAN ARE ALLOCATED TO AND REIMBURSED BY THE PLAN, THE CHICAGO & VICINITY LABORERS' DISTRICT COUNCIL RETIREE HEALTH & WELFARE PLAN (A RELATED ORGANIZATION), AND THE CHICAGO & VICINITY LABORERS' DISTRICT COUNCIL FUND OFFICE STAFF PENSION PLAN. THE SALARIES ALLOCATED AND REIMBURSED BY THE PLAN TO THE PENSION PLAN FOR THE ADMINISTRATOR AND EMPLOYEES ARE REPORTED IN PART IX. AMOUNTS REPORTED IN PART VII, SECTION A, COLUMN (F) REPRESENT ALLOCATION PAYMENTS MADE BY THE PLAN AND THE RELATED RETIREE HEALTH & WELFARE PLAN FOR OTHER COMPENSATION. FORM 990, PART XI, LINE 9: PENSION-RELATED CHANGES OTHER THAN NET PERIODIC COST 7,467,689. CHICAGO & VICINITY LABORERS' DISTRICT COUNCIL RETIREE HEALTH & WELFARE PLAN 11465 CERMAK ROAD WESTCHESTER IL 60154 465243652 WELFARE FUND IL 501(C)9 0 INT CNST & GEN LAB DIST 999 MCCLINTOCK DR STE 300 BURR RIDGE IL 605270824 IL INT LOCAL #1 9726 FRANKLIN AVE FRANKLIN PARK IL 601311702 IL INT LOCAL #1001 323 S ASHLAND AVE CHICAGO IL 606072703 IL INT LOCAL #1092 3841 S HALSTED ST CHICAGO IL 606091612 IL INT LOCAL #152 409 TEMPLE AVE HIGHLAND PARK IL 600351428 IL INT LOCAL #2 8842 OGDEN AVE BROOKFIELD IL 605132147 IL INT LOCAL #225 8270 ARCHER AVE WILLOW SPRINGS IL 604801464 IL INT LOCAL #4 3841 S HALSTED ST CHICAGO IL 606091612 IL INT LOCAL #5 PO BOX 769 CHICAGO HEIGHTS IL 604120769 IL INT LOCAL #6 4670 N ELSTON AVE CHICAGO IL 606304233 IL INT LOCAL #75 1923 DONMAUR DR CREST HILL IL 604031904 IL INT LOCAL #76 5930 W GUNNISON ST CHICAGO IL 606303128 IL INT LOCAL #68 660 EAST NORTH AVE LOMBARD IL 60148 IL INT LOCAL 681 4004 N CASS AVE WESTMONT IL 605591104 IL LABORERS TRAINING FUND 1200 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