2015-04-11T11:32:50-05:00 2014-05-31 362152389 BANSLEY AND KIENER LLP 8745 W HIGGINS RD CHICAGO IL 60631 990 2013-06-01 362151212 HEALTH & WELFARE DEPT OF THE CONSTR & GEN LBRS DIST CNCL OF CH & VICIN HEAL 7085620200 11465 CERMAK ROAD WESTCHESTER IL 60154 JAMES S JORGENSEN ADMINISTRATOR 7085620200 2015-04-11 1 PAUL A MERKEL P00420901 3122632700 2013 2016-03-07 17:11:31Z JAMES S JORGENSEN 11465 CERMAK ROAD WESTCHESTER IL 60154 867749370 0 X WWW.CHICAGOLABORERSFUNDS.COM X 1950 IL SEE STATEMENT A 12 0 439 0 0 0 0 0 222639188 241164710 6688232 10084297 0 0 229327420 251249007 0 0 177890781 191189167 8016774 7983709 0 0 0 4143129 4395551 190050684 203568427 39276736 47680580 387392048 470299176 140246600 154724824 247145448 315574352 THE FUND PROVIDES HEALTH, PRESCRIPTION, DENTAL, VISION AND LOSS OF TIME BENEFITS TO ELIGIBLE PARTICIPANTS AND DEPENDENTS. 0 0 TO PROVIDE HEALTH, PRESCRIPTION, DENTAL, VISION, AND LOSS OF TIME BENEFITS TO ELIGIBLE PARTICIPANTS AND DEPENDENTS. 0 0 0 0 0 0 0 0 0 1 1 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 544 0 1 439 1 0 0 0 0 0 0 X 12 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 0 0 0 X X MR JAMES S JORGENSEN 7085620200 11465 CERMAK ROAD WESTCHESTER IL 60154 CHARLES GALLAGHER TRUSTEE 2.50 X 0 0 0 ANTONIO CASTRO TRUSTEE 2.50 45.00 X 0 163742 82108 DAVID LORIG TRUSTEE 2.50 X 0 0 0 JULIE CHAMBERLIN TRUSTEE 2.50 X 0 0 0 ANTHONY J RICCARDI TRUSTEE 2.50 X 0 0 0 DENNIS MARTIN TRUSTEE 2.50 X 0 0 0 JAMES CONNOLLY TRUSTEE 2.50 40.00 X 0 329911 134508 MARTIN FLANAGAN TRUSTEE 2.50 50.00 X 0 206513 98492 RICHARD KUCZKOWSKI TRUSTEE 2.50 41.00 X 0 183855 93148 SCOTT PAVLIS TRUSTEE 2.50 41.00 X 0 181688 14442 CLIFTON HORN TRUSTEE 2.50 X 0 0 0 CHARLES LOVERDE III TRUSTEE 2.50 50.00 X 0 353181 140326 JAMES S JORGENSEN ADMINISTRATOR 15.00 25.00 X 271265 0 116490 PATRICK WALLACE IN-HOUSE FUND ATTORNEY 20.00 20.00 X 138005 0 72674 KATHY THOMPSON DIRECTOR OF ACCOUNTING 40.00 0.00 X 118775 0 70466 EUGENIA MASHOS DIRECTOR FIELD DEPARTMENT 20.00 20.00 X 126468 0 68491 JERROD OLSZEWSKI IN-HOUSE FUND ATTORNEY 20.00 20.00 X 135165 0 71315 LORI WILLIAMS DIRECTOR CLAIM DEPARTMENT 40.00 X 125424 0 72890 915102 1418890 1035350 13 0 1 0 BASYS INC 857 ELKRIDGE LANDING ROAD FLOOR 7 LINTHICUM MD 21090 COMPUTER SERVICES 458965 OGLEETREE DEAKINS NASH SMOAK & STEWAR 20 S CLARK STREET 25TH FLOOR CHICAGO IL 60603 LEGAL SERVICES 348430 BANSLEY AND KIENER LLP 8745 W HIGGINS ROAD SUITE 200 CHICAGO IL 60631 ACCOUNTING SERVICES 321737 ALLISON SLUTSKY & KENNEDYPC 230 W MONROE SUITE 2600 CHICAGO IL 60606 LEGAL SERVICES 289120 THE SEGAL COMPANY 101 N WACKER DRIVE SUITE 500 CHICAGO IL 60606 BENEFIT CONSULTING AND ACTUARIAL SERVICE 200850 10 EMPLOYER CONTRIBUTIONS 900099 232854163 232854163 SUPPLEMENTAL EARLY RETIREMENT 900099 5228760 5228760 COBRA PAYMENTS 900099 1275948 1275948 GOVERNMENT DRUG SUBSIDY 900099 840000 840000 LIQUIDATED DAMAGES - DELINQUENT C 900099 818409 818409 147430 147430 241164710 8387246 8387246 618197414 616500363 1697051 1697051 1697051 251249007 241164710 0 10084297 191189167 200725 4188829 1618480 1615737 359938 548357 338744 640946 225682 785431 391421 364876 37829 269492 135156 OUTSIDE SERVICES 479642 GENERAL EXPENSES 96210 INTERNAL LEGAL COLLECTI 79364 CONTINUED PROFESSIONAL 2401 203568427 35362537 79690373 184270 1119258 5586974 4800102 961711 786872 275999916 310551399 46085250 45339804 28798364 32811470 387392048 470299176 1562574 1758628 138684026 152966196 140246600 154724824 X 0 0 0 0 247145448 315574352 247145448 315574352 387392048 470299176 X 47680580 20348618 399706 X 0 1 X 0 0 5393639 4614639 779000 193335 185463 7872 786872 PRIVATE EQUITY PARTNERSHIP 694948 F MUTUAL FUNDS 7704 F REAL ESTATE INVESTMENT FD 2058426 F COMMON TRUST FUND 16946924 F POOLED FUNDS 25631802 F 45339804 EMPLOYER CONTRIBUTIONS - NET OF ALLOWANCE 26904656 DUE FROM BROKERS 781536 ACCRUED INTEREST 514770 MEDICAL CLAIMS REIMBURSEMENT 3540710 DUE FROM OTHER FUNDS 1069798 32811470 BANK OVERDRAFT 1008280 CLAIMS CURRENTLY PAYABLE 5111700 ESTIMATED LIABILITIES FOR CLAIMS INCURRED, NOT REPORTED 20446900 ESTIMATED LIABILITIES FOR ACCUMULATED ELIGIBILITY 84350000 ESTIMATED LIABILITY FOR HRA PROGRAM BENEFITS PAYABLE 29292065 NON-CURRENT PENSION LIABILITY 12757251 152966196 270956679 20348618 20348618 250608061 640946 640946 251249007 188105797 0 188105797 640946 14821684 15462630 203568427 PART XII, LINE 4B - OTHER ADJUSTMENTS: INCREASE IN BENEFIT OBLIGATIONS X X 0 0 0 ANTONIO CASTRO TRUSTEE 0 163742 0 0 0 0 0 0 0 82108 0 245850 0 0 JAMES CONNOLLY TRUSTEE 0 329911 0 0 0 0 0 0 0 134508 0 464419 0 0 MARTIN FLANAGAN TRUSTEE 0 206513 0 0 0 0 0 0 0 98492 0 305005 0 0 RICHARD KUCZKOWSKI TRUSTEE 0 183855 0 0 0 0 0 0 0 93148 0 277003 0 0 SCOTT PAVLIS TRUSTEE 0 181688 0 0 0 0 0 0 0 14442 0 196130 0 0 CHARLES LOVERDE III TRUSTEE 0 353181 0 0 0 0 0 0 0 140326 0 493507 0 0 JAMES S JORGENSEN ADMINISTRATOR 258311 0 0 0 12954 0 0 0 116490 0 387755 0 0 0 PATRICK WALLACE IN-HOUSE FUND ATTORNEY 131231 0 0 0 6774 0 0 0 72674 0 210679 0 0 0 KATHY THOMPSON DIRECTOR OF ACCOUNTING 118775 0 0 0 0 0 0 0 70466 0 189241 0 0 0 EUGENIA MASHOS DIRECTOR FIELD DEPARTMENT 119694 0 0 0 6774 0 0 0 68491 0 194959 0 0 0 JERROD OLSZEWSKI IN-HOUSE FUND ATTORNEY 127584 0 0 0 7581 0 0 0 71315 0 206480 0 0 0 LORI WILLIAMS DIRECTOR CLAIM DEPARTMENT 125424 0 0 0 0 0 0 0 72890 0 198314 0 0 0 FORM 990, PART VI, SECTION A, LINE 8B THERE ARE NO SUBCOMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE BOARD OF TRUSTEES. FORM 990, PART VI, SECTION B, LINE 11 THE BOARD AUTHORIZES THE FUND ADMINISTRATOR, JAMES JORGENSEN, TO REVIEW AND APPROVE THE FORM 990 PRIOR TO THE DATE THAT FILING OCCURS WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12 THE FUND'S LEGAL COUNSEL INFORMS THE BOARD OF TRUSTEES OF THEIR FIDUCIARY OBLIGATIONS AND WHAT CONSTITUTES A CONFLICT OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF TRUSTEES DETERMINE AND APPROVE THE SALARY FOR THE OFFICE EMPLOYEES AND THE FUND ADMINISTRATOR, JAMES JORGENSEN. THE FUND ADMINISTRATOR AND CERTAIN EMPLOYEES' SALARIES AND BENEFITS ARE PAID BY THE WELFARE FUND AND ALLOCATED WITH AND REIMBURSED BY THE LABORERS' PENSION FUND AND THE LABORERS' STAFF PENSION FUND. FORM 990, PART VI, SECTION C, LINE 19 PARTICIPANTS OF THE FUND MAY REQUEST GOVERNING AND OTHER POLICY DOCUMENTS UPON REQUEST OR THEY MAY ACCESS CERTAIN DOCUMENTS FROM THE FUND'S WEBSITE. FORM 990, PART XI, LINE 9: PENSION-RELATED CHANGES OTHER THAN NET PERIODIC COST 399,706. PART V, LINE 2A A TOTAL OF 439 FORM W-2S WERE ISSUED FOR CALENDAR YEAR 2013. EIGHTY FOUR (84) FORM W-2S WERE ISSUED FOR EMPLOYEES AND THREE HUNDRED AND FIFTY-FIVE (355) FORM W-2S WERE ISSUED FOR THIRD PARTY SICK PAY BENEFITS PAID TO COLLECTIVELY BARGAINED PARTICIPANTS OF THE PLAN. LABORERS' WELFARE FUND - BOARD OF TRUSTEES 11465 CERMAK ROAD WESTCHESTER IL 60154 362151212 IL 0 INT CNST & GEN LAB DIST 999 MCCLINTOCK DR STE 300 BURR RIDGE IL 605270824 IL INT LOCAL #1 9726 FRANKLIN AVE FRANKLIN PARK IL 601311702 IL INT LOCAL #1001 323 S ASHLAND AVE CHICAGO IL 606072703 IL INT LOCAL #1092 3841 S HALSTED ST CHICAGO IL 606091612 IL INT LOCAL #118 2430 E RAND RD ARLINGTON HEIGHTS IL 600045877 IL INT LOCAL #152 409 TEMPLE AVE HIGHLAND PARK IL 600351428 IL INT LOCAL #2 8842 OGDEN AVE BROOKFIELD IL 605132147 IL INT LOCAL #225 8270 ARCHER AVE WILLOW SPRINGS IL 604801464 IL INT LOCAL #25 9838 W ROOSEVELT RD STE 1 WESTCHESTER IL 601542777 IL INT LOCAL #269 13256 S BRANDON AVE CHICAGO IL 606331453 IL INT LOCAL #288 732 N CASS AVE WESTMONT IL 605591018 IL INT LOCAL #4 3841 S HALSTED ST CHICAGO IL 606091612 IL INT LOCAL #5 PO BOX 769 CHICAGO HEIGHTS IL 604120769 IL INT LOCAL #6 4670 N ELSTON AVE CHICAGO IL 606304233 IL INT LOCAL #75 1923 DONMAUR DR CREST HILL IL 604031904 IL INT LOCAL #76 5930 W GUNNISON ST CHICAGO IL 606303128 IL INT LOCAL #96 660 EAST NORTH AVE LOMBARD IL 60148 IL INT LOCAL 681 4004 N CASS AVE WESTMONT IL 605591104 IL LABORERS TRAINING FUND 1200 OLD GARY AVE CAROL STREAM IL 601883714 IL LDCLMCC 999 MCCLINTOCK DR STE 301 BURR RIDGE IL 605270824 IL LECET FUND 999 MCCLINTOCK DR STE 302 BURR RIDGE IL 605270824 IL 1 WAY SERVICE INC A A CONTE & SON INC A AND A CONTRACTORS INC A HORN INC A LAMP CONC CONTR INC A ONE GROUP LTD ABBEY PAVING & SEALCOAT ABC BORING INC ABLE MASONRY ACCU FLOW FLOORS ACCURATE LOGISTICS INC ACCURATE TANK CONSTRUCTION ACER ENTERPRISES INC ACES ENVIRONMENTAL ACHILLES INC ACMS GROUP INC ACQUA CORPORATION ACURA INC ADAMS MASONRY INC ADDISON CONCRETE ADJUSTABLE FORMS INC ADLER PLUMBING & HEATING INC ADVANCE J GIANNINI INC ADVANCE MECHANICAL SYS ADVANCED ASPHALT CO ADVANCED REFRACTORY INST ADVANCED WELDING & EQUIP INC AIRTITE CONTRACTORS AIRYS INC AK UNDERGROUND INC ALBIN CARLSON & CO ALBIN MASONRY INC ALBRECHT ENTERPRISES 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