TY 2022 Form 990

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

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

Attach to Form 990.
SchDMd Bullet

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

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization

BUFFALO LABORERS WELFARE FUND

Employer identification number

16-0806902

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 .....	0	0		0
b	Buildings ....	0	0	0	0
c	Leasehold improvements	0	0	0	0
d	Equipment ....	0	218,004	195,782	22,222
e	Other .....	0	0	0	0
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..					22,222

Schedule D (Form 990) 2021

Page 3

Part VII

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

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

Part VIII

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

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

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

Part IX

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

(a) Description				(b) Book value

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

Part X

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

1.(a) Description of liability	(b) Book value
(1) Federal income taxes

(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	10,119,547
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a	138,699
b	Donated services and use of facilities .........	2b	0
c	Recoveries of prior year grants ...........	2c	0
d	Other (Describe in Part XIII.) ............	2d	0
e	Add lines 2a through 2d .....................			2e	138,699
3	Subtract line 2e from line 1..................			3	9,980,848
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	8,500
b	Other (Describe in Part XIII.) ...........	4b	366,855
c	Add lines 4a and 4b....................			4c	375,355
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......			5	10,356,203

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	9,140,108
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a	0
b	Prior year adjustments ............	2b	0
c	Other losses ................	2c	0
d	Other (Describe in Part XIII.) ............	2d	0
e	Add lines 2a through 2d....................			2e	0
3	Subtract line 2e from line 1...................			3	9,140,108
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	8,500
b	Other (Describe in Part XIII.) ............	4b	366,855
c	Add lines 4a and 4b.....................			4c	375,355
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......			5	9,515,463

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
Schedule D, Part XI, Line 4b	AMOUNTS RECEIVED FROM RELATED ORGANIZATIONS AS THEIR SHARE OF ADMINISTRATIVE EXPENSES WAS A REDUCTION OF EXPENSES ON THE AUDITED FINANCIAL STATEMENTS.
Schedule D, Part XII, Line 4b	SHARED REIMBURSEMENTS OF EXPENSES FROM OTHER RELATED BENEFIT FUNDS ADMINISTERED.

Schedule D (Form 990) 2021

Additional Data

Software ID:	22015720
Software Version:	v1.00

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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

BUFFALO LABORERS WELFARE FUND

Employer identification number

16-0806902

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)
1THOMAS L PANEK FUND ADMINISTRATOR	(i) (ii)	133,400 ------------- 0	0 ------------- 0	0 ------------- 0	22,905 ------------- 0	30,210 ------------- 0	186,515 ------------- 0	186,650 ------------- 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:	22015720
Software Version:	v1.00

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SCHEDULE O
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

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

Attach to Form 990 or 990-EZ.
MediumBullet

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

OMB No. 1545-0047

2021

Open to Public
Inspection

Name of the organization

BUFFALO LABORERS WELFARE FUND

Employer identification number

16-0806902

Return Reference	Explanation
Form 990, Part VI, Section A, Line 2	RELATIONSHIP EXISTS BETWEEN THE UNION AND EMPLOYER TRUSTEES (INCLUDING THE EMPLOYERS AFFILIATED COMPANIES OR ASSOCIATIONS). THE BUSINESS RELATIONSHIP IS IN CONJUNCTION WITH THE COLLECTIVE BARGAINING AGREEEMENTS.
Form 990, Part VI, Section A, Line 7a	THE BUSINESS MANAGER OF THE UNION IS RESPONSIBLE IN APPOINTING 3 OF THE LABOR TRUSTEES; THE CEO OF THE CONSTRUCTION INDUSTRY EMPLOYERS' ASSOCIATION IS RESPONSIBLE FOR APPOINTING 3 EMPLOYER TRUSTEES.
Form 990, Part VI, Section A, Line 9	TRUSTEES THAT CANNOT BE REACHED AT THER FUND OFFICE ARE AS FOLLOWS: JAMES C. LOGAN, 2660 WILLIAM STREET, CHEEKTOWAGA, NY 14227, TELEPHONE NUMBER 716-875-4744, GREG SCHOBER AT HUBER CONSTRUCTION, 136 TAYLOR DRIVE, DEPEW, NY 14043, 716-870-3197; NICKOLAUS OSINSKI AT UNION CONCRETE CONSTRUCTION, 435 MEYER ROAD, WEST SENECA, NY 14224, 716-822-5755; MATT SQUIRES AT MANNING SQUIRES HENNIG CO INC, 8426 SEVEN SPRINGS ROAD, BATAVIA NY 14020, 585-343-5365; PETER CAPITANO AND JOHN MASSARO CAN BE REACHED AT LABORERS LOCAL 210, 25 TYROL DRIVE, SUITE 100, CHEEKTOWAGA, NY 14227, 716-668-9081; SAMUEL CAPITANO AT UPSTATE NY LABORERS DISTRICT COUNCIL, 200 SALINA MEADOWS PKWY, SUITE 200, SYRACUSE, NY 13212, 716-510-4163 AND CHARLES PALADINO, 811 LEGION DRIVE, GRAND ISLAND, NY 14072, 716-444-6725.
Form 990, Part VI, Section B, Line 11b	A COPY OF FORM 990 IS CIRCULATED VIA EMASIL TO THE ENTIRE BOARD OF TRUSTEES. EACH TRUSTEE IS RESPONSIBLE TO REVIEW THE FORM 990 PRIOR TO SUBMISSION. SUBSEQUENT TO TRUSTEE APPROVAL, FORM 990 IS TRANSMITTED TO THE IRS.
Form 990, Part VI, Section B, Line 12c	MONITORING IS ACCOMPLISHED THROUGH EMAILS TO TRUSTEES. TRUSTEES ARE REQUESTED TO ADVISE THE BUFFALO LABORERS' WELFARE FUND IF THEY HAVE ANY CONFLICT OF INTEREST PURSUANT TO OUR BENEFITS FUNDS' CONFLICT OF INTEREST POLICY.
Form 990, Part VI, Section B, Line 15	COMPENSATION REVIEW WAS INITIALLY MADE IN A MEETING WITH THE BOARD OF TRUSTEES, COUNSEL, AND A CERTIFIED PUBLIC ACCOUNTANT TO DISCUSS THE ADMINISTRATOR AND OFFICE MANAGER'S INITIAL COMPENSATION, COMPARISON OF SIMILAR JOBS USING SALARY INFORMATION FROM BUFFALO BUSINESS FIRST AS WELL AS ANY OTHER PUBLICATION(S) WERE USED TO ESTABLISH BASELINE SALARIES. FUTURE RAISES ARE BASED ON TRENDS IN INDUSTRY AND REVIEWED AT ONE OF THE QUARTERLY TRUSTEE MEETINGS.
Form 990, Part VI, Section C, Line 19	THIS ORGANIZATION MAKES AVAILABLE UPON WRITTEN REQUEST ALL DOCUMENTS INCLUDING THE CONFLICT OF INTERST POLICY, GOVERNING DOCUMENTS, FINANCIALS AND IRS FORMS 990 AND 5500.

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:	22015720
Software Version:	v1.00

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SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

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

Attach to Form 990.
MediumBullet

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

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization

BUFFALO LABORERS WELFARE FUND

Employer identification number

16-0806902

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)BUFFALO LABORERS PENSION FUND 25 TYROL DRIVE SUITE 200 CHEEKTOWAGA,NY14227 16-0845094	ADMINISTER DEFINED BENEFIT PENSION	NY	501(A)	N/A	N/A		No
(2)BUFFALO LABORERS' TRAINING FUND 25 TYROL DRIVE SUITE 200 CHEEKTOWAGA,NY14227 16-1019942	ADMINISTER TRAINING FUND	NY	501(C)(3)	2	N/A		No
(3)BUFFALO LABORERS' SECURITY FUND 25 TYROL DRIVE SUITE 200 CHEEKTOWAGA,NY14227 16-1605100	ADMINISTER DEFINED CONTRIBUTION PENSION PLAN	NY	501(A)	N/A	N/A		No

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

Cat. No. 50135Y

Schedule R (Form 990) 2021

Page 2

Part III

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

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership

Part IV

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

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	Yes	No
(1) A1 LAND CARE INC 1527 RIDGE ROAD LEWISTON,NY14092 71-0970014	CONTRACTOR	NY
(2) ACCADIA SITE CONTRACTING INC 5636 TRANSIT ROAD DEPEW,NY14043 95-4893408	CONTRACTOR	NY
(3) ADONIS CONSTRUCTION LLC 518 COLVIN STREET ROCHESTER,NY14606 20-2132027	CONTRACTOR	NY
(4) DULUTH SERVICES INC 7301 PARKWAY DRIVE HANOVER,MD21076 52-1937064	CONTRACTOR	MD
(5) NORTHLAND CONTRACTING INC 4735 W LAKE ROAD DUNKIRK,NY14048 16-1564009	CONTRACTOR	NY
(6) AMERICAN ENVIRONMENTAL 763 CAYUGA ST SUITE 2 NIAGARA FALLS,NY14092 20-0045087	CONTRACTOR	NY
(7) AandK SLIP FORMING INC PO BOX 250 COBLESKILL,NY12043 16-1517098	CONTRACTOR	NY
(8) AMERICUT CORING and SAWING INC 365 HELEN DRIVE VERMILION,OH44089 34-1800396	CONTRACTOR	OH
(9) ANASTASI TRUCKING and PAVING 4430 WALDEN AVENUE LANCASTER,NY14086 16-0875499	CONTRACTOR	NY
(10) MILLAWN CIVIL LA INC PO BOX 407 SANBORN,NY14132 20-4777130	CONTRACTOR	NY
(11) BISON CONTRACTING AND 885 BAILEY AVE BUFFALO,NY14206 55-0850662	CONTRACTOR	NY
(12) BUCKET PRO LLC 1898 BUFFALO ST OLEAN,NY14760 47-6601803	CONTRACTOR	NY
(13) BUFFALO LABORERS BENEFIT FUND 25 TYROL DRIVE STE 200 CHEEKTOWAGA,NY14227 16-0806902	CONTRACTOR	NY
(14) BFLO LABORERS TRAINING FUND 25 TYROL DRIVE STE 200 CHEEKTOWAGA,NY14227 16-1019942	CONTRACTOR	NY
(15) BVR CONSTRUCTION CO INC 8 KING ROAD CHURCHVILLE,NY14428 16-1229686	CONTRACTOR	NY
(16) CAMPOBELLO CONSTRUCTION CO INC 23 STRATFORD ROAD BUFFALO,NY14216 16-1145559	CONTRACTOR	NY
(17) CAPPELLA CONST SERVICES INC 3685 ROUTE 39 COLLINS,NY14034 000000000	CONTRACTOR	NY
(18) CASE BORING CORP 8585 BUNKER HILL RD GASPORT,NY14067 16-0852532	CONTRACTOR	NY
(19) CASPER CONSTRUCTION INC 212 SE 10TH ST GRAND RAPIDS,MN55744 000000000	CONTRACTOR	MN
(20) CATCO 1266 TOWNLINE RD ALDEN,NY14004 16-1481049	CONTRACTOR	NY
(21) CERTIFIED SAFETY PRODUCTS 807 ROUTE 417 ANDOVER,NY14806 75-3045925	CONTRACTOR	NY
(22) C M H COMPANY INC 12750 NORTH RD STE 1 ALDEN,NY14004 16-0802510	CONTRACTOR	NY
(23) COMET FLASHER INC 2855 CLINTON STREET BUFFALO,NY14224 16-1594720	CONTRACTOR	NY
(24) CONCRETE CUTTING 4500 AIRWEST SE GRAND RAPIDS,MI49512 38-2267917	CONTRACTOR	MI
(25) CP WARD INC 100 RIVER ROAD PO BOX 900 SCOTTSVILLE,NY14546 16-0679090	CONTRACTOR	NY
(26) COVINGTON SERVICES LLC PO BOX 410 WEST SENECA,NY14224 45-5174449	CONTRACTOR	NY
(27) CRANE HOGAN STRUCTURAL SYS INC 3001 BROCKPORT ROAD SPENCERPORT,NY14559 16-1055336	CONTRACTOR	NY
(28) CVF INC 100 BURKHARDT AVENUE DEPEW,NY14043 20-1140303	CONTRACTOR	NY
(29) LOUIS DEL PRINCE and SONS INC 580 CAYUGA ROAD CHEEKTOWAGA,NY14225 16-0834389	CONTRACTOR	NY
(30) D AND H EXCAVATING INC 11939 RTE 98 SOUTH ARCADE,NY14009 16-1459606	CONTRACTOR	NY
(31) DONEGAL CONSTRUCTION CORP PO BOX 450 NEW STANTON,PA15672 25-1436046	CONTRACTOR	PA
(32) EASTWOOD INDUSTRIES INC PO BOX 305 NORTH BOSTON,NY14110 11-2803780	CONTRACTOR	NY
(33) EATON ASSOCIATES INC 242 BLAINE AVENUE BUFFALO,NY14208 16-1190266	CONTRACTOR	NE
(34) EDBAUER CONSTRUCTION 2790 CLINTON ST WEST SENECA,NY14224 20-4522832	CONTRACTOR	NY
(35) ELDERLEE INC 729 CROSS ROADS OAK CORNERS,NY14518 16-0709819	CONTRACTOR	NY
(36) DMYLES INC 1901 CONNECTICUT AVE NIAGARA FALLS,NY14305 46-3133275	CONTRACTOR	NY
(37) ENCOMPASS PIPELINE INC 1121 SE 4TH AVE GRAND RAPIDS,MN55744 46-1206488	CONTRACTOR	MN
(38) FABCON INCORPORATED 12520 QUENTIN AVE SOUTH SAVAGE,MN55378 45-5442888	CONTRACTOR	MN
(39) FERRARO PILE & SHORING INC 13590 GENESEE STREET ALDEN,NY14004 16-1362508	CONTRACTOR	NY
(40) FORCE DRILLING LLC PO BOX 174 MT MORRIS,PA15349 20-2269621	CONTRACTOR	PA
(41) FOX FENCE INC 2637 LOCKPORT RD NIAGARA FALLS,NY14305 16-1126607	CONTRACTOR	NY
(42) FRANCIS J PALO INC 309 S 4TH AVE CLARION,PA16214 25-1243189	CONTRACTOR	PA
(43) FRATTO CURBING 2500 ST RTE 14 GENEVA,NY14456 84-4032693	CONTRACTOR	NY
(44) FRONTIER INSULATION 2101 KENMORE AVENUE BUFFALO,NY14207 16-0732697	CONTRACTOR	NY
(45) FSR CONTRACTING INC 4140 SOUTH TAYLOR RD ORCHARD PARK,NY14127 22-3351223	CONTRACTOR	NY
(46) 34 GROUP INC 4201 NORTH BUFFALO ROAD ORCHARD PARK,NY14127 47-0969923	CONTRACTOR	NY
(47) 4TH GENERATION 5650 SIMMONS AVENUE NIAGARA FALLS,NY14304 82-1902880	CONTRACTOR	NY
(48) GENEVA CURBING CONCRETE CO 64 SENECA ST STE 201 GENEVA,NY14456 16-1320319	CONTRACTOR	NY
(49) HANGING H COMPANIES 1912 S BURLINGTON 100 BURLINGTON,WA98233 000000000	CONTRACTOR	WA
(50) THE HILLS GROUP LLC 2100 WOOD AVENUE EASTON,PA18042 000000000	CONTRACTOR	PA
(51) HENKELS AND MCCOY INC 985 JOLLY ROAD BLUE BELL,PA19422 000000000	CONTRACTOR	PA
(52) HIGHWAY REHABILITATION 2258 RT 22 BREWSTER,NY10509 22-2355196	CONTRACTOR	NY
(53) HUNTING VALLEY CONST INC 825 REIN ROAD CHEEKTOWAGA,NY14225 45-2071842	CONTRACTOR	NY
(54) HIGHLAND MASONRY 33 RANSIER DR WEST SENECA,NY14042 20-4732948	CONTRACTOR	NY
(55) HORIZON MASONRY RESTORATION 4142 BROADWAY DEPEW,NY14043 27-4711163	CONTRACTOR	NY
(56) HUBER CONSTRUCTION INC 136 TAYLOR DR DEPEW,NY14043 16-0808377	CONTRACTOR	NY
(57) IDEAL CONCRETE INC 400 KENNEDY ROAD CHEEKTOWAGA,NY14227 16-0774955	CONTRACTOR	NY
(58) INDEPENDENCE EXCAVATING INC 5720 E SCHAAF RD INDEPENDENCE,OH44131 34-0938274	CONTRACTOR	OH
(59) INSULATION COATING 9008 KIDDER ROAD SHERMAN,NY14781 27-1533866	CONTRACTOR	NY
(60) ICC COMMONWEALTH CORPORATION 795 WURLITZER DR NORTH TONAWANDA,NY14120 16-0850893	CONTRACTOR	NY
(61) IROQUOIS BAR CORP 155 COMMERCE DRIVE LACKAWANNA,NY14218 16-1570355	CONTRACTOR	NY
(62) J AND J DETAILS AND 24 OWAHN PL BUFFALO,NY14210 84-2113854	CONTRACTOR	NY
(63) JDM CONSTRUCTION SERVICES 4142 BROADWAY DEPEW,NY14086 83-0959989	CONTRACTOR	NY
(64) THOMAS JOHNSON INC 4196 SOUTH TAYLOR ROAD ORCHARD PARK,NY14127 16-0868975	CONTRACTOR	NY
(65) K AND E FABRICATING CO INC 40 STANLEY STREET BUFFALO,NY14206 16-1118862	CONTRACTOR	NY
(66) KALEIDA HEALTH 726 EXCHANGE ST STE 200 BUFFALO,NY14210 16-1533232	CONTRACTOR	NY
(67) KELLER NORTH AMERICA INC 7550 TEAGUE ROAD STE 300 HANOVER,MD21076 000000000	CONTRACTOR	MD
(68) KOCH KNIGHT LLC 5385 ORCHARD VIEW DR E CANTON,OH44730 48-1248315	CONTRACTOR	OH
(69) L AND D CONSTRUCTION PO BOX 935 WEST SENECA,NY14224 16-1180979	CONTRACTOR	NY
(70) LABORERS UNION LOCAL 210 25 TYROL DRIVE STE 100 CHEEKTOWAGA,NY14227 16-0492850	CONTRACTOR	NY
(71) LAUBACKER ENTERPRISES INC 528 62ND STREET NIAGARA FALLS,NY14304 47-1950545	CONTRACTOR	NY
(72) EJ MILITELLO CONCRETE INC 8565 ROLL ROAD CLARENCE CENTER,NY14032 16-1499372	CONTRACTOR	NY
(73) KANDEY COMPANY INC 19 RANSIER DRIVE WEST SENECA,NY14224 16-1224079	CONTRACTOR	NY
(74) FRANK LILL SON INC 785 OLD DUTCH ROAD VICTOR,NY14564 16-0834603	CONTRACTOR	NY
(75) MADER CONSTRUCTION CORP PO BOX 420 ELMA,NY14059 16-1597189	CONTRACTOR	NY
(76) MANNING SQUIRES 8426 SEVEN SPRINGS RD BATAVIA,NY14020 16-0851503	CONTRACTOR	NY
(77) MARK CERRONE INC PO BOX 3009 NIAGARA FALLS,NY143047309 16-1567314	CONTRACTOR	NY
(78) MAROUS BROTHERS 36933 VINE ST WILLOUGHBY,OH44094 34-1327243	CONTRACTOR	OH
(79) MASTER'S EDGE INC 3409 BROADWAY STREET CHEEKTOWAGA,NY14227 16-1322656	CONTRACTOR	NY
(80) M AND C UTILITIES LLC 155 COMMERCE DRIVE LACKAWANNA,NY14218 47-3045699	CONTRACTOR	NY
(81) METRO CONTRACTING 2939 LOCKPORT ROAD NIAGARA FALLS,NY14305 16-1540853	CONTRACTOR	NY
(82) MID AMERICA 901 RIDGEWAY AVE AURORA,IL60506 76-0589277	CONTRACTOR	IL
(83) MICHELS PIPELINE PO BOX 128 BROWNSVILLE,WI53006 39-0970311	CONTRACTOR	WI
(84) MILLENNIUM CONSTRUCTION 8320 QUARRY ROAD NIAGARA FALLS,NY14304 46-5640153	CONTRACTOR	NY
(85) MILLSPAUGH CONSTRUCTION LLC 15631 LYNCH ROAD ALBION,NY14411 20-3171636	CONTRACTOR	NY
(86) MONTANOSA RESTORATION INC 10 CAIRN ST STE A ROCHESTER,NY14611 81-1930578	CONTRACTOR	NY
(87) MORRIS MASONRY RESTORATION LLC 441 BAILEY AVE BUFFALO,NY14210 16-1566690	CONTRACTOR	NY
(88) MURNAME CONSTRUCTION PO BOX 2984 PLATTSBURGH,NY12901 14-1827655	CONTRACTOR	NY
(89) NATURAL RESTORATIONS PO BOX 177 WILLIAMSVILLE,NY142310177 26-3391228	CONTRACTOR	NY
(90) NYS HEALTH AND SAFETY TRUST 18 CORPORATE WOODS BLVD ALBANY,NY12211 000000000	CONTRACTOR	NY
(91) NEW JERSEY BUILDING LABORERS 485 ROUTE 1 SOUTH BLDB STE401 ISELIN,NJ08830 000000000	CONTRACTOR	NJ
(92) NYS LABORERS ORGANIZING FUND 42 40 BELL BLVD NO 602 BAYSIDE,NY11361 20-8063145	CONTRACTOR	NY
(93) NICHOLS LONG AND MOORE CONSTR 770 RIVERVIEW BLVD TONAWANDA,NY14150 16-1300546	CONTRACTOR	NY
(94) OAKGROVE CONSTRUCTION INC PO BOX 103 ELMA,NY14059 16-0846585	CONTRACTOR	NY
(95) ONEIDA SALES AND SERVICES INC 155 COMMERCE DRIVE LACKAWANNA,NY14218 16-1227935	CONTRACTOR	NY
(96) OJIBWAY CONSTRUCTION CORP 1332 TANGLEWOOD DR NORTH TONAWANDA,NY14120 000000000	CONTRACTOR	NY
(97) OTIS EASTERN SERVICE INC S BROOKLYN AVE PO BOX 330 WELLSVILLE,NY14895 16-0725868	CONTRACTOR	NY
(98) PAVILION DRAINAGE SUPPLY CO PO BOX 219 PAVILION,NY14525 16-1125876	CONTRACTOR	NY
(99) PHELPS GUIDE RAIL INC PO BOX 130 919 CRESS ROAD PHELPS,NY14532 16-0816100	CONTRACTOR	NY
(100) PLIBRICO COMPANY LLC 949 S BROADWAY AVE SALEM,OH44460 20-1626973	CONTRACTOR	OH
(101) PRECISION PIPELINE LLC 3314 56TH STREET EAU CLAIRE,WI54703 20-0667117	CONTRACTOR	WI
(102) PYRAMID MASONRY LLC PO BOX 194 WEST SENECA,NY14224 000000000	CONTRACTOR	NY
(103) QUALITY STRUCTURES INC PO BOX 60648 ROCHESTER,NY14606 16-1389205	CONTRACTOR	NY
(104) PINTO CONSTRUCTION 132 DINGENS ST BUFFALO,NY14206 16-1244875	CONTRACTOR	NY
(105) RODRIGUEZ CONSTRUCTION 683 NORTHLAND AVE BUFFALO,NY14211 46-3299228	CONTRACTOR	NY
(106) SAFESPAN SCAFFOLDING LLC 252 FILLMORE AVENUE TONAWANDA,NY14150 16-1489811	CONTRACTOR	NY
(107) SAFWAY SERVICES LLC 5251 W 130TH STREET CLEVELAND,OH44130 34-1761339	CONTRACTOR	OH
(108) SCRUFARI CONSTRUCTION CO LLC 3925 HYDE PARK BLVD NIAGARA FALLS,NY14305 16-1386297	CONTRACTOR	NY
(109) SEVENSON ENVIRONMENTAL SER INC 2749 LOCKPORT ROAD NIAGARA FALLS,NY14302 16-0997941	CONTRACTOR	NY
(110) THE STATE GROUP INDUSTRIAL 13800 N HWY 57 EVANSVILLE,IN47725 000000000	CONTRACTOR	IN
(111) STC CONSTRUCTION INC PO BOX 459 SPRINGVILLE,NY14141 16-1513964	CONTRACTOR	NY
(112) STIMM ASSOCIATES INC 10 KATHERINE ST BUFFALO,NY14210 16-0989185	CONTRACTOR	NY
(113) STRUCTURAL SERVICES PO BOX 30937 ROCHESTER,NY14603 16-1439985	CONTRACTOR	NY
(114) SURIANELLO GENERAL CONCRETE 635 WYOMING AVENUE BUFFALO,NY14215 16-0921877	CONTRACTOR	NY
(115) H MILES ENTERPRISES INC 4256 E LAKE RD WILSON,NY14172 47-2175226	CONTRACTOR	NY
(116) TURNER CONSTRUCTION COMPANY 50 LAKEFRONT BLVD STE 200 BUFFALO,NY14202 000000000	CONTRACTOR	NY
(117) UNIVERSITY AT BUFFALO 120 CROFTS BUFFALO,NY14260 16-0869020	CONTRACTOR	NY
(118) UNION CONCRETE & CONST CORP P O BOX 410 WEST SENECA,NY14224 16-1399397	CONTRACTOR	NY
(119) UNITED RENTALS INC 12802 TAMPA OAKS BLVD SUITE 350 TEMPLE TERRACE,FL33637 000000000	CONTRACTOR	FL
(120) UPSTATE NY LABORERS 200 SALINA MEADOWS PKWY STE210 SYRACUSE,NY13212 000000000	CONTRACTOR	NY
(121) VALERI CONCRETE 6297 WENDT DRIVE NIAGARA FALLS,NY14304 16-1515002	CONTRACTOR	NY
(122) CARL WALKER CONSTRUCTION 935 VISTA DRIVE PITTSBURGH,PA15205 27-1071378	CONTRACTOR	PA
(123) WILLIAM WATSON CO INC 8064 NORTH MAIN STREET EDEN,NY14057 16-0903237	CONTRACTOR	NY
(124) WAYSIDE NURSERY INC 8962 PORTER ROAD NIAGARA FALLS,NY14304 54-2164604	CONTRACTOR	NY
(125) L C WHITFORD COMPANY INC BOX 663 WELLSVILLE,NY14895 16-0789973	CONTRACTOR	NY
(126) WOODSMITH FENCE CORP 5610 OLD SAUNDERS SETTLEMENT LOCKPORT,NY14094 20-5783315	CONTRACTOR	NY
(127) WALTER S JOHNSON 6638 MOORADIAN DR NIAGARA FALLS,NY14304 16-0499700	CONTRACTOR	NY

Schedule R (Form 990) 2021

Page 3

Part V

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

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

Yes

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

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

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

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

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

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

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

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

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

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

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

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

Yes

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

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

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

Yes

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

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

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

Yes

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
(1) BUFFALO LABORERS PENSION FUND	k	40,314	LEASED OFFICE SPACE FROM BUFFALO LABORERS PENSION FUND.
(2) BUFFALO LABORERS PENSION FUND	q	288,439	AMOUNT PAID FOR SHARED SERVICES OF EMPLOYEES AS WELL AS OTHER OFFICE EXPENDITURES.
(3) BUFFALO LABORERS' SECURITY FUND	q	35,875	AMOUNT PAID FOR SHARED SERVICES OF EMPLOYEES AS WELL AS OTHER OFFICE EXPENDITURES.
(4) BUFFALO LABORERS' TRAINING FUND	q	42,541	AMOUNT PAID FOR SHARED SERVICES OF EMPLOYEES AS WELL AS OTHER OFFICE EXPENDITURES.

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:	22015720
Software Version:	v1.00

1	Briefly describe the organization’s mission or most significant activities: TO PROVIDE HEALTH AND WELFARE COVERAGE FOR PARTICIPANTS AND THEIR DEPENDENTS THROUGH HOURLY CONTRIBUTIONS FROM EMPLOYERS THAT HAVE LABORERS WORKING FOR THEM UNDER A COLLECTIVE BARGAINING AGREEMENT
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	8
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	0
5	Total number of individuals employed in calendar year 2021 (Part V, line 2a) ......	5	478
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) .........	9,247,489	9,406,416
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	707,522	580,485
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	350,339	369,302
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	10,305,350	10,356,203
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).....	8,671,838	8,524,702
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	570,348	595,182
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)....	385,265	395,579
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	9,627,451	9,515,463
19	Revenue less expenses. Subtract line 18 from line 12.......	677,899	840,740
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	20,081,004	21,065,269
21	Total liabilities (Part X, line 26).............	148,847	153,673
22	Net assets or fund balances. Subtract line 21 from line 20.....	19,932,157	20,911,596

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 9,515,463 including grants of $ 0 ) (Revenue $ 9,775,718 )
	TO PROVIDE HEALTH AND WELFARE COVERAGE FOR PARTICIPANTS AND THEIR DEPENDENTS THROUGH CONTRIBUTIONS RECEIVED FROM THE PARTICIPANTS EMPLOYERS BASED UPON COLLECTIVE BARGAINING AGREEMENTS WITH LABORERS LOCAL 210 OF NORTH AMERICA. CONTRIBUTIONS COLLECTED ARE ADMINISTERED ON BEHALF OF PARTICIPANTS UTILIZING HEALTH REIMBURSEMENT ACCOUNTS.

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












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












4d	Other program services (Describe in Schedule O.)
	(Expenses $ 0 including grants of $ 0 ) (Revenue $ 0 )
4e	Total program service expenses9,515,463

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)		(D) Reportable compensation from the organization (W-2/1099-MISC/1099-NEC)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and title
(1) THOMAS L PANEK...................................................................... FUND ADMINISTRATOR	28 ................. 12		X	133,400	0	53,115
(2) PETER CAPITANO...................................................................... LABOR TRUSTEE	1 ................. 1	X		0	0	0
(3) SAMUEL CAPITANO...................................................................... LABOR TRUSTEE	1 ................. 1	X		0	0	0
(4) JAMES LOGAN...................................................................... EMPLOYER TRUSTEE	1 ................. 1	X		0	0	0
(5) JOHN MASSARO...................................................................... LABOR TRUSTEE	1 ................. 1	X		0	0	0
(6) NICKOLAUS OSINSKI...................................................................... EMPLOYER TRUSTEE	1 ................. 1	X		0	0	0
(7) CHARLES PALADINO...................................................................... LABOR TRUSTEE	1 ................. 1	X		0	0	0
(8) GREGORY SCHOBER...................................................................... EMPLOYER TRUSTEE	1 ................. 0	X		0	0	0
(9) MATT SQUIRES...................................................................... EMPLOYER TRUSTEE	1 ................. 1	X		0	0	0

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	133,400	0	53,115

(A) Name and business address	(B) Description of services	(C) Compensation





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 0

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.......		0

		Business Code
2a	EMPLOYER CONTRIBUTIONS	525120	8,980,340	8,980,340	0	0
b	LATE FEES AND PENALTIES - EMPLOYER	525100	28,029	28,029	0	0
c	PARTICIPANT CONTRIBUTIONS	525120	395,797	395,797	0	0
d	COBRA STIMULUS PREMIUM	525120	2,250	2,250	0	0
e
f	All other program service revenue.		0	0	0	0
g	Total. Add lines 2a–2f .....		9,406,416

3 Investment income (including dividends, interest, and othersimilar amounts) ......			580,485	0	0	580,485
4 Income from investment of tax-exempt bond proceeds			0	0	0	0
5 Royalties...........			0	0	0	0
		(ii) Personal	(i) Real
6a	Gross rents			6a
b	Less: rental expenses			6b
c	Rental income or (loss)	0	0	6c
d	Net rental income or (loss).......
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory			7a
b	Less: cost or other basis and sales expenses			7b
c	Gain or (loss)	0	0	7c
d	Net gain or (loss).........
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	SECURITIES LITIGATION PROCEEDS		525100	173	173	0	0
b	SHARED SERVICES REIMBURSEMENT		525120	366,855	366,855	0	0
c	REFUNDS AND REIMBURSEMENTS		525120	2,274	2,274	0	0
d	All other revenue ....			0	0	0	0
e	Total. Add lines 11a–11d ......			369,302
12	Total revenue. See instructions.....			10,356,203	9,775,718	0	580,485

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 .......	8,524,702
5	Compensation of current officers, directors, trustees, and key employees ...........	186,515
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........	0
7	Other salaries and wages........	248,538
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	41,523
9	Other employee benefits .......	87,816
10	Payroll taxes ...........	30,790
11	Fees for services (non-employees):
a	Management ......	0
b	Legal .........	105,360
c	Accounting ...........	57,364
d	Lobbying ...........	0
e	Professional fundraising services. See Part IV, line 17	0
f	Investment management fees ......	8,500
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	0
12	Advertising and promotion ....	0
13	Office expenses .......	67,831
14	Information technology ......	46,023
15	Royalties ..	0
16	Occupancy ...........	40,314
17	Travel ............	1,832
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .	0
19	Conferences, conventions, and meetings ....	20,559
20	Interest ...........	0
21	Payments to affiliates .......	0
22	Depreciation, depletion, and amortization ..	8,496
23	Insurance ...	22,787
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	PCORI FEES	3,063
b	BAD DEBTS - EMPLOYER CONTRIBUTIONS	11,000
c	ACTUARY FEES	2,450
d
e	All other expenses
25	Total functional expenses. Add lines 1 through 24e	9,515,463	0	0	0
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 ........			153,080	1	182,010
2	Savings and temporary cash investments .........			927,731	2	465,003
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			1,662,542	4	1,624,003
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 .......
				0	5	0
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) ...
				0	6	0
7	Notes and loans receivable, net ...........			0	7	0
8	Inventories for sale or use ............			0	8	0
9	Prepaid expenses and deferred charges ......			26,952	9	40,164
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	218,004
b	Less: accumulated depreciation	10b	195,782	30,718	10c	22,222
11	Investments—publicly traded securities .			17,279,981	11	18,731,867
12	Investments—other securities. See Part IV, line 11 .....				12
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........				15
16	Total assets. Add lines 1 through 15 (must equal line 33)...			20,081,004	16	21,065,269

17	Accounts payable and accrued expenses .....	148,847	17	153,673
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		25
26	Total liabilities. Add lines 17 through 25..	148,847	26	153,673

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	19,932,157	27	20,911,596
28	Net assets with donor restrictions ...........	0	28	0
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	19,932,157	32	20,911,596
33	Total liabilities and net assets/fund balances ........	20,081,004	33	21,065,269