2020-07-14T16:16:30-05:00 2019-08-31 363168081 SIKICH LLP 13400 BISHOPS LANE SUITE 300 BROOKFIELD WI 53005 990 2018-09-01 237422786 WISCONSIN MASONS' HEALTH CARE FUND WISC 8003625474 2901 W BELTLINE HIGHWAY No 100 MADISON WI 537134226 MARK TRAINO ADMINISTRATOR 8003625474 2020-07-14 Thomas M Powers P00241729 2627549400 2020-07-14 70.92.14.121 2020-07-14 09:31:41 CD P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 AA420B17FBC214C082C3E1EAF70480DFDB85B05D 2018 2020-09-23 17:36:50Z MARK TRAINO 2901 W BELTLINE HIGHWAY No 100 MADISON WI 537134226 33427853 0 X N/A X 1973 WI To provide health, life, dental, and temporary disability benefits to eligible participants, spouses, and dependents. 19 19 59 0 0 0 0 0 26596025 26594353 947121 848303 1661350 479614 29204496 27922270 0 0 29194196 20606025 0 0 0 0 0 2719833 3669981 31914029 24276006 -2709533 3646264 20621432 22522832 14078833 12551578 6542599 9971254 See Below 0 0 24276006 TO PROVIDE HEALTH, LIFE, DENTAL, AND TEMPORARY DISABILITY BENEFITS TO ELIGIBLE PARTICIPANTS, SPOUSES, AND DEPENDENTS. 24276006 0 0 0 0 0 0 0 0 0 0 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 17 0 1 59 1 0 0 0 0 0 0 0 0 0 0 X 19 19 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 0 0 0 X BENEFIT PLAN ADMINISTRATION 8003625474 2901 W BELTLINE HWY SUITE 100 MADISON WI 537134226 DAVID HAHN CHAIRMAN 0.00 2.00 X X 0 0 0 Randy Weytens TRUSTEE 1.00 40.00 X 0 29384 27658 WYNN JONES TRUSTEE 1.00 40.00 X 0 87141 64178 PATRICK WHITING TRUSTEE - PAST 0.00 X 0 0 0 JEFF LECKWEE VICE-CHAIRMAN 0.00 X X 0 0 0 Jerry Shea TRUSTEE 0.00 X 0 0 0 BARRY SCHOLZ TRUSTEE 0.00 X X 0 0 0 Gary Burns TRUSTEE 1.00 40.00 X 0 94241 68538 DAVID BOHL TRUSTEE 0.00 X 0 0 0 JEFF STAVER TRUSTEE 0.00 X 0 0 0 Felix Ramirez TRUSTEE - NEW 1.00 40.00 X 0 78179 71506 Dean Basten TRUSTEE 0.00 X 0 0 0 Larry Rasch TRUSTEE 0.00 X 0 0 0 Jason Mattila TRUSTEE 0.00 X 0 0 0 Jim Vick TRUSTEE 1.00 40.00 X 0 86385 66751 Matt Quasius TRUSTEE 0.00 X 0 0 0 John Topp TRUSTEE 0.00 X 0 0 0 William Bonlender Trustee 1.00 40.00 X 0 86224 66262 MIKE HYATT TRUSTEE 1.00 40.00 X 0 91952 65184 TOBIN BOYLE TRUSTEE 1.00 40.00 X 0 85000 67286 Todd Gray Trustee - Past 1.00 42.00 X 0 91736 63951 0 730242 561314 0 0 1 0 BENEFIT PLAN ADMINISTRATION 2901 WEST BELTLINE HIGHWAY SUITE 1 MADISON WI 53713 CONTRACT ADMINISTRATION 1057226 UNITED HEALTHCARE INSURANCE COMPANY PO BOX 88822 MILWAUKEE WI 53228 Claims / PPO Expense 903887 MErcer Health & Benefits LLC 155 North Wacker Drive Ste 1500 CHICAgo IL 60606 COnsulting 182910 US BANK NATIONAL ASSOCIATION PO BOX 1800 SAINT PAUL MN 55101 BANKING / INVESTMENTS 117414 4 EMPLOYER CONTRIBUTIONS 900099 23844579 23844579 SELF PAY CONTRIBUTIONS 900099 2749774 2749774 26594353 355705 355705 5998181 5505583 492598 492598 492598 STOP LOSS 900099 234594 234594 MEDICARE SUBSIDY 900099 130664 130664 SUBROGATION 900099 114356 114356 479614 27922270 27073967 0 848303 X 20606025 912541 75947 27330 45809 254011 135167 55139 28343 9071 CHANGE IN HRA 7169058 COST CONTAINMENT 1022562 HRA REIMBURSEMENTS 961931 MEMBER DOLLAR BANK DISB 393482 -7420410 24276006 887 505 1834663 4074366 4992932 4095960 175273 159384 13617677 14192617 20621432 22522832 326301 257011 26497 26497 13726035 12268070 14078833 12551578 X 0 0 0 0 6542599 9971254 6542599 9971254 20621432 22522832 3646264 -217609 0 X X 0 1 X 1 0 0 Claims Payable 2872982 Member Dollar Bank 2226030 HRA LIABILITY 7169058 12268070 X 27658852 -217609 -217609 27876461 45809 45809 27922270 25199350 0 25199350 45809 -969153 -923344 24276006 Part X, Line 2: U.S. generally accepted accounting principles require plan management to evaluate tax positions taken by the Plan and recognize a tax liability (or asset) if the Plan has taken an uncertain position that more likely than not would not be sustained upon examination by the IRS. The Plan is subject to routine audits by taxing jurisdictions; however there are currently no audits for any tax periods in progress. Part XII, Line 4b - Other Adjustments: DECREASE IN BENEFIT OBLIGATIONS PAYABLE -969153. 0 0 0 WYNN JONES TRUSTEE 0 87141 0 0 0 0 0 0 0 64178 0 151319 0 0 Gary Burns TRUSTEE 0 94241 0 0 0 0 0 0 0 68538 0 162779 0 0 Jim Vick TRUSTEE 0 86385 0 0 0 0 0 0 0 66751 0 153136 0 0 William Bonlender Trustee 0 86224 0 0 0 0 0 0 0 66262 0 152486 0 0 MIKE HYATT TRUSTEE 0 91952 0 0 0 0 0 0 0 65184 0 157136 0 0 TOBIN BOYLE TRUSTEE 0 85000 0 0 0 0 0 0 0 67286 0 152286 0 0 Todd Gray Trustee - Past 0 91736 0 0 0 0 0 0 0 63951 0 155687 0 0 Form 990, Part VI, Section B, line 11b The officers and administrative manager reviews the Form 990 with the accountant before signing and making a copy of the Form 990 available for all Trustees. Form 990, Part VI, Section B, line 12c There are annual trustee questionnaires. Form 990, Part VI, Section C, line 19 The Plan makes its governing documents and financial statements available to the public upon request. Form 990, Part IX, line 24e STOP-LOSS PREMIUMS 150961. BIOMETRIC EXPENSE 51313. EducatiONAL PROGRAM EXPENSES 20888. STORAGE AND UNCLASSIFIED 14298. CHANGE IN MEMBER DOLLAR BANK -7657870. FORM 990, Part XII, LINE 2C THE BOARD OF TRUSTEES IS RESPONSIBLE FOR THE SELECTION OF AN INDEPENDENT ACCOUNTANT TO PERFORM THE AUDIT OF THE PLAN'S FINANCIAL STATEMENTS. Form 990, Schedule R: The Plan made a reasonable effort to obtain the federal tax classification from all contributing employers but was unable to obtain a response from 50 employers. Operative Plasterers & Cement Masons Local 599 8701 N Lauer Street Milwaukee WI 53224 391960564 Labor Union WI 501(c)(5) 0 BAC District Council PO Box 510617 New Berlin WI 53151 391590426 Labor Union WI 501(c)(5) 0 Milwaukee Area Bricklayers Apprenticeship Training Fund 17125 W Cleveland Avenue New Berlin WI 531510741 391333915 Apprenticeship Training WI 501(c)(3) 0 Board of Trustees WI Masons' Health Care Fund 2901 W Beltline Highway Ste 100 Madison WI 537134226 237422786 Joint Board of Trustees WI 501(c)(9) 0 Lloyd Hamm Masonry Hanson Masonry & Concrete Mavid Construction Service LLC Wally King Masonry LLC AW Oakes & Son AGC OF GREATER MILWAUKEE Appleton Lathing Corp Arnie Mackey Construction Arteaga Construction Inc Augelli Concrete & Excavating Bane Nelson BENEFIT PLAN ADMINISTRATOR OF WI Boldt Oscar Construction Co BORTH-WILSON INC Bukacek Construction Inc CG Schmidt Inc C&S CONSTRUCTION INC CAMOSY INC Capelle Brothers & Diedrich Inc Cardinal Construction Castellan Tile & Terrazzo Inc Cattell Raymond Inc Caulking Plus Inc Classic Marble & Granite CM MORRIS GROUP INC CONCRETE MASONRY INC Cornerstone Construction CORNERSTONE Pavers LLC CROWLEY MASONRY INC JP Cullen & Sons Inc D&M Masonry LLC Darold Berger Masonry DICKOW & CYZAK TILE DOYLE CONTRACTORS INC EDGAR PRAGER & SONS Fabcon Inc Findorff & Son Inc Five Star Masonry LLC Fowler & Hammer Inc Fox Valley & Construction G&W PLASTERING INC GAGNON INC Gegare Tile Inc Harbor City Masonry Inc HEIN WILLIAM CONSTRUCTION INC Hetzel Tile HEULER TILE COMPANY HIllside Damproofing Inc HOMBURG CONTRACTORS INC HUNZINGER CONSTRUCTION CO IEI GENERAL CONTRACTORS INC INTERIOR INSTALLATION J&J LEE CONSTRUCTION JH Hassinger Inc JW Schultz Construction Inc JAC MASONRY INC Johnson Terrazzo Company Jurowski RJ Construction Inc KMI Construction LLC KOTZE CONSTRUCTION COMPANY INC Kraemer Edward Lewis Construction Inc LUNDA CONSTRUCTION MA MORTENSON CO Maas Bros Construction Company Macco's Commercial Interiors Magill Construction Inc Market & Johnson Inc Megal Construction Company MEYER CR & SONS CO Michels Corporations Middleton Construction Inc Miron Construction Company Inc Mortl Restorationt National Machinery Parisi Construction Company PERFORMANCE PLASTER INC PLATT CONSTRUCTION COMPANY Poellingers Inc PUKALL COMPANY INC Quasius Construction Inc Rasch Construction & Engine Refractory Service Inc RESCH'S TILE INC RICE IVAN & SONS Riley Construction Inc Scherrer Construction Company INc Schleis Floor Covering SCHMITT JOSEPH & SONS CO ScIachitano Caulking Inc Servais Tile & Stone Inc SId's Sealants Smith CD Construction Company Inc Sommers Construction Company Inc Spancrete Inc Speedway Sand & Gravel Stebbibs Engineering Company Stretar Masonry & Concrete Structural Applicators Inc Kenneth F Sullivan Inc SUPERIOR MASONRY BUILDERS THOMAS A MASON COMPANY INC TRI NORTH BUILDERS INC Trierweiler Construction Vinton Construction Company VOGEL BROTHERS BUILDING COMPANY Vonasek & Schieffer Inc WALSH MASONRY INC Winkler Masonry Inc Wisconsin Terrazzo Tile Inc ZEISE FRANK CONSTRUCTION INC ZENITH Tech API INC BERHAMMER CORP LIPPERT TILE CO INC ROSSI CONSTRUCTION MARTELL CONSTRUCTION J&A POHL INC OLYMPIC COMPANIES SHAEFER GROUP INC AECOM ENERGY & CONSTRUCTION INC BEDROCK FLINT INC EXECUTIVE PLASTERING CO GEORGE SIEGFRIED CONSTRUCTION CO BINDELLIS BROTHERS INC Harold Ardnt GRAZZINI BROTHERS & CO HEIMBROCK INC VER HALEN INC 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0