2013-12-10T15:28:27-06:00 2013-04-30 510435869 Needles & Associates LLC 350 Interlocken Blvd STE 220 Broomfield CO 80021 990 2012-05-01 846049226 COLORADO LABORERS HEALTH AND WELFARE COLO 3035970113 2821 S PARKER RD SUITE 1005 No 1005 AURORA CO 80014 Larry Gray 3035970113 2013-12-05 Kurt Needles P00850236 3034304225 2013-12-10 2012 2015-11-30 17:44:51Z Larry Gray 2821 S PARKER RD SUITE 1005 No 1005 AURORA CO 80014 22774512 0 X N/A X 1966 CO Provide health and welfare benefits. 9 0 1 0 0 0 0 0 13953473 13350224 836832 2005186 164546 71632 14954851 15427042 0 0 11211866 11832824 49952 47444 0 0 0 1073290 1092104 12335108 12972372 2619743 2454670 34225574 35604141 5597402 5048693 28628172 30555448 Provide health and welfare benefits. 0 0 11363921 Self funded benefits paid to participants and medical service providers. 987303 Stop Loss insurance premiums. -518400 Change in hour bank liability and CIBNR. 11832824 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 Trustee 3037450147 2821 S Parker Rd STE 1005 Aurora CO 80014 X Alan Brooker 1.00 X 0 0 0 Chris Pedersen 1.00 X 0 0 0 Ken Price 1.00 X 0 0 0 Francisco Vazquez 1.00 X 0 0 0 Gilbert Ortiz 1.00 X 0 0 0 Larry Gray 1.00 X 0 0 0 Anthony Trujillo 1.00 X 0 0 0 Mario Espinoza 1.00 X 0 0 0 Rudy Ortiz 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 311933 CIGNA 3900 E Mexico Ave 1200 Denver CO 80210 Health Service 286268 Strategic Capital Advisors 600 Grant Street 850 Denver CO 80203 Investment 156684 3 Employer Contributions 525100 12165699 12165699 Non Barg Contributions 525100 705326 705326 Self-Pay Contributions 525100 462248 462248 CLMCC Contributions 525100 25330 25330 Reciprocity Out 525100 -8379 -8379 13350224 2001751 2001751 7350905 7347470 3435 3435 3435 Medicare Part D Subsidy 525100 41016 41016 Liquidated Damages 525100 9861 9861 COBRA Subsidy 525100 5352 5352 15403 15403 71632 15427042 13425291 0 2001751 11832824 11832824 30700 30700 3264 3264 9589 9589 3891 3891 311933 311933 42936 42936 43370 43370 156684 156684 32924 32924 96270 96270 16830 16830 21862 21862 PPO Fees 286268 286268 Utilization Review 70699 70699 CLMCC Drug Screen 6581 6581 Misc. Exp 5747 5747 12972372 11832824 1139548 0 1326542 803191 397844 455802 2376034 1217929 30125154 33127219 34225574 35604141 47002 16693 5550400 5032000 5597402 5048693 X 28628172 30555448 28628172 30555448 34225574 35604141 2454670 -527394 0 X 0 1 X 1 0 0 Estimated Hour Bank Liability 3582000 Claims Incurred But Not Reported 1450000 5032000 X 14899648 -527394 -527394 15427042 0 15427042 13490772 518400 518400 12972372 0 12972372 Description of Uncertain Tax Positions Under FIN 48: 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, 2013 or for prior years. Part XII, Line 2d - Other Adjustments: Change in Hour Bank Liability and CIBNR 518,400. 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