TY 2018 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 the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

SOUTHERN ILLINOIS LABORERS & EMPLOYERS
HEALTH & WELFARE FUND

Employer identification number

37-1037101

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

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

(i)

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

(ii)

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

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

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

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

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

Cat. No. 52283D

Schedule D (Form 990) 2018

Page 2

Part III

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

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

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

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

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

Yes No

Part IV

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

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

Yes No


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

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

Yes No

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

Part V

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

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

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

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

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

Temporarily restricted endowment SchDMd Bullet

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

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

Yes

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

3a(i)

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

3a(ii)

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

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

Part VI

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

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

1a	Land .....
b	Buildings ....
c	Leasehold improvements	9,848	7,164	2,684
d	Equipment ....	127,417	118,673	8,744
e	Other .....	187,102	67,762	119,340
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				130,768

Schedule D (Form 990) 2018

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	2,029,348	F
(B) COMMON COLLECTIVE TRUST	1,805,840	F
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)	3,835,188

Part VIII

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

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

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

Part IX

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

(a) Description				(b) Book value

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

Part X

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

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
CLAIMS INCURRED BUT NOT REPORTED	2,605,000
ACCUMULATED ELIGILBITY	4,729,000
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	7,334,000
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) 2018

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	17,443,649
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a	713,375
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	713,375
3	Subtract line 2e from line 1..................			3	16,730,274
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	21,809
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................			4c	21,809
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......			5	16,752,083

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	16,787,308
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	16,787,308
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	21,809
b	Other (Describe in Part XIII.) ............	4b	287,000
c	Add lines 4a and 4b.....................			4c	308,809
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......			5	17,096,117

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 ON NOVEMBER 22, 1978, 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 TAX 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 JULY 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 PAYABLE CHANGE IN ACCUMULATED ELIGIBILITY

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 ON NOVEMBER 22, 1978, 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 TAX 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 JULY 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 PAYABLE CHANGE IN ACCUMULATED ELIGIBILITY

Schedule D (Form 990) 2018

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

2018

Open to Public
Inspection

Name of the organization

SOUTHERN ILLINOIS LABORERS & EMPLOYERS
HEALTH & WELFARE FUND

Employer identification number

37-1037101

Return Reference	Explanation
FORM 990, PART VI, SECTION A, LINE 2	A FAMILY RELATIONSHIP EXISTS
FORM 990, PART VI, SECTION B, LINE 11B	ACCOUNTANT PREPARES FORM 990 AND SENDS TO PLAN ADMINISTRATOR FOR REVIEW. PLAN ADMINISTRATOR REVIEWS THE FORM AND THE CHAIRMAN SIGNS THE FORM 8879-EO. FORM 8879-EO IS SENT TO THE ACCOUNTANT, WHO THEN ELECTRONICALLY FILES THE FORM 990.
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) 2018

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

2018

Open to Public Inspection

Name of the organization

SOUTHERN ILLINOIS LABORERS & EMPLOYERS
HEALTH & WELFARE FUND

Employer identification number

37-1037101

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)SOUTHERN ILLINOIS LABORERS AND EMPLOYERS ANNUITY FUND 5100 ED SMITH WAY SUITE A MARION,IL62959 37-1215679	ANNUITY FUND	IL	401				No

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

Cat. No. 50135Y

Schedule R (Form 990) 2018

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

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) 3 PHASE LINE CONSTRUCTION
(2) A & K SPECIALTY CONTRACTO
(3) A & W PLUMBING
(4) A J WALKER
(5) AC ENVIRONMENTAL
(6) AC PAVEMENT STRIPING CO
(7) ACCESS CONTROL CO INC
(8) ACCURATE UNDERGROUND
(9) ACI X
(10) ADMIRAL PARKWAY INC
(11) ADVANCED ENVRIN SRVCS
(12) AFG CONTRACTING INC
(13) ALEXANDER CTY SHERIFF'S O
(14) ALL SYSTEMS IRRIGATION LLC
(15) ALLENDALE GRAVEL COMPANY
(16) ALLIANCE CONCRETE SAWING
(17) AMBRAW ASPHALT MATERIALS
(18) AMERICAN SHORELINE INC
(19) ARC CONSTRUCTION
(20) ASPHALT MAINT LLC
(21) ASSOC PIPE LINE CONTINC
(22) ATLANTA ASPHALT INC
(23) B & T DRAINING INC
(24) B & T DRAINAGE INC
(25) B C CONTRACTING
(26) BANGS CONSTRUCTION
(27) BARNETT READY MIX
(28) BARTER MASONRY
(29) BATES UTILITY CO
(30) BAXMEYER CONSTRUCTION
(31) BEAVER BRICKWORK
(32) BECKER CONSTRUCTION COMPA
(33) BECKMANN CONSTRUCTION CO
(34) BELLEVILLE FENCE COMPANY
(35) BENIACH CONSTRUCTION CO
(36) BERCO PIPELINE LLC
(37) BERCO CONSTRUCTION INC
(38) BERCO INDUSTRIAL
(39) BERGMANN-ROSCOW
(40) BERRCO GROUP LLC
(41) BEVIS CONSTRUCTION INC
(42) BIG INCH FABRICATORS & CO
(43) BLANKENSHIP CONSTRUCTION
(44) BLM PROPERTIES LLC
(45) BLOOMSDALE EXCAVATING CO
(46) BORAL RESOURCES
(47) BRANDSAFWAY INDUSTRIES LLC
(48) BRANDENBURG INDUSTRIAL
(49) BREWSTER COMPANIES INC
(50) BRUCE CONCRETE CONST INC
(51) BRYANT CONSTRUCTION CO IN
(52) BUDROVICH DEVELOPMENT
(53) BUILDERS BLOC CONTRACTING SERVICES L
(54) BUILDING PRODUCTS CORP
(55) BYRNE AND JONES CONSTRUCT
(56) C L RHODES CONCRETE CONS
(57) C R VERNIER LLC
(58) C HOWELL CONSTRUCTION
(59) C J MASONRY INC
(60) CALHOUN CONSTRUCTION MGMT
(61) CARL BANNISTER EXCAVATING
(62) CARTER X LLC
(63) CEN-PRO SERVICES INC
(64) CESA CONTRACTORS INC
(65) CHARLES E MAHONEY CO
(66) CHARLES' SOUTHERN MASONRY
(67) CHRIS HARNER EXCAVATING
(68) CHRIST BROTHERS ASPHALT
(69) CITY OF MOUNDS
(70) CLEVENGER CONTRACTORS
(71) CLS INC
(72) COLLINS & HERMANN INC
(73) COMMERCIAL LANDSCAPE SRV
(74) COMPLETE ASPHALT SERV CO
(75) CONCRETE STRATEGIES LLC
(76) CONTEGRA SERVICES
(77) CONTINENTAL PIPELINE
(78) CONTRACTORS RENTAL CORP
(79) CONTRACTING & MATERIAL CO
(80) CRAFTON CONTRACTING CO
(81) CSD ENVIRONMENTAL SERVICES
(82) CUSTOM PLAYGROUNDS
(83) DAIRYLAND FENCE COMPANY
(84) DASHIELL CONTRACTING
(85) DEAN BUSH CONSTRUCTION CO
(86) DEES INC
(87) DEMTECH LLC
(88) DEPEW & OWEN BUILDERS INC
(89) DIECKER-TERRY MASONRY INC
(90) DIEKEMPER EXCAVATING
(91) DIMKE EXCAVATING INC
(92) DMS CONTRACTING INC
(93) DONCO ELECTRICAL CONSTRUCTION LLC
(94) DONELSON CONCRETE MGT INC
(95) DUN TRANSPORTATION &
(96) DUNEMAN DEMOLITION INC
(97) DUNN COMPANY
(98) E T SIMONDS CONSTRUCTION
(99) ECA-EGYPTIAN CONTRACTORS
(100) EDWARDS CO CONCRETE LLC
(101) EFFINGHAM ASPHALT COMPANY
(102) EFFINGHAM ASPHALT CO
(103) EHRET PLUMBING & HEATING
(104) ELASTIZELL OF ST LOUIS
(105) EMPIRE EARTH & CONCRETE
(106) EMPLOYER 00457
(107) ENDRIZZI CONTRACTING INC
(108) ENERFAB INC
(109) ENVIRONMENTAL CONSULTANTS
(110) ERWIN BUILDERS INC
(111) EVRARD-STRANG CONST INC
(112) F W PLUMBING INC
(113) FAGER-MCGEE COMMERICAL CO
(114) FENCE PROS LLC
(115) FENIX CONSTRUCTION
(116) FERGUSON CONTRACTING LLC
(117) FEUTZ CONTRACTORS INC
(118) FITZGIBBONS CONTRACTING
(119) FLUOR CONST INTL INC
(120) FOCAL POINTE OUTDOOR SOL
(121) FOLLOWELL CONSTRUCTION
(122) FOUR STAR CONSTRUCTION
(123) FOURNIE CONTRACTING CO
(124) FREEHILL ASPHALT
(125) FREESEN
(126) FURLONG EXCAVATING
(127) G M SIPES CONSTRUCTION
(128) G R E CONSTRUCTION
(129) GALLOWAY CONSTRUCTION INC
(130) GARDENSCAPE CONTRACTORS
(131) GEEDING CONSTRUCTION INC
(132) GELLY EXCAV & CONST INC
(133) GENERAL WASTE SERVICES
(134) GEO DYNAMICS INC
(135) GERMANN BRICK
(136) GILLIHAN CONCRETE
(137) GIVSCO CONSTRUCTION COMPANY
(138) GLEESON ASPHALT
(139) GLOBAL SCAFFOLD CONSTRUCTION
(140) GRAPHICS GALORE INC
(141) GREAT ARROW BUILDERS LLC
(142) GREEN MOUNT CATHOLIC CEME
(143) GROUNDWORKS CONTRACTING
(144) GRP COMPANY INC
(145) GRUNLOH CONSTRUCTION CO
(146) GRUNLOH CONSTRUCTION CO
(147) GUINZY CONSTRUCTION
(148) H & M BACKHOE INC
(149) H & N CONSTRUCTION
(150) H B D CONTRACTING INC
(151) H E MITCHELL CONSTRUCTION
(152) H J EPPEL & CO INC
(153) HAIER PLUMBING & HEATING
(154) HALVERSON CONSTRUCTION CO
(155) HAMON CUSTODIS INC
(156) HANK'S EXCAVATING & LANDS
(157) HANNIG CONSTRUCTION INC
(158) HAYDEN WRECKING CORP
(159) HAYES MECHANICAL
(160) HAYWARD BAKER
(161) HELMKAMP CONSTRUCTION
(162) HENKE EXCAVATING INC
(163) HOLLAND GENERAL
(164) HOWARD CONCRETE PUMPING
(165) HOWELL PAVING INC
(166) HUEBNER CONCRETE CONS INC
(167) HUEBNER LANDSCAPING
(168) HUFF SEALING CORPORATION
(169) HUMBER PAINTING INC
(170) HYATT EXCAVATING & PAVING INC
(171) I & I CONSTRUCTION
(172) ICON SERVICES
(173) IDOT DAY LABOR
(174) ILLINI ASPHALT CORPORATIO
(175) ILLINI EXCAVATION & RECLA
(176) ILLINOIS LABRS & CONTRS
(177) ILLINOIS STATE EMPLOYEES
(178) INDIANA LABORERS' WELFARE FUND
(179) INFRASOURCE CONST LLC
(180) INSITUFORM TECH INC USA
(181) INTER SPORT SURFACES
(182) INTERCON CONST
(183) INTREN
(184) J & L ROBINSON DEV & CONS
(185) J & M HIGHWAY SAFETY
(186) J H BERRA PAVING
(187) J K TROTTER & SONS INC
(188) J M JONES INC
(189) J P BURNS EXCAVATING
(190) JAD CONSTRUCTION INC
(191) JE FOSTER BUILDING CO
(192) JAX ASPHALT COMPANY
(193) JAYNE EXCAVATING & WELDINIG
(194) JOE COLEMAN SALVAGE
(195) JOE GAREGNANI CONCRETE
(196) JOSEPH F BECKER INC
(197) JP BURNS EXCAVATINGINC
(198) JRUIZ CONSTRUCTION LLC
(199) JUN CONSTRUCTION CO
(200) K R B EXCAVATING
(201) KD CRAIN & SONS INC
(202) KADEAN CONSTRUCTION
(203) KAM SERVICES INC
(204) KAMADULSKI EXCAVATING
(205) KANTEX SUBSURFACE INE
(206) KASKASKIA ENGINEERING
(207) KASKASKIA WATER DISTRICT
(208) KASSEN EXCAVATING INC
(209) KC LABOR PARTNERS
(210) KCI CONSTRUCTION CO
(211) KEELEY & SONS
(212) KELLER CONSTRUCTION INC
(213) KENNETH E WILD & SONS
(214) KIEFFER BROTHERS CONSTRUC
(215) KILIAN CORPORATION
(216) KINNEY CONTRACTORS INC
(217) KNUDSEN CONSTRUCTION INC
(218) KORTE & LUITJOHAN
(219) KS ENERGY SERVICES
(220) L KEELEY CONSTRUCTION
(221) L W CONTRACTORS INC
(222) LABORERS' LOCAL 1197
(223) LABORERS' LOCAL 581
(224) LABORERS' LOCAL 196
(225) LABORERS' LOCAL 742
(226) LABORERS' LOCAL 459
(227) LABORERS' LOCAL 773
(228) LAKE CONTRACTING INC
(229) LAND OPERATIONS INC
(230) LITTEKEN CONSTRUCTION
(231) LITTEKEN PLUMBING CO INC
(232) LOOS EXCAVATING INC
(233) LUHR BROS INC
(234) LUNDA CONSTRUCTION CO
(235) LYTLE ELECTRIC CO INC
(236) M L VASQUEZ INC
(237) M A V MASONRY
(238) MARION CONCRETE CONST INC
(239) MARSCHEL WRECKING LLC
(240) MARTIN FENCE LLC
(241) MASCOUTAH SUMMERFIELD
(242) MASONRY SPECIALISTS INC
(243) MASONS MASONRY RESTORATIO
(244) MATHIS EXCAVATING INC
(245) MAYER LANDSCAPING INC
(246) MCCARTHY BUILDING CO INC
(247) MDS BORING AND DRILLING
(248) MICHELS PIPELINE CONST
(249) MICRO SURFACING
(250) MID AMERICA UNDERGROUND
(251) MIDDENDORF & REUSS CONST
(252) MIDEASTERN PLUMBING
(253) MIDWEST FENCE CORPORATION
(254) MIDWEST CONSTRUCTION SERV
(255) MIDWEST PETROLEUM & EXC
(256) MIDWEST SERVICE GROUP
(257) MIDWEST EXCAVATING INC
(258) MIDWEST UNDERGROUND
(259) MIDWEST PLUMBING & BACK-
(260) MIDWEST COMMERICAL
(261) MIDWESTERN CONTRACTORS
(262) MILLER ENTERPRISE GROUP
(263) MILLER DRYWALL INC
(264) MILLSTONE WATER DISTRICT
(265) MINNESOTA LTD INC
(266) MKA CONTRACTING LLC
(267) MOORE ASPHALT INC
(268) MORRIS CONSTRUCTION INC
(269) MORTENSON HH ENERGY IND & BIOFUELS
(270) MOTT EXCAVATING INC
(271) MT CARMEL STABILIZATION
(272) MUDCREEK CONCRETE LLC
(273) MUELLER CONTRACTING LLC
(274) MUNIE TRENCHING & EXCAV
(275) NB WEST CONTRACTING CO
(276) NEVOIS CONSTRUCTION INC
(277) NEW CONCEPT CONSTRUCTION
(278) NOETH EXCAVATING
(279) NOLLAU NURSERY INC
(280) NORTHERN CONTRACTING
(281) O6 ENVIRONMENTAL
(282) O'DANIEL TRUCKING
(283) P & P CONSTRUCTION CO
(284) PACE CONSTRUCTION CO
(285) PANGEA INC
(286) PARTRIDGE LANDSCAPING
(287) PAYNE CONSTRUCTION SERVICES LLC
(288) PE BEN INDUSTRIES CO LTD
(289) PE BEN USA INC
(290) PHOENIX CORP OF QUAD CITY
(291) PINOY CONSTRUCTION INC
(292) PLATINUM SPECIALTY SERVICES INC
(293) PLOCHER CONSTRUCTION CO
(294) POETTKER CONSTRUCTION CO
(295) PRECISION PIPELINE LLC
(296) PRECISION COOLING TOWERS
(297) PRECISION DRILLING OF LA LLC
(298) PREMIER DEMOLITION
(299) PRETEC DIRECTIONAL DRILL
(300) PRICE GREGORY
(301) PULASKI CO HWY DEPT
(302) Q3 CONTRACTING INC
(303) R & R PIPELINE CONST
(304) R & W BUILDERS INC
(305) RB BUSH CONTRACTING
(306) RAMIREZ DIVERSIFIED SERV
(307) RAMSEY PROPERTIES INC
(308) RANDOLPH CO HIGHWAY DEPT
(309) RCS CONSTRUCTION INC
(310) RED DOT CONSTRUCTION
(311) REND LAKE PLUMBING & HEAT
(312) RHODEY & SON CONSTRUCTION
(313) RIGHT WAY TRAFFIC CONTROL
(314) RIGHT WAY TRAFFIC
(315) RIGHT-OF-WAY CLEARING
(316) RIVER CITY CONSTRUCTION
(317) ROADSAFE TRAFFIC SYST
(318) ROADSAFE TRAFFIC SYST INC
(319) ROADWORKS LLC
(320) ROBERTS MAINLINE CORP
(321) ROCKFORD CORPORATION
(322) ROCKY MOUNTAIN SPECIALTY
(323) ROLLIE EXC & CEMENT FIN
(324) RON GOBIN CONSTRUCTION
(325) RON HUNSCHE EXCAVTING IN
(326) ROOTERS AMERICAN MAINT IN
(327) ROSS CONSTRUCTION INC
(328) S & C IL LECET
(329) S & C IL LECET
(330) S & G EXCAVATING INC
(331) S IL LABORERS' H&W FUND
(332) S IL LABORERS' H&W FUND
(333) S&CILDC
(334) S SHAFER EXCAVATING INC
(335) SM BURKEY CONST CO INC
(336) SACHS CIVIL INC
(337) SAFWAY SERVICES LLC
(338) SALINE COHOUSING AUTHORI
(339) SANGAMO CONSTRUCTION CO
(340) SANGIOLO & BAKER MASONRY
(341) SAUNDERSCONDON & KENNEY
(342) SCHECK MECHANICAL
(343) SCHMID PIPELINE CONST
(344) SCHOMBURG & SCHOMBURG CON
(345) SELF PAY
(346) SENCO CONSTRUCTION INC
(347) SHERIDAN CONCRETE INC
(348) SHORES BUILDERS INC
(349) SIERRA BRAVO CONTRACTORS
(350) SIMPSON CONTRACTING LLC
(351) SIU CARBONDALE
(352) SKEE MASONRYINC
(353) SMC INC
(354) SMITH HAFELI INC
(355) SNELSON COMPANIES INC
(356) SOIL INSTALLERS INC
(357) SONNENBERG ASPHALT
(358) SOUTHERN ILLINOIS ASPHALT
(359) SOUTHWESTERN CONST SERV
(360) SPECCON INC
(361) SPIRTAS WRECKING CO
(362) ST LOUIS BRIDGE CONSTRUCT
(363) STRAETER EXCAVATING
(364) STUTZ EXCAVATING
(365) SUPERIOR CUSTOM BUILDERS
(366) SURMEIER & SURMEIERINC
(367) SW IL LABORERS' ANNUITY
(368) T E K CONST & EXCAV
(369) T & L CONTRACTING INC
(370) TJ AHRENS EXCAVATINGIN
(371) TCS LLC
(372) TERRA PRO EXCAVATING
(373) TERRACE FENCE COMPANY INC
(374) TINDALL CONSTRUCTION INC
(375) TIPTON CONCRETE
(376) TISON & HALL CONCRETE PRO
(377) TOENJES BRICK CONTRACTING
(378) TRAFFIC CONTROL COMPANY
(379) TRAMAR CONTRACTING INC
(380) TRI-COUNTY CONSTRUCTION I
(381) US PIPELINE INC
(382) UNITED PIPING INC
(383) US PIPELINE INC
(384) US TRINITY ENERGY LABOR SERVICES
(385) VEE-JAY CEMENT CONTR CO
(386) VI CORPS INC
(387) VILLAGE OF MILLSTADT
(388) WAGNER MASONRY
(389) WASHINGTON GROUP ALBERICI
(390) WAYNE LAPINGTON
(391) WELDED CONSTRUCTION CO
(392) WESTERN SPECIALTY CONTRACTORS
(393) WHITE CONSTRUCTION INC
(394) WIDMAN CONSTRUCTION INC
(395) WIGGS EXCAVATING
(396) WILD & SONS INC
(397) WILLIAMS REFRACTORY SER
(398) WILSON'S LANDSCAPING & LAWN SERVICE
(399) WISSEHR ELECTRIC INC
(400) WISSINGER CONST INC
(401) WYANDOTTE CORPORATION
(402) XTREME SEEDING INC
(403) ZELLER CONSTRUCTION GROUP
(404) ZOIE LLC

Schedule R (Form 990) 2018

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) ...................

Yes

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

Yes

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

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

Yes

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

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

Yes

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

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) SOUTHERN IL LABORERS & EMPLOYERS ANNUITY FUND	Q	1,806	ACCRUAL BASIS
(2) SOUTHERN IL LABORERS & EMPLOYERS ANNUITY FUND	O	120,000	ACCRUAL BASIS
(3) SOUTHERN IL LABORERS & EMPLOYERS ANNUITY FUND	Q	45,296	ACCRUAL BASIS

Schedule R (Form 990) 2018

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) 2018

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 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 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) 2018

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: TO PROVIDE VACATION, HEALTH, AND DEATH BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	11
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	11
5	Total number of individuals employed in calendar year 2018 (Part V, line 2a) ......	5	10
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

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	0	0
9	Program service revenue (Part VIII, line 2g) .........	16,710,805	16,201,586
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	417,781	341,762
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	192,608	208,735
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	17,321,194	16,752,083
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).....	17,231,957	15,457,905
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	1,063,072	1,146,728
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)....	476,257	491,484
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	18,771,286	17,096,117
19	Revenue less expenses. Subtract line 18 from line 12.......	-1,450,092	-344,034
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	20,782,174	21,417,111
21	Total liabilities (Part X, line 26).............	7,375,184	7,640,780
22	Net assets or fund balances. Subtract line 21 from line 20.....	13,406,990	13,776,331

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )
	TO PROVIDE VACATION, HEALTH AND DEATH BENEFITS

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) FLINT TAYLOR...................................................................... TRUSTEE	1.00 .................	X		0	0	0
(2) CLINT TAYLOR...................................................................... CHAIRMAN	1.00 .................	X	X	0	0	0
(3) RODNEY MASTERSON...................................................................... TRUSTEE	1.00 .................	X		0	0	0
(4) JERRY ROSS...................................................................... TRUSTEE	1.00 .................	X		0	0	0
(5) JERRY WOMICK...................................................................... TRUSTEE	1.00 .................	X		0	0	0
(6) MATT SMITH...................................................................... TRUSTEE	1.00 .................	X		0	0	0
(7) JAMES MCPHAIL...................................................................... TRUSTEE	1.00 .................	X	X	0	0	0
(8) LAURA WILSON...................................................................... TRUSTEE	1.00 .................	X		0	0	0
(9) BRIAN REHBEIN...................................................................... TRUSTEE	1.00 .................	X		0	0	0
(10) STEVE STARWALT...................................................................... TRUSTEE	1.00 .................	X		0	0	0
(11) ERIC OLLER...................................................................... TRUSTEE	1.00 .................	X		0	0	0
(12) ROBERT BALINT...................................................................... TRUSTEE	1.00 .................	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:$
h Total. Add lines 1a-1f.......

		Business Code
2a	EMPLOYER CONTRIBUTIONS	900099	11,384,568	11,384,568
b	PARTICIPANT CONTRIBUTION	900099	4,817,018	4,817,018
c
d
e
f	All other program service revenue.
g	Total. Add lines 2a–2f ....		16,201,586

3 Investment income (including dividends, interest, and othersimilar amounts) ......			341,768			341,768
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents
b	Less: rental expenses
c	Rental income or (loss)
d	Net rental income or (loss)......
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory		161
b	Less: cost or other basis and sales expenses		167
c	Gain or (loss)		-6
d	Net gain or (loss).....			-6			-6
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
	a
b	Less: direct expenses ...b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
	a
b	Less: cost of goods sold ..b
c	Net income or (loss) from sales of inventory..
Business Code			Miscellaneous Revenue
11a	ADMINISTRATIVE SERVICES		900099	189,513	189,513
b	LIQUIDATED DAMAGES		900099	16,856	16,856
c	REFUNDS		900099	2,366	2,366
d	All other revenue ....
e	Total. Add lines 11a–11d ......			208,735
12	Total revenue. See Instructions......			16,752,083	16,410,321	0	341,762

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, line 15 and 16.
4	Benefits paid to or for members	15,457,905
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	553,803
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	227,426
9	Other employee benefits .......	312,951
10	Payroll taxes ...........	52,548
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	32,316
c	Accounting ...........	31,437
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	21,809
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	96,361
12	Advertising and promotion ....
13	Office expenses .......	61,962
14	Information technology ......	13,934
15	Royalties ..
16	Occupancy ...........	92,807
17	Travel ............	13,459
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 ..	41,575
23	Insurance ...	16,550
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	NATIONAL HEALTH & SAFET	62,372
b	PCORI FEES	4,235
c	MEMBERSHIP DUES	2,637
d	LATE FEES	30
e	All other expenses
25	Total functional expenses. Add lines 1 through 24e	17,096,117
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 ........				1
2	Savings and temporary cash investments .........			2,541,756	2	2,361,359
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			2,204,942	4	2,041,873
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 ....				7
8	Inventories for sale or use ........				8
9	Prepaid expenses and deferred charges ......			16,560	9	17,268
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	324,367
b	Less: accumulated depreciation	10b	193,599	169,043	10c	130,768
11	Investments—publicly traded securities .			12,150,353	11	13,030,655
12	Investments—other securities. See Part IV, line 11 .....			3,699,520	12	3,835,188
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........				15
16	Total assets. Add lines 1 through 15 (must equal line 34)...			20,782,174	16	21,417,111

17	Accounts payable and accrued expenses .....	328,184	17	306,780
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	7,047,000	25	7,334,000
26	Total liabilities. Add lines 17 through 25..	7,375,184	26	7,640,780

	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets	13,406,990	27	13,776,331
28	Temporarily restricted net assets ...........		28
29	Permanently restricted net assets		29
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....		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 ...........	13,406,990	33	13,776,331
34	Total liabilities and net assets/fund balances ........	20,782,174	34	21,417,111