2016-11-07T08:48:32-06:00 2015-12-31 410746749 CLIFTONLARSONALLEN LLP 220 SOUTH SIXTH STREET SUITE 300 MINNEAPOLIS MN 55402 990 2015-01-01 020656066 HEARTLAND HEALTHCARE FUND HEAR 9528540795 3001 METRO DRIVE NO 500 BLOOMINGTON MN 55425 STEVEN TONDI CHAIRMAN 9528540795 2016-10-28 1 DOUG BERTOSSI P00637990 6123764500 2015 2017-02-10 21:41:12Z STEVEN TONDI 3001 METRO DRIVE NO 500 BLOOMINGTON MN 55425 34781858 0 X N/A X 2002 IA INSURED AND SELF FUNDED WELFARE BENEFITS FOR UNION MEMBERS AND THEIR DEPENDENTS. 6 0 43 6 0 0 0 0 26092604 26510554 594736 618111 0 0 26687340 27128665 0 0 22652530 27574653 0 0 0 0 0 1200207 1201419 23852737 28776072 2834603 -1647407 36250342 33744174 438609 364803 35811733 33379371 INSURED AND SELF-FUNDED WELFARE BENEFITS FOR UNION MEMBERS AND THEIR DEPENDENTS. 0 0 INSURED AND SELF FUNDED WELFARE BENEFITS FOR APPROXIMATELY 2,007 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 41 0 43 1 0 0 0 0 0 0 X 6 0 0 1 0 0 0 0 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 STEVEN P TONDI CHAIRMAN, SEE SCHEDULE O 1.00 40.00 X X 0 1 0 DAVE FOY TRUSTEE 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 1.00 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 1 0 0 0 0 0 WILSON MCSHANE CORPORATION 3001 METRO DRIVE BLOOMINGTON MN 55425 FUND ADMINISTRATOR 712082 BLUELINK TPA 1305 CORPORATE CENTER DRIVE EAGAN MN 55121 MEDICAL CLAIMS NETWORK 583437 2 EMPLOYER CONTRIBUTIONS 525100 24812100 24812100 EMPLOYEE CONTRIBUTIONS 525100 1698454 1698454 26510554 687639 687639 7583665 7653193 -69528 -69528 -69528 27128665 26510554 0 618111 27574653 709978 49105 78218 105416 67260 25343 16235 TRANSITIONAL REINSURANC 149864 28776072 3156521 1484063 336918 61623 2552093 2538817 365293 161962 25283814 25168100 4555703 4329609 36250342 33744174 282500 220546 156109 144257 438609 364803 X 35811733 33379371 35811733 33379371 36250342 33744174 -1647407 -784955 0 X 0 1 X 1 0 0 LIMITED LIABILITY COMPANY 4329609 F 4329609 X 26238294 -784955 -784955 27023249 105416 105416 27128665 28670656 0 28670656 105416 105416 28776072 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 2015 AND 2014 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. THE PLAN ADMINISTRATOR BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO 2012. AALCO MANUFACTURING CO CONTRIBUTING CONTRACTOR EMPLOYER CONTRIBUTIONS X 9028 9028 0 0 0 CORNERSTONE CARPENTRY CONTRACTORS CONTRIBUTING CONTRACTOR EMPLOYER CONTRIBUTIONS X 128 128 0 0 0 FLOORING SYSTEMS INC CONTRIBUTING CONTRACTOR EMPLOYER CONTRIBUTIONS X 1972 1972 0 0 0 JIM YAKLICH HOME IMPROVEMENT CONTRIBUTING CONTRACTOR EMPLOYER CONTRIBUTIONS X 1542 1542 0 0 0 JOSH BAHL CONSTRUCTION LLC CONTRIBUTING CONTRACTOR EMPLOYER CONTRIBUTIONS X 1568 1568 0 0 0 KOOLMASTER CO INC CONTRIBUTING CONTRACTOR EMPLOYER CONTRIBUTIONS X 421 421 0 0 0 MA MORTENSON CO CONTRIBUTING CONTRACTOR EMPLOYER CONTRIBUTIONS X 11084 11084 0 0 0 MARIN BROS INC CONTRIBUTING CONTRACTOR EMPLOYER CONTRIBUTIONS X 338 338 0 0 0 NORTHERN ILLINOIS UNIVERSITY CONTRIBUTING CONTRACTOR EMPLOYER CONTRIBUTIONS X 1845 1845 0 0 0 R & T SPECIALISTS INC CONTRIBUTING CONTRACTOR EMPLOYER CONTRIBUTIONS X 18793 18793 0 0 0 RC WEGMAN CONTRIBUTING CONTRACTOR EMPLOYER CONTRIBUTIONS X 402 402 0 0 0 UNITEDANCO SERVICES INC CONTRIBUTING CONTRACTOR EMPLOYER CONTRIBUTIONS X 2294 2294 0 0 0 VOITH HYDRO INC CONTRIBUTING CONTRACTOR EMPLOYER CONTRIBUTIONS X 332 332 0 0 0 WALL-TECH INC CONTRIBUTING CONTRACTOR EMPLOYER CONTRIBUTIONS X 17 17 0 0 0 WILLMAN CONSTRUCTION CONTRIBUTING CONTRACTOR EMPLOYER CONTRIBUTIONS X 42486 42486 0 0 0 WOOD GROUP FIELD SERVICES CONTRIBUTING CONTRACTOR EMPLOYER CONTRIBUTIONS X 69712 69712 0 0 0 161962 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 B, LINE 11 FORM 990 IS PRESENTED TO THE BOARD OF TRUSTEES IN CONJUNCTION WITH REVIEW OF THE ANNUAL AUDIT. 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 198 EIN: 36-2419940 BRUCE WERNING, SECRETARY UNITED BROTHERHOOD OF CARPENTERS & JOINERS OF AMERICA 36-1894832 DANIEL AUSSEM, TRUSTEE ILLINOIS VALLEY CONTRACTORS ASSOCIATION EIN: 36-2150421 CARPENTERS LOCAL #4 LOCAL #790 NO WEST ILL & EASTERN CARP JATC CARPENTERS TRAINING PROGRAM ILLOWA MILLWRIGHTS JATC CHICAGO DISTRICT COUNCIL NORTHERN ILLINOIS UNIVERSITY PHYSICAL PLANT CARROLL COUNTY TREASURE AGC OF ILLINOIS 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 HAYES MECHANICAL INC CORNERSTONE CONSTRUCTION GROUP LLC INTERIOR BUILDING SYSTEMS 3D CONCRETE INC ALLOY SPECIALITES INC ANDERSON COMMERCIAL CON ARZEE CONSTRUCTION INC ATLANTIC PLANT MAINT INC AUSTED & SONS INC BENNETT CONSTRUCTION INC BUILDERS SALES & SERVICES CARPET WEAVERS COMMERCIAL CONTROL INSTALLATIONS OF IOWA INC DOORS INC FORRISTALL CONCRETE CO GOETZ CONCRETE CONSTRUCTION HEITKOTTER INC HODGE CONSTRUCTION CO INC HODGE CONSTRUCTION CO KOCH BROS GENERAL CONTRACTOR INC KOESTERS LINOLEUM SHOP L & L FLOORCOVERING L P W INC LAVERDIERE CONSTRUCTION LEANDER CONSTRUCTION INC M&M CONCRETE INC MILLARD FRANK & COMPANY MILLWRIGHT SERVICE INC MORTENSON CONSTRUCTION NELSON CONSTRUCTION CONTRACTING PRIESTER CO INC RYAN COMPANIES US INC SPELICH GENERAL CONTRACTING STARK EXCAVATING INC SWEDBERG & ASSOCIATES TIEMAN BUILDERS WENGER CORPORATION WILLIAMS BROS CONSTRUCTION INC WINKLER CONSTRUCTION CO WINTER CONSTRUCTION INC ALLIED CONSTRUCTION SERVICES INC AREA RIGGING & MILLWRIGHT ARTISAN CONTRACTING INC AXIS MECHANICAL GROUP BABCOCK & WILCOX COMPANY BAUM OTTO & SON'S INC BILFINGER INDUST SERVICE BRAND ENERGY SERVICES BRENNAN J F CO INC BURKS DRYWALL CALIBER FLOORS INC CENTENNIAL CONTRACTOR CIVIL CONSTRUCTORS INC CLARK CORPORATION CONCRETE SYSTEMS INC CONSTRUCTION PARTNERS INC CRUZ CONCRETE CURRY KEN CONSTRUCTION INC DIAMOND CUT INC DOHERTY CONSTRUCTION DORAL CORPORATION DUN PAR ENGINEERED FORM FINELINE INC FIXTURE CONTRACTING CO FLOORING RESOURCES CORP FLOORING SYSTEMS INC H & S CONCRETE CONST INC HARGER'S ACOUSTICS HELMKAMP CONSTRUCTION HILLEBRAND CONSTRUCTION HOFFMAN BUILDERS INC INDUSTRIAL SERVICES GROUP INC INSTALLATION CONCEPTS INTERIOR INSTALLATION INTERNATIONAL DECORATOR INTERNATIONAL SPORT SURFACES IRVING CONSTRUCTION CO J B ROBERTSON CONSTRUCTION J C HARRIS AND SONS INC JOHNSTON W F CONSTRUCTION JUST RITE ACOUSTICS JVW CONTRACTING INC KNIGHT FLOORING INC KOJA CONSTRUCTION INC KOOLMASTER CO INC LIEBHART CONSTRUCTION LITE CONSTRUCTION MACHINERY & CONVEYOR MANICO FLOORING INC MARKET & JOHNSON INC MAYOU D H ROOFING CO MCGRATH & ASSOCIATES INC MEDINA BUILDERS INC MID AMERICA SYSTEMS INC MIDWEST MOWING INC MIRON CONSTRUCTION CO MODULAR INSTAL & DESIGN MTE MILLER TRUCKING NICAM CONSTRUCTION NIELSEN DECORATING NORTHWEST CONTRACTORS INC ONSITE WOODWORKING CORPORTION PERFORMANCE FLOORS CORP PHOENIX CORPORATION PINTER GENERAL CONTRACTING PINTO CONSTRUCTION GRP POGGIOLI CUSTOM FLOORING PRECISION BUILDERS RACK-IT INSTALLATIONS RICE EQUIPMENT COMPANY ROBERTSON JB CONSTRUCTION ROGERS AUTOMATED ENTRAN RUIZ CONST SYSTEMS INC S & H FLOORCOVERING INC SIEMENS WESTINGHOUSE GE SJOSTROM & SONS SUPERIOR FLOOR COVERING THE SIEBOLD COMPANY INC TRUSS PLUS INC URS ENERGY & CONSTRUCTION VOITH SIEMENS HYDRO POW WEAVER CONSTRUCTION INC WEITZ ABELL-HOWE WOZNIAK CONCRETE FINISHING YAKLICH JIM HOME IMPROVEMENTS DML CONSTRUCTION SERVICES ICON INDUSTRIAL SERVICE CALACCI CONSTRUCTION D CONSTRUCTION INC BLACKHAWK FOUNDATIONS BLAHNIK CONSTRUCTION CO BRECKE BG INC BUSH CONSTRUCTION CO INC CENTRAL CEILING SYSTEMS CENTRAL MILLWRIGHT SER CURNYN CONSTRUCTION CO DAVES FLOOR COVERINGS DAY & ZIMMERMAN NPS INC ESTES COMPANY FRANCK D G INC GENERAL CONSTRUCTORS INC H&H INC ILLINOIS VALLEY MACHINE KINETIC CONSTRUCTION KUDELA BUILDERS LADZINSKI CEMENT FINISH LARSEN KLAUER BUILDERS NEWELL MACHINERY CO INC NORTHERN ILL WALL & CEILING PARAMOUNT MILLWRIGHT QUAD CITY ACOUSTICAL R G CONSTRUCTION SERVICE RAYNOR DOOR CO INC RAYNOR MANUFACTURING RINGLAND JOHNSON INC RIVER VALLEY CONSTRUCTION ROCKWELL GROUP RYAN & ASSOCIATES SEITHER & CHERRY QUAD SHEPARD CONSTRUCTION SMITH CA BUILDERS INC SUITABLE BUILDERS INC TREIBER CONSTRUCTION CO VALLEY CONST CO VISSERING CONSTRUCTION WALSH CONSTRUCTION CO 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 SCHEDULE R, PART VII NO FEDERAL TAX CLASSIFICATION GIVEN FOR THE ENTITIES LISTED BELOW, THEREFORE LISTED ON SUPPLEMENTAL SCHEDULE SINCE WE ARE UNABLE TO DETERMINE WHICH CATEGORY TO PUT THEM IN. SEE LIST BELOW: INSTALLATION SERVICES MC HUGH JAMES CONSTR RIVER CITY CONSTRUCTION ADVANTAGE INDUSTRIAL SYSTEMS AHC MECHANICAL SERVICES AIMS MECHANICAL, LLC ALL PHASES CONSTRUCTION AMEX NOOTER LLC CECO CONCRETE CONSTRUCTION CHICAGO STRUCTURES ECP CARPENTRY LLC HERITAGE CONSTRUCTION IPC LYDON LLC JOSH BAHL CONSTRUCTION KINGSTON TILE COMPANY MATRIX CONCRETE CONSTRUCTION RUSSELL CONSTRUCTION S&S FLOORING INSTAL SAFWAY SERVICES LLC STONE & WEBSTER CONSTRUCTION TURBINE PROS, LLC WALBRIDGE EQUIPMENT INSTALL AHRENS CONCRETE COMPANY BOLDT OSCAR J CONSTRUCT CATALANELLO BUILDERS CETWINSKI CONSTRUCTION CITY WIDE INSULATION COLLINS CONCRETE LTD DICKS FLOOR COVERING G. A. JOHNSON & SON GAGNON CONSTRUCTION CO GREEN BILL FLOOR INSTALL GRP MECHANCIAL CO, INC. HARGRAVE BUILDERS, INC. HEIN CONSTRUCTION CO, INC. INSULATED PANEL COMPANY INTEGRAL FLOORING SYSTEM JONES-BLYTHE CONSTRUCTION KEEN CO LILJA MECHANICAL CONSTR LOWER JOHN CONSTRUCTION MID VALLEY CONCRETE INC. MORSE L. J. CONSTRUCTION NORTHWEST COMMERICAL INC. OSBORNE DAVE CONSTRUCTION PETERSON BERTEL CO ROCKFORD CARPETLAND USA SCAFFOLD INSTALLATION SCURTO CEMENT CONSTRUCT SYSTEMS ENTERPRISE CORP TOBEYS CONSTR & CARTAGE UNIVERSAL PLANT SERVICE WHITTAKER EXCAVATING WILLMAN CONSTRUCTION B & L TILE BRIESER CONSTRUCTION CO COMMERCIAL FLOOR COVERING CONTEMPORARY HAMMERWORK COPENHAVER CONSTRUCTION CPI OF THE MIDWEST DASHCO, INC. ECKELBERG FLOORCOVERING FOSLER CONSTRUCTION GALE CONSTRUCTION CO OF ILLINOIS HOERR P J INC J H KELLY LLC JAMES DENNIS CONSTRUCTION LAKES & RIVERS CONTRACT LANKFORD CONSTRUCTION CO LEOPARDO COMPANIES INC. MARTIN & COMPANY EXCAV MC CONNAUGHHAY AND SONS MCCARTHY IMPROVEMENT MR DAVID'S CARPET SERVICE NATIONWIDE INSTALLATION PRECISION FLOOR AND TILE RAYNOR DOOR AUTH OF DE REDBUD RIDGE CUSTOM ROSE CONCRETE RUIZ CONSTRUCTION CO SINGLEY CONSTRUCTION INC. SWANSON PROFESSIONAL FL WINGER MECHANICAL WRIGHT-WAY INTERIOR SYSTEMS BROWN CONSTRUCTION PRIME CONSTRUCTION SERVICES