2019-05-03T08:27:33-05:00 2018-08-31 391531945 FREYBERG HINKLE ASHLAND POWERS & STOWELL 15420 W CAPITOL DR BROOKFIELD WI 530052621 990 2017-09-01 391365594 IRON WORKERS LOCAL 383 HEALTH CARE PLAN IRON 6082789500 2901 WEST BELTLINE HIGHWAY MADISON WI 53713 TIM DEMINTER CHAIRMAN 6082563162 2019-05-02 1 THOMAS M POWERS CPA P00241729 2627846210 70.61.53.194 2019-05-02 11:47:01 CD P CCA3FFBDE7687CE42E9EA09D506C5024DA3E21F0 E6222CC25829A20C3D9794B5F0F2CFDF74A758A1 2017 2019-02-21 02:37:17Z TIM DEMINTER 5501 MANUFACTURERS DRIVE MADISON WI 53704 6588959 0 X N/A X 1980 WI HEALTH AND WELFARE PLAN 8 8 12 0 0 0 0 0 5260217 5675829 294331 200461 0 0 5554548 5876290 0 0 4557504 4091088 0 0 0 0 0 2305314 2516178 6862818 6607266 -1308270 -730976 6207460 6179694 4780492 5538541 1426968 641153 HEALTH AND WELFARE PLAN 0 0 6607266 TO PROVIDE HEALTH & WELFARE BENEFITS FOR PARTICIPANTS AND THEIR DEPENDENTS. 6607266 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 52 0 1 12 1 0 0 0 0 0 0 X 8 8 0 0 0 0 0 0 0 1 0 1 0 1 1 1 1 1 1 0 0 0 X BENEFIT PLAN ADMINISTRATION 6082789500 2901 WEST BELTLINE HWY MADISON WI 537134226 BARRY SCHOLZ SECRETARY/TREASURER - TRUS 0.00 X X 0 0 0 DUWAYNE KNOBLOCH TRUSTEE 0.00 X 0 0 0 TIM DEMINTER CHAIRMAN - TRUSTEE 1.00 40.00 X X 0 81256 72189 PATRICK WHITING TRUSTEE 0.00 X 0 0 0 JOHN RILEY TRUSTEE 0.00 X 0 0 0 JOHN FELLER TRUSTEE 0.00 X 0 0 0 ANTHONY ANASTASI TRUSTEE 1.00 40.00 X 0 80132 71721 ADAM MAVES TRUSTEE 1.00 X 0 0 0 0 161388 143910 0 0 1 0 BPA OF WISCONSIN 2901 W BELTLINE HWY STE 100 MADISON WI 537134231 PLAN ADMINISTRATION/UNITED HEALTHCARE IM 275616 UNITED HEALTHCARE INSURANCE COMPANY PO BOX 88822 MILWAUKEE WI 532880822 CLAIMS PROCESSING 227608 2 EMPLOYER CONTRIBUTIONS 900099 5370217 5370217 SELF-PAYMENT CONTRIBUT 900099 305612 305612 5675829 102145 102145 810985 712669 98316 98316 98316 5876290 5774145 0 102145 4091088 176572 3350 16455 15432 49675 6969 870 5634 MEMBER DOLLAR BANK 1445896 STOP LOSS PREMIUMS 388076 UTILIZATION REVIEW/CASE 280271 PROGRAMMING EXPENSE 55906 71072 6607266 406633 529078 721693 749947 646773 642194 83615 76866 4076966 4181609 271780 0 6207460 6179694 147155 110904 4633337 5427637 4780492 5538541 X 0 0 0 0 1426968 641153 1426968 641153 6207460 6179694 -730976 -54839 0 X X 0 1 X 1 0 0 CLAIMS PAYABLE 264000 MEMBER DOLLAR BANK 5163637 5427637 X 5806019 -54839 -54839 5860858 15432 15432 5876290 6514834 0 6514834 15432 77000 92432 6607266 PART X, LINE 2: U.S. GENERALLY ACCEPTED ACCOUNTING PRINCIPLES REQUIRE PLAN MANAGEMENT OF AN ORGANIZATION TO EVALUATE TAX POSITIONS TAKEN BY THE PLAN AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF THE PLAN HAS TAKEN AN UNCERTAIN TAX 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: INCREASE IN CURRENT YEAR CLAIMS PAYABLE 77,000. 0 0 0 TIM DEMINTER CHAIRMAN - TRUSTEE 0 81256 0 0 0 0 0 57525 0 14664 0 153445 0 0 ANTHONY ANASTASI TRUSTEE 0 80132 0 0 0 0 0 57057 0 14664 0 151853 0 0 FORM 990, PART VI, SECTION A, LINE 8B NO OTHER COMMITTEES WITH AUTHORITY BESIDES BOARD OF TRUSTEES (GOVERNING BODY) FORM 990, PART VI, SECTION B, LINE 11B BOARD REVIEWS 990 WITH ACCOUNTANT BEFORE MANUALLY SIGNED BY OFFICER FORM 990, PART VI, SECTION B, LINE 12C ANNUAL TRUSTEE QUESTIONNAIRE. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS ARE AVAILABLE FOR VIEWING DURING NORMAL FUND OFFICE BUSINESS HOURS. FORM 990, PART VII CONTACT ADDRESSES FOR OFFICERS, DIRECTORS, ETC BARRY SCHOLZ - P.O. BOX 419, APPLETON, WI 54912. DUWAYNE KNOBLOCH - 909 JONATHAN LANE, LECRESENT, MN 55947. TIM DEMINTER - 5501 MANUFACTURERS DRIVE, MADISON, WI 53704. PATRICK WHITING - 4814 EAST BROADWAY, MADISON, WI 53716. JOHN RILEY - 1314 EMIL STREET, MADISON, WI 53713. JOHN FELLER - 300 S. BEDFORD STREET, MADISON, WI 53703. ANTHONY ANASTASI - 2525 PIONEER DRIVE, BELOIT, WI 53511. ADAM MAVES - 8844 LAKE VIEW LANE, AMHERST, WI 54406. 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, PARTS II-IV IN ADDITION TO THE CONTRIBUTING EMPLOYERS REPORTED AS RELATED ORGANIZATIONS ON SCHEDULE R, PARTS II-IV, ONE EMPLOYER DID NOT PROVIDE A TAX CLASSIFICATION AS THEY CLOSED OR TERMINATED THEIR UNION AFFILIATION. THE PLAN MADE A REASONABLE EFFORT TO OBTAIN THE TAX CLASSIFICATION FROM ALL CONTRIBUTING EMPLOYERS, BUT SEVENTEEN OF THE CONTRIBUTING EMPLOYERS HAVE NOT YET RESPONDED TO THE MULTIPLE REQUESTS. IRONWORKERS LOCAL NO 383 UNION 5501 MANUFACTURERS DRIVE MADISON WI 53704 390670326 LABOR UNION WI 501(C)(5) 0 IRONWORKERS LOCAL NO 383 TRAINING PROGRAM TRUST 2901 WEST BELTLINE MADISON WI 537134226 237218726 TRAINING PROGRAM WI 501(C)(3) 0 BOARD OF TRUSTEES OF IRON WORKERS LOCAL 383 HEALTH CARE PLAN 2901 WEST BELTLINE MADISON WI 53713 391365594 SPONSORING ORGANIZATION (JOINT BOARD OF TRUSTEES) WI 501(C)(9) 0 INDUSTRIAL CONSTRUCTION RIDGWAY LLC SELDEN ALIMAK HEK INC BADGERLAND METAL BUILDINGS INC CAPITAL STEEL ERECTORS CARY SPECIALIZES SERVICES CHILSTROM ERECTING CO COULEE CRANE JH FINDORFF & SON MIDWEST STAIRS & IRON INC MIRON CONSTRUCTION CO INC MODERN CRANE SERVICE RED CEDAR STEEL ERECTORS REYNOLDS RIGGING AND CRANE REYNOLDS TRANSFER & STORAGE SPE INC STRONGHOLD INDUSTRIES THE BOLDT COMPANY WISCONSIN REBAR INC AREA ERECTORS INC CD SMITH & SON CR MEYER & SONS H&B STEEL INC HI-BOOM ERECTING INC JP CULLEN & SONS INC JR JENSEN CONSTRUCTION COMPANY KENNETH F SULLIVAN CO MARSHALL HANES STEEL TNT REBAR LLC WHITE CONSTRUCTION INC 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0