TY 2022 Form 990

(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)
(1) BRIAN ATKINS...................................................................... TRUSTEE	2.00 ................. 40.00	X	0	82,819	58,479
(2) JASON EMERICK...................................................................... TRUSTEE	2.00 ................. 45.00	X	0	110,657	93,438
(3) CHUCK BLACK...................................................................... TRUSTEE	2.00 ................. 40.00	X	0	80,232	76,541
(4) PAUL ARAMBASICH...................................................................... TRUSTEE	2.00 ................. 50.00	X	0	91,303	82,319
(5) DIRK ENGER...................................................................... TRUSTEE - PAST	2.00 ................. 40.00	X	0	123,517	125,111
(6) KEVIN HRAY...................................................................... TRUSTEE	2.00 ................. 55.00	X	0	156,696	145,821
(7) MARK RICHESON...................................................................... TRUSTEE	2.00 ................. 40.00	X	0	122,983	131,092
(8) DANIEL AUSSEM...................................................................... TRUSTEE	2.00 .................	X	0	0	0
(9) CARLA JOCKSICH...................................................................... TRUSTEE - NEW	2.00 .................	X	0	0	0
(10) DENNIS HIGDON...................................................................... TRUSTEE - PAST	2.00 .................	X	0	0	0
(11) CODY GERDES...................................................................... TRUSTEE	2.00 .................	X	0	0	0
(12) PJ FOLEY...................................................................... TRUSTEE - NEW	2.00 .................	X	0	0	0
(13) BILL PAXTON...................................................................... TRUSTEE - PAST	2.00 .................	X	0	0	0
(14) MICHAEL TESTA...................................................................... TRUSTEE	2.00 .................	X	0	0	0
(15) DAVID ANSPAUGH...................................................................... TRUSTEE	2.00 .................	X	0	0	0
(16) RON STONE...................................................................... TRUSTEE - PAST	2.00 .................	X	0	0	0

(A) Name and business address	(B) Description of services	(C) Compensation
BLUE CROSS BLUE SHIELD 300 EAST RANDOLPH STREET CHICAGO,IL60601	CLAIMS PROCESSOR	588,307
GROUP ADMINISTRATORS LTD 20 NORTH MARTINGALE ROAD SUITE 290 SCHAUMBURG,IL60173	THIRD PARTY ADMINISTRATOR	446,183
THE SEGAL CO 101 NORTH WACKER DRIVE SUITE 500 CHICAGO,IL60606	FUND CONSULTANT	184,551
MACNELL ACCOUNTING & CONSULTING 1153 SOUTH LEE STREET UNIT 137 DES PLAINES,IL60016	PAYROLL COMPLIANCE AUDITOR	114,746

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

- 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

IRONWORKERS TRI-STATE WELFARE PLAN

Employer identification number

36-6599036

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

Schedule D (Form 990) 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) AMERICAN STRATEGIC VALUE REALTY FUND	8,511,202	F
(B) INVESCO INSTITUTIONAL TRUST BALANCED RISK ALLOCATION FUND	5,195,375	F
(C) PRUDENTIAL FIXED RATE FUND	3,295,537	F
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)	17,002,114

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.)
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	21,055,191
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a	-6,452,491
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	-6,452,491
3	Subtract line 2e from line 1..................			3	27,507,682
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	208,238
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................			4c	208,238
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......			5	27,715,920

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	29,338,825
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	29,338,825
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	208,238
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.....................			4c	208,238
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......			5	29,547,063

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 PERIOD 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 PERIOD 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

2022

Open to Public Inspection

Name of the organization

IRONWORKERS TRI-STATE WELFARE PLAN

Employer identification number

36-6599036

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) 2022

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)
1KEVIN HRAY TRUSTEE	(i) (ii)	0 ------------- 156,696	0 ------------- 0	0 ------------- 0	0 ------------- 114,409	0 ------------- 31,412	0 ------------- 302,517	0 ------------- 0
2MARK RICHESON TRUSTEE	(i) (ii)	0 ------------- 120,225	0 ------------- 0	0 ------------- 2,758	0 ------------- 102,126	0 ------------- 28,966	0 ------------- 254,075	0 ------------- 0
3DIRK ENGER TRUSTEE - PAST	(i) (ii)	0 ------------- 123,517	0 ------------- 0	0 ------------- 0	0 ------------- 94,285	0 ------------- 30,826	0 ------------- 248,628	0 ------------- 0
4JASON EMERICK TRUSTEE	(i) (ii)	0 ------------- 110,657	0 ------------- 0	0 ------------- 0	0 ------------- 69,435	0 ------------- 24,003	0 ------------- 204,095	0 ------------- 0
5PAUL ARAMBASICH TRUSTEE	(i) (ii)	0 ------------- 91,303	0 ------------- 0	0 ------------- 0	0 ------------- 63,828	0 ------------- 18,491	0 ------------- 173,622	0 ------------- 0
6CHUCK BLACK TRUSTEE	(i) (ii)	0 ------------- 79,437	0 ------------- 0	0 ------------- 795	0 ------------- 52,226	0 ------------- 24,315	0 ------------- 156,773	0 ------------- 0

Schedule J (Form 990) 2022

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) 2022

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

IRONWORKERS TRI-STATE WELFARE PLAN

Employer identification number

36-6599036

Return Reference	Explanation
FORM 990, PART VI, SECTION A, LINE 3	ALTHOUGH THE TRUSTEES RETAIN THE ULTIMATE RESPONSIBILITY, THEY HAVE DELEGATED THE DAY TO DAY MANAGEMENT DUTIES TO GROUP ADMINISTRATORS LTD, AS THIRD PARTY ADMINISTRATOR OF THE FUND.
FORM 990, PART VI, SECTION A, LINE 8B	THE ORGANIZATION HAS NO COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BOARD.
FORM 990, PART VI, SECTION B, LINE 11B	THE FORM 990 IS PROVIDED TO THE ENTIRE BOARD OF TRUSTEES PRIOR TO FILING. AFTER THE BOARD'S THOROUGH REVIEW, THE FORM IS APPROVED AND FILED.
FORM 990, PART VI, SECTION C, LINE 19	THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST AT THE FUND OFFICE.
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:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

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

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization

IRONWORKERS TRI-STATE WELFARE PLAN

Employer identification number

36-6599036

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)I W LOCAL #111	CONTRIBUTING EMPLOYER						No
(2)I W LOCAL #111 QUAD CITY-TRNG	CONTRIBUTING EMPLOYER						No
(3)I W LOCAL #112	CONTRIBUTING EMPLOYER						No
(4)I W LOCAL #380	CONTRIBUTING EMPLOYER						No
(5)I W LOCAL #393	CONTRIBUTING EMPLOYER						No
(6)I W LOCAL #393 JATC	CONTRIBUTING EMPLOYER						No
(7)I W LOCAL #444	CONTRIBUTING EMPLOYER						No
(8)I W LOCAL #444 JATC	CONTRIBUTING EMPLOYER						No
(9)I W LOCAL #498	CONTRIBUTING EMPLOYER						No
(10)I W LOCAL #498 JATC	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
(1) A & H STEEL LLC	CONTRIBUTING EMPLOYER						No			No
(2) AC IRON LLC	CONTRIBUTING EMPLOYER						No			No
(3) ADVANCED STEEL ERECTORS LLC	CONTRIBUTING EMPLOYER						No			No
(4) AK FENCING LLC	CONTRIBUTING EMPLOYER						No			No
(5) ALLEN CONSTRUCTION LLC	CONTRIBUTING EMPLOYER						No			No
(6) ALLIED POWER SERVICES LLC	CONTRIBUTING EMPLOYER						No			No
(7) ANAGNOS DOOR CO LLC	CONTRIBUTING EMPLOYER						No			No
(8) BESON & HOULE LLC	CONTRIBUTING EMPLOYER						No			No
(9) BIG O SERVICES LLC	CONTRIBUTING EMPLOYER						No			No
(10) BRANDSAFWAY INDUSTRIES LLC	CONTRIBUTING EMPLOYER						No			No
(11) CAPUTO STEEL ERECTORS LLC	CONTRIBUTING EMPLOYER						No			No
(12) CHICAGO STEEL CONSTRUCTION LLC	CONTRIBUTING EMPLOYER						No			No
(13) CUT & FILL LLC	CONTRIBUTING EMPLOYER						No			No
(14) ENERFAB POWER & INDUSTRIAL LLC	CONTRIBUTING EMPLOYER						No			No
(15) GENERAL INDUSTRIAL LLC	CONTRIBUTING EMPLOYER						No			No
(16) HARRIS REBAR PLACING LLC	CONTRIBUTING EMPLOYER						No			No
(17) HAYES MECHANICAL LLC	CONTRIBUTING EMPLOYER						No			No
(18) HAYES SERVICES LLC	CONTRIBUTING EMPLOYER						No			No
(19) IDEAL CONTRACTING LLC	CONTRIBUTING EMPLOYER						No			No
(20) IMPACT IRON LLC	CONTRIBUTING EMPLOYER						No			No
(21) IRONCLAD COMPANY LLC	CONTRIBUTING EMPLOYER						No			No
(22) J & S CANOPY SERVICES LLC	CONTRIBUTING EMPLOYER						No			No
(23) KELLEY ORNAMENTAL IRON LLC	CONTRIBUTING EMPLOYER						No			No
(24) KRAEMER NORTH AMERICA LLC	CONTRIBUTING EMPLOYER						No			No
(25) LINEAR CONSTRUCTION LLC	CONTRIBUTING EMPLOYER						No			No
(26) M & M STEEL ERECTORS LLC	CONTRIBUTING EMPLOYER						No			No
(27) MIDWEST CANOPY SPECIALISTS LLC	CONTRIBUTING EMPLOYER						No			No
(28) NPSG GLOBAL LLC	CONTRIBUTING EMPLOYER						No			No
(29) PLATINUM STEEL LLC	CONTRIBUTING EMPLOYER						No			No
(30) PROFESSIONAL STEEL SYSTEMS LLC	CONTRIBUTING EMPLOYER						No			No
(31) RIVER CITY CONSTRUCTION LLC	CONTRIBUTING EMPLOYER						No			No
(32) SG METAL & GLASS LLC	CONTRIBUTING EMPLOYER						No			No
(33) SHARP ERECTORS LLC	CONTRIBUTING EMPLOYER						No			No
(34) STERLING INDUSTRIAL LLC	CONTRIBUTING EMPLOYER						No			No
(35) SUPERIOR STEEL ERECTORS LLC	CONTRIBUTING EMPLOYER						No			No
(36) TNT REBAR LLC	CONTRIBUTING EMPLOYER						No			No
(37) TOTAL STEEL SERVICES LLC	CONTRIBUTING EMPLOYER						No			No
(38) VAN BUSKIRK STEEL LLC	CONTRIBUTING EMPLOYER						No			No
(39) VETERAN INDUSTRIAL SERVICES LLC	CONTRIBUTING EMPLOYER						No			No
(40) WASHINGTON CONSTRUCTION CO LLC	CONTRIBUTING EMPLOYER						No			No
(41) WATTS IRON LLC	CONTRIBUTING EMPLOYER						No			No
(42) WEITZ INDUSTRIAL LLC	CONTRIBUTING EMPLOYER						No			No

Part IV

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

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(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) 4-S ERECTION INC	CONTRIBUTING EMPLOYER								No
(2) A & R MECHANICAL SERVICES INC	CONTRIBUTING EMPLOYER								No
(3) A R S CONTRACTING INC	CONTRIBUTING EMPLOYER								No
(4) ACCESS CONTROL COMPANY	CONTRIBUTING EMPLOYER								No
(5) ACE CANOPY ERECTORS INC	CONTRIBUTING EMPLOYER								No
(6) ACME ERECTORS INC	CONTRIBUTING EMPLOYER								No
(7) ACTION FENCE CONTRACTORS INC	CONTRIBUTING EMPLOYER								No
(8) ACTION FENCE INC	CONTRIBUTING EMPLOYER								No
(9) ADVANCE STEEL ERECTION INC	CONTRIBUTING EMPLOYER								No
(10) ADVANCED CRANE TECHNICIANS INC	CONTRIBUTING EMPLOYER								No
(11) ALBERICI CONSTRUCTORS	CONTRIBUTING EMPLOYER								No
(12) ALDRIDGE ELECTRIC INC	CONTRIBUTING EMPLOYER								No
(13) ALL UNION FENCE INC	CONTRIBUTING EMPLOYER								No
(14) ALLIANCE FENCE CORPORATION	CONTRIBUTING EMPLOYER								No
(15) AMBAR INC	CONTRIBUTING EMPLOYER								No
(16) AMERICAN BRIDGE CO	CONTRIBUTING EMPLOYER								No
(17) AMERICAN RIGGING & MILLWRIGHT	CONTRIBUTING EMPLOYER								No
(18) AREA EQUIPMENT INC	CONTRIBUTING EMPLOYER								No
(19) AREA ERECTORS INC	CONTRIBUTING EMPLOYER								No
(20) ARNING COMPANIES	CONTRIBUTING EMPLOYER								No
(21) ATK CONSTRUCTION INC	CONTRIBUTING EMPLOYER								No
(22) AUSTIN TYLER CONSTRUCTION INC	CONTRIBUTING EMPLOYER								No
(23) BADGERLAND METAL BUILDING ERECTORS	CONTRIBUTING EMPLOYER								No
(24) BAKE'S STEEL ERECTORS	CONTRIBUTING EMPLOYER								No
(25) BAM DECKING	CONTRIBUTING EMPLOYER								No
(26) BARNHART CRANE AND RIGGING	CONTRIBUTING EMPLOYER								No
(27) BARTON MALOW COMPANY	CONTRIBUTING EMPLOYER								No
(28) BEN HUR CONSTRUCTION COMPANY	CONTRIBUTING EMPLOYER								No
(29) BEVANS STEEL COMPANY	CONTRIBUTING EMPLOYER								No
(30) BMWC CONSTRUCTORS INC	CONTRIBUTING EMPLOYER								No
(31) BOLDT COMPANY	CONTRIBUTING EMPLOYER								No
(32) BRIESER CONSTRUCTION COMPANY	CONTRIBUTING EMPLOYER								No
(33) BROEREN RUSSO CONSTRUCTION INC	CONTRIBUTING EMPLOYER								No
(34) BUILT BEST FENCE COMPANY INC	CONTRIBUTING EMPLOYER								No
(35) C D SMITH CONSTRUCTION INC	CONTRIBUTING EMPLOYER								No
(36) C R MEYER AND SONS COMPANY	CONTRIBUTING EMPLOYER								No
(37) CEDAR VALLEY STEEL INC	CONTRIBUTING EMPLOYER								No
(38) CENTRAL ILLINOIS ERECTORS INC	CONTRIBUTING EMPLOYER								No
(39) CENTRAL MACHINERY MOVERS INC	CONTRIBUTING EMPLOYER								No
(40) CHESLEY COMMERCIAL FENCE	CONTRIBUTING EMPLOYER								No
(41) CHILSTROM ERECTING CORP	CONTRIBUTING EMPLOYER								No
(42) CHRISTY FOLTZ INC	CONTRIBUTING EMPLOYER								No
(43) CITY STEEL INC	CONTRIBUTING EMPLOYER								No
(44) CIVIL CONSTRUCTOR INC	CONTRIBUTING EMPLOYER								No
(45) CK II CONTRACTING INC	CONTRIBUTING EMPLOYER								No
(46) CLAUSEN STRUCTURES INC	CONTRIBUTING EMPLOYER								No
(47) CLEVENGER CONTRACTORS INC	CONTRIBUTING EMPLOYER								No
(48) CMF GROUP INC	CONTRIBUTING EMPLOYER								No
(49) COLLINS AND HERMANN INC	CONTRIBUTING EMPLOYER								No
(50) COMPLETE CANOPY SERVICES	CONTRIBUTING EMPLOYER								No
(51) COMPOSITE STEEL PRODUCTS INC	CONTRIBUTING EMPLOYER								No
(52) CONCRETE SYSTEMS INC	CONTRIBUTING EMPLOYER								No
(53) CONSOLIDATED MECHANICAL INC	CONTRIBUTING EMPLOYER								No
(54) CONVEYOR SPECIALTIES INC	CONTRIBUTING EMPLOYER								No
(55) CORSETTI STRUCTURAL STEEL INC	CONTRIBUTING EMPLOYER								No
(56) COUNTY CONTRACTORS INC	CONTRIBUTING EMPLOYER								No
(57) CROWN CORR INC	CONTRIBUTING EMPLOYER								No
(58) CRUZ CONCRETE	CONTRIBUTING EMPLOYER								No
(59) CYCLOPS WELDING COMPANY	CONTRIBUTING EMPLOYER								No
(60) D & K WELDING SERVICES INC	CONTRIBUTING EMPLOYER								No
(61) D AND M ARCHITECTURAL METALS	CONTRIBUTING EMPLOYER								No
(62) D CONSTRUCTION INC	CONTRIBUTING EMPLOYER								No
(63) DACH CONTRACTORS	CONTRIBUTING EMPLOYER								No
(64) DELROSE CONSTUCTION CO INC	CONTRIBUTING EMPLOYER								No
(65) DEPASQUALE STEEL ERECTORS INC	CONTRIBUTING EMPLOYER								No
(66) DIFCO INC	CONTRIBUTING EMPLOYER								No
(67) DOERFER FIELD SERVICES INC	CONTRIBUTING EMPLOYER								No
(68) DOOR SYSTEMS INC	CONTRIBUTING EMPLOYER								No
(69) DORAL CORPORATION	CONTRIBUTING EMPLOYER								No
(70) DOWNSTATE STEEL ERECTORS INC	CONTRIBUTING EMPLOYER								No
(71) DUBURG IRON WORKS INC	CONTRIBUTING EMPLOYER								No
(72) DUCO CONSTRUCTION INC	CONTRIBUTING EMPLOYER								No
(73) DUPAGE OVERHEAD DOOR INC	CONTRIBUTING EMPLOYER								No
(74) DUWE METAL PRODUCTS INC	CONTRIBUTING EMPLOYER								No
(75) EDWARDS MOVING AND RIGGING	CONTRIBUTING EMPLOYER								No
(76) ELITE IRONWORKS INC	CONTRIBUTING EMPLOYER								No
(77) EMMERT INTERNATIONAL	CONTRIBUTING EMPLOYER								No
(78) F A WILHELM CONSTRUCTION CO	CONTRIBUTING EMPLOYER								No
(79) F M SYLVAN INC	CONTRIBUTING EMPLOYER								No
(80) FEDERAL RENT A FENCE	CONTRIBUTING EMPLOYER								No
(81) FENCE PLUS INC	CONTRIBUTING EMPLOYER								No
(82) FIGURE 8 INC	CONTRIBUTING EMPLOYER								No
(83) FLUOR MAINTENANCE SERVICES INC	CONTRIBUTING EMPLOYER								No
(84) FLYNN FENCE AND SUPPLY COMPANY	CONTRIBUTING EMPLOYER								No
(85) FULLER MECHANICAL	CONTRIBUTING EMPLOYER								No
(86) G & L CORPORATION	CONTRIBUTING EMPLOYER								No
(87) GATEWAY CONSTRUCTION CO INC	CONTRIBUTING EMPLOYER								No
(88) GENERAL FENCE COMPANY	CONTRIBUTING EMPLOYER								No
(89) GENERAL POWER CONSTRUCTION CO	CONTRIBUTING EMPLOYER								No
(90) GNB GLOBAL INC	CONTRIBUTING EMPLOYER								No
(91) GOETZ CONCRETE CONSTRUCTION	CONTRIBUTING EMPLOYER								No
(92) GREAT LAKES STEEL ERECTION INC	CONTRIBUTING EMPLOYER								No
(93) GUARDIAN CONSTRUCTION PROD INC	CONTRIBUTING EMPLOYER								No
(94) H & S MECHANICAL INC	CONTRIBUTING EMPLOYER								No
(95) H J EPPEL AND COMPANY INC	CONTRIBUTING EMPLOYER								No
(96) HALVERSON CONSTRUCTION	CONTRIBUTING EMPLOYER								No
(97) HAMPTON IRONWORKS INC	CONTRIBUTING EMPLOYER								No
(98) HAROLD O'SHEA BUILDERS	CONTRIBUTING EMPLOYER								No
(99) HART ERECTORS	CONTRIBUTING EMPLOYER								No
(100) HAUTER BROTHERS INC	CONTRIBUTING EMPLOYER								No
(101) HI-BOOM ERECTING INC	CONTRIBUTING EMPLOYER								No
(102) HOHULIN BROTHERS FENCE COMPANY	CONTRIBUTING EMPLOYER								No
(103) HOOSIER CRANE SERVICE CO	CONTRIBUTING EMPLOYER								No
(104) HOSS STEEL SOLUTIONS INC	CONTRIBUTING EMPLOYER								No
(105) I AND I CONSTRUCTION INC	CONTRIBUTING EMPLOYER								No
(106) ICC COMMONWEALTH	CONTRIBUTING EMPLOYER								No
(107) ICC GROUP INC	CONTRIBUTING EMPLOYER								No
(108) ILLIANA STEEL ERECTORS	CONTRIBUTING EMPLOYER								No
(109) ILLINI EXCAVATION AND RCLM INC	CONTRIBUTING EMPLOYER								No
(110) IMPERIAL CONSTRUCTION ASSOC	CONTRIBUTING EMPLOYER								No
(111) INDUSTRIAL CONSTR SPECIALISTS	CONTRIBUTING EMPLOYER								No
(112) INDUSTRIAL FENCE INC	CONTRIBUTING EMPLOYER								No
(113) INDUSTRIAL MATERIAL SUPPLY INC	CONTRIBUTING EMPLOYER								No
(114) INDUSTRIAL STEEL ERECTORS INC	CONTRIBUTING EMPLOYER								No
(115) IN-LINE FENCE AND FABRICATION	CONTRIBUTING EMPLOYER								No
(116) INTERNATIONAL INDUST CONTR CORP	CONTRIBUTING EMPLOYER								No
(117) IRONMEN STEEL ERECTORS INC	CONTRIBUTING EMPLOYER								No
(118) J H FINDORFF AND SON	CONTRIBUTING EMPLOYER								No
(119) J J B STEEL INC	CONTRIBUTING EMPLOYER								No
(120) J P CULLEN AND SONS INC	CONTRIBUTING EMPLOYER								No
(121) JACK HALL CONSTRUCTION	CONTRIBUTING EMPLOYER								No
(122) JOHNSON BROS CORPORATION	CONTRIBUTING EMPLOYER								No
(123) JOLIET STEEL CONSTRUCTION INC	CONTRIBUTING EMPLOYER								No
(124) JS CANOPY SERVICE	CONTRIBUTING EMPLOYER								No
(125) K & V STEEL ERECTORS INC	CONTRIBUTING EMPLOYER								No
(126) K AND A REBAR INC	CONTRIBUTING EMPLOYER								No
(127) KADILEX CONSTRUCTION INC	CONTRIBUTING EMPLOYER								No
(128) KEMPER CONSTRUCTION INC	CONTRIBUTING EMPLOYER								No
(129) KENNETH SULLIVAN COMPANY	CONTRIBUTING EMPLOYER								No
(130) KENNY-KRAEMER	CONTRIBUTING EMPLOYER								No
(131) KEVIN NUGENT CONSTRUCTION INC	CONTRIBUTING EMPLOYER								No
(132) KEY WEST METAL INDUSTRIES INC	CONTRIBUTING EMPLOYER								No
(133) KIEWIT POWER CONSTRUCTORS CO	CONTRIBUTING EMPLOYER								No
(134) KINKELAAR PRODUCTS SVC INC	CONTRIBUTING EMPLOYER								No
(135) KNAPP CONCRETE CONTRACTORS INC	CONTRIBUTING EMPLOYER								No
(136) KUJO INC	CONTRIBUTING EMPLOYER								No
(137) KURE STEEL INC	CONTRIBUTING EMPLOYER								No
(138) KWCC INC	CONTRIBUTING EMPLOYER								No
(139) L KEELEY CONSTRUCTION	CONTRIBUTING EMPLOYER								No
(140) LAKEHEAD CONSTRUCTORS INC	CONTRIBUTING EMPLOYER								No
(141) LANE SUPPLY INC	CONTRIBUTING EMPLOYER								No
(142) LAWRENCE FABRIC & METAL STRUCT	CONTRIBUTING EMPLOYER								No
(143) LESCO DESIGN AND MANUFACTURING	CONTRIBUTING EMPLOYER								No
(144) LILJA CORP INDUSTRIAL CONSTR	CONTRIBUTING EMPLOYER								No
(145) LINDBLAD CONSTRUCTION COMPANY	CONTRIBUTING EMPLOYER								No
(146) LUNDA CONSTRUCTION CO	CONTRIBUTING EMPLOYER								No
(147) M & M CONCRETE INC	CONTRIBUTING EMPLOYER								No
(148) M A MORTENSON COMPANY	CONTRIBUTING EMPLOYER								No
(149) M A REBAR SERVICES INC	CONTRIBUTING EMPLOYER								No
(150) MAIN STREET CONST CO	CONTRIBUTING EMPLOYER								No
(151) MAMMOET USA NORTH INC	CONTRIBUTING EMPLOYER								No
(152) MARTIN & COMPANY EXCAVATING	CONTRIBUTING EMPLOYER								No
(153) MARTIN CEMENT COMPANY	CONTRIBUTING EMPLOYER								No
(154) MAYER LANDSCAPING INC	CONTRIBUTING EMPLOYER								No
(155) MAYO STEEL ERECTORS INC	CONTRIBUTING EMPLOYER								No
(156) MECCOR INDUSTRIES LTD	CONTRIBUTING EMPLOYER								No
(157) MECHANICAL AND INDUSTRIAL STEEL	CONTRIBUTING EMPLOYER								No
(158) METROPOLITAN STEEL INC	CONTRIBUTING EMPLOYER								No
(159) MICHELS CONSTRUCTION	CONTRIBUTING EMPLOYER								No
(160) MID-AMERICA STEEL ERECTORS INC	CONTRIBUTING EMPLOYER								No
(161) MIDSTATE STEEL COMPANY	CONTRIBUTING EMPLOYER								No
(162) MID-STATES CONCRETE INDUSTRIES	CONTRIBUTING EMPLOYER								No
(163) MIDWEST FENCE CORPORATION	CONTRIBUTING EMPLOYER								No
(164) MIDWEST SKYLITE SYSTEMS	CONTRIBUTING EMPLOYER								No
(165) MIDWEST STEEL INC	CONTRIBUTING EMPLOYER								No
(166) MIRON CONSTRUCTION CO INC	CONTRIBUTING EMPLOYER								No
(167) MITCHELL STEEL INC	CONTRIBUTING EMPLOYER								No
(168) M-JTJ CONTRACTORS & BUILDERS	CONTRIBUTING EMPLOYER								No
(169) MKE IRON ERECTORS INC	CONTRIBUTING EMPLOYER								No
(170) MORGAN MILLWRIGHT	CONTRIBUTING EMPLOYER								No
(171) NELSON REBAR INC	CONTRIBUTING EMPLOYER								No
(172) NKC CONVEYOR INSTALLATION CO	CONTRIBUTING EMPLOYER								No
(173) NORTHERN CONTRACTING INC	CONTRIBUTING EMPLOYER								No
(174) NORTHERN ILLINOIS FENCE INC	CONTRIBUTING EMPLOYER								No
(175) NORTHWEST REBAR	CONTRIBUTING EMPLOYER								No
(176) NORTHWEST STEEL ERECTION INC	CONTRIBUTING EMPLOYER								No
(177) OAK TREE FENCE SOLUTIONS INC	CONTRIBUTING EMPLOYER								No
(178) OPPERMAN CONSTRUCTION	CONTRIBUTING EMPLOYER								No
(179) P T FERRO CONSTRUCTION CO	CONTRIBUTING EMPLOYER								No
(180) PACIFIC FENCE INC	CONTRIBUTING EMPLOYER								No
(181) PERMASTEELISA NORTH AMERICA	CONTRIBUTING EMPLOYER								No
(182) PHOENIX CORP OF QUAD CITIES	CONTRIBUTING EMPLOYER								No
(183) PIQUA STEEL CO	CONTRIBUTING EMPLOYER								No
(184) PJR AND ASSOCIATES INC	CONTRIBUTING EMPLOYER								No
(185) POWER FENCE INC	CONTRIBUTING EMPLOYER								No
(186) PREFERRED CONCRETE AND EXCAVATING	CONTRIBUTING EMPLOYER								No
(187) PREMIUM CONCRETE INC	CONTRIBUTING EMPLOYER								No
(188) PRIME INDUSTRIAL CONTR INC	CONTRIBUTING EMPLOYER								No
(189) PRO-FENCE II INC	CONTRIBUTING EMPLOYER								No
(190) QUALITY METAL EXTERIORS	CONTRIBUTING EMPLOYER								No
(191) QUINCO STEEL INC	CONTRIBUTING EMPLOYER								No
(192) R OLSON CONSTRUCTION CO INC	CONTRIBUTING EMPLOYER								No
(193) RACK-IT INSTALLATION INC	CONTRIBUTING EMPLOYER								No
(194) RDA MECHANICAL AND INSTALLATION	CONTRIBUTING EMPLOYER								No
(195) RED CEDAR STEEL ERECTORS	CONTRIBUTING EMPLOYER								No
(196) REDNOUR STEEL ERECTORS	CONTRIBUTING EMPLOYER								No
(197) REED MACHINERY AND TRAN CO INC	CONTRIBUTING EMPLOYER								No
(198) REGER COMPANIES INC	CONTRIBUTING EMPLOYER								No
(199) REIGN CONSTRUCTION	CONTRIBUTING EMPLOYER								No
(200) REYNOLDS TRANSFER AND STORAGE	CONTRIBUTING EMPLOYER								No
(201) RIGHT WAY TRAFFIC CONTROL INC	CONTRIBUTING EMPLOYER								No
(202) RINGLAND-JOHNSON INC	CONTRIBUTING EMPLOYER								No
(203) ROCKET FENCE	CONTRIBUTING EMPLOYER								No
(204) RUBEN E SMITH CONSTRR & R INC	CONTRIBUTING EMPLOYER								No
(205) RUIZ CONSTRUCTION COMPANY	CONTRIBUTING EMPLOYER								No
(206) SANGAMO CONSTRUCTION COMPANY	CONTRIBUTING EMPLOYER								No
(207) SCANDROLI CONSTRUCTION	CONTRIBUTING EMPLOYER								No
(208) SCCS INC	CONTRIBUTING EMPLOYER								No
(209) SCHMIDT STEEL INC	CONTRIBUTING EMPLOYER								No
(210) SCHOMBURG AND SCHOMBURG CO	CONTRIBUTING EMPLOYER								No
(211) SEITHER AND CHERRY CO	CONTRIBUTING EMPLOYER								No
(212) SEITHER CHERRYQUAD CITY	CONTRIBUTING EMPLOYER								No
(213) SEMMCO INC	CONTRIBUTING EMPLOYER								No
(214) SINGLEY CONSTRUCTION	CONTRIBUTING EMPLOYER								No
(215) SJOSTROM AND SONS INCORPORATE	CONTRIBUTING EMPLOYER								No
(216) SK SERVICE CORPORATION	CONTRIBUTING EMPLOYER								No
(217) SPE INC	CONTRIBUTING EMPLOYER								No
(218) SPECIALTY CONSTRUCTION	CONTRIBUTING EMPLOYER								No
(219) STAIR ONE INC	CONTRIBUTING EMPLOYER								No
(220) STANDARD CARTAGE	CONTRIBUTING EMPLOYER								No
(221) STARK EXCAVATING INC	CONTRIBUTING EMPLOYER								No
(222) STEVENSON CRANE RIGGING & HVY	CONTRIBUTING EMPLOYER								No
(223) STOREY FASCIA	CONTRIBUTING EMPLOYER								No
(224) STRESCORE INC	CONTRIBUTING EMPLOYER								No
(225) SUPERIOR ERECTORS INC	CONTRIBUTING EMPLOYER								No
(226) T M F CONSTRUCTION COMPANY	CONTRIBUTING EMPLOYER								No
(227) TATISCO INCORPORATED	CONTRIBUTING EMPLOYER								No
(228) TBS CONSTRUCTION INC	CONTRIBUTING EMPLOYER								No
(229) TESTA STEEL CONSTRUCTORS INC	CONTRIBUTING EMPLOYER								No
(230) THE BARTECH GROUP	CONTRIBUTING EMPLOYER								No
(231) TOPPING OUT INC	CONTRIBUTING EMPLOYER								No
(232) TRI CITY IRONWORKS	CONTRIBUTING EMPLOYER								No
(233) TT REBAR	CONTRIBUTING EMPLOYER								No
(234) TYJAX IRON WORKS INC	CONTRIBUTING EMPLOYER								No
(235) UNITED IRONWORKERS INC	CONTRIBUTING EMPLOYER								No
(236) UNITED REBAR INC	CONTRIBUTING EMPLOYER								No
(237) URBANSKI BUILDERS INC	CONTRIBUTING EMPLOYER								No
(238) USA HOIST COMPANY	CONTRIBUTING EMPLOYER								No
(239) VEYA INC	CONTRIBUTING EMPLOYER								No
(240) VISSERING CONSTRUCTION CO	CONTRIBUTING EMPLOYER								No
(241) VMR CONTRACTORS INC	CONTRIBUTING EMPLOYER								No
(242) WAITE EQUIPMENT COMPANY	CONTRIBUTING EMPLOYER								No
(243) WALBRIDGE EQUIPMENT INSTALL	CONTRIBUTING EMPLOYER								No
(244) WEBB EQUIPMENT COMPANY	CONTRIBUTING EMPLOYER								No
(245) WEST WIND REINFORCING	CONTRIBUTING EMPLOYER								No
(246) WESTERN REMAC INC	CONTRIBUTING EMPLOYER								No
(247) WESTMONT ENGINEERING COMPANY	CONTRIBUTING EMPLOYER								No
(248) WHITE CONSTR INC	CONTRIBUTING EMPLOYER								No
(249) WILLIAMS STEEL ERECTORS	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) ......................

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

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

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

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

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

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

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

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

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

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	12
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	21
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) .........	29,032,259	28,460,396
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	1,381,484	-744,476
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	0	0
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	30,413,743	27,715,920
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).....	28,853,305	28,191,885
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)....	1,235,370	1,355,178
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	30,088,675	29,547,063
19	Revenue less expenses. Subtract line 18 from line 12.......	325,068	-1,831,143
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	73,165,377	64,508,681
21	Total liabilities (Part X, line 26).............	1,079,704	706,642
22	Net assets or fund balances. Subtract line 21 from line 20.....	72,085,673	63,802,039

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )
	TO PROVIDE HEALTH & WELFARE BENEFITS, INCLUDING MEDICAL, DENTAL, VISION, DISABILITY, PRESCRIPTION DRUG AND DEATH BENEFIT COVERAGE FOR ELIGIBLE PARTICIPANTS AND THEIR BENEFICIARIES.

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

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	0	768,207	712,801

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	23,808,404	23,808,404
b	STOP-LOSS INSURANCE REIMBURSEMENT	900099	2,363,203	2,363,203
c	PRESCRIPTION DRUG REBATES	900099	1,035,670	1,035,670
d	PARTICIPANT CONTRIBUTIONS	900099	827,489	827,489
e	SUBROGATION INCOME	900099	356,489	356,489
f	All other program service revenue.		69,141	69,141
g	Total. Add lines 2a–2f .....		28,460,396

3 Investment income (including dividends, interest, and othersimilar amounts) ......			1,344,570			1,344,570
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		8,404,530	7a
b	Less: cost or other basis and sales expenses		10,493,576	7b
c	Gain or (loss)		-2,089,046	7c
d	Net gain or (loss).........			-2,089,046			-2,089,046
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a
b	Less: direct expenses ...		8b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a
b	Less: cost of goods sold ..		10b
c	Net income or (loss) from sales of inventory..
Business Code			Miscellaneous Revenue
11a
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......
12	Total revenue. See instructions.....			27,715,920	28,460,396	0	-744,476

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 .......	28,191,885
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 .........	99,345
c	Accounting ...........	179,746
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	208,238
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	634,848
12	Advertising and promotion ....
13	Office expenses .......	19,680
14	Information technology ......
15	Royalties ..
16	Occupancy ...........
17	Travel ............
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	23,355
20	Interest ...........
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..
23	Insurance ...	30,678
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	DISEASE MANAGEMENT	103,514
b	UTILIZATION REVIEW	44,763
c	FEES MANDATED BY THE AC	6,925
d	DUES & SUBSCRIPTIONS	4,086
e	All other expenses
25	Total functional expenses. Add lines 1 through 24e	29,547,063
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			1
2	Savings and temporary cash investments .........		2,343,349	2	2,636,547
3	Pledges and grants receivable, net ......			3
4	Accounts receivable, net .............		4,974,524	4	3,310,279
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 ......		93,402	9	38,622
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a
b	Less: accumulated depreciation	10b		10c
11	Investments—publicly traded securities .		45,886,007	11	41,521,119
12	Investments—other securities. See Part IV, line 11 .....		19,868,095	12	17,002,114
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)...		73,165,377	16	64,508,681

17	Accounts payable and accrued expenses .....	1,017,443	17	641,391
18	Grants payable ...		18
19	Deferred revenue .........	62,261	19	65,251
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		25
26	Total liabilities. Add lines 17 through 25..	1,079,704	26	706,642

	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	72,085,673	31	63,802,039
32	Total net assets or fund balances ...........	72,085,673	32	63,802,039
33	Total liabilities and net assets/fund balances ........	73,165,377	33	64,508,681