2014-11-06T14:56:53-06:00 2013-12-31 320043599 LEGACY PROFESSIONALS LLP 311 S WACKER DRIVE STE 4000 CHICAGO IL 60606 990 2013-01-01 362196729 CEMENT MASONS INSTITUTE LOCAL 502 WELFARE TRUST FUND CEME 7085449105 739 25TH AVENUE BELLWOOD IL 60104 PATRICK J LA CASSA TRUSTEE 7085449105 2014-11-06 1 BRUCE A PAVLIK P00748405 3123680500 2013 2015-11-30 17:44:51Z PATRICK J LA CASSA 739 25TH AVENUE BELLWOOD IL 60104 40584722 0 X N/A X 1950 IL PROVIDE HEALTH BENEFITS 12 0 23 0 0 0 0 0 13929093 15747716 1092178 272964 3216 0 15024487 16020680 0 0 12990773 14553973 785424 1030423 0 0 0 921500 741152 14697697 16325548 326790 -304868 34229188 35252436 1561485 763741 32667703 34488695 PROVIDE HEALTH BENEFITS 0 0 TO PROVIDE MEDICAL AND LIFE INSURANCE TO PARTICIPANTS. 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 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 1 439 0 1 23 1 0 0 0 0 0 0 0 0 X 12 0 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X WILLIAM BEEMAN 7085449105 739 S 25TH AVENUE BELLWOOD IL 60104 PATRICK LA CASSA TRUSTEE 2.00 40.00 X 0 116174 83338 LAWRENCE PICARDI SR TRUSTEE 2.00 40.00 X 0 115366 83319 CURT ERICKSON TRUSTEE 2.00 X 3219 0 0 DOMINIC FARRELL TRUSTEE 2.00 X 3600 0 2032 SANDRA HUNT TRUSTEE 2.00 X 3600 0 2032 JOSEPH RIVECCO TRUSTEE 2.00 X 3273 0 2364 DONALD DEETJEN TRUSTEE 2.00 X 0 0 0 MICHAEL PIRRON TRUSTEE 2.00 X 0 0 0 PATRICK WILHARM TRUSTEE - PAST 2.00 X 0 0 0 GARY LUNDSBERG TRUSTEE 2.00 X 0 0 0 ROBERT KRUG TRUSTEE 2.00 X 0 0 0 MICHAEL KOLBERG TRUSTEE 2.00 X 0 0 0 PHIL DIEKEMPER TRUSTEE 2.00 X 0 0 0 WILLIAM BEEMAN ADMINISTRATOR 21.00 19.00 X 112024 0 22696 125716 231540 195781 1 0 1 0 BLUE CROSS BLUE SHIELD 300 EAST RANDOLPH STREET CHICAGO IL 606015099 PPO PROVIDER 470482 ARNOLD & KADJAN 203 N LASALLE ST SUITE 1650 CHICAGO IL 60601 LEGAL 144958 LEGACY PROFESSIONALS LLP 311 S WACKER DRIVE SUITE 4000 CHICAGO IL 60606 AUDITOR AND PAYROLL COMPLIANCE AUDITOR 143375 3 CONTRACTOR CONTRIBUTIONS 900099 14749607 14749607 PARTICIPANT SELF-CONTRIBUTIONS 900099 432840 432840 REIMBURSED ADMINISTRATIVE EXPENSE 900099 406742 406742 PRESCRIPTION DRUG REBATES 900099 130880 130880 MEDICARE PART D SUBSIDY 900099 27647 27647 15747716 459942 459942 24377064 24564042 -186978 -186978 -186978 16020680 15340974 0 679706 14553973 153806 498697 217606 108598 51716 144958 182576 23080 95638 83423 43108 66676 10987 45477 19831 25398 16325548 2017222 183444 1349618 1919697 1918120 1771170 293855 215519 59773 18086 173847 128790 43732 45057 27864191 31099463 682677 0 34229188 35252436 1561485 763741 1561485 763741 X 0 0 0 0 32667703 34488695 32667703 34488695 34229188 35252436 -304868 2125860 0 X 0 1 X 1 0 20580 20580 0 135237 105205 30032 18030 3005 15025 45057 X 17716718 2125860 2125860 15590858 23080 406742 429822 16020680 15895726 0 15895726 23080 406742 429822 16325548 PART X, LINE 2: THE PLAN FILES FORM 990, RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX AND FORM 5500, ANNUAL RETURN/REPORT OF EMPLOYEE BENEFIT PLAN. THE PLAN'S RETURNS ARE SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE UNTIL THE APPLICABLE STATUTE OF LIMITATIONS EXPIRE. PART XI, LINE 4B - OTHER ADJUSTMENTS: REIMBURSED ADMINISTRATIVE EXPENSES 406,742. PART XII, LINE 4B - OTHER ADJUSTMENTS: REIMBURSED ADMINISTRATIVE EXPENSES 406,742. X 0 0 0 PATRICK LA CASSA TRUSTEE 0 116174 0 0 0 0 0 52767 0 30571 0 199512 0 0 LAWRENCE PICARDI SR TRUSTEE 0 115366 0 0 0 0 0 52748 0 30571 0 198685 0 0 FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS PROVIDED TO THE ENTIRE BOARD OF TRUSTEES AND FUND ADMINISTRATOR PRIOR TO FILING. AFTER THE BOARDS' REVIEW, THE FORM IS APPROVED AND FILED. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD OF TRUSTEES AND THE FUND ADMINISTRATOR SHALL REGULARLY AND CONSISTENTLY MONITOR AND ENFORCE COMPLIANCE WITH THIS POLICY TAKING ALL STEPS THEY DEEM NECESSARY TO ENSURE SUCH MONITORING AND ENFORCEMENT. FORM 990, PART VI, SECTION B, LINE 15 SALARIES ARE ANNUALLY REVIEWED AND APPROVED BY THE BOARD OF TRUSTEES. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST AT THE FUND OFFICE. PENSION FUND OF CEMENT MASONS' UNION LOCAL NO 502 739 25TH AVENUE BELLWOOD IL 60104 516034597 PROVIDE DEATH AND RETIREMENT BENEFITS FOR ELIGIBLE PARTICIPANTS IL 401(A) N/A N/A 0 CEMENT MASONS LOCAL NO 502 SAVINGS FUND 739 25TH AVENUE BELLWOOD IL 60104 366411337 SAVINGS PLAN IL 501(C)(9) N/A N/A 0 CEMENT MASONS LOCAL NO 502 APPRENTICE EDUCATIONAL & TRAINING 739 25TH AVENUE BELLWOOD IL 60104 362487783 TO TRAIN AND EDUCATE APPRENTICES AS CEMENT MASONS. 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