TY 2019 Form 990

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

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

Attach to Form 990.
SchDMd Bullet

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

OMB No. 1545-0047

2019

Open to Public Inspection

Name of the organization

INDIANA STATE COUNCIL OF PLASTERERS &
CEMENT MASONS HEALTH & WEL FUND

Employer identification number

35-6073275

Part I

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

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

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

Yes No

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

Yes No

Part II

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

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

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

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

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


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

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

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

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

Yes No

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

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

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

Yes No

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

Part III

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

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

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

(i)

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

(ii)

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

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

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

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

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

Cat. No. 52283D

Schedule D (Form 990) 2019

Page 2

Part III

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

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

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

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

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

Yes No

Part IV

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

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

Yes No


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

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

Yes No

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

Part V

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

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

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

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

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

Term endowment SchDMd Bullet

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

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

Yes

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

3a(i)

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

3a(ii)

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

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

Part VI

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

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

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

Schedule D (Form 990) 2019

Page 3

Part VII

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

(a) Description of security or category (including name of security)	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives.........
(2) Closely-held equity interests........
(3) Other (A) CORPORATE BONDS	10,018,270	F
(C)
(D)
(E)
(F)
(G)
(H)
(I)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)	10,018,270

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
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	8,649,219
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	12,046,346
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a	489,851
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	489,851
3	Subtract line 2e from line 1..................			3	11,556,495
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	11,556,495

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	7,870,499
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	7,870,499
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	7,870,499

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 X, LINE 2:	U.S. GAAP REQUIRES PLAN MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE PLAN AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF THE PLAN HAS TAKEN AN UNCERTAIN TAX POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE (IRS). THE PLAN ADMINISTRATOR HAS ANALYZED THE TAX POSITIONS TAKEN BY THE PLAN, AND HAS CONCLUDED THAT THERE ARE NO UNCERTAIN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION 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.

Return Reference

Explanation

PART X, LINE 2:

U.S. GAAP REQUIRES PLAN MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE PLAN AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF THE PLAN HAS TAKEN AN UNCERTAIN TAX POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE (IRS). THE PLAN ADMINISTRATOR HAS ANALYZED THE TAX POSITIONS TAKEN BY THE PLAN, AND HAS CONCLUDED THAT THERE ARE NO UNCERTAIN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION 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.

Schedule D (Form 990) 2019

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

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

Attach to Form 990 or 990-EZ.
MediumBullet

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

OMB No. 1545-0047

2019

Open to Public
Inspection

Name of the organization

INDIANA STATE COUNCIL OF PLASTERERS &
CEMENT MASONS HEALTH & WEL FUND

Employer identification number

35-6073275

Return Reference	Explanation
FORM 990, PART VI, SECTION A, LINE 3	THE FUND IS ADMINISTERED BY A THIRD PARTY ADMINISTRATOR, HEALTHSCOPE BENEFITS.
FORM 990, PART VI, SECTION B, LINE 11B	A COPY OF THE FORM 990 IS MADE AVAILABLE TO THE TRUSTEES PRIOR TO ITS FILING.
FORM 990, PART VI, SECTION C, LINE 19	THE TRUST MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XII, LINE 2C	THE BOARD OF TRUSTEES ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT AND THE SELECTION OF THE INDEPENDENT ACCOUNTANT.

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

INDIANA STATE COUNCIL OF PLASTERERS &
CEMENT MASONS HEALTH & WEL FUND

Employer identification number

35-6073275

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

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) 1ST INTERIORS INC
(2) 3D CONSTRUCTION LLC
(3) 4MC CORPORATION
(4) A A CONCRETE LLC
(5) A J WALKER CONSTRUCTION
(6) A&K SPECIALTY CONTR
(7) A&R SERVICES INC
(8) A&W PLUMBING& HEATING INC
(9) AAA PLASTERING LLC
(10) ABBEY PAVING CO INC
(11) ABEL CONSTRUCTION CO
(12) ACI X
(13) ACME FIREPROOFING&INSULAT
(14) ACMS GROUP INC
(15) ADVANTAGE INDUSTRIAL SYS
(16) AETNA COATINGS INC
(17) ALBERICI CONSTRUCTORS
(18) ALL AMERICAN PAINTING CO
(19) ALLAN MACK & SONS INC
(20) ALLENDALE GRAVEL CO INC
(21) AMERICAN CONCRETE CONCEPT
(22) AMERICAN CONCRETE RESTOR
(23) AMERICAN FIREPROOFING INC
(24) AMERICAN NATIONAL INSULATION
(25) AMES CONSTRUCTION INC
(26) AMEX NOOTER LLC
(27) AMS MECHANICAL SYSTEMS
(28) ARC CONSTRUCTION COMPANY
(29) ARGO CONTRUCTION LLC
(30) ARISTEO CONSTRUCTION CO
(31) ARTLOW SYSTEMS INC
(32) ASC INSULATIONFIREPROOFI
(33) ASSOCIATED CONTRACTORS
(34) ATLAS EXCAVATING INC
(35) AZCO INC
(36) BAC INT'L H&W & PENSION
(37) BAKER CONCRETE CONSTR
(38) BARBER & DEATLEY INC
(39) BARRIER CORP
(40) BARTON MALOW CO
(41) BAXMEYER CONSTRUCTION INC
(42) BC CONTRACTING
(43) BEATY CONSTRUCTION INC
(44) BECKMANN CONSTRUCTION CO
(45) BENCH MARK INTERIORS INC
(46) BENCHMARK CONSTRUCTION
(47) BENIACH CONSTRUCTION CO
(48) BERCO INDUSTRIAL INC
(49) BERGLUND CONSTRUCTION CO
(50) BERRY CONCRETE CONSTR
(51) BEST MECHANICAL SERVICE
(52) BEVIS CONSTRUCTION INC
(53) BHI ENERGY SPECIALTY SERV
(54) BIG DOGS CONTRACTING LLC
(55) BIG O SERVICES LLC
(56) BMW CONSTRUCTORS INC
(57) BORCHERS DECORATING
(58) BORTMESS CONCRETE CONTRAC
(59) BOUMA-BETTEN OF INDIANA
(60) BOWEN ENGINEERING CORP
(61) BOWMAN CONST CO INC
(62) BOYD CONSTRUCTION CO INC
(63) BRAND ENERGY SERVICES LLC
(64) BREWSTER COMPANIES INC
(65) BRICKLAYER RECIPROCAL
(66) BROOKS CONST CO INC
(67) BROUGHTON CONSTRUCTION LL
(68) BROWN & BROWN GEN CONTRS
(69) BUNN ENTERPRISES INC
(70) BURGENER PLASTERING INC
(71) BURT GROUP
(72) BYRNE & JONES ENT INC
(73) C & S CONCRETE
(74) C H GARMONG & SON
(75) C HOWELL CONSTRUCTION INC
(76) C R MEYER
(77) C R MEYER AND SONS
(78) C R VERNIER CONCRETE CO
(79) CM MORRIS GROUP INC
(80) CNB CONSTRUCTION
(81) CARBO CONSTRUCTION INC
(82) CARRERA PLASTER RESTOR
(83) CARTER CONSTR SERVICE IN
(84) CBI
(85) CDI INC
(86) CECO CONRETE CONST LLC
(87) CEMENT MASONS 886 404
(88) CEMENT MASONS LOCAL 502
(89) CEMENT MASONS LOCAL 524
(90) CEMENT MASONS LOCAL 527
(91) CENTENNIAL CONTRACTORS IN
(92) CENTRAL CONVEYOR COMPANY
(93) CENTRAL LABORERS
(94) CIRCLE B CONST SYSTEMS
(95) CITY OF DU QUOIN
(96) CIVIL CONSTRUCTORS INC
(97) CM&PL LOCAL 518
(98) COBRA CONCRETE CUTTING
(99) COEX INC
(100) COLBY & COMPANY INC
(101) COLORADO CEMENT MASON
(102) COMMERCIAL CONTRACTING
(103) CONCRETE BY WAGNER
(104) CONCRETE STRATEGIES
(105) CONST IND WELFARE ROCKFOR
(106) CONST INDUSTRY RETIREMENT FUND OF ROCKFORD IL
(107) CONSTRUCTION INDUSTRY WEL
(108) CONTRACTOR NAME
(109) CORE CONSTRUCTION
(110) CORE STRUCTURAL SERVICES
(111) CORESLAB STRUCTURES INC
(112) CORRECT CONSTRUCTION INC
(113) COST OF WISCONSIN INC
(114) COUNTY CONTRACTORS INC
(115) CRAFTON CONTRACTING CO
(116) CRI CONSTRUCTION INC
(117) CROSS CONSTRUCTION INC
(118) CRS SHOTCRETE INC
(119) CUSTOM CONCRETE CUTTING
(120) CUSTOM MECHANICAL CONST
(121) D C BYERS COMPANY
(122) D K CONSTRUCTION CO
(123) D7I LLC
(124) DANCO CONSTRUCTION INC
(125) DAVIS & ASSOCIATES INC
(126) DAVIS & DAVIS GCC
(127) DAVIS CONCRETE CONST CO
(128) DEARBORN MID-WEST COMPANY
(129) DEIG BROS LUM & CONST CO
(130) DEPEW&OWEN BUILDERS
(131) DERBY CITY CONCRETE FLOOR
(132) DETROIT&VICINITY TROWEL T
(133) DEVON INDUSTRIAL GROUP
(134) DK CONCRETE LLC
(135) DML CONSTRUCTION SVC LLC
(136) DMS CONTRACTING INC
(137) DN TANKS
(138) DONELSON CONCRETE & MANGE
(139) DOUG & STEVE CONST INC
(140) DRP CONSTRUCTIONS INC
(141) DUBY PLASTERING LLC
(142) DUCE CONSTRUCTION CO
(143) DUCO CONSTRUCTION
(144) DUNLAP & COMPANY INC
(145) DUNNET BAY CONSTRUCTION
(146) DYKSTRA CONCRETE CONSTR
(147) DYSTRA CONCRETE CONSTR
(148) E T SIMONDS CONST
(149) EAGLE CONCRETE WORKS LLC
(150) EASON CONSTRUCTION LLC
(151) ECI CONSTRUCTION INC
(152) EDWARDS CONCRETE CONST IN
(153) EINSPAHR INC
(154) ELECTRICAL MAINT&CONSTR
(155) ELLAS CONSTRUCTION CO INC
(156) ELLAS CONSTRUCTION CO LLC
(157) EMPIRE CONTRACTORS INC
(158) EMPIRE EARTH&CONCRETE CO
(159) EMPLOYER&CEMENT MASON 90
(160) ENERFAB POWER&INDUSTRIAL
(161) ENGLISH BROTHERS CO
(162) ERICKSON & LINDSTROM
(163) F A WILHELM CONST CO INC
(164) F H LEINWEBER CO INC
(165) FELMLEY-DICKERSON CO
(166) FENIX CONSTRUCTION CO
(167) FERGUSON CONTRACTING LLC
(168) FERRARI CUSTOM CONCRETE
(169) FETTERS CONSTRUCTION
(170) FEUTZ CONTRACTORS INC
(171) FH PASCHEN SN NIELSEN LL
(172) FINCH CONSTRUCTORS INC
(173) FLORES STUCCO & DEMO
(174) FLUOR CONSTRUCTORS INT'L
(175) FORCE CONSTRUCTION CO INC
(176) FOURNIE CONTRACTING CO IN
(177) FOX VALLEY & VICINITY
(178) FRIENDSWORD CONTRACTING
(179) FRONABARGER CONCRETERSIN
(180) FRONABARGER PLASTERING IN
(181) G L MICHAELS CONST INC
(182) G M SIPES CONSTRUCTION
(183) G R E CONSTRUCTION
(184) G WM WALKER CONSTR CO
(185) GARCIA & SONS CONST CO
(186) GARDENSCAPE CONTRACTORS
(187) GARIUP CONST CO INC
(188) GEIER CONSTRUCTION LLC
(189) GEORGE J SHAW CONSTR
(190) GEORGE JONES EXC LLC
(191) GEORGE WEIS CO
(192) GIBRALTAR CONSTRUCTION
(193) GIBRALTER INDUSTRIAL INC
(194) GIBSON-LEWIS LLC
(195) GILBERT RODE & SONS
(196) GILLIANA POOLS LLC
(197) GOMEZ FLOOR COVERING INC
(198) GOUGH INC
(199) GRAF&BYARD CONCRETE CONST
(200) GRAND RIVER CONST INC
(201) GRANITE CONSTRUCTION CO
(202) GRAYCOR INDUSTRIAL CONST
(203) GRUNLOH CONSTRUCTION
(204) GUINZY CONSTRUCTION
(205) H F FRITSCH & SONS INC
(206) H&G UNDERGROUND UTILITIES
(207) HF FRITSCH & SONS INC
(208) H3 CONCRETE INC
(209) HAGERMAN CONST CORP
(210) HAGERTY WORKS
(211) HAIER PLUMBING&HEAT
(212) HALVERSON CONSTR CO INC
(213) HANK'S EXCAVATING&LANDSCA
(214) HANNIG CONSTRUCTION INC
(215) HARDSURFACING INC
(216) HARM'S EXCAVATION & LAND
(217) HARTMAN-WALSH PAINTING CO
(218) HASSE CONSTR
(219) HAYES MECHANICAL
(220) HEARTLAND FINISHERS INC
(221) HEAT & FROST INSULATORS
(222) HELMKAMP CONSTRUCTION CO
(223) HILSABECK SCHACHT INC
(224) HOFMANN CONSTRUCTION INC
(225) HOOKS AV LLC
(226) HOOKS CONCRETE CONSTR
(227) HOOVER & WELLS INC
(228) HOWELL & HOWELL CONTR
(229) HOWELL PAVING INC
(230) HUEBNER CONCRETE CONTR IN
(231) ICC GROUP INC
(232) IHC GROUP INC
(233) ILLINOIS CONSTRUCTORS COR
(234) ILLINOIS OP&CMIA
(235) ILLINOIS VALLEY PAVING CO
(236) IMHOFF CONSTRUCTION INC
(237) IMPERIAL CONCRETE CO
(238) INDIANA P & CM LOCAL 692
(239) INDIANA PLAN
(240) INDIANA STATE BLDG TRADES
(241) INDUSTRIAL CONTR INC
(242) INTERIOR SPECIALTIES INC
(243) INTREGRITY CONCRETE & EX
(244) IOWA CONCRETE SOLUTIONS
(245) IPEMA CONCRETE CONSTR
(246) IROQUOIS PAVING CORP
(247) J & B ACOUSTICAL INC
(248) J & J NEWELL
(249) J & S PLASTERING INC
(250) J C RIPBERGER CONST CORP
(251) J&L ROBINSON DEVELOPMENT
(252) J R KELLY CO INC
(253) JJ WHITE INC
(254) JT THORPE & SON INC
(255) JDR INTERIOR&EXTERIOR CO
(256) JMY PLASTERING SPEC LLC
(257) JOE GAREGNANI CONC CONST
(258) JOHANNES CONSTRUCTION
(259) JPJ CONCRETE
(260) JRUIZ CONSTRUCTION LLC
(261) JUNGCLAUS-CAMPBELL CO INC
(262) KRBEXCAVATION INC
(263) KAC CONSTRUCTION LLC
(264) KALLIMANI & SONS PLASTERI
(265) KASON CONSTRUCTION INC
(266) KEELEY & SONS INC
(267) KENNY CONSTRUCTION CO
(268) KETTLEHUT CONSTRUCTION IN
(269) KEVIN NUGENT CONSTRUCTION
(270) KEY CONSTRUCTION CO
(271) KIDD POOLS & LANDSCAPING
(272) KIEFFER BROTHERS CONSTR
(273) KIEFNER BROTHERS INC
(274) KIEWIT POWER CONSTRUCTORS
(275) KINNEY CONTRACTORS INC
(276) KLEIS CONSTRUCTION INC
(277) KNAPP CONCRETE CONST
(278) KNUTSON CONSTRUCTION CO
(279) KOKOSING CONSTRUCTION
(280) KORTE&LUITJOHAN EXCAVATIN
(281) KRAEMER NORTH AMERICA
(282) KRB EXCAVATING INC
(283) L KEELEY CONSTRUCTION
(284) LAKE CONTRACTING INC
(285) LAKEWOOD DESIGN INC
(286) LANDGREBE INTERIOR CONSTR
(287) LAPORTE CONSTRUCTION CO
(288) LAPPE'S CEMENT FINISHING
(289) LARSON DANIELSON CONST CO
(290) LEANDER CONSTRUCTION INC
(291) LEAS CONCRETE CONST LLC
(292) LEWIS CONSTRUCTION INC
(293) LITTEKEN CONSTRUCTION
(294) LOCAL # 3 PLASTERERS
(295) LOCAL 109 PENSION FUND
(296) LOCAL 165 RECIPROCAL
(297) LOCAL 18 CENTRAL ILLINOIS
(298) LOCAL 21 CEMENT MASONS
(299) LOCAL 7 ANNUITY
(300) LUCAS STUCCO & EIFS DESIG
(301) M & J UNDERGROUND
(302) MANOR BROS CONCRETE WORK
(303) MARIETTA SILOS LLC
(304) MARION CONCRETE CONST INC
(305) MARTIN CEMENT CO
(306) MASONRY SPECIALIST
(307) MATRIX NORTH AMERICAN CONSTRUCTION INC
(308) MAYER LANDSCAPING INC
(309) MC COOL PLASTERING
(310) MC INDUSTRIAL INC
(311) MCCARTHY IMPROVEMENT CO
(312) MCDOWELL BUILDERS INC
(313) MCINTYRE BROTHERS INC
(314) MEADE
(315) MICHAEL KINDER & SONS INC
(316) MICHIGAN TOWEL TRADES
(317) MID ILLINOIS CONCRETE & E
(318) MID-ILLINOIS COMPANIES
(319) MID-STATES CONCRETE
(320) MIDSTATES CONCRETE LLC
(321) MID-STATES GEN & MECH CON
(322) MIDWEST ASPHALT CO
(323) MIDWEST CONCRETE INC
(324) MIDWEST FIREPROOFING LLC
(325) MIDWEST SERVICE GROUP
(326) MILLENIUM INTERIORS INC
(327) MILLER CONTRACTING SERV
(328) MILLER DRYWALL INC
(329) MILLER-DAVIS COMPANY
(330) MILLER'S CONCRETE & EXCAV
(331) MILLSTONE WEBER LLC
(332) MINNESOTA CEMENT MASONS
(333) MORRISON CONSTRUCTION CO
(334) MORSEY CONSTRUCTORS LLC
(335) MSI CONSTRUCTION
(336) MTS CONSTRUCTION SVC LLC
(337) MUDCREEK CONCRETE LLC
(338) MW PANEL LLC
(339) NEW BEGINNINGS CONTR INC
(340) NEW TECH CORP
(341) NEWELL CONSTRUCTION
(342) NIEHAUS CONST SERVICES
(343) NMC COMPANIES
(344) NPIJATF
(345) NW IN PLASTERERS LLC
(346) O'CONNOR CONTRACTORS INC
(347) OHIO CONFERENCE P&CM
(348) OP & CM LOCAL 109
(349) OPEN ROAD PAVING CO LLC
(350) OTTO BAUM & SONS
(351) OUTSTATE MICHIGAN TROWEL
(352) OWENS EXCAVATING & TRUCK
(353) P J HOERR INC
(354) P&CM 143 APPRENTICE
(355) P&CM LOCAL 143
(356) P&CM LOCAL 908
(357) PARCO CONSTRUCTORS GP LLC
(358) PARKWAY FORMING INC
(359) PATH CONSTRUCTORS
(360) PAUL J SCARIANO INC
(361) PERFORMANCE PAVING
(362) PETRY-KUHNE CO
(363) PEYRONNIN CONST CO
(364) PHILLIPS & JORDAN
(365) PHILLIPS INTERIOREXTERIO
(366) PIERCE DRYWALL&PLASTERING
(367) PINOY CONSTRUCTION
(368) PIONEER ASSOCIATES
(369) PL&CM LOCAL 692 JATC
(370) PLASTERERS LO 7 PENSION
(371) PLASTERERS LOCAL 1
(372) PLASTERERS LOCAL 3 APPREN
(373) PLATT CONSTRUCTION INC
(374) PLOCHER CONSTRUCTION
(375) POETTKER CONSTRUCTION CO
(376) POHL CONCRETE CONST LLC
(377) POUR BOYS CONCRETE LLC
(378) POWERS & SONS CONSTR CO
(379) PRADO CONSTRUCTION
(380) PRECISION BUILDERS & ASSO
(381) PRECISION EPOXY FLOORING
(382) PRECISION PIPING & MECHAN
(383) PREMIUM CONCRETE SERVICES
(384) PREMIUM CONCRETE INC
(385) PRICE CONSTRUCTION GROUP
(386) PROMOTIONAL BUREAU
(387) QUALITY INTERIORS INC
(388) QUINN CONSTRUCTION INC
(389) RAFFIN CONSTRUCTION CO
(390) RAMIREZ DIVERSIFIED SERVICES LLC
(391) RC CAST RESTORATION CLEAN
(392) RCS CONSTRUCTION INC
(393) RDR FLOORING SERVICES LLC
(394) RED DOT CONSTRUCTION
(395) RED STAR CONSTRUCTION
(396) REDLINE CONSTRUCTION CO
(397) REPP & MUNDT INC
(398) REX CONCRETE INC
(399) REX CONSTR CO INC
(400) REYSOL CONSTRUCTION INC
(401) RICE LAKE CONSTRUCTION
(402) RIETH RILEY CONST CO
(403) RITTENHOUSE & SON INC
(404) RIVER CITY CONSTRUCTION
(405) ROADWORKS LLC
(406) ROBERT E CROSBY
(407) ROBERT H WARD & ASSOC
(408) ROBERT HAINES CO
(409) ROGER & SONS CONSTRUCTION
(410) ROSEMA CONSTRUCTION INC
(411) RYAN COMPANIES US INC
(412) RYAN CONSTRUCTION INC
(413) SALYER PLUMBING INC
(414) SAMRON MIDWEST CONTRACTIN
(415) SANGAMO CONSTR CO
(416) SAYLOR'S INC
(417) SCAFFOLD KING RENTALS INC
(418) SCANLON EXCAVATING & CON
(419) SCHALTENBRAND CONST INC
(420) SCHILLI PLASTERING
(421) SCHOMBURG & SCHOMBURG CON
(422) SCURTO CEMENT
(423) SD CONRETE INC
(424) SEGLER CONCRETE SERVICE
(425) SEITHER & CHERRY CO LLC
(426) SENCO CONSTRUCTION INC
(427) SHAW BROTHERS CONCRETE
(428) SHERIDAN CONCRETE
(429) SHOOK CONSTRUCTION CO
(430) SHORES BUILDERS INC
(431) SHUCK CORPORATION
(432) SICILIANO INC
(433) SIERRA BRAVOCONTR LLC
(434) SKOLD DOOR & FLOOR CO
(435) SKYLINE PLASTERING INC
(436) SLATILE ROOFING&SHEET MET
(437) SMITTY'S CRD CONCRETE SVC
(438) SOLDIER CONSTRUCTION
(439) SOMMERS PLASTERING INC
(440) SONGER STEEL SERVICES IN
(441) SOUTHERN ILL UNIVERSITY
(442) SOUTHERN ILLINOIS ASPHALT
(443) SOUTHWESTERN CONSTRUCTION
(444) SPECCON INC
(445) SPRAY INSULATIONS INC
(446) ST LOUIS METRO PLAST PROM
(447) STAMPS CONCRETE AND CONST
(448) STARK EXCAVATING INC
(449) STERLING BOILER & MECH
(450) STERLING INDUSTRIAL LLC
(451) STEURER PLASTERING
(452) STEVENS ENGINEERS & CONST
(453) STONES CONCRETE CONSTRUCT
(454) STUCCO CONCEPTS INC
(455) STUTZ EXCAVATING INC
(456) SUMMIT CIVIL SERVICES LLC
(457) SUPERIOR CONCRETE CONSTR
(458) SUPERIOR CONSTRUCTION CO
(459) SUPERIOR CONTRACTING CORP
(460) SUPERIOR CUSTOM BUILDERS
(461) TERRY PRENOSIL CONCRETE
(462) THE BERRCO GROUP LLC
(463) THE BOLDT COMPANY
(464) THE CENTRAL IOWA CEMENT MASONS APPR & TRAINING
(465) THE HARPER CO
(466) THE KILIAN CORPORATION
(467) THE NEW GROUP INC
(468) THE PANGERE CORPORATION
(469) THE ROBERT HENRY CORP
(470) THE STATE GROUP INDUSTRIA
(471) THE WEITZ CO
(472) THERMAL SUPPLY FSS LLC
(473) THIENEMAN CONSTRUCTION IN
(474) TIPTON CONCRETE CONST INC
(475) TI-ZACK CONCRETE INC
(476) TOBEY'S CONSTRUCTION
(477) TONN AND BLANK CONSTRUCTI
(478) TOR CONSTRUCTION CO INC
(479) TOWN AND BLANK CONSTRUCTION
(480) TRANCO INDUSTRIAL SERVICE
(481) TRINITY CONST GROUP LTD
(482) TRON MECHANICAL INC
(483) UMC UNION MILLS CONCRETE
(484) ULRICH CONCRETE FINISHING
(485) UNITED CONSTRUCTION CO
(486) UNIVERSAL INC
(487) URS ENERGY & CONST INC
(488) V & H EXCAVATING CO INC
(489) VALLEY INTERIOR SYSTEMS
(490) VEE-JAY CEMENT CONTR
(491) VERKLER INC
(492) VEYA INC
(493) VICORPS LLC
(494) VON ALST OPERATING LLC
(495) W F JOHNSTON CONSTR INC
(496) W R DUNKIN & SON INC
(497) WAGONER & SONS CONCRETE
(498) WALSH & KELLY INC
(499) WALSH CONSTRUCTION CO
(500) WASHINGTN GRP INTLALBERI
(501) WEDDLE BROS CONSTR CO
(502) WEIGAND CONST CO INC
(503) WESTPORT POOLS
(504) WHITE CONSTRUCTION INC
(505) WHITEHEAD CONSTRUCTION
(506) WICK CONCRETE INC
(507) WIDEMAN CONSTRUCTION INC
(508) WIGGS EXCAVATING
(509) WILLIAMS BROS CONSTR IN
(510) WISSINGER CONSTRUCTION
(511) WOEMMEL PLASTERING CO
(512) WOMACK'S CONCRETE CONST
(513) WOODRUFF & SONS INC
(514) YATES CONSTRUCTION INC
(515) ZIOLKOWSKI CONSTRUCTION

Schedule R (Form 990) 2019

Page 3

Part V

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

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

Yes

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Schedule R (Form 990) 2019

Page 4

Part VI

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

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

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

Schedule R (Form 990) 2019

Page 5

Part VII

Supplemental Information

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

Return Reference	Explanation

Schedule R (Form 990) 2019

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: PROVIDES HEALTH, LIFE AND DISABILITY BENEFITS TO PLAN PARTICIPANTS.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	12
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	12
5	Total number of individuals employed in calendar year 2019 (Part V, line 2a) ......	5	15
6	Total number of volunteers (estimate if necessary) .............	6	12
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	0
b	Net unrelated business taxable income from Form 990-T, line 39 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	0	0
9	Program service revenue (Part VIII, line 2g) .........	11,409,124	11,110,597
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	420,758	445,898
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	0	0
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	11,829,882	11,556,495
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).....	9,753,444	7,327,097
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	0	0
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	479,270	543,402
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	10,232,714	7,870,499
19	Revenue less expenses. Subtract line 18 from line 12.......	1,597,168	3,685,996
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	21,120,103	23,335,341
21	Total liabilities (Part X, line 26).............	10,682,348	8,721,739
22	Net assets or fund balances. Subtract line 21 from line 20.....	10,437,755	14,613,602

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )
	TO PROVIDE HEALTH, LIFE AND DISABILITY BENEFITS TO PLAN PARTICIPANTS.

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












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












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

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)		(D) Reportable compensation from the organization (W-2/1099-MISC)	(E) Reportable compensation from related organizations (W-2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and title
(1) PAT HANSEN...................................................................... CHAIRMAN	1.00 .................	X	X	0	0	0
(2) JOHN DAVIS...................................................................... TRUSTEE	1.00 .................	X		0	0	0
(3) TOM GRAHAM...................................................................... TRUSTEE	1.00 .................	X		0	0	0
(4) MARK MCCLESKEY...................................................................... TRUSTEE	1.00 .................	X		0	0	0
(5) MATT RHOADES...................................................................... TRUSTEE	1.00 .................	X		0	0	0
(6) RUSSELL REDMON...................................................................... TRUSTEE	1.00 .................	X		0	0	0
(7) KEVIN WILDES...................................................................... TRUSTEE	1.00 .................	X		0	0	0
(8) RON MORIN...................................................................... TRUSTEE	1.00 .................	X		0	0	0
(9) DEWEY PEARMAN...................................................................... TRUSTEE	1.00 .................	X		0	0	0
(10) STEVE BOWSER...................................................................... TRUSTEE	1.00 .................	X		0	0	0
(11) JASON WATTS...................................................................... TRUSTEE	1.00 .................	X		0	0	0
(12) KEVIN COMERFORD...................................................................... 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
HEALTHSCOPE BENEFITS PO BOX 50440 INDIANAPOLIS,IN46250	ADMINISTRATIVE SERVICES	108,508




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 1

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

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

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

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

		Business Code
2a	EMPLOYER CONTRIBUTIONS	525100	10,351,653	10,351,653
b	PARTICIPANT CONTRIBUTIONS	525100	758,944	758,944
c
d
e
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		11,110,597

3 Investment income (including dividends, interest, and othersimilar amounts) ......			372,744			372,744
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		85,206	7a
b	Less: cost or other basis and sales expenses		12,052	7b
c	Gain or (loss)		73,154	7c
d	Net gain or (loss).........			73,154			73,154
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
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......
12	Total revenue. See instructions.....			11,556,495	11,110,597	0	445,898

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 .......	7,327,097
5	Compensation of current officers, directors, trustees, and key employees ...........
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........
7	Other salaries and wages........
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....
9	Other employee benefits .......
10	Payroll taxes ...........
11	Fees for services (non-employees):
a	Management ......	108,508
b	Legal .........	149,815
c	Accounting ...........	68,770
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	11,670
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	61,724
12	Advertising and promotion ....
13	Office expenses .......
14	Information technology ......
15	Royalties ..
16	Occupancy ...........
17	Travel ............
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....
20	Interest ...........
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..
23	Insurance ...	132,366
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	BANK FEES	8,273
b	OTHER FEES	2,276
c
d
e	All other expenses
25	Total functional expenses. Add lines 1 through 24e	7,870,499
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 ........		4,949,798	1	3,558,908
2	Savings and temporary cash investments .........		1,466,866	2	3,885,166
3	Pledges and grants receivable, net ......			3
4	Accounts receivable, net .............		1,435,788	4	1,806,808
5	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
				5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
				6
7	Notes and loans receivable, net ...........			7
8	Inventories for sale or use ............			8
9	Prepaid expenses and deferred charges ......			9
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a
b	Less: accumulated depreciation	10b		10c
11	Investments—publicly traded securities .		3,625,180	11	4,066,189
12	Investments—other securities. See Part IV, line 11 .....		9,642,471	12	10,018,270
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 33)...		21,120,103	16	23,335,341

17	Accounts payable and accrued expenses .....	121,432	17	72,520
18	Grants payable ...		18
19	Deferred revenue .........		19
20	Tax-exempt bond liabilities .........		20
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
			22
23	Secured mortgages and notes payable to unrelated third parties ..		23
24	Unsecured notes and loans payable to unrelated third parties ..		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	10,560,916	25	8,649,219
26	Total liabilities. Add lines 17 through 25..	10,682,348	26	8,721,739

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	10,437,755	27	14,613,602
28	Net assets with donor restrictions ...........		28
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	10,437,755	32	14,613,602
33	Total liabilities and net assets/fund balances ........	21,120,103	33	23,335,341