2018-11-13T07:44:33-06:00 2017-12-31 251382693 KENNETH M WASSERMAN CPA 3616 LIBERTY AVENUE PITTSBURGH PA 152011326 990 2017-01-01 256035806 LABORERS' DISTRICT COUNCIL OF WESTERN PENNSYLVANIA WELFARE FUND LABO 4122630900 12 EIGHTH STREET 5TH FLOOR PITTSBURGH PA 15222 PHILIP AMERISPAUL SCABILLONI CHAIRMAN/SECRETARY TREASURER 4122630900 2018-11-06 1 KENNETH M WASSERMAN CPA P01050350 4126217737 X 98.219.190.145 2018-11-06 11:51:12 ES P 4BEC613CD534E061DD5DD42328748E4A6A87ADE6 4BEC613CD534E061DD5DD42328748E4A6A87ADE6 2017 2019-02-21 02:37:17Z PHILIP AMERISPAUL SCABIL 12 EIGHTH STREET SUITE 500 PITTSBURGH PA 15222 186390343 0 X LCFOWPA.COM X 1953 PA PROVIDE GROUP BENEFITS SUCH AS MEDICAL, PRESCRIPTION DRUG, VISION, AND LIFE INSURANCE. 14 14 0 0 0 0 0 0 101867491 114582663 7343809 9912632 0 0 109211300 124495295 0 0 89167984 87291325 0 0 0 0 0 2840277 2597060 92008261 89888385 17203039 34606910 176504615 219362622 1723022 1927869 174781593 217434753 THE PROVISION OF GROUP BENEFITS FOR ELIGIBLE EMPLOYEES OF THE EMPLOYERS AND FAMILY MEMBERS OF ELIGIBLE EMPLOYEES NUMBERING APPROXIMATELY 14,586 PARTICIPANTS 0 0 89888385 114582663 PROVIDED GROUP HEALTHCARE BENEFITS FOR APPROXIMATELY 14,586 PARTICIPANTS AND PLAN TO CONTINUE PROVIDING HEALTHCARE BENEFITS FOR OUR ELIGIBLE EMPLOYEES AND THEIR ELIGIBLE FAMILY MEMBERS. 89888385 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 7 0 0 0 0 0 0 0 0 X 14 14 1 1 0 0 0 0 0 1 1 1 0 1 0 0 1 0 0 0 X DAWN BOTSFORDESQ ADMINISTRATOR LABORERS COMBINED FUNDS 4122630900 12 EIGHTH STREET 5TH FLOOR PITTSBURGH PA 15222 X PHILIP AMERIS EMPLOYEE TRUSTEE 4.00 X 0 0 0 ROBERT L KMECAK JR EMPLOYEE TRUSTEE 2.00 X 0 0 0 MICHAEL P MCDONALD EMPLOYEE TRUSTEE 2.00 X 0 0 0 GERALD J PECORA JR EMPLOYEE TRUSTEE 3.00 X 0 0 0 JOHN J TRETTER EMPLOYEE TRUSTEE 2.00 X 0 0 0 WILLIAM J BROOKS EMPLOYEE TRUSTEE 2.00 X 0 0 0 MARK G TOY EMPLOYEE TRUSTEE 2.00 X 0 0 0 PAUL V SCABILLONI EMPLOYER TRUSTEE 3.00 X 0 0 0 JAKE PLOEGER EMPLOYER TRUSTEE 2.00 X 0 0 0 GEORGE E MEZEY EMPLOYER TRUSTEE 2.00 X 0 0 0 JAMES E WILKINSON EMPLOYER TRUSTEE 2.00 X 0 0 0 JOSEPH A WATTICK EMPLOYER TRUSTEE 2.00 X 0 0 0 JOHN C MASCARO JR EMPLOYER TRUSTEE 2.00 X 0 0 0 JOSEPH J LEAHEY EMPLOYEE TRUSTEE 2.00 X 0 0 0 0 0 0 0 0 0 0 HIGHMARK 120 FIFTH AVENUE PITTSBURGH PA 15222 MEDICAL CLAIMS PROCESSOR 2527068 LABORERS' COMBINED FUNDS 12 EIGHTH STREET SUITE 500 PITTSBURGH PA 15222 FUND ADMINISTRATION 1578815 HIGHMARK CASUALTY INSURANCE 120 FIFTH AVENUE PITTSBURGH PA 15222 STOP LOSS INSURANCE 542782 ROBECO INVESTMENT MANAGEMENT INC ONE BEACON ST 30TH FL BOSTON MA 02108 INVESTMENT MANAGEMENT SERVICES 393394 TUCKER ARENSBERG 1500 ONE PPG PLACE PITTSBURGH PA 15222 LEGAL SERVICES 163062 7 EMPLOYER CONTRIBUTIONS 525100 112547137 112547137 EMPLOYEE SELF PAYMENTS 525100 2035526 2035526 114582663 8841249 8841249 62966431 61895048 1071383 1071383 1071383 124495295 114582663 0 9912632 87291325 193705 28329 689730 30138 4265 38625 ADMINISTRATION EXPENSE 1578815 PATIENT-CENTERED OUTCOM 31780 OTHER EXPENSES 1673 89888385 23793286 10548884 9689438 13438721 12360 9353 111367527 149292192 31048572 45294394 593432 779078 176504615 219362622 1722156 717723 866 1210146 1723022 1927869 X 174781593 217434753 0 0 0 0 174781593 217434753 176504615 219362622 34606910 8046250 0 X X 0 1 X 1 0 0 103-12 INVESTMENT ENTITY 20506585 F GMO BENCHMARK-FREE ALLOC-III 24787809 F 45294394 PAYABLES FOR INVESTMENTS PURCHASED 1210146 1210146 131851815 8046250 8046250 123805565 689730 689730 124495295 89198655 0 89198655 689730 689730 89888385 PART X, LINE 2 - THERE IS NO FOOTNOTE IN THE FINANCIAL STATEMENTS THAT REPORTS THE ORGANIZATIONS TAX LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48 (ASC 740). PART XII, LINE 4A INVESTMENT MANAGER EXPENSES 689,730 FORM 990, PART VI, SECTION A, LINE 1 AND 1B:EACH BOARD MEMBER HAS AN EQUAL VOTING RIGHT. FORM 990, PART VI, SECTION A, LINE 2 THE FOLLOWING TWO INDIVIDUAL TRUSTEES, GEORGE MEZEZ AND JAKE PLOEGER, HAVE A BUSINESS RELATIONSHIP WITH TRUMBULL CORPORATION. FORM 990, PART VI, SECTION A, LINE 3 THE WELFARE FUND TRUSTEES DELEGATE ADMINSTRATIVE DUTIES TO THE LABORERS' COMBINED FUNDS OF WESTERN PA. NONE OF THE ORGANIZATIONS CURRENT OR FORMER TRUSTEES WERE COMPENSATED BY THE MANAGEMENT COMPANY OR OTHER PERSONS DURING THE CALENDAR YEAR ENDING WITH OR WITHIN THE ORGANIZATION'S TAX YEAR. FORM 990, PART VI, SECTION B, LINE 11B THE COMPLETED FORM 990 IS PRESENTED AND REVIEWED BY THE TRUSTEES PRIOR TO FILING FORM 990, PART VI, SECTION C, LINE 19 THE SUMMARY PLAN DESCRIPTION AND FORM 5500 INCLUDING AUDITED FINANCIAL STAEMENTS AND DETAILED ASSESTS HELD AT YEAR END ARE AVAILABLE ON THE LABORERS COMBINED FUNDS OF WESTERN PA WEBSITE. TRUST AGREEMENTS ARE AVAIABLE AT THE REQUEST OF THE PARTICIPANTS. THE LABORERS DISTRICT COUNCIL OF WESTERN PA WELFARE FUND WOULD COMPLY WITH ALL LEGAL REQUIREMENTS REGARDING PUBLIC DISCLOSURE OF FINANCIAL AND TAX DOCUMENTS FORM 990, PART VII CONTACT ADDRESSES FOR OFFICERS, DIRECTORS, ETC PHILIP AMERIS - LABORERS' DISTRICT COUNCIL W. PA, 12 EIGHTH ST.,6TH FLOOR, PITTSBURGH, PA 15222. ROBERT L KMECAK JR - LABORERS LOCAL UNION 910, 303 WALLACE BLDG,406 MAIN STR JOHNSTOWN, PA 15901. MICHAEL P MCDONALD - LABORERS LOCAL UNION 833, BOX 17, 1017 THIRD AVE, NEW BRIGHTON, PA 15066. GERALD J PECORA JR - LABORERS'LOCAL UNION 1058, 12 EIGHTH ST., 1ST FLOOR, PITTSBURGH, PA 15222. JOHN J TRETTER - LABORERS' LOCAL UNION 603, 703 FRENCH STREET, 2ND FLOOR, ERIE, PA 16501. WILLIAM J BROOKS - LABORERS LOCAL UNION 373, 611 THOMPSON RUN RD, MONROEVILLE, PA 15146. MARK G TOY - LABORERS' LOCAL 952, 186 BLANEY ROAD, KETTANNING, PA 16201. PAUL V SCABILLONI - MARSA INC, 1000 CASTLEVIEW ROAD, PITTSBURGH, PA 15234. JAKE PLOEGER - TRUMBULL CORPORATION, PO BOX 6774, PITTSBURGH, PA 15212. GEORGE E MEZEY - TRUMBULL CORPORATION,PO BOX 6774, PITTSBURGH, PA 15212. JAMES E. WILKINSON - JOSEPH B. FAY COMPANY, 100 SKY LANE, TARENTUM, PA 15084. JOSEPH A WATTICK - MOSITES CONSTRUCTION COMPANY, 4839 CAMPBELLS RUN RD, PITTSBURGH, PA 15205. JOHN C MASCARO JR - MASCARO CONSTRUCTION CO. LP, 1720 METROPOLITAN ST, PITTSBURGH, PA 15233. JOSEPH J LEAHEY - G.M. MCCROSSIN, INC., 2780 BENNER PIKE, BELLEFONTE, PA 16823. FORM 990, PART XII LINE 2 C THERE IS NO CHANGE FROM THE PRIOR YEAR IN HOW THE ORGANIZATION ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF ITS INDEPENDENT ACCOUNTANT. LABORERS' COMBINED FUNDS OF WESTERN PA 12 EIGHTH STREET 5TH FLOOR PITTSBURGH PA 15222 251333639 ADMINISTRATION PA N/A C 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 1 1 LABORERS' COMBINED FUNDS OF WESTERN PA L LABORERS' COMBINED FUNDS OF WESTERN PA M LABORERS' COMBINED FUNDS OF WESTERN PA P 1578815 COMPUTER BASED FORMULA TO RECOVER ADMINISTRATIVE EXPENSES LABORERS' COMBINED FUNDS OF WESTERN PA R 1578815 LABORERS' COMBINED FUNDS OF WESTERN PA S 114582663 BY CONTRACT