TY 2021 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) MARY WILCOX...................................................................... TRUSTEE	3.00 .................	X	0	0
(2) WILLIAM KENNEDY...................................................................... TRUSTEE	3.00 .................	X	0	0
(3) BRIAN HORNUNG...................................................................... TRUSTEE	3.00 .................	X	0	0
(4) MIKE TESTOLIN...................................................................... TRUSTEE	3.00 .................	X	0	0
(5) BARRY SCHOLZ...................................................................... TRUSTEE	3.00 .................	X	0	0
(6) TONY NEIRA...................................................................... TRUSTEE	3.00 ................. 50.00	X	152,287	89,479
(7) CLARK JENSEN...................................................................... TRUSTEE	3.00 ................. 40.00	X	111,723	65,687
(8) DEREK ALLEN...................................................................... FORMER TRUSTEE	3.00 .................	X	0	0
(9) JOHN SCHMITT...................................................................... FORMER TRUSTEE	3.00 ................. 40.00	X	170,770	87,239
(10) DAN CULLEN...................................................................... TRUSTEE	3.00 .................	X	0	0
(11) KENT MILLER...................................................................... TRUSTEE	3.00 ................. 3.00	X	2,475	678
(12) KEVIN RENLEY...................................................................... TRUSTEE	3.00 .................	X	0	0
(13) JAMES FOYE...................................................................... TRUSTEE	3.00 ................. 50.00	X	110,094	75,321
(14) BRIAN DEHNHOFF...................................................................... TRUSTEE	3.00 ................. 40.00	X	107,992	72,180
(15) GERALD SCHOMAKER...................................................................... TRUSTEE	3.00 ................. 46.00	X	113,111	46,024
(16) MATTHEW MARCELLIS...................................................................... TRUSTEE	3.00 .................	X	0	0
(17) DAN VOSS...................................................................... FORMER TRUSTEE	3.00 .................	X	0	0

(A) Name and business address	(B) Description of services	(C) Compensation
ANTHEM BLUE CROSS BLUE SHIELD PO BOX 34210 LOUISVILLE,KY40233	PPO SERVICE FEES	2,289,927
BENEFIT PLAN ADMINISTRATION OF WISC 2901 WEST BELTLINE HIGHWAY MADISON,WI53713	ADMIN	1,875,695
PREVIANT GOLDBERG UELMEN GRATZ MILLE PO BOX 12993 MILWAUKEE,WI53212	LEGAL SERVICES	389,196
DELTA DENTAL INSURANCE 2801 HOOVER ROAD PO BOX 828 STEVENS POINT,WI54481	DENTAL CLAIMS ADMINISTRATOR	219,779
loomis sayles 227 w monroe st chicago,IL60606	investment management	192,961
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 6

- 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

WISCONSIN LABORERS' HEALTH FUND

Employer identification number

23-7009055

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) COMMON COLLECTIVE TRUSTS	148,908,358	F
(B) LIMITED PARTNERSHIPS	85,697,510	F
(C) REAL ESTATE INVESTMENT TRUST	39,118,982	F
(D) 103-12 INVESTMENT ENTITY	5,306,750	F
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)	279,031,600

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
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	51,496,387
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	82,021,815
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a	-19,770,400
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	-19,770,400
3	Subtract line 2e from line 1..................			3	101,792,215
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	472,117
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................			4c	472,117
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......			5	102,264,332

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	114,009,125
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	114,009,125
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	472,117
b	Other (Describe in Part XIII.) ............	4b	1,734,556
c	Add lines 4a and 4b.....................			4c	2,206,673
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......			5	116,215,798

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:	AS OF AUGUST 31, 2022, THERE WERE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY THE TAXING JURISDICTIONS; HOWEVER THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIOD IN PROGRESS. AT AUGUST 31, 2022 THE PLAN IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO THE FISCAL YEAR ENDED AUGUST 31, 2019.

Return Reference

Explanation

Part X, Line 2:

AS OF AUGUST 31, 2022, THERE WERE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY THE TAXING JURISDICTIONS; HOWEVER THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIOD IN PROGRESS. AT AUGUST 31, 2022 THE PLAN IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO THE FISCAL YEAR ENDED AUGUST 31, 2019.

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

WISCONSIN LABORERS' HEALTH FUND

Employer identification number

23-7009055

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)
1JOHN SCHMITT FORMER TRUSTEE	(i) (ii)	0 ------------- 167,995	0 ------------- 0	0 ------------- 2,775	0 ------------- 69,037	0 ------------- 18,202	0 ------------- 258,009	0 ------------- 0
2TONY NEIRA TRUSTEE	(i) (ii)	0 ------------- 152,287	0 ------------- 0	0 ------------- 0	0 ------------- 70,425	0 ------------- 19,054	0 ------------- 241,766	0 ------------- 0
3PHILIP THOMPSON TRUSTEE	(i) (ii)	0 ------------- 109,805	0 ------------- 0	0 ------------- 11,420	0 ------------- 51,344	0 ------------- 19,314	0 ------------- 191,883	0 ------------- 0
4JAMES FOYE TRUSTEE	(i) (ii)	0 ------------- 109,042	0 ------------- 0	0 ------------- 1,052	0 ------------- 51,776	0 ------------- 23,545	0 ------------- 185,415	0 ------------- 0
5BRIAN DEHNHOFF TRUSTEE	(i) (ii)	0 ------------- 107,992	0 ------------- 0	0 ------------- 0	0 ------------- 50,084	0 ------------- 22,096	0 ------------- 180,172	0 ------------- 0
6CHARLIE SCHUETT TRUSTEE	(i) (ii)	0 ------------- 103,434	0 ------------- 0	0 ------------- 1,607	0 ------------- 50,134	0 ------------- 23,411	0 ------------- 178,586	0 ------------- 0
7CLARK JENSEN TRUSTEE	(i) (ii)	0 ------------- 105,763	0 ------------- 0	0 ------------- 5,960	0 ------------- 46,991	0 ------------- 18,696	0 ------------- 177,410	0 ------------- 0
8GERALD SCHOMAKER TRUSTEE	(i) (ii)	0 ------------- 113,111	0 ------------- 0	0 ------------- 0	0 ------------- 21,967	0 ------------- 24,057	0 ------------- 159,135	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

WISCONSIN LABORERS' HEALTH FUND

Employer identification number

23-7009055

Return Reference	Explanation
Form 990, Part VI, Section B, line 11b	THE TRUSTEES AUTHORIZE THE FUND'S THIRD PARTY ADMINISTRATOR AND A DESIGNATED TRUSTEE TO REVIEW THE FORM 990 BEFORE IT IS FILED.
Form 990, Part VI, Section B, line 12c	THE TRUSTEES ARE GOVERNED BY THE TRUST DOCUMENT AND HAVE A FIDUCIARY RESPONSIBILITY UNDER ERISA TO ADMINISTER THE PLAN IN THE BEST INTEREST OF THE MEMBERSHIP. THE US DEPARTMENT OF LABOR REQUIRES ALL LABOR TRUSTEES TO REPORT ON FORM LM-30 POTENTIAL SITUATIONS WHERE THERE MAY BE CONFLICTS OF INTEREST. THIS INFORMATION IS OPEN TO THE PUBLIC.
Form 990, Part VI, Section C, line 19	A SUMMARY ANNUAL REPORT IS DISTRIBUTED TO ALL PARTICIPANTS. PARTICIPANTS ARE ABLE TO REQUEST THE AUDITOR'S REPORT AND OTHER FINANCIAL INFORMATION FROM THE PLAN ADMINISTRATOR AND/OR DEPARTMENT OF LABOR. ALSO, THE FORM 5500 IS OPEN TO PUBLIC INSPECTION.
Form 990, Part XII, line 2c:	THE 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:

- 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

WISCONSIN LABORERS' HEALTH FUND

Employer identification number

23-7009055

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)WISCONSIN LABORERS PENSION FUND 4633 LIUNA WAY SUITE 201 DEFOREST,WI53532 39-6198530	TO PROVIDE PENSION BENEFITS TO ELIGIBLE PARTICIPANTS	WI	401 A				No
(2)WISCONSIN LABORERS APPR & TRAINING FUND 4633 LIUNA WAY 100 DEFOREST,WI53532 39-1161160	TO PROVIDE TRAINING AND IMPROVE THE SKILLS OF MEMBERS	WI	501C 3				No
(3)LABORERS UNION LOCAL #464 1438 n stoughton rd madison,WI53714 39-0189279	improve condition of workers	WI	501c5				No
(4)LABORERS UNION LOCAL 113 6310 w appleton ave milwaukee,WI53210 39-0367985	improve condition of workers	WI	501c5				No
(5)LABORERS UNION LOCAL 140 2771 george st lacrosse,WI54603 39-0367733	improve condition of workers	WI	501c5				No
(6)LABORERS UNION LOCAL 330 886 w airport rd menasha,WI54952 20-1169193	improve condition of workers	WI	501c5				No
(7)LABORERS UNION-LOCAL 268 2233 birch st eau claire,WI54703 56-2460681	improve condition of workers	WI	501c5				No
(8)WIS LABORERS DISTRICT COUNC 4633 LIUNA WAY 100 DEFOREST,WI53532 39-1142477	improve condition of workers	WI	501C5				No
(9)WISCONSIN LABORERS LECET 4633 LIUNA WAY 100 DEFOREST,WI53532 39-1705116	improved labor mgmt cooperation	WI	501c5				No
(10)agc of wisconsin 4814 e broadway madison,WI53716 39-0712400	improved labor mgmt cooperation	WI	501c6				No
(11)allied construction employers assn 17100 w bluemound rd brookfield,WI53005 39-0189310	improved labor mgmt cooperation	WI	501c6				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) A-1 EXCAVATING
(2) A&J CONCRETE SERVICES LLC
(3) AL LTD LANDSCAPING
(4) ABCO BUILDING CORP
(5) ADKINS CONSTRUCTION INC
(6) ADVANTAGE SCAFFOLDING-TRADE ACCESS
(7) AECOM ENERGY AND CONSTRUCTION INC
(8) AJ HEINEN INC
(9) ALBERICI CONSTRUCTORS INC
(10) ALBRIGHTSON EXCAVATING
(11) ALFREDSON BROTHERS CONSTRUCTION COM
(12) ALL FIVE CONCRETE CUTTING INC
(13) AMERICAN DEMOLITION CORPORATION
(14) AMERICAN SEWER SERVICES INC
(15) APCOMPOWER INC
(16) API CONSTRUCTION COMPANY INC
(17) APPLIED ECOLOGICAL SERVICE
(18) APPLIED FLOORING SOLUTIONS LLC
(19) ARBOR GREEN INC
(20) ARNIE MACKEY CONSTRUCTION INC
(21) ARROW-CRETE CONSTRUCTION LLC
(22) ARTEAGA CONSTRUCTION INC
(23) ASBESTROL INC
(24) ASC INSULATION & FIREPROOFING INC
(25) ASSOC PIPELINE CONSTRUCTION IN
(26) ASSOCIATED GENERAL CONTRACTORS
(27) ASTI SAWING
(28) ATLAS TRENCHLESS LLC
(29) AUGELLI CONCRETE & EXCAVATING LLC
(30) AW OAKES & SON INC
(31) AZCO INC
(32) B&D ASSOCIATES INC
(33) B&D CONTRACTORS INC
(34) BACHMANN CONSTRUCTION CO INC
(35) BADGER ENVIRONMENTAL & EARTHWORKS
(36) BADGER SCAFFOLD INC
(37) BADGER SWIMPOOLS INC
(38) BANE NELSON INC
(39) BARTHENHEIER CONSTRUCTION INC
(40) BARTON MALOW COMPANY
(41) BAUMHARDT SAND & GRAVEL INC
(42) BCF CONSTRUCTION CORP
(43) BEDROCK SEWER & WATER INC
(44) BENAVIDES CONSTRUCTION INC
(45) BENCHMARK LLC
(46) BERGHAMMER CONSTRUCTION CORPORATION
(47) BERGLUND CONSTRUCTION COMPANY
(48) BESON & HOULE LLC
(49) BIGELOW BROTHERS
(50) BIS INDUSTRIAL SERVICES INC
(51) BKB CONSTRUCTION INC
(52) BLACKHAWK FOUNDATION CO INC
(53) BLDG TRADES PENS TRUST FUND
(54) BOHMANN & VICK INC
(55) BORTON CONSTRUCTION INC
(56) BRADFORD CONTRACTORS
(57) BRAND ENERGY SERVICES LLC
(58) BRANDENBURG DRAINAGE INC
(59) BRANDENBURG INDUSTRIAL SERVICE CO
(60) BREEZY HILL NURSERY
(61) BRIESER CONSTRUCTION COMPANY
(62) BRUCE COMPANY OF WISCONSIN INC
(63) BUILDING SERVICE INC
(64) BUKACEK CONSTRUCTION GROUP INC
(65) BURHOP CONSTRUCTION SERV LLC
(66) BURKHART CONSTRUCTION CORP
(67) BUTEYN PETERSON CONSTRUCTION COMPAN
(68) C & C DRILLING LLC
(69) CALNIN & GOSS INC
(70) CALOUETTE CONSTRUCTION SERVICES
(71) CAMOSY CONSTRUCTION INC
(72) CAPELLE BROS AND DIEDRICH INC
(73) CAPITOL UNDERGROUND INC
(74) CARBO CONSTRUCTION
(75) CARDINAL CONSTRUCTION COMPANY INC
(76) CARL BOLANDER & SONS
(77) CARY SPECIALIZED SERVICES INC
(78) CASPER CONSTRUCTION INC
(79) CATHEDRAL BUILDERS INC
(80) CAULKING PLUS INC
(81) CB&I CONSTRUCTION SERVICES LLC
(82) CD SMITH CONSTRUCTION INC (MAIN OF
(83) CECO CONCRETE CONSTRUCTION LLC
(84) CEDARBURG LANDSCAPING CO INC
(85) CELTIC UTILITY INC
(86) CEMENT MAS JOINT APPR & TRNG
(87) CEMENT MASONS UNION LOCAL 502 HLTH
(88) CENTRAL CONCRETE CUTTING INC
(89) CENTRAL LABORERS PENSION FUND
(90) CENTRAL LABORERS WELFARE FD
(91) CENTURY CONSTRUCTION CO INC
(92) CESARZ DRYWALL INC
(93) CG SCHMIDT INC (MAIN OFFICE)
(94) CHARPS LLC
(95) CHIPPEWA CONCRETE SERVICES INC
(96) CHOICE CONSTRUCTION CO INC
(97) CIRCLE CONCRETE CONSTRUCTION INC
(98) CM MORRIS GROUP INC
(99) CMC CONSTRUCTION INC
(100) COMMON LINKS CONSTRUCTION
(101) CON-COR COMPANY INC
(102) CONCRETE & MASONRY INC
(103) CONCRETE & MASONRY RESTORATION LLC
(104) CONCRETE CLIPPERS
(105) CONCRETE STRUCTURES INC
(106) CONST IND WEL FUND OF ROCKFORD
(107) CONSTR LABOR OF ST LOUIS
(108) CONSTRUCTION AND TURNAROUND SERVICE
(109) CONSTRUCTION SER OF MILWAUKEE LLC
(110) CONTRACTING AND MATERIAL CO
(111) COREVAC LLC
(112) CORNER STONE CONSTRUCTION OF JANESV
(113) CORNERSTONE PAVERS LLC
(114) CORNERSTONE PLUMBING LLC
(115) COST OF WISCONSIN INC
(116) CPR INC
(117) CR MEYER & SONS CO (MAIN OFFICE)
(118) CROWLEY MASONRY INC
(119) CUSTOM DRYWALL INC
(120) CUTTING EDGE DRILLING & SAWING LLC
(121) CW PURPERO INC
(122) D&K CONSTRUCTION SERVICES LLC
(123) D&M MASONRY LLC
(124) DAHLMAN CONSTRUCTION COMPANY
(125) DAIRYLAND FENCE CO
(126) DANE COUNTY CONTRACTING LLC
(127) DAROLD BERGER MASONRY INC
(128) DAY & ZIMMERMAN NPS INC
(129) DC BURBACH INC
(130) DE KEYSER CONSTRUCTION COMPANY INC
(131) DELL CONSTRUCTION INC
(132) DF TOMASINI CONTRACTORS INC
(133) DG BEYER INC
(134) DJ ROSSETTI INC
(135) DK CONTRACTORS INC
(136) DN TANKS
(137) DOLSON INC
(138) DONALD FRANTZ CONCRETE CONSTRUCTION
(139) DOUBLE D LANDSCAPE LLC
(140) DOYLE CONTRACTORS
(141) DYWIDAG SYSTEMS INTERNATIONAL
(142) E & A ENTERPRISES INC
(143) EATONS ASPHALT CO
(144) ECCO MIDWEST INC
(145) ECO-BUILD INC
(146) EDGAR J PRAGER & SONS INC
(147) EDGERTON CONTRACTORS INC
(148) EHC INDUSTRIES INC
(149) ELASTIZELL OF WISCONSIN INC
(150) ELITE CAULKING & TUCKPOINTING
(151) ELLINGSON TRENCHLESS LLC
(152) ENVIRONMENTAL & INFRASTRUCTURE GROU
(153) ENVIRONMENTAL CONTROL INC
(154) ENVIRONMENTAL PLANT SERVICES INC
(155) ENVIRONMENTAL RECLAMATION SOLUTIONS
(156) EROSION CONTROL SPECIALTIES
(157) EXECUTIVE PLASTERING COMPANY
(158) FABCON INC
(159) FENCING PLUS INC
(160) FIRST CONCRETE CUTTERS OF WI LTD
(161) FIVE STAR MASONRY LLC
(162) FLORIDA LABORERS' HEALTH FUND
(163) FORWARD CONTRACTORS LLC
(164) FOUR STAR CONSTRUCTION INC
(165) FOUR-WAY CONSTRUCTION OF WI INC
(166) FOWLER & HAMMER INC
(167) FOX VALLEY & VIC CONS HEALTH
(168) FOX VALLEY LAB H & W FUND
(169) FOX VALLEY LAB PENSION FUND
(170) FRANK BROTHERS INC
(171) FRANK O ZEISE CONSTRUCTION CO INC
(172) FRASER CONSTRUCTION
(173) GABES CONSTRUCTION COMPANY INC
(174) GAGNON INC
(175) GATEWAY CONCRETE FORMING SYSTEMS I
(176) GAUTHIER & SONS CONSTRUCTION INC
(177) GCS (GLOBAL CONTAINMENT SOLUTIONS)
(178) GEEDING CONSTRUCTION INC
(179) GENESIS EXCAVATORS INC
(180) GEORGE BOUGALIS AND SONS CO
(181) GEORGE F COOK CONSTRUCTION CO
(182) GEORGE SIEGFRIED CONSTRUCTION CO
(183) GERKE EXCAVATING INC
(184) GLOBAL ENERGY SOLUTIONS
(185) GLOBE CONTRACTORS INC
(186) GORDON J GRUBE CONSTRUCTION CO INC
(187) GRAYCOR COMPANIES
(188) GREAT LAKES EXCAVATING
(189) GREAT LAKES REG ORG COMMITTEE
(190) GREAT LAKES REGIONAL ORGANIZING COM
(191) GREATER KANSAS CITY LABORERS'
(192) GREATER ST LOUIS CONST LAB
(193) GRESSER COMPANIES
(194) GROUND EFFECTS OF WI INC
(195) GRUNAU COMPANY INC
(196) H&H UTILITY EXCAVATING INC
(197) H20 INFRASTRUCTURE INC
(198) HAMMERSLEY STONE COMPANY INC
(199) HAMON CUSTODIS INC
(200) HANSEN LAND CONTRACTORS INC
(201) HANSON MASONRY & CONCRETE LLC
(202) HARBOR CITY MASONRY INC
(203) HARD ROCK SAWING & DRILLING SPECIAL
(204) HAROLD E ARNDT INC
(205) HARRY VINER INC
(206) HAWK CONSTRUCTION LLC
(207) HC DIRECTIONAL DRILLING
(208) HEELEIN & SONS INC
(209) HEGG CONTRACTORS INC
(210) HEIMBROCK INC
(211) HENKELS & MCCOY INC
(212) HENRY R MAROHL INC
(213) HERO PLUMBING
(214) HETZEL-SANFILIPPO INC
(215) HIGHWAY LANDSCAPERS INC
(216) HILLSIDE DAMPROOFING INC
(217) HOLUBAR CONSTRUCTION CO INC
(218) HOMBURG CONTRACTORS INC
(219) HOWARD IMMEL INC
(220) HUNZINGER CONSTRUCTION COMPANY INC
(221) IEI GENERAL CONTRACTORS INC
(222) ILLINGWORTH CORPORATION
(223) INDEPENDENCE EXCAVATING
(224) INDIANA LABORERS PENSION FUND
(225) INDIANA STATE DIST CNCL OF LAB
(226) INFINITY ACCESS INC
(227) INFRASOURCE CONSTRUCTION LLC
(228) INLINE CONSTRUCTION INC
(229) INSULATION REMOVAL LTD
(230) INTEGRITY UTILITY PROS INC
(231) INTERCON CONSTRUCTION INC
(232) INTERCON GROUP INC
(233) INTERIOR DEMOLITION SERVICE
(234) INTERNATIONAL ERECTORS INC
(235) INTERSTATE SAWING COMPANY INC
(236) INTREN
(237) IOWA LAB DIST COUN H & W FD
(238) IVAN RICE & SONS INC
(239) IVERSON CONSTRUCTION DIV OF MATHY
(240) IVERSON CONSTRUCTION LLC
(241) J & J BORING INC
(242) J & J UNDERGROUND LLC
(243) J KOSKI COMPANY
(244) J&A POHL INC
(245) JAC MASONRY INC
(246) JAHN & SONS INC
(247) JAMAR COMPANY
(248) JAMES PETERSON SONS INC
(249) JARAMILLO CONTRACTORS INC
(250) JAY DEE CONTRACTORS INC
(251) JB JOHNSON BROS LLC
(252) JCP CONSTRUCTION LLC
(253) JENS CONSTRUCTION CORPORATION
(254) JEROME EXCAVATING CONTRACTORS LLC
(255) JF AHERN COMPANY
(256) JF BRENNAN COMPANY INC
(257) JF SHEA COMPANY INC
(258) JH FINDORFF & SON INC (MAIN OFFICE
(259) JH HASSINGER INC
(260) JI CONSTRUCTION LLC
(261) JM BRENNAN INC
(262) JOE DEBELAK PLUMBING & HEATING
(263) JOE DENOBLE SEWER & WATER CONST IN
(264) JOHN WHITE FENCE INC
(265) JOHNSON WILSON CONSTRUCTION
(266) JOS SCHMITT CONSTRUCTION CO INC
(267) JP ANTHONY
(268) JP ANTHONY INC
(269) JP CULLEN & SONS INC (MAIN OFFIC
(270) JP CULLEN & SONS INC USE WL171
(271) JP PRO LANDSCAPING
(272) JR JENSEN CONSTRUCTION
(273) JW SCHULTZ CONSTRUCTION INC
(274) K BERENS CONTRACTING LLC
(275) KANSAS BUILDING TRADES WEL FD
(276) KANSAS CONST TRADES PEN FUND
(277) KBC INC
(278) KENNETH F SULLIVAN COMPANY
(279) KENNY CONSTRUCTION COMPANY
(280) KENOSHA CREDIT
(281) KENTUCKY LAB DC HEALTH FUND
(282) KEPA SERVICES INC
(283) KEWASKUM CONCRETE LLC
(284) KIEWIT INFRASTRUCTURE CO
(285) KIFFMEYER INC
(286) KIP GULSETH CONSTRUCTION CO INC
(287) KLOBUCAR CONSTRUCTION CO
(288) KM GOLDEN CONSTRUCTION
(289) KMI CONSTRUCTION LLC
(290) KNUTSON CONSTRUCTION COMPANY
(291) KOTZE CONSTRUCTION CO INC
(292) KRAEMER NORTH AMERICA LLC
(293) KRAMER INC
(294) KRAUS-ANDERSON CONSTRUCTION CO
(295) KS CONSTR IND LAB WELFARE FUND
(296) KS CONSTR IND LABS PENSION
(297) KS ENERGY SERVICES INC (MAIN OFFIC
(298) L & J PAVING INC
(299) LABORERS' LOCAL 113
(300) LABORERS' LOCAL 140
(301) LABORERS' LOCAL 268
(302) LABORERS' LOCAL 330
(303) LABORERS' NATIONAL PENSION FD
(304) LABORERS UNION LOCAL 464
(305) LABS DIST OF WESTERN PA PENSION
(306) LABS DISTRICT OF WESTERN PA WELFARE
(307) LABS'PENS & WELF FD OF CHICAGO
(308) LACROSSE BACKHOE SERVICE INC
(309) LAKE CITY GLASS INC
(310) LAKEHEAD CONSTRUCTORS INC
(311) LANDFILL DRILLING & PIPING SPECIALI
(312) LANEY DIRECTIONAL DRILLING CO
(313) LARSON CONSTRUCTION CO INC
(314) LATEX CONSTRUCTION
(315) LEWIS CONSTRUCTION INC
(316) LITGEN CONCRETE CUTTING & CORING
(317) LLOYD HAMM MASONRY LLC
(318) LOCAL UNIONS 19 & 127
(319) LUNDA CONSTRUCTION COMPANY (MAIN OF
(320) MA MORTENSON COMPANY
(321) MAAS BROTHERS CONSTRUCTION CO INC
(322) MADDRELL EXCAVATING LLC
(323) MADISON CRUSHING & EXCAVATING CO I
(324) MAGILL CONSTRUCTION COMPANY INC
(325) MAGNEY CONSTRUCTION INC
(326) MARK FONDELL EXCAVATING INC
(327) MARKET & JOHNSON INC (MAIN OFFICE)
(328) MARTELL CONSTRUCTION INC
(329) MARV PESEK MASONRY INC
(330) MATHY CONSTRUCTION COMPANY
(331) MATTISON CONTRACTORS INC
(332) MAVO CONCRETE SAWING SERVICES INC
(333) MAVO SYSTEMS WI LLC (MAIN OFFICE)
(334) MBM CONTRACTORS LLC
(335) MCCABE CONSTRUCTION INC
(336) MCGOUGH CONSTRUCTION
(337) MCGUIRE INC
(338) MCHUGH EXCAVATING & PLUMBING
(339) MCMULLEN & PITZ CONSTRUCTION CO
(340) MEADE ELECTRIC CO INC
(341) MERRILL GRAVEL & CONSTRUCTION CO
(342) MERRYMAN EXCAVATION INC
(343) MICHELS CORPORATION (MAIN OFFICE)
(344) MICHELS CORPORATION (NEW BERLIN)
(345) MICHELS PIPELINEMICHELS PIPE SERVI
(346) MICHIGAN LAB HEALTH CARE FUND
(347) MICHIGAN LABORERS PENSION FUND
(348) MID CITY PLUMBING & HEATING
(349) MIDDLETON CONSTRUCTION CONSULTING
(350) MIDDLETON CONSTRUCTION INC
(351) MID-STATES CONCRETE CUTTING CO
(352) MID-STATES CONCRETE INDUSTRIES LLC
(353) MIDWEST BRICKPAVING INC
(354) MIDWEST DRILLED FOUNDATIONS & ENGIN
(355) MIDWEST OPERATING ENG
(356) MIDWEST THERMAL SERVICES INC
(357) MIDWESTERN CONTRACTORS
(358) MILWAUKEE BUILDING & CONST
(359) MINDA LLC
(360) MINGER CONSTRUCTION CO INC
(361) MINN LABORERS HEALTH FUND
(362) MINN LABORERS PENSION FUND
(363) MINNESOTA LIMITED LLC
(364) MINNESOTA UTILITIES & EXCAVATING
(365) MIRON CONSTRUCTION CO INC (MAIN OF
(366) MJ CONSTRUCTION INC
(367) MJTJ CONTRACTORS & BUILDERS
(368) MODERN CRANE SERVICES INC
(369) MOORHEAD MACHINERY & BOILER COMPANY
(370) MORTL RESTORATION INC
(371) MP TECHNOLOGIES LLC
(372) MUNSON INC
(373) MURPHY PAVING & SEALCOATING INC
(374) MUSSON BROTHERS INC (MAIN OFFICE)
(375) MYERS AND SONS CONSTRUCTION LP
(376) MZ CONSTRUCTION INC
(377) N CENTRAL ILL LBRS HEALTH FUND
(378) NATIONAL MACHINERY & CONVEYOR INC
(379) NATIONAL POWER RODDING CORP
(380) NATURAL ATHLETIC TURF LLC
(381) NE CONTRACTORS LAB HEALTH
(382) NE CONTRACTORS LAB PENSION
(383) NELSON EXCAVATING AND SON LLC
(384) NEW BERLIN GRADING INC
(385) NICHOLSON CONSTRUCTION COMPANY
(386) NJ SCHAUB & SONS INC
(387) NORCON CORPORATION
(388) NORTH AMERICAN DISMANTLING
(389) NORTH COUNTRY CONCRETE
(390) NORTH FARM LANDSCAPE LLC
(391) NORTHERN CLEARING INC
(392) NORTHERN ILL & IOWA LABORERS
(393) NORTHERN ILLINOIS SERVICE CO
(394) NORTHERN INTERSTATE CONSTRUCTION I
(395) NORTHLAND CONCRETE & MASONRY COMPAN
(396) NORTHSTAR CONTRACTING GROUP INC
(397) NORTHWEST DIRTWORKS INC
(398) NORTHWOODS PAVING
(399) NPL CONSTRUCTION
(400) N-TRAK GROUP LLC
(401) NUGEN JOHNSON LLC
(402) OH JAY CONSTRUCTION LLC
(403) OHIO LABORERS FR BEN FUND
(404) OLYMPIC COMPANIES INC
(405) OSTRENGA EXCAVATING INC
(406) OTIS EASTERN SERVICE INC
(407) PARISI CONSTRUCTION CO INC
(408) PAVEMENT MAINTENANCE INC
(409) PAYNE & DOLAN INC (MAIN OFFICE)
(410) PCI ROADS LLC
(411) PCL CONSTRUCTION SERVICES INC
(412) PHEIFER BROS CONSTRUCTION CO INC
(413) PIPING & DEWATERING SERVICE INC- PD
(414) PL FREEMAN COMPANY
(415) PLAST & CEMENT MASONS #599
(416) PLATINUM SCAFFOLDING SERVICE
(417) PLATT CONSTRUCTION INC
(418) POELLINGER INC
(419) PORTZEN CONSTRUCTION INC
(420) PRECISION CONCRETE CUTTING
(421) PRECISION GRADING & UTILITIES INC
(422) PRECISION HARDSCAPES INC
(423) PRECISION PIPELINE LLC
(424) PREFERRED CONCRETE & EXCAVATING IN
(425) PRETEC DIRECTIONAL DRILLING
(426) PRICE GREGORY INTERNATIONAL INC
(427) PROFESSIONAL LANDSCAPE CONTRACTORS
(428) Q3 CONTRACTING INC
(429) QSP UTILITY LLC
(430) QUASIUS CONSTRUCTION INC
(431) R VALUE FOAM INSULATION LLC
(432) R&R WASH MATERIAL INC
(433) RAINBOW INC
(434) RAM CONSTRUCTION SERVICES
(435) RASCH CONSTRUCTION & ENGINEERING I
(436) RAY CATTELL INC
(437) RAY STADLER CONSTRUCTION CO INC
(438) RAY THEOBALD MASONRY CONSTRUCTION
(439) RECYCLEAN INC
(440) REFRACTORY SERVICE INC
(441) REICHL CONSTRUCTION
(442) RELYCO INC
(443) RG HUSTON COMPANY INC
(444) RG SCHMITT INC
(445) RICCI WELCH INC
(446) RILEY CONSTRUCTION CO INC
(447) RJ JUROWSKI CONSTRUCTION INC
(448) RJ UNDERGROUND INC
(449) RL DAVIS CONTRACTING SERVICES LLC
(450) ROBERTS PIPELINE INC
(451) ROCK ROAD COMPANIES INC
(452) RODRIGUEZ CONSTRUCTION CORP
(453) ROSSI CONSTRUCTION CO INC
(454) S MOYLE MASONRY INC
(455) S&L UNDERGROUND AND TRUCKING INC
(456) SAFE ABATEMENT FOR EVERYO INC
(457) SAFWAY SERVICES LLC
(458) SAK CONSTRUCTION LLC
(459) SAMPSON CONCRETE CONTRACTORS
(460) SCHAEFGES BROTHERS INC
(461) SCHERRER CONSTRUCTION CO
(462) SCHMID PIPELINE CONSTRUCTION INC
(463) SCOTT DE NOBLE & SONS CONSTRUCTION
(464) SCURTO CEMENT LTD
(465) SELFPAY ACTIVE
(466) SELZER - ORNST COMPANY
(467) SEVENSON ENVIRONMENTAL SERVICES IN
(468) SHAFER CONTRACTING CO INC
(469) SHANNON'S INC
(470) SHEET PILING SERVICES LLC
(471) SID'S SEALANTS LLC
(472) SIMON LANDSCAPE CO INC
(473) SIRRAH CONSTRUCTION CO LLC
(474) SJB CONCRETE AND FOUNDATIONS
(475) SJS ERECTING
(476) SKID STEER GUY LLC
(477) SMITH RESTORATIONS INC
(478) SOMMERS CONSTRUCTION COMPANY INC
(479) SOPINSKI TRENCHING & EXCAVATING
(480) SOUTH CENTRAL CONTRACTING INC
(481) SOUTH STAR LOGISTICS LLC
(482) SOUTHEAST DIRECTIONAL DRILLING
(483) SOUTHPAW FENCING LLC
(484) SPECTRUM CONTRACTING CORP
(485) SPEEDWAY SAND & GRAVEL INC
(486) ST JOSEPH CONSTRUCTION CO INC
(487) STACK BROTHERS MECHANICAL CONTRACTO
(488) STANDARD SIDEWALK
(489) STARK PAVEMENT CORPORATION
(490) STATE CONTRACTORS INC
(491) STEBBINS ENGINEERING & MANUFACTORIN
(492) STETTLER CONCRETE CUTTING
(493) STRAIGHT EDGE CONCRETE
(494) STRAIGHT EDGE CONCRETE LLC
(495) STRETAR MASONRY & CONCRETE INC
(496) STRUCTURAL APPLICATORS INC
(497) STRUCTURES HARDSCAPES SPECIALISTS
(498) STRUPP TRUCKING INC
(499) SUPER EXCAVATORS INC
(500) SUPER WESTERN INC
(501) SUPERIOR DIAMOND CONCRETE CUTTING
(502) SUPERIOR MASONRY BUILDERS INC
(503) SWANSON SPRAY SYSTEMS INC
(504) SX FOUNDATIONS INC
(505) SYMBIONT CONSTRUCTION INC
(506) TARLTON CORPORATION
(507) TERRA ENGINEERING & CONSTRUCTION CO
(508) TETRA TECH INC
(509) THE BOLDT COMPANY (MAIN OFFICE)
(510) THE BRISTOL GROUP LLC
(511) THE KENWOOD COMPANY
(512) THE KRAEMER COMPANY LLC
(513) THE KUEHNE COMPANY INC
(514) THE SAMUELS GROUP INC
(515) THE SPANCRETE GROUP INC (MAIN OFFI
(516) TITAN BUILDING COMPANY INC
(517) TL ENTERPRISES DBA SPECIALTY MILL
(518) TOMAH ENVIRONMENTAL CONTRACTORS (TE
(519) TOTAL EXCAVATING
(520) TOWNSEND CONSTRUCTION INC
(521) TREES ON THE MOVE COMMERCIAL LLC
(522) TRI NORTH BUILDERS
(523) TRI-CITY CONCRETE CONTRACTORS INC
(524) TRICOUNTY PAVING INC
(525) TRIERWEILER CONSTRUCTION & SUPPLY C
(526) TWEENOR VALLEY TRUCKING
(527) UNDERGROUND PIPELINE CONSTRUCTION
(528) UNION PIPELINE INC
(529) UNI-PUMP INC
(530) UNITED LANDSHAPERS
(531) UNITED PIPING INC - CO NORTHLAND
(532) UNIVERSAL BLASTCO
(533) UPI LLC
(534) US TRINITY ENERTY LABOR SERVICE
(535) US VET GENERAL CONTRACTING LLC
(536) V&S CONSTRUCTION SERVICES INC
(537) VAN STRATEN CONSTRUCTION COMPANY I
(538) VEIT & COMPANY INC
(539) VERHALEN INC
(540) VETERAN CO (MAVEN CONSTRUCTION)
(541) VINER PLUMBING & EXCAVATING
(542) VINTON CONSTRUCTION COMPANY
(543) VISTA DESIGN & CONSTRUCTION
(544) VJS CONSTRUCTION SERVICES INC
(545) VMI LLC (VALLEY MACHINE & IRON)
(546) VOGEL BROS BUILDING CO
(547) WALL TECH INC
(548) WALLY KING MASONRY
(549) WALSH CONSTRUCTION COMPANY
(550) WALSH MASONRY INC
(551) WANASEK CORPORATION
(552) WAYNE'S CAULKING
(553) WELDED CONSTRUCTION COMPANY
(554) WELLS CONCRETE
(555) WESTERN REMAC INC
(556) WESTERN SPECIALITY CONTRACTORS
(557) WEST-LAND RESTORATION
(558) WF JOHNSTON CONSTRUCTION INC
(559) WHITE CONSTRUCTION INC
(560) WHITE GLOVE ENVIRONMENTAL GROUP LL
(561) WHM CONSTRUCTION INC
(562) WI LAB APPRENTICESHIP & TRAIN
(563) WI LABORER DISABILITY CREDIT
(564) WI LABORERS DISTRICT COUNCIL
(565) WI LECET
(566) WILLIAM A HEIN CONSTRUCTION COMPANY
(567) WILLIAM SACKERSON CONSTRUCTION CO
(568) WILLKOMM EXC & GRADING INC
(569) WILLKOMM EXCAVATING AND GRADING IN
(570) WINKLERS MASONRY INC
(571) WIS MASONS' HEALTH FUND
(572) WIS MASONS' PENSION FUND
(573) WISCONSIN INTERSTATE CONTRACTING L
(574) WK CONSTRUCTION COMPANY INC
(575) WOLF PAVING CO INC
(576) WREN WORKS LLC
(577) XCEL ENERGY
(578) YESKE CONSTRUCTION CO INC
(579) ZENITH TECH INC (MAIN OFFICE)

Schedule R (Form 990) 2021

Page 3

Part V

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

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

Yes

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

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

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

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

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

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

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

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

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

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

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

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

Yes

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

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

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

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

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

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

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

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

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

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

Schedule R (Form 990) 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: to provide health and other benefits to eligible participants covered under the plan
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	16
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	8
5	Total number of individuals employed in calendar year 2021 (Part V, line 2a) ......	5	165
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) .........	90,662,326	96,326,596
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	10,697,093	5,937,736
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)	101,359,419	102,264,332
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).....	105,214,168	109,913,342
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)....	6,179,719	6,302,456
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	111,393,887	116,215,798
19	Revenue less expenses. Subtract line 18 from line 12.......	-10,034,468	-13,951,466
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	353,332,580	321,525,063
21	Total liabilities (Part X, line 26).............	53,650,162	55,564,511
22	Net assets or fund balances. Subtract line 21 from line 20.....	299,682,418	265,960,552

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )
	THE PLAN PROVIDES HOSPITAL, MEDICAL, SURGICAL, DENTAL, VISION, LIFE, ACCIDENTAL DEATH AND DISMEMBERMENT, DISABILITY, AND SKILLED NURSING CARE BENEFITS TO ALL ELIGIBLE PARTICIPANTS.

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












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












	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )
	THE PLAN PROVIDES HOSPITAL,MEDICAL, SURGICAL, DENTAL, VISION, LIFE, ACCIDENTAL DEATH AND DISMEMBERMENT, DISABILITY, AND SKILLED NURSING CARE BENEFITS TO ALL ELIGIBLE PARTICIPANTS.

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
(18) PHILIP THOMPSON........................................................................ TRUSTEE	3.00 .......................40.00	X	0	121,225	70,658
(19) CHARLIE SCHUETT........................................................................ TRUSTEE	3.00 .......................50.00	X	0	105,041	73,545

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	0	994,718	580,811

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	88,563,784	88,563,784
b	SELF-PAY CONTRIBUTIONS	900099	6,911,108	6,911,108
c	Subrogation	900099	823,645	823,645
d	LIQUIDATED DAMAGES	900099	28,059	28,059
e
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		96,326,596

3 Investment income (including dividends, interest, and othersimilar amounts) ......			3,117,166			3,117,166
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		76,242,534	7a
b	Less: cost or other basis and sales expenses		73,421,964	7b
c	Gain or (loss)		2,820,570	7c
d	Net gain or (loss).........			2,820,570			2,820,570
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.....			102,264,332	96,326,596	0	5,937,736

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 .......	109,913,342
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 ......	1,943,331
b	Legal .........	442,776
c	Accounting ...........	73,959
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	472,117
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	2,987,248
12	Advertising and promotion ....
13	Office expenses .......	204,471
14	Information technology ......
15	Royalties ..
16	Occupancy ...........	94,008
17	Travel ............
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	9,693
20	Interest ...........
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..
23	Insurance ...	33,695
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	ACA FEES AND ASSESSMENT	41,158
b
c
d
e	All other expenses
25	Total functional expenses. Add lines 1 through 24e	116,215,798
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........		4,975,831	1	13,945,753
2	Savings and temporary cash investments .........		5,560,860	2	1,563,034
3	Pledges and grants receivable, net ......			3
4	Accounts receivable, net .............		10,781,130	4	11,010,234
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 ......		182,239	9	196,772
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 .		32,440,256	11	15,426,963
12	Investments—other securities. See Part IV, line 11 .....		299,008,137	12	279,031,600
13	Investments—program-related. See Part IV, line 11 ..			13
14	Intangible assets ...............			14
15	Other assets. See Part IV, line 11 ...........		384,127	15	350,707
16	Total assets. Add lines 1 through 15 (must equal line 33)...		353,332,580	16	321,525,063

17	Accounts payable and accrued expenses .....	4,143,181	17	4,068,124
18	Grants payable ...		18
19	Deferred revenue .........		19
20	Tax-exempt bond liabilities .........		20
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
			22
23	Secured mortgages and notes payable to unrelated third parties ..		23
24	Unsecured notes and loans payable to unrelated third parties ..		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	49,506,981	25	51,496,387
26	Total liabilities. Add lines 17 through 25..	53,650,162	26	55,564,511

	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	299,682,418	31	265,960,552
32	Total net assets or fund balances ...........	299,682,418	32	265,960,552
33	Total liabilities and net assets/fund balances ........	353,332,580	33	321,525,063