2016-11-10T09:50:10-06:00 2015-12-31 251382693 KENNETH M WASSERMAN CPA 3616 LIBERTY AVENUE PITTSBURGH PA 152011326 990 2015-01-01 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 2016-11-03 1 KENNETH M WASSERMAN CPA P01050350 4126217737 X 2015 2017-02-10 21:41:12Z PHILIP AMERISPAUL SCABIL 1425 FORBES AVENUE PITTSBURGH PA 15219 265765664 0 X LCFOWPA.COM X 1953 PA PROVIDE GROUP BENEFITS SUCH AS MEDICAL, PRESCRIPTION DRUG, VISION, AND LIFE INSURANCE. 14 11 0 0 0 0 0 0 93519363 101091514 4847351 4082676 0 0 98366714 105174190 0 0 73093658 79915330 0 0 0 0 0 2362139 4095234 75455797 84010564 22910917 21163626 146493529 158883514 7132673 2231462 139360856 156652052 THE PROVISION OF GROUP BENEFITS FOR ELIGIBLE EMPLOYEES OF THE EMPLOYERS AND FAMILY MEMBERS OF ELIGIBLE EMPLOYEES NUMBERING APPROXIMATELY 15,054 PARTICIPANTS 0 0 84010564 101091514 PROVIDED GROUP HEALTHCARE BENEFITS FOR APPROXIMATELY 15,054 PARTICIPANTS AND PLAN TO CONTINUE PROVIDING HEALTHCARE BENEFITS FOR OUR ELIGIBLE EMPLOYEES AND THEIR ELIGIBLE FAMILY MEMBERS. 84010564 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 6 0 1 0 0 0 0 0 0 0 X 14 11 0 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 DENIS C MAZZONI EMPLOYEE TRUSTEE 2.00 X 0 0 0 TERRENCE M MCDONOUGH EMPLOYER TRUSTEE 2.00 X 0 0 0 PAUL V SCABILLONI EMPLOYER TRUSTEE 3.00 X 0 0 0 VINCENT P TUTINO 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 0 0 0 0 0 0 0 HIGHMARK 120 FIFTH AVENUE PITTSBURGH PA 15222 MEDICAL CLAIMS PROCESSOR 3004546 LABORERS' COMBINED FUNDS 1425 FORBES AVENUE 6TH FLOOR PITTSBURGH PA 15219 FUND ADMINISTRATION 1656458 HIGHMARK CASUALTY INSURANCE 120 FIFTH AVENUE PITTSBURGH PA 15222 STOP LOSS INSURANCE 478568 ROBECO INVESTMENT MANAGEMENT 909 THIRD AVENUE NEW YORK NY 10022 INVESTMENT MANAGEMENT SERVICES 183053 CS MCKEE INVESTMENT MANAGEMENT 420 FORT DUQUESNE BLVD STE 800 PITTSBURGH PA 15222 INVESTMENT MANAGEMENT SERVICES 118260 5 EMPLOYER CONTRIBUTIONS 525100 98717367 98717367 EMPLOYEE SELF PAYMENTS 525100 2374147 2374147 101091514 2769662 2769662 65857118 96047370 65562508 95028966 294610 1018404 1313014 1313014 105174190 101091514 0 4082676 79915330 118709 28042 516232 71710 4896 41966 ADMINISTRATION EXPENSE 1656458 TRANSITIONAL REINSURANC 1600395 PATIENT-CENTERED OUTCOM 55586 OTHER EXPENSES 1240 84010564 38657215 21793432 6912856 8882032 10227 10580 93897653 104942947 6063861 22538520 951717 716003 146493529 158883514 5596063 2051301 1536610 180161 7132673 2231462 X 139360856 156652052 0 0 0 0 139360856 156652052 146493529 158883514 21163626 -3872430 0 X X 0 1 X 1 0 0 103-12 INVESTMENT ENTITY 6791751 F 644,830.843 SHARES GMO BENCHMARK-FREE ALLOC-III 15746769 F 22538520 PAYABLES FOR INVESTMENTS PURCHASED 180161 180161 100785528 -3872430 -516232 -4388662 105174190 0 105174190 83494332 0 83494332 516232 516232 84010564 PART XI, LINE 2D - OTHER ADJUSTMENTS: INVESTMENT MANAGER EXPENSES 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 PART XII, LINE 4A INVESTMENT MANAGER EXPENSES 516,232 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 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 11 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 TRUST AGREEMENT ARE AVAILABLE TO PARTICIPANTS ON THE LABORERS COMBINED FUNDS OF WESTERN PA WEBSITE. FINANCIAL STATEMENTS ARE AVAILABLE AT THE REQUEST OF PARTICIPANTS AT THE FUND'S OFFICE. 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 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. DENIS C MAZZONI - LABORERS' LOCAL UNION 1451, 816 LIGONIER STREET, LATROBE, PA 15650. TERRENCE M MCDONOUGH - KEYSTONE CONTRACTORS ASSOC, 20 ERFORD ROAD, STE 212A, LEMOYNE, PA 17043. PAUL V SCABILLONI - MARSA INC, 1000 CASTLEVIEW ROAD, PITTSBURGH, PA 15234. VINCENT P TUTINO - LINDY PAVING INC, 1807 SHENANGO ROAD, NEW GALILEE, PA 16141. 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. 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 1425 FORBES AVENUE 6TH FLOOR PITTSBURGH PA 15219 251333639 ADMINISTRATION PA N/A C 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 0 1 1 0 LABORERS' COMBINED FUNDS OF WESTERN PA L LABORERS' COMBINED FUNDS OF WESTERN PA M LABORERS' COMBINED FUNDS OF WESTERN PA O 1656458 COMPUTER BASED FORMULA TO RECOVER LABORERS' COMBINED FUNDS OF WESTERN PA Q ADMINISTRATIVE EXPENSES LABORERS' COMBINED FUNDS OF WESTERN PA R