2012-05-07T09:49:56-05:00 2011-06-30 EIDE BAILLY LLP 5299 DTC BLVD STE 1000 GREENWOOD VILLAGE CO 801113329 990 2010-07-01 742301528 FLATIRON CONSTRUCTION CORP EMPLOYEE HEALTH BENEFIT PLAN FLAT 3034854050 10188 E I-25 FRONTAGE ROAD FIRESTONE CO 80504 PAUL R DRISCOLL 3034854050 2012-04-27 1 PAUL TIRONE 3037705700 2010 2016-02-24 21:20:13Z PAUL R DRISCOLL 10188 E I-25 FRONTAGE ROAD FIRESTONE CO 80504 8162480 0 X N/A X 1982 CO VOLUNTARY EMPLOYEES' BENEFICIARY ASSOCIATION PROVIDING BENEFITS TO MEMBERS. 4 3 0 3 0 0 0 0 7247521 8162480 2 0 0 0 7247523 8162480 0 0 6270519 6562466 63735 69362 0 0 0 892447 1018682 7226701 7650510 20822 511970 185017 467900 229087 720000 -44070 -252100 NONE 0 0 8162480 THE PLAN WAS ESTABLISHED JULY 1, 1982 FOR THE PURPOSE OF PROVIDING MEDICAL, EMPLOYEE ASSISTANCE PROGRAMS, DISEASE MANAGEMENT PROGRAMS, AND CERTAIN OTHER BENEFITS FOR ITS PARTICIPANTS. THE PLAN IS A VOLUNTARY EMPLOYEE BENEFICIARY ASSOCIATION (VEBA) AND IS SUBJECT TO THE PROVISION OF THE EMPLOYEE RETIREMENT INCOME SECURITY ACT OF 1974 ("ERISA"). WITH CERTAIN LIMITATIONS, PARTICIPATION IN THE PLAN IS AVAILABLE TO SUBSTANTIALLY ALL REGULAR FULL-TIME NONUNION EMPLOYEES OF THE PARTICIPATING EMPLOYERS AND THEIR DEPENDENTS. 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 0 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 0 1 0 0 0 0 0 0 0 0 0 0 X 4 3 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 X NICKI EMERSON 7204948068 10188 E I-25 FRONTAGE ROAD FIRESTONE CO 80504 PAUL R DRISCOLL 5.00 X X 0 0 0 MELODY PICKETT 5.00 X X 0 0 0 NICKI EMERSON 30.00 X 33326 0 0 JERRY F HARTBARGER 5.00 X 0 0 0 33326 0 0 0 0 0 0 CIGNA ONE LIBERTY PLACE PHILADELPHIA PA 19192 3RD PARTY ADMINISTRATIVE FEES 373079 1 HEALTH & WELLFARE BENE 525100 8162480 8162480 8162480 8162480 8162480 0 0 6562466 69362 459512 8674 15680 PREMIUM WITHDRAWALS 534816 7650510 255883 26017 26017 159000 186000 185017 467900 98888 720000 130199 0 229087 720000 X -64892 0 0 0 20822 -252100 -44070 -252100 185017 467900 X 511970 -720000 X 0 1 1 X 0 0 RESERVE FUND AT TPA 186000 186000 8162480 7650510 511970 -720000 -720000 -208030 8162480 0 8162480 0 8162480 7650510 0 7650510 0 7650510 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: THE INTERNAL REVENUE SERVICE (IRS) HAS DETERMINED AND INFORMED THE COMPANY BY A LETTER DATED NOVEMBER 15, 1988, THAT THE PLAN AND RELATED TRUST IS TAX-EXEMPT UNDER THE PROVISIONS OF SECTION 501(C)(9) OF THE INTERNAL REVENUE CODE (THE CODE) AS A VEBA. SUBSEQUENT TO THIS ISSUANCE OF THE DETERMINATION LETTER, THE PLAN WAS AMENDED. HOWEVER, THE COMPANY AND PLAN MANAGEMENT BELIEVES THAT THE PLAN IS CURRENTLY DESIGNED AND OPERATED IN COMPLIANCE WITH THE APPLICABLE REQUIREMENTS OF THE IRC, AND THE PLAN AND RELATED TRUST CONTINUE TO BE TAXEXEMPT. THEREFORE, NO PROVISION FOR INCOME TAXES HAS BEEN INCLUDED IN THE PLAN'S FINANCIAL STATEMENTS. 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 TAX POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE. THE PLAN ADMINISTRATOR HAS ANALYZED THE TAX POSITIONS TAKEN BY THE PLAN, AND HAS CONCLUDED THAT AS OF JUNE 30, 2011, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. THE PLAN ADMINISTRATOR BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO 2007. PART XI, LINE 8 - OTHER ADJUSTMENTS: RECORD IBNR RESERVE TO LIABILITIES -720,000. NORTH AMERICA 0 0 PROGRAM SERVICES WITHHOLDING OF COMPENSATION TO COVER HEALTH BENEFIT PREMIUMS 325311 0 0 0 0 0 0 325311 0 325311 0 0 0 0 0 0 METHOD USED TO ACCCOUNT FOR EXPENDITURES: SCHEDULE F, PART I, LINE 3: ACCRUAL BASIS OF ACCOUNTING FORM 990, PART VI, SECTION A, LINE 8B THERE ARE NO COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS REVIEWED ANNUALLY BY THE PLAN'S GOVERNING BODY PRIOR TO FILING THE RETURN. FORM 990, PART VI, SECTION C, LINE 19 FLATIRON CONSTRUCTION CORP. EMPLOYEE HEALTH BENEFIT PLAN MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: RECORD IBNR RESERVE TO LIABILITIES -720,000. TOTAL TO FORM 990, PART XI, LINE 5: -720,000.