TY 2015 Form 990

(A) Name and business address	(B) Description of services	(C) Compensation
BLUECROSS BLUESHIELD OF KANSAS CITY 2301 MAIN KANSAS CITY,MO64108	THIRD PARTY CLAIMS PROCESSING	1,198,150
COMPUSYS INC 2156 WEST 2200 SOUTH SALT LAKE CITY,UT84119	THIRD PARTY ADMINISTRATOR	294,241
DELTA DENTAL OF MISSOURI 2300 MAIN STREET KANSAS CITY,MO64108	THIRD PARTY CLAIMS PROCESSING	138,641
BLAKE & UHLIG 753 STATE AVE KANSAS CITY,KS66106	LEGAL	121,409

2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 4

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

OPERATING ENGINEERS LOCAL 101
HEALTH AND WELFARE PLAN

Employer identification number

44-0663379

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

			(a) Donor advised funds	(b) Funds and other accounts

1	Total number at end of year ....
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ....

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ...........

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ............................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... SchDMd Bullet

(ii)

Assets included in Form 990, Part X ............................... SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2015

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability?

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ........

Part V

Endowment Funds. Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a)Current year	(b)Prior year	(c)Two years back	(d)Three years back	(e)Four years back

1a	Beginning of year balance ....
b	Contributions ...
c	Net investment earnings, gains, and losses
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

Temporarily restricted endowment SchDMd Bullet

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations .................

3a(i)

(ii) related organizations .................

3a(ii)

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land ...
b	Buildings
c	Leasehold improvements
d	Equipment ...	5,606	5,606	0
e	Other ...
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				0

Schedule D (Form 990) 2015

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b)Book value	(c)Method of valuation: Cost or end-of-year market value
(1)Financial derivatives
(2)Closely-held equity interests
(3)Other (A) COMMON COLLECTIVE TRUSTS	10,178,523	F
(B) LIMITED LIABILITY COMPANY	2,076,851	F
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)	12,255,374

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
PREPAID CONTRIBUTIONS	46,861
DUE TO RELATED FUNDS	194,095
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	240,956
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2015

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......			1	37,862,876
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a	-836,034
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................			2e	-836,034
3	Subtract line 2e from line 1..................			3	38,698,910
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a	91,915
b	Other (Describe in Part XIII.) ...........	4b	-5,213
c	Add lines 4a and 4b....................			4c	86,702
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......			5	38,785,612

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........			1	39,081,741
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c	5,213
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d....................			2e	5,213
3	Subtract line 2e from line 1...................			3	39,076,528
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a	91,913
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.....................			4c	91,913
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......			5	39,168,441

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference	Explanation
PART X, LINE 2:	THE VOLUNTARY EMPLOYEE BENEFIT ASSOCIATION (VEBA) TRUST FUNDING CERTAIN BENEFITS OF THE PLAN RECEIVED AN EXEMPTION LETTER FROM THE INTERNAL REVENUE SERVICE (IRS) DATED AUGUST 10, 1964, STATING THAT THE TRUST IS TAX-EXEMPT UNDER THE PROVISIONS OF SECTION 501(C)(9) OF THE INTERNAL REVENUE CODE (IRC). HOWEVER, AS A RESULT OF THE PLAN'S FUNDING POLICY, FROM TIME TO TIME THE TRUST MAY BE SUBJECT TO INCOME TAXES. NO FEDERAL OR STATE INCOME TAXES HAVE BEEN RECORDED IN 2015 OR 2014 FOR UNRELATED BUSINESS TAXABLE INCOME. IN ADDITION, THE PLAN AND THE TRUST ARE REQUIRED TO OPERATE IN CONFORMITY WITH THE IRC TO MAINTAIN THE TAX-EXEMPT STATUS OF THE TRUST. THE PLAN ADMINISTRATOR BELIEVES THAT THE PLAN IS BEING OPERATED IN COMPLIANCE WITH THE APPLICABLE REQUIREMENTS OF THE IRC AND, THEREFORE, BELIEVES THAT THE RELATED TRUST IS TAX-EXEMPT. 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 IT HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS. 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 2012.
PART XI, LINE 4B - OTHER ADJUSTMENTS:	LOSS ON DISPOSAL OF ASSETS

Return Reference

Explanation

PART X, LINE 2:

THE VOLUNTARY EMPLOYEE BENEFIT ASSOCIATION (VEBA) TRUST FUNDING CERTAIN BENEFITS OF THE PLAN RECEIVED AN EXEMPTION LETTER FROM THE INTERNAL REVENUE SERVICE (IRS) DATED AUGUST 10, 1964, STATING THAT THE TRUST IS TAX-EXEMPT UNDER THE PROVISIONS OF SECTION 501(C)(9) OF THE INTERNAL REVENUE CODE (IRC). HOWEVER, AS A RESULT OF THE PLAN'S FUNDING POLICY, FROM TIME TO TIME THE TRUST MAY BE SUBJECT TO INCOME TAXES. NO FEDERAL OR STATE INCOME TAXES HAVE BEEN RECORDED IN 2015 OR 2014 FOR UNRELATED BUSINESS TAXABLE INCOME. IN ADDITION, THE PLAN AND THE TRUST ARE REQUIRED TO OPERATE IN CONFORMITY WITH THE IRC TO MAINTAIN THE TAX-EXEMPT STATUS OF THE TRUST. THE PLAN ADMINISTRATOR BELIEVES THAT THE PLAN IS BEING OPERATED IN COMPLIANCE WITH THE APPLICABLE REQUIREMENTS OF THE IRC AND, THEREFORE, BELIEVES THAT THE RELATED TRUST IS TAX-EXEMPT. 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 IT HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS. 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 2012.

PART XI, LINE 4B - OTHER ADJUSTMENTS:

LOSS ON DISPOSAL OF ASSETS

Schedule D (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

OPERATING ENGINEERS LOCAL 101
HEALTH AND WELFARE PLAN

Employer identification number

44-0663379

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .........

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? ................

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ...........................

Any related organization?

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization?

Any related organization? .........................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2015

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column(B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1SCOTT RETTIGUNION TRUSTEE	(i) (ii)	0 ------------- 172,679	0 ------------- 0	0 ------------- 0	0 ------------- 0	0 ------------- 31,117	0 ------------- 203,796	0 ------------- 0
2AARON BROWNUNION TRUSTEE	(i) (ii)	0 ------------- 129,688	0 ------------- 0	0 ------------- 0	0 ------------- 0	0 ------------- 31,117	0 ------------- 160,805	0 ------------- 0
3KURT CHAFFEEUNION TRUSTEE	(i) (ii)	0 ------------- 129,779	0 ------------- 0	0 ------------- 0	0 ------------- 0	0 ------------- 33,510	0 ------------- 163,289	0 ------------- 0

Schedule J (Form 990) 2015

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference	Explanation

Schedule J (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ.
MediumBullet

Information about Schedule L (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

OPERATING ENGINEERS LOCAL 101
HEALTH AND WELFARE PLAN

Employer identification number

44-0663379

Part I

Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ Bullet Image

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e)Original principal amount	(f)Balance due	(g) In default?		(h) Approved by board or committee?		(i)Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e)Original principal amount	(f)Balance due	Yes	No	Yes	No	Yes	No
(1) KAW VALLEY WRECKING AND KAW VALLEY SAND & GRAVEL		LATE CONTRIBUTIONS		X	115,164	115,164		No		No	Yes









Total ............... $						115,164

Part III

Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of assistance	(d) Type of assistance	(e) Purpose of assistance

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2015

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person	(c) Amount of transaction	(d) Description of transaction	Yes	No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference	Explanation

Schedule L (Form 990 or 990-EZ) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization

OPERATING ENGINEERS LOCAL 101
HEALTH AND WELFARE PLAN

Employer identification number

44-0663379

Return Reference	Explanation
FORM 990, PART VI, SECTION B, LINE 11	NON-AFFILIATED, DULY ACCREDITED AND INDEPENDENT AUDITING FIRM PREPARES THE NUMERICAL DATA, STAFF PERSONNEL PREPARE PART VI AND SCHEDULE O DISCLOSURE, AND THE COMPLETED FORM IS PRESENTED FOR REVIEW AND SIGNATURE BY THE DULY AUTHORIZED TRUSTEE(S) BEFORE SUBMITTAL TO THE IRS.
FORM 990, PART VI, SECTION B, LINE 15A	THE TRUSTEES, AS GOVERNING BODY, DETERMINE THE WAGES AND FRINGE BENEFITS. THE GOVERNING BODY UTILIZED AN EXECUTIVE HIRING FIRM TO REVIEW CANDIDATES AND COMPENSATION FOR THE FUND ADMINISTRATOR UTILIZING COMPARABILITY DATA IN JULY 2010.
FORM 990, PART VI, SECTION C, LINE 19	MADE AVAILABLE UPON REQUEST.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

OPERATING ENGINEERS LOCAL 101
HEALTH AND WELFARE PLAN

Employer identification number

44-0663379

Part I

Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

Identification of Related Tax-Exempt Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)OPERATING ENGINEERS LOCAL 101 PENSION FUND 6601 WINCHESTER STE 250 KANSAS CITY,MO64133 43-6059213	PROVIDE PENSION BENEFITS	MO	401(A)		N/A		No
(2)OPERATING ENGINEERS LOCAL 101 VACATION PLAN 6601 WINCHESTER STE 250 KANSAS CITY,MO64133 43-1077518	PROVIDE VACATION BENEFITS	MO	501(C)(9)		N/A		No
(3)OPERATING ENGINEERS LOCAL 101 APPRENTICE PROGRAM PO BOX 197 PLATTE CITY,MO64079 23-7048499	APPRENTICE PROGRAM	MO	501(C)(3)	LINE 2	N/A		No
(4)O E LOCAL 139
(5)O E LOCAL 181
(6)O E LOCAL 234
(7)O E LOCAL 627
(8)O E LOCAL 965
(9)O E LOCAL 49
(10)O E LOCAL 18 H & W FUND
(11)CLT & E H&W & PENSION
(12)EMPLOYERS & OPERATING ENG LOCAL 520
(13)O E LOCAL 513
(14)OPERATING ENGINEERS LOCAL 513 HEALTH & WELFARE
(15)OPERATING ENGINEERS LOCAL 520 PENSION FUND
(16)OPERATING ENGINEERS LOCAL 318
(17)OPERATING ENGINEERS LOCAL 841 HEALTH FUND
(18)O E LOCAL 825 PENSION
(19)OPERATING ENGINEERS LOCAL 1414B
(20)OPERATING ENGINEERS LOCAL 3 TRUST FUND
(21)OPERATING ENGINEERS LOCAL 324 FRINGE BENEFITS FUNDS
(22)OPERATING ENGINEERS LOCAL 406
(23)OPERATING ENGINEERS LOCAL 470 SOUTHERN OPERATORS HEALTH FUND
(24)OPERATING ENGINEERS LOCAL 487 HEALTH & WELFARE FUND
(25)OPERATING ENGINEERS LOCAL 673 SOUTHERN OPERATORS FUND
(26)OPERATING ENGINEERS LOCAL 926 HEALTH FUND
(27)O E & PIPE LINE EMPLOYERS H&W
(28)O E H&W LOCAL 9

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2015

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) ABSOLUTE CRANE
(2) ACCURATE UNDERGROUND HDD LLC
(3) ACI CONCRETE PLACEMENT
(4) CONCRETE STRATEGIES LLC
(5) CUTLER SERVICES LLC
(6) DIGGS CONSTRUCTION LLC
(7) FIDELIS EXCAVATING LLC
(8) FREEDOM CONCRETE LLC
(9) FREEMAN CONCRETE CONSTRUCTION
(10) HAYES MECHANICAL
(11) HOWCO UTILITIES LLC
(12) IDEAL CRANE LLC
(13) JE FOSTER CONSTRUCTION LLC
(14) KC STREETCAR CONSTRUCTORS
(15) LAWSON STEEL ERECTION CO
(16) MAGNUM BORING LLC
(17) MAR-JIM CONTRACTING LLC
(18) MAXIM CRANE WORKS
(19) MCR TRANSPORT LLC
(20) METRO CRANE SERVICE
(21) MIDWEST CRANE AND RIGGING INC
(22) MIDWEST MATERIAL TRUCKING LLC
(23) MUSSELMAN & HALL CONT
(24) PACE CONSTRUCTION CO
(25) PATHWAY MANAGEMENT LLC
(26) PRESTIGE CONSTRUCTION CO
(27) PROFILE CONTRACTING LLC
(28) STILL DITCHING
(29) SUPERIOR BOWEN ASPHALT LLC
(30) SUPERIOR RAIL SYSTEM LLC
(31) TRI HULL CRANE RENTAL LLC
(32) WALBRIDGE TOOLING SERVICES LLC

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	Yes	No
(1) AC EXCAVATING LLC
(2) AGRICYCLE INC
(3) AL MUEHLBERGER CONCRETE CO LLC
(4) ALBERICI J S CONSTRUCTION CO
(5) ALEXANDER MECHANICAL CONTRACTORS INC
(6) AMERICAN BRIDGE CO
(7) AMINO BROTHERS CO INC
(8) AMQUIP CRANE RENTAL LLC
(9) APAC - KANSAS INC HCA
(10) API INC
(11) ARISTEO CONSTRUCTION
(12) AT ABATEMENT SERVICES INC
(13) AUDRIE SEELEY & CO
(14) AUTOMATIC SYSTEMS INC
(15) B & P CONSTRUCTION INC
(16) BADGER DAYLIGHTING CORP
(17) BARCUS L G & SONS INC
(18) BARNHART CRANE & RIGGING CO
(19) BEEMER CONST CO
(20) BELGER CARTAGE SERVICE
(21) BENNETT STEEL ERECTORS
(22) BERKEL & CO CONTRACTORS INC
(23) BETTIS CONTRACTORS INC
(24) BEYER CRUSHED ROCK CO
(25) BLOOMSDALE EXCAVATING CO INC
(26) BLUE NILE CONTRACTORS INC
(27) BOAN MASONRY CO INC
(28) BOLLMEIER INC
(29) BOWEN ENGINEERING CORP
(30) BRAGG INVESTMENT COMPANY INC DBA BRAGG CRANE SERVICE
(31) BRANDT CONTRACTING INC
(32) BROONER & ASSOC
(33) BUILDEX INC
(34) BUILDING ERECTION SERVICES CO
(35) BURK BRIDGE CO
(36) CAPITAL ELECTRIC CONST
(37) CBBE TECHNICAL SERVICES LLC
(38) CBS PILING SOLUTIONS INC
(39) CDI INDUSTRIAL & MECHANICAL
(40) CENTRAL CONVEYOR COMPANY
(41) CENTRAL MECHANICAL CONST CO
(42) CENTRAL PLUMBING HTNG
(43) CENTRAL STATES CONTRACTING
(44) CITY WIDE CONSTRUCTION
(45) CLARKSON CONSTR CO
(46) CMF GROUP
(47) COFFELL CONSTRUCTION LLC
(48) COLLINS & HERMANNINC
(49) COMANCHE CONSTR COINC
(50) COMMERCIAL CONTRACTING CORP
(51) COMMONWEALTH CONSTRUCTORS INC
(52) CONCO QUARRIES INC
(53) CONCRETE CO OF SPRINGFIELD
(54) CONCRETE PLACEMENT INC
(55) CONNELLY PLUMBING CO
(56) CORNELL ROOFING & SHEET METAL
(57) CRAWFORD MECHANICAL CONTR
(58) CYLX ENGINEERING & CONSTRUCTION
(59) D & D MASONRY INC
(60) DAVIS ERECTION A DIV OF TOPPING OUT INC
(61) DAY & ZIMMERMAN NPSINC
(62) DEEP SOUTH CRANE & RIGGING
(63) DOHERTY STEEL INC
(64) DOTSON & GIBBS INC
(65) DREWJAMES H CORPORATION
(66) DUNCAN R L CONSTR COINC
(67) DUNN J E CONSTR CO
(68) E & S EXCAVATING
(69) ELECTRICAL CORP OF AM INC
(70) ELLIS W A CONSTR CO
(71) ENERFAB POWER & INDUSTRIAL INC
(72) EPIC CONCRETE CONSTRUCTION INC
(73) ESI CONTRACTING
(74) ESSEX CRANE RENTAL CORP
(75) EWELL CONSTRUCTION INC
(76) FAHEY J M CONSTRUCTION CO
(77) FENIX CONSTRUCTION CO OF ST
(78) FOLEY COMPANY AKA PALMOL
(79) FOLTZ WELDING
(80) FORDYCE CONCRETE CO INC
(81) FOUNDATION SERVICE CORP
(82) FOUR STAR CONSTRUCTION INC
(83) G & G MECHANICAL CONTRACTING
(84) GANN BACKHOE SERVICE LLC
(85) GIFFIN INC
(86) GILMORE CRANE CORPORATION
(87) GOODWIN BROS CONSTRUCTION CO
(88) GREAT PLAINS DRILLING
(89) GREELEY EXCAVATING LLC
(90) GREEN EYE INC
(91) HAGGARD HAULING & RIGGING INC
(92) HAINES & ASSOCIATES CONST
(93) HAMM N R CONTRACTOR INC
(94) HAMON CUSTODIS INC
(95) HANRAHAN ASPHALT PAVING CO INC
(96) HARTLINE CONSTRUCTION LLC
(97) HARVEY BROS TRUCKING
(98) HAUPT CONSTRUCTION COMPANY
(99) HAYDEN WRECKING CORPORATION
(100) HAYES DITCHING
(101) HAYES DRILLING INC
(102) HAYWARD BAKER INC
(103) HERRMANS EXCAVATING
(104) HOLLIDAY SAND & GRAVELASHGROV
(105) HOLTHOUSE CONSTRUCTION CO
(106) IDEKER CONSTRUCTION CO INC
(107) IMPERIAL CRANE SERVICE
(108) INSITUFORM TECHN USA INC
(109) INTERCON CONSTRUCTION INC
(110) INTERNATIONAL CHIMNEY CORP
(111) INTERNATIONAL INDUSTRIAL
(112) IRVINBILT CONSTRUCTORS INC
(113) JA LILLIG CONSTRUCTION
(114) JENSEN JR CONSTRUCTION CO
(115) JESSIE'S QUALITY CONCRETE CO INC
(116) JK CONCRETE CONSTRUCTION
(117) JLA CONSTRUCTION CO INC
(118) JOURNAGAN CONST CO INC
(119) K R EXCAVATING INC
(120) KC CONSTRUCTION INC
(121) KANSAS SAND & CONCRETE INC
(122) KAW VALLEY SAND & GRAVEL INC
(123) KAW VALLEY WRECKING INC
(124) KC READY MIX (85TH STREET)
(125) KELLER CONSTR CO
(126) KELPE CONTRACTING INC
(127) KIDWELL JIM CONSTR CO
(128) KIEWIT POWER CONSTRUCTORS
(129) KISSICK CONSTRUCTION CO
(130) KNIGHT TRENCHING CO
(131) KOLB GRADING LLC
(132) L KRUPP CONST
(133) LANEY DIRECTIONAL DRILLING
(134) LAN-TEL
(135) LARRY BROWN EXCAVATING INC
(136) LAWHON CONSTRUCTION CO
(137) LEATH & SONS
(138) LEAVCON II INC
(139) LEAVENWORTH EXCAV & EQUIP CO
(140) LIBERTY ERECTION INC
(141) LICO STEEL INC
(142) LIFT INC
(143) LOGAN AND COMPANY
(144) LONG'S DRILLING SERVICE
(145) MAGNUM MACHINE WORKS LLC
(146) MARK ONE ELECTRIC CO INC
(147) MARTIN MARIETTA AGGREGATES
(148) MARTINEZ CONCRETE CONST CO
(149) MARTINY JJ CONCRETE
(150) MASSMAN CONSTR CO
(151) MCANANY CONSTRUCTION
(152) MCGARRAH CONSTRUCTION CO
(153) MCT SERVICES LLC
(154) MDS BORING & DRILLING INC
(155) MICHELS CORPORATION
(156) MID-STATES EXCAVATING INC
(157) MIDWEST FOUNDATIONS CO
(158) MIDWEST STEEL INC
(159) MILES EXCAVATING
(160) MILLAM CONSTRUCTION
(161) MILLER BROS CONST INC
(162) MILLER PIPELINE LLC
(163) MILLS EQUIPMENT CO
(164) MISSOURI ROCK INC
(165) MMC CONTRACTORS NATIONAL
(166) MOAZ CONSTRUCTION
(167) MOSBY QUARRY
(168) MT CARMEL STABILIZATION GROUP
(169) NB WEST CONTRACTING CO
(170) NATIONAL STEEL CONSTRUCTION
(171) NATIONAL STREETSCAPE
(172) NODAWAY CONTRACTING CO
(173) NORTHERN PIPELINE CONSTRUCTION
(174) NORTHWEST CRANE SERVICE LLC
(175) OE LOCAL 150
(176) O'DONNELL & SONS CONST CO INC
(177) O'DONNELL-WAY CONSTRUCTION CO
(178) OLSENBEAL
(179) OPERATING ENGINEERS LOCAL 77
(180) P1 GROUP INC
(181) PCI ROADSLLC
(182) PETTIT RC EXCAVATING INC
(183) PHILLIPS HARDY INC
(184) PINK HILL PARTNERS
(185) PIPING & EQUIPMENT CO
(186) PRESTRESSED CASTING
(187) PRIME CONTRACTING INC
(188) PRO FIRE STOP LLC
(189) PULLMAN POWER PRODUCTS
(190) PURSELL DAMON CONSTR
(191) PYRAMID CONTRACTORS INC
(192) PYRAMID EXCAVATION & CONST
(193) QUALITY PLUMBING INC
(194) QUALITY ROOFING CO
(195) RAB INC
(196) RADMACHER BROS EXCAVATING
(197) RAINBOW CONSTRUCTION
(198) RAND CONSTRUCTION COMPANY
(199) REALM CONSTRUCTION INC
(200) REDFORD CONST CO INC
(201) RIEKE MAX & BROS
(202) RODENBERG DIVERSIFIED LLC
(203) RODRIGUEZ MECHANICAL CONT
(204) ROHRER JOHN CONTRACTING
(205) ROSETTA CONSTRUCTION LLC
(206) RYLIE EQUIP & CONTRACTING CO
(207) SANLIFT INC
(208) SCHMIDTLEIN EXCAVATING
(209) SCHRIMPF LANDSCAPING
(210) SCOTT BOB CRANE RENTAL
(211) SDS BUILDERS
(212) SEAL-O-MATIC PAVING CO
(213) SHAW (GEORGE J) CONST CO
(214) SINGER EXCAVATING CORP
(215) SINGLETON CONSTRUCTION COMPANY
(216) SITE RITE CONSTRUCTION CO INC
(217) SNYDER CONSTRUCTION
(218) SOIL INSTALLERS INC
(219) SPIRTAS WRECKING COMPANY
(220) SPRINGFIELD ENGINEERING CO
(221) SPRINGFIELD READY MIX CO
(222) SPRINGFIELD UNDERGROUND INC
(223) STERETT CONSTRUCTION CO INC
(224) STERLING BOILER & MECHANICAL
(225) STINNETT CONST CO INC
(226) TARLTON CORP
(227) TENOCH CONSTRUCTION INC
(228) THE BOLDT COMPANY
(229) THOMAS CRUSHING LLC
(230) TOWER PROPERTIES MAIN STREET
(231) TOWER PROPERTIES WALNUT STREET
(232) TRIO MASONRY
(233) TRUCK CRANE SERVICE CO
(234) TWI LLC
(235) U S ENGINEERING CO
(236) UNION TANK ERECTION INC
(237) UNIVERSAL WALL SYSTEMS INC
(238) VICS CRANE & HEAVY HAUL INC
(239) WALBRIDGE EQUIPMENT
(240) WESTERN CONSTRUCTION OF KS LLC
(241) WESTERN FIREPROOFING CO OF KS
(242) WIEDENMANN & GODFREY CONST
(243) WILKERSON CRANE RENTAL INC
(244) WILLIAM CROOK FIRE PROTECTION CO
(245) WILLIAMS CONSTRUCTION COMPANY
(246) WINBCO TANK CO
(247) WOLF CONSTRUCTION INC
(248) ZEBRA WELDING INC
(249) ALLEN'S MECHANICAL
(250) BREIT RK CONSTRUCTION SER
(251) CLARKIRON SERVICES LLC
(252) COBRA CONTRACTORS LLC
(253) MCCLAN CONSTRUCTION LLC
(254) SCHUETZ CONSTRUCTION LLC
(255) SEBER'S FIELD SERVICE
(256) SHEDIGS IT LLC
(257) MCCARTHY BUILDING COMPANIES
(258) ALL PURPOSE CONSTRUCTION
(259) ARNOLDS CUSTOM SEEDING
(260) ATP-OPERATING ENGINEERS LOCAL 03 FRINGE BENEFIT PFUNDS
(261) A-Y-1
(262) AZCO INC
(263) BARNHART CRANECRANE SALES
(264) BARNHART NORTHEAST
(265) BLM PROPERTIES LLC
(266) BLUELINE RENTAL FKA VRENTS LLC
(267) BRAGG CRANE SERVICE
(268) BRAND ENERGY & INFRASTRUCTURE
(269) BRAND SCAFFOLD
(270) BRANDENBURG INDUSTRIAL
(271) CENTRAL PENSION FUND
(272) CHESTER BROSS CONSTRUCTION CO
(273) CML INC
(274) CONCORP INC
(275) CONSTRUCTION & TURNAROUND SERVICES LLC
(276) DONALD MAGGI INC
(277) FLYNN SELLERS & MARQUIS LP
(278) GALLAGHER-KAISER CORP
(279) GEEDING CONSTRUCTION INC
(280) GRADECO CONSTR CO INC
(281) HAUPT CONSTRUCTION COMPANY
(282) INTERNATIONAL OPERATORS LOCAL 450 HEALTH & WELFARE FUND
(283) JM FAHEY
(284) KC INDUSTRIAL CONSTRUCTORS
(285) KIEWIT INFRASTRUCTURE CO
(286) LEAVENWORTH EXCAV & EQUIP CO
(287) LOCH SAND & CONSTRUCTION CO
(288) LUEDKE EXCAVATING
(289) MA MORTENSON CO
(290) MERCER TG CONSULTING SERVICES
(291) MICK'S EQUIPMENT REPAIR LLC
(292) OMEGA DEMOLITION CORP
(293) PHILLIPS CONSTRUCTION AND EXC
(294) POWERS TAYLOR MILLS ENG FOUND
(295) POWERS TRENCHING & EXCAVATING
(296) S & A CONTRACTING LLC
(297) SACHS CIVIL INC
(298) SOIL INSTALLERSHELITECH
(299) U S PIPELINE INC
(300) WALKERS CONTRACTING
(301) WALTERS EXCAVATING LLC

Schedule R (Form 990) 2015

Page 3

Part V

Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................

b Gift, grant, or capital contribution to related organization(s) ............................

c Gift, grant, or capital contribution from related organization(s) ............................

d Loans or loan guarantees to or for related organization(s) ............................

e Loans or loan guarantees by related organization(s) ............................

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

k Lease of facilities, equipment, or other assets from related organization(s) ......................

Yes

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

m Performance of services or membership or fundraising solicitations by related organization(s) .................

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

Yes

o Sharing of paid employees with related organization(s) ............................

Yes

p Reimbursement paid to related organization(s) for expenses ............................

Yes

q Reimbursement paid by related organization(s) for expenses ............................

Yes

r Other transfer of cash or property to related organization(s) ............................

s Other transfer of cash or property from related organization(s) ............................

Yes

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved

Schedule R (Form 990) 2015

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2015

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R (see instructions).

Return Reference	Explanation

Schedule R (Form 990) 2015

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: PROVIDE HEALTH AND WELFARE BENEFITS TO EMPLOYEES OF PARTICIPATING EMPLOYERS.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	6
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	0
5	Total number of individuals employed in calendar year 2015 (Part V, line 2a) ......	5	54
6	Total number of volunteers (estimate if necessary) .............	6	6
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	0
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	0	0
9	Program service revenue (Part VIII, line 2g) .........	36,517,582	37,569,312
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	792,901	1,213,719
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	4,246	2,581
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	37,314,729	38,785,612
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	0	0
14	Benefits paid to or for members (Part IX, column (A), line 4).....	31,430,002	35,302,392
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	426,554	116,237
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	3,733,411	3,749,812
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	35,589,967	39,168,441
19	Revenue less expenses. Subtract line 18 from line 12.......	1,724,762	-382,829
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	44,751,519	43,324,923
21	Total liabilities (Part X, line 26).............	945,374	737,641
22	Net assets or fund balances. Subtract line 21 from line 20.....	43,806,145	42,587,282

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )
	PROVISION OF HEALTH AND WELFARE BENEFITS FOR QUALIFIED EMPLOYEES OF THE PARTICIPATING EMPLOYERS. THERE ARE APPROXIMATELY 3,903 ELIGIBLE PARTICIPANTS.

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)		(D) Reportable compensation from the organization (W- 2/1099-MISC)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and Title
(1) RODGER KAMINSKA...................................................................... CO-CHAIRMAN	1.00 ................. 1.00	X	X	0	0	0
(2) DOUGLAS HALL...................................................................... CO-CHAIRMAN	1.00 ................. 1.00	X	X	0	0	0
(3) SCOTT RETTIG...................................................................... UNION TRUSTEE	1.00 ................. 2.00	X		0	172,679	31,117
(4) BERNARD JACQUINOT...................................................................... MANAGEMENT TRUSTEE	1.00 ................. 1.00	X		0	0	0
(5) JOHN O'DONNELL...................................................................... MANAGEMENT TRUSTEE, CO-CHAIRMAN	1.00 ................. 1.00	X	X	0	0	0
(6) AARON BROWN...................................................................... UNION TRUSTEE	1.00 ................. 1.00	X		0	129,688	31,117
(7) MATTHEW BOWEN...................................................................... MANAGEMENT TRUSTEE	1.00 ................. 1.00	X		0	0	0
(8) KURT CHAFFEE...................................................................... UNION TRUSTEE	1.00 ................. 1.00	X		0	129,779	33,510
(9) STEPHANIE MCLAUGHLIN...................................................................... PLAN ADMINISTRATOR	24.00 ................. 16.00		X	24,197	0	10,172

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	24,197	432,146	105,916

1a	Federated campaigns..	1a
b	Membership dues..	1b
c	Fundraising events..	1c
d	Related organizations	1d
e	Government grants (contributions)	1e

f	All other contributions, gifts, grants, and similar amounts not included above	1f

g	Noncash contributions included in lines 1a-1f:$
h Total.Add lines 1a-1f.......

			Business Code
2a	CONTRIBUTIONS	525100	37,550,584	37,550,584
b	COLLECTION FEES	525100	18,728	18,728
c
d
e
f	All other program service revenue.
g Total.Add lines 2a–2f.....			37,569,312

3 Investment income (including dividends, interest, and othersimilar amounts) ..........			1,120,446			1,120,446
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents
b	Less: rental expenses
c	Rental income or (loss)
d	Net rental income or (loss)......
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	16,107	8,898,679
b	Less: cost or other basis and sales expenses	21,320	8,800,193
c	Gain or (loss)	-5,213	98,486
d	Net gain or (loss).....			93,273			93,273
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
	a
b	Less: direct expenses ...b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
	a
b	Less: cost of goods sold ..b
c	Net income or (loss) from sales of inventory..
Business Code			Miscellaneous Revenue
11a	MISCELLANEOUS INCOME		525100	2,581			2,581
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			2,581
12	Total revenue. See Instructions......			38,785,612	37,569,312	0	1,216,300

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21
2	Grants and other assistance to individuals in the United States. See Part IV, line 22
3	Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16
4	Benefits paid to or for members	35,302,392
5	Compensation of current officers, directors, trustees, and key employees ....	12,291
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....
7	Other salaries and wages	55,093
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	41,637
9	Other employee benefits .......
10	Payroll taxes ...........	7,216
11	Fees for services (non-employees):
a	Management ......	2,783,502
b	Legal .........	111,264
c	Accounting ...........	37,603
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	91,914
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	63,498
12	Advertising and promotion ....
13	Office expenses .......	47,262
14	Information technology ......	21,657
15	Royalties ..
16	Occupancy ...........	16,525
17	Travel ............	862
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	1,651
20	Interest ...........
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	2,435
23	Insurance ...	7,115
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	ADMINISTRATION FEE	294,242
b	TRANSITIONAL REINSURANC	254,012
c	PCORI FEE	15,280
d	PROPERTY TAX	731
e	All other expenses	259
25	Total functional expenses. Add lines 1 through 24e	39,168,441
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			96,248	1	3,838,880
2	Savings and temporary cash investments .........			2,156,319	2	82,738
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			2,557,888	4	2,746,184
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
				66,771	6	115,164
7	Notes and loans receivable, net ....				7
8	Inventories for sale or use ........				8
9	Prepaid expenses and deferred charges ......			147,380	9	13,208
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	5,606
b	Less: accumulated depreciation	10b	5,606	30,313	10c	0
11	Investments—publicly traded securities .			24,259,581	11	23,301,013
12	Investments—other securities. See Part IV, line 11 .....			11,693,295	12	12,255,374
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			3,743,724	15	972,362
16	Total assets. Add lines 1 through 15 (must equal line 34)...			44,751,519	16	43,324,923

17	Accounts payable and accrued expenses .....	666,217	17	496,685
18	Grants payable ...		18
19	Deferred revenue .........		19
20	Tax-exempt bond liabilities .........		20
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..		22
23	Secured mortgages and notes payable to unrelated third parties ..		23
24	Unsecured notes and loans payable to unrelated third parties ..		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D	279,157	25	240,956
26	Total liabilities. Add lines 17 through 25..	945,374	26	737,641

	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets		27
28	Temporarily restricted net assets ...........		28
29	Permanently restricted net assets		29
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....	0	30	0
31	Paid-in or capital surplus, or land, building or equipment fund ...	0	31	0
32	Retained earnings, endowment, accumulated income, or other funds	43,806,145	32	42,587,282
33	Total net assets or fund balances ...........	43,806,145	33	42,587,282
34	Total liabilities and net assets/fund balances ........	44,751,519	34	43,324,923