TY 2019 Form 990

(A) Name and business address	(B) Description of services	(C) Compensation
GROUP ADMINISTRATORS LTD 915 NATIONAL PARKWAY SUITE F SCHAUMBURG,IL60173	THIRD PARTY ADMINISTRATOR	378,038
HINES & ASSOCIATES PO BOX 0327 ELGIN,IL60121	UTILIZATION REVIEW	121,459
SEGAL CONSULTING 101 NORTH WACKER DR STE 500 CHICAGO,IL60606	ACTUARY	114,443


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 3

- 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

CONSTRUCTION INDUSTRY WELFARE FUND OF
ROCKFORD ILLINOIS

Employer identification number

36-2265130

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	10,977	3,293	7,684
d	Equipment ....	33,640	31,160	2,480
e	Other .....
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				10,164

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
(B)
(C)
(D)
(E)
(F)
(G)
(H)
(I)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

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
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	508,884
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	19,149,687
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a	-27,845
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	-27,845
3	Subtract line 2e from line 1..................			3	19,177,532
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................			4c	0
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......			5	19,177,532

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	18,479,499
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	18,479,499
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.....................		4c	0
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5	18,479,499

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 IV, LINE 2B:	THE PLAN SERVES AS A CONDUIT TO COLLECT REMITTANCES ON BEHALF OF AFFILIATED BENEFIT FUNDS AND ORGANIZATIONS. SUCH REMITTANCES ARE INITIALLY RECEIVED THROUGH A LOCKBOX ARRANGEMENT AND TRANSFERRED INTO A SEGREGATED CHECKING ACCOUNT HELD BY THE PLAN UNTIL DISBURSEMENT TO THE AFFILIATED ENTITY IS MADE.
PART X, LINE 2:	ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE THE PLAN TO EVALUATE TAX POSITIONS TAKEN BY THE PLAN AND RECOGNIZE A TAX LIABILITY IF THE PLAN HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY TAX AUTHORITIES. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS.

Return Reference

Explanation

PART IV, LINE 2B:

THE PLAN SERVES AS A CONDUIT TO COLLECT REMITTANCES ON BEHALF OF AFFILIATED BENEFIT FUNDS AND ORGANIZATIONS. SUCH REMITTANCES ARE INITIALLY RECEIVED THROUGH A LOCKBOX ARRANGEMENT AND TRANSFERRED INTO A SEGREGATED CHECKING ACCOUNT HELD BY THE PLAN UNTIL DISBURSEMENT TO THE AFFILIATED ENTITY IS MADE.

PART X, LINE 2:

ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE THE PLAN TO EVALUATE TAX POSITIONS TAKEN BY THE PLAN AND RECOGNIZE A TAX LIABILITY IF THE PLAN HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY TAX AUTHORITIES. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS.

Schedule D (Form 990) 2019

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

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

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

Attach to Form 990.
SchJMediumBullet

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

CONSTRUCTION INDUSTRY WELFARE FUND OF
ROCKFORD ILLINOIS

Employer identification number

36-2265130

Part I

Questions Regarding Compensation

Yes

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

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

Travel for companions Payments for business use of personal residence

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

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

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

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

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

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Cat. No. 50053T

Schedule J (Form 990) 2019

Page 2

Part II

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

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

(A) Name and Title		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column (B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1ART STURMS LABOR CO-CHAIR	(i) (ii)	0 ------------- 121,407	0 ------------- 0	0 ------------- 0	0 ------------- 24,017	0 ------------- 23,339	0 ------------- 168,763	0 ------------- 0
2RICHARD BOYD LABOR TRUSTEE	(i) (ii)	0 ------------- 95,998	0 ------------- 0	0 ------------- 300	0 ------------- 47,711	0 ------------- 21,788	0 ------------- 165,797	0 ------------- 0
3DANIEL JANSEN LABOR TRUSTEE	(i) (ii)	0 ------------- 128,269	0 ------------- 0	0 ------------- 0	0 ------------- 22,291	0 ------------- 21,552	0 ------------- 172,112	0 ------------- 0
4DAVID ANSPAUGH MGMT - CO-CHAIR	(i) (ii)	0 ------------- 128,552	0 ------------- 0	0 ------------- 0	0 ------------- 1,910	0 ------------- 21,746	0 ------------- 152,208	0 ------------- 0

Schedule J (Form 990) 2019

Page 3

Part III

Supplemental Information

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

Return Reference	Explanation

Schedule J (Form 990) 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

CONSTRUCTION INDUSTRY WELFARE FUND OF
ROCKFORD ILLINOIS

Employer identification number

36-2265130

Return Reference	Explanation
FORM 990, PART V, LINE 2A	THE NUMBER OF MEMBERS REPORTED ON LINE 2A INCLUDES PARTICIPANTS RECEIVING LOSS OF TIME BENEFITS.
FORM 990, PART VI, SECTION A, LINE 3	ALTHOUGH THE TRUSTEES RETAIN THE ULTIMATE RESPONSIBILITY, THE FUND HAS AN AGREEMENT WITH GROUP ADMINISTRATORS, LTD TO PERFORM CERTAIN THIRD PARTY ADMINISTRATIVE DUTIES. THE TPA AGREES TO PROVIDE BENEFIT TO OR ON BEHALF OF PARTICIPANTS IN ADDITION TO ACCOUNTING AND RECORDKEEPING FUNCTIONS.
FORM 990, PART VI, SECTION A, LINE 4	DURING THE REPORTING PERIOD, THE PLAN AMENDED THE VOTING AND QUORUM SECTION OF ITS TRUST AGREEMENT TO ALLOW THE GOVERNING BODY TO PARTICIPATE IN AND ACT AT ANY MEETING THROUGH USE OF A CONFERENCE TELEPHONE OR OTHER EQUIPMENT BY MEANS OF WHICH ALL MEMBERS OF THE GOVERNING BODY PARTICIPATING IN A MEETING CAN COMMUNICATE WITH EACH OTHER.
FORM 990, PART VI, SECTION A, LINE 8B	THE PLAN HAS NO COMMITTEES WITH THE AUTHORITY TO ACT ON BEHALF OF THE TRUSTEES.
FORM 990, PART VI, SECTION B, LINE 11B	THE FORM 990 IS PROVIDED TO THE ENTIRE BOARD OF TRUSTEES AND PLAN ADMINISTRATOR PRIOR TO FILING. AFTER THE BOARD'S REVIEW, THE FORM IS APPROVED AND FILED.
FORM 990, PART VI, SECTION B, LINE 12C	ENFORCEMENT OF CONFLICT OF INTEREST POLICY - THE FUND IS A WELFARE BENEFIT PLAN GOVERNED BY THE EMPLOYEE RETIREMENT INCOME SECURITY ACT OF 1974 (ERISA). UNDER ERISA, IT IS THE CONTINUING RESPONSIBILITY OF EACH MEMBER OF THE BOARD OF TRUSTEES TO REVIEW TRANSACTIONS FOR POTENTIAL CONFLICTS OF INTEREST, IMMEDIATELY DISCLOSE ANY ACTUAL OR POTENTIAL CONFLICTS OF INTEREST, AND TAKE APPROPRIATE ACTION UPON DISCOVERY OF ANY SUCH CONFLICTS. TO ASSIST THE TRUSTEES IN IDENTIFYING ACTUAL OR POTENTIAL CONFLICTS OF INTEREST, THE FUND DISTRIBUTES TO EACH TRUSTEE AN ANNUAL QUESTIONNAIRE REQUESTING INFORMATION REGARDING INTERESTS THAT COULD GIVE RISE TO A CONFLICT.
FORM 990, PART VI, SECTION B, LINE 15A	SALARIES ARE ANNUALLY REVIEWED AND APPROVED BY THE BOARD OF TRUSTEES.
FORM 990, PART VI, SECTION C, LINE 19	THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST AT THE FUND OFFICE.

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

CONSTRUCTION INDUSTRY WELFARE FUND OF
ROCKFORD ILLINOIS

Employer identification number

36-2265130

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)BRICKLAYERS LOCAL 6	CONTRIBUTING EMPLOYER						No
(2)CHICAGO REGIONAL COUNCIL	CONTRIBUTING EMPLOYER						No
(3)CHICAGO REG C OF C APPR TRN CTR	CONTRIBUTING EMPLOYER						No
(4)N IL OPERATIVE PLASTRS & CEMENT JATC	CONTRIBUTING EMPLOYER						No
(5)NORTHERN IL BUILDING CONTRACTORS ASSOC	CONTRIBUTING EMPLOYER						No
(6)OP&CMIA LOCAL 11 CEMENT MASONS N IL	CONTRIBUTING EMPLOYER						No
(7)TEAMSTERS L325-TASK FORCE	CONTRIBUTING EMPLOYER						No

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

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	CONTRIBUTING EMPLOYER							No
(2) A&R HARRIS CONSTRUCTION	CONTRIBUTING EMPLOYER							No
(3) ABBEY PAVING CO INC	CONTRIBUTING EMPLOYER							No
(4) ACME FIRE PROOFING & INS	CONTRIBUTING EMPLOYER							No
(5) ADVANCED ASPHALT	CONTRIBUTING EMPLOYER							No
(6) ALBERICI CONSTRUCTORS INC	CONTRIBUTING EMPLOYER							No
(7) ALLIANCE CONTRACTORS INC	CONTRIBUTING EMPLOYER							No
(8) ALLIED POWER SERVICES LLC	CONTRIBUTING EMPLOYER							No
(9) ALLSTATES REFRACTORY CON	CONTRIBUTING EMPLOYER							No
(10) AMERICAN RIGGING & MILLWRIGHT SERVICE	CONTRIBUTING EMPLOYER							No
(11) ANDERLOCK CORPORATION	CONTRIBUTING EMPLOYER							No
(12) ANNING JOHNSON COMPANY	CONTRIBUTING EMPLOYER							No
(13) A-ONE GROUP LTD	CONTRIBUTING EMPLOYER							No
(14) ARCHITECTURAL FIXTURES INC	CONTRIBUTING EMPLOYER							No
(15) ARTLOW SYSTEMS INC	CONTRIBUTING EMPLOYER							No
(16) ASPEN CONSTRUCTION SYSTEM	CONTRIBUTING EMPLOYER							No
(17) B & B MASONRY & RESTORATION INC	CONTRIBUTING EMPLOYER							No
(18) B K CONCRETE LLC	CONTRIBUTING EMPLOYER							No
(19) BARTON-MALOW COMPANY	CONTRIBUTING EMPLOYER							No
(20) BENCHMARK CONSTRUCTION COMPANY INC	CONTRIBUTING EMPLOYER							No
(21) BENNETT CONSTRUCTION INC	CONTRIBUTING EMPLOYER							No
(22) BERGLUND CONSTRUCTION COMPANY	CONTRIBUTING EMPLOYER							No
(23) BERTEL PETERSON COMPANY	CONTRIBUTING EMPLOYER							No
(24) BOSLY CONSTRUCTION LLC	CONTRIBUTING EMPLOYER							No
(25) BOSS CARPET ONE LLC	CONTRIBUTING EMPLOYER							No
(26) BRAKER JJ & SONS INC	CONTRIBUTING EMPLOYER							No
(27) BROWN CONSTRUCTION COMPAN	CONTRIBUTING EMPLOYER							No
(28) BURROAK MASONRY INC	CONTRIBUTING EMPLOYER							No
(29) C E KORSGARD COMPANY	CONTRIBUTING EMPLOYER							No
(30) C&S CONCRETE CONSTRUCTION INC	CONTRIBUTING EMPLOYER							No
(31) CALIBER CONSTRUCTION COMPANY	CONTRIBUTING EMPLOYER							No
(32) CALIBER FLOORS INC	CONTRIBUTING EMPLOYER							No
(33) CAMPOS CONSTRUCTION INC	CONTRIBUTING EMPLOYER							No
(34) CARPET WEAVERS COMMERCIAL INC	CONTRIBUTING EMPLOYER							No
(35) CARPETLAND USA ROCKFORD	CONTRIBUTING EMPLOYER							No
(36) CELLCRETE DECKS	CONTRIBUTING EMPLOYER							No
(37) CENTRAL CEILING SYSTEMS I	CONTRIBUTING EMPLOYER							No
(38) CENTRAL ILLINOIS COMMERCIAL FLOORING IN	CONTRIBUTING EMPLOYER							No
(39) CFMVR TESCO LLC	CONTRIBUTING EMPLOYER							No
(40) CIVIL CONSTRUCTORS INC	CONTRIBUTING EMPLOYER							No
(41) CLIFFORD KAUFMAN & SONS	CONTRIBUTING EMPLOYER							No
(42) CLIMATE PROS INC	CONTRIBUTING EMPLOYER							No
(43) COBA TILE INC	CONTRIBUTING EMPLOYER							No
(44) CONCRETE BY WAGNER INC	CONTRIBUTING EMPLOYER							No
(45) CONCRETE SYSTEMS INC	CONTRIBUTING EMPLOYER							No
(46) CONTEMPORARY HAMMER WORKS	CONTRIBUTING EMPLOYER							No
(47) CONTINENTAL ERECTORS	CONTRIBUTING EMPLOYER							No
(48) CONVEYOR SPECIALTIES INC	CONTRIBUTING EMPLOYER							No
(49) COOLING LAND CONCEPTS LLC	CONTRIBUTING EMPLOYER							No
(50) CORD CONSTRUCTION	CONTRIBUTING EMPLOYER							No
(51) COUNTRYMAN INC	CONTRIBUTING EMPLOYER							No
(52) CREATIVE ERECTORS INC	CONTRIBUTING EMPLOYER							No
(53) CRUZ CONCRETE	CONTRIBUTING EMPLOYER							No
(54) CYBERDYNE MASONRY	CONTRIBUTING EMPLOYER							No
(55) D & H ENERGY MANAGEMENT CO LLC	CONTRIBUTING EMPLOYER							No
(56) D CONSTRUCTION	CONTRIBUTING EMPLOYER							No
(57) DAVID M SCHMITT	CONTRIBUTING EMPLOYER							No
(58) DAVIS CONCRETE CONSTRUCTION CO	CONTRIBUTING EMPLOYER							No
(59) DAY & ZIMMERMAN NPS INC	CONTRIBUTING EMPLOYER							No
(60) DIAMOND MASONRY	CONTRIBUTING EMPLOYER							No
(61) DORAL CORPORATION	CONTRIBUTING EMPLOYER							No
(62) DTM MASONRY INC	CONTRIBUTING EMPLOYER							No
(63) DYKSTRA CONCRETE CONSTRUCTION CO	CONTRIBUTING EMPLOYER							No
(64) E & H RESTORATION LLC	CONTRIBUTING EMPLOYER							No
(65) EASTON ASSOCIATES LTD	CONTRIBUTING EMPLOYER							No
(66) ELLIOT CONSTRUCTION CORPORATION	CONTRIBUTING EMPLOYER							No
(67) ERA VALDIVIA CONTRACTORS INC	CONTRIBUTING EMPLOYER							No
(68) EVANS-MASON INC	CONTRIBUTING EMPLOYER							No
(69) EXECUTIVE PLASTERING CO	CONTRIBUTING EMPLOYER							No
(70) EXECUTIVE PLASTERING SER	CONTRIBUTING EMPLOYER							No
(71) FH PASCHEN SN NIELSEN & ASSOCIATES	CONTRIBUTING EMPLOYER							No
(72) FAUSTO MORBIDELLI STONE AND TILE INC	CONTRIBUTING EMPLOYER							No
(73) FIXTURE CONTRACTING CO INC	CONTRIBUTING EMPLOYER							No
(74) FORRISTALL CONCRETE COMPANY	CONTRIBUTING EMPLOYER							No
(75) FOSLER CONSTRUCTION	CONTRIBUTING EMPLOYER							No
(76) G C MASONRY INC	CONTRIBUTING EMPLOYER							No
(77) GAGNON INC	CONTRIBUTING EMPLOYER							No
(78) GALENA MASONRY INC	CONTRIBUTING EMPLOYER							No
(79) GENERAL CONST INC OF QUAD	CONTRIBUTING EMPLOYER							No
(80) GENESYS CORP	CONTRIBUTING EMPLOYER							No
(81) GENSINI EXCAVATING	CONTRIBUTING EMPLOYER							No
(82) GLOBE CONSTRUCTION INC	CONTRIBUTING EMPLOYER							No
(83) GM SIPES CONSTRUCTION INC	CONTRIBUTING EMPLOYER							No
(84) GOETZ CONCRETE CONSTRUCTION	CONTRIBUTING EMPLOYER							No
(85) GREATER PENNSYLVANIA CAR	CONTRIBUTING EMPLOYER							No
(86) GRIFFIN'S FLOORCRAFTERS I	CONTRIBUTING EMPLOYER							No
(87) GUSTAFSON CONSTRUCTION	CONTRIBUTING EMPLOYER							No
(88) H & H BUILDERS INC	CONTRIBUTING EMPLOYER							No
(89) H J EPPEL & CO INC	CONTRIBUTING EMPLOYER							No
(90) H JOHNSON CONCRETE INC	CONTRIBUTING EMPLOYER							No
(91) HALLMARK DRYWALL INC	CONTRIBUTING EMPLOYER							No
(92) HALVERSON CARPET CENTER	CONTRIBUTING EMPLOYER							No
(93) HARGRAVE	CONTRIBUTING EMPLOYER							No
(94) HEIN CONSTRUCTION CO INC	CONTRIBUTING EMPLOYER							No
(95) HENRY F TEICHMANN INC	CONTRIBUTING EMPLOYER							No
(96) HERITAGE CARPENTRY INC	CONTRIBUTING EMPLOYER							No
(97) HESS CAULKING & RESTORATI	CONTRIBUTING EMPLOYER							No
(98) HOELSCHER INTERIORS INC	CONTRIBUTING EMPLOYER							No
(99) HUNZINGER CONSTRUCTION C	CONTRIBUTING EMPLOYER							No
(100) I M I AKA NATIONAL REGION TRAING	CONTRIBUTING EMPLOYER							No
(101) ICONIC FINISHES	CONTRIBUTING EMPLOYER							No
(102) ILLINOIS CIVIL CONTRACTORS INC	CONTRIBUTING EMPLOYER							No
(103) IMPRESSIVE CONST CO INC	CONTRIBUTING EMPLOYER							No
(104) INSTALLATION SERVICES OF	CONTRIBUTING EMPLOYER							No
(105) INSULATED PANEL COMPANY	CONTRIBUTING EMPLOYER							No
(106) INTERIOR INSTALLATION SERVICES INC	CONTRIBUTING EMPLOYER							No
(107) INTERIOR INVESTMENTS LLC	CONTRIBUTING EMPLOYER							No
(108) INTERIOR SYSTEMS INC	CONTRIBUTING EMPLOYER							No
(109) INTERNATIONAL CERAMIC CO	CONTRIBUTING EMPLOYER							No
(110) IPEMA CONCRETE CONSTRUCT	CONTRIBUTING EMPLOYER							No
(111) IROQUOIS PAVING CORPORATI	CONTRIBUTING EMPLOYER							No
(112) IVAN RICE AND SONS INC	CONTRIBUTING EMPLOYER							No
(113) J & E DUFF INC	CONTRIBUTING EMPLOYER							No
(114) J M I 2 CORP	CONTRIBUTING EMPLOYER							No
(115) J P CULLEN & SONS INC	CONTRIBUTING EMPLOYER							No
(116) J SQUARED MASONRY INC	CONTRIBUTING EMPLOYER							No
(117) J W OSSOLA CO	CONTRIBUTING EMPLOYER							No
(118) J T THORPE & SONS INC	CONTRIBUTING EMPLOYER							No
(119) JACK HALL CONSTRUCTION	CONTRIBUTING EMPLOYER							No
(120) JAMES DENNIS CONSTRUCTION INC	CONTRIBUTING EMPLOYER							No
(121) JIMMYZ MASONRY CORP	CONTRIBUTING EMPLOYER							No
(122) JOHN WIDELL CONSTRUCTION	CONTRIBUTING EMPLOYER							No
(123) JOHNCO CONSTRUCTION INC	CONTRIBUTING EMPLOYER							No
(124) JUST RITE ACOUSTICS	CONTRIBUTING EMPLOYER							No
(125) KANKAKEE VALLEY CONST CO	CONTRIBUTING EMPLOYER							No
(126) KEITH MCCHURCH MASONRY	CONTRIBUTING EMPLOYER							No
(127) KELLER NORTH AMERICA INC	CONTRIBUTING EMPLOYER							No
(128) KEVIN NUGENT CONSTRUCTION	CONTRIBUTING EMPLOYER							No
(129) KIMS TILE AND MARBLE LLC	CONTRIBUTING EMPLOYER							No
(130) KINGSTON TILE COMPANY LTD	CONTRIBUTING EMPLOYER							No
(131) KINNEY CONTRACTORS INC	CONTRIBUTING EMPLOYER							No
(132) KLOBUCAR CONSTRUCTION CO	CONTRIBUTING EMPLOYER							No
(133) KNAPP CONCRETE CONTRACTOR	CONTRIBUTING EMPLOYER							No
(134) KNIGHT FLOORING INC	CONTRIBUTING EMPLOYER							No
(135) KNOTTS MASONRY & CONSTRUCTION INC	CONTRIBUTING EMPLOYER							No
(136) KOEBIG TILE LLC	CONTRIBUTING EMPLOYER							No
(137) KOJA CONSTRUCTION INC	CONTRIBUTING EMPLOYER							No
(138) KRAEMER NORTH AMERICA LLC	CONTRIBUTING EMPLOYER							No
(139) L & L FLOORCOVERING INC	CONTRIBUTING EMPLOYER							No
(140) LABOR SERVICE MANAGEMENT	CONTRIBUTING EMPLOYER							No
(141) LADZINSKI CEMENT FINISHING	CONTRIBUTING EMPLOYER							No
(142) LARSON & LARSON BUILDERS	CONTRIBUTING EMPLOYER							No
(143) LEANDER CONSTRUCTION INC	CONTRIBUTING EMPLOYER							No
(144) LILJA CORP ATTN HILLARY	CONTRIBUTING EMPLOYER							No
(145) LINDBLAD CONST CO	CONTRIBUTING EMPLOYER							No
(146) LORIG CONST CO	CONTRIBUTING EMPLOYER							No
(147) M & J UNDERGROUND INC	CONTRIBUTING EMPLOYER							No
(148) M & M CONCRETE INC	CONTRIBUTING EMPLOYER							No
(149) M A MORTENSON	CONTRIBUTING EMPLOYER							No
(150) M GALANTE INC	CONTRIBUTING EMPLOYER							No
(151) M R MASON CONTRACTOR	CONTRIBUTING EMPLOYER							No
(152) MARTAM CONSTRUCTION INC	CONTRIBUTING EMPLOYER							No
(153) MARTIN AND COMPANY EXCAVATING	CONTRIBUTING EMPLOYER							No
(154) MARTIN CEMENT COMPANY	CONTRIBUTING EMPLOYER							No
(155) MAXIMUM PRECAST LLC	CONTRIBUTING EMPLOYER							No
(156) MCT SERVICES LLC AKA SPX	CONTRIBUTING EMPLOYER							No
(157) MICHEL BROTHERS MASONRY INC	CONTRIBUTING EMPLOYER							No
(158) MICHUDA CONSTRUCTION INC	CONTRIBUTING EMPLOYER							No
(159) MID VALLEY CONCRETE INC	CONTRIBUTING EMPLOYER							No
(160) MIDLAND GEN CONTRACTORS	CONTRIBUTING EMPLOYER							No
(161) MID-STATE TERRAZZO TILE	CONTRIBUTING EMPLOYER							No
(162) MIDWEST BEST WATERPROOFING	CONTRIBUTING EMPLOYER							No
(163) MIKE HARRIS MASON CONTRAC	CONTRIBUTING EMPLOYER							No
(164) M-JTJ CONTRACTORS & BUILDERS INC	CONTRIBUTING EMPLOYER							No
(165) MORENO TILE & STONE	CONTRIBUTING EMPLOYER							No
(166) MR DAVID'S CARPET SERVICE LTD	CONTRIBUTING EMPLOYER							No
(167) MUFFLER CONCRETE & SONS	CONTRIBUTING EMPLOYER							No
(168) MVP ERECTORS	CONTRIBUTING EMPLOYER							No
(169) NATIONAL ACID PROOFING IN	CONTRIBUTING EMPLOYER							No
(170) NEAL MASONRY INC	CONTRIBUTING EMPLOYER							No
(171) NEVERMAN FLOOR ARTISANS INC	CONTRIBUTING EMPLOYER							No
(172) NEWELL MACHINERY COMPANY	CONTRIBUTING EMPLOYER							No
(173) NICAM CONSTRUCTION	CONTRIBUTING EMPLOYER							No
(174) NORTHERN ILL TERRAZZO & T	CONTRIBUTING EMPLOYER							No
(175) NORTHERN ILLINOIS SERVICE	CONTRIBUTING EMPLOYER							No
(176) NORTHERN ILLINOIS WALL & CEILING	CONTRIBUTING EMPLOYER							No
(177) NORWEST CONSTRUCTION INC	CONTRIBUTING EMPLOYER							No
(178) N-TRAK GROUP LLC	CONTRIBUTING EMPLOYER							No
(179) OBRIEN CIVIL WORKS INC	CONTRIBUTING EMPLOYER							No
(180) OMALLEY CONSTRUCTION COMPANY	CONTRIBUTING EMPLOYER							No
(181) OPPERMAN CONSTRUCTION	CONTRIBUTING EMPLOYER							No
(182) OTTO BAUM COMPANY INC	CONTRIBUTING EMPLOYER							No
(183) PJ HOERR INC	CONTRIBUTING EMPLOYER							No
(184) PACKARD EXCAVATING INC	CONTRIBUTING EMPLOYER							No
(185) PARAMOUNT MILLWRIGHT SERV	CONTRIBUTING EMPLOYER							No
(186) PAUL HERRERA CONSTRUCTIO	CONTRIBUTING EMPLOYER							No
(187) PEORIA METRO CONSTRUCTIO	CONTRIBUTING EMPLOYER							No
(188) PERFORMANCE CONTRACTING INC	CONTRIBUTING EMPLOYER							No
(189) PHOENIX CORPORATION OF THE QUAD CITIES	CONTRIBUTING EMPLOYER							No
(190) PIGGUSH SIMONEAU INC	CONTRIBUTING EMPLOYER							No
(191) PINTER CONSTRUCTION	CONTRIBUTING EMPLOYER							No
(192) PORTER BROTHERS ASPHALT & SEALING INC	CONTRIBUTING EMPLOYER							No
(193) POTTINGER CONCRETE CONSTRUCTION	CONTRIBUTING EMPLOYER							No
(194) PRECAST LLC	CONTRIBUTING EMPLOYER							No
(195) PRECISION UNION INSTALLA	CONTRIBUTING EMPLOYER							No
(196) PREFERRED CONCRETE & EXCV	CONTRIBUTING EMPLOYER							No
(197) PSI PROFESSIONAL SURFACE INSTALLATIONS	CONTRIBUTING EMPLOYER							No
(198) R A SEATON CONTRACTOR SERV	CONTRIBUTING EMPLOYER							No
(199) R C SMITH CONCRETE COMPANY	CONTRIBUTING EMPLOYER							No
(200) R G CONSTRUCTION SERVICES INC	CONTRIBUTING EMPLOYER							No
(201) RABINE PAVING LLC	CONTRIBUTING EMPLOYER							No
(202) RACK IT INSTALLATIONS IN	CONTRIBUTING EMPLOYER							No
(203) RAGNAR BENSON LLC	CONTRIBUTING EMPLOYER							No
(204) RAMCORP INC	CONTRIBUTING EMPLOYER							No
(205) RAUSCH INFRASTRUCTURE LL	CONTRIBUTING EMPLOYER							No
(206) RAYNOR DOOR AUTHORITY OF DEKALB	CONTRIBUTING EMPLOYER							No
(207) REYES GROUP LTD	CONTRIBUTING EMPLOYER							No
(208) RIGID CONSTRUCTION INC	CONTRIBUTING EMPLOYER							No
(209) RINGLAND-JOHNSON CONSTRUCTION	CONTRIBUTING EMPLOYER							No
(210) RIVER CITY CONSTRUCTION LLC	CONTRIBUTING EMPLOYER							No
(211) RIVERS EDGE STONE	CONTRIBUTING EMPLOYER							No
(212) ROCK RIVER VALLEY FLOORING INC	CONTRIBUTING EMPLOYER							No
(213) ROCK ROAD COMPANIES INC	CONTRIBUTING EMPLOYER							No
(214) ROCKEYS 3R MASONRY	CONTRIBUTING EMPLOYER							No
(215) ROCKFORD CENTRAL TILETER	CONTRIBUTING EMPLOYER							No
(216) ROCKFORD CONCRETE PAVING CONSTRUCTION C	CONTRIBUTING EMPLOYER							No
(217) ROCKFORD STRUCTURES CONST	CONTRIBUTING EMPLOYER							No
(218) ROCKWELL GROUP INC	CONTRIBUTING EMPLOYER							No
(219) ROGERS READY MIX	CONTRIBUTING EMPLOYER							No
(220) ROSE CONCRETE	CONTRIBUTING EMPLOYER							No
(221) RUANE CONSTRUCTION INC	CONTRIBUTING EMPLOYER							No
(222) RUBEN E SMITH CONSTR & R	CONTRIBUTING EMPLOYER							No
(223) RUDOLPH MASONRY INC	CONTRIBUTING EMPLOYER							No
(224) RUIZ CONSTRUCTION CO	CONTRIBUTING EMPLOYER							No
(225) RUIZ CONSTRUCTION SYSTEMS INC	CONTRIBUTING EMPLOYER							No
(226) RUPPERT CONCRETE CONSTRUCTION	CONTRIBUTING EMPLOYER							No
(227) RV BUILDERS CORP	CONTRIBUTING EMPLOYER							No
(228) S & S CARTAGE LTD	CONTRIBUTING EMPLOYER							No
(229) SCANDROLI CONSTRUCTION CO	CONTRIBUTING EMPLOYER							No
(230) SCANLON EXCAVATING & CONCRETE INC	CONTRIBUTING EMPLOYER							No
(231) SCHLEIS FLOOR COVERING	CONTRIBUTING EMPLOYER							No
(232) SCHMELING CONST CO	CONTRIBUTING EMPLOYER							No
(233) SCHOMBURG & SCHOMBURG CO	CONTRIBUTING EMPLOYER							No
(234) SCURTO CEMENT CONSTRUCTION	CONTRIBUTING EMPLOYER							No
(235) SEEDORFF MASONRY INC	CONTRIBUTING EMPLOYER							No
(236) SEITHER & CHERRY	CONTRIBUTING EMPLOYER							No
(237) SHEET METAL CONNECTORS IN	CONTRIBUTING EMPLOYER							No
(238) SIEMENS GENERATION SERVICES CO	CONTRIBUTING EMPLOYER							No
(239) SINGLEY CONSTRUCTION INC	CONTRIBUTING EMPLOYER							No
(240) SJOSTROM AND SONS	CONTRIBUTING EMPLOYER							No
(241) SONICAN TRUCKING	CONTRIBUTING EMPLOYER							No
(242) SPORTS SURFACING INC	CONTRIBUTING EMPLOYER							No
(243) SPRINKMANN SONS CORPORATION	CONTRIBUTING EMPLOYER							No
(244) STAINLESS SPECIALISTS INC	CONTRIBUTING EMPLOYER							No
(245) STARK EXCAVATING INC	CONTRIBUTING EMPLOYER							No
(246) STARK MASONRY RESTORATION INC DBA NORTH	CONTRIBUTING EMPLOYER							No
(247) STENSTROM EXCAVATING	CONTRIBUTING EMPLOYER							No
(248) STENSTROM GENERAL CONTRAC	CONTRIBUTING EMPLOYER							No
(249) SUMMIT MASONRY & STONEWORK	CONTRIBUTING EMPLOYER							No
(250) SURF PREP INC	CONTRIBUTING EMPLOYER							No
(251) SURPRENANT MASONRY INC	CONTRIBUTING EMPLOYER							No
(252) SWANSON CONSTRUCTION CO	CONTRIBUTING EMPLOYER							No
(253) SWANSON FLOOR COVERINGS	CONTRIBUTING EMPLOYER							No
(254) SWEDBERG & ASSOCIATES INC	CONTRIBUTING EMPLOYER							No
(255) T C I CONSTRUCTION INC	CONTRIBUTING EMPLOYER							No
(256) THE SCHAEFER GROUP INC	CONTRIBUTING EMPLOYER							No
(257) TOBEYS CONSTRUCTION	CONTRIBUTING EMPLOYER							No
(258) TRADEMARK FLOORING INC	CONTRIBUTING EMPLOYER							No
(259) TREIBER CONSTRUCTION CO	CONTRIBUTING EMPLOYER							No
(260) TROY LEE EXCAVATING INC	CONTRIBUTING EMPLOYER							No
(261) TSI COMMERCIAL FLOOR COVERING	CONTRIBUTING EMPLOYER							No
(262) TURBINE PROS LLC	CONTRIBUTING EMPLOYER							No
(263) TWIN CITY CONSTRUCTION	CONTRIBUTING EMPLOYER							No
(264) UNIVERSAL ASPHALT & EXCAVATING	CONTRIBUTING EMPLOYER							No
(265) VALLEY CONSTRUCTION CO	CONTRIBUTING EMPLOYER							No
(266) VIETTI CONCRETE	CONTRIBUTING EMPLOYER							No
(267) VISSERING CONSTRUCTION	CONTRIBUTING EMPLOYER							No
(268) VOGT CONSTRUCTION COMPANY	CONTRIBUTING EMPLOYER							No
(269) W F JOHNSTON CONSTRUCTION INC	CONTRIBUTING EMPLOYER							No
(270) WALBRIDGE EQUIPMENT INSTALLATION	CONTRIBUTING EMPLOYER							No
(271) WAUBONSEE DEVELOPMENT	CONTRIBUTING EMPLOYER							No
(272) WEITZ-ABELL-HOWE CONSTRUC	CONTRIBUTING EMPLOYER							No
(273) WESTERHUIS TRUCKING INC	CONTRIBUTING EMPLOYER							No
(274) WESTERN WATERPROOFING CO	CONTRIBUTING EMPLOYER							No
(275) WESTMONT ENGINEERING CO	CONTRIBUTING EMPLOYER							No
(276) WHITTAKER CONSTRUCTION &	CONTRIBUTING EMPLOYER							No
(277) WILLIAM CHARLES CONSTRUCTION	CONTRIBUTING EMPLOYER							No
(278) WILLIAMS BROTHERS CONST I	CONTRIBUTING EMPLOYER							No
(279) WISCONSIN TERRAZZO & TILE	CONTRIBUTING EMPLOYER							No
(280) WOODS CONSTRUCTION INC	CONTRIBUTING EMPLOYER							No
(281) WOZNIAK CONCRETE FINISHIN	CONTRIBUTING EMPLOYER							No

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

Yes

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

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

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

Yes

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

Yes

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

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

Yes

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

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

Yes

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

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

Schedule R (Form 990) 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

Schedule R (Form 990) 2019

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: TO PROVIDE HEALTH BENEFITS TO PARTICIPANTS.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	6
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	0
5	Total number of individuals employed in calendar year 2019 (Part V, line 2a) ......	5	42
6	Total number of volunteers (estimate if necessary) .............	6	0
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	50,634
b	Net unrelated business taxable income from Form 990-T, line 39 .........	7b	-10,655

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	0	0
9	Program service revenue (Part VIII, line 2g) .........	20,174,824	18,768,429
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	319,607	285,975
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	129,913	123,128
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	20,624,344	19,177,532
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).....	17,502,220	17,702,194
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	129,533	135,116
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)....	728,367	642,189
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	18,360,120	18,479,499
19	Revenue less expenses. Subtract line 18 from line 12.......	2,264,224	698,033
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	21,527,724	22,317,846
21	Total liabilities (Part X, line 26).............	894,748	1,014,682
22	Net assets or fund balances. Subtract line 21 from line 20.....	20,632,976	21,303,164

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )
	TO PROVIDE MEDICAL, DENTAL, VISION, PRESCRIPTION DRUGS, LIFE, AND LOSS OF TIME BENEFITS TO ELIGIBLE PARTICIPANTS 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) ART STURMS...................................................................... LABOR CO-CHAIR	3.00 ................. 40.00	X		0	121,407	47,356
(2) RICHARD BOYD...................................................................... LABOR TRUSTEE	3.00 ................. 40.00	X		0	96,298	69,499
(3) DANIEL JANSEN...................................................................... LABOR TRUSTEE	3.00 ................. 40.00	X		0	128,269	43,843
(4) DAVID ANSPAUGH...................................................................... MGMT - CO-CHAIR	3.00 ................. 40.00	X		0	128,552	23,656
(5) JEFF BOCKHOP...................................................................... MGMT TRUSTEE	3.00 .................	X		0	0	0
(6) GLEN TURPOFF...................................................................... MGMT TRUSTEE	3.00 ................. 5.00	X		0	14,400	0
(7) SHELLI MCPEEK...................................................................... ADMINISTRATOR	40.00 .................		X	66,849	0	28,583

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	66,849	488,926	212,937

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	CONTRACTOR CONTRIBUTIONS	900099	17,718,461	17,718,461
b	PARTICIPANT CONTRIBUTIONS	900099	1,049,516	1,049,516
c	SUBROGATION	900099	452	452
d
e
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		18,768,429

3 Investment income (including dividends, interest, and othersimilar amounts) ......			265,228			265,228
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		2,002,017	7a
b	Less: cost or other basis and sales expenses		1,981,270	7b
c	Gain or (loss)		20,747	7c
d	Net gain or (loss).........			20,747			20,747
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	PROCESSING FEES		900099	50,634		50,634
b	SHARED SERVICES		900099	44,988			44,988
c	CLASS ACTION SETTLEMENT PROCEEDS		900099	27,506			27,506
d	All other revenue ....
e	Total. Add lines 11a–11d ......			123,128
12	Total revenue. See instructions.....			19,177,532	18,768,429	50,634	358,469

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 .......	17,702,194
5	Compensation of current officers, directors, trustees, and key employees ...........	76,646
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........	45,023
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	4,498
9	Other employee benefits .......
10	Payroll taxes ...........	8,949
11	Fees for services (non-employees):
a	Management ......	370,117
b	Legal .........	87,066
c	Accounting ...........	69,808
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	46,418
12	Advertising and promotion ....
13	Office expenses .......	20,637
14	Information technology ......	2,531
15	Royalties ..
16	Occupancy ...........	18,655
17	Travel ............
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	2,739
20	Interest ...........
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	1,074
23	Insurance ...	16,130
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	FEES MANDATED BY THE AC	5,631
b	MISCELLANEOUS	1,383
c
d
e	All other expenses
25	Total functional expenses. Add lines 1 through 24e	18,479,499
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 ........			1,123,513	1	1,461,986
2	Savings and temporary cash investments .........			10,657,087	2	10,503,973
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			3,341,066	4	2,840,537
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 ...........			0	7	18,528
8	Inventories for sale or use ............				8
9	Prepaid expenses and deferred charges ......			16,942	9	3,140
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	44,617
b	Less: accumulated depreciation	10b	34,453	11,239	10c	10,164
11	Investments—publicly traded securities .			6,375,877	11	7,475,562
12	Investments—other securities. See Part IV, line 11 .....				12
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			2,000	15	3,956
16	Total assets. Add lines 1 through 15 (must equal line 33)...			21,527,724	16	22,317,846

17	Accounts payable and accrued expenses .....	30,418	17	11,990
18	Grants payable ...		18
19	Deferred revenue .........	95,427	19	103,843
20	Tax-exempt bond liabilities .........		20
21	Escrow or custodial account liability. Complete Part IV of Schedule D	362,805	21	389,965
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	406,098	25	508,884
26	Total liabilities. Add lines 17 through 25..	894,748	26	1,014,682

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........		27
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 .....	0	29	0
30	Paid-in or capital surplus, or land, building or equipment fund ...	0	30	0
31	Retained earnings, endowment, accumulated income, or other funds	20,632,976	31	21,303,164
32	Total net assets or fund balances ...........	20,632,976	32	21,303,164
33	Total liabilities and net assets/fund balances ........	21,527,724	33	22,317,846