WISCONSIN HEALTH FUND: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
WISCONSIN HEALTH FUND (EIN 39-6063342)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-08-12
IRS object ID
201312249349300341
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-08-12T08:42:52-05:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN391531945EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1FREYBERG HINKLE ASHLAND POWERS & STOWELLBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line115420 W CAPITOL DRAddressLine1
CityBROOKFIELDCity
StateWIState
ZIP Code530052621ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN396063342EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1WISCONSIN HEALTH FUNDBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlWISCNameControl
Phone4147715600Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line16200 WEST BLUEMOUND ROADAddressLine1
CityMILWAUKEECity
StateWIState
ZIP Code532134145ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMIKE LOVELYName
TitleEXECUTIVE DIRECTORTitle
Phone4147715600Phone
Date Signed2013-08-08DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJAMES M ASHLAND CPAName
PTINP00241858PTIN
Phone2627846210Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMIKE LOVELYNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line16200 WEST BLUEMOUND ROADAddressLine1
CityMILWAUKEECity
StateWIState
ZIP Code53213ZIPCode
FieldValueIRS element (for citing)
Gross Receipts90459575GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteWWW.WHFUND.ORGWebSite
Type Of Organization TrustXTypeOfOrganizationTrust
Year Formation1952YearFormation
State Legal DomicileWIStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE HEALTH BENEFITS TO ELIGIBLE PARTICIPANTS.ActivityOrMissionDescription
Nbr Voting Members Governing Body8NbrVotingMembersGoverningBody
Nbr Independent Voting Members8NbrIndependentVotingMembers
Total Nbr Employees96TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income-1332307NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year35147566ProgramServiceRevenuePriorYear
Program Service Revenue CY36728732ProgramServiceRevenueCY
Investment Income Prior Year1220201InvestmentIncomePriorYear
Investment Income Current Year1718856InvestmentIncomeCurrentYear
Other Revenue Prior Year-3013471OtherRevenuePriorYear
Other Revenue Current Year-3110792OtherRevenueCurrentYear
Total Revenue Prior Year33354296TotalRevenuePriorYear
Total Revenue Current Year35336796TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year21539066BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY25338405BenefitsPaidToMembersCY
Salaries Etc Prior Year4750198SalariesEtcPriorYear
Salaries Etc Current Year4940701SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year5866549OtherExpensePriorYear
Other Expenses Current Year6067498OtherExpensesCurrentYear
Total Expenses Prior Year32155813TotalExpensesPriorYear
Total Expenses Current Year36346604TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1198483RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-1009808RevenuesLessExpensesCY
Total Assets BOY42591423TotalAssetsBOY
Total Assets EOY43299201TotalAssetsEOY
Total Liabilities BOY713110TotalLiabilitiesBOY
Total Liabilities EOY768314TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY41878313NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY42530887NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionENRICHING LIVES THROUGH PROGRESSIVE BENEFITS, COMPASSIONATE CARE, AND EXCEPTIONAL SERVICE.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense33609600Expense
DescriptionMEDICAL AND DISABILITY CLAIMS - THE NUMBER OF CLAIMS PAID WAS 90,664Description

Activity2 Activity2

FieldValueIRS element (for citing)
DescriptionMEDICAL CLINIC - THE NUMBER OF PROCEDURES PERFORMED WAS 82,460Description

Activity3 Activity3

FieldValueIRS element (for citing)
DescriptionDENTAL CLINIC - THE NUMBER OF PATIENTS TREATED WAS 8,808Description

Activity Other ActivityOther (2 entries)

DescriptionDescription
PHARMACY - THE NUMBER OF PRESCRIPTIONS FILLED WAS 45,305
LIFE INSURANCE - THE MONTHLY AVERAGE OF MEMBERS WAS 1,740
FieldValueIRS element (for citing)
Total Program Service Expense33609600TotalProgramServiceExpense
Described In501 C30DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096534NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees96NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members8NbrVotingGoverningBodyMembers
Number Independent Voting Members8NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy0ConflictOfInterestPolicy
Whistleblower Policy0WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1MIKE LOVELYBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number4147715600TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line16200 WEST BLUEMOUND ROADAddressLine1
CityMILWAUKEECity
StateWIState
ZIP Code53213ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (14 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
WAYNE SCHULTZ
TRUSTEE1.0045.00X011208142621
THOMAS MILLONZI
TRUSTEE1.0040.00X08802932496
THOMAS BENNETT
TRUSTEE1.0040.00X08802932496
RONALD FETTY
TRUSTEE0.00X000
GARY A MARSACK
TRUSTEE0.00X000
RITCH DEMBINSKY
TRUSTEE0.00X000
THOMAS BENVENUTO
TRUSTEE1.0040.00X08319032496
GARY KRAUS
TRUSTEE0.00X000
MIKE LOVELY
EXECUTIVE DIRECTOR40.00172871028805X
MICHAEL STONE
EMPLOYEE40.00104170025250X
RICHARD RITTBERG
EMPLOYEE40.00120908014618X
JAMES VALUSEK
EMPLOYEE40.00118711026037X
THOMAS BRADACH
EMPLOYEE40.00112449014195X
CURTIS TENWINKEL
EMPLOYEE40.00112416025722X
FieldValueIRS element (for citing)
Total Reportable Comp From Org741525TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs371329TotalReportableCompFrmRltdOrgs
Total Other Compensation274736TotalOtherCompensation
Number Individuals GT100 K7NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
COLUMBIA ST MARY'S
4425 N PORT WASHINGTON ROADGLENDALEWI53212MEDICAL381279
DYNACARE LABORATORIES
9200 W WISCONSIN AVENUEMILWAUKEEWI53226OUTSIDE MEDICAL LAB278271
WHEATON FRANCISCAN MEDICAL GROUP
400 W RIVER WOODS PARKWAYMILWAUKEEWI53212MEDICAL219334
WELLS FARGO ADVISORS
601 LAKE AVENUE STE 100RACINEWI53403INVESTMENT MANAGEMENT171600
WI RADIOLOGY SPECIALISTS SC
500 W BROWN DEER ROADBAYSIDEWI53217MEDICAL115683
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
CONTRIBUTIONS5251003409364734093647
OTHER THRID PARTY BILLINGS52510014188071418807
ADMINISTRATION CHARGES525100917344917344
OTHER525100298934298934
FieldValueIRS element (for citing)
Total Program Service Revenue36728732TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1113418TotalRevenueColumn
Exclusion$1,113,418ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities51444731Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities50839293Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities605438Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column605438TotalRevenueColumn
Related Or Exempt Function Income605438RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Gross Sales Of Inventory1172694GrossSalesOfInventory
Cost Of Goods Sold4283486CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-3110792TotalRevenueColumn
Related Or Exempt Function Income-3110792RelatedOrExemptFunctionIncome

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column35336796TotalRevenueColumn
Related Or Exempt Function Income34223378RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$1,113,418ExclusionAmount

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total25338405Total
Program Services25338405ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total211321Total
Management And General211321ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total4182858Total
Program Services2871840ProgramServices
Management And General1311018ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total182756Total
Program Services121678ProgramServices
Management And General61078ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total363766Total
Program Services244196ProgramServices
Management And General119570ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total131489Total
Program Services107429ProgramServices
Management And General24060ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total56640Total
Management And General56640ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total180113Total
Management And General180113ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total46224Total
Management And General46224ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total10174Total
Program Services85ProgramServices
Management And General10089ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total679247Total
Program Services537684ProgramServices
Management And General141563ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total180496Total
Program Services26302ProgramServices
Management And General154194ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total734546Total
Program Services531580ProgramServices
Management And General202966ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total10475Total
Program Services622ProgramServices
Management And General9853ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total19032Total
Program Services9583ProgramServices
Management And General9449ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total77596Total
Program Services47655ProgramServices
Management And General29941ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total79387Total
Program Services6198ProgramServices
Management And General73189ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
MEDICAL CENTER CONTRACT13318541331854
CAPITATION FEES11937751193775
HMC594647594647
OUTSIDE LABS357401357401

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total384402Total
Program Services288666ProgramServices
Management And General95736ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total36346604Total
Program Services33609600ProgramServices
Management And General2737004ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY523298BOY
EOY539265EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1287937BOY
EOY3979101EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY2993100BOY
EOY3047914EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY221500BOY
EOY236646EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY138278BOY
EOY130498EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis3298184LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec3034707LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY318526BOY
EOY263477EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY37108784BOY
EOY35102300EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY42591423BOY
EOY43299201EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY713110BOY
EOY768314EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY713110BOY
EOY768314EOY
FieldValueIRS element (for citing)
Do Not Follow SFAS117XDoNotFollowSFAS117

Cap Stck Trst Prin Current Funds CapStckTrstPrinCurrentFunds

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Paid In Cap Srpls Land Bldg Eqp Fund PaidInCapSrplsLandBldgEqpFund

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc

FieldValueIRS element (for citing)
BOY41878313BOY
EOY42530887EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY41878313BOY
EOY42530887EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY42591423BOY
EOY43299201EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-1009808ReconcilationRevenueExpenses
Reconciliation Unrealized Invest1662382ReconciliationUnrealizedInvest
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis82840OtherCostOrOtherBasis
Book Value82840BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis49585OtherCostOrOtherBasis
Depreciation49585Depreciation
Book Value0BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis449913OtherCostOrOtherBasis
Depreciation421859Depreciation
Book Value28054BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2715846OtherCostOrOtherBasis
Depreciation2563263Depreciation
Book Value152583BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings263477TotalOfBookValueLandBuildings
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt41102551TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments1662382NetUnrealizedGainsInvestments
Revenue Not Rptd F9901662382RevenueNotRptdF990
Revenue Subtotal39440169RevenueSubtotal
Investment Expenses Not Included180113InvestmentExpensesNotIncluded
Other Revenues Not Included-4283486OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt-4103373RevenueNotRptdOnFinStmt
Total Revenue Per Form99035336796TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt40449977TotExpensesEtcAuditedFinclStmt
Other Expenses Included4283486OtherExpensesIncluded
Expenses Not Rptd F9904283486ExpensesNotRptdF990
Expenses Subtotal36166491ExpensesSubtotal
Investment Expenses Not Included2180113InvestmentExpensesNotIncluded2
Expenses Not Rptd On Fin Stmt180113ExpensesNotRptdOnFinStmt
Total Expenses Per Form99036346604TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X, LINE 2:U.S. GENERALLY ACCEPTED ACCOUNTING PRINCIPLES REQUIRE MANAGEMENT OF AN ORGANIZATION TO EVALUATE TAX POSITIONS TAKEN BY THE ORGANIZATION AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF THE ORGANIZATION HAS TAKEN AN UNCERTAIN TAX POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS. THE FUND IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. THE FUND'S MANAGEMENT BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR THE YEARS PRIOR TO 2009.
PART XI, LINE 4B - OTHER ADJUSTMENTS:COST OF GOODS SOLD -4,283,486.
PART XII, LINE 2D - OTHER ADJUSTMENTS:COST OF GOODS SOLD 4,283,486.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement

Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
WAYNE SCHULTZ
TRUSTEE01120810000026628015993015470200
MIKE LOVELY
EXECUTIVE DIRECTOR1728710000088230199820201676000

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION B, LINE 11THE FORM 990 IS PROVIDED TO THE EXECUTIVE DIRECTOR AND DIRECTOR OF FINANCE TO REVIEW AND APPROVE. THE FORM 990 IS THEN PRESENTED TO THE BOARD OF TRUSTEES AT THEIR SUBSEQUENT MEETING.
FORM 990, PART VI, SECTION B, LINE 15ATHE COMPENSATION FOR THE EXECUTIVE DIRECTOR IS APPROVED BY THE BOARD OF TRUSTEES ON AN ANNUAL BASIS. THE APPROVAL IS DOCUMENTED IN THE BOARD OF TRUSTEES MEETING MINUTES.
FORM 990, PART VI, SECTION C, LINE 19THE FINANCIAL STATEMENTS OF THE ORGANIZATION ARE AVAILABLE UPON REQUEST AND ARE AVAILABLE FOR INSPECTION AT THE ORGANIZATION'S OFFICE.
FORM 990, PART XII, LINE 2C:THE BOARD OF TRUSTEES ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF THE FUND'S FINANCIAL STATEMENTS AND FOR THE SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.
FORM 990, SCHEDULE R:THE FUND MADE A REASONABLE EFFORT TO OBTAIN THE FEDERAL TAX CLASSIFICATION FROM ALL CONTRIBUTING EMPLOYERS. ONE OF THE CONTRIBUTING EMPLOYERS, WASHINGTON GROUP INTERNATIONAL, WAS CREATED FOR ONE SPECIFIC JOB, WHICH HAS BEEN COMPLETED. THE FUND HAS BEEN UNABLE TO CONTACT THIS EMPLOYER.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (10 entries)

Controlled OrgControlledOrgAddress Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSection
AMERICAN POSTAL WORKERS UNION MILW AREA LOCAL #003
0
UNITED LODGE 66 INTERNATIONAL ASSOCIATION OF MACHINISTS
0
SCHOOL DISTRICT OF KETTLE MORAINE
0
TEAMSTERS GENERAL LOCAL UNION NO 200
0
VILLAGE OF MERRILLAN
0
DRIVERS SALESMEN WAREHOUSEMEN MILK PROCESSORS CANNERY DAIRY EMPLOYEES A
0
WI STATE AFL-CIO LABOR EDUCATION AND TRAINING CENTER
0
CITY OF MARINETTE
0
VILLAGE OF WHEELER
0
BOARD OF TRUSTEES OF THE WISCONSIN HEALTH FUND
06200 WEST BLUEMOUND ROADMILWAUKEEWI532134145396063342SPONSORING ORGANIZATION (JOINT BOARD OF TRUSTEES)WI501(C)(9)

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Disproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartner
RIDGWAY LLC DBA THE PRICE ERECTING CO
00
OJIBWA READY MIX LP
00

Form990 Schedule R Part IV Form990ScheduleRPartIV (63 entries)

Controlled OrgControlledOrg
ABF FREIGHT SYSTEM INC
0
ACE REDI MIX INC
0
ARCHER-DANIELS-MIDLAND COMPANY
0
ROLLCAST LLC DBA ADVANCE DIE CASTING
0
MWSTAR WASTE HOLDINGS CORP DBA ADVANCED DISPOSAL SERVICES SOLID WASTE MIDW
0
ARAMARK REFRESHMENT SERVICES
0
BADGER TRAILER & EQUIPMENT DBA THERMO KING OF SOUTHEAST WISCONSIN
0
BARRY TRUCKING INC
0
BAUMHARDT SAND & GRAVEL INC
0
BENZ OIL INC
0
BRENNTAG GREAT LAKES LLC
0
VCNA PRAIRIE INC
0
FJA CHRISTIANSEN ROOFING CO INC
0
VENTUREDYNE LTD
0
EDGERTON TRUCKING INC
0
JH FINDORFF & SON INC
0
FORRER BUSINESS INTERIORS INC
0
GABE'S CONSTRUCTION CO INC
0
GYPSUM SUPPLY CO
0
HAMMERSLEY STONE CO INC
0
HANSEN STORAGE COMPANY
0
HARRIS LUMBER CO INC
0
HENNES SERVICES INC
0
JACOBUS ENERGY INC
0
MADISON CRUSHING & EXCAVATING CO
0
MADISON SAND AND GRAVEL COMPANY INC
0
MAYFIELD TRANSFER CO INC
0
MAYVILLE LIMESTONE INC
0
WASTE MANAGEMENT INC
0
NEW BERLIN REDI-MIX INC
0
NUVO CONSTRUCTION CO INC
0
OKAUCHEE REDI-MIX INC
0
PABST FARMS INC
0
PM PLASTICS
0
CW PURPERO INC
0
SCHWERMAN TRUCKING CO
0
SIVA TRUCK LEASING LLC
0
SONAG READY MIX LLC
0
SPRINKMANN SONS CORPORATION
0
STANDARD FORWARDING LLC
0
STEELWIND INDUSTRIES INC
0
STROHMEYER EXCAVATING INC
0
SUPER EXCAVATORS INC
0
TANK TRANSPORT INC
0
THE OILGEAR COMPANY
0
TRUCK FLEET MANAGEMENT SERVICES INC
0
UNITED PARCEL SERVICE OF AMERICA INC
0
UNITED PLUMBING & HEATING SUPPLY CO INC
0
USF HOLLAND INC
0
VEOLIA ENVIRONMENTAL NORTH AMERICA OPERATIONS INC
0
WALLBOARD INC
0
WBC CORP
0
WEST BEND TRANSIT & SERVICE CO
0
L&W SUPPLY CORPORATION
0
YRC FREIGHT
0
4FRONT ENGINEERED SOLUTIONS INC
0
GREBES BAKERIES INC
0
LAKE MILLS BLACKTOP INC
0
MEYER MATERIAL CO
0
MID AMERICAN STEEL DRUM DRIVERS
0
PTO SERVICES INC
0
ROUNDY'S SUPERMARKETS INC
0
SILGAN CONTAINERS MANUFACTURING CORPORATION
0
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
TEAMSTERS GENERAL LOCAL UNION NO 200
K706000FAIR MARKET VALUE
DRIVERS SALESMEN WAREHOUSEMEN MILK PROCESSORS CANNERY DAIRY EMPLOYEES
K28920FAIR MARKET VALUE

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