CONSTRUCTION INDUSTRY & LABORERS HEALTH & WELFARE TRUST: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
CONSTRUCTION INDUSTRY & LABORERS HEALTH & WELFARE TRUST (EIN 88-6002912)
Tax period
2015-01-01 to 2015-12-31
Filed
2016-10-31
IRS object ID
201623059349301022
Schema version
2015v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2016-10-31T11:01:03-07:00ReturnTs
Tax Period End2015-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Jay D Booth CPA LtdBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11000 Nevada Way 206AddressLine1Txt
CityBoulder CityCityNm
State AbbreviationNVStateAbbreviationCd
ZIP89005ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN886002912EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CONSTRUCTION INDUSTRY AND LABORERS HEALTH AND WELFARE PLANBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCONSBusinessNameControlTxt
Phone7022515690PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 26449AddressLine1Txt
CityLAS VEGASCityNm
State AbbreviationNVStateAbbreviationCd
ZIP891260449ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTHOMAS WHITEPersonNm
Person TitleTRUSTEEPersonTitleTxt
Phone7022515690PhoneNum
Signature2016-10-19SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJAY D BOOTH CPAPreparerPersonNm
Phone7022948940PhoneNum
Preparation2016-10-31PreparationDt
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerTHOMAS WHITEPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 26449AddressLine1Txt
CityLAS VEGASCityNm
State AbbreviationNVStateAbbreviationCd
ZIP89126ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$39,652,772GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501cYes (X)Organization501cInd
Website AddressN/AWebsiteAddressTxt
Type Of Organization TrustYes (X)TypeOfOrganizationTrustInd
Formation1962FormationYr
Legal Domicile StateNVLegalDomicileStateCd
Activity Or MissionTO PROVIDE HEALTH, ACCIDENT, LIFE AND DISABILITY BENEFITS FOR ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS.ActivityOrMissionDesc
Voting Members Governing Body6VotingMembersGoverningBodyCnt
Voting Members Independent6VotingMembersIndependentCnt
Total Employee1TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$15,203,131PYProgramServiceRevenueAmt
CY Program Service Revenue$15,071,413CYProgramServiceRevenueAmt
PY Investment Income$614,806PYInvestmentIncomeAmt
CY Investment Income$909,878CYInvestmentIncomeAmt
PY Other Revenue$576,009PYOtherRevenueAmt
CY Other Revenue$987,231CYOtherRevenueAmt
PY Total Revenue$16,393,946PYTotalRevenueAmt
CY Total Revenue$16,968,522CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$12,071,731PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$13,996,073CYBenefitsPaidToMembersAmt
CY Salaries Comp Emp Bnft Paid$189,749CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$4,116,532PYOtherExpensesAmt
CY Other Expenses$3,703,035CYOtherExpensesAmt
PY Total Expenses$16,188,263PYTotalExpensesAmt
CY Total Expenses$17,888,857CYTotalExpensesAmt
PY Revenues Less Expenses$205,683PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$920,335CYRevenuesLessExpensesAmt
Total Assets BOY$33,539,593TotalAssetsBOYAmt
Total Assets EOY$31,003,697TotalAssetsEOYAmt
Total Liabilities BOY$30,502TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$33,509,091NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$31,003,697NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE HEALTH, ACCIDENT, LIFE AND DISABILITYMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
DescTO PROVIDE HEALTH, ACCIDENT, LIFE AND DISABILITY BENEFITS FOR ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS.Desc
Described In Section501c3falseDescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (true)ReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document441IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee1EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members6GoverningBodyVotingMembersCnt
Independent Voting Member6IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1WILSON-MCSHANEBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7022515690PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12345 RED ROCK ST SUITE 220AddressLine1Txt
CityLAS VEGASCityNm
State AbbreviationNVStateAbbreviationCd
ZIP89146ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (7 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeInd
THOMAS WHITE
TRUSTEE4.00Yes (X)$0$0$0
MARCO HERNANDEZ
TRUSTEE4.00Yes (X)$0$0$0
MARK EDGEL
TRUSTEE4.00Yes (X)$0$0$0
SEAN STEWART
TRUSTEE4.00Yes (X)$0$0$0
PERRY EIMAN
TRUSTEE4.00Yes (X)$0$0$0
JAMES BARKER
TRUSTEE4.00Yes (X)$0$0$0
TERESA ROCCA
PATIENT ADVOCATE40.00$103,003$0$77,917Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$103,003TotalReportableCompFromOrgAmt
Total Other Compensation$77,917TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
HEALTH PLAN OF NEVADA
PO BOX 15645LAS VEGASNV89114HEALTH INSURANCE$4,923,723
WILSON-MCSHANE
3001 METRO DR SUITE 500BLOOMINGTONMN55425ADMINSTRATOR$1,200,526
MARATHON HEALTH INC
20 WINOOSKI FALLS WAY SUITE 400WINOOSKIVT05404HEALTH CLINIC$1,486,183
BENECARD SERVICES INC
3131 PRINCETON PIKELAWRENCEVILLENJ08648PRESCRIPTION$954,560
MUNICH RE STOP LOSS
5201 BLUE LAGOON DR SUITE 500MIAMIFL33126STOP LOSS INSURANCE$348,599
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmt
EMPLOYER CONTRIBUTIONS900099$13,578,357
EMPLOYEE SELF-PAYMENTS900099$1,493,056
FieldValueIRS element (for citing)
Total Program Service Revenue$15,071,413TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$925,308TotalRevenueColumnAmt
Exclusion$925,308ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$22,668,820SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$22,684,250SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$15,430SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$15,430TotalRevenueColumnAmt
Exclusion-$15,430ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
OTHER INCOME900099$124,748$124,748
CLINIC INCOME900099$418,523$418,523
STOP LOSS RECOVERIES900099$443,960$443,960
FieldValueIRS element (for citing)
Other Revenue Total$987,231OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$16,968,522TotalRevenueColumnAmt
Related Or Exempt Func Income$16,058,644RelatedOrExemptFuncIncomeAmt
Exclusion$909,878ExclusionAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$13,996,073TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$103,003TotalAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$58,339TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$19,578TotalAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$8,829TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$172,818TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$129,335TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$39,865TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,271,000TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$103,448TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$6,554TotalAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$28,367TotalAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmt
CLINIC EXPESNSES$1,594,883
ADVOCATE EXPENSE$46,250
COLLECTIONS OFFICE EXPENSE$156,390
ACA/PCORI FEES$154,125

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$17,888,857TotalAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,628,284BOYAmt
EOY$1,204,707EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$2,608,168BOYAmt
EOY$1,733,076EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$26,084LandBldgEquipCostOrOtherBssAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
EOY$26,084EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$21,667,215BOYAmt
EOY$20,189,523EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$7,635,926BOYAmt
EOY$7,850,307EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$33,539,593BOYAmt
EOY$31,003,697EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$30,502BOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$30,502BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Org Does Not Follow SFAS117Yes (X)OrgDoesNotFollowSFAS117Ind

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

FieldValueIRS element (for citing)
BOY$33,509,091BOYAmt
EOY$31,003,697EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$33,509,091BOYAmt
EOY$31,003,697EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$33,539,593BOYAmt
EOY$31,003,697EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$920,335ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$1,585,059NetUnrlzdGainsLossesInvstAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule D IRS990ScheduleD

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$26,084OtherCostOrOtherBasisAmt
Book Value$26,084BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$26,084TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescHEDGE FUNDDesc
Book Value$7,850,307BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$7,850,307TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescDUE TO OTHER TRUST FUNDDesc
FieldValueIRS element (for citing)
Total Rev Etc Audited Fincl Stmt$14,562,336TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$1,585,059NetUnrealizedGainsInvstAmt
Other Revenue-$781,262OtherRevenueAmt
Revenue Not Reported-$2,366,321RevenueNotReportedAmt
Revenue Subtotal$16,928,657RevenueSubtotalAmt
Investment Expenses Not Incld$39,865InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt$39,865RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$16,968,522TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$17,864,093TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$15,101OtherExpensesIncludedAmt
Expenses Not Reported$15,101ExpensesNotReportedAmt
Expenses Subtotal$17,848,992ExpensesSubtotalAmt
Investment Expenses Not Incld2$39,865InvestmentExpensesNotIncld2Amt
Expenses Not Rpt Fincl Stmt$39,865ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$17,888,857TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Pt XI, Line 2dADJUSTMENTS MADE TO REFLECT CASH BASIS FORM 990
Pt XII, Line 2dADJUSTMENTS MADE TO REFLECT CASH BASIS FORM 990

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp

FieldValueIRS element (for citing)
PersonTERESA ROCCAPersonNm
Base Compensation Filing Org$103,003BaseCompensationFilingOrgAmt
Nontaxable Benefits Filing Org$77,917NontaxableBenefitsFilingOrgAmt
Total Compensation Filing Org$180,920TotalCompensationFilingOrgAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Pt VI, Line 11bCOPIES OF FORM 990 WERE PROVIDED TO THE GOVERNING BODY PRIOR TO THE FORM 990 BEING FILED. NO REVIEW WAS OR WILL BE CONDUCTED.
Pt VI, Line 12cTHE BOARD OF TRUSTEES ARE REQUIRED TO DISCLOSE ANY CONFLICTS THAT HAVE ARISEN.
Pt VI, Line 19PURSUANT TO ERISA.
Form 990EZ, Part II, Line 24CORPORATE BONDS
Form 990EZ, Part II, Line 24CORPORATE STOCKS
Form 990EZ, Part II, Line 24US GOVERNMENT SECURITIES
Form 990, Part IX, Line 24eCLINIC

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
CONSTRUCTION INDUSTRY & LABORERS VACATION PLAN
PO BOX 26449LAS VEGASNV89126886005429TO PROVIDE VACATION BENEFITSNV501 (c) (9)NAfalse
SOUTHERN NEVADA LABORERS LOCAL 872 TRAINING TRUST
2345 RED ROCK ST SUITE 220LAS VEGASNV89146880276888TO PROVIDE EDUCATION AND TRAININGNV501 (c) (4)NAfalse
CONSTRUCTION INDUSTRY AND LABORERS JOINT PENSION TRUST FOR SO NEVADA PLAN A
2345 RED ROCK ST SUITE 220LAS VEGASNV89146880135695TO PROVIDE PENSION BENEFITSNV401(a)NAfalse
CONSTRUCTION INDUSTRY AND LABORERS DEFINED CONTRIBUTION PENSION PLAN
2345 RED ROCK ST SUITE 220LAS VEGASNV89146472340277TO PROVIDE PENSION BENEFITSNV401(a)NAfalse
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1SOUTHERN NEVADA LABORERS LOCAL 872 TRAINING TRUSTBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypepTransactionTypeTxt
Involved$159,228InvolvedAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART IVFormAndLineReferenceDesc
ExplanationSCHEDULE R, IDENTIFICATION OF RELATED ORGANIZATIONS. THE FILING ORGANIZATION IS A TAFT-HARTLEY MULTIEMPLOYER TRUST THAT PROVIDES HEALTH & WELFARE BENEFITS TO ELIGIBLE EMPLOYEES AND THEIR DEPENDENTS. THE ADMINISTRATIVE OFFICE MAINTAINS A DATABASE OF CONTRIBUTING EMPLOYERS HOWEVER, CERTAIN INFORMATION THAT IS REQUIRED TO BE REPORTED ON SCHEDULE R IS NOT ON FILE WITH THE ADMINISTRATVIE OFFICE. AS A RESULT THE CONTRIBUTING EMPLOYERS HAVE NOT BEEN INCLUDED ON SCHEDULE R.ExplanationTxt

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