Form990
Click to see attachment
Department of the TreasuryInternal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private
foundations)
MediumBullet Do not enter social security numbers on this form as it may be made public.
MediumBullet Information about Form 990 and its instructions is at www.IRS.gov/form990.
OMB No. 1545-0047
2015
Open to Public Inspection
A For the 2015 calendar year, or tax year beginning 04-01-2015 , and ending 03-31-2016
BCheck if applicable:
CName of organization
Painters District Council No 30
Health and Welfare Fund
 
Doing business as
 
 
Number and street (or P.O. box if mail is not delivered to street address)
1905 Sequoia Drive No 203
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
Aurora, IL60506
D Employer identification number

23-7072134
E Telephone number

G Gross receipts $ 66,697,140
F Name and address of principal officer:
Ryan Anderson
1905 Sequoia Drive Room 203
Aurora,IL60506
I
Tax-exempt status: ( 9 ) LeftBullet (insert no.) or
J
Website:MediumBullet
www.paintersdc30.com
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:  
L Year of formation: 1970
M State of legal domicile: IL
Part I
Summary
Activities  & Governance 1 Briefly describe the organization’s mission or most significant activities: See Schedule O for Organizations Mission.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 8
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 4
5 Total number of individuals employed in calendar year 2015 (Part V, line 2a) ...... 5 0
6 Total number of volunteers (estimate if necessary) ............. 6 0
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
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 0 0
9 Program service revenue (Part VIII, line 2g) ......... 17,666,590 18,871,858
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 357,921 114,418
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 6,628 392
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12) 18,031,139 18,986,668
Expenses; 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)..... 13,691,644 17,180,963
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 347,842 318,780
16a Professional fundraising fees (Part IX, column (A), line 11e) ..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 772,715 593,775
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 14,812,201 18,093,518
19 Revenue less expenses. Subtract line 18 from line 12....... 3,218,938 893,150
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 23,998,589 26,427,749
21 Total liabilities (Part X, line 26)............. 7,984,358 9,177,374
22 Net assets or fund balances. Subtract line 21 from line 20..... 16,014,231 17,250,375
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name MediumBullet
Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ..........
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y Form 990 (2015)
Form 990 (2015)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III ..............
1
Briefly describe the organization’s mission: Painters District Council No. 30 Health and Welfare Fund provides Health Care, Prescription, Death and disability benefits to eligible members and their dependents.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? .....................
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program
services? ...........................
If "Yes," describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
Employer Contributions provide health insurance coverage and disability benefits for participants of the Fund.
4b (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
Participants Contributions provide extended health benefits to members who are not working due to employee terminations and layoffs or labor disputes.
4c (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
The Fund performs payroll audits in accordance with the Fund's payroll audit policy to provide benefits to participants.
4d Other program services (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet  
Form 990 (2015)
Form 990 (2015)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule A.....................
1
 
No
2
Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? ...
2
 
No
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part I.............
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part II..............
4
 
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If "Yes," complete Schedule C, Part III.................
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part IClick to see attachment..................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part IIClick to see attachment...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes," complete Schedule D, Part III Click to see attachment.............
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IVClick to see attachment..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments? If "Yes," complete Schedule D, Part VClick to see attachment......
10
 
No
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10?
If "Yes," complete Schedule D, Part VI.Click to see attachment...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIClick to see attachment.......
11b
Yes
 
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIIClick to see attachment.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IXClick to see attachment............
11d
 
No
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part XClick to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part XClick to see attachment
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year?
If "Yes," complete Schedule D, Parts XI and XII Click to see attachment.................
12a
Yes
 
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
12b
 
No
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States? .....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV.....
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV...
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I (see instructions) ....
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III...................
19
 
No
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H....
20a
 
No
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return?
20b
 
 
Form 990 (2015)
Form 990 (2015)
Page 4
Part IV
Checklist of Required Schedules (continued)
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.....
21
 
No
22
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........
22
 
No
23
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5 about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J....................... Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a...............
24a
 
No
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds? ...............
24c
 
 
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
 
25a
Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I............
25a
 
 
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I ...................
25b
 
 
26
Did the organization report any amount on Part X, line 5, 6, or 22 for receivables from or payables to any current or former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons? If "Yes," complete Schedule L, Part II ................
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part III.........
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If "Yes," complete Schedule L,
Part IV
........................
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If "Yes," complete Schedule L, Part IV.....................
28b
 
No
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner? If "Yes," complete Schedule L, Part IV...
28c
 
No
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M .............
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N, Part I.
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II ...........
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I ........Click to see attachment
33
 
No
34
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1.........................Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
 
No
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2 ...
35b
 
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2.............
36
 
 
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2015)
Form 990 (2015)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V...........
Yes
No
1a
Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable ..
1a
158
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
 
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
0
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions)
2b
 
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
 
No
b
If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...
3b
 
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)? ..
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? ..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions? ...
6a
 
No
b
If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible? ......................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor? ....................
7a
 
No
b
If "Yes," did the organization notify the donor of the value of the goods or services provided? .....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282? .........................
7c
 
No
d
If "Yes," indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?
7e
 
 
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ..
7f
 
 
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required? ......................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C? ..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds.
Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year? .........................
8
 
 
9a
Did the sponsoring organization make any taxable distributions under section 4966?...
9a
 
 
b
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?...
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If "Yes," enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note.
See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
Form 990 (2015)
Form 990 (2015)
Page 6
Part VI
Governance, Management, and Disclosure For each "Yes" response to lines 2 through 7b below, and for a "No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response or note to any line in this Part VI ..............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year
1a
8
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent
1b
4
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
Yes
 
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? ...........................
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
Yes
 
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
 
No
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
 
No
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .......................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
 
No
b
Describe in Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If "No," go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe in Schedule O how this was done...................
12c
 
No
13
Did the organization have a written whistleblower policy? ...............
13
 
No
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
 
No
b
Other officers or key employees of the organization ................
15b
 
No
If "Yes" to line 15a or 15b, describe the process in Schedule O (see instructions).
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
 
No
b
If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, address, and telephone number of the person who possesses the organization's books and records:
MediumBulletAaron Anderson Fund Administrator1905 Sequoia Drive No 203   Aurora,IL60506 (630) 513-9500
Form 990 (2015)
Form 990 (2015)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line in this Part VII ..............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(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
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) Brian Dahl......................................................................
Trustee
1.00
.................
40.00
X           0 173,291 60,359
(2) rICK vANDERGRAFT......................................................................
trustee
1.00
.................
2.00
X           0 0 0
(3) RYAN ANDERSON......................................................................
Trustee
1.00
.................
40.00
X           0 222,292 67,864
(4) Brian Muscat......................................................................
Trustee
1.00
.................
40.00
X           0 120,052 55,326
(5) William Nielsen......................................................................
Trustee
1.00
.................
2.00
X           0 0 0
(6) Todd Dotson......................................................................
Trustee
1.00
.................
40.00
X           0 165,014 60,273
(7) Roy Dennis......................................................................
Trustee
1.00
.................
2.00
X           0 0 0
(8) Kelley Oates......................................................................
Trustee
1.00
.................
2.00
X           0 0 0
(9) Aaron Anderson......................................................................
Fund Administrator
8.00
.................
32.00
      X     0 199,745 65,506
















Form 990 (2015)
Form 990 (2015)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(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
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;


























1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)...........MediumBullet 0 880,394 309,328
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization MediumBullet0
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ..............
3
 
No
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such
individual
...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address
(B)
Description of services
(C)
Compensation
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet0
Form 990 (2015)
Form 990 (2015)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII .............
(A)
Total revenue
(B)
Related or
exempt
function
revenue
(C)
Unrelated
business
revenue
(D)
Revenue
excluded from
tax under sections
512-514
Contributions, Gifts, GrantAmt and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues..1b  
c Fundraising events..1c  
d Related organizations1d  
e Government grants (contributions)1e  
f All other contributions, gifts, grants, and similar amounts not included above1f  
g Noncash contributions included in lines 1a-1f:$  
h Total.Add lines 1a-1f.......MediumBullet  
 Program Service RevenueAmt Business Code
2a Employers Contributions 900099 17,858,435 17,858,435    
b Participants Contributions 900099 990,330 990,330    
c Employer Payroll Audit 900099 23,093 23,093    
d
e
f All other program service revenue.        
g Total.Add lines 2a–2f.....MediumBullet 18,871,858
 OtherAmt RevenueAmt 3 Investment income (including dividends, interest, and othersimilar amounts) ..........MediumBullet 256,365     256,365
4 Income from investment of tax-exempt bond proceedsMediumBullet        
5 Royalties...........MediumBullet        
(ii) Personal (i) Real
6a Gross rents    
b Less: rental expenses    
c Rental income or (loss)    
d Net rental income or (loss)......MediumBullet        
(ii) Other (i) Securities
7a Gross amount from sales of assets other than inventory   47,568,525
b Less: cost or other basis and sales expenses   47,710,472
c Gain or (loss)   -141,947
d Net gain or (loss).....MediumBullet -141,947     -141,947
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..MediumBullet      
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..MediumBullet        
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..MediumBullet        
Business Code Miscellaneous Revenue
11a Miscellaneous Income 900099 392 392    
b            
c            
d All other revenue ....        
e Total. Add lines 11a–11d ...... MediumBullet 392
12 Total revenue. See Instructions......MediumBullet 18,986,668 18,872,250 0 114,418
Form 990 (2015)
Form 990 (2015)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response or note to any line in this Part IX ..............
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII.
(A)
Total expenses
(B)
Program service expenses
(C)
Management and general expenses
(D)
Fundraising expenses
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 17,180,963  
5 Compensation of current officers, directors, trustees, and key employees .... 40,124      
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 172,157      
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....        
9 Other employee benefits ....... 88,637      
10 Payroll taxes ........... 17,862      
11 Fees for services (non-employees):        
a Management ......        
b Legal ......... 12,683      
c Accounting ........... 51,000      
d Lobbying ...........        
e Professional fundraising services. See Part IV, line 17    
f Investment management fees ...... 61,687      
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) 38,663      
12 Advertising and promotion ....        
13 Office expenses .......        
14 Information technology ...... 24,059      
15 Royalties ..        
16 Occupancy ...........        
17 Travel ............        
18 Payments of travel or entertainment expenses for any federal, state, or local public officials .        
19 Conferences, conventions, and meetings ....        
20 Interest ...........        
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization .. 5,345      
23 Insurance ... 1,475      
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 Self Administrative 298,974      
b Payroll Taxes on Disabi 32,470      
c Miscellaneous Expense 23,489      
d Affordable Care Act Tax 20,685      
e All other expenses 23,245      
25 Total functional expenses. Add lines 1 through 24e 18,093,518      
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 MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2015)
Form 990 (2015)
Page 11
Part X
Balance Sheet
Check if Schedule O contains a response or note to any line in this Part IX ..............
(A)
Beginning of year
(B)
End of year
Assets 1 Cash–non-interest-bearing ........ 423,204 1 129,566
2 Savings and temporary cash investments ......... 2,479,688 2 535,419
3 Pledges and grants receivable, net ......   3  
4 Accounts receivable, net ............. 1,434,616 4 1,383,691
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
  6  
7 Notes and loans receivable, net .... 50,303 7 44,428
8 Inventories for sale or use ........   8  
9 Prepaid expenses and deferred charges ...... 18,935 9 18,020
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 76,990
b Less: accumulated depreciation 10b 65,476 15,138 10c 11,514
11 Investments—publicly traded securities .   11  
12 Investments—other securities. See Part IV, line 11 ..... 0 12 24,120,796
13 Investments—program-related. See Part IV, line 11 .. 19,332,946 13 0
14 Intangible assets ...............   14  
15 Other assets. See Part IV, line 11 ........... 243,759 15 184,315
16 Total assets. Add lines 1 through 15 (must equal line 34)... 23,998,589 16 26,427,749
Liabilities 17 Accounts payable and accrued expenses ..... 133,358 17 31,374
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 7,851,000 25 9,146,000
26 Total liabilities. Add lines 17 through 25.. 7,984,358 26 9,177,374
Net Assets or Fund Balance Organizations that follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets 16,014,231 27 17,250,375
28 Temporarily restricted net assets ...........   28  
29 Permanently restricted net assets   29  
Organizations that do not follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds .....   30  
31 Paid-in or capital surplus, or land, building or equipment fund ...   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ........... 16,014,231 33 17,250,375
34 Total liabilities and net assets/fund balances ........ 23,998,589 34 26,427,749
Form 990 (2015)
Form 990 (2015)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI ..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
18,986,668
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
18,093,518
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
893,150
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
16,014,231
5
Net unrealized gains (losses) on investments ...............
5
342,994
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
0
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
17,250,375
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII .............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
 
No
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?
3a
 
No
b
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
 
 
Form 990 (2015)
Form 990 (2015)
Additional Data


Software ID:  
Software Version:  
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet 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
Painters District Council No 30
Health and Welfare Fund
Employer identification number

23-7072134
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 ....    
5
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? ...........
6
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? ............................
Part II
Conservation Easements. Complete if the organization answered "Yes" on Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
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.
Held at the End of the 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  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............
6
Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet $  
8
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)? .............................
9
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.
1a
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.
b
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 $  
2
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:
a
Revenue included on Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
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

Schedule D (Form 990) 2015
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
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):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
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?...
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.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
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  
2a
Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability?
b
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 ......          
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet  
b
Permanent endowment SchDMd Bullet  
c
Temporarily restricted endowment SchDMd Bullet  
The percentages on lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations .................
3a(i)
 
 
(ii) related organizations .................
3a(ii)
 
 
b
If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
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 ...        
e Other ...   76,990 65,476 11,514
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..SchDMdBullet 11,514
Schedule D (Form 990) 2015

Schedule D (Form 990) 2015
Page 3
Part VII
Investments—Other 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) Mutual Funds
5,918,390 F

(B) Mutual funds - MRA
2,961,301 F

(C) Collective Investment Fund
15,241,105 F
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet 24,120,796
Part VIII
Investments—Program 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.)Small Bullet  
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.)...........Small Bullet  
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  
Health Claims Payable 1,318,000
Claims incurred but not reported 297,000
Accumulated Eligibility Credits 7,531,000
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 9,146,000
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

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 19,329,662
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains (losses) on investments .... 2a 342,994
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 342,994
3 Subtract line 2e from line 1.................. 3 18,986,668
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  
b Other (Describe in Part XIII.) ........... 4b  
c Add lines 4a and 4b.................... 4c 0
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5 18,986,668
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 16,798,518
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  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d.................... 2e 0
3 Subtract line 2e from line 1................... 3 16,798,518
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  
b Other (Describe in Part XIII.) ............ 4b 1,295,000
c Add lines 4a and 4b..................... 4c 1,295,000
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5 18,093,518

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: PART X, LINE 2: 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 tax position that more likely than not would not be sustained upon examination by the Internal Revenue Service. Plan management has analyzed the tax positions taken by the plan, and has concluded that as of March 31, 2016, there are no uncertain tax 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. Plan management believes it is no longer subject to income tax examinations for years prior to 2013.
PART XII, LINE 4B - OTHER ADJUSMENTS: CHANGE IN PLAN BENEFIT OBLIGATIONS
Schedule D (Form 990) 2015


Additional Data


Software ID:  
Software Version:  




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
Painters District Council No 30
Health and Welfare Fund
Employer identification number

23-7072134
Part I
Questions Regarding Compensation
Yes
No
1a
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.
b
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 .........
1b
 
 
2
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? ..
2
 
 
3
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.
4
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:
a
Receive a severance payment or change-of-control payment? ................
4a
 
No
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
 
No
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
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.
5
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:
a
The organization? ...........................
5a
 
 
b
Any related organization?
5b
 
 
If "Yes," on line 5a or 5b, describe in Part III.
6
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:
a
The organization?
6a
 
 
b
Any related organization? .........................
6b
 
 
If "Yes," on line 6a or 6b, describe in Part III.
7
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 ............
7
 
 
8
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 .............................
8
 
 
9
If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2015

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
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
1Brian DahlTrustee (i)

(ii)
0
-------------
161,036
0
-------------
0
0
-------------
12,255
0
-------------
37,647
0
-------------
22,712
0
-------------
233,650
0
-------------
0
2RYAN ANDERSONTrustee (i)

(ii)
0
-------------
217,851
0
-------------
0
0
-------------
4,441
0
-------------
45,152
0
-------------
22,712
0
-------------
290,156
0
-------------
0
3Brian MuscatTrustee (i)

(ii)
0
-------------
118,370
0
-------------
0
0
-------------
1,682
0
-------------
32,614
0
-------------
22,712
0
-------------
175,378
0
-------------
0
4Todd DotsonTrustee (i)

(ii)
0
-------------
159,258
0
-------------
0
0
-------------
5,756
0
-------------
37,561
0
-------------
22,712
0
-------------
225,287
0
-------------
0
5Aaron AndersonFund Administrator (i)

(ii)
0
-------------
195,617
0
-------------
0
0
-------------
4,128
0
-------------
44,082
0
-------------
21,424
0
-------------
265,251
0
-------------
0
Schedule J (Form 990) 2015

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:  
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
Painters District Council No 30
Health and Welfare Fund
Employer identification number

23-7072134
Return Reference Explanation
Form 990, Page 1, Part I, Line 1 To provide Health and Welfare Benefits to Eligibile Participants and dependents.
Form 990, Part VI, Section A, line 2 Ryan Anderson, Trustee, is the brother of Aaron Anderson, Fund Administrator.
Form 990, Part VI, Section A, line 6 The Organization is made up of Eligible Participants.
Form 990, Part VI, Section B, line 11 The Form 990 is reviewed by the Controller and Fund Administrator.
Form 990, Part VI, Section C, line 18 The Organization makes its Form 990 available for public inspection upon request.
Form 990, Part VI, Section C, line 19 The Organization makes its governing documents, conflict of interest policy and financial statements available to the public upon request.
Form 990, Part VII rICK vANDERGRAFT - 1637 Cheyenne Lane, Normal, IL 61761. William Nielsen - 1033 Oliver Avenue, Aurora, IL 60506. Roy Dennis - 44W108 US Highway 20, Hampshire, IL 60140. Kelley Oates - 3486 Yale Bridge Drive, Rockton, IL 61072.
Form 990, Page 12, Part XII, Line 2C The process has not changed from prior year for the oversight of the audit of the financial statements or selection of independent auditors.
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:  
SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach 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
Painters District Council No 30
Health and Welfare Fund
Employer identification number

23-7072134
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?
Yes No
(1)Central Regional Conference of Allied Trades Dist Cnc'l No 30
2850 S 166th Street

New Berlin,WI53151
36-4429131
Organization of New Members WI 501(c)(5)    
 
No
(2)Painters and Allied Trades District Council No 30
1905 Sequoia Drive

Aurora,IL60506
36-1861338
Organization of New Members IL 501(c)(5)    
 
No
(3)Painters and Allied Trades District Council No 30 Pension Fund
1905 Sequoia Drive

Aurora,IL60506
36-6491120
Pension Benefits for Retired and Disabled Members IL 401(A)    
 
No
(4)International Union of Painters and Allied Trades
1750 New York Avenue NW

Washington,DC20006
35-0198600
Organization of New Members DC 501(c)(5)    
 
No
(5)Painters and Allied Trades District Council No 30 - JATF
1905 Sequoia Drive

Aurora,IL60506
36-2667869
Apprenticeship Training for New Members IL 501(c)(5)    
 
No
(6)Painters and Allied Trades District Council No 30 - LMIDF
1905 Sequoia Drive

Aurora,IL60506
32-0233172
Member Proactive Porgrams IL 501(c)(5)    
 
No
(7)Painters and Allied Trades District Council No 30 Realty LLC
1905 Sequoia Drive

Aurora,IL60506
27-0142061
Hold and Manage Real Estate IL 501(c)(2)    
 
No
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2015
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



(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(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?



(k)
Percentage
ownership


Yes No Yes No
(1) CELTIC COMMERCIAL PAINTING LLC

10204 WERCH DRIVE
Woodridge,IL60517
46-0900275
CONTRIBUTING EMPLOYER IL  
        No     No  
(2) CL COATINGS LLC

8450 WEST 191ST ST
Mokena,IL60448
20-0006209
CONTRIBUTING EMPLOYER IL  
        No     No  
(3) DENCO INTERIORS LLC

1612 w fULTON sTREET
CHICAGO,IL60612
CONTRIBUTING EMPLOYER IL  
        No     No  
(4) HANFLAND PAINTING CONT LLC

PO BOX 144
SIGEL,IL62462
CONTRIBUTING EMPLOYER IL  
        No     No  
(5) ILLINI GLASS SOLUTIONS LLC

1333 13TH STREET
EAST MOLINE,IL61244
CONTRIBUTING EMPLOYER IL  
        No     No  
(6) J SPENCER CONSTRUCTION LLC

2028 WAREHOUSE RD
NORMAL,IL61761
CONTRIBUTING EMPLOYER IL  
        No     No  
(7) JDM LLC

5400 NEWPORT DRIVE
ROLLING MEADOWS,IL60008
CONTRIBUTING EMPLOYER IL  
        No     No  
(8) JMR BUILDERS LLC

18704 PINON TR
MARENGO,IL60152
CONTRIBUTING EMPLOYER IL  
        No     No  
(9) K&J PAINTING LLC

732 NORTH STREET
GENEVA,IL60134
CONTRIBUTING EMPLOYER IL  
        No     No  
(10) NILES INDUSTRIAL COATINGS LLC

201 S ALLOY DR
FENTON,MI48430
CONTRIBUTING EMPLOYER MI  
        No     No  
(11) RIVERSIDE INTERIORS LLC

1287 LOURDES RD
METAMORA,IL61548
CONTRIBUTING EMPLOYER IL  
        No     No  
(12) SEI COATINGS LLC

8450 W 191ST ST
Mokena,IL60448
CONTRIBUTING EMPLOYER IL  
        No     No  
(13) SMART INTERIORS LLC

21200 S LAGRANGE RD 130
FRANKFORT,IL60423
CONTRIBUTING EMPLOYER IL  
        No     No  
(14) TRIANGLE DECORATING CO

710 REMINGTON ROAD
Schaumburg,IL60173
56-2292018
CONTRIBUTING EMPLOYER IL  
        No     No  
(15) WRIGHT-WAY INT SYS - 157

72 EICHORN ROAD
Spring Bay,IL61611
42-1689404
CONTRIBUTING EMPLOYER IL  
        No     No  
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
(h)
Percentage
ownership
(i)
Section 512(b)(13) controlled entity?
Yes No
(1) A & R HARRIS CONST CO - 607

6287 WHITE DOVE RD
ROSCOE,IL61073
80-0463246
CONTRIBUTING EMPLOYER IL  
C         No
(2) A GRAMER PAINTING & DECORATING

501 MAPLE STREET
PROSPECT HEIGHTS,IL60071
36-3009269
CONTRIBUTING EMPLOYER IL  
C         No
(3) ACE STRIPING INC - 157

PO BOX 27
GROVELAND,IL61535
37-1405153
CONTRIBUTING EMPLOYER IL  
C         No
(4) ADA DEC OF STERLING -607

1802 16TH AVE
STERLING,IL61081
36-3383207
CONTRIBUTING EMPLOYER IL  
C         No
(5) AIRTITE CONTRACTORS INC

343 CAROL LANE
ELMHURST,IL60126
20-0341479
CONTRIBUTING EMPLOYER IL  
C         No
(6) ALCA INC

161 TOWER RD
BURR RIDGE,IL60527
36-2495720
CONTRIBUTING EMPLOYER IL  
C         No
(7) ALEXANDER CONST INC - 467

1511 COMMERCE DRIVE
BOURBONNAIS,IL60914
36-3044717
CONTRIBUTING EMPLOYER IL  
S         No
(8) ALL AMERICAN PTG & DEC INC

PO box 37
Crete,IL60417
cONTRIBUTING EMPLOYER IL  
S         No
(9) ALL STATES PAINTING

PO BOX 110
ALEXANDER,IL62601
Contributing Employer IL  
C         No
(10) ALL TECH

1227 NAPERVILLE DRIVE
ROMEOVILLE,IL60446
36-3310320
CONTRIBUTING EMPLOYER IL  
S         No
(11) ALLIANCE DRWL & ACOUST INC

1080 TOWER LANE
BENSENVILLE,IL60106
20-2563834
CONTRIBUTING EMPLOYER IL  
C         No
(12) ALLIED CONS SERVICE - 157

PO BOX 937
DES MOINES,IA50304
CONTRIBUTING EMPLOYER IL  
S         No
(13) AM - COAT PAINTING INC

17201 SOUTH PARKER RD
HOMER GLEN,IL60491
36-3245473
CONTRIBUTING EMPLOYER IL  
C         No
(14) ANDERSON MORAN CONSTRUCTION

PO BOX 5008
WHEATON,IL60189
36-4315890
CONTRIBUTING EMPLOYER IL  
S         No
(15) ANNING JOHNSON COMPANY

1959 ANSON DRIVE
Melrose Park,IL60160
cONTRIBUTING EMPLOYER IL  
S         No
(16) APRIL DECORATING INC

6 N 606 CENTRAL AVE
WooD DALE,IL60191
cONTRIBUTING EMPLOYER IL  
S         No
(17) ARNO DECORATING CO INC

1513 WRIGHT BLVD
SCHAUMBURG,IL60193
Contributing Employer IL  
C         No
(18) ART WORKS - 607

807 N CHICAGO AVE
ROCKFORD,IL61107
37-1296653
CONTRIBUTING EMPLOYER IL  
C         No
(19) ASCHER BROTHERS COMPANY INC

3033 WEST FLETCHER STREET
Chicago,IL60618
cONTRIBUTING EMPLOYER IL  
S         No
(20) ASHLAUR CONSTRUCTION

509 E 75TH ST
CHICAGO,IL60619
Contributing Employer IL  
C         No
(21) ASPEN COMMERCIAL PAINTING INC

6475 JOLIET ROAD
COUNTRYSIDE,IL60525
46-1882467
CONTRIBUTING EMPLOYER IL  
S         No
(22) ASPEN CONSTRUCTION SYS INC

2619 CROSBY ST
ROCKFORD,IL61107
20-0531119
CONTRIBUTING EMPLOYER IL  
C         No
(23) ASSOC CONSTRUCTORS CO - 209

103 CAROLINE ST
BLOOMINGTON,IL61701
37-1199726
CONTRIBUTING EMPLOYER IL  
C         No
(24) BACON & VAN BUSKIRK - G157

801 S NEIL STREET
CHAMPAIGN,IL61820
37-0903310
CONTRIBUTING EMPLOYER IL  
S         No
(25) Bazan Painting Company

1273 N PRICE RD
ST LOUIS,MO63132
43-1116593
cONTRIBUTING EMPLOYER MO  
C         No
(26) BEAR CONSTRUCTION COMPANY

1501 ROHLWING ROAD
ROLLING MEADOWS,IL60008
36-3351654
CONTRIBUTING EMPLOYER IL  
C         No
(27) BEDROCK PAINTING INC - 209

3317 PEPPERTREE LANE
BLOOMINGTON,IL61704
36-4551659
CONTRIBUTING EMPLOYER IL  
S         No
(28) BERTEL PETERSON COMPANY-607

5378 MAINSAIL DR
ROSCOE,IL61073
36-2447753
CONTRIBUTING EMPLOYER IL  
S         No
(29) BISHOP BROS INC-LU157

PO BOX 3854
PEORIA,IL61612
37-1082827
CONTRIBUTING EMPLOYER IL  
C         No
(30) BLUE SKY MC INC

PO BOX 624
ELK GROVE VILLAGE,IL60009
Contributing Employer IL  
C         No
(31) BOWNE PAINTING

609 6TH STREET
MENDOTA,IL61342
36-3560865
CONTRIBUTING EMPLOYER IL  
C         No
(32) BRANDENBURG PAINTING & DECORAT

103 S BARTON TRAILS
BataVIA,IL60510
cONTRIBUTING EMPLOYER IL  
S         No
(33) BROCK INDUSTRIAL SERVICES LLC

2210 OAKLEAF ST
JOLIET,IL60436
Contributing Employer IL  
C         No
(34) BROOKDALE DECORATING INC

3623 BREITWIESER LANE
NAPERVILLE,IL60564
87-0769205
CONTRIBUTING EMPLOYER IL  
C         No
(35) BROOKWOOD BUILDERS INC

801 CIRCLE AVE
FOREST PARK,IL60130
36-3246291
CONTRIBUTING EMPLOYER IL  
C         No
(36) BUILDERS SALES & SERVICE -209

PO BOX 890
MOLINE,IL612660889
36-2049371
CONTRIBUTING EMPLOYER IL  
C         No
(37) BURKS BROTHERS DRYWALL INC

1207 BADGER STREET
YORKVILLE,IL60560
36-3437919
CONTRIBUTING EMPLOYER IL  
C         No
(38) BUTLER DRWL & PAINT SERV INC

8710 S ROOD ROAD
KINGSTON,IL60145
54-2145418
CONTRIBUTING EMPLOYER IL  
C         No
(39) C & W BUILDING SERV INC

1444 W LAKE ST
CHICAGO,IL60607
36-3961852
CONTRIBUTING EMPLOYER IL  
C         No
(40) CD DRYWALL SERVICES INC

4931 W 173RD STREET
COUNTRY CLUB HILLS,IL60478
73-1735336
CONTRIBUTING EMPLOYER IL  
S         No
(41) CALIBER CONSTRUCTION CO

1940 INTERNATIONAL PKWY
WOODRIDGE,IL60517
36-4370182
CONTRIBUTING EMPLOYER IL  
C         No
(42) CANNON SLINE INDUSTRIAL INC

2 LUKENS DRIVE
New Castle,DE46320
cONTRIBUTING EMPLOYER DE  
S         No
(43) CARDINAL GLASS CO

1630 E STATE STREET
DE KALB,IL60115
CONTRIBUTING EMPLOYER IL  
C         No
(44) CARDINAL GLASS CO - 1355

1087 RESEARCH PARKWAY
ROCKFORD,IL611050707
36-2583467
CONTRIBUTING EMPLOYER IL  
C         No
(45) CARMICHAEL CONSTRUCTION INC

1080 e grant hwy
marengo,IL60152
cONTRIBUTING EMPLOYER IL  
S         No
(46) CCL CORPORATION

121 AIRPORT DRIVE UNIT H
JOLIET,IL60431
CONTRIBUTING EMPLOYER IL  
C         No
(47) CENTRAL PAINTING

PO BOX 606
ST JOHN,IN46373
Contributing Employer IN  
C         No
(48) CHAMPION DRYWALL INC

24121 NORTHERN ILL DRIVE
CHANNAHON,IL60410
36-3963909
CONTRIBUTING EMPLOYER IL  
C         No
(49) CHICAGO PAINTERS & DEC

18861 90TH AVE
MOKENA,IL60561
Contributing Employer IL  
C         No
(50) City of Peoria - 157

419 Fulton
Peoria,IL61602
cONTRIBUTING EMPLOYER IL  
S         No
(51) CLARION CONST INC

87 EISENHOWER LANE SOUTH
LOMBARD,IL60148
36-3635108
CONTRIBUTING EMPLOYER IL  
S         No
(52) COATINGS UNLIMITED INC-607

4325 BRIDGETON INDUSTRIAL
BRIDGETON,MO630441263
43-0706513
CONTRIBUTING EMPLOYER MO  
C         No
(53) COLOR COATED PTG&DEC DBA TATR

PO BOX 432
CLIFTON,IL60927
Contributing Employer IL  
C         No
(54) COMBINED TAPING & PAINTING

15561 BOMBAY BLVD
SOUTH BELOIT,IL60180
36-2053082
CONTRIBUTING EMPLOYER IL  
C         No
(55) COMMERCIAL & INDUST CTGS 209

103 S PRAIRIE
BLOOMINGTON,IL61701
36-4170826
CONTRIBUTING EMPLOYER IL  
S         No
(56) COMMERCIAL GLASS CO - G157

914 W DETWEILLER DRIVE
PEORIA,IL61615
37-1069581
CONTRIBUTING EMPLOYER IL  
C         No
(57) COMPRO PAINTING & DECORATING S

10 S 160 RAMM DRIVE
NAPERVILLE,IL60564
36-3689619
CONTRIBUTING EMPLOYER IL  
S         No
(58) CONST IND OF CENTRAL IL-157

WELFUND FUND
CHAMPAIGN,IL61820
Contributing Employer IL  
C         No
(59) CONTEMP HAMMER WORKS INC-607

750 N MADISON ST
ROCKFORD,IL61107
36-4411963
CONTRIBUTING EMPLOYER IL  
S         No
(60) CONTINENTAL PAINTING & DECORAT

2255 S WABASH
CHICAGO,IL60616
36-3933254
CONTRIBUTING EMPLOYER IL  
S         No
(61) COOK PAINTING INC - 157

P O BOX 515
WASHBURN,IL61570
37-1306370
CONTRIBUTING EMPLOYER IL  
C         No
(62) COSGROVE CONSTRUCTION INC

20654 AMHERST CT
JOLIET,IL60433
36-3805778
CONTRIBUTING EMPLOYER IL  
S         No
(63) Cote Decorating Co

7099 Santa Fe Dr
Hodgkins,IL60525
coNTRIBUTING EMPLOYER IL  
S         No
(64) CRONKHITE PTG & DEC - 157

1925 WOODLAND KNOLLS RD
METAMORA,IL61548
20-4242023
CONTRIBUTING EMPLOYER IL  
C         No
(65) CROWN COMMERCIAL PAINTING INC

10124 W 187TH ST
MOKENA,IL60448
27-2709310
CONTRIBUTING EMPLOYER IL  
C         No
(66) D & M CONST SERV INC

9835 CLEARVUE CT
MOKENA,IL60448
56-2334643
CONTRIBUTING EMPLOYER IL  
C         No
(67) DES PAINTING INC

6466 W NORTH AVE
CHICAGO,IL60707
36-3272156
CONTRIBUTING EMPLOYER IL  
C         No
(68) DBM SERVICES INC

16W107 83RD ST
BURR RIDGE,IL60527
36-4280642
CONTRIBUTING EMPLOYER IL  
C         No
(69) DEKALB CONTRACT GLAZING - 1355

207 N 6TH STREET
DE KALB,IL60115
36-3670702
CONTRIBUTING EMPLOYER IL  
S         No
(70) DELGAR CONSTRUCTION CO INC

5231 S CICERO AVE
CHICAGO,IL60632
Contributing Employer IL  
C         No
(71) DELTA PAINTING INC

1217 HICKEY STREET
hoBART,IN46342
cONTRIBUTING EMPLOYER IN  
S         No
(72) DEMOS PAINTING & DEC INC

1730 W BELMONT AVE
Chicago,IL60657
cONTRIBUTING EMPLOYER IL  
S         No
(73) DENK & ROCHE BUILDERS INC

104 GATEWAY ROAD
BENSENVILLE,IL60106
CONTRIBUTING EMPLOYER IL  
C         No
(74) DIAMOND DECORATING

29W019 COLFORD AVE
WEST CHICAGO,IL60185
36-3606741
CONTRIBUTING EMPLOYER IL  
C         No
(75) DIAZ INTERIOR CONTRACTORS

25220 CANAL ROAD N
MINOOKA,IL60447
36-3770881
CONTRIBUTING EMPLOYER IL  
S         No
(76) DOHERTY CONSTRUCTION INC

163 N VALLEY HILL ROAD
WOODSTOCK,IL60098
36-3855369
CONTRIBUTING EMPLOYER IL  
S         No
(77) DRAGOO PAINTING INC - 157

P O BOX 722
PEORIA,IL61652
36-2692349
CONTRIBUTING EMPLOYER IL  
C         No
(78) DURANGO PAINTING

2846 COASTAL DR
AURORA,IL60503
36-4423762
CONTRIBUTING EMPLOYER IL  
C         No
(79) EAGLE PAINTING & MAINT CO

1865 BERNICE RD
LANSING,IL60438
75-3124141
CONTRIBUTING EMPLOYER IL  
C         No
(80) EAST MOLINE GLASS CO-G157

1333 13TH ST
EAST MOLINE,IL61244
36-3183595
CONTRIBUTING EMPLOYER IL  
S         No
(81) ECS-EQUITY CONST SERV INC

1314 KENSINGTON ROAD
OAK BROOK,IL60522
13-4247719
CONTRIBUTING EMPLOYER IL  
S         No
(82) EIRENE BUILDERS INC

14417 S UNION AVE
RIVERDALE,IL60827
Contributing Employer IL  
C         No
(83) ELITE PAINTING INC - 157

1428 PIERSON AVE
WEST PEORIA,IL61604
37-1322689
CONTRIBUTING EMPLOYER IL  
C         No
(84) EMCO INTERIORS INC

880 N ADDISON
Elmhurst,IL60126
cONTRIBUTING EMPLOYER IL  
S         No
(85) ENCLOS CORP

2770 BLUE WATER ROAD
Eagan,MN55121
cONTRIBUTING EMPLOYER MN  
S         No
(86) ERA VALDIVIA CONTRACTORS INC

11909 AVE O
CHICAGO,IL60617
36-3526376
CONTRIBUTING EMPLOYER IL  
S         No
(87) ESPINOZA DECORATING INC

2231 N ROCKWELL
CHICAGO,IL60647
36-4223203
CONTRIBUTING EMPLOYER IL  
S         No
(88) EURO ARCHITECT PROD INC-1355

1307 HOWARD ST
ELK GROVE VILLAGE,IL60007
Contributing Employer IL  
C         No
(89) EXECUTIVE PAINTING INC - 607

2224 23RD AVENUE
ROCKFORD,IL61104
20-8066892
CONTRIBUTING EMPLOYER IL  
C         No
(90) F C I CONSTRUCTION

735 A N YALE AVE
VILLA PARK,IL60181
36-3617305
CONTRIBUTING EMPLOYER IL  
C         No
(91) F J ROBINSON CONT - 157

PO BOX 10557
PEORIA,IL616120557
CONTRIBUTING EMPLOYER IL  
C         No
(92) FEHR PAINTING - 157

914 W GRAND OAK DRIVE
PEORIA,IL61615
37-1025235
CONTRIBUTING EMPLOYER IL  
C         No
(93) FIRST LOOK DESIGN INC

11423 ABBEY ROAD
MOKENA,IL60448
36-4468474
CONTRIBUTING EMPLOYER IL  
C         No
(94) FIVE STAR DECORATING INC

930 S STILE DR
ADDISON,IL60101
36-3902151
CONTRIBUTING EMPLOYER IL  
C         No
(95) FOREST CITY DECORATORS-607

PO BOX 2596
ROCKFORD,IL61132
36-3288797
CONTRIBUTING EMPLOYER IL  
C         No
(96) FREGA PAINTING & DEC INC

1041 WOODLAND AVENUE
BATAVIA,IL60510
CONTRIBUTING EMPLOYER IL  
C         No
(97) FREGA RESIDENTIAL

1041 WOODLAND AVE
BATAVIA,IL60510
CONTRIBUTING EMPLOYER IL  
C         No
(98) FRONT RUNNER GLS & MTL-G607

470 W NORTH FRONTAGE ROAD
bolINGBROOK,IL60440
cONTRIBUTING EMPLOYER IL  
S         No
(99) GC ZARNAS & CO INC-157

850 JENNINGS ST
BETHLEHEM,PA18017
23-1670134
CONTRIBUTING EMPLOYER PA  
C         No
(100) GALAXY PAINTING LTD - 467

4782 W STATE RTE 17
KANKAKEE,IL60901
36-4068212
CONTRIBUTING EMPLOYER IL  
C         No
(101) GALESBURG GLASS CO INC-G607

DBA TD KURTZ GLASS CO
ROCK FALLS,IL61071
37-0696089
CONTRIBUTING EMPLOYER IL  
S         No
(102) GALOMEX CORPORATION

14620 S 108TH AVE
ORLAND PARK,IL60467
Contributing Employer IL  
C         No
(103) GEORGE YOUNG & SONS PTG-157

2600 S W WASHINGTON ST
PEORIA,IL61651
37-0789310
CONTRIBUTING EMPLOYER IL  
C         No
(104) GILLIAM BUILDERS - LU467

101 W TAYLOR ST
GRANT PARK,IL60940
Contributing Employer IL  
C         No
(105) GLASS DOCTOR OF PEO & BLOOM-G157

316 S DETROIT
MORTON,IL61550
Contributing Employer IL  
C         No
(106) GLAZ & GLASS LU 941

PO BOX 510308
NEW BERLIN,WI53151
cONTRIBUTING EMPLOYER WI  
C         No
(107) GLEN BRAKEBILL PNTG - 157

7667 W CHESTNUT LANE
EDWARDS,IL61528
37-1008061
CONTRIBUTING EMPLOYER IL  
C         No
(108) GRAWEY GLASS CO - G157

901 S W ADAMS ST
PEORIA,IL61602
37-1391274
CONTRIBUTING EMPLOYER IL  
C         No
(109) H & H BUILDERS INC - 465

702 2ND ST
MENDOTA,IL613420553
36-3880861
CONTRIBUTING EMPLOYER IL  
S         No
(110) H & H DECORATING INC

PO BOX 386
S ELGIN,IL60177
20-1167852
CONTRIBUTING EMPLOYER IL  
C         No
(111) H REYNOLDS PAINTING - 467

635 S ROSEWOOD
KANKAKEE,IL60901
36-4368898
CONTRIBUTING EMPLOYER IL  
C         No
(112) HARDIN SIGNS - 157

3663 MEADOWBROOK
PEORIA,IL61604
37-0900677
CONTRIBUTING EMPLOYER IL  
C         No
(113) HARMON INTERIORS

609 PLYMOUTH CT
GURNEE,IL60031
Contributing Employer IL  
C         No
(114) HDS II INC

21024 ST JAMES CT
MOKENA,IL60448
80-0412397
CONTRIBUTING EMPLOYER IL  
C         No
(115) HEINTZ CONSTRUCTION INC

13900 VAN DYKE ROAD
PLAINFIELD,IL60544
36-3228978
cONTRIBUTING EMPLOYER IL  
S         No
(116) HEITKOTTER INC

1700 INDUSTRIAL DRIVE
MONTGOMERY,IL605380809
36-2975982
CONTRIBUTING EMPLOYER IL  
C         No
(117) HERITAGE CARPENTRY

5344 NEWBURG RD
BELVIDERE,IL61008
36-4464404
cONTRIBUTING EMPLOYER IL  
C         No
(118) HESTER PAINTING & DECORATING

7340 N MONTICELLO
SKOKIE,IL60076
36-2665670
CONTRIBUTING EMPLOYER IL  
C         No
(119) HOOPS PAINTING - 157

21586 EAST BRAD
CANTON,IL61520
20-0711720
CONTRIBUTING EMPLOYER IL  
C         No
(120) ILLINOIS STATE UNIVERSITY-209

FACILITY MANAGEMENT DEPT
NORMAL,IL617909000
cONTRIBUTING EMPLOYER IL  
C         No
(121) INDIANA STATE COUNCIL OF ROOFERS

PO BOX 5769
LAFAYETE,IN47903
cONTRIBUTING EMPLOYER IN  
C         No
(122) INDUSTRIAL SERVICES GROUP-LU15

318 NEELEY ST
Sumter,SC29150
cONTRIBUTING EMPLOYER SC  
S         No
(123) INTERIOR INSTALLATION SVCS INC

1642 WESTERN AVENUE
GREEN BAY,WI54303
Contributing Employer WI  
C         No
(124) INTERNATIONAL DECORATORS INC

28059 W COMMERCIAL AVENUE
BARRINGTON,IL600102443
CONTRIBUTING EMPLOYER IL  
S         No
(125) J & M DECORATING INC

205 FAIRBANK ST
ADDISON,IL60101
36-4057994
CONTRIBUTING EMPLOYER IL  
S         No
(126) J M C CONSTRUCTION INC

10319 VANS DR
FRANKFORT,IL60423
36-3939957
CONTRIBUTING EMPLOYER IL  
C         No
(127) JC ANDERSON INC

834 N CHURCH ROAD
ELMHURST,IL60126
36-0735110
CONTRIBUTING EMPLOYER IL  
S         No
(128) JC'S UNITED BUILDING MAINT INC

165 EASY STREET
CAROL STREAM,IL60188
36-3337862
CONTRIBUTING EMPLOYER IL  
S         No
(129) JETCO

PO BOX 908
LAKE ZURICH,IL60047
36-2599147
CONTRIBUTING EMPLOYER IL  
C         No
(130) JF CARPENTRY SERVICES INC

9226 WEST GRAND AVE
FRANKLIN PARK,IL60131
CONTRIBUTING EMPLOYER IL  
S         No
(131) JOHN A PAPALAS & CO - 607

1187 EMPIRE AVE
LINCOLN PARK,MI48146
Contributing Employer MI  
C         No
(132) JONES & SULLIVAN ENT INC-209

2955 N DINNEEN ST
DECATUR,IL62526
Contributing Employer IL  
C         No
(133) JP PHILLIPS INC

3220 WOLF ROAD
FRANKLIN PARK,IL60131
36-3878124
CONTRIBUTING EMPLOYER IL  
S         No
(134) K & E PTG & DEC INC

927 DILLON DR
WOOD DALE,IL60191
02-0758931
CONTRIBUTING EMPLOYER IL  
S         No
(135) KANKAKEE SCHL #111 - 467

ATTN PAYROLL
KANKAKEE,IL60901
Contributing Employer IL  
C         No
(136) KELLY GLASS INC - G157

2400 S W ADAMS ST
PEORIA,IL61602
36-1133561
CONTRIBUTING EMPLOYER IL  
C         No
(137) KEMPER CONSTRUCTION -157

PO BOX 492
CANTON,IL61520
37-1323852
CONTRIBUTING EMPLOYER IL  
C         No
(138) KEVIN NUGENT CONSTRUCTION INC

106 MOONEY DRIVE
BOURBONNIAS,IL60914
CONTRIBUTING EMPLOYER IL  
C         No
(139) KLECKNER INT SYSTEMS INC

1176 DOMON LANE
CHESTERTON,IN46304
Contributing Employer IN  
C         No
(140) KLEIN DICKERT GLASS

PO BOX 259410
MADISON,WI53725
36-2707870
cONTRIBUTING EMPLOYER WI  
C         No
(141) KOJA CONST INC - 607

PO BOX 296
BELOIT,WI53511
39-1978268
CONTRIBUTING EMPLOYER IL  
S         No
(142) KOLE CONSTRUCTION

1235 NAPERVILLE DR
ROMEOVILLE,IL60446
36-3702672
CONTRIBUTING EMPLOYER IL  
S         No
(143) KOOLMASTER CO INC - G157

300 SECOND ST
LASALLE,IL613012397
36-2672340
CONTRIBUTING EMPLOYER IL  
C         No
(144) LJ MORSE CONST CO

128 S BROADWAY
AURORA,IL60505
36-3944738
CONTRIBUTING EMPLOYER IL  
C         No
(145) LA NEE DECORATING

PO BOX 1127
N RIVERSIDE,IL60546
36-3338673
CONTRIBUTING EMPLOYER IL  
C         No
(146) LAKEWOOD CARPENTRY SERVICES

1540 HANNAH AVE
FOREST PARK,IL601302630
36-3560972
CONTRIBUTING EMPLOYER IL  
S         No
(147) LANKFORD CONST CO

1455 KARLENS WAY
JOHNSBURG,IL60050
36-2786008
CONTRIBUTING EMPLOYER IL  
C         No
(148) LECUYER PTG & DEC INC

313 DAVIS STREET
SANDWICH,IL60548
36-3573269
CONTRIBUTING EMPLOYER IL  
S         No
(149) LEOPARDO COMPANIES INC

5200 STONE PARKWAY
HOFFMAN ESTATES,IL60192
CONTRIBUTING EMPLOYER IL  
S         No
(150) LOHRE PAITNING CO INC

1750 HARDING ROAD
NORTHFIELD,IL60093
36-2845001
CONTRIBUTING EMPLOYER IL  
C         No
(151) M PERDUE PTG & CTGS INC-157

301 ZINSER PLACE
WASHINGTON,IL61571
37-1323508
CONTRIBUTING EMPLOYER IL  
C         No
(152) MARIN BROS INC

2293 CORNELL AVENUE
MONTGOMERY,IL60538
20-8601128
CONTRIBUTING EMPLOYER IL  
C         No
(153) MARKET CONTRACTING

4201 W 36TH ST
CHICAGO,IL60632
cONTRIBUTING EMPLOYER IL  
C         No
(154) MATAN'S PAINTING & DECORATING

175 SOUTH WHEELING ROAD
WHEELING,IL60090
36-2709178
CONTRIBUTING EMPLOYER IL  
C         No
(155) MATRIX NAC

701 TECHNOLOGY DR
CANONSBURG,PA15317
Contributing Employer PA  
C         No
(156) MATT'S ABILITY GLASS SER-G607

905 22ND STREET
ROCKFORD,IL61108
46-2837543
CONTRIBUTING EMPLOYER IL  
C         No
(157) MAXCOR INC

900 COUNTRY CREEK DRIVE
NEW LENOX,IL60451
36-3941657
CONTRIBUTING EMPLOYER IL  
C         No
(158) MAY DECORATING II INC

520 W SHADY LANE RD
PALATINE,IL60074
20-3508418
CONTRIBUTING EMPLOYER IL  
C         No
(159) MC CLANAHAN PTG INC - 157

7905 W ROBERTSON RD
EDWARDS,IL61528
37-1327316
CONTRIBUTING EMPLOYER IL  
S         No
(160) MC GINNESS DECORATING INC

1105 JANET AVENUE
DARIEN,IL60561
36-4005319
CONTRIBUTING EMPLOYER IL  
C         No
(161) MC LEAN COUNTY GLASS - G157

903 W LOCUST ST
BLOOMINGTON,IL61701
CONTRIBUTING EMPLOYER IL  
C         No
(162) MEYER CONSTRUCTION

232 OAKWOOD RD
LAKE ZURICH,IL60047
Contributing Employer IL  
C         No
(163) MICHIGAN STATE PAINTERS

6525 Senturion Dr
Lansing,MI48917
cONTRIBUTING EMPLOYER MI  
S         No
(164) MID AMERICAN GLAZING SYS-G607

3750 WEST RIVER DRIVE
DAVENPORT,IA52802
Contributing Employer IA  
C         No
(165) MID-IL COMPANIES - 157

905 NE ADAMS
PEORIA,IL61603
37-0923363
CONTRIBUTING EMPLOYER IL  
C         No
(166) MIDWEST ARCHITECTURAL GLASS

1005 PLAINFIELD RD
JOLIET,IL60435
27-0087206
CONTRIBUTING EMPLOYER IL  
C         No
(167) MIDWEST COM COATINGS INC-209

PO BOX 1121
MAHOMET,IL61853
20-2636553
CONTRIBUTING EMPLOYER IL  
S         No
(168) MIDWEST DECORATING INC

44W108 U S HWY 20
HAMPSHIRE,IL60140
71-0952474
CONTRIBUTING EMPLOYER IL  
S         No
(169) MIDWEST PAINTING - 607

1017 RIVER LANE
LOVES PARK,IL61111
73-1701155
CONTRIBUTING EMPLOYER IL  
S         No
(170) MIDWEST PTG & WALLCOVERING INC

PO BOX 218
CAPE GIRARDEAU,MO63701
Contributing Employer MO  
C         No
(171) MORRISSEY CONTRACTING INC -157

PO BOX 67
GODFREY,IL62035
Contributing Employer IL  
C         No
(172) MSM SOLUTIONS INC

855 E 22ND ST
LOMBARD,IL60148
20-0350059
CONTRIBUTING EMPLOYER IL  
S         No
(173) N A FAVIA BUILDERS INC

1012 LUNT AVE
SCHAUMBURG,IL60193
Contributing Employer IL  
C         No
(174) NAPERVILLE CHICAGO IL PTG & DE

648 ROOSEVELT ROAD
GLEN ELLYN,IL60137
36-4027070
CONTRIBUTING EMPLOYER IL  
C         No
(175) NATIONAL DECORATING SERV INC

2210 CAMDEN CT
OAK BROOK,IL60523
36-2815393
CONTRIBUTING EMPLOYER IL  
C         No
(176) NATIONWIDE INSTALLATION SVCS I

6688 N CENTRAL EXPWY
DALLAS,TX75206
Contributing Employer TX  
C         No
(177) NEDROW DECORATING INC

1019 SILL AVENUE
AURORA,IL60506
CONTRIBUTING EMPLOYER IL  
S         No
(178) NEUMANN CO CONTRACTORS INC

W9450 STATE ROAD 95
MERRILLAN,WI54754
36-2422310
CONTRIBUTING EMPLOYER IL  
C         No
(179) NIKOLAS PAINTING CONTRACT INC

8401 S BELOIT AVE
BRIDGEVIEW,IL60455
36-3696857
CONTRIBUTING EMPLOYER IL  
C         No
(180) NILES CONST SERVICES

5048 PILGRIM ROAD
FLINT,MI48507
CONTRIBUTING EMPLOYER MI  
C         No
(181) northern il wall & ceiling

3948 W CEDAR
DIXON,IL61021
20-8929964
CONTRIBUTING EMPLOYER IL  
C         No
(182) NOVA PAINTING & DECORATING-607

PO BOX 7413
ROCKFORD,IL61126
61-1458689
CONTRIBUTING EMPLOYER IL  
S         No
(183) NW INDIANA PAINTERS

2111 W LINCOLN HWY
MERRILLVILLE,IN46410
CONTRIBUTING EMPLOYER IN  
C         No
(184) OMNI COMMERCIAL GROUP INC

PO BOX 223
ALGONQUIN,IL60102
CONTRIBUTING EMPLOYER    
C         No
(185) OMNI GLASS & PAINT INC

3530 OMNI DR
OSHKOSH,WI54903
39-1096938
CONTRIBUTING EMPLOYER WI  
C         No
(186) OOSTERBAAN & SONS CO

2515 W 147TH ST
POSEN,IL60469
36-2243066
CONTRIBUTING EMPLOYER IL  
C         No
(187) P & S PAINTING INC

1311 DALEMONT WAY
DYER,IN46311
35-1944827
CONTRIBUTING EMPLOYER IN  
C         No
(188) PM LEACH PTG CO -157

735 MERUS COURT
FENTON,MO63026
Contributing Employer MO  
C         No
(189) PAINTING 4 U

505 RIVERHILL CT
MACHESNEY PARK,IL61115
27-3356951
CONTRIBUTING EMPLOYER IL  
C         No
(190) PAINTING BY KELLER

PO BOX 154
ELBURN,IL60119
36-0360046
CONTRIBUTING EMPLOYER IL  
S         No
(191) PALAZZO PTG & DECORATING INC

340 LAURA DR
ADDISON,IL60101
CONTRIBUTING EMPLOYER IL  
S         No
(192) PANIAGUA GROUP INC

2420 E OAKTON ST
Arlington Heights,IL60005
cONTRIBUTING EMPLOYER IL  
S         No
(193) PEAK CARPENTRY INC

1208 E ALGONQUIN RD
ALGONQUIN,IL60102
26-2330965
CONTRIBUTING EMPLOYER IL  
S         No
(194) PECOVER DECORATING SERV INC

1033 OLIVER AVENUE
AURORA,IL60506
36-2692349
CONTRIBUTING EMPLOYER IL  
C         No
(195) PEORIA HOUSING AUTHORITY-157

100 S RICHARD PRYOR PL
PEORIA,IL61605
Contributing Employer IL  
C         No
(196) PEPPER CONSTRUCTION CO

411 LAKE ZURICH ROAD
BARRINGTON,IL600103141
36-1614680
CONTRIBUTING EMPLOYER IL  
C         No
(197) PERFORMANCE CONTR dba PCI TEMP

3613 N RICHMOND RD
MC HENRY,IL60050
34-1467168
CONTRIBUTING EMPLOYER KS  
S         No
(198) PHIL SCHINDLER & SONS INC-157

PO BOX 4172
BARTONVILLE,IL61607
37-1137051
CONTRIBUTING EMPLOYER IL  
C         No
(199) PINNACLE DECORATING

8404 W 26TH ST
N RIVERSIDE,IL60546
36-4333195
CONTRIBUTING EMPLOYER IL  
C         No
(200) PINTO CONSTRUCTION GROUP INC

7225 W 105TH STREET
PALOS HILLS,IL60465
36-3959439
CONTRIBUTING EMPLOYER IL  
C         No
(201) PRISM PAINTING CO

PO BOX 1944
HIGHLAND,IN46322
35-1554553
CONTRIBUTING EMPLOYER IL  
S         No
(202) PROCACCIO PAINTING CO INC

601 SIDWELL COURT
ST CHARLES,IL60174
CONTRIBUTING EMPLOYER IL  
S         No
(203) PROFESSIONAL DEC & PNTG INC

7149 N AUSTIN AVENUE
NILES,IL60714
36-4034457
CONTRIBUTING EMPLOYER IL  
S         No
(204) PYRAMID PAINTING & DEC

5205 E DEERFIELD DR
MORRIS,IL60450
36-4357959
CONTRIBUTING EMPLOYER IL  
S         No
(205) R G CONST SERV INC

936 LARCH
ELMHURST,IL60126
36-2905784
CONTRIBUTING EMPLOYER IL  
S         No
(206) R M SELLERGREN & ASSOCIATES IN

756 TIPPERARY STREET
GILBERTS,IL60136
36-3793911
CONTRIBUTING EMPLOYER IL  
S         No
(207) RATHBUN & SONS CARP CONT-209

PO BOX 165
HOPEDALE,IL61747
37-1355485
CONTRIBUTING EMPLOYER IL  
C         No
(208) REGENCY DECORATING SERVICE INC

9400 ROBINSON RD
FRANKLIN PARK,IL60131
36-3512548
CONTRIBUTING EMPLOYER IL  
C         No
(209) RETAIL STOREFRONT GROUP- G157

7460 FRISCO AVE
LEEDS,AL35094
Contributing Employer AL  
C         No
(210) RIDGE PAINTING - LU157

3318 N ISABEL AVE
PEORIA,IL61604
45-2619188
CONTRIBUTING EMPLOYER IL  
C         No
(211) RIGID CONSTRUCTION INC

112 SYCAMORE LANE
MACHESNEY PARK,IL61115
20-0870500
CONTRIBUTING EMPLOYER IL  
C         No
(212) ROBERT W BRITZ PGT CO INC-607

14256 FRAZEE RD
DIVERNON,IL62530
37-0954440
CONTRIBUTING EMPLOYER IL  
S         No
(213) ROCK IT DRYWALL SERVICE INC

P O BOX 564
BLOOMINGDALE,IL60108
36-3624095
CONTRIBUTING EMPLOYER IL  
C         No
(214) ROCK RIVER VALLEY PTG CO-607

1017 RIVER LANE
LOVES PARK,IL611114714
26-0131127
CONTRIBUTING EMPLOYER IL  
S         No
(215) ROCK VALLEY GLASS - 1355

1398 HUNTWOOD DR
CHERRY VALLEY,IL61016
36-4245346
CONTRIBUTING EMPLOYER IL  
S         No
(216) ROCKFORD HOUSING AUTHORITY-607

223 SOUTH WINNEBAGO ST
ROCKFORD,IL611022259
36-2584258
CONTRIBUTING EMPLOYER IL  
C         No
(217) ROCK-IT INTERIORS INC

59 C STONEHILL ROAD
OSWEGO,IL60543
CONTRIBUTING EMPLOYER IL  
S         No
(218) RP COATINGS INC

710A SOUTH MAIN
TROY,IL62294
37-1404977
CONTRIBUTING EMPLOYER IL  
S         No
(219) RUIZ CONST SYSTEMS - 607

PO BOX 7506
ROCKFORD,IL611267506
20-4330590
CONTRIBUTING EMPLOYER IL  
C         No
(220) RW VANDEGRAFT PTG & DEC -209

1637 CHEYENNE LANE
NORMAL,IL61761
37-1378876
CONTRIBUTING EMPLOYER IL  
C         No
(221) SANDOVAL CONSTRUCTION CO

360 GREEN FEATHER LANE
ELGIN,IL60120
36-4100385
CONTRIBUTING EMPLOYER IL  
C         No
(222) SBE CONSTRUCTION INC

5854 NORTHWOOD AVE
LISLE,IL60188
Contributing Employer IL  
C         No
(223) SCHMELZER PAINT CO INC

902 STEWART ST
MADISON,WI53713
39-1016521
CONTRIBUTING EMPLOYER WI  
C         No
(224) SCHOENING PAINTING & DEC LU607

750 N MADISON STREET
ROCKFORD,IL61107
46-2334780
CONTRIBUTING EMPLOYER IL  
C         No
(225) SELLENTIN PAINTING

PO BOX 484
FRANKFORT,IL60423
36-3992560
CONTRIBUTING EMPLOYER IL  
S         No
(226) SERVICE DEC-BOWES CREEK

47 WEST IRVING PARK ROAD
ROSELLE,IL60172
CONTRIBUTING EMPLOYER IL  
S         No
(227) SERVICE DECORATING COMPANY

47 WEST IRVING PARK ROAD
ROSELLE,IL60172
36-3295564
CONTRIBUTING EMPLOYER IL  
C         No
(228) SERVICE DRYWALL & DECORATING

47 WEST IRVING PARK ROAD
ROSELLE,IL60172
Contributing Employer IL  
C         No
(229) SHAMROCK DECORATING INC

12757 SOUTH LA CROSSE
ALSIP,IL60803
36-3210404
CONTRIBUTING EMPLOYER IL  
C         No
(230) SHANAHAN DRYWALL SERVICE

11205 ARBOR CT
HUNTLEY,IL60142
CONTRIBUTING EMPLOYER IL  
C         No
(231) SKYLINE DECORATING

10 CORNERS DRIVE
DEER PARK,IL60010
20-0400176
CONTRIBUTING EMPLOYER IL  
S         No
(232) SMITH PAINTING & DEC INC

220 W DES PLAINES ST
COAL CITY,IL60431
Contributing Employer IL  
C         No
(233) SNS CONSTRUCTION SVCS INC-157

23776 E SEBREE ROAD
CANTON,IL61520
46-1038558
CONTRIBUTING EMPLOYER IL  
C         No
(234) SOUTSOS DECORATING COMPANY

1559 FOREST AVE
HIGHLAND PARK,IL60035
36-2814308
CONTRIBUTING EMPLOYER IL  
S         No
(235) SPRAY SPECIALISTS INC

30353 DOWELL ROAD
MC HENRY,IL60051
36-3025365
CONTRIBUTING EMPLOYER IL  
C         No
(236) STAN'S PAINTING & DEC

440 SULLIVAN STREET
HOBART,IN46342
35-1786212
CONTRIBUTING EMPLOYER IN  
C         No
(237) STONE & WEBSTER - LU607

36400 S ESSEX ROAD
WILMINGTON,IL60481
CONTRIBUTING EMPLOYER IL  
S         No
(238) STREATOR DECORATORS - 465

PO BOX 795
STREATOR,IL61364
36-3352066
CONTRIBUTING EMPLOYER IL  
C         No
(239) SWANSON & YOUNGDALE INC-157

PO BOX 26070
MINNEAPOLIS,MN55426
CONTRIBUTING EMPLOYER MN  
S         No
(240) SWEDBERG & ASSOCIATES INC-607

1135 E STATE STREET
SYCAMORE,IL60178
36-2616371
CONTRIBUTING EMPLOYER IL  
C         No
(241) TATRO PAINTING & DEC - 467

P O BOX 211
CHEBANSE,IL60922
CONTRIBUTING EMPLOYER IL  
S         No
(242) TE CORP INC

2221 MURIEL CT
JOLIET,IL60433
CONTRIBUTING EMPLOYER IL  
C         No
(243) TENNESSEE VALLEY PAINTERS

PO BOX 1449
GOODLETTSVILLE,TN37070
CONTRIBUTING EMPLOYER TN  
C         No
(244) THE GLASS SHOP INC - G157

1419 N LASALLE ST
OTTAWA,IL61350
36-3357867
CONTRIBUTING EMPLOYER IL  
C         No
(245) THE LEVY COMPANY

3925 COMMERCIAL AVE
NORTHBROOK,IL60062
36-6133504
CONTRIBUTING EMPLOYER IL  
S         No
(246) THE ROCKWELL GROUP - 607

500 W SOUTH ST
FREEPORT,IL61032
36-4053385
CONTRIBUTING EMPLOYER IL  
S         No
(247) THOMAS INDUSTRIAL COATING

2070 HIGHWAY Z
PEVELY,MO63070
CONTRIBUTING EMPLOYER MO  
S         No
(248) THORNE ASSOCIATES INC

1450 WEST RANDOLPH
CHICAGO,IL60607
36-3294352
CONTRIBUTING EMPLOYER IL  
S         No
(249) THREE WAY PAINTING

10211 WEST 191ST STREET
mOKENA,IL60448
CONTRIBUTING EMPLOYER IL  
S         No
(250) TIDAL CONST SERV INC

7461 W 93RD ST
BRIDGEVIEW,IL60455
36-3814953
CONTRIBUTING EMPLOYER IL  
C         No
(251) TIFFINY DECORATING CO

1325 N WELLS ST
CHICAGO,IL60610
CONTRIBUTING EMPLOYER IL  
C         No
(252) TNT CONSTRUCTION CO

144 EASY STREET
CAROL STREAM,IL601883515
36-2891617
CONTRIBUTING EMPLOYER IL  
S         No
(253) TRICOR CARPENTRY

14312 W JAMES LANE
HOMER GLEN,IL60491
20-5805301
CONTRIBUTING EMPLOYER IL  
C         No
(254) TRIPAR DRYWALL INC

13112 WEST REGAN RD
MOKENA,IL60448
01-0763666
CONTRIBUTING EMPLOYER IL  
S         No
(255) TRU-STRIPE- LU157

5741 WAGON FORD
cHATHAM,IL62629
CONTRIBUTING EMPLOYER IL  
S         No
(256) UNION TANK ERECTION INC

8803 HWY 161 SO
SCOTT,AR72142
Contributing Employer AR  
C         No
(257) UPTOWN PAINTING & DEC INC

6712 N CLARK
CHICAGO,IL60626
36-4431612
CONTRIBUTING EMPLOYER IL  
C         No
(258) VISION INTERIOR DRYWALL CORP

3828 W 121ST PL
ALSIP,IL60803
56-2482005
CONTRIBUTING EMPLOYER IL  
C         No
(259) VOGUE PTG & DEC RESIDENTIAL

11419 STATE STREET
MOSSVILLE,IL61552
CONTRIBUTING EMPLOYER IL  
C         No
(260) VON ALST OPERATING LLC-209

2416 SMELTING WORKS RD
SWANSEA,IL62226
Contributing Employer IL  
C         No
(261) WALL TECH INC

7025 RAYWOOD RD
MADISON,WI53713
CONTRIBUTING EMPLOYER WI  
C         No
(262) WALLFORMS INC

23874 N OVERHILL DR
LAKE ZURICH,IL60046
36-3402255
CONTRIBUTING EMPLOYER IL  
C         No
(263) WOODBRIDGE CONST & CARP - 467

1750 EAST NORTH ST
CROWN POINT,IN46307
Contributing Employer IN  
C         No
(264) WOODS CONSTRUCTION INC

6396 PRODUCT DR
STERLING HEIGHTS,MI48312
38-2891257
CONTRIBUTING EMPLOYER MI  
S         No
Schedule R (Form 990) 2015
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
No
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 .....................
1a
 
No
b Gift, grant, or capital contribution to related organization(s) ............................
1b
 
No
c Gift, grant, or capital contribution from related organization(s) ............................
1c
 
No
d Loans or loan guarantees to or for related organization(s) ............................
1d
 
No
e Loans or loan guarantees by related organization(s) ............................
1e
 
No
f Dividends from related organization(s) ............................
1f
 
No
g Sale of assets to related organization(s) ............................
1g
 
No
h Purchase of assets from related organization(s) ............................
1h
 
No
i Exchange of assets with related organization(s) ............................
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) .......................
1j
 
No
k Lease of facilities, equipment, or other assets from related organization(s) ......................
1k
 
No
l Performance of services or membership or fundraising solicitations for related organization(s) .....................
1l
 
No
m Performance of services or membership or fundraising solicitations by related organization(s) .................
1m
 
No
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................
1n
Yes
 
o Sharing of paid employees with related organization(s) ............................
1o
Yes
 
p Reimbursement paid to related organization(s) for expenses ............................
1p
Yes
 
q Reimbursement paid by related organization(s) for expenses ............................
1q
 
No
r Other transfer of cash or property to related organization(s) ............................
1r
Yes
 
s Other transfer of cash or property from related organization(s) ............................
1s
Yes
 
2
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
(1) PAINTERS AND ALLIED TRADES DISTRICT COUNCIL NO 30 PENSION FUND

O 318,780 ALLOCATION
(2) PAINTERS AND ALLIED TRADES DISTRICT COUNCIL NO 30 PENSION FUND

N 121,454 ALLOCATION
(3) PAINTERS AND ALLIED TRADES DISTRICT COUNCIL NO 30 PENSION FUND

O 83,726 ALLOCATION
(4) PAINTERS AND ALLIED TRADES DISTRICT COUNCIL

P 120,000 ALLOCATION
(5) ALL TECH

S 749,085 CASH CONTRIBUTION
(6) INTERNATIONAL DECORATORS INC

S 446,885 CASH CONTRIBUTION
(7) MID-IL COMPANIES - 157

S 429,345 CASH CONTRIBUTION
(8) R G CONST SERV INC

S 415,080 CASH CONTRIBUTION
(9) ASCHER BROTHERS COMPANY INC

S 382,188 CASH CONTRIBUTION
(10) ASSOC CONSTRUCTORS CO - 209

S 378,399 CASH CONTRIBUTION
(11) SERVICE DRYWALL & DECORATING

S 374,112 CASH CONTRIBUTION
(12) ERA VALDIVIA CONTRACTORS INC

S 343,627 CASH CONTRIBUTION
(13) EAST MOLINE GLASS CO-G157

S 333,960 CASH CONTRIBUTION
(14) MAXCOR INC

S 285,642 CASH CONTRIBUTION
(15) NEDROW DECORATING INC

S 262,862 CASH CONTRIBUTION
(16) PAINTERS DISTRICT COUNCIL 30

S 262,089 CASH CONTRIBUTION
(17) PERFORMANCE CONTR dba PCI TEMP

S 256,755 cASH CONTRIBUTION
(18) WRIGHT-WAY INT SYS - 157

S 255,911 cASH CONTRIBUTION
(19) TRIANGLE DECORATING CO

S 251,030 cASH CONTRIBUTION
(20) STONE & WEBSTER - LU607

S 250,722 cASH CONTRIBUTION
(21) CARDINAL GLASS CO - 1355

S 244,498 cASH CONTRIBUTION
(22) OOSTERBAAN & SONS CO

S 239,897 cASH CONTRIBUTION
(23) JETCO

S 237,674 cASH CONTRIBUTION
(24) NATIONAL DECORATING SERV INC

S 218,453 cASH CONTRIBUTION
(25) ANNING JOHNSON COMPANY

S 201,403 cASH CONTRIBUTION
(26) FIVE STAR DECORATING INC

S 193,951 cASH CONTRIBUTION
(27) THE ROCKWELL GROUP - 607

S 186,016 cASH CONTRIBUTION
(28) VOGUE PAINTING INC

S 184,432 cASH CONTRIBUTION
(29) PROCACCIO PAINTING CO INC

S 180,930 cASH CONTRIBUTION
(30) ROCK VALLEY GLASS - 1355

S 180,365 cASH CONTRIBUTION
(31) MIDWEST PAINTING - 607

S 179,534 cASH CONTRIBUTION
(32) BEDROCK PAINTING INC - 209

S 173,367 cASH CONTRIBUTION
(33) LEOPARDO COMPANIES INC

S 172,812 cASH CONTRIBUTION
(34) KELLY GLASS INC - G157

S 169,150 cASH CONTRIBUTION
(35) DRAGOO PAINTING INC - 157

S 163,993 cASH CONTRIBUTION
(36) MIDWEST DECORATING INC

S 158,841 cASH CONTRIBUTION
(37) MATAN'S PAINTING & DECORATING

S 156,198 cASH CONTRIBUTION
(38) NEUMANN CO CONTRACTORS INC

S 153,099 cASH CONTRIBUTION
(39) FOREST CITY DECORATORS-607

S 152,592 cASH CONTRIBUTION
(40) FEHR PAINTING - 157

S 144,721 cASH CONTRIBUTION
(41) MSM SOLUTIONS INC

S 144,047 cASH CONTRIBUTION
(42) K & E PTG & DEC INC

S 143,953 cASH CONTRIBUTION
(43) STREATOR DECORATORS - 465

S 143,371 cASH CONTRIBUTION
(44) CONTINENTAL PAINTING & DECORAT

S 134,993 cASH CONTRIBUTION
(45) PAINTERS DC NO 30 FUND OFFICE

S 133,210 cASH CONTRIBUTION
(46) ALLIED CONS SERVICE - 157

S 132,224 cASH CONTRIBUTION
(47) ELITE PAINTING INC - 157

S 123,933 cASH CONTRIBUTION
(48) DURANGO PAINTING

S 120,895 cASH CONTRIBUTION
(49) COSGROVE CONSTRUCTION INC

S 118,045 cASH CONTRIBUTION
(50) LANKFORD CONST CO

S 116,065 cASH CONTRIBUTION
(51) PALAZZO PTG & DECORATING INC

S 112,871 cASH CONTRIBUTION
(52) MC LEAN COUNTY GLASS - G157

S 108,036 cASH CONTRIBUTION
(53) COTE DECORATING CO

S 106,184 cASH CONTRIBUTION
(54) THORNE ASSOCIATES INC

S 98,436 cASH CONTRIBUTION
(55) GEORGE YOUNG & SONS PTG-157

S 94,845 cASH CONTRIBUTION
(56) AIRTITE CONTRACTORS INC

S 94,230 cASH CONTRIBUTION
(57) PAINTERS & ALLIED TRADES DC#30

S 93,138 cASH CONTRIBUTION
(58) H REYNOLDS PAINTING - 467

S 92,169 cASH CONTRIBUTION
(59) COMMERCIAL GLASS CO - G157

S 91,216 cASH CONTRIBUTION
(60) CALIBER CONSTRUCTION CO

S 91,109 cASH CONTRIBUTION
(61) GRAWEY GLASS CO - G157

S 90,559 cASH CONTRIBUTION
(62) BOWNE PAINTING

S 89,396 cASH CONTRIBUTION
(63) KOLE CONSTRUCTION

S 88,168 cASH CONTRIBUTION
(64) LOHRE PAINTING COMPANY INC

S 86,311 cASH CONTRIBUTION
(65) HOOPS PAINTING - 157

S 85,583 cASH CONTRIBUTION
(66) DENK & ROCHE BUILDERS INC

S 85,193 cASH CONTRIBUTION
(67) ALLIANCE DRWL & ACOUST INC

S 84,075 cASH CONTRIBUTION
(68) SCHOENING PAINTING & DEC LU607

S 83,715 cASH CONTRIBUTION
(69) ROCK RIVER VALLEY PTG CO-607

S 79,928 cASH CONTRIBUTION
(70) RW VANDEGRAFT PTG & DEC -209

S 79,847 cASH CONTRIBUTION
(71) GALAXY PAINTING LTD - 467

S 79,525 cASH CONTRIBUTION
(72) MARIN BROS INC

S 78,051 cASH CONTRIBUTION
(73) M PERDUE PTG & CTGS INC-157

S 76,438 cASH CONTRIBUTION
(74) JP PHILLIPS INC

S 76,329 cASH CONTRIBUTION
(75) BURKS BROTHERS DRYWALL INC

S 76,217 cASH CONTRIBUTION
(76) LECUYER PTG & DEC INC

S 75,277 cASH CONTRIBUTION
(77) LJ MORSE CONST CO

S 74,497 cASH CONTRIBUTION
(78) BROOKWOOD BUILDERS INC

S 73,002 cASH CONTRIBUTION
(79) PEAK CARPENTRY INC

S 72,972 cASH CONTRIBUTION
(80) MATT'S ABILITY GLASS SER-G607

S 71,308 cASH CONTRIBUTION
(81) COOK PAINTING INC - 157

S 71,008 cASH CONTRIBUTION
(82) KOJA CONST INC - 607

S 70,111 cASH CONTRIBUTION
(83) EXECUTIVE PAINTING INC - 607

S 70,080 cASH CONTRIBUTION
(84) BERTEL PETERSON COMPANY-607

S 68,109 cASH CONTRIBUTION
(85) PECOVER DECORATING SERV INC

S 67,229 cASH CONTRIBUTION
(86) J & M DECORATING INC

S 66,291 cASH CONTRIBUTION
(87) TIFFINY DECORATING CO

S 64,558 cASH CONTRIBUTION
(88) DES PAINTING INC

S 64,443 cASH CONTRIBUTION
(89) K&J PAINTING LLC

S 63,749 cASH CONTRIBUTION
(90) ASPEN COMMERCIAL PAINTING INC

S 63,494 cASH CONTRIBUTION
(91) PROFESSIONAL DEC & PNTG INC

S 63,367 cASH CONTRIBUTION
(92) PINNACLE DECORATING

S 60,063 cASH CONTRIBUTION
(93) ILLINOIS STATE UNIVERSITY-209

S 59,606 cASH CONTRIBUTION
(94) HESTER PAINTING & DECORATING

S 59,158 cASH CONTRIBUTION
(95) MC CLANAHAN PTG INC - 157

S 57,902 cASH CONTRIBUTION
(96) ADA DEC OF STERLING -607

S 57,334 cASH CONTRIBUTION
(97) SHAMROCK DECORATING INC

S 56,228 cASH CONTRIBUTION
(98) WOODS CONSTRUCTION INC

S 54,778 cASH CONTRIBUTION
(99) DEMOS PAINTING & DEC INC

S 54,118 cASH CONTRIBUTION
(100) RIVERSIDE INTERIORS LLC LU157

S 52,691 cASH CONTRIBUTION
(101) MAY DECORATING II INC

S 51,122 cASH CONTRIBUTION
(102) PRISM PAINTING CO

S 51,091 cASH CONTRIBUTION
Schedule R (Form 990) 2015
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)
(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(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?
(k)
Percentage
ownership


Yes No Yes No Yes No






























Schedule R (Form 990) 2015
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


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