2014-12-03T11:24:11-06:00 2014-04-30 510435869 Needles & Associates LLC 350 Interlocken Blvd STE 220 Broomfield CO 80021 990 2013-05-01 846049226 COLORADO LABORERS HEALTH AND WELFARE COLO 3035970113 2821 S PARKER RD SUITE 1005 No 1005 AURORA CO 80014 Larry Gray Trustee 3035970113 2014-12-03 Kurt Needles P00850236 3034304225 2014-12-03 2013 2015-11-30 17:44:51Z Larry Gray 2821 S PARKER RD SUITE 1005 No 1005 AURORA CO 80014 18890570 0 X N/A X 1966 CO Provide health and welfare benefits. 9 0 1 0 0 0 0 0 13350224 14753071 2005186 1792227 71632 72822 15427042 16618120 0 0 11832824 11703928 47444 53078 0 0 0 1092104 1091622 12972372 12848628 2454670 3769492 35604141 39607032 5048693 5618855 30555448 33988177 Provide health and welfare benefits. 0 0 10273721 Self funded benefits paid to participants and medical service providers. 863307 Stop Loss insurance premiums. 566900 Change in hour bank liability and CIBNR. 11703928 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 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 0 0 1 1 0 0 0 0 0 0 0 0 X 9 0 1 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 X Board of Trustees 3037450147 2821 S Parker Rd STE 1005 Aurora CO 80014 X Alan Brooker Secretary 1.00 X 0 0 0 Chris Pedersen Trustee 1.00 X 0 0 0 Ken Price Trustee 1.00 X 0 0 0 Francisco Vazquez Trustee 1.00 X 0 0 0 Gilbert Ortiz Trustee 1.00 X 0 0 0 Larry Gray Chairman 1.00 X 0 0 0 Anthony Trujillo Trustee 1.00 X 0 0 0 Mario Espinoza Trustee 1.00 X 0 0 0 Rudy Ortiz Trustee 1.00 X 0 0 0 0 0 0 0 0 0 0 Compusys of Colorado Inc 2821 S Parker Road 1005 Aurora CO 80014 Administrative 321609 CIGNA 3900 E Mexico Ave 1200 Denver CO 80210 Health Service 311611 Strategic Capital Advisors 600 Grant Street 850 Denver CO 80203 Investment 168643 3 Employer Contributions 525100 13666377 13666377 Non Barg Contributions 525100 652662 652662 Self-Pay Contributions 525100 432461 432461 CLMCC Contributions 525100 19754 19754 Reciprocity Out 525100 -18183 -18183 14753071 2149677 2149677 1915000 2272450 -357450 -357450 -357450 Medicare Part D Subsidy 525100 43902 43902 Other 525100 28920 28920 72822 16618120 14468443 0 2149677 11703928 11703928 32482 32482 3667 3667 9861 9861 7068 7068 321609 321609 46660 46660 40185 40185 168643 168643 347555 347555 103486 103486 27366 27366 22221 22221 CLMCC Drug Screen 8237 8237 Misc. Exp 5660 5660 12848628 11703928 1144700 0 803191 1260475 455802 421785 1217929 1742229 33127219 36182543 35604141 39607032 16693 19955 5032000 5598900 5048693 5618855 X 30555448 33988177 30555448 33988177 35604141 39607032 3769492 -336763 0 X 0 1 X 1 0 0 Estimated Hour Bank Liability 3958900 Claims Incurred But Not Reported 1640000 5598900 X 16281357 -336763 -336763 16618120 0 16618120 12281728 -566900 -566900 12848628 0 12848628 Part X, Line 2: The Internal Revenue Service has determined that the Plan is exempt from Federal income tax under section 501(c)(9) of the Internal Revenue Code. The Plan has been amended since receiving this determination. However, the Plan administrator and the Plan's legal tax counsel believe that the Plan is currently designed and being operated in compliance with the applicable requirements of the Internal Revenue Code. Therefore, they believe that the Plan was qualified and the related trust was tax-exempt as of the financial statement date. The Funds review and evaluate tax positions and determine whether or not there are uncertain tax positions that require financial statement recognition. Based on this review, no reserves for uncertain tax positions were required to have been recorded for the year ended April 30, 2014 or for prior years. Part XII, Line 2d - Other Adjustments: Change in Hour Bank Liability and CIBNR -566,900. Form 990, Part VI, Section A, line 2 Gilbert Ortiz and Rudy Ortiz are related. Larry Gray and Anthony Trujillo are related. Form 990, Part VI, Section B, line 11 Form 990 was provided to the Trustees for their review prior to filing. Form 990, Part VI, Section C, line 18 Form 990 is available for public inspection upon request. Form 990, Part VI, Section C, line 19 Governing documents are made available to the public upon request. Colorado Laborers Vacation Plan 2821 S Parker Road Aurora CO 80014 840775618 CO 501c9 0 Colorado Laborers Education and Training Fund 2821 S Parker Road Aurora CO 80014 742250981 CO 501c3 0 Colorado Laborers DC 875 Elati St Denver CO 80014 840385021 CO 501c5 0 Colorado Laborers Local 720 875 Elati St Denver CO 80014 840235370 CO 501c5 0 Colorado Laborers Local 578 404 N Spruce St Colorado Springs CO 80905 840203699 CO 501c5 0 Info not available for Sch R Part III & IV N/A NA CO 80014 000000000 N/A CO 0 0 Info not available for Sch R Part III & IV N/A NA CO 80014 000000000 CO 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0