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

GREAT PLAINS LABORERS' VACATION FUND

Employer identification number

37-1279472

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)
(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.)	1,259
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	7,859,286
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
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	0
3	Subtract line 2e from line 1..................			3	7,859,286
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	1,092
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................			4c	1,092
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......			5	7,860,378

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	7,787,097
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	7,787,097
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	1,092
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.....................			4c	1,092
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......			5	7,788,189

Part XIII

Supplemental Information

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

Return Reference	Explanation
PART X, LINE 2:	THE IRS HAS DETERMINED AND INFORMED THE PLAN BY A LETTER DATED SEPTEMBER 10, 1992, THAT THE PLAN, AS THEN DESIGNED, WAS IN ACCORDANCE WITH SECTION 501(C)(9) OF THE INTERNAL REVENUE CODE (IRC). ALTHOUGH THE PLAN HAS BEEN AMENDED SINCE RECEIVING THE DETERMINATION LETTER, THE PLAN ADMINISTRATOR AND THE PLAN'S LEGAL COUNSEL BELIEVE THAT THE PLAN IS DESIGNED, AND IS CURRENTLY BEING OPERATED, IN COMPLIANCE WITH THE APPLICABLE REQUIREMENTS OF THE IRC AND, THEREFORE, BELIEVE THAT THE PLAN IS QUALIFIED, AND THE RELATED TRUST IS TAX-EXEMPT. THE TOTAL AMOUNTS OF INTEREST AND PENALTIES RECOGNIZED IN THE STATEMENTS OF CHANGES IN NET ASSETS AVAILABLE FOR BENEFITS AND THE TOTAL AMOUNTS OF INTEREST AND PENALTIES RECOGNIZED IN THE STATEMENTS OF NET ASSETS AVAILABLE FOR BENEFITS ARE $0. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE PLAN MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE PLAN AND RECOGNIZE A TAX LIABILITY IF THE ORGANIZATION HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES. THE PLAN ADMINISTRATOR HAS ANALYZED THE TAX POSITIONS TAKEN BY THE PLAN, AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2022 AND 2021, THERE ARE NO UNCERTAIN TAX 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 TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. THE PLAN HAS NEVER HAD UNRELATED BUSINESS INCOME TAX (UBIT) NOR HAS IT FILED THE FORM 990-T. THEREFORE, ALL TAX YEARS ARE OPEN FOR EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES RELATED TO UBIT.

Return Reference

Explanation

PART X, LINE 2:

THE IRS HAS DETERMINED AND INFORMED THE PLAN BY A LETTER DATED SEPTEMBER 10, 1992, THAT THE PLAN, AS THEN DESIGNED, WAS IN ACCORDANCE WITH SECTION 501(C)(9) OF THE INTERNAL REVENUE CODE (IRC). ALTHOUGH THE PLAN HAS BEEN AMENDED SINCE RECEIVING THE DETERMINATION LETTER, THE PLAN ADMINISTRATOR AND THE PLAN'S LEGAL COUNSEL BELIEVE THAT THE PLAN IS DESIGNED, AND IS CURRENTLY BEING OPERATED, IN COMPLIANCE WITH THE APPLICABLE REQUIREMENTS OF THE IRC AND, THEREFORE, BELIEVE THAT THE PLAN IS QUALIFIED, AND THE RELATED TRUST IS TAX-EXEMPT. THE TOTAL AMOUNTS OF INTEREST AND PENALTIES RECOGNIZED IN THE STATEMENTS OF CHANGES IN NET ASSETS AVAILABLE FOR BENEFITS AND THE TOTAL AMOUNTS OF INTEREST AND PENALTIES RECOGNIZED IN THE STATEMENTS OF NET ASSETS AVAILABLE FOR BENEFITS ARE $0. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE PLAN MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE PLAN AND RECOGNIZE A TAX LIABILITY IF THE ORGANIZATION HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES. THE PLAN ADMINISTRATOR HAS ANALYZED THE TAX POSITIONS TAKEN BY THE PLAN, AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2022 AND 2021, THERE ARE NO UNCERTAIN TAX 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 TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. THE PLAN HAS NEVER HAD UNRELATED BUSINESS INCOME TAX (UBIT) NOR HAS IT FILED THE FORM 990-T. THEREFORE, ALL TAX YEARS ARE OPEN FOR EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES RELATED TO UBIT.

Schedule D (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

GREAT PLAINS LABORERS' VACATION FUND

Employer identification number

37-1279472

Return Reference	Explanation
FORM 990, PART VI, SECTION B, LINE 11B	THE FUND AUDITOR PREPARES THE RETURN AND IT IS SIGNED BY AN OFFICER/TRUSTEE BEFORE IT IS ELECTRONICALLY FILED.
FORM 990, PART VI, SECTION C, LINE 19	AVAILABLE UPON REQUEST

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

GREAT PLAINS LABORERS' VACATION FUND

Employer identification number

37-1279472

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)NORTH CENTRAL ILLINOIS LABORERS HEALTH & WELFARE FUND 4208 W PARTRIDGE WAY UNIT 3 PEORIA,IL61615 30-0088171	HEALTH & WELFARE FUND	IL	501(C)(9)		N/A		No
(2)BOARD OF TRUSTEES SEE PART VII FOR LISTING

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) RIVER CITY CONSTR CO
(2) WESTERN WATERPROOFING CO INC
(3) TARLTON CORPORATION
(4) FREESEN
(5) ILLINOIS VALLEY PAVING
(6) MIDWEST FENCE CORPORATION
(7) RAGNAR BENSON LLC
(8) LABORERS LOCAL 0751
(9) KANKAKEE VALLEY CONSTR CO
(10) GRAYCOR INDUSTRIAL CONSTRS INC
(11) RATLIFF BROTHERS & CO
(12) CENTRAL LABRS PEN WEL & AN FUNDS
(13) ASSOCIATED CONSTRUCTORS CO
(14) ADVANCED ASPHALT CO
(15) SIEMENS GENERATION SERVICES
(16) PRICE GREGORY INTERNATIONAL
(17) GENEVA CONSTRUCTION CO
(18) R A CULLINAN & SON
(19) JOE HATZER & SON INC
(20) MC CARTHY IMPROVEMENT CO
(21) LAVERDIERE CONSTRUCTION
(22) CONTRACTING & MATERIAL CO
(23) P T FERRO CONSTRUCTION CO INC
(24) HAROLD OSHEA BUILDERS
(25) FELMLEY DICKERSON COMPANY
(26) VISSERING CONSTRUCTION CO
(27) LADZINSKI CEMENT FINISHING CO
(28) SUBSURFACE CONSTRS INC
(29) J W OSSOLA CONSTRUCTION
(30) LABORERS LOCAL 0393
(31) OTTO BAUM COMPANY INC
(32) TOBIN BROTHERS INC
(33) ALDRIDGE ELECTRIC INC
(34) HOHULIN FENCE CO
(35) GILLESPIE & POWERS INC
(36) MARLEY COOLING TOWER CO
(37) RUIZ CONSTRUCTION COMPANY
(38) BLACKHAWK FOUNDATION CO INC
(39) G R P WEGMAN COMPANY
(40) P & P CONSTRUCTION CO
(41) BERKEL & CO CONTRACTORS INC
(42) MIDWEST MOLE INC
(43) H & H BUILDERS INC
(44) BUILDERS SALES & SERVICE COMPANY
(45) H J EPPEL & COMPANY
(46) OPPERMAN CONSTRUCTION CO
(47) CORNER STONE CONSTR OF JANESVILLE INC
(48) M & O ENVIRONMENTAL CO
(49) STICHTER EXC & CONSTR CO
(50) COLLINS CONCRETE INC
(51) PEORIA METRO CONSTRUCTION
(52) ILLINI DRILLED FOUNDATION
(53) GUNTHER CONSTRUCTION A DIV OF U C M
(54) NORTHERN CONTRACTING INC
(55) NORTHERN ILLINOIS SERV CO
(56) MICRO-SURFACING CONTRACTORS LLC
(57) WHITE CONSTRUCTION INC
(58) HAYDEN WRECKING CORPORATION
(59) FREEHILL ASPHALT INC
(60) JOHN POHAR & SONS
(61) MID-ILLINOIS MECHANICAL INC
(62) ROWE CONSTRUCTION COMPANY
(63) MC LEAN COUNTY ASPHALT CO
(64) TOBEYS CONSTRUCTION & CARTAGE INC
(65) R W DUNTEMAN CO
(66) ATLANTIC PLANT MAINTENANCE INC
(67) JOHNSON DOWNS CONSTR CO
(68) P J HOERR INC
(69) WILLIAM AUPPERLE & SONS INC
(70) DRIES BROTHERS INC
(71) THE PIPCO COMPANIES LTD
(72) T C I COMPANIES INC
(73) GALLAGHER ASPHALT CORP
(74) CENTRAL LANDSCAPING LP
(75) CONCRETE BY WAGNER
(76) JACK HALL CONSTRUCTION INC
(77) PETRY-KUHNE CO
(78) GREAT PLAINS LABORERS DC
(79) LABORERS LOCAL 0165
(80) N E FINCH COMPANY
(81) LABORERS LOCAL 0362
(82) INTERCON CONSTRUCTION INC
(83) SPRAY INSULATIONS INC
(84) BENNETT CONSTRUCTION INC
(85) GEORGE GILDNER INC
(86) RUSSELL CONSTRUCTION CO
(87) WILKIN INSULATION
(88) STARK EXCAVATING INC
(89) LABORERS LOCAL 0538
(90) KNAPP CONCRETE CONTRACTOR
(91) VALLEY CONSTRUCTION CO
(92) WEITZ INDUSTRIAL LLC
(93) ALBERICI CONSTRUCTORS INC
(94) J J BRAKER & SONS INC
(95) FIVE CITIES CONSTR CO
(96) KEN CURRY CONSTR INC
(97) GOETZ CONCRETE CNSTR CORP
(98) LEWIS CONSTRUCTION
(99) LITE CONSTRUCTION INC
(100) LABORERS LOCAL 0309
(101) MID-STATES CONCRETE INDUSTRIES
(102) WALTER D LAUD INC
(103) PREMIUM CONCRETE INC
(104) RINGLAND JOHNSON INC
(105) SEEDORFF MASONRY INC
(106) RYAN & ASSOCIATES INC
(107) TREIBER CONSTRUCTION CO INC
(108) GEHRKE CONSTRUCTION INC
(109) CURRAN CONTRACTING CO
(110) ROCKFORD STRUCTURES CONST
(111) SJOSTROM & SONS INC
(112) BISHOP BROTHERS INC
(113) KRAEMER NORTH AMERICA LLC
(114) ELLIOTT & WOOD INC
(115) RAFFIN CONSTRUCTION CO
(116) CIVIL CONSTRUCTORS INC
(117) CRUZ CONCRETE INC
(118) FORRISTALL CONCRETE CO
(119) WHITTAKER CONTR & EXCAVG
(120) STENSTROM GENERAL CONTR
(121) THE LEVY COMPANY
(122) P A B SERVICE INC
(123) PLOTE CONSTRUCTION INC
(124) PHOENIX CORP QUAD CITIES
(125) GROSSO CONSTRUCTION CO
(126) OAKWOOD ENTERPRISES
(127) DIAMOND MASONRY OF IL INC
(128) RIBER CONSTRUCTION INC
(129) ALLAN EDWARDS CONSTR CO
(130) CROSS CONSTRUCTION INC
(131) ASPHALT STONE CO
(132) PIGGUSH SIMONEAU INC
(133) AMERICAN DEMOLITION CORP
(134) LEANDER CONSTRUCTION INC
(135) RIVER CITY DEMOLITION
(136) CURNYN CONSTRUCTION CO
(137) WESTPORT POOLS
(138) SCANDROLI CONSTRUCTION CO
(139) N P L CONSTRUCTION CO
(140) RAY EDWARDS CONTRACTORS INC
(141) LILJA CORPORATION
(142) ROSE CONCRETE
(143) WALSH CONSTRUCTION COMPANY
(144) G M SIPES CONSTR INC
(145) DAVIS CONCRETE CONSTUCTION
(146) LABORERS LOCAL 0727
(147) LANDMARK CONTRACTORS INC
(148) SCHMELING CONSTRUCTION CO
(149) LABORERS LOCAL 0032
(150) PETER BAKER & SON CO
(151) MONTEMAYOR CONSTRUCTION INC
(152) WALKER EXCAVATING CO INC
(153) G A RICH & SONS INC
(154) I & I CONSTRUCTION INC
(155) T G MERCER CONSULTING SE
(156) S K SERVICE CORP DBA S K FENCE
(157) MARTIN & COMPANY EXCAV
(158) WILLIAMS BROTHERS CONSTR
(159) BYRNE & JONES CONSTRUCTION
(160) J P CULLEN & SON INC
(161) COLLINS & HERMANN INC
(162) EARTH CARE UNLIMITED INC
(163) ANDERSON COMMERCIAL CNCRT
(164) IROQUOIS PAVING CORP
(165) J G STEWART CONTRACTORS
(166) ASSOC PIPE LINE CNSTR INC
(167) HOERR CONSTRUCTION INC
(168) LANGMAN CONSTRUCTION INC
(169) LABORERS LOCAL 0996
(170) GREAT PLAINS LECET
(171) JOHNCO CONSTRUCTION INC
(172) JOHN BURNS CONSTRUCTION
(173) UNIVERSAL ASPHALT & EXCAV INC
(174) MICHELS PIPELINE INC
(175) MC CLEARY EXCAVATING CO INC
(176) DUNN COMPANY DIV TYROLT INC
(177) TWIN CITY CONSTRUCTION CO
(178) CORRECTIVE ASPHALT MATERIALS LLC
(179) I C C GROUP INC
(180) R & R INC
(181) CONCRETE SYSTEMS INC
(182) COUNTRYMAN INC
(183) GAGNON INC
(184) HENKELS & MCCOY INC
(185) NEGWER MATERIALS
(186) JUST MASONRY INC
(187) IRVING CONSTRUCTION CO
(188) A Z C O INC
(189) CORE CONSTR SERVS OF IL
(190) KEELEY CONSTRUCTION GROUP
(191) TAZEWELL COUNTY ASPHALT
(192) A & R SERVICES INC
(193) FABCON INC
(194) CENTENNIAL CONTRACTORS
(195) ROCK ROAD COMPANIES INC
(196) EAGLE CONCRETE INC
(197) M R MASON CONTRACTOR
(198) HEIN CONSTRUCTION COMPANY
(199) KEEN COMPANY INC
(200) RUDOLPH MASONRY CONTR
(201) KIRBY & TURNER MASONRY
(202) W F JOHNSTON CONSTR INC
(203) HODGE CONSTR CO INC
(204) K B C INC
(205) DYKSTRA CONCRETE CONSTR
(206) ALEXANDER CONSTR INC
(207) BROWN CONSTRUCTION COMPANY
(208) SCHOMBURG & SCHOMBURG CONSTR
(209) J C DILLON INC
(210) ALLIANCE CONTRACTORS INC
(211) COOLING LANDSCAPE CONTR LLC
(212) LINDBLAD CONSTR CO OF JOL
(213) RAMCORP INC
(214) LUNDA CONSTRUCTION CO
(215) POETTKER CONSTRUCTION COMPANY
(216) KEVIN NUGENT CONSTR INC
(217) MID ILLINOIS COMPANIES
(218) ESTES CONSTRUCTION
(219) MID AMERICA ENERGY SERVICES INC
(220) T M F CONSTRUCTION CO
(221) CLEVENGER CONTRACTING INC
(222) MARTIN CEMENT COMPANY
(223) D CONSTRUCTION INC
(224) MINNESOTA LIMITED INC
(225) CAMPOS CONSTRUCTION INC
(226) G I L C O SCAFFOLDING CO
(227) M E R C CONSTRUCTION INC
(228) HAYES MECHANICAL INC
(229) VEIT & COMPANY INC
(230) BENIACH CONSTR CO INC
(231) REFRACTORY SERVICE INC
(232) GENERAL CONSTRUCTORS INC
(233) ACCESS CONTROL CO INC
(234) PACKARD EXCAVATING
(235) PRICE DEMOLITION INC
(236) RYAN COMPANIES US INC
(237) THE BOLDT COMPANY
(238) REYNOLDS CONSTRUCTION LLC
(239) WILLIAMS REFRACTORY SERVS INC
(240) C P I OF THE MIDWEST INC
(241) PLOCHER CONSTRUCTION
(242) SCURTO CEMENT CONSTR LTD
(243) IVAN RICE & SONS INC
(244) SOLID PLATFORMS INC
(245) DIAMOND CUT INC
(246) R G CONSTRUCTION SERVICES
(247) TRAFFIC CONTROL & PROTECTION INC
(248) PORTZEN CONSTRUCTION INC
(249) M A MORTENSON CO
(250) MIDWEST SERVICE GROUP
(251) RATHBUN & SON CARPENTRY
(252) SINGLEY CONSTRUCTION INC
(253) KEMPER CONSTRUCTION INC
(254) JIMMY Z MASONRY CORPORATION
(255) PREFERRED CONCRETE EXCAVATING INC
(256) GENE WREN CONSTR CO
(257) ERA VALDIVIA CONTR INC
(258) IRONHUSTLER EXCAV INC
(259) STENSTROM EXCAV & BLACKTOP GRP
(260) FISCHER EXCAVATING INC
(261) ROCKFORD CONCRETE PAVING
(262) CYBERDYNE MASONRY CORP
(263) PAVEMENT MAINT SERV INC
(264) BRANDENBURG IND SERV CO
(265) WILLIAMS PLANT SERVICES LLC
(266) NICKELSON INDUSTRIAL SERV
(267) PRIME SCAFFOLD INC
(268) WAGNER EXCAVATING LLC
(269) WINTER CONSTRUCTION
(270) BRANDENBURG DRAINAGE INC
(271) F & W LAWN CARE & LANDSCAPING INC
(272) WOZNIAK CONCRETE FINISHNG
(273) MILLER TRUCKING & EXCAVATING
(274) LIEBHART CONSTRUCTION INC
(275) T O R CONSTRUCTION CO INC
(276) STEVE BENESH & SONS QUARRIES
(277) DOUBLE G EXCAVATING INC
(278) SUMMIT MASONRY & STONE
(279) VANDER MEERSCH LAWN IMPRVS
(280) IV GENERATION MARTIN MASONRY
(281) BARTON MALOW COMPANY
(282) ACCURATE UNDERGROUND HDD LLC
(283) KELSEY EXCAVATING INC
(284) IRONWOOD ENVIRO INC
(285) ILLINOIS VALLEY EXCAVATING
(286) J & R 1ST IN ASPHALT INC
(287) M & M CONCRETE INC
(288) DREAMSCAPES BY DENNIS INC
(289) H COOPMAN TRUCKING & EXC
(290) T C I CONSTRUCTION
(291) FOSS LANDSCAPES INC
(292) KUYPERS BROTHERS INC
(293) VALOR TECHNOLOGIES INC
(294) HERBIG BLACKTOP CONSTR LLC
(295) QUAD CITIES FFC TRUST
(296) ROADSAFE TRAFFIC SYSTEMS INC
(297) MILLER PIPELINE CORP
(298) ROBERTS PIPELINE INC
(299) QUALITY SAW & SEAL INC
(300) TROY LEE EXCAVATING INC
(301) NORD CONSTRUCTION
(302) FEKEN TRUCKING & EXCAVATING INC
(303) R & R LANDSCAPING & IRRIGATION INC
(304) LEWIS MICHAEL CONSTR MAINT
(305) SNELSON INC
(306) GARDENSCAPE CONTRS INC
(307) R W COLLINS CO
(308) NORTH CENTR IL LABRS H&W
(309) MYERS EXCAVATING
(310) KIRBY CABLE SERVICES INC
(311) PINTER GENERAL CONTRACTING
(312) CORNERSTONE CONST GROUP LLC
(313) COMPLETE ASPHALT SERV CO
(314) ABBEY PAVING & SEALCOATING CO INC
(315) WITECH CO INC
(316) NORWEST CONSTRUCTION INC
(317) 4 M C CORPORATION
(318) CENTURY ASPHALT & CONSTRUCTION
(319) ALPINE DEMOLITION SERVICES LLC
(320) D M S CONTRACTING INC
(321) M & J UNDERGROUND INC
(322) URETEK USA INC
(323) A1 MASONRY INC
(324) ENERFAB POWER & INDUSTRIAL
(325) MC COY & SONS LLC
(326) ACME FIREPROOFING & INSULATN INC
(327) RIVER CITY CUTTING & CORING
(328) INGSTRUP PAVING INC
(329) MIKE HARRIS MASON CONTR
(330) PRECISION PIPELINE LLC
(331) REYES GROUP LTD
(332) GENSINI EXCAVATING INC
(333) ROBERT SHAY LAND IMPROV
(334) COUNTY CONTRACTORS INC
(335) KINNEY CONTRACTORS INC
(336) QUICK ILLINOIS INC
(337) THE ROCKWELL GROUP
(338) WEAVER CONSTRUCTION INC
(339) INTREN INC
(340) UNITED PIPING INC
(341) TAYLOR RIDGE DRILLED FOUNDN INC
(342) ACE IN THE HOLE INC
(343) ARCHON CONSTRCTION CO INC
(344) TENCO EXCAVATING INC
(345) SENECA COMPANIES
(346) DIAMOND CORING CO
(347) PRAIRIE VIEW LANDSCG & LAWNCARE
(348) EVERST EXCAVATING INC
(349) COBRA CONCRETE CUT SERS CO
(350) ILLINOIS CIVIL CONTRS INC
(351) PARKWAY FORMING INC
(352) KATS & SONS INC
(353) BUDDYS GROUNDS MAINT
(354) T B S EXCAVATING INC
(355) J SQUARED MASONRY INC
(356) ORICA USA INC
(357) KUJO INC
(358) DOCS EXCAVATING INC
(359) BURROAK MASONRY INC
(360) RUIZ CONSTRUCTION SYSTEMS INC
(361) EARTHWORKS BY LAVICKA INC
(362) WILLIAM CHARLES CONSTRUCTION
(363) QUALITY SPOT REPAIR INC
(364) PLAINFIELD GRADING & EXCAVATING
(365) CARBO CONSTRUCTION
(366) POTTINGER CONCRETE CONSTR INC
(367) BRIESER CONSTRUCTION CO
(368) L & R CONSTRUCTION LLC
(369) SUPERIOR EXCAVATING CO
(370) R D MASONRY INC
(371) OPEN ROAD PAVING COMPANY
(372) J SPENCER COSTRUCTION LLC
(373) CONLEY EXCAVATING INC
(374) OSWEGO BUILDING SUPPLIES INC
(375) LAW EXCAVATING INC
(376) GELLY EXCAVG & CONSTR INC
(377) MIDWEST BRICK PAVING INC
(378) JOHLER DEMOLITION INC
(379) SPIRTAS WRECKING COMPANY
(380) HERLIHY MID CONTINENT COMPANY
(381) KNOTTS MASONRY INC
(382) FOUR STAR CONSTRUCTION INC
(383) BEL ROCK ASPHALT PAVING INC
(384) OBRIEN CIVIL WORKS INC
(385) S A K CONSTRUCTION
(386) K S ENERGY SERVICES
(387) GEEDING CONSTRUCTION INC
(388) Q 3 CONTRACTING INC
(389) KESSOR ENTERPRISES LTD
(390) N-TRAK GROUP LLC
(391) HARDMAN CONTR INC
(392) SCHROEDER ASPHALT
(393) ALRIGHT CONCRETE CO
(394) KASKASKIA ENGINEERING GROUP LLC
(395) RACHEL CONTRACTING INC
(396) SOIL INSTALLERS INC
(397) SCANLON EXCAVATING & CONCR INC
(398) HAMANN WAGNER EXCAVATING INC
(399) MARKET & JOHNSON INC
(400) MIDWAY CONTRACTING GROUP
(401) RABINE PAVING LLC
(402) MILLENNIUM CONTRACTING CORP
(403) THORNTON RAVE CONSTRUCTION LLC
(404) W A KLINGER LLC
(405) CHARPS LLC
(406) PAVEMENT SYSTEMS INC
(407) NICAM CONSTRUCTION
(408) QUEENS TRUCKING & CONSTR INC
(409) MID ILLINOIS CONCRETE & EXCAVATION INC
(410) WALSH CONSTRUCTION COMPANY II LLC
(411) SAFE ENVIRONMENTAL CORP
(412) CONTINENTAL PIPELINE SERVICES
(413) BUILDERS PAVING LLC
(414) ASPHALT RESTORATION SYSTEMS
(415) ROCKY MOUNTAIN SPECIALTY SVCS
(416) PATH CONSTRUCTION CO
(417) ELLINGSON TRENCHLESS LLC
(418) STOTT CONTRACTING LLC
(419) THE RED ANTS BORING
(420) R J UNDERGROUND INC
(421) PRECISION PIPING INC
(422) MIDWEST SEEDLING SUPPLY INC
(423) G C MASONRY INC
(424) TECNICA ENVIRONMENTAL SERVICES INC
(425) DOLLINGER MASONRY LLC
(426) E S W ROYAL CONSTRUCTION INC
(427) B & B MASONRY & RESTORATION
(428) INDUSTRIAL MAINTENANCE SERVICES
(429) TRAFFIC CONTROL SOLUTIONS INC
(430) CONCORD EXCAVG ENTERPRS INC
(431) CENTRAL ILLINOIS EROSION SERVS INC
(432) HEELS & HARDHATS CONTRACTING CORP
(433) B E B EXCAVATING INC
(434) UNLIMITED MASONRY & CONSTRUCTION INC
(435) STILES INC
(436) MAVERICK POOLS
(437) M ARBANAS CONSTR CO
(438) IDEAL CONTRACTING
(439) TRUE LINE CONCRETE CORING
(440) D 2 K TRAFFIC EQUIPMENT & DESIGN LLC
(441) J M I 2 CORP
(442) BERGER EXCAVATING CONTRACTORS INC
(443) COVE REMEDIATION LLC
(444) ADVANTAGE PAVING SOLUTIONS
(445) G I V S C O CONSTRUCTION CO
(446) PRETEC DIRECTIONAL DRILLING LLC
(447) PORTER BROTHERS ASPHALT & SEALING INC
(448) CHESLEY COMMERCIAL FENCE & RAIL
(449) INTERSTATE IMPROVEMENT INC
(450) B & N CLEARING AND ENVIRONMENTAL LLC
(451) RASCO MASON CONTRACTORS
(452) PAUL HERRERA CONSTRUCTION CO LTD
(453) CHICAGO CUT CONCRETE CUTTING INC
(454) ALLIED POWER SERVICES LLC
(455) BRANDT EXCAVATING INC
(456) MILBURN LLC
(457) BEAR CONSTRUCTION COMPANY
(458) DIRTWORKS TRUCKING & EXCAVATING
(459) K & D CUTTING & CORING
(460) J H C CORPORATION
(461) INTEGRATED DEMO SERV LLC
(462) ROCK VALLEY CONCRETE CUTTING
(463) JAYNE EXCAVATING & WELDING LLC
(464) M A C INDUSTRIAL SERVICES
(465) ADJUSTABLE FORMS INC
(466) LOCKWOOD EXCAVATING SERVICE
(467) WARNING LITES OF SOUTHERN IL LLC
(468) J D TRAFFIC INC
(469) PIPE STRONG LLC
(470) F C S LLC
(471) S N C CONSTRUCTION INC
(472) TRAFFIC MANAGEMENT INC
(473) LINDAHL BROTHERS INC
(474) C C T UNDERGROUND LLC
(475) TERRAZAS LLC
(476) PERFORMANCE CONSTR & ENGING LLC
(477) BILL MILLER EXCAVATING
(478) NORTHLAND CONCRETE & MASONRY CO
(479) A M CONSTRUCTION
(480) BLUE BIRD CONTRACTING INC
(481) GILLAN CONSTR LLC
(482) PAVING PROS LLC
(483) 2K COMMERCIAL CONSTRUCTION INC
(484) MC CLINTOCK TRUCKING & EXCAVATING
(485) A T C CONCRETE CUTTING INC
(486) GENERAL BUILDING SUPPLY
(487) DALE'S PLUMBING INC
(488) CENTRAL EXCAVATING INC
(489) LAVORO SERVICES CORP
(490) SEGA AG CONTRACTORS INC
(491) GOLF ACQUISITION GROUP LLC
(492) DAKOTA MATTING & ENVIRL SOLUTIONS LLC
(493) APPELLATION CONSTRUCTION SERVICES LLC
(494) CHICAGO HEIGHTS CONSTR CO
(495) MICHELS CONSTR INC
(496) BEST TREE SERVICE
(497) MC DONAGH DEMOLITION INC
(498) 123 LABOR INC
(499) A L L MASONRY CONSTR CO INC
(500) NORTHWEST STEEL ERECTION
(501) PRECISION INFRASTRUCTURE LLC
(502) D LAND CONSTR
(503) HAYES SERVICES LLC
(504) TRIBCO CONSTR SERVS LLC
(505) H 2 O INFRASTRUCTURE INC
(506) BIENENSTOCK NATURAL PLAYGROUNDS
(507) OTTAWA CONSTRUCTION LLC
(508) ALLSTATES REFRACTORY CONTRS LLC
(509) G O SERVICES LLC
(510) C SZABO CONTRACTING INC
(511) LAKEHEAD CONSTRUCTORS
(512) HONCH CONCRETE LLC
(513) BEAVER CONCRETE LLC
(514) GREAT PLAINS LABORERS VACATION FUND
(515) ABERCROMBIE PIPELINE SERVICES

Schedule R (Form 990) 2021

Page 3

Part V

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

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

Yes

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Yes

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

Yes

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

Yes

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

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

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

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
PART IV	THE PLAN IS VEBA EXEMPT UNEDER SECTION 501(C)(9) OF THE INTERNAL REVENUE CODE. PER THE INSTRUCTIONS FOR SCHEDULE R, VEBA TRUSTS ARE ONLY REQUIRED TO LIST THE NAMES OF THE SPONSORING ORGANIZATIONS AND CONTRIBUTING EMPLOYERS ON SCHEDULE R. THE PLAN HAS LISTED ALL SUCH PARTIES IN PART IV OF SCHEDULE R. THE PLAN DOES NOT KNOW THE TAXABLE STATUS OF EVERY CONTRIBUTING EMPLOYER AND THEREFORE IS UNABLE TO SPLIT UP THE INFORMATION BETWEEN THE VARIOUS SECTIONS OF SCHEDULE R.

Return Reference

Explanation

PART IV

THE PLAN IS VEBA EXEMPT UNEDER SECTION 501(C)(9) OF THE INTERNAL REVENUE CODE. PER THE INSTRUCTIONS FOR SCHEDULE R, VEBA TRUSTS ARE ONLY REQUIRED TO LIST THE NAMES OF THE SPONSORING ORGANIZATIONS AND CONTRIBUTING EMPLOYERS ON SCHEDULE R. THE PLAN HAS LISTED ALL SUCH PARTIES IN PART IV OF SCHEDULE R. THE PLAN DOES NOT KNOW THE TAXABLE STATUS OF EVERY CONTRIBUTING EMPLOYER AND THEREFORE IS UNABLE TO SPLIT UP THE INFORMATION BETWEEN THE VARIOUS SECTIONS OF SCHEDULE R.

Schedule R (Form 990) 2021

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: SAVINGS ACCOUNT FOR PARTICIPANTS
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	4
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	4
5	Total number of individuals employed in calendar year 2021 (Part V, line 2a) ......	5	0
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) .........	7,447,508	7,818,381
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	12,185	33,346
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	1,645	8,651
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	7,461,338	7,860,378
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).....	6,635,335	7,731,525
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)....	53,588	56,664
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	6,688,923	7,788,189
19	Revenue less expenses. Subtract line 18 from line 12.......	772,415	72,189
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	4,584,255	4,656,159
21	Total liabilities (Part X, line 26).............	7,671	7,386
22	Net assets or fund balances. Subtract line 21 from line 20.....	4,576,584	4,648,773

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )
	SAVINGS ACCOUNT FOR PARTICIPANTS

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












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












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)		(D) Reportable compensation from the organization (W-2/1099-MISC/1099-NEC)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and title
(1) MICHAEL SMITH...................................................................... TRUSTEE	1.00 .................	X		0	0	0
(2) DAN AUSSEM...................................................................... TRUSTEE	1.00 .................	X		0	0	0
(3) ANTHONY PENN...................................................................... SECRETARY-TREASURER	1.00 .................	X	X	0	0	0
(4) DENNIS HIGDONPAST...................................................................... CHAIRMAN	1.00 .................	X	X	0	0	0
(5) CARLA JOCKISCH...................................................................... TRUSTEE	1.00 .................	X		0	0	0

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

(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.......

		Business Code
2a	PARTICIPANT CONTRIBUTI	900099	7,818,381	7,818,381
b
c
d
e
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		7,818,381

3 Investment income (including dividends, interest, and othersimilar amounts) ......			33,346			33,346
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			7a
b	Less: cost or other basis and sales expenses			7b
c	Gain or (loss)			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	MISCELLANEOUS INCOME		900099	8,651	8,651
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			8,651
12	Total revenue. See instructions.....			7,860,378	7,827,032	0	33,346

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 .......	7,731,525
5	Compensation of current officers, directors, trustees, and key employees ...........
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........
7	Other salaries and wages........
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....
9	Other employee benefits .......
10	Payroll taxes ...........
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	100
c	Accounting ...........	11,500
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	1,092
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	27,429
12	Advertising and promotion ....
13	Office expenses .......	11,711
14	Information technology ......
15	Royalties ..
16	Occupancy ...........
17	Travel ............
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....
20	Interest ...........
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..
23	Insurance ...	4,832
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
b
c
d
e	All other expenses
25	Total functional expenses. Add lines 1 through 24e	7,788,189
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 ........		24,664	1	15,490
2	Savings and temporary cash investments .........		3,681,483	2	3,845,715
3	Pledges and grants receivable, net ......			3
4	Accounts receivable, net .............		876,586	4	792,947
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 ......		1,522	9	2,007
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 .			11
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)...		4,584,255	16	4,656,159

17	Accounts payable and accrued expenses .....	2,538	17	6,127
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	5,133	25	1,259
26	Total liabilities. Add lines 17 through 25..	7,671	26	7,386

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	4,576,584	27	4,648,773
28	Net assets with donor restrictions ...........		28
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	4,576,584	32	4,648,773
33	Total liabilities and net assets/fund balances ........	4,584,255	33	4,656,159