TY 2021 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

2021

Open to Public Inspection

Name of the organization

BRICKLAYERS AND ALLIED CRAFTWORKERS
INTERNATIONAL HEALTH FUND

Employer identification number

52-6397805

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 ....	151,748	31,472	120,276
e	Other .....
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				120,276

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

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
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	12,813,656
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	67,882,678
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a	2,391
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	2,391
3	Subtract line 2e from line 1..................			3	67,880,287
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	67,880,287

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	59,573,730
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	59,573,730
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	59,573,730

Part XIII

Supplemental Information

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

Return Reference	Explanation
PART X, LINE 2:	THE PLAN FOLLOWS AUTHORITATIVE GUIDANCE FOR ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES INCLUDED IN ACCOUNTING STANDARDS CODIFICATION (ASC) TOPIC INCOME TAXES. THESE PROVIDE CONSISTENT GUIDANCE FOR THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ENTITY'S FINANCIAL STATEMENTS AND PRESCRIBE A THRESHOLD OF "MORE LIKELY THAN NOT" FOR RECOGNITION AND DERECOGNITION OF TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THE PLAN PERFORMED AN EVALUATION OF UNCERTAIN TAX POSITIONS FOR THE YEAR ENDED DECEMBER 31, 2021, AND DETERMINED THAT THERE WERE NO MATTERS THAT WOULD REQUIRE RECOGNITION IN THE FINANCIAL STATEMENTS.
PART XI, LINE 2D - OTHER ADJUSTMENTS:	PROCEEDS FROM MERGER

Return Reference

Explanation

PART X, LINE 2:

THE PLAN FOLLOWS AUTHORITATIVE GUIDANCE FOR ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES INCLUDED IN ACCOUNTING STANDARDS CODIFICATION (ASC) TOPIC INCOME TAXES. THESE PROVIDE CONSISTENT GUIDANCE FOR THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ENTITY'S FINANCIAL STATEMENTS AND PRESCRIBE A THRESHOLD OF "MORE LIKELY THAN NOT" FOR RECOGNITION AND DERECOGNITION OF TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THE PLAN PERFORMED AN EVALUATION OF UNCERTAIN TAX POSITIONS FOR THE YEAR ENDED DECEMBER 31, 2021, AND DETERMINED THAT THERE WERE NO MATTERS THAT WOULD REQUIRE RECOGNITION IN THE FINANCIAL STATEMENTS.

PART XI, LINE 2D - OTHER ADJUSTMENTS:

PROCEEDS FROM MERGER

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

BRICKLAYERS AND ALLIED CRAFTWORKERS
INTERNATIONAL HEALTH FUND

Employer identification number

52-6397805

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)
1TIMOTHY J DRISCOLL TRUSTEE	(i) (ii)	0 ------------- 373,732	0 ------------- 0	0 ------------- 29,230	0 ------------- 159,600	0 ------------- 46,886	0 ------------- 609,448	0 ------------- 0
2ROBERT ARNOLD TRUSTEE	(i) (ii)	0 ------------- 341,564	0 ------------- 0	0 ------------- 32,269	0 ------------- 159,600	0 ------------- 46,886	0 ------------- 580,319	0 ------------- 0
3JEREMIAH SULLIVAN TRUSTEE	(i) (ii)	0 ------------- 309,400	0 ------------- 0	0 ------------- 34,329	0 ------------- 159,600	0 ------------- 46,886	0 ------------- 550,215	0 ------------- 0
4CARLOS AQUIN TRUSTEE	(i) (ii)	0 ------------- 309,400	0 ------------- 0	0 ------------- 31,049	0 ------------- 159,600	0 ------------- 46,886	0 ------------- 546,935	0 ------------- 0
5AMBER BRAILER DIRECTOR	(i) (ii)	0 ------------- 128,547	0 ------------- 0	0 ------------- 634	0 ------------- 71,987	0 ------------- 25,488	0 ------------- 226,656	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 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

BRICKLAYERS AND ALLIED CRAFTWORKERS
INTERNATIONAL HEALTH FUND

Employer identification number

52-6397805

Return Reference	Explanation
FORM 990, PART VI, SECTION B, LINE 11B	THE FORM IS DRAFTED THROUGH A COLLABORATIVE EFFORT OF THE PLAN'S FINANCIAL, LEGAL, AND OPERATIONS PROFESSIONALS. THE DRAFT IS PRESENTED TO AND REVIEWED BY THE PLAN'S ADMINISTRATIVE COMMITTEE OF THE BOARD OF TRUSTEES AT A REGULARLY SCHEDULED MONTHLY MEETING. THE FORM IS THEN FINALIZED AND SUBMITTED.
FORM 990, PART VI, SECTION B, LINE 12C	SECTION 5.1 OF THE AGREEMENT AND DECLARATION OF TRUST STATES IN PERTINENT PART THAT THE TRUSTEES SHALL CONDUCT THE BUSINESS OF THE TRUST IN ACCORDANCE WITH APPLICABLE LAW. THE TRUST IS GOVERNED IN LARGE PART BY THE EMPLOYEE RETIREMENT INCOME SECURITY ACT 29 U.S.C 1106 AND THE REGULATIONS OF THE INTERNAL REVENUE SERVICE AND THE DEPARTMENT OF LABOR WHICH ARE PROMULGATED ACCORDING TO THAT LAW. ERISA AND ITS REGULATIONS PROMULGATED THE ISSUES OF POTENTIAL CONFLICT OF INTEREST. THESE ISSUES ARE SPECIFICALLY ADDRESSED IN SECTION 406 OF ERISA WHICH PROHIBITS TWO TYPES OF TRANSACTIONS BY THE TRUST: (A) TRANSACTIONS BETWEEN THE TRUST AND A PARTY IN INTEREST; AND (B) TRANSACTIONS BETWEEN THE TRUST AND A FIDUCIARY. SECTION 408 OF ERISA PROVIDES FOR THE EXEMPTIONS TO SECTION 406. THE TRANSACTIONS BETWEEN THE TRUST AND A PARTY IN INTEREST WHICH ARE PROHIBITED,INCLUDE: (1) THE SALE, EXCHANGE OR LEASING OF PROPERTY BETWEEN A WELFARE PLAN AND A PARTY IN INTEREST; (2) THE LENDING OF MONEY OR OTHER EXTENSION OF CREDIT BETWEEN A WELFARE PLAN AND A PARTY IN INTEREST; (3) THE FURNISHING OF GOODS, SERVICES OR FACILITIES BETWEEN A WELFARE PLAN AND A PARTY IN INTEREST; (4) THE TRANSFER TO, OR USE BY OR FOR THE BENEFIT OF, A PARTY IN INTEREST, OF ANY ASSETS OF A WELFARE PLAN; AND (5) THE ACQUISITION ON BEHALF OF A WELFARE PLAN OF ANY EMPLOYER SECURITY OR EMPLOYER REAL PROPERTY UNLESS THE REQUIREMENTS OF SECTION 407(A) OF ERISA ARE MET. THE TRANSACTIONS BETWEEN THE TRUST AND A FIDUCIARY WHICH ARE PROHIBITED INCLUDE: (1) THE HANDLING OF THE ASSETS OF THE PLAN IN THE FIDUCIARY'S OWN INTEREST OR FOR THE FIDUCIARY'S OWN ACCOUNT; (2) IN THE FIDUCIARY'S OR IN ANY OTHER CAPACITY, ACTING IN ANY TRANSACTION INVOLVING THE PLAN ON BEHALF OF A PARTY (OR REPRESENT A PARTY) WHOSE INTERESTS ARE ADVERSE TO THE INTERESTS OF THE PLAN OR THE INTERESTS OF ITS PARTICIPANTS OR BENEFICIARIES; OR (3) THE RECEIVING OF ANY CONSIDERATION FOR THE FIDUCIARY'S PERSONAL ACCOUNT FROM ANY PARTY DEALING WITH SUCH PLAN IN CONNECTION WITH A TRANSACTION INVOLVING THE ASSETS OF THE PLAN. THE TRUST IS REQUIRED TO FILE AN AUDITED FINANCIAL STATEMENT YEARLY. AS PART OF THE AUDIT, THE AUDITORS ARE REQUIRED TO EXAMINE FOR POTENTIAL PROHIBITED TRANSACTIONS.
FORM 990, PART VI, SECTION C, LINE 19	PURSUANT TO SECTION 101 OF THE EMPLOYEE RETIREMENT INCOME SECURITY ACT OF 1974, 29 U.S.C. 1021, AND SECTION 502 OF THE PENSION PROTECTION ACT OF 2006 THE TRUST IS REQUIRED TO PROVIDE ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS TO ITS PARTICIPANTS AND PARTICIPATING EMPLOYERS. SUCH DOCUMENTS ARE AVAILABLE UPON REQUEST TO THOSE INDIVIDUALS. THOSE DOCUMENTS ARE NOT AVAILABLE TO THE GENERAL PUBLIC.
FORM 990, PART XII, LINE 2C	THIS PROCESS HAS NOT CHANGED FROM THE PRIOR 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

BRICKLAYERS AND ALLIED CRAFTWORKERS
INTERNATIONAL HEALTH FUND

Employer identification number

52-6397805

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)BAC LOCAL 04 JATC COMMITTEE
(2)BAC DISTRICT COUNCIL OF WI
(3)BAC LOCAL NO 01 MO APPR TRUST
(4)BAC LOCAL NO 04 INKY-APPR FUND
(5)BAC LOCAL NO 04 INKY-BLMNGTON
(6)BAC LOCAL NO 04 INKY-EVNSVLLE
(7)BAC LOCAL NO 04 INKY-FT WAYNE
(8)BAC LOCAL NO 04 INKY-INDNPLS
(9)BAC LOCAL NO 04 INKY-LAFAYETT
(10)BAC LOCAL NO 04 INKY-LOUISVLE
(11)BAC LOCAL NO 04 INKY-MUNCIE
(12)BAC LOCAL NO 04 INKY-SO BEND
(13)BAC LOCAL NO 04 INKY-TERRE HT
(14)BAC LOCAL NO 05 PA
(15)BAC LOCAL NO 08 IL
(16)BAC LOCAL NO 08 SOUTHEAST
(17)BAC LOCAL NO 18 MO TILE
(18)BAC LOCAL NO 18 MO TILE MARBLE
(19)BAC LOCAL NO 5 OK - ZONE
(20)INTERNATIONAL UNION OF BRICKLAYERS & ALLIED CRAFTWORKERS 620 F STREET NW WASHINGTON,DC20004 53-0038250	LABOR UNION	DC	501(C)(5)		N/A		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) 5 STAR MASONRY LLC
(2) A AND K RENTALS LLC
(3) A P I CONSTRUCTION CO
(4) A R C CONSTRUCTION CO INC
(5) A R F CONSTRUCTION
(6) A TEK HUMES MASONRY SOLUTIONS
(7) A W OAKES AND SON INC
(8) ADAMS MASONRY INC
(9) ADVANCED MASONRY INC
(10) AFFORDABLE MASONRY INC
(11) AGNEW TILE AND MARBLE
(12) ALL MASONRY AND POWER WASH INC
(13) ALL MASONRY CONSTRUCTION
(14) ALLEN REFRACTORIES COMPANY
(15) ALLIANCE MASONRY CORP
(16) ALLIED WATERPROOFING INC
(17) ALLSTATES REFRACTORY CONRS LLC
(18) ALRIGHT CONCRETE CO
(19) AMALFI STONE AND MASONRY CO INC
(20) AMERICAN REFRACTORY CO LLC
(21) ANCHOR GLASS CONTAINER CORP
(22) ANGELINA STONE AND MARBLE LTD
(23) APEX MASONRY INC
(24) APOLLO CONST AND ENG SERV INC
(25) ARIA FLOORING LLC
(26) ARMOR MAX CONSTRUCTION INC
(27) ARNOLD MASONRY LLC
(28) ART MOSAIC AND TILE COMPANY
(29) ARTISAN TILE AND MARBLE CO INC # 2
(30) ASHTON AND COMPANY INC
(31) ATLANTIC CONCRETE CONTRACTORS INC
(32) ATLANTIC FIREBRICK AND SUPPLY CO INC
(33) ATLAS BUILDING SERVICES INC
(34) AUGELLI CONCRETE AND EXC LLC
(35) B AND B INDUSTRIAL SVES INC
(36) B AND B WATERPROOFING LLC
(37) B AND G TUCKPOINTING
(38) B AND K TUCKPOINTING CO
(39) BAILEY BUCHANAN MASONRY INC
(40) BANE NELSON INC
(41) BANGS CONSTRUCTION
(42) BARTER MASONRY
(43) BARTHENHEIER CONSTRUCTION INC
(44) BARTLEY AND PERIGO MSNRY CONTR
(45) BARTON MALOW COMPANY
(46) BELDON INTERIORS INC
(47) BENNETT CONSTRUCTION INC
(48) BERGER INC
(49) BERGHAMMER CONSTRUCTION CORP
(50) BERGLUND CONSTRUCTION COMPANY
(51) BLAKLEY CORPORATION
(52) BOB MARQUART MASONRY
(53) BOCK MASONRY LLC
(54) BOKON MASONRY INC
(55) BOLDT COMPANY (THE)
(56) BORTH-WILSON PLUMBING AND REMOD INC
(57) BOTTEMA TILE INC
(58) BRAKER J J AND SONS INC
(59) BROADY-CAMPBELL INC
(60) BROWN REFRACTORY SVCS-(MJK CO)
(61) BRUCKNER MASONRY
(62) BRUNS GUTZWILLER INC
(63) BUILDING SERVICES INC
(64) BUKACEK ACQUISITION INC
(65) BUKACEK CONSTRUCTION GROUP INC
(66) BURT MASONRY INC
(67) C AND D WATERPROOFING CORP
(68) C AND S MASONRY RESTRATION LLC
(69) C D SMITH CONSTRUCTION INC
(70) C E KORSGARD COMPANY
(71) C J HAMILTON
(72) C J MASONRY INC
(73) C M MORRIS GROUP INC
(74) C N S Y - 12 LLC ( CONSOLIDATED NUCLEAR SECURITY)
(75) C R MEYER AND SONS COMPANY
(76) CAIN CONSTRUCTION COMPANY LLC
(77) CAMOSY CONSTRUCTION CO INC
(78) CAMOSY INCORPORATED
(79) CARETTI INC
(80) CARETTI RESTORATION AND PRESERVATION SERVICES LLC
(81) CASWELL BRICKWORK INC
(82) CENTRAL MASONRY INC
(83) CHANCE BROTHERS MARBLE AND TILE INC
(84) CHOICE BRICKWORK
(85) CHRISTY INDUSTRIAL SERVICE CO
(86) CLARK JACK H BRICK CONTR INC
(87) CLEVELAND MARBLE MOSAIC CO
(88) COBA TILE INC
(89) COLVIN MASONRY CO
(90) COMBUSTION SERVICE COMPANY INC
(91) COMMERCIAL FLOOR AND WALL SURFACES LLC
(92) COMPLETE CAULKING CONCEPTS
(93) COMPLETE MASONRY SERVICES INC
(94) CONCRETE ERECTORS INC
(95) CONNELLY PAVING COMPANY
(96) CONSTRUCTION AND TURNAROUND SVCS
(97) CONSTRUCTION RESOURCE SERVICES LLC
(98) COON RESTORATION AND SEALANTS INC
(99) CORBELL MASONRY
(100) CORESLAB STRUCTURES INC
(101) CORESLAB STRUCTURES-INDIANAPOLIS INC
(102) CORNERSTONE MASONRY INC
(103) CORNERSTONE PAVERS LLC
(104) COX R D MASONRY INC
(105) CRYSTAL MARBLE COMPANY INC
(106) C-STONE INSTALLATION COMPANY
(107) D AND M CONSTRUCTION UNLIMITED INC
(108) D AND R JONES CONSTRUCTION CORP
(109) D G SKOUSE CO INC
(110) D M SABIA AND CO INC
(111) D N TANKS INC
(112) D P SYSTEMS LLC
(113) D S MASONRY INC
(114) DAN LEPORE AND SONS CO INC
(115) DANCO CONSTRUCTION INC
(116) DAY AND ZIMMERMANN NPS INC
(117) DE CESARE AND SONS INC
(118) DE MUYT MASONRY INC
(119) DEGRELLA TILE INC
(120) DEMPSEY MASONRY LLC
(121) DENTON'S TUCKPOINTING CO
(122) DESCO SYSTEMS LC
(123) DICKOW AND CYZAK TILE COMPANY INC
(124) DIECKER-TERRY MASONRY
(125) DOBRINICH AND JOHNS BRICK
(126) DODDS LLC
(127) DODDS MASONRY CONSTRUCTION CO
(128) DON NOLAN INC
(129) DON PURDY MASONRY LLC
(130) DOUGHERTY TILE AND MARBLE CO
(131) DUNN AL MASONRY
(132) DWANE SMITH MASONRY LLC
(133) EAGLE RIDGE CONTRACTING INC
(134) EASTERN EXTERIOR WALL SYSTEMS
(135) EDDINGS MASONRY INC
(136) EDDINGTON COMPANY LLC
(137) EMERSON BROTHERS INC
(138) EMPIRE CONTRACTORS INC
(139) EMPIRE REFRACTORY SALES INC
(140) EMPIRE REFRACTORY SERVICES OF INDIANA INC
(141) EMPIRE REFRACTORY SVCS-OH LLC
(142) EMPIRE SOLUTIONS N A INC
(143) ENGLISH BROTHERS COMPANY
(144) ESHBACH BROTHERS INC
(145) EXECUTIVE PLASTERING
(146) F A WILHELM CONSTR CO INC
(147) F AND M TILE AND TERR CO INC
(148) F D MASONRY LLC
(149) F M G CONSTRUCTION INC
(150) FABCON PRECAST LLC
(151) FETTERS CONSTRUCTION INC
(152) FIRE STOP TECHNOLOGIES INC
(153) FLOORZ LLLP
(154) FOESTE KENNY MASONRY INC
(155) FOSBEL INC
(156) FOWLER AND HAMMER INC
(157) FRANCO
(158) FRAZIER SIMPLEX INC
(159) FREITAG WEINHARDT INC
(160) FRISCH MASONRY INC
(161) FROMKIN BROTHERS INC
(162) G AND S TILE PROS INC
(163) G L I (GEORGE'S LANDSCAPING INC)
(164) GAGNON INCORPORATED
(165) GASS MASONRY LLC
(166) GATEWAY WATERPROOFING AND RESTRATION LLC
(167) GENERAL CAULKING AND COATINGS COMPANY INC OVIEDO FL
(168) GENERAL MASONRY AND RESTORATION INC
(169) GEORGE SIEGFRIED CONSTRUCTION
(170) GERMANN BRICK CONTRACTOR INC
(171) GIBBLE CONSTRUCTION INC
(172) GILLESPIE AND POWERS INC
(173) GILLICK BRICKWORK INC
(174) GLASS DESIGN INC
(175) GRACIANO CORPORATION
(176) GRANITE CONSTRUCTION INC
(177) GRANT BRICKLAYING CO INC
(178) GRESSER COMPANIES INC
(179) GROSVENOR MASONRY INC
(180) GUY NIELSON CO INC
(181) H AND H MASONRY CONTRACTORS IN
(182) H AND H MASONRY INC
(183) HAGERMAN CONSTRUCTION CORP
(184) HAMON CUSTODIS INC
(185) HANSEN MASONRY CONTRACTORS INC
(186) HARLAN COMPANY (THE)
(187) HECK MARTIN BRICK CONT CO
(188) HEIMBROCK INC
(189) HEIMBROCK J LOUIS SR INC
(190) HEITKAMP MASONRY INC
(191) HELLMANN MASONRY
(192) HENRY KEVIN MASONRY
(193) HETZEL TILE AND MARBLE INC
(194) HEULER TILE CO INC
(195) HI TEMP REFRACTORIES INC
(196) HI-TECH FLOORING INC
(197) HI-WAY PAVING INC
(198) HOFMANN CONSTRUCTION INC
(199) HOFMANN INC
(200) HOMBURG CONTRACTORS
(201) HOMESTEAD PAVING CO INC
(202) HOT CREWS INC
(203) HOT TECH INC
(204) HOUCK AND COMPANY INC
(205) HOWARD GROTE AND SONS INC
(206) I C C COMMONWEALTH CORPORATION
(207) I M I - JOB CORPS INSTRUCTORS
(208) I M T E F - INT MAS TRAINING & EDUCATION FOUNDATION
(209) ICE - B AND M MASONRY INC
(210) ICE - C E KORSGARD COMPANY
(211) ICE - CARETTI RESTORATION
(212) ICE - CARETTI INC
(213) ICE - CORNERSTONE MARBLE AND TILE INC
(214) ICE - EVANS MASON INC
(215) ICE - G A MASONRY INC
(216) ICE - HARRIS MASONRY INC
(217) ICE - HESS CAULKING AND RESTORATION INC
(218) ICE - INTREPID ENTERPRISES INC
(219) ICE - IWANSKI - PYZIK MASONRY AND BUILDERS INC
(220) ICE - J P PHILLIPS INC
(221) ICE - KINGSTON TILE CO LTD
(222) ICE - KNIGHT MATERIAL TECHNOLOGIES LLC
(223) ICE - LUPINI CONSTRUCTION INC
(224) ICE - MASONRY PRESERVATION SERVICES INC
(225) ICE - MISSOURI TERRAZZO CO INC
(226) ICE - ROMAN MOSAIC AND TILE CO
(227) ICE - SCHAD BOILER SETTING COMPANY DBA SCHAD REFRACTORY CO
(228) ICE - SCHNELL CONTRACTORS INC
(229) ICE - SUPERIOR TILE AND MARBLE INC
(230) ICE - YORIE TILE AND TERRAZZO INC
(231) INDIANA REFRACTORIES INC
(232) INDUSTRIAL CONTRACTORS - SKANSKA
(233) INDUSTRIAL SERVICES INC - WASHTENAW
(234) INDY MASONRY SERVICES LLC
(235) INNOVATIVE CONCRETE DESIGN AND CONSTRUCTION
(236) INTERIOR FINISHES INC
(237) INTERIOR INSTALLATION SERVICES INC
(238) IVAN RICE AND SONS INC
(239) J AND A POHL INC
(240) J AND M TILE INC
(241) J D S MASONRY INC
(242) J E FOSTER BUILDING COMPANY
(243) J H FINDORFF AND SON INC
(244) J H HASSINGER INC
(245) J J WHITE INC
(246) J M W MASONRY SERVICES LLC
(247) J N B MARBLE
(248) J P CULLEN AND SONS INC
(249) J T THORPE AND SONS INC
(250) J T THORPE COMPANY
(251) J W SCHULTZ CONSTRUCTION CO INC
(252) J W SPECIALTIES LLC
(253) JACK VOGEL SIM BRICK AND STONE
(254) JAHNSEN MASONRY CONTRACTORS INC
(255) JAMES G STAAT TUCKPOINTING INC
(256) JARAMILLO CONTRACTORS
(257) JARVIS MASONRY
(258) JINKS CONCRETE CONTRACTORS INC
(259) JOHN J SMITH MASONRY COMPANY
(260) JOHNSON TERRAZZO COMPANY INC
(261) JOSEPH DUGAN INC
(262) JOSEPH F BECKER MASONRY INC
(263) JOSEPH TURNER AND SONS TILE CONTRACTOR LLC
(264) JUDD JONES REFRCTRY AND ACID SPE
(265) JUROWSKI R J CONSTRUCTION INC
(266) K - INDUSTRIAL OF INDIANA LLC
(267) K L D MASONRY AND GENERAL CONSTRUCTION INC
(268) K S ENERGY SERVICES LLC
(269) KAMCO SERVICES LLC
(270) KANNING AND PHILLIPS MASONRY INC
(271) KEELEY MASON CONTRACTOR INC
(272) KEENER INC
(273) KENNETH F SULLIVAN COMPANY
(274) KINGERY AND SONS CONSTR INC
(275) KIRBY TURNER MASONRY INC
(276) KNIGHT MATERIAL TECHNOLOGIES LLC
(277) KNIOLA'S INDUSTRIAL SERVICES LLC
(278) KOEBIG TILE LLC
(279) KOLE CONSTRUCTION CO INC
(280) KORELLIS ROOFING INC
(281) KRAEMER EDWARD AND SONS INC
(282) KREMPP CONSTRUCTION COMPANY
(283) KWIATKOWSKI MASONRY INC
(284) L AND L TUCKPOINTING LLC
(285) L B MASONRY
(286) L M B INDUSTRIAL SERVICES INC
(287) LACY CONSTRUCTION GROUP INC DBA THE NEW GROUP
(288) LAKE FOREST MASONRY
(289) LAMPKIN MASONRY INC
(290) LANDERS E C BRICKWORK
(291) LANDRY MASONRY COMPANY INC
(292) LARSON DANIELSON CONST CO INC
(293) LASH REFRACTORY SERVICE INC
(294) LEFTRIDGE MASONRY LLC
(295) LEIDAL AND HART MASON CONTRACTORS INC
(296) LEONARD MASONRY INC
(297) LEWIS CONSTRUCTION INC
(298) LIFESTYLE CONST LLC
(299) LILJA CORPORATION
(300) LIPPERT TILE CO INC
(301) LOCKWOOD TILE LLC
(302) LONE WILLOW MASONRY INC
(303) LONESTAR SIERRA LLC
(304) LOUISVILLE MASONRY COMPANY ( L M C INC)
(305) LUNDA CONSTRUCTION COMPANY
(306) LUX INDUSTRIES INC
(307) LYNN WHITSETT CORPORATION
(308) M A V MASONRY INC
(309) M AND M COSMETIC SEALANTS
(310) M AND M MASONRY
(311) M C MASONRY AND RESTORATION
(312) M E T CONSTRUCTION LLC
(313) M K MASONRY INC
(314) M P BRICK CLEANING
(315) M R MASON CONTRACTOR INC
(316) MAGARY M D CONSTRUCTION CO
(317) MARA RESTORATION INC
(318) MARKET AND JOHNSON INC
(319) MARTIN CEMENT COMPANY
(320) MASONRY PRESERVATION SERVICES INC
(321) MASONRY SPECIALIST INC
(322) MASONS MASONRY RESTORATION INC
(323) MAVID CONSTRUCTION SERVICES LLC
(324) MC DONNELL BUILDING SEALANTS LLC
(325) MCABEE CONSTRUCTION INC
(326) MCDONNELL GEORGE AND SONS INC
(327) MCLAUGHLIN MASONRY LLC
(328) MELROSE ENTERPRISES LTD
(329) MEMMER TILE INC
(330) METRO MARBLE AND GRANITE LLC
(331) METRO TILE ASSOCIATES INC
(332) MICHELS CONSTRUCTION INC
(333) MICHELS PAVING A DIV OF MICHELS CORPORATION
(334) MICHELS ROAD AND STONE INC
(335) MIDDLETON CONSTRUCTION INC
(336) MIDLAND ENGINEERING CO INC
(337) MIDWEST CAULKING INC
(338) MIDWEST REFRACTORY INSTALLATION AND SUPPLY LLC
(339) MIDWEST RESTORATION INC
(340) MIDWEST TERRAZZO INC
(341) MIDWEST TILE AND GRANITE LLC DBA WESTPORT TILE AND GRANITE
(342) MIDWEST TILE AND INTERIORS INC
(343) MILLER AND MILLER CONTRACTING
(344) MILLS-FAHNESTOCK INC
(345) MIRON CONSTRUCTION CO INC
(346) MODERN MASONRY AND CONSTRUCTION INC
(347) MORTHOLE STEVE MASONRY
(348) MR DAVID'S FLOORING INTERNATIONAL LLC
(349) N M BUNGE INC
(350) NATIONAL ACID PROOFING INC
(351) NATIONAL MACHINERY AND CONVEYOR INC
(352) NEISS MASONRY INC
(353) NEVERMAN FLOOR ARTISANS INC DBA FLOORING SURFACES COMM INC
(354) NON METALLIC INDUSTRIAL SOLUTIONS INC
(355) NORRIS AND SON INC
(356) NORTHERN ILL TERR AND TILE CO
(357) NPA - HEITKAMP MASONRY INC
(358) NPA - M V P ERECTORS LLC
(359) NPA - MAXIMUM PRECAST LLC
(360) NPA - SEALED-RITE INC
(361) O M I REFRACTORIES LLC DBA BISCO REFRACTORIES
(362) O P C M I A
(363) OLD PHILADELPHIA ASSOCIATES INC
(364) ON TASK CONSTRUCTION LLC
(365) ONEX INC
(366) ORR J C AND SON INC
(367) OTTO BAUM COMPANY INC
(368) P A MASONRY DBA OF THE P A GROUP INC
(369) P AND H MASONRY
(370) PANZITTA ENTERPRISES INC
(371) PARCO CONSTRUCTORS GROUP LLC
(372) PARISI CONSTRUCTION CO INC
(373) PATKE RESTORATION LLC
(374) PATRICO MASONRY
(375) PATRIOT MASONRY
(376) PAUL'S CONSTRUCTION INC
(377) PHILLIPS BRICK CLEANING INC
(378) PHILLIPSBURG MARBLE COMPANY INC
(379) PLATINUM SPECIALTY SERVICES INC
(380) PLATT CONSTRUCTION CO
(381) PLESSY MASONRY LLC
(382) PLIBRICO COMPANY LLC
(383) POELLINGER INC
(384) PRECISION FURNISHINGS LLC
(385) PREFERRED MASONRY RESTORATION INC
(386) PREMIER CAULKING INC
(387) PREMIER FLOORS INC
(388) PREMIER TILE AND STONE LLC
(389) PROBUILD CONTRACTING CORP
(390) PROGRESSIVE CONSTRUCTION SERVICES INC
(391) PROGRESSIVE INSULATION LLC
(392) PROPST MASONRY CO INC
(393) PROSEAL WEATHERPROOFING INC
(394) PULLIAM MASONRY INC
(395) PULLMAN S S T INC
(396) PULLMAN POWER LLC
(397) PURDY LLC
(398) PWP-MI LLC
(399) QUALITY FLOORS INC
(400) QUINN CONSTRUCTION INC
(401) R AND F TILE AND MARBLE CO INC
(402) R AND H QUALITY REFRACT SVCS INC
(403) R B H20 CONCRETE FOUNDATIONS LLC
(404) R B WEATHERMAN MASONRY INC
(405) R T W REFRACTORY INC
(406) RAM CONSTRUCTION SERVICES
(407) RASCH CONSTRUCTION AND ENGINEE
(408) RAYMOND P CATTELL INC
(409) RECON
(410) REFRACTORY ENGINEERS INC
(411) REFRACTORY SOLUTIONS INC
(412) REFTECH INT CORP
(413) REPP AND MUNDT INC
(414) RESCHS TILE INC
(415) RES-COM CONTRACTORS INC
(416) RESTORE WORKS MASONRY RESTORATION
(417) RICHARDET FLOOR COVERING CO INC
(418) RICHMOND COUNTY CONSTRUCTORS LLC
(419) RILEY CONSTRUCTION CO INC
(420) ROACH MASONRY
(421) ROBERT HAINES CO INC
(422) ROCK SOLID MASONRY LLC
(423) RODRIGUEZ CONSTRUCTION SERVICES LLC
(424) ROMAN MOSAIC AND TILE CO INC
(425) ROSA MOSAIC AND TILE CO INC
(426) ROSCH COMPANY LLC
(427) ROSEMA CORP
(428) ROSSI CONSTRUCTION CO INC
(429) ROTH AND ELLIS INC
(430) RUPP MASONRY CONST CO
(431) S AND D SMITH INC
(432) S S S I INC - SONGER STEEL SERVICES INC
(433) SANGIOLO AND BAKER MASONRY LLC
(434) SANTAROSSA MOSAIC AND TILE INC
(435) SAVANNAH RIVER NUCLEAR SOLUTIONS LLC
(436) SAVANNAH RIVER REMEDIATION LLC
(437) SCHAEFER GROUP INC ( THE)
(438) SCHARER JAMES MASONRY INC
(439) SCHERRER CONSTRUCTION CO INC
(440) SCHLEIS FLOOR COVERING INC
(441) SCHMIDT C G INC
(442) SCHUYLKILL MASONRY AND RESTORATION SERVICES INC
(443) SCIOTO MASONRY BUILDERS INC
(444) SCIOTO VALLEY CONCRETE AND MASONRY
(445) SCREED KING
(446) SCURTO CEMENT CONSTRUCTION LTD
(447) SEA ROSE CONSTRUCTION INC
(448) SEAL PRO
(449) SEAN BYRNE CONSTRUCTION INC
(450) SETAG CONSTRUCTION CO INC
(451) SEWARD MASONRY INC
(452) SHANE NOLAN MASONRY LLC
(453) SHEETN PILING SERVICES LLC
(454) SIL-MAR CONSTRUCTION CORP
(455) SLATILE ROOFING AND SHEET METAL INC
(456) SMITH MASONRY INC
(457) SNOW JR AND KING MASONRY
(458) SOMERSET STEEL ERECTION CO INC
(459) SOMMERS CONSTRUCTION CO INC
(460) SOUTH CENTRAL CONTRACTING
(461) SOUTHEASTERN MASONRY INC
(462) SOUTHWEST REFRACTORY OF TEXAS
(463) SPECIALTY FOUNDRY PRODUCTS INC
(464) SPEEDWAY SAND AND GRAVEL INC
(465) SPRAY INSULATIONS INC
(466) SPRINKLE MASONRY INC
(467) STAAT INC
(468) STANDARD MASONRY LLC
(469) STEBBINS ENGINEERING
(470) STERLING TILE LLC
(471) STEWARD-MELLON COMPANY
(472) STEWART SERVICES INC
(473) STONE AND LIME IMPORTS INC
(474) STONE INSTALLATION AND MAINTENANCE LLC
(475) STRUCTURAL APPLICATIONS INC
(476) STUCKEY CONSTRUCTION CO INC
(477) STUTTE TILE CO INC
(478) SUMMA AND IEZZI CONSTR CO
(479) SUPERIOR INSULATION COMPANY LLC
(480) SUPERIOR MASONRY BUILDERS INC
(481) SUPERIOR WATERPRFNG AND REST CO INC
(482) SWANSON MASONRY INC
(483) SWEENCO LLC
(484) T S I COMMERCIAL FLOOR COVERING INC
(485) T W K CONSTRUCTION CO INC
(486) TEICHMANN HENRY F INC
(487) THEISEN MASONRY INC
(488) THOMAS MASONRY
(489) TITAN MASONRY ENTERPRISES INC
(490) TOENJES BRICK CONTRACTING INC
(491) TOTAL MILL SERVICES INC
(492) TRADEMARK STONE LLC
(493) TREMAIN CERAMIC TILE AND FLOOR
(494) TRIERWEILER CONSTRUCTION AND SUPPLY CO INC
(495) TRINITY MASONRY
(496) TRI-NORTH BUILDERS INC
(497) TRISCO SYSTEMS INC
(498) TRI-STAR MASONRY INC
(499) TROIANIELLO MASONRY INC
(500) TRON MECHANICAL INC
(501) TRUE MASONRY
(502) UNION VALLEY TILE INC
(503) UNIQUE CAULKING OF INDIANA LLC
(504) UNIQUE TILE AND MARBLE LLC
(505) UNITED FLOORING INC
(506) UNITED MASONRY
(507) UNITED SPECIALTY
(508) UNIVERSAL BLASTCO - MICHIGAN TILE DIVISION
(509) US VET GEN CONTRACTING
(510) VAS K E COMPANY
(511) VEECK MASONRY INC
(512) VEHIGE BRICKLAYING INC
(513) VEYA INC
(514) VINTON CONSTRUCTION CO
(515) VISSERING CONSTRUCTION CO
(516) VOGEL BROTHERS BUILDING CO
(517) VULCAN INDUSTRIAL CONTRACTORS CO LLC
(518) W F JOHNSTON CONSTRUCTION INC
(519) W P HOWLE MASONRY CONTR INC
(520) WAGNER MASONRY INC
(521) WALT DISNEY WORLDPAYROLL OFF
(522) WARNECKE BUILDING RESTORATION INC
(523) WEIFFENBACH MARBLE AND TILE CO
(524) WEIGAND CONSTRUCTION CO INC
(525) WELLIVER MCGUIRE INC
(526) WESTERN REFRACTORY CONSTR INC
(527) WESTERN SPECIALTY CONTRACTORS
(528) WILLIAMS PLANT SERVICES LLC
(529) WILLIAMS REFRACTORY SERVICES INC
(530) WILLIAMS TILE AND MARBLE CO INC
(531) WILSON RESTORATION INC
(532) WRIGHT MASONRY INC
(533) YORIE TILE AND TERRAZZO INC
(534) YOUNG FINAL FINISH LLC
(535) ZENITH TECH INC
(536) ZIOLKOWSKI CONSTRUCTION INC
(537) ZUFALL AND SONS INC

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

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

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

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

Schedule R (Form 990) 2021

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: PROVIDE HEALTH AND WELFARE BENEFITS.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	10
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	6
5	Total number of individuals employed in calendar year 2021 (Part V, line 2a) ......	5	83
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) .........	48,855,019	62,607,987
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	678,795	485,779
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	9,721,172	4,786,521
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	59,254,986	67,880,287
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).....	46,803,149	54,860,753
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)....	4,193,733	4,712,977
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	50,996,882	59,573,730
19	Revenue less expenses. Subtract line 18 from line 12.......	8,258,104	8,306,557
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	41,426,028	54,125,903
21	Total liabilities (Part X, line 26).............	8,892,884	13,283,811
22	Net assets or fund balances. Subtract line 21 from line 20.....	32,533,144	40,842,092

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )
	TO PROVIDE HEALTH AND WELFARE BENEFITS FOR MEMBERS COVERED UNDER COLLECTIVE BARGAINING AGREEMENT WITH THE BRICKLAYERS AND ALLIED CRAFTWORKERS INTERNATIONAL UNION AND CERTAIN EMPLOYERS.

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) TIMOTHY J DRISCOLL...................................................................... TRUSTEE	1.00 ................. 39.00	X		0	402,962	206,486
(2) GREGORY HESS...................................................................... TRUSTEE	1.00 .................	X		0	0	0
(3) MATTHEW AQUILINE...................................................................... TRUSTEE	1.00 .................	X		0	0	0
(4) CARLOS AQUIN...................................................................... TRUSTEE	1.00 ................. 39.00	X		0	340,449	206,486
(5) JEREMIAH SULLIVAN...................................................................... TRUSTEE	1.00 ................. 39.00	X		0	343,729	206,486
(6) ROBERT HOOVER...................................................................... TRUSTEE	1.00 .................	X		0	0	0
(7) ROBERT ARNOLD...................................................................... TRUSTEE	1.00 ................. 39.00	X		0	373,833	206,486
(8) TONY MARRA...................................................................... TRUSTEE	1.00 .................	X		0	0	0
(9) TED CHAMP...................................................................... TRUSTEE	1.00 .................	X		0	0	0
(10) PAUL NYESWANDER...................................................................... TRUSTEE	1.00 .................	X		0	0	0
(11) AMBER BRAILER...................................................................... DIRECTOR	15.00 ................. 25.00		X	0	129,181	97,475

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	0	1,590,154	923,419

(A) Name and business address	(B) Description of services	(C) Compensation
UNITED HEALTHCARE 5901 LINCOLN DRIVE EDINA,MN55436	CLAIMS PROCESSING	952,712
CHEIRON INC PO BOX 37117 BALTIMORE,MD21297	ACTUARIAL SERVICES	226,943



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 2

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 CONTRIB.	900099	58,500,006	58,500,006
b	EMPLOYEE CONTRIB.	900099	4,107,981	4,107,981
c
d
e
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		62,607,987

3 Investment income (including dividends, interest, and othersimilar amounts) ......			435,570			435,570
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents			6a
b	Less: rental expenses			6b
c	Rental income or (loss)			6c
d	Net rental income or (loss).......
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory		2,000,000	7a
b	Less: cost or other basis and sales expenses		1,949,791	7b
c	Gain or (loss)		50,209	7c
d	Net gain or (loss).........			50,209			50,209
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	PROCEEDS FROM MERGER		900099	4,786,521	4,786,521
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			4,786,521
12	Total revenue. See instructions.....			67,880,287	67,394,508	0	485,779

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 .......	54,860,753
5	Compensation of current officers, directors, trustees, and key employees ...........
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........
7	Other salaries and wages........
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....
9	Other employee benefits .......
10	Payroll taxes ...........
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	80,200
c	Accounting ...........	70,185
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	277,369
12	Advertising and promotion ....
13	Office expenses .......	683,885
14	Information technology ......
15	Royalties ..
16	Occupancy ...........	5,073
17	Travel ............	24,080
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 ...	3,391
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	CLAIMS PROCESSING FEES	2,243,861
b	ADMINISTRATIVE EXP	1,324,933
c
d
e	All other expenses
25	Total functional expenses. Add lines 1 through 24e	59,573,730
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			13,090,404	1	23,420,023
2	Savings and temporary cash investments .........			69,196	2	171,068
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			4,470,926	4	6,389,229
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 ...........				7
8	Inventories for sale or use ............				8
9	Prepaid expenses and deferred charges ......			639,596	9	407,461
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	151,748
b	Less: accumulated depreciation	10b	31,472	1,625	10c	120,276
11	Investments—publicly traded securities .			23,154,281	11	23,617,846
12	Investments—other securities. See Part IV, line 11 .....				12
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........				15
16	Total assets. Add lines 1 through 15 (must equal line 33)...			41,426,028	16	54,125,903

17	Accounts payable and accrued expenses .....	764,421	17	268,122
18	Grants payable ...		18
19	Deferred revenue .........	166,981	19	202,033
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	7,961,482	25	12,813,656
26	Total liabilities. Add lines 17 through 25..	8,892,884	26	13,283,811

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	32,533,144	27	40,842,092
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 ...........	32,533,144	32	40,842,092
33	Total liabilities and net assets/fund balances ........	41,426,028	33	54,125,903