2011-11-07T10:19:14-06:00 2010-12-31 LEGACY PROFESSIONALS LLP 311 S WACKER DRIVE STE 4000 CHICAGO IL 60606 990 2010-01-01 362196729 CEMENT MASONS INSTITUTE LOCAL 502 WELFARE TRUST FUND CEME 7085449105 739 25TH AVENUE BELLWOOD IL 60104 PATRICK J LA CASSA 7085449105 2011-11-07 1 LEGACY PROFESSIONALS LLP 3123680500 2010 2016-03-07 17:11:31Z PATRICK J LA CASSA 739 25TH AVENUE BELLWOOD IL 60104 28866368 0 X N/A X 1950 IL PROVIDE HEALTH BENEFITS 12 12 16 0 0 0 0 0 10772295 8485530 930092 826663 0 6964 11702387 9319157 0 0 13022163 11599335 590341 563831 0 0 0 864814 817098 14477318 12980264 -2774931 -3661107 29199871 26460563 476273 319757 28723598 26140806 PROVIDE HEALTH BENEFITS 0 0 TO PROVIDE MEDICAL AND LIFE INSURANCE TO PARTICIPANTS. 0 0 0 0 0 0 0 0 1 1 0 0 0 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 0 1 5 0 1 16 1 0 0 0 0 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X PATRICK J LA CASSA 7085449105 739 S 25TH AVENUE BELLWOOD IL 60104 MICHAEL PIRRON 2.00 X 0 0 0 SANDRA HUNT 2.00 X 3557 0 1652 PAUL REDMANN 2.00 X 3557 0 1652 GARY LUNDSBERG 2.00 X 0 0 0 ROBERT KRUG 2.00 X 0 0 0 CURT ERICKSON 2.00 X 1883 0 856 DOMINIC FARRELL 2.00 X 3557 0 1652 DONALD DEETJEN 2.00 X 0 0 0 DONALD MOSS SR 2.00 X 0 0 0 PATRICK WILHARM 2.00 X 0 0 0 RUSSEL SIMONCELLI 2.00 X 0 0 0 MICHAEL KOLBERG 2.00 X 0 0 0 PATRICK LA CASSA 50.00 X 115214 0 34923 127768 0 40735 1 0 1 0 BLUE CROSS BLUE SHIELD 300 EAST RANDOLPH STREET CHICAGO IL 606015099 PPO PROVIDER 386452 GROUP ADMINISTRATORSINC PO BOX 957945 HOFFMAN ESTATES IL 60195 CONTRACT CLAIMS ADMINISTRATOR 223158 LEGACY PROFESSIONALS LLP 311 S WACKER DRIVE SUITE 4000 CHICAGO IL 60606 AUDITOR AND PAYROLL COMPLIANCE AUDITOR 144948 3 CONTRACTOR CONTRIB. 900099 7773641 7773641 REIMBURSED ADMN EXP 900099 323777 323777 PARTICIPANT SELF-CONTR 900099 235931 235931 PRESCRIPTION DRUG REBA 900099 132061 132061 MEDICARE PART D SUBSID 900099 20120 20120 8485530 739360 739360 19634514 19547211 87303 87303 87303 MISCALLENOUS INCOME 900099 6964 6964 6964 9319157 8161753 0 1157404 11599335 167312 244400 79645 42089 30385 94605 157375 46885 279103 52647 29737 77347 7450 26543 23574 21832 12980264 405759 299812 1899908 1399106 839264 1037315 173619 87766 176790 121805 61796 54985 19374550 16098119 6444975 7483460 29199871 26460563 476273 319757 476273 319757 X 0 0 0 0 28723598 26140806 28723598 26140806 29199871 26460563 X -3661107 1078315 X 0 1 1 X 0 87646 69537 18109 59532 47333 12199 29612 4935 24677 54985 NORTHERN TRUST MONTHLY STRUCTURED SMALL CAP FUND 692443 F NORTHERN TRUST DAILY S&P 500 TAX EXEMPT FUND 6791017 F 7483460 9319157 12980264 -3661107 1078315 1078315 -2582792 10026810 1078315 1078315 8948495 46885 323777 370662 9319157 12609602 0 12609602 46885 323777 370662 12980264 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: THE PLAN FILES FORM 990, RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX AND FORM 5500, ANNUAL RETURN/REPORT OF EMPLOYEE BENEFIT PLAN. THE PLAN'S RETURNS ARE SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE UNTIL THE APPLICABLE STATUTE OF LIMITATIONS EXPIRE. PART XII, LINE 4B - OTHER ADJUSTMENTS: REIMBURSED ADMINISTRATIVE EXPENSES PART XIII, LINE 4B - OTHER ADJUSTMENTS: REIMBURSED ADMINISTRATIVE EXPENSES X 0 0 0 PATRICK LA CASSA 115214 0 0 0 0 0 25781 0 9142 0 150137 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS PROVIDED TO THE ENTIRE BOARD OF TRUSTEES AND FUND ADMINISTRATOR PRIOR TO FILING. AFTER THE BOARDS' REVIEW, THE FORM IS APPROVED AND FILED. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD OF TRUSTEES AND THE FUND ADMINISTRATOR SHALL REGULARLY AND CONSISTENTLY MONITOR AND ENFORCE COMPLIANCE WITH THIS POLICY TAKING ALL STEPS THEY DEEM NECESSARY TO ENSURE SUCH MONITORING AND ENFORCEMENT. FORM 990, PART VI, SECTION B, LINE 15 SALARIES ARE ANNUALLY REVIEWED AND APPROVED BY THE BOARD OF TRUSTEES. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS AND FINANCIAL STATEMETNS ARE AVAILABLE UPON REQUEST AT THE FUND OFFICE. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 1,078,315. FORM 990, PART VII, SECTION A, LINE 1A: THE ORGANIZATION'S ADMINISTRATOR IS ALSO THE ADMINISTRATOR OF TWO OTHER ENTITIES. THE ORGANIZATION IS REIMBURSED BY THE ENTITIES FOR THEIR ALLOCATED PORTION OF HIS SALARY AND SALARY RELATED EXPENSES. THE AVERAGE HOURS PER WEEK REPORTED ON LINE 1A IS THE WEEKLY AMOUNT DEDICATED TO ALL THREE ORGANIZATIONS. FORM 990, PAGE 1, ITEM F: PATRICK J. LA CASSA BECAME A TRUSTEE AND PRINCIPAL OFFICER AT THE AUGUST 19, 2011 BOARD OF TRUSTEES MEETING. PENSION FUND OF CEMENT MASONS UNION LOCAL NO 502 739 25TH AVENUE BELLWOOD IL 60104 516034597 PROVIDE DEATH AND RETIREMENT BENEFITS FOR ELIGIBLE PARTICIPANTS IL 401(A) N/A N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 0 0 PENSION FUND OF CEMENT MASONS UNION LOCAL NO 502 M 46675 PENSION FUND OF CEMENT MASONS UNION LOCAL NO 502 N 175426 PENSION FUND OF CEMENT MASONS UNION LOCAL NO 502 P 51084