2021-05-27T11:26:54-05:00 2020-10-31 320043599 LEGACY PROFESSIONALS LLP 4 WESTBROOK CORPORATE CTR 700 WESTCHESTER IL 60154 990 2019-11-01 362265130 CONSTRUCTION INDUSTRY WELFARE FUND OF ROCKFORD ILLINOIS CONS 8153974267 1322 EAST STATE STREET ROCKFORD IL 61104 ART STURMS TRUSTEE 8153974267 2021-05-27 1 BRANDON WOLBER P01460460 3123680500 2021-05-27 2019 2022-09-23 18:48:47Z ART STURMS 1322 EAST STATE STREET ROCKFORD IL 61104 21158802 0 X N/A X 1954 IL TO PROVIDE HEALTH BENEFITS TO PARTICIPANTS. 6 0 42 0 50634 -10655 0 0 20174824 18768429 319607 285975 129913 123128 20624344 19177532 0 0 17502220 17702194 129533 135116 0 0 0 728367 642189 18360120 18479499 2264224 698033 21527724 22317846 894748 1014682 20632976 21303164 TO PROVIDE HEALTH BENEFITS TO PARTICIPANTS. 0 0 TO PROVIDE MEDICAL, DENTAL, VISION, PRESCRIPTION DRUGS, LIFE, AND LOSS OF TIME BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS. 0 0 0 0 0 0 0 1 0 1 0 0 0 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 3 0 1 42 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 6 0 0 1 1 0 0 0 0 1 0 0 0 1 1 1 1 1 1 1 0 0 X SHELLI MCPEEK - ADMINISTRATOR 8153974267 1322 EAST STATE STREET ROCKFORD IL 61104 ART STURMS LABOR CO-CHAIR 3.00 40.00 X 0 121407 47356 RICHARD BOYD LABOR TRUSTEE 3.00 40.00 X 0 96298 69499 DANIEL JANSEN LABOR TRUSTEE 3.00 40.00 X 0 128269 43843 DAVID ANSPAUGH MGMT - CO-CHAIR 3.00 40.00 X 0 128552 23656 JEFF BOCKHOP MGMT TRUSTEE 3.00 X 0 0 0 GLEN TURPOFF MGMT TRUSTEE 3.00 5.00 X 0 14400 0 SHELLI MCPEEK ADMINISTRATOR 40.00 X 66849 0 28583 66849 488926 212937 0 0 1 0 GROUP ADMINISTRATORS LTD 915 NATIONAL PARKWAY SUITE F SCHAUMBURG IL 60173 THIRD PARTY ADMINISTRATOR 378038 HINES & ASSOCIATES PO BOX 0327 ELGIN IL 60121 UTILIZATION REVIEW 121459 SEGAL CONSULTING 101 NORTH WACKER DR STE 500 CHICAGO IL 60606 ACTUARY 114443 3 CONTRACTOR CONTRIBUTIONS 900099 17718461 17718461 PARTICIPANT CONTRIBUTIONS 900099 1049516 1049516 SUBROGATION 900099 452 452 18768429 265228 265228 2002017 1981270 20747 20747 20747 PROCESSING FEES 900099 50634 50634 SHARED SERVICES 900099 44988 44988 CLASS ACTION SETTLEMENT PROCEEDS 900099 27506 27506 123128 19177532 18768429 50634 358469 17702194 76646 45023 4498 8949 370117 87066 69808 46418 20637 2531 18655 2739 1074 16130 FEES MANDATED BY THE AC 5631 MISCELLANEOUS 1383 18479499 1123513 1461986 10657087 10503973 3341066 2840537 0 18528 16942 3140 44617 34453 11239 10164 6375877 7475562 2000 3956 21527724 22317846 30418 11990 95427 103843 362805 389965 406098 508884 894748 1014682 X 0 0 0 0 20632976 21303164 20632976 21303164 21527724 22317846 698033 -27845 0 X 0 1 X 1 0 0 1 X 10977 3293 7684 33640 31160 2480 10164 EMPLOYER RECIPROCAL CONTRIBUTIONS 508884 508884 X 19149687 -27845 -27845 19177532 0 19177532 18479499 0 18479499 0 18479499 PART IV, LINE 2B: THE PLAN SERVES AS A CONDUIT TO COLLECT REMITTANCES ON BEHALF OF AFFILIATED BENEFIT FUNDS AND ORGANIZATIONS. SUCH REMITTANCES ARE INITIALLY RECEIVED THROUGH A LOCKBOX ARRANGEMENT AND TRANSFERRED INTO A SEGREGATED CHECKING ACCOUNT HELD BY THE PLAN UNTIL DISBURSEMENT TO THE AFFILIATED ENTITY IS MADE. PART X, LINE 2: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE THE PLAN TO EVALUATE TAX POSITIONS TAKEN BY THE PLAN AND RECOGNIZE A TAX LIABILITY IF THE PLAN HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY TAX AUTHORITIES. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. X 0 0 0 ART STURMS LABOR CO-CHAIR 0 121407 0 0 0 0 0 24017 0 23339 0 168763 0 0 RICHARD BOYD LABOR TRUSTEE 0 95998 0 0 0 300 0 47711 0 21788 0 165797 0 0 DANIEL JANSEN LABOR TRUSTEE 0 128269 0 0 0 0 0 22291 0 21552 0 172112 0 0 DAVID ANSPAUGH MGMT - CO-CHAIR 0 128552 0 0 0 0 0 1910 0 21746 0 152208 0 0 FORM 990, PART V, LINE 2A THE NUMBER OF MEMBERS REPORTED ON LINE 2A INCLUDES PARTICIPANTS RECEIVING LOSS OF TIME BENEFITS. FORM 990, PART VI, SECTION A, LINE 3 ALTHOUGH THE TRUSTEES RETAIN THE ULTIMATE RESPONSIBILITY, THE FUND HAS AN AGREEMENT WITH GROUP ADMINISTRATORS, LTD TO PERFORM CERTAIN THIRD PARTY ADMINISTRATIVE DUTIES. THE TPA AGREES TO PROVIDE BENEFIT TO OR ON BEHALF OF PARTICIPANTS IN ADDITION TO ACCOUNTING AND RECORDKEEPING FUNCTIONS. FORM 990, PART VI, SECTION A, LINE 4 DURING THE REPORTING PERIOD, THE PLAN AMENDED THE VOTING AND QUORUM SECTION OF ITS TRUST AGREEMENT TO ALLOW THE GOVERNING BODY TO PARTICIPATE IN AND ACT AT ANY MEETING THROUGH USE OF A CONFERENCE TELEPHONE OR OTHER EQUIPMENT BY MEANS OF WHICH ALL MEMBERS OF THE GOVERNING BODY PARTICIPATING IN A MEETING CAN COMMUNICATE WITH EACH OTHER. FORM 990, PART VI, SECTION A, LINE 8B THE PLAN HAS NO COMMITTEES WITH THE AUTHORITY TO ACT ON BEHALF OF THE TRUSTEES. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PROVIDED TO THE ENTIRE BOARD OF TRUSTEES AND PLAN ADMINISTRATOR PRIOR TO FILING. AFTER THE BOARD'S REVIEW, THE FORM IS APPROVED AND FILED. FORM 990, PART VI, SECTION B, LINE 12C ENFORCEMENT OF CONFLICT OF INTEREST POLICY - THE FUND IS A WELFARE BENEFIT PLAN GOVERNED BY THE EMPLOYEE RETIREMENT INCOME SECURITY ACT OF 1974 (ERISA). UNDER ERISA, IT IS THE CONTINUING RESPONSIBILITY OF EACH MEMBER OF THE BOARD OF TRUSTEES TO REVIEW TRANSACTIONS FOR POTENTIAL CONFLICTS OF INTEREST, IMMEDIATELY DISCLOSE ANY ACTUAL OR POTENTIAL CONFLICTS OF INTEREST, AND TAKE APPROPRIATE ACTION UPON DISCOVERY OF ANY SUCH CONFLICTS. TO ASSIST THE TRUSTEES IN IDENTIFYING ACTUAL OR POTENTIAL CONFLICTS OF INTEREST, THE FUND DISTRIBUTES TO EACH TRUSTEE AN ANNUAL QUESTIONNAIRE REQUESTING INFORMATION REGARDING INTERESTS THAT COULD GIVE RISE TO A CONFLICT. FORM 990, PART VI, SECTION B, LINE 15A SALARIES ARE ANNUALLY REVIEWED AND APPROVED BY THE BOARD OF TRUSTEES. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST AT THE FUND OFFICE. 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