TY 2019 Form 990

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

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

Attach to Form 990.
SchDMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public Inspection

Name of the organization

CENTRAL LABORERS' WELFARE FUND

Employer identification number

37-6058345

Part I

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

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

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

Yes No

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

Yes No

Part II

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

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

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

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

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


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 7/25/06, and not on a historic structure listed in the National Register ...	2d

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

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

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

Yes No

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

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

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

Yes No

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

Part III

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

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

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

(i)

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

(ii)

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

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

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

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

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

Cat. No. 52283D

Schedule D (Form 990) 2019

Page 2

Part III

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

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

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

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

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

Yes No

Part IV

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

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

Yes No


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

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

Yes No

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

Part V

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

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

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

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

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

Term endowment SchDMd Bullet

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

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

Yes

(i) Unrelated organizations .................

3a(i)

(ii) Related organizations .................

3a(ii)

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

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

Part VI

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

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

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

Schedule D (Form 990) 2019

Page 3

Part VII

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

(a) Description of security or category (including name of security)	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives.........
(2) Closely-held equity interests........
(3) Other (A) POOLED SEPARATE ACCOUNT	2,431,822	F
(C)
(D)
(E)
(F)
(G)
(H)
(I)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)	2,431,822

Part VIII

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

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

(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

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

(a) Description				(b) Book value

(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

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

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	17,945,529
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) 2019

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	23,467,755
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a	3,325,641
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	3,325,641
3	Subtract line 2e from line 1..................			3	20,142,114
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	20,030
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................			4c	20,030
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......			5	20,162,144

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	20,803,157
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	20,803,157
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	20,030
b	Other (Describe in Part XIII.) ............	4b	487,826
c	Add lines 4a and 4b.....................			4c	507,856
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......			5	21,311,013

Part XIII

Supplemental Information

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

Return Reference	Explanation
PART X, LINE 2:	THE TRUST ESTABLISHED UNDER THE PLAN TO HOLD THE PLAN'S ASSETS IS INTENDED TO QUALIFY PURSUANT TO SECTION 501(C)(9) OF THE INTERNAL REVENUE CODE (IRC), AND, ACCORDINGLY, THE TRUST'S NET INVESTMENT INCOME IS EXEMPT FROM INCOME TAXES. THE TRUST HAS OBTAINED A FAVORABLE TAX DETERMINATION LETTER FROM THE IRS IN NOVEMBER OF 1968, AND THE PLAN ADMINISTRATOR AND THE BOARD OF TRUSTEES BELIEVE THAT THE TRUST, AS AMENDED, CONTINUES TO QUALIFY AND OPERATE IN ACCORDANCE WITH APPLICABLE PROVISIONS OF THE IRC. THE TOTAL AMOUNTS OF INTEREST AND PENALTIES RECOGNIZED IN THE STATEMENTS OF CHANGES IN NET ASSETS AVAILABLE FOR BENEFITS AND THE TOTAL AMOUNTS OF INTEREST AND PENALTIES RECOGNIZED IN THE STATEMENTS OF NET ASSETS AVAILABLE FOR BENEFITS ARE $0. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE PLAN MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE PLAN AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF THE ORGANIZATION HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES. THE PLAN ADMINISTRATOR HAS ANALYZED THE TAX POSITIONS TAKEN BY THE PLAN, AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2019 AND 2018, 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. THE PLAN HAS NEVER HAD UNRELATED BUSINESS INCOME TAX (UBIT) NOR HAS IT FILED THE FORM 990-T. THEREFORE, ALL TAX YEARS ARE OPEN FOR EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES RELATED TO UBIT.
PART XII, LINE 4B - OTHER ADJUSTMENTS:	CHANGE IN CLAIMS INCURRED BUT NOT REPORTED -59,353. CHANGE IN ACCUMULATED ELIGIBILITY 547,179.

Return Reference

Explanation

PART X, LINE 2:

THE TRUST ESTABLISHED UNDER THE PLAN TO HOLD THE PLAN'S ASSETS IS INTENDED TO QUALIFY PURSUANT TO SECTION 501(C)(9) OF THE INTERNAL REVENUE CODE (IRC), AND, ACCORDINGLY, THE TRUST'S NET INVESTMENT INCOME IS EXEMPT FROM INCOME TAXES. THE TRUST HAS OBTAINED A FAVORABLE TAX DETERMINATION LETTER FROM THE IRS IN NOVEMBER OF 1968, AND THE PLAN ADMINISTRATOR AND THE BOARD OF TRUSTEES BELIEVE THAT THE TRUST, AS AMENDED, CONTINUES TO QUALIFY AND OPERATE IN ACCORDANCE WITH APPLICABLE PROVISIONS OF THE IRC. THE TOTAL AMOUNTS OF INTEREST AND PENALTIES RECOGNIZED IN THE STATEMENTS OF CHANGES IN NET ASSETS AVAILABLE FOR BENEFITS AND THE TOTAL AMOUNTS OF INTEREST AND PENALTIES RECOGNIZED IN THE STATEMENTS OF NET ASSETS AVAILABLE FOR BENEFITS ARE $0. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE PLAN MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE PLAN AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF THE ORGANIZATION HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES. THE PLAN ADMINISTRATOR HAS ANALYZED THE TAX POSITIONS TAKEN BY THE PLAN, AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2019 AND 2018, 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. THE PLAN HAS NEVER HAD UNRELATED BUSINESS INCOME TAX (UBIT) NOR HAS IT FILED THE FORM 990-T. THEREFORE, ALL TAX YEARS ARE OPEN FOR EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES RELATED TO UBIT.

PART XII, LINE 4B - OTHER ADJUSTMENTS:

CHANGE IN CLAIMS INCURRED BUT NOT REPORTED -59,353. CHANGE IN ACCUMULATED ELIGIBILITY 547,179.

Schedule D (Form 990) 2019

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

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

Attach to Form 990 or 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2019

Open to Public
Inspection

Name of the organization

CENTRAL LABORERS' WELFARE FUND

Employer identification number

37-6058345

Return Reference	Explanation
FORM 990, PART VI, SECTION B, LINE 11B	A COMPLETED DRAFT OF THE 990 IS GIVEN TO DAN KOEPPEL, EXECUTIVE DIRECTOR, AND ALL TRUSTEES FOR THEIR REVIEW AND COMMENTS BEFORE IT IS SUBMITTED. FOLLOWING REVIEW, THE 990 IS SIGNED BY DAN KOEPPEL AND FILED.
FORM 990, PART VI, SECTION C, LINE 19	UPON REQUEST

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

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2019

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

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

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public Inspection

Name of the organization

CENTRAL LABORERS' WELFARE FUND

Employer identification number

37-6058345

Part I

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

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

Part II

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

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)BOARD OF TRUSTEES - SEE PART 7 FOR INDIVIDUALS

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

Cat. No. 50135Y

Schedule R (Form 990) 2019

Page 2

Part III

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

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) SEE PART IV AND PART VII

Part IV

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

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	Yes	No
(1) 4MC CORPORATION
(2) A & A HAULING INC
(3) A & H MECHANICAL CONTINC
(4) A & R SERVICES
(5) A A CONCRETE LLC
(6) A C PAVEMENT STRIPING CO
(7) A1 MASONRY INC
(8) ABATECO INC
(9) ABSOLUTE MASONRY INC
(10) ACCESS CONTROL CO INC
(11) ACCURATE UNDERGROUND INC
(12) ACE PIPE CLEANING INC
(13) ACME FIREPROOFING & INSUL
(14) ADVANCED ENVRIN SRVCS INC
(15) ALBERICI CONSTRUCTORS INC
(16) ALL SERVICE CONTR CORP
(17) ALL SYSTEMS IRRIGATIONS SERVICES
(18) ALLENDALE GRAVEL CO INC
(19) ALLIED CONSTR SERVICE
(20) ALLIED POWER SERVICES LLC
(21) ALTER TRADING CORPORATION
(22) AMCO FENCE CO
(23) AMERICAN DEMO CORP
(24) APACHE INDUSTRIAL UNITED INC
(25) APCOM POWER INC
(26) ARCHON CONSTRUCTION CO IN
(27) ARNOLD'S CUSTOM SEEDING
(28) ASPHALT STONE COMPANY
(29) ASSOC PIPE LINE CONT INC
(30) ASSOCIATED CONSTRUCTORS CO
(31) ATLANTA ASPHALT PAVING CO
(32) ATLANTIC PLANT MAINTINC
(33) ATLAS BUILDING GROUP
(34) B & T DRAINAGE INC
(35) BEB EXCAVATING INC
(36) BALLARD-TRAYLOR JV
(37) BARBER AND DEATLEY
(38) BARTON ELECTRIC
(39) BARTON MALOW CO
(40) BAXMEYER CONSTRUCTION INC
(41) BECKMANN CONSTRUCTION CO
(42) BEL-O COOLING & HEATING
(43) BEL-O SALES & SERVICE
(44) BENIACH CONSTR CO INC
(45) BERCO CONSTRUCTION INC
(46) BERCO INDUSTRIAL CORP
(47) BERGLUND CONSTRUCTION CO
(48) BERGMANN-ROSCOW PLBG INC
(49) BEYERS CONSTR INC
(50) BIG DOGS CONTRACTING LLC
(51) BIG INCH FABRS & CONSTR
(52) BIG O SERVICES LLC
(53) BLACKHAWK FOUNDATION CO
(54) BLANKENSHIP CONST CO INC
(55) BORTMESS & SONS CEMENT CO
(56) BOWEN ENGINEERING CORP
(57) BRAND SAFWAY SERVICES LLC
(58) BRANDENBURG IND SER CO
(59) BRANDSAFWAY INDUSTRIES LLC
(60) BREWSTER COMPANIES INC
(61) BRH BLDRS & CONSTRS
(62) BRIESER CONSTR CO
(63) BROCK INDUSTRIAL SERVICES
(64) BROEREN RUSSO CONSTR INC
(65) BRUCE CONCRETE CONSTRUCTI
(66) BRUCE UNTERBRINK CONSTR
(67) BRUCKNER MASONRY
(68) BUCKLEY'S PRAIRIE LNDSPG
(69) BURDICK COMPANY
(70) BURGENER PLASTERING INC
(71) BUTCH CHANDLER'S PLBG INC
(72) BUTCH WOOD & SON SEPTIC
(73) BYRNE & JONES CONSTR
(74) C H GARMONG & SON
(75) C J MASONRY INC
(76) C L COATINGS LLC
(77) C L RHODES CONCRETE CONST
(78) C R VERNIER CONTR
(79) C S R CONSTRUCTION INC
(80) C HOWELL CONSTR
(81) CAD CONSTRUCTION INC
(82) CALHOUN CONSTRUCTION MNGMT
(83) CAM LLC
(84) CARTER X LLC
(85) CECO
(86) CEMENT MASONS & PL LOCAL 518 HEALTH
(87) CEMENT MASONS LOCAL 90
(88) CEN PRO SERVICES INC
(89) CENTENNIAL CONTRACTORS
(90) CENTRAL LABORERS
(91) CHAMPAIGN ASPHALT CO LLC
(92) CHAMPION ENVIRONMENTAL
(93) CHARLES E MAHONEY CO
(94) CHICAGO LAB PEN & WEL FUN
(95) CHRIST BROTHERS ASPHALT INC
(96) CHRIST TRUCK SERVICE CO
(97) CHRISTY INDUSTRIAL SERV
(98) CHRISTY-FOLTZ INC
(99) CITY OF SPRINGFIELD
(100) CLANCY COLEMAN EXCAVATING
(101) CLEVENGER CONTRACTING INC
(102) CLOYD BUILDERS INC
(103) CLS INC
(104) COBRA CONCRT CUT SER CO
(105) COFANO ENERGY SERVICES
(106) COLLINS & HERMANN INC
(107) COMMERCIAL BLDRS INC
(108) COMPLETE ASPHALT SERV CO
(109) CONSTR IND WELFARE FUND
(110) CONSTRUCTION INDUSTRY
(111) CONTEGRA CONSTRUCTION CO
(112) CONTEGRA SERVICES LLC
(113) CONTINENTAL PIPELINE SERV
(114) CONVEYING CONVENIENCE INC
(115) CORE CONSTRUCTION
(116) COUNTY CONTRACTORS
(117) COVE REMEDIATION LLC
(118) CRAFTON CONTRACTING CO
(119) CROSS CONSTRUCTION INC
(120) CUSTOM COATINGS INC
(121) DAN HEISE PLBG & HTG INC
(122) DAN LUKA & SONS CONSTR
(123) DANNY MAUL EXCAVATING
(124) DAVIS & DAVIS GENERAL
(125) DEE'S CLEARING SERVICES LLC
(126) DELAURENT CONSTRUCTION CO
(127) DEMUZIO EXCAVATING & CRANE CO
(128) DENNIS CONSTR CO
(129) DEPENDABLE DRAIN & PLUMBING
(130) DEPEW & OWEN BUILDERS
(131) DES CONSTRUCTION & TRUCKING
(132) DIECKER-TERRY MASONRY INC
(133) DIRTWORKS TRUCKING & EXCAVATING
(134) DMS CONTRACTING INC
(135) DOBRINICH & JOHNS BRICK
(136) DONCO ELECTRICAL CONTRACTORS LLC
(137) DRIES BROTHERS PLUMBING CO
(138) DRILLING SERVICE CO
(139) DUCE CONSTRUCTION CO
(140) DUNEMAN DEMOLITION INC
(141) DUNN CO DIV TYROLT INC
(142) EARTH CARE UNLIMITED
(143) EARTHWORKS BY LAVICKA
(144) EBBELER EXCAVATING
(145) EDDINGTON CO LLC
(146) EFFINGHAM ASPHALT CO
(147) EHRET PLUMBING & HEATING
(148) ELASTIZELL OF ST LOUIS
(149) ELECTRIC CONDUIT CONSTR CO
(150) EMP & LBRS LOCAL 100&397
(151) EMPIRE REFRACTORY SERVICES OF OHIO
(152) ENDRIZZI CONTRACTING
(153) ENTLER EXC CO INC
(154) ENVIRONMENTAL CONSLNT LLC
(155) ENVIRONMENTAL CONTRACTING
(156) ENVIRONMENTAL RECLAMATION SOLUTION
(157) ENVIRONMNTL ASSURANCE INC
(158) ERA VALDIVIA CONTR INC
(159) EVANS CONSTRUCTION
(160) EVANS-MASON INC
(161) F&W LAWNCARE & LANDSCAPE
(162) FAIRMOUNT PARK INC
(163) FELMLEY-DICKERSON CO
(164) FENIX CONSTRUCTION
(165) FEUTZ CONTRACTORS INC
(166) FISCHER EXCAVATING INC
(167) FIXTURE CONTRACTING CO
(168) FLUOR MAINTENANCE SERVICES
(169) FORD ASPHALT
(170) FOSTER CONSTRUCTORS INC
(171) FOUR STAR CONSTRUCTION IN
(172) FOURNIE CONTR COMPANY INC
(173) FOX VALLEY CONST PENSION
(174) FREEHILL ASPHALT INC
(175) FREESEN INC
(176) G A RICH & SONS INC
(177) G M SIPES INC
(178) G REIS CONSTRUCTION
(179) GRE CONSTRUCTION
(180) GARCIA AND SONS CONSTRUCTION
(181) GARDENSCAPE CONTRACTORS INC
(182) GATEWAY LAWN CARESERVICE
(183) GEEDING CONSTR INC
(184) GELLY EXC & CONST INC
(185) GENERAL FENCE CO
(186) GENERAL REFRIG & PLBG
(187) GENERAL WASTE SERVICES INC
(188) GEO DRILL INC
(189) GEORGE GILDNERINC
(190) GEORGE MCDONNELL & SONS
(191) GEO-SYNTHETICS SYSTEMS LLC
(192) GERARD CHIMNEY CO
(193) GILLESPIE & POWERS INC
(194) GILLIHAN CONCRETE
(195) GIVSCO CONSTRUCTION CO
(196) GLEESON ASPHALT
(197) GRAND
(198) GREAT WESTERN ABATEMENT
(199) GROUNDWORKS CONTRG INC
(200) GRS CONTRACTORS INC
(201) GRUNLOH CONSTRUCTION COMPANY
(202) GUNTHER CONST CO
(203) GYPSUM SUPPLY CO DIV OF
(204) H & M BACKHOE SERVICE
(205) H & S CONCRETE CONST INC
(206) H D PLUMBING HVAC INC
(207) HAIER PLUMBING & HEATING
(208) HALVERSON CONSTR CO INC
(209) HANFLAND PAINTING CONTRS
(210) HANK'S EXC & LNDSCP INC
(211) HANNIG CONSTRUCTION
(212) HARDSURFACING INC
(213) HAROLD O'SHEA BLDRS
(214) HARTMAN & WALSH PAINTING
(215) HAYDEN WRECKING CORP
(216) HAYES CONTRACTING INC
(217) HAYWARD BAKER
(218) HEIN CONSTRUCTION COMPANY
(219) HELMKAMP CONSTR CO
(220) HENKE EXCAVATING INC
(221) HENKELS & MCCOY INC
(222) HETZEL & FETTERS CONSTRUCTION LLC
(223) HOERR CONSTRUCTION INC
(224) HOHULIN BROS FENCE CO
(225) HOLLAND-HINRICHS GENCONT
(226) HOMEWORK HANGOUT CLUB INC
(227) HOOD DEMOLITION & EXC
(228) HOOVER CONSTRUCTION CO
(229) HOWELL PAVING INC
(230) I & I CONSTRUCTION
(231) IBUILDERS
(232) ICON CONSTRUCTION SVCS
(233) IDOT DAY LABOR
(234) IL LABR LEGISLATIVE COM
(235) IL STATE PAINTERS WELFD
(236) ILLIANA CONST CO DIV
(237) ILLINI DRILLED FOUNDATION
(238) ILLINI EXC & RECLAMATION
(239) ILLINI SUPPLY INC
(240) ILLINOIS CIVIL CONTR INC
(241) ILLINOIS FOREST PROD CO
(242) ILLINOIS LABRS & CONTRS
(243) ILLINOIS LECET
(244) ILLINOIS VALLEY PAVING CO
(245) IMPERIAL CONCRETE CO INC
(246) INDIANA LABRS WELFARE FUND
(247) INDIANA PLAST & CEMENT
(248) INFRASOURCE CONSTR LLC
(249) INNOVATIVE CONSTR SERVCS LLC
(250) INSITUFORM TECH USA INC
(251) INTEGRITY CONCRETE & EXCAVATING LLC
(252) INTER CON CONST CO INC
(253) INTERIOR SPECIALITY CONST
(254) INTERLOCK BRICK PAVING
(255) INTREN
(256) IRONHUSTLER EXCAVATNG INC
(257) J & J MASONRY INC
(258) J A D CONSTRUCTION INC
(259) J C DILLON PLBG
(260) J G STEWART CONTRS INC
(261) J H FINDORFF & SON INC
(262) J J BRAKER & SONS INC
(263) J K SNYDER CO INC
(264) J P BURNS EXCAVATING
(265) J P EXCAVATING & TRKG INC
(266) JT THORPE & SON INC
(267) JACKSON MASONRY
(268) JAYNE EXCAVATING & WELDING LLC
(269) JEFFERSON CITY WELFARE FU
(270) JL ALLEN SERVICES INC
(271) JOE BECKER INC
(272) JOE COLEMAN SALVAGE
(273) JOHN BURNS CONST CO
(274) JOHNCO CONST INC
(275) JONES & SULLIVAN ENTER IN
(276) JONES-BLYTHE CONSTRUCTION CO
(277) JUN CONSTRUCTION COMPANY
(278) K B LOGUE CONTRACTING INC
(279) K C LABOR PARTNERS LLC
(280) K R B EXCAVATING
(281) K E VAS COMPANY
(282) KADEAN CONSTRUCTION INC
(283) KAM SERVICES INC
(284) KAMADULSKI EXCAVATING
(285) KANTEX SUBSURFACE INC
(286) KASKASKIA ENGRG GROUP LLC
(287) KASSEN EXCAVATING
(288) KEELEY AND SONS
(289) KEEN COMPANY
(290) KELLER CONSTRUCTION INC
(291) KENNETH E WILD & SONS
(292) KIDD POOLS & LANDSCAPING
(293) KIEFFER BROS CONSTR CO
(294) KILIAN CORP
(295) KINNEY CONTRACTORS
(296) KIRBY AND TURNER MASONRY
(297) KNAPP CONCRETE CONTRS
(298) KO-ON SERVICES CORP
(299) KORTE & LUITJOHAN
(300) KORTE CONSTR CO
(301) KRAEMER GUNITE INC
(302) KS ENERGY SERVICES CO
(303) KUBERSKI EXC & TRUCKING
(304) KUJO INC
(305) L KEELEY PAVING & CONST
(306) L W CONTRACTORS INC
(307) LABORERS LOCAL 231 H-W-P
(308) LABORERS LOCAL UNION #159
(309) LABORERS LOCAL UNION #218
(310) LABORERS LOCAL UNION #338
(311) LABORERS LOCAL UNION #44
(312) LABORERS LOCAL UNION #477
(313) LABORERS LOCAL UNION #670
(314) LABORERS LOCAL UNION #703
(315) LABORERS LOCAL UNION 1084
(316) LAKE CONTRACTING INC
(317) LAND OPERATIONS INC
(318) LANDGREBE INTR CONSTR INC
(319) LAVERDIERE CONSTRUCTION
(320) LEANDER CONSTRUCTION INC
(321) LEVEL IT EXCAVATING INC
(322) LIMBAUGH CONSTRUCTION INC
(323) LINCOLNLAND CONCRETE
(324) LITTEKEN CONSTRUCTION
(325) LITTEKEN PLUMBING CO INC
(326) LPS PAVEMENT COMPANY
(327) LTS BUILDING SYSTEMS
(328) LUNDA CONSTRUCTION
(329) M & M CONCRETE
(330) M & O ENVIRONMENTAL CO
(331) M & O INSULATION CO
(332) M D MAGARY CONSTR
(333) M R MASON CONTR
(334) M L VASQUEZ
(335) MAV MASONRY
(336) MAC ELECTRIC
(337) MADISON INDUSTRIAL SRV
(338) MAIN STREET FENCING
(339) MARSCHEL WRECKING LLC
(340) MARTIN FENCE LLC
(341) MARTINSVILLE ROOFING CO
(342) MASONS MASONRY REST INC
(343) MAYER LANDSCAPING INC
(344) MCCARTHY BUILDING CO INC
(345) MCCLOUGHAN CONTR
(346) MCCOY CONSTRUCTION CO
(347) MCDOWELL BLDRS
(348) MCGRATH & ASSOC INC
(349) MICHEL CONCR CONSTR INC
(350) MICHELS PIPE LINE CONSTR INC
(351) MICRO SURFACING INC
(352) MICRO-SURFACING INC
(353) MID AMERICA ENERGY SERVICES INC
(354) MID ILL CONCRETE & EXC IN
(355) MIDDENDORF AND REUSS CONST
(356) MID-ILLINOIS COMPANIES
(357) MID-ILLINOIS MECHANICAL
(358) MIDWAY CONTRG GROUP LLC
(359) MIDWEST ASPHALT CO
(360) MIDWEST BLDG & COMPTG INC
(361) MIDWEST COMMERCIAL COATIN
(362) MIDWEST CONCRETE INC
(363) MIDWEST CONSTR SERVICE
(364) MIDWEST FENCE CORP
(365) MIDWEST FIREPROOFING DBA
(366) MIDWEST MOLE INC
(367) MIDWEST PLBG & BCKFLW
(368) MIDWEST REGION FNDT FOR
(369) MIDWEST REGION LABORERS'
(370) MIDWEST REGION LECET
(371) MIDWEST REGION ORGANIZING
(372) MIDWEST SERVICE GROUP
(373) MIDWEST UNDERGROUND LLC
(374) MIDWESTERN CONTRACTORS
(375) MILLER ENTERPRISE GROUP LLC
(376) MILLER IND SERV TEAMS INC
(377) MILLSTONE WEBER INC
(378) MINNESOTA LABORERS PENSION FUND
(379) MINNESOTA LTD INC
(380) MONIGER EXCAVATING CO INC
(381) MONTGOMERY COUNTY
(382) MOORE ASPHALT
(383) MORTHOLE MASONRY
(384) MUD CREEK CONCRETE
(385) MUNIE TRENCHING & EXC INC
(386) MUNSON CONST
(387) MURPHY PAVING & SEALCOATI
(388) NE-CO ASPHALT COMPANY INC
(389) NEFF-COLVIN INC
(390) NEGWER MATERIALS
(391) NEISS MASONRY INC
(392) NEW BEGINNING CONTR INC
(393) NEWELL CONSTR CO INC
(394) NOETH EXCAVATING SYSTEMS
(395) NOLLAU NURSERIES
(396) NORCON INC
(397) NORTH CENTRAL IL LABRS
(398) NORTHERN CONTRACTING
(399) NORTHERN IL & IOWA H&W
(400) NORTHERN PIPELINE CONSTR CO
(401) OHIO LABORERS FRINGE
(402) OPEN ROAD PAVING CO LLC
(403) OPER PLASTERERS & CEM MSN
(404) OPPERMAN CONSTR CO
(405) OSCAR J BOLDT CONSTR
(406) OTTO BAUM AND SONS
(407) OUTDOOR CONST INC
(408) OVERCASH PIPELINE LLC
(409) OWENS EXCAVATING & TRKG
(410) OZ DIRECTIONAL DRILLING
(411) P & P CONST CO
(412) P J HOERR INC
(413) P H BROUGHTON & SONS IN
(414) PAINTERS LOCAL 288
(415) PATH CONSTRUCTION CO
(416) PAYNE CONSTRUCTION SERVICES LLC
(417) PE BEN USA INC
(418) PEDIGO SOD CO INC
(419) PEERLESS CLEANING & RESTORATION SER
(420) PERRY BROUGHTON TRKG & EX
(421) PETERSBURG PLBG & EXC LLC
(422) PHOENIX CORP OF
(423) PLAINFIELD GRADING &
(424) PLATINUM SPECIALTY SERVICES INC
(425) PLOCHER CONSTR CO INC
(426) POETTKER CONSTRUCTION CO
(427) PRADO CONSTRUCTION
(428) PRAIRIE RESTORATION INC
(429) PRAIRIE ST PLBG & HTG INC
(430) PRAIRIE VIEW LNDSCPG &
(431) PRECISION BUILDERS & ASSOCIATES INC
(432) PRECISION PIPELINE LLC
(433) PREMIER DEMOLITION
(434) PRETEC DIRECTIONAL DRILLI
(435) PRICE GREGORY INTERNATIONAL INC
(436) PRIME SCAFFOLD INC
(437) PULLIAM MASONRY INC
(438) Q3 CONTRACTING INC
(439) QUALITY CONCRETE & MORE CO
(440) R & W BUILDERS INC
(441) R A CULLINAN & SON
(442) R D COX MASONRY INC
(443) R D LAWRENCE CONSTR
(444) R G CONSTR SERVICES INC
(445) R G ROSS CONSTR
(446) R L COOLSAET CONST
(447) RAILCET
(448) RAMIREZ DVSFD SVCS LLC
(449) RANGER & SONS
(450) RATHBUN & SON CARPENTRY
(451) RCS CONSTRUCTION INC
(452) REAGAN TRAFFIC CONTROL
(453) RIGHT WAY TRFFC CNTRL INC
(454) RITTENHOUSE & SON
(455) RIVER CITY CONST CO
(456) RIVER CITY DEMOLITION
(457) ROACH MASONRY
(458) ROADSAFE TRAFFIC SYST INC
(459) ROB BITTICK CONSTR CO
(460) ROBERTS PIPELINE INC
(461) ROCKFORD CORPORATION
(462) ROMER BROS TREE & SHRUB
(463) RON FURMAN'S COMMERCIAL
(464) RON HUNSCHE EXC
(465) ROOTER'S AMERICAN MAINT
(466) ROSCH COMPANY LLC
(467) ROULAND TRUCKING SERVICE
(468) ROWE CONSTRUCTION CO
(469) RUNKEL FLATWORK INC
(470) RYAN & ASSOCIATES INC
(471) S & G EXCAVATING INC
(472) S & W CONTR OF ILL INC
(473) S T TURMAN CONTRACTING
(474) S SHAFER EXCAVATING INC
(475) SK FENCE CO
(476) SALLENGER INC
(477) SAMRON MIDWEST CONTR INC
(478) SANGAMO CONSTRUCTION
(479) SANGIOLO & BAKER MSNRY LL
(480) SCANLON EXC & CONCR INC
(481) SCHECK MECH CORPORATION
(482) SCHMID-MIDWEST JV
(483) SCHOMBURG & SCHOMBURG
(484) SCURTO CEMENT CONSTR LTD
(485) SEILER EXCAVATING INC
(486) SELECT CONTRACTING LLC
(487) SEWARD MASONRY INC
(488) SHAW BROTHERS CONCRETE CONSTR
(489) SHORES BUILDERS
(490) SICILIANO INC
(491) SNELSON COMPANIES INC
(492) SOLDIER CONCRETE CONSTR
(493) SOLID GROUND SOLUTIONS INC
(494) SOLID PLATFORMS INC
(495) SONNENBERG ASPHALT COMPANY INC
(496) SOUTHERN IL BLDRS ASSOC
(497) SOUTHERN ILLINOIS LABR'S & EMP
(498) SOUTHWESTERN CONSTR SERV
(499) SPECTRA PAINTING
(500) SPIRTAS WRECKING CO
(501) SPRAY INSULATIONS INC
(502) SPRINGWATER PIPELINE SERVICES
(503) ST LOUIS PAINTERS WELFARE FUND
(504) ST LOUIS WELFARE FUND
(505) STARK EXCAVATING INC
(506) STORMER EXCAVATING INC
(507) STUTZ EXCAVATING
(508) SUBSURFACE CONSTRUCTORS
(509) SUMMIT MASONRY&STONEWORK
(510) SUNBELT ENVIRONMENTAL SERVICES INC
(511) SURMEIER & SURMEIER
(512) T C S LLC
(513) T R SERVICES
(514) T M F CONSTR CO
(515) TALBERT ICS INC
(516) TAYLOR RIDGE DRILLED FOUN
(517) TCI COMPANIES INC
(518) TERRA FIRMA SOIL SOLUTION
(519) TERRY BROWN EXCAVATING
(520) THE PETRY-KUHNE CO
(521) THE RED ANTS
(522) THORNBURGH ABATEMENT
(523) THORNTON RAVE CONSTRUCTION
(524) TINDALL CONSTRUCTION CO INC
(525) TIPTON CONCRETE CONST
(526) TOBIN BROS
(527) TOENJES BRICK CONTR INC
(528) TRAFFIC CONTROL
(529) TRAMAR CONTRACTING INC
(530) TREIBER CONSTR CO
(531) TROY PAGE EXCAVATING INC
(532) TRUE LINE CONCRETE CUTTIN
(533) TRUMAN L FLATT & SONS
(534) TYCE MAHANNAH EXCAVTG INC
(535) U S PIPELINE INC
(536) ULTRA HIGH PRESSURE SERVS
(537) UNITED CONSTRUCTORS BLDG
(538) UNITED PETROLEUM SERVICE
(539) UNITED PIPING INC
(540) US TRINITY ENERGY LABOR SERVICE
(541) VALOR TECHNOLOGIES INC
(542) VEE-JAY CEMENT CONTR CO INC
(543) VEYA INCORPORATED
(544) VI CORPS INC
(545) VISION INFRASTRUCTURE
(546) VISSERING CONSTRUCTION
(547) VON ALST INC
(548) W F JOHNSTON CONSTR INC
(549) W W C S INC
(550) WAGNER MASONRY INC
(551) WALKER EXCAVATING CO INC
(552) WAS CON CO
(553) WAYNE DAVIS EXC
(554) WEGMAN ELECTRIC COMPANY
(555) WELDED CONSTRUCTION COMPANY
(556) WESTERN ASPHALT INC
(557) WESTERN UTILITY CONTR INC
(558) WESTERN WATERPROOFING CO
(559) WESTPORT POOLS INC
(560) WHEELER CONSTRUCTION CO
(561) WHITE CONSTRUCTION INC
(562) WHM CONSTRUCTION INC
(563) WICK CONCRETE INC
(564) WIDMAN CONSTRUCTION INC
(565) WIDMAN INC
(566) WILKIN INSULATION CO
(567) WILLIAM AUPPERLE & SONS
(568) WILLIAMS BROTHERS CONSTR
(569) WINGLE CONSTRUCTION INC
(570) WISSEHR ELECTRIC CONTRS
(571) XTREME SEEDING INC
(572) ZOIE LLC DBA

Schedule R (Form 990) 2019

Page 3

Part V

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

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

Yes

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Schedule R (Form 990) 2019

Page 4

Part VI

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

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

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

Schedule R (Form 990) 2019

Page 5

Part VII

Supplemental Information

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

Return Reference	Explanation
PART IV	THIS PLAN IS A VEBA EXEMPT UNDER SECTION 501(C)(9) OF THE INTERNAL REVENUE CODE. PER THE CURRENT INSTRUCTIONS FOR SCHEDULE R, VEBA TRUSTS ARE ONLY REQUIRED TO LIST THE NAMES OF THE SPONSORING ORGANIZATIONS AND CONTRIBUTING EMPLOYERS ON SCHEDULE R. THE PLAN DOES NOT KNOW THE TAXABLE STATUS OF EVERY CONTRIBUTING EMPLOYER AND THEREFORE IS UNABLE TO SPLIT UP THE INFORMATION BETWEEN THE VARIOUS SECTIONS OF SCHEDULE R.

Return Reference

Explanation

PART IV

THIS PLAN IS A VEBA EXEMPT UNDER SECTION 501(C)(9) OF THE INTERNAL REVENUE CODE. PER THE CURRENT INSTRUCTIONS FOR SCHEDULE R, VEBA TRUSTS ARE ONLY REQUIRED TO LIST THE NAMES OF THE SPONSORING ORGANIZATIONS AND CONTRIBUTING EMPLOYERS ON SCHEDULE R. THE PLAN DOES NOT KNOW THE TAXABLE STATUS OF EVERY CONTRIBUTING EMPLOYER AND THEREFORE IS UNABLE TO SPLIT UP THE INFORMATION BETWEEN THE VARIOUS SECTIONS OF SCHEDULE R.

Schedule R (Form 990) 2019

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: TO PROVIDE HEALTHCARE, DEATH, DISABILITY, DENTAL, AND VISION BENEFITS TO ELIGIBLE MEMBERS AND DEPENDENTS.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	12
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	12
5	Total number of individuals employed in calendar year 2019 (Part V, line 2a) ......	5	19
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 39 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	0	0
9	Program service revenue (Part VIII, line 2g) .........	4,790,444	19,122,062
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	446,061	878,344
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	26,359	161,738
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	5,262,864	20,162,144
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).....	4,847,701	19,099,483
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	0	0
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	562,979	2,211,530
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	5,410,680	21,311,013
19	Revenue less expenses. Subtract line 18 from line 12.......	-147,816	-1,148,869
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	36,217,251	38,755,887
21	Total liabilities (Part X, line 26).............	18,074,070	18,435,934
22	Net assets or fund balances. Subtract line 21 from line 20.....	18,143,181	20,319,953

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )
	TO PROVIDE MEDICAL, DEATH, DISABILITY, DENTAL, AND VISION BENEFITS TO ELIGIBLE MEMBERS AND THEIR DEPENDENTS.

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












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












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

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)		(D) Reportable compensation from the organization (W-2/1099-MISC)	(E) Reportable compensation from related organizations (W-2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and title
(1) BOB MCDONALD...................................................................... CHAIRMAN	5.00 .................	X	X	0	0	0
(2) RUSSELL DAVENPORT...................................................................... TRUSTEE	5.00 .................	X		0	0	0
(3) JOSEPH RILEY...................................................................... TRUSTEE	5.00 .................	X		0	0	0
(4) BRAD SCHAIVE...................................................................... TRUSTEE	5.00 .................	X		0	0	0
(5) PATRICK SHEPPARD...................................................................... TRUSTEE	5.00 .................	X		0	0	0
(6) TRAVIS CRAIG...................................................................... TRUSTEE	5.00 .................	X		0	0	0
(7) BOB DUNN...................................................................... TRUSTEE	5.00 .................	X		0	0	0
(8) JOSHUA SCHAUFELBERGER...................................................................... TRUSTEE	5.00 .................	X		0	0	0
(9) KENTON DAY...................................................................... TRUSTEE	5.00 .................	X		0	0	0
(10) EDWARD DOYLE...................................................................... TRUSTEE	5.00 .................	X		0	0	0
(11) ROBERT HUEBNER...................................................................... TRUSTEE	5.00 .................	X		0	0	0
(12) DOUG MEGGINSON...................................................................... TRUSTEE	5.00 .................	X		0	0	0
(13) DAN KOEPPEL...................................................................... EXECUTIVE DIRECTOR	20.00 ................. 20.00		X	0	0	0

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	0	0	0

(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 0

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

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

g	Noncash contributions included in lines 1a - 1f:$	1g

h Total. Add lines 1a-1f.......

		Business Code
2a	EMPLOYER CONTRIBUTIONS	900099	17,461,437	17,461,437
b	PARTICIPANT CONTRIBUTIONS	900099	1,660,625	1,660,625
c
d
e
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		19,122,062

3 Investment income (including dividends, interest, and othersimilar amounts) ......			881,757			881,757
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents			6a
b	Less: rental expenses			6b
c	Rental income or (loss)			6c
d	Net rental income or (loss).......
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory		4,252,650	7a
b	Less: cost or other basis and sales expenses		4,256,063	7b
c	Gain or (loss)		-3,413	7c
d	Net gain or (loss).........			-3,413			-3,413
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a
b	Less: direct expenses ...		8b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a
b	Less: cost of goods sold ..		10b
c	Net income or (loss) from sales of inventory..
Business Code			Miscellaneous Revenue
11a	DELINQUENCY EXPENSE RECOVERIES		900099	76,222	76,222
b	SUBROGATION		900099	44,997	44,997
c	AUDIT RECOVERIES		900099	40,519	40,519
d	All other revenue ....
e	Total. Add lines 11a–11d ......			161,738
12	Total revenue. See instructions.....			20,162,144	19,283,800	0	878,344

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............
4	Benefits paid to or for members .......	19,099,483
5	Compensation of current officers, directors, trustees, and key employees ...........
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........
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....
9	Other employee benefits .......
10	Payroll taxes ...........
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	24,173
c	Accounting ...........	21,326
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	20,030
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	205,997
12	Advertising and promotion ....
13	Office expenses .......	50,867
14	Information technology ......	95,396
15	Royalties ..
16	Occupancy ...........
17	Travel ............	12,869
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 ..
23	Insurance ...	36,101
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	REIMBURSEMENTS TO PENSI	1,618,419
b	LABORERS HEALTH & SAFET	100,194
c	PCORI FEE	19,910
d	OTHER EXPENSES	6,248
e	All other expenses
25	Total functional expenses. Add lines 1 through 24e	21,311,013
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........		13,990	1	50,107
2	Savings and temporary cash investments .........		4,136,174	2	3,437,801
3	Pledges and grants receivable, net ......			3
4	Accounts receivable, net .............		1,901,317	4	2,131,977
5	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
				5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
				6
7	Notes and loans receivable, net ...........			7
8	Inventories for sale or use ............			8
9	Prepaid expenses and deferred charges ......		82,380	9	88,915
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a
b	Less: accumulated depreciation	10b		10c
11	Investments—publicly traded securities .		28,162,241	11	30,554,619
12	Investments—other securities. See Part IV, line 11 .....		1,851,198	12	2,431,822
13	Investments—program-related. See Part IV, line 11 ..			13
14	Intangible assets ...............			14
15	Other assets. See Part IV, line 11 ...........		69,951	15	60,646
16	Total assets. Add lines 1 through 15 (must equal line 33)...		36,217,251	16	38,755,887

17	Accounts payable and accrued expenses .....	622,263	17	490,405
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 any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
			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	17,451,807	25	17,945,529
26	Total liabilities. Add lines 17 through 25..	18,074,070	26	18,435,934

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	18,143,181	27	20,319,953
28	Net assets with donor restrictions ...........		28
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	18,143,181	32	20,319,953
33	Total liabilities and net assets/fund balances ........	36,217,251	33	38,755,887