TY 2021 Form 990

(A) Name and business address	(B) Description of services	(C) Compensation
BLUECROSS BLUESHIELD OF ILLINOIS 300 E RANDOLPH ST CHICAGO,IL60601	PPO NETWORK PROVIDER	2,173,123
MED CARE HEALTH MANAGEMENT CORPORATION 1107 S MANNHEIM ROAD WESTCHESTER,IL60154	BENEFIT CONSULTANT	146,685
PRUDENTIAL FINANCIAL 2 GATEWAY CENTER NEWARK,NJ07102	INVESTMENT MANAGER	143,701
INNOVATIVE SOFTWARE SOLUTIONS 3000 SOUTH LENOLA ROAD MAPLE SHADE,NJ08052	IT SERVICE CONSULTANT	103,003

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 4

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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

2021

Open to Public Inspection

Name of the organization

SUBURBAN TEAMSTERS OF NORTHERN ILLINOIS
WELFARE FUND

Employer identification number

36-6158494

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) 2021

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 ....	653,071	613,748	39,323
e	Other .....
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				39,323

Schedule D (Form 990) 2021

Page 3

Part VII

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

(a) Description of security or category (including name of security)	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives.........
(2) Closely-held equity interests........
(3) Other (A) CREDOS FLOATING RATE FUND, L.P.	14,789,455	F
(B) IR&M SHORT FUND LLC	12,783,715	F
(C) PGIM CORE CONSERVATIVE BOND FUND	25,561,914	F
(D) U.S. REAL ESTATE INVESTMENT FUND LLC	13,908,624	F
(E) PGIM QS S&P 500 INDEX FUND	28,200,125	F
(F) JENNISON U.S. SMALL CAP EQUITY	2,837,782	F
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)	98,081,615

Part VIII

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

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

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

Part IX

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

(a) Description				(b) Book value

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

Part X

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

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	57,768
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) 2021

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	80,045,058
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a	3,880,315
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................			2e	3,880,315
3	Subtract line 2e from line 1..................			3	76,164,743
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	782,535
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................			4c	782,535
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......			5	76,947,278

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	71,685,274
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	71,685,274
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	782,535
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.....................			4c	782,535
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......			5	72,467,809

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:	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 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) 2021

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

2021

Open to Public Inspection

Name of the organization

SUBURBAN TEAMSTERS OF NORTHERN ILLINOIS
WELFARE FUND

Employer identification number

36-6158494

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) 2021

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, 1099-MISC compensation, and/or 1099-NEC			(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)
1DOMINIC ROMANAZZI TRUSTEE	(i) (ii)	0 ------------- 157,460	0 ------------- 1,058	0 ------------- 25,200	0 ------------- 40,577	0 ------------- 21,450	0 ------------- 245,745	0 ------------- 0
2THOMAS FLYNN TRUSTEE	(i) (ii)	0 ------------- 146,686	0 ------------- 0	0 ------------- 20,400	0 ------------- 27,159	0 ------------- 20,748	0 ------------- 214,993	0 ------------- 0
3JOSE COLIN FUND MANAGER	(i) (ii)	0 ------------- 163,702	0 ------------- 0	0 ------------- 0	0 ------------- 16,048	0 ------------- 20,820	0 ------------- 200,570	0 ------------- 0
4TIMOTHY CUSTER TRUSTEE	(i) (ii)	0 ------------- 117,466	0 ------------- 0	0 ------------- 20,317	0 ------------- 39,804	0 ------------- 20,748	0 ------------- 198,335	0 ------------- 0
5SUE SELIMOS WELFARE OPERATIONS MANAGER	(i) (ii)	0 ------------- 124,875	0 ------------- 0	0 ------------- 0	0 ------------- 16,048	0 ------------- 20,820	0 ------------- 161,743	0 ------------- 0

Schedule J (Form 990) 2021

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) 2021

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered "Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c, or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ.
MediumBullet

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

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization

SUBURBAN TEAMSTERS OF NORTHERN ILLINOIS
WELFARE FUND

Employer identification number

36-6158494

Part I

Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and section 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by the organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ Bullet Image

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e) Original principal amount	(f) Balance due	(g) In default?		(h) Approved by board or committee?		(i) Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e) Original principal amount	(f) Balance due	Yes	No	Yes	No	Yes	No






Total ............... $

Part III

Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of assistance	(d) Type of assistance	(e) Purpose of assistance

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

Cat. No. 50056A

Schedule L (Form 990) 2021

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) SUBURBAN TEAMSTERS OF NORTHERN ILLINOIS PENSION PLAN	AFFILIATED PENSION PLAN	99,543	RENT EXPENSE		No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference	Explanation

Schedule L (Form 990) 2021

Additional Data

Software ID:
Software Version:

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SCHEDULE O
(Form 990)

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

2021

Open to Public
Inspection

Name of the organization

SUBURBAN TEAMSTERS OF NORTHERN ILLINOIS
WELFARE FUND

Employer identification number

36-6158494

Return Reference	Explanation
FORM 990, PART VI, SECTION A, LINE 8B	THE ORGANIZATION HAS NO COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY.
FORM 990, PART VI, SECTION B, LINE 11B	A COPY OF FORM 990 IS PROVIDED TO THE CHAIRMAN OF THE BOARD OF TRUSTEES AND THE FUND MANAGER FOR THEIR REVIEW AND APPROVAL PRIOR TO ITS FILING.
FORM 990, PART VI, SECTION B, LINE 12C	THE CONFLICT OF INTEREST POLICY IS REVIEWED ANNUALLY BY THE BOARD OF TRUSTEES AND EMPLOYEES OF THE HEALTH AND WELFARE FUND. THE BOARD OF TRUSTEES MONITORS AND ENFORCES COMPLIANCE WITH THE POLICY.
FORM 990, PART VI, SECTION B, LINE 15A	THE BOARD OF TRUSTEES APPROVES COMPENSATION FOR THE TOP MANAGEMENT OFFICIAL (OFFICER), THE FUND MANAGER, WHO OVERSEES THE ORGANIZATION'S DAILY OPERATIONS. THE FUND MANAGER IS INITIALLY PAID BY THE RELATED PENSION FUND AND AN AMOUNT IS ALLOCATED TO THE WELFARE FUND AND REIMBURSED BACK TO THE PENSION FUND BASED ON TIME SPENT WORKING FOR THE RESPECTIVE FUNDS. APPROVAL IS DOCUMENTED IN THE ORGANIZATIONS MINUTES. TRUSTEES OF THE ORGANIZATION ARE NOT COMPENSATED.
FORM 990, PART VI, SECTION C, LINE 19	THE HEALTH AND WELFARE FUND MAKES GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC AT ITS HOME OFFICE, UPON REQUEST.
FORM 990, PART VII, LINE 1A	THE ORGANIZATION'S ADMINISTRATOR IS ALSO THE ADMINSITRATOR OF THE RELATED PENSION FUND. REIMBURSEMENTS ARE DISBURSED BETWEEN THE TWO ORGANIZATIONS FOR THEIR ALLOCATED PORTION OF HIS SALARY, FRINGE BENEFITS, AND PAYROLL TAXES.
FORM 990, PART V, LINE 2A	THE NUMBER OF EMPLOYEES REPORTED ON FORM W-3, TRANSMITTAL OF WAGE AND TAX STATEMENTS, FILED FOR THE CALENDAR YEAR ENDING WITH OR WITHIN THE YEAR COVERED BY THIS RETURN INCLUDES PARTICIPANTS OF THE FUND THAT HAVE RECEIVED DISABILITY PAYMENTS DURING THE YEAR.

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

Cat. No. 51056K

Schedule O (Form 990) 2021

Additional Data

Software ID:
Software Version:

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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

2021

Open to Public Inspection

Name of the organization

SUBURBAN TEAMSTERS OF NORTHERN ILLINOIS
WELFARE FUND

Employer identification number

36-6158494

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)SUBURBAN TEAMSTERS OF NORTHERN ILLINOIS PENSION FUND 1171 COMMERCE DRIVE UNIT 1 WEST CHICAGO,IL60185 36-6155778	DEFINED BENEFIT PENSION PLAN	IL	401(A)	NOT APPLICABLE			No
(2)TEAMSTERS LOCAL 179 1000 NE FRONTAGE ROAD JOLIET,IL60431 36-1264290	LABOR UNION	IL	501(C)5	NOT APPLICABLE			No
(3)TEAMSTERS LOCAL 673 1050 W ROOSEVELT WEST CHICAGO,IL60185 36-1264300	LABOR UNION	IL	501(C)5	NOT APPLICABLE			No
(4)TEAMSTERS LOCAL 330 2400 BIG TIMBER ROAD ELGIN,IL60123 36-1264233	LABOR UNION	IL	501(C)5	NOT APPLICABLE			No
(5)ILTEAMSTERS JT COUNCIL 25 1300 W HIGGINS ROAD NO 220 PARK RIDGE,IL60068 36-1264226	REGIONAL COUNCIL	IL	501(C)5	NOT APPLICABLE			No
(6)TEAMSTERS LOCAL 179 LMCC 1000 NE FRONTAGE ROAD JOLIET,IL60431 27-1130588	LABOR MANAGEMENT COOPERATION COUNCIL	IL	501(C)5	NOT APPLICABLE			No
(7)ILLINOIS DEPARTMENT OF TRANSPORTATION	CONTRIBUTING EMPLOYER						No
(8)AURORA TWP HGWY DEPT	CONTRIBUTING EMPLOYER						No
(9)KANE COUNTY DIVISION	CONTRIBUTING EMPLOYER						No

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

Cat. No. 50135Y

Schedule R (Form 990) 2021

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?		(k) Percentage ownership
(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	(k) Percentage ownership

Part IV

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

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	Yes	No
(1) 4G TRANSPORT INC	CONTRIBUTING EMPLOYER								No
(2) A A CONTE & SON INC	CONTRIBUTING EMPLOYER								No
(3) A AND A CONTRACTORS INC	CONTRIBUTING EMPLOYER								No
(4) A C HAULING SERVICES INC	CONTRIBUTING EMPLOYER								No
(5) A C PAVEMENT STRIPING CO	CONTRIBUTING EMPLOYER								No
(6) A#1 EXPRESS & CARTAGE CO	CONTRIBUTING EMPLOYER								No
(7) ABARI CONSTRUCTION INC	CONTRIBUTING EMPLOYER								No
(8) ABF FREIGHT SYSTEM INC	CONTRIBUTING EMPLOYER								No
(9) ACURA INC	CONTRIBUTING EMPLOYER								No
(10) ADVANTAGE MOVING & STORAGE INC	CONTRIBUTING EMPLOYER								No
(11) ALEXANDER LUMBER CO	CONTRIBUTING EMPLOYER								No
(12) ALEX'S TIRADO TRUCKING INC	CONTRIBUTING EMPLOYER								No
(13) ALLIED POWER	CONTRIBUTING EMPLOYER								No
(14) ALLIED WASTE SERVICES	CONTRIBUTING EMPLOYER								No
(15) AMERICAN BUILT SYSTEMS INC	CONTRIBUTING EMPLOYER								No
(16) AMERICAN ROOFING & REPAIR	CONTRIBUTING EMPLOYER								No
(17) AMEZOLA TRUCKING SERVICES INC	CONTRIBUTING EMPLOYER								No
(18) ANDERSON & SHAH ROOFING INC	CONTRIBUTING EMPLOYER								No
(19) APEX LINES INC	CONTRIBUTING EMPLOYER								No
(20) ARCHON CONSTRUCTION	CONTRIBUTING EMPLOYER								No
(21) ARROW ROAD CONST	CONTRIBUTING EMPLOYER								No
(22) ARTHUR J LOOTENS & SON INC	CONTRIBUTING EMPLOYER								No
(23) ATM AGGREGATE LOGISTICS INC	CONTRIBUTING EMPLOYER								No
(24) ATU CARTAGE INC	CONTRIBUTING EMPLOYER								No
(25) AUSTIN TYLER CONSTRUCTION LLC	CONTRIBUTING EMPLOYER								No
(26) AZPEITIA TRUCKING INC	CONTRIBUTING EMPLOYER								No
(27) B & E CARTAGE	CONTRIBUTING EMPLOYER								No
(28) B&B CONSTRUCTION & EXCAVATING	CONTRIBUTING EMPLOYER								No
(29) BACHMAN TRUCKING INC	CONTRIBUTING EMPLOYER								No
(30) BAISH EXCAVATING INC	CONTRIBUTING EMPLOYER								No
(31) BALLINES ENTERPRISES INC	CONTRIBUTING EMPLOYER								No
(32) BAUMGARTNER CONSTRUCTION INC	CONTRIBUTING EMPLOYER								No
(33) BEAST BOYS TRUCKING INC	CONTRIBUTING EMPLOYER								No
(34) BELC TRANSPORTATION	CONTRIBUTING EMPLOYER								No
(35) BFK INC	CONTRIBUTING EMPLOYER								No
(36) BIRD INC	CONTRIBUTING EMPLOYER								No
(37) BISPING CONSTRUCTION INC	CONTRIBUTING EMPLOYER								No
(38) BLUE RIBBON PRODUCTS	CONTRIBUTING EMPLOYER								No
(39) BLUFF CITY TRANSFER STATION	CONTRIBUTING EMPLOYER								No
(40) BOB'S SEPTIC LLC	CONTRIBUTING EMPLOYER								No
(41) BOUGHTON MATERIALS INC	CONTRIBUTING EMPLOYER								No
(42) BRANDENBURG DRAINAGE	CONTRIBUTING EMPLOYER								No
(43) BRASCO INC	CONTRIBUTING EMPLOYER								No
(44) BRIAN TRUCKING INC	CONTRIBUTING EMPLOYER								No
(45) BRIESER CONSTRUCTION CO	CONTRIBUTING EMPLOYER								No
(46) BROTHERS ASPHALT PAVING INC	CONTRIBUTING EMPLOYER								No
(47) BSH BUILDERS LLC	CONTRIBUTING EMPLOYER								No
(48) BUENO TRUCKING INC	CONTRIBUTING EMPLOYER								No
(49) BUILDERS ASPHALT LLC	CONTRIBUTING EMPLOYER								No
(50) C E TRUCKING INC	CONTRIBUTING EMPLOYER								No
(51) CA & SON TRUCKING INC	CONTRIBUTING EMPLOYER								No
(52) CABRAL TRUCKING CORP	CONTRIBUTING EMPLOYER								No
(53) CAMPTON CONSTRUCTION INC	CONTRIBUTING EMPLOYER								No
(54) CANNON BALL EXP LINE INC	CONTRIBUTING EMPLOYER								No
(55) CARL A ANDERSON & SONS	CONTRIBUTING EMPLOYER								No
(56) CARL CHRISTENSEN	CONTRIBUTING EMPLOYER								No
(57) CASE FOUNDATION CO	CONTRIBUTING EMPLOYER								No
(58) CASEY'S TRUCKING INC	CONTRIBUTING EMPLOYER								No
(59) CASPER CONSTRUCTION INC	CONTRIBUTING EMPLOYER								No
(60) CASTRO & SON TRUCKING	CONTRIBUTING EMPLOYER								No
(61) CATOM TRUCKING	CONTRIBUTING EMPLOYER								No
(62) CAZARES TRUCKING INC	CONTRIBUTING EMPLOYER								No
(63) CECCHIN PLUMBING	CONTRIBUTING EMPLOYER								No
(64) CEMENT TRANSPORT COMPANY (CTC)	CONTRIBUTING EMPLOYER								No
(65) CHAMPION PAVING	CONTRIBUTING EMPLOYER								No
(66) CHARLES H HAGER EXC INC	CONTRIBUTING EMPLOYER								No
(67) CHARPS LLC	CONTRIBUTING EMPLOYER								No
(68) CHIEF REDI MIX INC	CONTRIBUTING EMPLOYER								No
(69) CHUCK'S TRUCK'N INC	CONTRIBUTING EMPLOYER								No
(70) COAL CITY TRUCKING CO	CONTRIBUTING EMPLOYER								No
(71) COCONO TRUCKING INC	CONTRIBUTING EMPLOYER								No
(72) COLLEY TRUCKING INC	CONTRIBUTING EMPLOYER								No
(73) COLUMBIA PIPE & SUPPLY CO	CONTRIBUTING EMPLOYER								No
(74) CONCORD EXCAVATING LLC	CONTRIBUTING EMPLOYER								No
(75) CONSTRUCTION BY CAMCO	CONTRIBUTING EMPLOYER								No
(76) CONSTRUCTION TRANSPORT INC	CONTRIBUTING EMPLOYER								No
(77) CONTRACTING & MATERIAL CO	CONTRIBUTING EMPLOYER								No
(78) COYNE FAMILY TRUCKING INC	CONTRIBUTING EMPLOYER								No
(79) CRANE TRUCKING INC	CONTRIBUTING EMPLOYER								No
(80) CRISTIAN TRUCKING CORP	CONTRIBUTING EMPLOYER								No
(81) CST INDUSTRIES INC	CONTRIBUTING EMPLOYER								No
(82) CULLIGAN TRI CITY	CONTRIBUTING EMPLOYER								No
(83) CURIEL TRUCKING INC	CONTRIBUTING EMPLOYER								No
(84) CURRAN CONTRACTING COMPANY	CONTRIBUTING EMPLOYER								No
(85) D & K TRUCKING INC	CONTRIBUTING EMPLOYER								No
(86) D CONSTRUCTION INC	CONTRIBUTING EMPLOYER								No
(87) D2K TRAFFIC EQUIPMENT & DESIGN	CONTRIBUTING EMPLOYER								No
(88) DANIALS INC	CONTRIBUTING EMPLOYER								No
(89) DAVID RAMIREZ TRUCKING INC	CONTRIBUTING EMPLOYER								No
(90) DEB'S WAY INC	CONTRIBUTING EMPLOYER								No
(91) DEE-N-DEE TRUCKING	CONTRIBUTING EMPLOYER								No
(92) DEKALB COUNTY RECYCLING SYSTEM	CONTRIBUTING EMPLOYER								No
(93) DERBY LINE TRUCKING	CONTRIBUTING EMPLOYER								No
(94) DIANA'S TRUCKING II INC	CONTRIBUTING EMPLOYER								No
(95) DIVERSIFIED CPC INTERNATIONAL	CONTRIBUTING EMPLOYER								No
(96) DONALD RAGONA TRUCKING	CONTRIBUTING EMPLOYER								No
(97) DOUBLE G EXCAVATING	CONTRIBUTING EMPLOYER								No
(98) DRQ ENTERPRISES	CONTRIBUTING EMPLOYER								No
(99) DUKE HAULING LLC	CONTRIBUTING EMPLOYER								No
(100) DUNCAN EXCAVATING	CONTRIBUTING EMPLOYER								No
(101) DUPAGE TOPSOIL INC	CONTRIBUTING EMPLOYER								No
(102) E HOFFMAN INC	CONTRIBUTING EMPLOYER								No
(103) EARTH INC	CONTRIBUTING EMPLOYER								No
(104) EARTHWORKS BY LAVICKA	CONTRIBUTING EMPLOYER								No
(105) EC OF KANKAKEE COUNTY INC	CONTRIBUTING EMPLOYER								No
(106) ED MUHR TRUCKING LLC	CONTRIBUTING EMPLOYER								No
(107) EDON CONSTRUCTION	CONTRIBUTING EMPLOYER								No
(108) EDS GALLARDO TRUCKING CORP	CONTRIBUTING EMPLOYER								No
(109) ELMHURST-CHICAGO STONE LLC	CONTRIBUTING EMPLOYER								No
(110) ENGLER MEIER & JUSTUS INC	CONTRIBUTING EMPLOYER								No
(111) ENO INC	CONTRIBUTING EMPLOYER								No
(112) ENVIRONMENTAL REC & DIS SER	CONTRIBUTING EMPLOYER								No
(113) EVANS & SON BLACKTOP INC	CONTRIBUTING EMPLOYER								No
(114) FALETTI ENTERPRISES INC	CONTRIBUTING EMPLOYER								No
(115) FALLING STAR TRUCKING INC	CONTRIBUTING EMPLOYER								No
(116) FATLAN TRUCKING & EXCAVATING	CONTRIBUTING EMPLOYER								No
(117) FAXON COMPANY	CONTRIBUTING EMPLOYER								No
(118) FIVE ACES TRUCKING INC	CONTRIBUTING EMPLOYER								No
(119) FOUNDATION BUILDING MATERIALS	CONTRIBUTING EMPLOYER								No
(120) FOX EXCAVATING	CONTRIBUTING EMPLOYER								No
(121) FOX VALLEY FARMS INC	CONTRIBUTING EMPLOYER								No
(122) FRANCISCO ENTERPRISES INC	CONTRIBUTING EMPLOYER								No
(123) FRANCO HAULING LLC	CONTRIBUTING EMPLOYER								No
(124) G & N TRANSFER	CONTRIBUTING EMPLOYER								No
(125) G A BLOCKER GRADING CONTRACTOR	CONTRIBUTING EMPLOYER								No
(126) G PEREZ TRUCKING INC	CONTRIBUTING EMPLOYER								No
(127) G M SIPES CONSTRUCTION INC	CONTRIBUTING EMPLOYER								No
(128) GALLAGHER ASPHALT	CONTRIBUTING EMPLOYER								No
(129) GARY'S X-PRESS TRUCKING INC	CONTRIBUTING EMPLOYER								No
(130) GENERAL BUILDING SUPPLY	CONTRIBUTING EMPLOYER								No
(131) GENERAL SHALE BRICK INC	CONTRIBUTING EMPLOYER								No
(132) GENERATIONS INC	CONTRIBUTING EMPLOYER								No
(133) GENEVA CONSTRUCTION CO	CONTRIBUTING EMPLOYER								No
(134) GEODESIC CONTRACTING CORP	CONTRIBUTING EMPLOYER								No
(135) GERARDO & SONS INC	CONTRIBUTING EMPLOYER								No
(136) GFL ENVIRONMENTAL - ELBURN	CONTRIBUTING EMPLOYER								No
(137) GILBERTO'S TRUCKING CORP	CONTRIBUTING EMPLOYER								No
(138) GLEN-GERY CORPORATION	CONTRIBUTING EMPLOYER								No
(139) GORY TRUCKING INC	CONTRIBUTING EMPLOYER								No
(140) GOULD BROS LLC	CONTRIBUTING EMPLOYER								No
(141) GRADE RC LLC	CONTRIBUTING EMPLOYER								No
(142) GREINIG & SON INC	CONTRIBUTING EMPLOYER								No
(143) GROOT INDUSTRIES INC	CONTRIBUTING EMPLOYER								No
(144) GROSSO TRUCKING INC	CONTRIBUTING EMPLOYER								No
(145) GRUNDY REDI-MIX	CONTRIBUTING EMPLOYER								No
(146) GSG 1 CORPORATION	CONTRIBUTING EMPLOYER								No
(147) H J EPPEL & CO INC	CONTRIBUTING EMPLOYER								No
(148) H2 CARTAGE LLC	CONTRIBUTING EMPLOYER								No
(149) HALPIN ENTERPRISES INC	CONTRIBUTING EMPLOYER								No
(150) HANSON BUILDING MATERIALS	CONTRIBUTING EMPLOYER								No
(151) HARMS TRUCKING CO	CONTRIBUTING EMPLOYER								No
(152) HAZELTON TRUCKING INC	CONTRIBUTING EMPLOYER								No
(153) HENKELS & MCCOY INC	CONTRIBUTING EMPLOYER								No
(154) HERLIHY MID-CONTINENT CO	CONTRIBUTING EMPLOYER								No
(155) HOMEWOOD DISPOSAL SERVICE INC	CONTRIBUTING EMPLOYER								No
(156) INGSTRUP PAVING	CONTRIBUTING EMPLOYER								No
(157) INTERNATIONAL HAULING & EXCAVA	CONTRIBUTING EMPLOYER								No
(158) IROQUOIS TRUCKING	CONTRIBUTING EMPLOYER								No
(159) J & R TELEVISING AND AIR TESTI	CONTRIBUTING EMPLOYER								No
(160) J & S TRANSPORT INC	CONTRIBUTING EMPLOYER								No
(161) J S ALBERICO CONST CO INC	CONTRIBUTING EMPLOYER								No
(162) J S RIEMER	CONTRIBUTING EMPLOYER								No
(163) J RUSS & COMPANY INC	CONTRIBUTING EMPLOYER								No
(164) JGC TRANSPORT INC	CONTRIBUTING EMPLOYER								No
(165) JIMMY'S HAULING INC	CONTRIBUTING EMPLOYER								No
(166) JJK TRUCKING INC	CONTRIBUTING EMPLOYER								No
(167) JME TRUCKING CO	CONTRIBUTING EMPLOYER								No
(168) JMZ CONSTRUCTION INC	CONTRIBUTING EMPLOYER								No
(169) JOHN NERI CONSTRUCTION INC	CONTRIBUTING EMPLOYER								No
(170) JOHNSTON TRUCKING INC	CONTRIBUTING EMPLOYER								No
(171) JOSE'S TRUCKING CO	CONTRIBUTING EMPLOYER								No
(172) JR CASTLE CONSTRUCTION INC	CONTRIBUTING EMPLOYER								No
(173) JR MUNIZ TRUCKING INC	CONTRIBUTING EMPLOYER								No
(174) JR'S TRUCKING N CONSTRUCTION	CONTRIBUTING EMPLOYER								No
(175) JV HAULING	CONTRIBUTING EMPLOYER								No
(176) JWN INC	CONTRIBUTING EMPLOYER								No
(177) K & G TRUCKING INC	CONTRIBUTING EMPLOYER								No
(178) K F KERRIGAN INC	CONTRIBUTING EMPLOYER								No
(179) K HOVING RECYCLING & DISPOSAL	CONTRIBUTING EMPLOYER								No
(180) KANKAKEE VALLEY CONSTRUCTION	CONTRIBUTING EMPLOYER								No
(181) KEITH'S CARTAGE & EXCAVATING	CONTRIBUTING EMPLOYER								No
(182) KENDALL CO CONCRETE INC	CONTRIBUTING EMPLOYER								No
(183) K-FIVE CONSTRUCTION CORP	CONTRIBUTING EMPLOYER								No
(184) KIEWIT POWER CONSTRUCTORS CO	CONTRIBUTING EMPLOYER								No
(185) KJM ENTERPRISES INC	CONTRIBUTING EMPLOYER								No
(186) KS ENERGY SERVICES INC	CONTRIBUTING EMPLOYER								No
(187) L SOTO ENTERPRISES INC	CONTRIBUTING EMPLOYER								No
(188) LAFARGE ELBURN LLC	CONTRIBUTING EMPLOYER								No
(189) LAMPING TRUCKING	CONTRIBUTING EMPLOYER								No
(190) LEN COX & SONS EXCAVATING	CONTRIBUTING EMPLOYER								No
(191) LENZ ENTERPRISES INC	CONTRIBUTING EMPLOYER								No
(192) LEO'S HAULING INC	CONTRIBUTING EMPLOYER								No
(193) LEO'S TRUCKING SERVICE INC	CONTRIBUTING EMPLOYER								No
(194) LGM TRUCKING INC	CONTRIBUTING EMPLOYER								No
(195) LIBERTY PAVING CO INC	CONTRIBUTING EMPLOYER								No
(196) LIMESTONE TRANSIT INC	CONTRIBUTING EMPLOYER								No
(197) LIVINGSTON STONE COMPANY	CONTRIBUTING EMPLOYER								No
(198) LORUSSO CEMENT	CONTRIBUTING EMPLOYER								No
(199) LTD TRUCKING INC	CONTRIBUTING EMPLOYER								No
(200) M & S EXCAVATING	CONTRIBUTING EMPLOYER								No
(201) M ARBANAS CONSTRUCTION CO	CONTRIBUTING EMPLOYER								No
(202) MD MILLER TRUCKING INC	CONTRIBUTING EMPLOYER								No
(203) MACKLIN INC	CONTRIBUTING EMPLOYER								No
(204) MAINTENANCE COATINGS CO	CONTRIBUTING EMPLOYER								No
(205) MARAVILLO TRANSPORT	CONTRIBUTING EMPLOYER								No
(206) MARCOTT ENTERPRISES INC	CONTRIBUTING EMPLOYER								No
(207) MARIO CONTE EXCAVATINGINC	CONTRIBUTING EMPLOYER								No
(208) MARKING SPECIALISTS CORP	CONTRIBUTING EMPLOYER								No
(209) MARK-IT STRIPING CORP	CONTRIBUTING EMPLOYER								No
(210) MARLENE'S TRUCKING TRANSPORT	CONTRIBUTING EMPLOYER								No
(211) MARTAM CONSTR INC	CONTRIBUTING EMPLOYER								No
(212) MARTINS TRUCKING INC	CONTRIBUTING EMPLOYER								No
(213) MATTHEWS TRUCKING	CONTRIBUTING EMPLOYER								No
(214) MC CANN INDUSTRIES INC	CONTRIBUTING EMPLOYER								No
(215) MCC TRAFFIC	CONTRIBUTING EMPLOYER								No
(216) MEADE ELECTRIC CO INC	CONTRIBUTING EMPLOYER								No
(217) MEATCHO INC	CONTRIBUTING EMPLOYER								No
(218) MICHELS PIPELINE CONST INC	CONTRIBUTING EMPLOYER								No
(219) MIL RON TRUCKING CO	CONTRIBUTING EMPLOYER								No
(220) MILANO BAKING COMPANY	CONTRIBUTING EMPLOYER								No
(221) MINNESOTA LIMITED LLC	CONTRIBUTING EMPLOYER								No
(222) MOM & 3 SONS TRUCKING INC	CONTRIBUTING EMPLOYER								No
(223) MONJARAZ TRUCKING	CONTRIBUTING EMPLOYER								No
(224) MONO TRUCKING INC	CONTRIBUTING EMPLOYER								No
(225) MONTEMAYOR CONST INC	CONTRIBUTING EMPLOYER								No
(226) MOYA TRUCKING INC	CONTRIBUTING EMPLOYER								No
(227) MT CARMEL STABILIZATION GROUP	CONTRIBUTING EMPLOYER								No
(228) MURO'S TRANSPORTATION INC	CONTRIBUTING EMPLOYER								No
(229) MVL TRUCKING INC	CONTRIBUTING EMPLOYER								No
(230) NAPERVILLE EXCAVATING CO	CONTRIBUTING EMPLOYER								No
(231) NARVICK BROS LUMBER CO	CONTRIBUTING EMPLOYER								No
(232) NARVICK BROS READY MIX	CONTRIBUTING EMPLOYER								No
(233) NORTHERN ILL STEEL CO	CONTRIBUTING EMPLOYER								No
(234) NORTHERN PIPELINE CONS CO	CONTRIBUTING EMPLOYER								No
(235) O PULIDO TRUCKING INC	CONTRIBUTING EMPLOYER								No
(236) OAK LAWN BLACKTOP PAVING	CONTRIBUTING EMPLOYER								No
(237) OLD CASTLE INFRASTRUCTURE INC	CONTRIBUTING EMPLOYER								No
(238) OPPERMAN CONSTRUCTION CO	CONTRIBUTING EMPLOYER								No
(239) ORANGE CRUSH LLC	CONTRIBUTING EMPLOYER								No
(240) OREMUS MATERIAL	CONTRIBUTING EMPLOYER								No
(241) OSWEGO BUILDING SUPP INC	CONTRIBUTING EMPLOYER								No
(242) OZINGA ILLINOIS RMC INC	CONTRIBUTING EMPLOYER								No
(243) P & D FREIGHT INC	CONTRIBUTING EMPLOYER								No
(244) P T FERRO CONSTRUCTION CO	CONTRIBUTING EMPLOYER								No
(245) PACHIN ENTERPRISES INC	CONTRIBUTING EMPLOYER								No
(246) PANUSH TRUCK REPAIR INC	CONTRIBUTING EMPLOYER								No
(247) PEPSI AMERICAS	CONTRIBUTING EMPLOYER								No
(248) PHOENIX HAULING TRANSPORT INC	CONTRIBUTING EMPLOYER								No
(249) PIRTANO CONSTRUCTION COMPANY	CONTRIBUTING EMPLOYER								No
(250) PLAINFIELD CONSTRUCTION	CONTRIBUTING EMPLOYER								No
(251) PLOTE CONSTRUCTION INC	CONTRIBUTING EMPLOYER								No
(252) POINT READY MIX LLC	CONTRIBUTING EMPLOYER								No
(253) PRECISION PAVEMENT MARKING INC	CONTRIBUTING EMPLOYER								No
(254) PRESTIGE HEAVY HAULING LLC	CONTRIBUTING EMPLOYER								No
(255) PRIME TACK & SEAL CO	CONTRIBUTING EMPLOYER								No
(256) PRO TACK LLC	CONTRIBUTING EMPLOYER								No
(257) PUSKARIC TRUCK SERVICE INC	CONTRIBUTING EMPLOYER								No
(258) Q & M TRUCKING INC	CONTRIBUTING EMPLOYER								No
(259) R W DUNTEMAN COMPANY	CONTRIBUTING EMPLOYER								No
(260) RACSO'S TRUCKING INC	CONTRIBUTING EMPLOYER								No
(261) RAIMONDI CARTAGE INC	CONTRIBUTING EMPLOYER								No
(262) RAJ TRUCKING INC	CONTRIBUTING EMPLOYER								No
(263) RAPID ROADS INC	CONTRIBUTING EMPLOYER								No
(264) RBR INC	CONTRIBUTING EMPLOYER								No
(265) REED MACHINERY & TRANS CO	CONTRIBUTING EMPLOYER								No
(266) REINKE GYPSUM SUPPLY	CONTRIBUTING EMPLOYER								No
(267) RELIABLE TRUCKING INC	CONTRIBUTING EMPLOYER								No
(268) RIBER CONSTRUCTION INC	CONTRIBUTING EMPLOYER								No
(269) RICK'S TRUCKING	CONTRIBUTING EMPLOYER								No
(270) RIEMER ENG LAND DEV INC	CONTRIBUTING EMPLOYER								No
(271) RKM TRUCKING INC	CONTRIBUTING EMPLOYER								No
(272) ROADSAFE TRAFFIC SYSTEMS	CONTRIBUTING EMPLOYER								No
(273) ROADWAY EXPRESS INCYRC INC	CONTRIBUTING EMPLOYER								No
(274) ROADWAY LINES CORP	CONTRIBUTING EMPLOYER								No
(275) ROB TRANSPORTATION INC	CONTRIBUTING EMPLOYER								No
(276) ROBERTS BROTHERS INC	CONTRIBUTING EMPLOYER								No
(277) ROBERTS TRUCKING INC	CONTRIBUTING EMPLOYER								No
(278) ROCKY HOLLOW INC	CONTRIBUTING EMPLOYER								No
(279) ROGELIO CASAS INC	CONTRIBUTING EMPLOYER								No
(280) ROGERS READY MIX	CONTRIBUTING EMPLOYER								No
(281) ROSELLE BUILDING MATERIAL	CONTRIBUTING EMPLOYER								No
(282) RPE TRUCKING INC	CONTRIBUTING EMPLOYER								No
(283) RPT SERVICE INC	CONTRIBUTING EMPLOYER								No
(284) RTD TRANSPORT	CONTRIBUTING EMPLOYER								No
(285) RUANE CONSTRUCTION INC	CONTRIBUTING EMPLOYER								No
(286) RUSSELL INC	CONTRIBUTING EMPLOYER								No
(287) S & K EXCAV & TRUCK INC	CONTRIBUTING EMPLOYER								No
(288) SANCHEZ GROUP	CONTRIBUTING EMPLOYER								No
(289) SANDWORKS WEST INC	CONTRIBUTING EMPLOYER								No
(290) SAUNDERS TRANSPORT LLC	CONTRIBUTING EMPLOYER								No
(291) SCANLON EXCAVATING & CONCRETE	CONTRIBUTING EMPLOYER								No
(292) SCHNEIDER EXCAVATING	CONTRIBUTING EMPLOYER								No
(293) SCHROEDER TRUCKING	CONTRIBUTING EMPLOYER								No
(294) SELLERS & SELLERS ENTERPRISES	CONTRIBUTING EMPLOYER								No
(295) SERNA'S TRUCKING INC	CONTRIBUTING EMPLOYER								No
(296) SERVICE SANITATION INC	CONTRIBUTING EMPLOYER								No
(297) SERVO ENTERPRISES INC	CONTRIBUTING EMPLOYER								No
(298) SGMINC	CONTRIBUTING EMPLOYER								No
(299) SH & D GENERAL TRUCKING	CONTRIBUTING EMPLOYER								No
(300) SHEPLEY MOTOR EXPRESS	CONTRIBUTING EMPLOYER								No
(301) SIVI GROUP LLC	CONTRIBUTING EMPLOYER								No
(302) SJC TRANSPORTS INC	CONTRIBUTING EMPLOYER								No
(303) SMITH SPECIALIZED HEAVY HAULIN	CONTRIBUTING EMPLOYER								No
(304) SONICAN TRUCKING INC	CONTRIBUTING EMPLOYER								No
(305) SOTO BROTHERS INC	CONTRIBUTING EMPLOYER								No
(306) SPG TRUCKING INC	CONTRIBUTING EMPLOYER								No
(307) STARK & SON TRENCHING COMPANY	CONTRIBUTING EMPLOYER								No
(308) STEPAN COMPANY	CONTRIBUTING EMPLOYER								No
(309) STEVE SPIESS EXCAVATING	CONTRIBUTING EMPLOYER								No
(310) STIP BROTHERS EXCAVATING INC	CONTRIBUTING EMPLOYER								No
(311) STOTT CONTRACTING LLC	CONTRIBUTING EMPLOYER								No
(312) STREAMLINE PAVING INC	CONTRIBUTING EMPLOYER								No
(313) STRIGGOW TRUCKING INC	CONTRIBUTING EMPLOYER								No
(314) SWALLOW CONSTRUCTION	CONTRIBUTING EMPLOYER								No
(315) SWICK EXPRESS SERVICES INC	CONTRIBUTING EMPLOYER								No
(316) T WATERS TRUCKING	CONTRIBUTING EMPLOYER								No
(317) TBS EXCAVATING INC	CONTRIBUTING EMPLOYER								No
(318) TENCO EXCAVATING INC	CONTRIBUTING EMPLOYER								No
(319) TIRADO'S TRUCKING INC	CONTRIBUTING EMPLOYER								No
(320) TJ HAULING LLC	CONTRIBUTING EMPLOYER								No
(321) TKT INC	CONTRIBUTING EMPLOYER								No
(322) TMR SERVICES INC	CONTRIBUTING EMPLOYER								No
(323) TOBEY'S CONST & CARTAGE	CONTRIBUTING EMPLOYER								No
(324) TODD CAMPBELL TRUCKING	CONTRIBUTING EMPLOYER								No
(325) TOM'S EXCAVATING CO INC	CONTRIBUTING EMPLOYER								No
(326) TOP SPEED EXPRESS INC	CONTRIBUTING EMPLOYER								No
(327) TORNADO HAULING SERVICES INC	CONTRIBUTING EMPLOYER								No
(328) TRAFFIC CONTROL COMPANY TSW	CONTRIBUTING EMPLOYER								No
(329) TRIGGI CONSTRUCTION INC	CONTRIBUTING EMPLOYER								No
(330) UNITED PIPING INC	CONTRIBUTING EMPLOYER								No
(331) URBANO TRUCKING INC	CONTRIBUTING EMPLOYER								No
(332) USF HOLLAND	CONTRIBUTING EMPLOYER								No
(333) UTILITY CONCRETE PRODUCTS	CONTRIBUTING EMPLOYER								No
(334) VIP FREIGHT CO	CONTRIBUTING EMPLOYER								No
(335) V3 CONSTRUCTION TRADES	CONTRIBUTING EMPLOYER								No
(336) VALLEY LAND TRUCKING INC	CONTRIBUTING EMPLOYER								No
(337) VCNA PRAIRIE ILLINOIS INC	CONTRIBUTING EMPLOYER								No
(338) VELASCO ENTERPRISES INC	CONTRIBUTING EMPLOYER								No
(339) VELAZQUEZ TRUCKING INC	CONTRIBUTING EMPLOYER								No
(340) VIKING BROTHERS INC	CONTRIBUTING EMPLOYER								No
(341) VIT TRANS INC	CONTRIBUTING EMPLOYER								No
(342) VULCAN MATERIALS CO	CONTRIBUTING EMPLOYER								No
(343) W & W TRUCKING	CONTRIBUTING EMPLOYER								No
(344) W SMITH CARTAGE CO INC	CONTRIBUTING EMPLOYER								No
(345) W BEEMAN ENTERPRISES INC	CONTRIBUTING EMPLOYER								No
(346) WASTE MANAGEMENT	CONTRIBUTING EMPLOYER								No
(347) WEC TRUCKING LLC	CONTRIBUTING EMPLOYER								No
(348) WELDSTAR CO	CONTRIBUTING EMPLOYER								No
(349) WELSCH READY MIX INC	CONTRIBUTING EMPLOYER								No
(350) WESTMORE SUPPLY CO	CONTRIBUTING EMPLOYER								No
(351) WHITEFORD WAREHOUSE & DISTRIB	CONTRIBUTING EMPLOYER								No
(352) WIESBROOK LLC	CONTRIBUTING EMPLOYER								No
(353) WILLE BROS CO	CONTRIBUTING EMPLOYER								No
(354) YARIS TRUCKING INC	CONTRIBUTING EMPLOYER								No
(355) YELLOW FREIGHT SYSTEM INC	CONTRIBUTING EMPLOYER								No
(356) YELLOW TRANSIT FREIGHT	CONTRIBUTING EMPLOYER								No
(357) YUMALAY TRUCKING CORP	CONTRIBUTING EMPLOYER								No

Schedule R (Form 990) 2021

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 ............................

Yes

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

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) 2021

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?		(k) Percentage ownership
(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	(k) Percentage ownership

Schedule R (Form 990) 2021

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R. See instructions.

Return Reference	Explanation
FORM 990, SCHEDULE R, PART IV	THE SPONSORING ORGANIZATION OF THE FUND IS THE BOARD OF TRUSTEES.

Schedule R (Form 990) 2021

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: PROVIDE HEALTH BENEFITS
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 2021 (Part V, line 2a) ......	5	160
6	Total number of volunteers (estimate if necessary) .............	6	0
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	0
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	0	0
9	Program service revenue (Part VIII, line 2g) .........	67,973,514	70,709,633
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	4,983,545	6,237,462
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	3,784	183
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	72,960,843	76,947,278
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).....	64,012,297	69,607,298
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	1,132,397	1,169,011
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)....	1,277,549	1,691,500
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	66,422,243	72,467,809
19	Revenue less expenses. Subtract line 18 from line 12.......	6,538,600	4,479,469
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	143,632,088	151,986,865
21	Total liabilities (Part X, line 26).............	216,174	211,167
22	Net assets or fund balances. Subtract line 21 from line 20.....	143,415,914	151,775,698

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )
	TO PROVIDE HEALTH & WELFARE 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/1099-NEC)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and title
(1) MARK KENNEDY...................................................................... TRUSTEE	2.00 ................. 2.00	X			0	0	0
(2) THOMAS FLYNN...................................................................... TRUSTEE	1.00 ................. 65.00	X			0	167,086	47,907
(3) WILLIAM BRACH...................................................................... TRUSTEE	1.00 ................. 1.00	X			0	0	0
(4) DOMINIC ROMANAZZI...................................................................... TRUSTEE	2.00 ................. 40.00	X			0	183,718	62,027
(5) TIMOTHY CUSTER...................................................................... TRUSTEE	1.00 ................. 65.00	X			0	137,783	60,552
(6) RITCH DEMBINSKY...................................................................... TRUSTEE	1.00 ................. 1.00	X			0	0	0
(7) JOSE COLIN...................................................................... FUND MANAGER	14.00 ................. 26.00		X		0	163,702	36,868
(8) SUE SELIMOS...................................................................... WELFARE OPERATIONS MANAGER	38.00 ................. 2.00			X	0	124,875	36,868

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	0	777,164	244,222

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

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

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

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

		Business Code
2a	EMPLOYER CONTRIBUTIONS	900099	62,563,957	62,563,957
b	PARTICIPANT & RETIREE CONTRIBUTIO	900099	5,916,701	5,916,701
c	PRESCRIPTION REBATES	900099	2,228,975	2,228,975
d
e
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		70,709,633

3 Investment income (including dividends, interest, and othersimilar amounts) ......			946,753			946,753
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		21,922,526	7a
b	Less: cost or other basis and sales expenses		16,631,817	7b
c	Gain or (loss)		5,290,709	7c
d	Net gain or (loss).........			5,290,709			5,290,709
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	MISCELLANEOUS		900099	183			183
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			183
12	Total revenue. See instructions.....			76,947,278	70,709,633	0	6,237,645

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 .......	69,607,298
5	Compensation of current officers, directors, trustees, and key employees ...........	68,314
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........	606,443
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	171,986
9	Other employee benefits .......	224,121
10	Payroll taxes ...........	98,147
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	113,471
c	Accounting ...........	180,019
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	782,535
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	41,010
12	Advertising and promotion ....
13	Office expenses .......	149,175
14	Information technology ......	115,255
15	Royalties ..
16	Occupancy ...........	183,286
17	Travel ............	683
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	20,272
20	Interest ...........
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	21,286
23	Insurance ...	58,624
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	PCORI FEES	25,884
b
c
d
e	All other expenses
25	Total functional expenses. Add lines 1 through 24e	72,467,809
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 ........			6,690,122	1	6,493,363
2	Savings and temporary cash investments .........			458,935	2	745,551
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			6,269,269	4	6,857,109
5	Loans and other receivables from 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 ...........			37,766	7	54,681
8	Inventories for sale or use ............				8
9	Prepaid expenses and deferred charges ......			320,869	9	321,542
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	653,071
b	Less: accumulated depreciation	10b	613,748	49,282	10c	39,323
11	Investments—publicly traded securities .			40,102,273	11	39,393,681
12	Investments—other securities. See Part IV, line 11 .....			89,703,572	12	98,081,615
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)...			143,632,088	16	151,986,865

17	Accounts payable and accrued expenses .....	147,953	17	153,399
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	68,221	25	57,768
26	Total liabilities. Add lines 17 through 25..	216,174	26	211,167

	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	143,415,914	31	151,775,698
32	Total net assets or fund balances ...........	143,415,914	32	151,775,698
33	Total liabilities and net assets/fund balances ........	143,632,088	33	151,986,865