2026-02-21T14:00:20-06:00 2025-05-31 470900880 CALIBRE CPA GROUP PLLC 230 W MONROE STE 310 CHICAGO IL 60606 990 2024-06-01 237166771 OPERATING ENGINEERS LOCAL 139 HEALTH BENEFIT FUND OPER 2625499190 PO BOX 160 PEWAUKEE WI 530720130 TERRANCE MCGOWAN TERRANCE MCGOWAN 2625499190 2026-02-19 1 1 ANDY HEIN P00499757 3126550037 2024 2025-03-06 01:10:19Z TERRANCE MCGOWAN PO BOX 160 PEWAUKEE WI 530720130 348000419 0 X N/A X 1970 WI TO PROVIDE HEALTH AND OTHER BENEFITS TO ELIGIBLE PARTICIPANTS COVERED UNDER THE PLAN. 10 6 168 0 0 0 0 0 166647526 180963331 10539974 15215928 0 0 177187500 196179259 0 0 168357804 179828101 0 0 0 0 0 9528584 9466803 177886388 189294904 -698888 6884355 487111809 529707201 91920612 99605280 395191197 430101921 X TO PROVIDE HEALTH AND OTHER BENEFITS TO ELIGIBLE PARTICIPANTS COVERED UNDER THE PLAN 0 0 THE PLAN PROVIDES MEDICAL, DENTAL, VISION, LIFE AND ACCIDENTAL DEATH & DISMEMBERMENT BENEFITS TO ELIGIBLE MEMBERS AND THEIR DEPENDENTS. THE PLAN PROVIDES MEDICAL, DENTAL, VISION, LIFE, AND ACCIDENTAL DEATH & DISMEMBERMENT BENEFITS TO ELIGIBLE MEMBERS AND THEIR DEPENDENTS. 0 0 0 0 0 0 0 0 0 1 1 0 0 1 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 1729 0 1 168 1 0 0 0 0 0 0 0 0 X 10 6 0 1 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 0 0 0 X RITA BECKER 2625499190 N27 W23233 ROUNDY DRIVE PEWAUKEE WI 530720130 TERRY MCGOWAN CHAIRMAN 3.00 40.00 X 0 210463 88451 TOM WOLF SECRETARY 3.00 X 0 0 0 DAN SPERBERG TRUSTEE 3.00 40.00 X 0 177574 88451 TIM PETERSON TRUSTEE 3.00 X 0 0 0 MATT MARCELLIS TRUSTEE 3.00 X 0 0 0 STEVE BUFFALO TRUSTEE 3.00 40.00 X 0 179595 88451 MARY JANE DEBATTISTA TRUSTEE 3.00 X 0 0 0 MARY WILCOX FORMER TRUSTEE 3.00 X 0 0 0 SHANE GRIESBACH TRUSTEE 3.00 40.00 X 0 181233 88451 MIKE TESTOLIN TRUSTEE 3.00 X 0 0 0 JAKOB ANDERSON TRUSTEE 3.00 X 0 0 0 0 748865 353804 0 0 1 0 ANTHEMBCBS 4361 IRWIN SIMPSON RD MASON OH 45040 PPO ACCESS AND ADMIN 3429523 BENESYS N27 W23233 ROUNDY DR PEWAUKEE WI 53072 THIRD PARTY ADMIN 1952098 CASE MANAGEMENT SPECIALISTS INC PO BOX 102 NASHOTAH WI 53058 CONSULTING FEES 951829 BRIDGEWAY 3700 KOPPERS STREET SUITE 400 BALTIMORE MD 21227 SERVICE AGREEMENTS 387391 SEGAL SELECT 333 W 34TH ST NEW YORK NY 100012402 CONSULTING FEES 233730 11 EMPLOYER CONTRIBUTIONS 900099 159135655 159135655 SELF-PAY CONTRIBUTIONS 900099 20553132 20553132 SUBROGATION RECOVERIES 900099 1274544 1274544 180963331 10193109 10193109 156843979 151821160 5022819 5022819 5022819 196179259 180963331 0 15215928 179828101 1967558 286113 41961 1225458 4815708 379287 382972 186861 7336 31487 82428 PCORI FEES 59634 189294904 4514348 1973732 17423369 18986049 72143 84248 1229351 1134326 66089 95025 323655782 351770129 129721341 148384717 11658737 8413301 487111809 529707201 851734 1086908 1870029 367340 89198849 98151032 91920612 99605280 X 0 0 0 0 395191197 430101921 395191197 430101921 487111809 529707201 6884355 28026369 0 X X 0 1 X 1 0 959924 883471 76453 269427 250855 18572 95025 REAL ESTATE INVESTMENT TRUST 29329472 F LIMITED PARTNERSHIPS 71962592 F COMMON COLLECTIVE TRUST 47092653 F 148384717 CLAIMS INCURRED BUT NOT PAID 18080000 ACCUM PART HEALTH SAV ACCOUNTS 80071032 98151032 X 222980170 28026369 28026369 194953801 1225458 1225458 196179259 179117263 0 179117263 1225458 8952183 10177641 189294904 PART X, LINE 2: THE TRUST ESTABLISHED UNDER THE PLAN TO HOLD THE PLAN'S ASSETS IS QUALIFIED PURSUANT TO SECTION 501(C) 9 OF THE INTERNAL REVENUE CODE AS A TAX-EXEMPT ORGANIZATION. THE PLAN HAS OBTAINED A FAVORABLE TAX DETERMINATION LETTER FROM THE INTERNAL REVENUE SERVICE, AND THE PLAN SPONSOR BELIEVES THAT THE PLAN, AS AMENDED, CONTINUES TO QUALIFY AND TO OPERATE IN ACCORDANCE WITH APPLICABLE PROVISIONS OF THE INTERNAL REVENUE CODE. 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 ORGANIZATION HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE TAXING AUTHORITIES. AS OF MAY 31, 2025, THERE WERE 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. AT MAY 31, 2025, THE PLAN IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO THE FISCAL YEAR ENDED MAY 31, 2022. PART XII, LINE 4B - OTHER ADJUSTMENTS: INC IN PART. ACCUM HEALTH REIMB ACCOUNTS 5,767,083. INC IN EST CLAIMS INCURRED BUT NOT PAID 3,185,100. 0 0 0 TERRY MCGOWAN CHAIRMAN 0 206479 0 1522 0 2462 0 60635 0 27816 0 298914 0 0 SHANE GRIESBACH TRUSTEE 0 175170 0 1624 0 4439 0 60635 0 27816 0 269684 0 0 STEVE BUFFALO TRUSTEE 0 175170 0 2166 0 2259 0 60635 0 27816 0 268046 0 0 DAN SPERBERG TRUSTEE 0 175170 0 1624 0 780 0 60635 0 27816 0 266025 0 0 FORM 990, PART VI, SECTION A, LINE 3 LINE 3 EXPLANATION - IN ACCORDANCE WITH THE PLAN'S TRUST AGREEMENT, THE TRUSTEES HAVE CONTRACTED THE SERVICES OF A THRID PARTY ADMINISTRATOR, BENESYS. THE THIRD PARTY ADMINISTRATOR, UNDER THE DIRECTION OF THE TRUSTEES, ADMINISTERS THE OFFICES OF THE TRUST FUND. FORM 990, PART VI, SECTION B, LINE 11B THE BOARD OF TRUSTEES HAVE AUTHORIZED DESIGNATED TRUSTEES (THE CHAIRMAN AND/OR SECRETARY TRESURER) TO REVIEW THE FORM 990 PRIOR TO FILING. A COPY OF THE FILED RETURN IS MADE AVAILABLE TO ALL TRUSTEES TO REVIEW SUBSEQUENT TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE ACTIONS OF THE TRUSTEES ARE GOVERNED BY THE TRUST DOCUMENT AND ERISA. BOTH ESTABLISH STANDARDS OF CONDUCT FOR PLAN FIDUCIARIES. THE TRUSTEES ARE REQUIRED TO DISCLOSE ANY POSSIBLE CONFLICTS OF INTEREST TO THE ENTIRE BOARD. FORM 990, PART VI, SECTION C, LINE 19 A SUMMARY ANNUAL REPORT IS DISTRIBUTED TO ALL PARTICIPANTS. PARTICIPANTS ARE ABLE TO REQUEST THE AUDITOR'S REPORT AND OTHER FINANCIAL INFORMATION FROM THE PLAN ADMINISTRATOR AND/OR THE U.S. DEPARTMENT OF LABOR. ALSO, FORM 5500 IS OPEN TO PUBLIC INSPECTION THROUGH THE U.S. DEPARTMENT OF LABOR. FORM 990, PART XII, LINE 2C NO CHANGE FROM PRIOR YEAR. WIS OPER ENG SKILL IMPROVEMENT & APPRENT N27W23233 ROUNDY DR PO BOX 160 PEWAUKEE WI 53072 391102559 TRAINING FUND WI 501(C)(3) LINE_2_SCHOOL_DESCRI 0 LMCT OF OPERATING ENGINEERS LOCAL 139 N27W23233 ROUNDY DR PO BOX 160 PEWAUKEE WI 53072 364656562 INDUSTRY ADVANCEMENT FUND WI 501(C)(5) 0 ALLIED CONST EMP ASSN 17100 W BLUEMOUND RD 102 BROOKFIELD WI 53005 390189310 CONTRACTORS ASSOCIATION WI 501(C)(6) 0 CONSTRUCTION BUS GROUP 4702 S BILTMORE LN MADISON WI 53718 391703979 INDUSTRY ADVANCEMENT FUND WI 501(C)(5) 0 INTL UN OPER ENG 139 N27W23233 ROUNDY DR PEWAUKEE WI 53072 390368025 LABOR UNION WI 501(C)(5) 0 WI UNDERGRD CONTR ASSSOC 2835 NORTH MAYFAIR RD MILWAUKEE WI 53222 390745462 CONTRACTORS ASSOCIATION WI 501(C)(6) 0 ASSOCIATED GENERAL CONTRACTORS OF WISCONSIN 4814 EAST BROADWAY MADISON WI 53716 390712400 CONTRACTORS ASSOCIATION WI 501(C)(6) 0 WISCONSIN TRANSPORTATION BUILDERS ASSOCIATION INC 1 S PINCKNEY ST NO 300 MADISON WI 53703 390138120 CONTRACTORS ASSOCIATION WI 501(C)(6) 0 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