2015-10-09T11:18:22-05:00 2014-12-31 410746749 CLIFTONLARSONALLEN LLP 220 SOUTH SIXTH STREET SUITE 300 MINNEAPOLIS MN 55402 990 2014-01-01 020656066 HEARTLAND HEALTHCARE FUND HEAR 9528540795 3001 METRO DRIVE NO 500 BLOOMINGTON MN 55425 STEVEN TONDI CHAIRMAN 9528540795 2015-10-09 1 DOUG BERTOSSI P00637990 6123764500 2014 2016-02-25 16:41:14Z STEVEN TONDI 3001 METRO DRIVE NO 500 BLOOMINGTON MN 55425 32489922 0 X N/A X 2002 IA INSURED AND SELF FUNDED WELFARE BENEFITS FOR UNION MEMBERS AND THEIR DEPENDENTS. 6 0 50 6 0 0 0 0 23139927 26092604 613288 594736 0 0 23753215 26687340 0 0 20171361 22652530 0 0 0 0 0 879038 1200207 21050399 23852737 2702816 2834603 32550293 36250342 258596 438609 32291697 35811733 INSURED AND SELF-FUNDED WELFARE BENEFITS FOR UNION MEMBERS AND THEIR DEPENDENTS. 0 0 INSURED AND SELF FUNDED WELFARE BENEFITS FOR APPROXIMATELY 1,856 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 18 0 50 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 X X 0 1 0 DAVE FOY TRUSTEE 1.00 X 0 0 0 DAVID ARGUBRIGHT TRUSTEE, SEE SCHEDULE O 1.00 X 0 0 0 BRUCE WERNING SECRETARY, SEE SCHEDULE O 1.00 X X 0 0 0 GREG MULHERIN TRUSTEE 1.00 X 0 0 0 DANIEL AUSSEM TRUSTEE, SEE SCHEDULE O 1.00 X 0 0 0 0 1 0 0 0 0 0 WILSON MCSHANE CORPORATION 3001 METRO DRIVE BLOOMINGTON MN 55425 FUND ADMINISTRATOR 674928 BLUELINK TPA 1305 CORPORATE CENTER DRIVE EAGAN MN 55121 MEDICAL CLAIMS NETWORK 581680 2 EMPLOYER CONTRIBUTIONS 525100 24315917 24315917 EMPLOYEE CONTRIBUTIONS 525100 1776687 1776687 26092604 649406 649406 5747912 5802582 -54670 -54670 -54670 26687340 26037934 0 649406 22652530 672545 43787 70940 98975 66356 21814 15244 TRANSITIONAL REINSURANC 210546 23852737 3016055 3156521 142407 336918 2543841 2552093 66307 365293 26781683 25283814 4555703 32550293 36250342 107036 282500 151560 156109 258596 438609 X 32291697 35811733 32291697 35811733 32550293 36250342 2834603 685433 0 X 0 1 X 1 0 0 LIMITED LIABILITY COMPANY 4555703 F 4555703 X 27273798 685433 685433 26588365 98975 98975 26687340 23753762 0 23753762 98975 98975 23852737 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 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 2011. AALCO MFG CONTRIBUTING CONTRACTOR EMPLOYER CONTRIBUTIONS X 7127 7127 0 0 0 AHRENS CONCRETE PAVING LLC CONTRIBUTING CONTRACTOR EMPLOYER CONTRIBUTIONS X 3481 3481 0 0 0 ATHLETIC SURFACES EQUIPMENT CONTRIBUTING CONTRACTOR EMPLOYER CONTRIBUTIONS X 2608 2608 0 0 0 COMMERICAL INSTALLATION DBA IMAGE FLOORING CONTRIBUTING CONTRACTOR EMPLOYER CONTRIBUTIONS X 140 140 0 0 0 COPENHAVER CONSTRUCTION INC CONTRIBUTING CONTRACTOR EMPLOYER CONTRIBUTIONS X 999 999 0 0 0 CORNERSTONE CONSTRUCTION FROUP CONTRIBUTING CONTRACTOR EMPLOYER CONTRIBUTIONS X 12535 12535 0 0 0 FLOORING SYSTEMS INC CONTRIBUTING CONTRACTOR EMPLOYER CONTRIBUTIONS X 1578 1578 0 0 0 FA JOHNSON & SON CONTRIBUTING CONTRACTOR EMPLOYER CONTRIBUTIONS X 2845 2845 0 0 0 GRP MECHANICAL CO INC CONTRIBUTING CONTRACTOR EMPLOYER CONTRIBUTIONS X 7321 7321 0 0 0 FEARGE SOLITT CONSTRUCTION CO CONTRIBUTING CONTRACTOR EMPLOYER CONTRIBUTIONS X 3556 3555 0 0 0 INTERIOR CONSTRUCTION INC CONTRIBUTING CONTRACTOR EMPLOYER CONTRIBUTIONS X 907 926 0 0 0 JOHNSON CONSTR & ROOFING CONTRIBUTING CONTRACTOR EMPLOYER CONTRIBUTIONS X 1902 1902 0 0 0 JOHNSON CONSTR & ROOFING CONTRIBUTING CONTRACTOR EMPLOYER CONTRIBUTIONS X 1074 1074 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 MARTIN & CO EXCAVATING CONTRIBUTING CONTRACTOR EMPLOYER CONTRIBUTIONS X 3410 3410 0 0 0 MITCHELL FOUNDATIONS INC CONTRIBUTING CONTRACTOR EMPLOYER CONTRIBUTIONS X 58 58 0 0 0 NORTHWEST COMMERCIAL INC CONTRIBUTING CONTRACTOR EMPLOYER CONTRIBUTIONS X 6518 6518 0 0 0 PEPPER CONSTRUCTION INC CONTRIBUTING CONTRACTOR EMPLOYER CONTRIBUTIONS X 1748 1748 0 0 0 POGGIOLI CUSTOMER FLOORING INC CONTRIBUTING CONTRACTOR EMPLOYER CONTRIBUTIONS X 3796 3796 0 0 0 R&T SPECIALISTS INC CONTRIBUTING CONTRACTOR EMPLOYER CONTRIBUTIONS X 127233 127231 0 0 0 UNITEDANCO SERVICES INC CONTRIBUTING CONTRACTOR EMPLOYER CONTRIBUTIONS X 2294 2294 0 0 0 WALBRIDGE EQUIPMENT CONTRIBUTING CONTRACTOR EMPLOYER CONTRIBUTIONS X 1845 1845 0 0 0 WALL-TECH INC CONTRIBUTING CONTRACTOR EMPLOYER CONTRIBUTIONS X 16 16 0 0 0 WILLMAN CONSTRUCTION CONTRIBUTING CONTRACTOR EMPLOYER CONTRIBUTIONS X 91069 91069 0 0 0 WOOD GROUP FIELD SERVICES CONTRIBUTING CONTRACTOR EMPLOYER CONTRIBUTIONS X 69712 69712 0 0 0 365293 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 AGC OF ILLINOIS CARPENTERS TRAINING PROGRAM CARROLL COUNTY TREASURE CHICAGO DISTRICT COUNCIL ILLOWA MILLWRIGHTS JATC LOCAL #790 CORNERSTONE CONSTRUCTION GROUP LLC HAYES MECHANICAL INC 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 KIEFER SPECIALTY FLOORING KOCH BROS GENERAL CONTRACTOR INC KOESTERS LINOLEUM SHOP KOWALSKI CONSTRUCTION L & L FLOORCOVERING L P W INC LAVERDIERE CONSTRUCTION LEANDER CONSTRUCTION INC M&M CONCRETE INC MILLARD FRANK & COMPANY MORTENSON CONSTRUCTION NELSON CONSTRUCTION CONTRACTING PRIESTER CO INC RYAN COMPANIES US INC SPELICH GENERAL CONTRACTING STARK EXCAVATING INC SWEDBERG & ASSOCIATES TIEMAN BUILDERS WILLIAMS BROS CONSTRUCTION INC WINKLER CONSTRUCTION CO WINTER CONSTRUCTION INC WOEBER CORP INC BABCOCK & WILCOX COMPANY R T L CONSTRUCTION INC ROGERS AUTOMATED ENTRAN 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 KEELEY L CONSTRUCTION KINETIC CONSTRUCTION KUDELA BUILDERS LADZINSKI CEMENT FINISH LARSEN KLAUER BUILDERS LARSON & LARSON BUILDER NEWELL MACHINERY CO INC NORTHERN ILL WALL & CEILING ONSITE WOODWORKING CORP PARAMOUNT MILLWRIGHT POWER GENERATION SERVICE 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 CULLEN J P & SON WOODS CONSTRUCTION CO VOITH SIEMENS HYDRO POW TARLTON CORPORATION HELMKAMP CONSTRUCTION ENERFAB BILFINGER INDUST SERVICE LITE CONSTRUCTION WRIGHT CONSTRUCTION INC MIRON CONSTRUCTION CO MEADE ELECTRIC COMPANY MARKET & JOHNSON INC AMES CONSTRUCTION INC INSTALLATION CONCEPTS URS ENERGY & CONSTRUCTION K C I INC 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 CATEGORYTO PUT THEM IN. SEE LIST BELOW ADVANTAGE INDUSTRIAL SYSTEMS AIMS MECHANICAL, LLC S&S FLOORING INSTAL SAFWAY SERVICES LLC AALCO MFG CO ATHLETIC SURFACES EQUIP BOLDT OSCAR J CONSTRUCT CETWINSKI CONSTRUCTION CITY WIDE INSULATION COLLINS CONCRETE LTD DICKS FLOOR COVERING GRP MECHANCIAL CO, INC. HARGRAVE BUILDERS, INC. HEIN CONSTRUCTION CO, INC. HERITAGE CARPENTRY INC. INSULATED PANEL COMPANY INTEGRAL FLOORING SYSTEM JOHNSON CONSTR & ROOFING LILJA MECHANICAL CONSTR MID VALLEY CONCRETE INC. NORTHWEST COMMERICAL INC. PRECISION ATHLETIC FLOOR ROCKFORD CARPETLAND USA ROCKFORD STRUCTURES, INC. SAFWAY THYSSENKUPP, INC. SCAFFOLD INSTALLATION SCHMITT CONSTRUCTION INC. SCURTO CEMENT CONSTRUCT STORAGE & DESIGN CENTER SYSTEMS ENTERPRISE CORP TOBEYS CONSTR & CARTAGE WHITTAKER EXCAVATING WILLMAN CONSTRUCTION BROWN CONSTRUCTION PRIME CONSTRUCTION SERVICES AHC MECHANICAL SERVICES ALL PHASES CONSTRUCTION ALLIED CONSTRUCTION SERVICES, INC. ARTISAN CONTRACTING, INC. BRAND ENERGY SERVICES BURKS DRYWALL BUTLER DRYWALL & PAINT CENTENNIAL CONTRACTOR CIVIL CONSTRUCTION INC. CONCRETE SYSTEMS, INC. CPI OF THE MIDWEST CRUZ CONCRETE CURRY KEN CONSTRUCTION, INC. DIAMOND CUT, INC. DIETZ SHERRI FIELD WORKS FINELINE, INC. HERITAGE CONSTRUCTION HERLIHY MID-CONTINENT HILLEBRAND CONSTRUCTION HOFFMAN BUILDERS, INC. INTERIOR INSTALLATION IRVING CONSTRUCTION CO JUST RITE ACOUSTICS KEEN CO KOJA CONSTRUCTION, INC. KOOLMASTER CO., INC. LIEBHART CONSTRUCTION LOWER JOHN CONSTRUCTION MACHINERY & CONVEYOR MAYOU D H ROOFING CO MCCARTHY IMPROVEMENT MID ILLINOIS PAINTING MIDWEST BRIDGE & CRANE MILLWRIGHT SERVICE, INC. MTE MILLER TRUCKING NICAM CONSTRUCTION NIELSEN DECORATING NO WEST ILL & EASTERN NORTHERN ILLINOIS UNIVERSITY PHYSICAL PLANT PINTER GENERAL CONTRACTING PRECISION BUILDERS REDBUD RIDGE CUSTOM ROBERTSON JB CONSTRUCTION ROSE CONCRETE RUSSELL CONSTRUCTION SCANDROLI CONSTRUCTION SHALES/MCNUTT SIEMENS WESTINGHOUSE GE SJOSTROM & SONS STONE & WEBSTER CONSTRUCTION TRUSS PLUS, INC. TURBINE PROS, LLC WALGREENS CO WEAVER CONSTRUCTION, INC. WEITZ ABELL-HOWE WINGER MECHANICAL WOZNIAK CONCRETE FINISHING YAKLICH JIM HOME IMPROVEMENTS LAMP, INC. LANKFORD CONSTRUCTION CO PEAK CARPENTRY INC. AUPPERLE WILLIAM & SONS MC COY CONSTRUCTION CO R C WEGMAN CONST CO COMMERCIAL INSTALL & CO WRIGHT-WAY INTERIOR SYS FOX RIVER LUMBER CO PRECISION MILLWORK SETT MARLEY COOLING TOWER CO RIBER CONSTRUCTION, INC. BRIESER CONSTRUCTION CO HOERR P J INC HOELSCHER INTERIORS, INC. PHILLIPS INTERIOR/EXTERIOR RUIZ CONSTRUCTION CO COMMERCIAL FLOOR COVERING PREFERRED CONC & EXCAVA SOUTHERN SYSTEMS INC. NATIONWIDE INSTALLATION LEOPARDO COMPANIES INC. LAKES & RIVERS CONTRACT RUSSELL CONSTRUCTION SINGLEY CONSTRUCTION INC. J H KELLY LLC RIGGS CONSTRUCTION MR DAVID'S CARPET SERVICE AVENUE INC. MC CONNAUGHHAY AND SONS CONTEMPORARY HAMMERWORK TCH CONSTRUCTION INC. CUSTOM CARPENTRY SERVICES JOHN CHARLES CARPENTRY MIDLAND GEN CONTRACTORS MARTIN & COMPANY EXCAV DASHCO, INC. JOHNSON FLOOR COMPANY FOSLER CONSTRUCTION WOODWORKERS SHOP INC. SPORTS SURFACING INC. UNION TEMPORARY SERVICE R & T SPECIALISTS INC. GLOBAL MFG & INSTALLATION RAYNOR DOOR AUTH OF DE STREULS INTERIORS HEGGER CONSTRUCTION INC. SWANSON PROFESSIONAL FL ALBERT INSTALLATIONS INC. WIL-BOND CONSTRUCTION RETAIL INSTALLATIONS INC. CONSOLIDATED CONST SERV PRECISION FLOOR AND TILE KLECKNER INTERIOR SYSTEMS POWER PLANT FIELD SERVICE JAMES DENNIS CONSTRUCTION GANDT BUILDERS INC. J M S CONSTRUCTION INC. COPENHAVER CONSTRUCTION ECKELBERG FLOORCOVERING SHELVING EXCHANGE J J WHITE INC. CARY SPECIALIZED SERVICE RLS SPECIALIZED CONST SHOULDICE BROS SHEET METAL GENERAL INTERIORS INC. SAUK VALLEY BUILDERS WALBRIDGE EQUIPMENT INS ETHOSENERGY FIELD SERVICE BERG DRYWALL, INC. CORNERSTONE CARPENTRY INSTALLATION SERVICES HUGHES FLOORING, INC. RIVER CITY CONSTRUCTION MC HUGH JAMES CONSTR