2019-10-22T14:44:06-05:00 2018-12-31 410746749 CLIFTONLARSONALLEN LLP 220 SOUTH SIXTH STREET SUITE 300 MINNEAPOLIS MN 55402 990 2018-01-01 020656066 HEARTLAND HEALTHCARE FUND HEAR 9528540795 3001 METRO DRIVE NO 500 BLOOMINGTON MN 55425 STEVEN TONDI CHAIRMAN 9528540795 2019-10-21 1 DOUG BERTOSSI P00637990 6123764500 67.137.57.251 2019-10-21 09:16:27 CD P 971A8EAD25932F411DD256B5E237B6EBEA5F4AEB B71DF8EF734977C0D9AF27883840492912BFA7BF 2018 2019-02-21 02:37:17Z STEVEN TONDI 3001 METRO DRIVE NO 500 BLOOMINGTON MN 55425 39215949 0 X N/A X 2002 IA INSURED AND SELF FUNDED WELFARE BENEFITS FOR UNION MEMBERS AND THEIR DEPENDENTS. 6 0 56 6 0 0 0 0 33295822 32488351 650817 1062967 0 0 33946639 33551318 0 0 31023966 31075557 0 0 0 0 0 1157809 1145964 32181775 32221521 1764864 1329797 37568096 37331966 231073 203385 37337023 37128581 INSURED AND SELF-FUNDED WELFARE BENEFITS FOR UNION MEMBERS AND THEIR DEPENDENTS. 0 0 INSURED AND SELF FUNDED WELFARE BENEFITS FOR APPROXIMATELY 1,983 UNION MEMBERS AND THEIR DEPENDENTS. 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 1 8 0 56 1 0 0 0 0 0 0 0 0 X 6 0 0 1 0 0 0 1 0 1 1 0 0 1 0 0 0 0 0 0 X WILSON MCSHANE CORPORATION 9528540795 3001 METRO DR STE 500 BLOOMINGTON MN 55425 X X STEVEN P TONDI CHAIRMAN, SEE SCHEDULE O 1.00 40.00 X X 0 0 0 DAVE FOY TRUSTEE, SEE SCHEDULE O 1.00 2.00 X 0 0 0 DAVID ARGUBRIGHT TRUSTEE, SEE SCHEDULE O 1.00 1.50 X 0 0 0 BRUCE WERNING SECRETARY, SEE SCHEDULE O 0.50 40.00 X X 0 0 0 GREG MULHERIN TRUSTEE 1.00 2.00 X 0 0 0 DANIEL AUSSEM TRUSTEE, SEE SCHEDULE O 1.00 6.00 X 0 0 0 0 0 0 0 0 0 0 WILSON MCSHANE CORPORATION 3001 METRO DRIVE BLOOMINGTON MN 55425 FUND ADMINISTRATOR 710319 BLUELINK TPA 1305 CORPORATE CENTER DRIVE EAGAN MN 55121 MEDICAL CLAIMS NETWORK 542473 2 EMPLOYER CONTRIBUTIONS 525100 30833220 30833220 EMPLOYEE CONTRIBUTIONS 525100 1655131 1655131 32488351 809944 809944 5917654 5664631 253023 253023 253023 33551318 32741374 0 809944 31075557 702720 47529 90996 140926 91166 35583 11073 25971 32221521 2411757 2293331 55853 95693 2614856 2016149 130232 123187 24215183 24574860 8140215 8228746 37568096 37331966 87738 55901 143335 147484 231073 203385 X 37337023 37128581 37337023 37128581 37568096 37331966 1329797 -1538239 0 X 0 1 X 1 0 0 LIMITED LIABILITY COMPANY 4795315 F LIMITED PARTNERSHIP 3433431 F 8228746 X 31872153 -1538239 -1538239 33410392 140926 140926 33551318 32080595 0 32080595 140926 140926 32221521 PART X, LINE 2: THE VEBA TRUST FUNDING BENEFITS OF THE PLAN RECEIVED AN EXEMPTION LETTER FROM THE INTERNAL REVENUE SERVICE (IRS) DATED MAY 20, 2003, STATING THAT THE TRUST IS TAX-EXEMPT UNDER THE PROVISIONS OF SECTION 501(C)(9) OF THE INTERNAL REVENUE CODE (IRC). HOWEVER, AS A RESULT OF THE PLAN'S FUNDING POLICY, FROM TIME TO TIME THE TRUST MAY BE SUBJECT TO INCOME TAXES. NO FEDERAL OR STATE INCOME TAXES HAVE BEEN RECORDED IN 2018 AND 2017 FOR UNRELATED BUSINESS TAXABLE INCOME. IN ADDITION, THE PLAN AND TRUST ARE REQUIRED TO OPERATE IN CONFORMITY WITH THE IRC TO MAINTAIN THE TAX-EXEMPT STATUS OF THE TRUST. THE PLAN ADMINISTRATOR BELIEVES THAT THE PLAN IS BEING OPERATED IN COMPLIANCE WITH THE APPLICABLE REQUIREMENTS OF THE IRC AND, THEREFORE, BELIEVES THAT THE RELATED TRUST IS TAX-EXEMPT. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA 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. SUBSTANTIAL CONTRIBUTOR CONTRIBUTING CONTRACTOR EMPLOYER CONTRIBUTIONS X 3391 3391 0 0 0 SUBSTANTIAL CONTRIBUTOR CONTRIBUTING CONTRACTOR EMPLOYER CONTRIBUTIONS X 1152 1152 0 0 0 SUBSTANTIAL CONTRIBUTOR CONTRIBUTING CONTRACTOR EMPLOYER CONTRIBUTIONS X 5151 5151 0 0 0 SUBSTANTIAL CONTRIBUTOR CONTRIBUTING CONTRACTOR EMPLOYER CONTRIBUTIONS X 108 108 0 0 0 SUBSTANTIAL CONTRIBUTOR CONTRIBUTING CONTRACTOR EMPLOYER CONTRIBUTIONS X 104 104 0 0 0 SUBSTANTIAL CONTRIBUTOR CONTRIBUTING CONTRACTOR EMPLOYER CONTRIBUTIONS X 2217 2217 0 0 0 SUBSTANTIAL CONTRIBUTOR CONTRIBUTING CONTRACTOR EMPLOYER CONTRIBUTIONS X 15029 15029 0 0 0 SUBSTANTIAL CONTRIBUTOR CONTRIBUTING CONTRACTOR EMPLOYER CONTRIBUTIONS X 52465 52465 0 0 0 SUBSTANTIAL CONTRIBUTOR CONTRIBUTING CONTRACTOR EMPLOYER CONTRIBUTIONS X 43570 43570 0 0 0 123187 FORM 990, PART VI, SECTION A, LINE 3 WILSON-MCSHANE COMPANY WAS DELEGATED CONTROL OVER MANAGEMENT DUTIES AS PLAN ADMINISTRATOR. FORM 990, PART VI, SECTION A, LINE 7A THREE OF THE TRUSTEES ARE DESIGNATED BY THE CHICAGO REGIONAL COUNCIL OF CARPENTERS. THREE OF THE TRUSTEES ARE DESIGNATED BY THE ILLINOIS VALLEY CONTRACTORS ASSOCIATION, ILLOWA MILLWRIGHT CONTRACTORS ASSOCIATION AND THE ASSOCIATED GENERAL CONTRACTORS OF THE QUAD CITIES. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON INFORMATION SUPPLIED BY THE ORGANIZATION. A REVIEW OF THE RETURN IS CONDUCTED BY THE ORGANIZATION AND PRESENTED TO THE BOARD OF TRUSTEES PRIOR TO FILING. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE MEMBERS UPON REQUEST. FORM 990 PART VII, SECTION A, LINE 1A TRUSTEES ARE NOT COMPENSATED BY THE FUND. COMPENSATION PAID TO TRUSTEES EMPLOYED BY OTHER RELATED ORGANIZATIONS IS REPORTED ON THE FORM 990 FILED WITH THE INTERNAL REVENUE SERVICE BY THE RELATED TAX-EXEMPT ORGANIZATION. THE FOLLOWING RELATED ORGANIZATIONS REPORTED COMPENSATION FOR A TRUSTEE LISTED ON THE HEARTLAND HEALTHCARE FUND 990: STEVEN P. TONDI, CHAIRMAN QUAD CITY CONSTRUCTION INDUSTRY ADVANCEMENT TRUST EIN: 36-2652144 DAVID ARGUBRIGHT, TRUSTEE UNITED BROTHERHOOD OF CARPENTERS & JOINERS LOCAL NO 195 EIN: 36-2419940 UNITED BROTHEROOD OF CARPENTERS & JOINERS OF AMERICA 174 EIN: 36-6112811 BRUCE WERNING, SECRETARY UNITED BROTHERHOOD OF CARPENTERS & JOINERS OF AMERICA EIN: 36-1894832 DANIEL AUSSEM, TRUSTEE ILLINOIS VALLEY CONTRACTORS ASSOCIATION EIN: 36-2150421 DAVE FOY MILLWRIGHT LOCAL UNION 2158 EIN: 42-1484016 ILLINOIS VALLEY CONTRACTORS ASSOCIATION 1120 FIRST STREET LASALLE IL 61301 362150421 PROMOTE BETTER RELATIONS BETWEEN LOCAL CONTRACTORS, TRADE UNIONS, CONSTRUCTI IL 501(C)(6) N/A 0 MILLWRIGHT LOCAL UNION 2158 & ILLOWA BUILDING FUND 2707 62ND STREET COURT BETTENDORF IA 52722 421484016 OWNS AND LEASES OFFICE AND TRAINING SCHOOL FACILITIES TO MILLWRIGHT 2158 IA 501(C)(2) N/A 0 UNITED BROTHERHOOD OF CARPENTERS & JOINERS OF AMERICA 12 EAST ERIE STREET CHICAGO IL 60611 361894832 LABOR UNION IL 501(C)(5) N/A 0 QUAD CITY CONSTRUCTION INDUSTRY ADVANCEMENT TRUST 520 - 24TH STREET ROCK ISLAND IL 61201 362652144 PROMOTING, IMPROVING, AND ADVANCING THE CONSTRUCTION INDUSTRY IN QUAD-CITY IL 501(C)(6) N/A 0 CITY OF FULTON CRC CARPENTERS APPR & T ILLOWA MILLWRIGHTS JATC LAKES & RIVERS CONTRACT LOCAL#790OFFICE PERSON MID ILLINOIS PAINTING-- NO WEST ILL & EASTERN I NORTH CENTRAL STATES RE NORTHERN ILLINOIS UNIVE PARAMOUNT MILLWRIGHT SE ADVANTAGE INDUSTRIAL SY AIMS MECHANICAL LLC ALL PHASES CONSTRUCTION ALLIED POWER SERVICES LLC ARTISAN CONTRACTING LLC BOSS CARPET ONE LLC BRUNSWICK BOWLING PRODUCTS LLC C & S CARPENTRY LLC CECO CONCRETE CONSTRUCT ETHOSENERGY FIELD SERVICES LLC HERITAGE CONSTRUCTION IPC LYDON LLC KRAEMER NORTH AMERICA L PRECISION MECHANICAL GR PRODIGY CONSTRUCTION LL R D LAWRENCE CONST CO L RUSSELL CONSTRUCTION S & S FLOORING INSTAL L SAFWAY SERVICES LLC TURBINE PROS LLC WALBRIDGE EQUIP INSTALL WALBRIDGE EQUIPMENT INSTALL ICON INDUSTRIAL SERVICE CALACCI CONSTRUCTION CORNERSTONE CONSTRUCTIO INTERIOR BUILDING SYSTE STENSTROM GENERAL CONTR BROWN CONSTRUCTION PRIME CONTRUCTION SERVICES ANDERSON COMMERCIAL CON ATLANTIC PLANT MAINT IN AUSTED AND SON INC BUILDERS SALES AND SERV CONTROL INSTALLATIONS O DOORS INC FORRISTALL CONCRETE CO GOETZ CONCRETE CONSTR HEITKOTTER INC HODGE CONST CO INC HODGE CONSTRUCTION CO INC KOESTERS LINOLEUM SHOP L & L FLOORCOVERING L P W INC LEANDER CONSTRUCTION IN MILLARD FRANK & COMPANY MILLWRIGHT SERVICE INC MORTENSON M A CO NELSON CONSTR CONTRACTI SPELICH GENERAL CONTRAC STARK EXCAVATING INC SWEDBERG & ASSOCIATES I TIEMAN BUILDERS WILLIAMS BROS CONST INC WINKLER CONSTRUCTION CO ALBERICI CONSTRUCTORS ALLIED CONSTR SERV INC ALLOY SPECIALTIES INC AUTOMATIC SYSTEMS INC AZCO INC BAUM OTTO & SONS INC BENNETT CONSTRUCTION IN BILFINGER INDUST SERVICES INC BRAND ENERGY SERVICES L BRANDSAFWAY SERVICES L BRECKE B G INC BRENNAN J F CO INC BURKS DRY WALL BUTLER DRYWALL & PAINT CENTENNIAL CONTRACTOR CIVIL CONSTRUCTORS INC CLIMATE PROS INC COMMERCIAL CARPET CONSU CONCRETE SYSTEMS INC CONTOUR SYSTEMS CORP CONVEYING CONVENIENCE I CREATION CARPENTRY COINC CRUZ CONCRETE CURRY KEN CONSTR INC DIAMOND CUT INC DRESSER-RAND PRODUCT SE FINELINE INC FOSLER CONSTRUCTION GRANGER CONTRACTING CO H & S MECHANICAL INC HARGER'S ACOUSTICS HARGRAVE BUILDERS INC HAYES MECHANICAL INC HEIN CONSTRUCTION CO IN HENRY F TEICHMANN HERITAGE CARPENTRY INC HOFFMAN BUILDERS INC HUSSMAN CORPORATION ICC GROUPINC INDUSTRIAL SERVICES GRO INTERIOR INSTALLATION S INTERNATIONAL DECORATOR IRVING CONSTRUCTION CO J B ROBERTSON CONSTRUCTION J C HARRIS AND SONS INC JACK HALL CONSTRUCTION KNIGHT FLOORING INC KOJA CONSTRUCTION INC KOOLMASTER CO INC KRULL WINDOW COMPANY KWCC INC KYLER CONSTRUCTION INC LARSON & LARSON BUILDER LIEBHART CONSTRUCTION I LUNDA CONST CO MACHINERY & CONVEYOR SE MARIN BROS INC MAYOU D H ROOFING CO MC COY CONSTRUCTION CO MEYER C R & SONS CO MICHELS FOUNDATIONS MIDWEST MOWING INC MTE MILLER TRUCKING & E NICAM CONSTRUCTION PERFORMANCE CONTRACTING PHILLIPS INTERIOREXTERIOR PINTER GENERAL CONTRACT PLATINUM SCAFFOLDING SE PORTZEN CONSTRUCTION PRECISION BUILDERS PREFERRED CONC & EXCAVA PROSTAR SURFACES INC PULVERIZER MAINTENANCE RECORD AUTOMATIC DOORS ROBERTSON JB CONSTRUCTI SCHMELING CONSTRUCTION SIEMENS WESTINGHOUSE GE SINGLEY CONSTRUCTION IN SJOSTROM & SONS STORAGE & DESIGN GROUP INC THIEL R & D INC THOMPSON BROTHERS INC TRUSS PLUS INC VANGUARD CONTRACTORS IN WOZNIAK CONCRETE FINISH COLD SHIELD INC DASHCO INC GOOD FAITH CONSTRUCTORSINC GRP MECHANICAL CO INC HOERR P J INC JONES TILE INC PARKWAY FORMING INC PEAK CARPENTRY INC PULLARA INC R & T SPECIALISTS INC ROCKFORD STRUCTURES INC RUANE CONSTRUCTION INC RUIZ CONST SYSTEMS INC RYAN COMPANIES US INC SCHNEIDER ACOUSTICS INC TAYLOR BROS CONST CO IN WEAVER CONSTRUCTION INC WHITE CONSTRUCTION INC WINTER CONSTRUCTION INC WM TONYAN & SONS INC BLACKHAWK FOUNDATIONS BLAHNIK CONSTRUCTION CO BUSH CONSTRUCTION CO IN CENTRAL CEILING SYSTEMS CENTRAL MILLWRIGHT SERV CURNYN CONSTRUCTION CO 'D' CONSTRUCTION INC DAVES FLOOR COVERINGS DAY & ZIMMERMAN NPS INC ESTES COMPANY FRANCK D G INC GENERAL CONSTRUCTORS IN H & H BUILDERS INC ILLINOIS VALLEY MACHINE KINETIC CONSTRUCTION KUDELA BUILDERS LADZINSKI CEMENT FINISH LARSEN KLAUER BUILDERS NEWELL MACHINERY CO INC NORTHERN ILL WALL & CEI QUAD CITY ACOUSTICAL CE R G CONSTRUCTION SERVIC RAYNOR DOOR CO INC RAYNOR MANUFACTURING RINGLAND JOHNSON INC RIVER VALLEY CONSTRUCTI ROCKWELL GROUP RYAN & ASSOCIATES SEITHER & CHERRY QUAD C SHEPARD CONSTRUCTION LLC SMITH CA BUILDERS INC SUITABLE BUILDERS INC TREIBER CONSTRUCTION CO VALLEY CONST CO VISSERING CONSTRUCTION 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 SCHEDULE R, PART VII THE FOLLOWING COMPANIES ARE CONTRIBUTING EMPLOYERS TO THE HEARTLAND HEALTHCARE FUND AND DEEMED TO BE A RELATED ORGANIZATION. HOWEVER, THE FUND WAS UNABLE TO OBTAIN THE SPECIFIC TAX CLASSIFICATION OF THE ORGANIZATIONS. AS SUCH, THE ENTITIES ARE NOT LISTED BY THE TAX CLASSIFICATION IN PARTS II - IV OF THE SCHEDULE R. SEE EMPLOYER LIST BELOW: A H C MECHANICAL SERVIC AALCO CABINET COMPANY AALCO MFG CO AMERICAN IGLOO BUILDERS ASPEN CONSTRUCTION SYST ASSOCIATED CONSTRUCTORS BOLDT OSCAR J CONSTRUCT CAD CONSTRUCTION & DESI CARPET WEAVERS COMMERCI CARROLL COUNTY TREASURE CATALANELLO BUILDERS CETWINSKI CONSTRUCTION COLLINS CONCRETE LTD COMMERCIAL CARPENTRY MA COMMERCIAL CARPET COMPA CONTEMPORARY HAMMERWORK CONTRACT INSTALLATIONS CULLEN J P & SON D JOSEPH CONSTRUCTION C DEARBORN MID-WEST CONVE DICKS FLOOR COVERING DUMEX CONSTRUCTION CO FIXTURE CONTRACTING CO GENSINI EXCAVATING & TR GILCO SCAFFOLDING GREGORY CONSTRUCTION HALVERSON CONSTRUCTION HERLIHY MID-CONTINENT C ICONIC FINISHES LLC INSTALLATION CONCEPTS I INSTALLATION SERVICES O INSTALLATION SPECIALIST INSULATED PANEL COMPANY J LANE COMMERCIAL FLOOR JCF OF LOCKPORT JONES-BLYTHE CONSTRUCTI JUST RITE ACOUSTICS KEELEY L CONSTRUCTION KEEN CO KISER HYDRO LLC KONECRANES NUCLEAR EQUI LAVERDIERE CONSTRUCTION LILJA MECHANICAL CONSTR MARTIN & COMPANY EXCAV MARTIN CEMENT CO MC CARTHY IMPROVEMENT C MC GE LLC MIDWEST REFRIGERATION C MORFIN CONST GEN CARP I MORSE L J CONST CO NASH BROTHERS CONSTRUCT RAYNOR DOOR AUTH OF DE REBORN RUSTIC REDBUD RIDGE CUSTOM SHO RIVER CITY CONSTRUCTION ROCKFORD CARPETLAND USA ROECKER CABINETS & MILL ROSE CONCRETE RUIZ CONSTRUCTION CO SCANDROLI CONSTRUCTION SCIENTIFIC LABORATORY I SCURTO CEMENT CONSTRUCT SPRINKMANN SONS CORP STEVENS ENGINEERS & CON SWANSON PROFESSIONAL FL SYSTEMS ENTERPRISE CORP TARASENKO ENTERPRISES I TERRA FIRMA SOIL SOLUTI TERRELL MATERIALS TSI COMMERICAL FLOOR UNIVERSAL PLANT SERVICE W SOULE & COMPANY WALSH CONSTRUCTION CO O WEITZ INDUSTIAL LLC WENGER TRAFFIC CORPORAT WINGER MECHANICAL WOODS CONSTRUCTION CO WRIGHT-WAY INTERIOR SYSTEMS