TY 2023 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.
right arrow

Attach to Form 990.
right arrow

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

CENTRAL ILLINOIS CARPENTERS HEALTH
AND WELFARE FUND

Employer identification number

37-1117215

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 July 25, 2006, 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 right arrow

Number of states where property subject to conservation easement is located right arrow

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
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Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
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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 ......................... right arrow

(ii)

Assets included in Form 990, Part X ............................... right arrow

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 .......................... right arrow

Assets included in Form 990, Part X ............................... right arrow

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

Cat. No. 52283D

Schedule D (Form 990) 2022

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 right arrow

Permanent endowment right arrow

Term endowment right arrow

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 .....	70,014		70,014
b	Buildings ....	665,256	319,680	345,576
c	Leasehold improvements			0
d	Equipment ....	730,287	644,318	85,969
e	Other .....			0
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				501,559

Schedule D (Form 990) 2022

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) POOLED SEPARATE ACCOUNT	3,756,197	F
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)	3,756,197

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
CLAIMS INCURRED BUT NOT REPORTED	3,007,000








Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	3,007,000
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) 2022

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	39,971,350
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a	4,470,374
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	4,470,374
3	Subtract line 2e from line 1..................			3	35,500,976
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	82,502
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................			4c	82,502
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......			5	35,583,478

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	33,166,807
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	33,166,807
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	82,502
b	Other (Describe in Part XIII.) ...........	4b	252,000
c	Add lines 4a and 4b.....................			4c	334,502
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......			5	33,501,309

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 TRUST ESTABLISHED UNDER THE PLAN TO HOLD THE PLAN'S ASSETS IS INTENDED TO QUALIFY PURSUANT TO SECTION 501(C)(9) OF THE INTERNAL REVENUE CODE, AND, ACCORDINGLY, THE TRUST'S NET INVESTMENT INCOME IS EXEMPT FROM INCOME TAXES. THE TRUST HAS OBTAINED A FAVORABLE TAX DETERMINATION LETTER FROM THE INTERNAL REVENUE SERVICE DATED AUGUST 27, 1982, AND THE PLAN'S BOARD OF TRUSTEES BELIEVES THAT THE TRUST, AS AMENDED, CONTINUES TO QUALIFY AND TO OPERATE IN ACCORDANCE WITH APPLICABLE PROVISIONS OF THE INTERNAL REVENUE CODE. 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 (OR ASSET) IF THE ORGANIZATION HAS TAKEN AN UNCERTAIN TAX 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, 2023 AND 2022, 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). FOR YEARS IN WHICH THE FORM 990-T HAS BEEN FILED, THOSE YEARS ARE OPEN FOR EXAMINATION FOR THREE YEARS FROM THE DATE OF THE FILING. ALL OTHER TAX YEARS ARE OPEN FOR EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES.
PART XII, LINE 4B - OTHER ADJUSTMENTS:	CHANGE IN CLAIMS INCURRED BUT NOT REPORTED 252,000.

Return Reference

Explanation

PART X, LINE 2:

THE TRUST ESTABLISHED UNDER THE PLAN TO HOLD THE PLAN'S ASSETS IS INTENDED TO QUALIFY PURSUANT TO SECTION 501(C)(9) OF THE INTERNAL REVENUE CODE, AND, ACCORDINGLY, THE TRUST'S NET INVESTMENT INCOME IS EXEMPT FROM INCOME TAXES. THE TRUST HAS OBTAINED A FAVORABLE TAX DETERMINATION LETTER FROM THE INTERNAL REVENUE SERVICE DATED AUGUST 27, 1982, AND THE PLAN'S BOARD OF TRUSTEES BELIEVES THAT THE TRUST, AS AMENDED, CONTINUES TO QUALIFY AND TO OPERATE IN ACCORDANCE WITH APPLICABLE PROVISIONS OF THE INTERNAL REVENUE CODE. 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 (OR ASSET) IF THE ORGANIZATION HAS TAKEN AN UNCERTAIN TAX 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, 2023 AND 2022, 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). FOR YEARS IN WHICH THE FORM 990-T HAS BEEN FILED, THOSE YEARS ARE OPEN FOR EXAMINATION FOR THREE YEARS FROM THE DATE OF THE FILING. ALL OTHER TAX YEARS ARE OPEN FOR EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES.

PART XII, LINE 4B - OTHER ADJUSTMENTS:

CHANGE IN CLAIMS INCURRED BUT NOT REPORTED 252,000.

Schedule D (Form 990) 2022

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2023

Open to Public
Inspection

Name of the organization

CENTRAL ILLINOIS CARPENTERS HEALTH
AND WELFARE FUND

Employer identification number

37-1117215

Return Reference	Explanation
FORM 990, PART VI, SECTION B, LINE 11B	THE AUDITOR PROVIDES THE COMPLETED FORM TO THE PLAN ADMINISTRATOR FOR REVIEW. ONCE THE PLAN ADMINISTRATOR HAS APPROVED THE FORM, SHE SIGNS FORM 8879-TE AND SENDS IT BACK TO THE AUDITOR, WHO THEN ELECTRONICALLY FILES THE RETURN.
FORM 990, PART VI, SECTION C, LINE 19	UPON REQUEST

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

Cat. No. 51056K

Schedule O (Form 990) 2023

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.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2023

Open to Public Inspection

Name of the organization

CENTRAL ILLINOIS CARPENTERS HEALTH
AND WELFARE FUND

Employer identification number

37-1117215

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)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) 2023

Page 2

Part III

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

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

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) 2K COMMERCIAL CONSTRUCTION INC
(2) 4MC CORPORATION
(3) A & R SERVICES INC
(4) A&A CONCRETE LLC
(5) ABBEY PAVING & SEAL COATING IN
(6) ACOUSTICAL CEILINGS LLC
(7) AGILE CONSTRUCTION SERVICES LL
(8) AL SMITH MECHANICAL LTD
(9) ALBERICI CONSTRUCTORS
(10) ALLIED CONSTRUCTION
(11) ALLIED POWER SERVICES LLC
(12) AMERICAN IGLOO BUILDERS
(13) ANTIGUA INC
(14) APACHE INDUSTRIAL UNITED
(15) APCOM POWER INC
(16) ASSOCIATED CONSTRUCTORS CO IN
(17) ATLANTIC PLANT MAINTENANCE
(18) AUPPERLE WILLIAM & SONS INC
(19) BABCOCK & WILCOX SOLAR ENERGY
(20) BARBER & DEATLEY INC
(21) BEDROCK PAINTING INC
(22) BENCHMARK CABINETS & MILLWORK
(23) BENCHMARK FLOORING INSTALLATIO
(24) BERGLUND CONSTRUCTION COMPANY
(25) BERKEL & CO CONST INC
(26) BIG O SERVICES LLC
(27) BISHOP BROTHERS INC
(28) BLACK ROCK CONSTRUCTION SERVIC
(29) BLACKHAWK FOUNDATION CO INC
(30) BORCHERS' DECORATING
(31) BOWEN ENGINEERING CORPORATION
(32) BRANDSAFWAY INDUSTRIES LLC
(33) BROCK INDUSTRIAL SERVICES
(34) BROEREN RUSSO CONSTRUCTIONIN
(35) BUILDERS SALES & SERVICE CO
(36) BUILT UNITED LLC
(37) BVCI
(38) BYRNE & JONES CONSTRUCTION
(39) C-HILL CIVIL CONTRACTORS
(40) CE KORSGARD COMPANY
(41) CH GARMONG AND SON INC
(42) CAD CONSTRUCTION
(43) CADEIRA GROUP (THE)
(44) CALIBER CONSTRUCTION COMPANY
(45) CARPET WEAVERS COMMERCIAL IN
(46) CASE BUILDING SOLUTIONS LLC
(47) CECO CONCRETE CONSTRUCTION LL
(48) CENTENNIAL CONTRACTORS
(49) CENTRAL CEILING SYSTEMS INC
(50) CENTRAL CONVEYOR CO
(51) CENTRAL IL COMMERCIAL FLOORING
(52) CHRISTY-FOLTZ
(53) CI FLOORING LLC
(54) CLOYD BUILDERS INC
(55) CMF GROUP
(56) COMMERCIAL BUILDERS
(57) CONCRETE STRATEGIES LLC
(58) CONTEGRA CONSTRUCTION CO LLC
(59) CONVEYING CONVENIENCE INC
(60) CORE CONSTRUCTION
(61) COSGROVE CONSTRUCTION INC
(62) COUNSEL CONSTRUCTION INC
(63) COUNTRY BOYS CONSTRUCTION LLC
(64) COUNTRYSIDE CARPETS & INTERIO
(65) COUNTY CONTRACTORS
(66) CSD ENVIRONMENTAL SERVICES INC
(67) CUSHING'S COMMERCIAL CARPETS
(68) CUSTOM SERVICE CRANE INC
(69) D CONSTRUCTION
(70) D JOSEPH CONSTRUCTION CO
(71) DASHCOINC DBA RAINGUARD
(72) DAVIS & DAVIS GENERAL CONST
(73) DAVIS BLINDS AND SPECIALTIES
(74) DENK & ROCHE BUILDERS INC
(75) DEPEW & OWEN BUILDERS INC
(76) DIVERZIFY PRO FNA SPECIALTY CO
(77) DIXON GENERAL CONSTRUCTION CO
(78) DOERFER FIELD SERVICES INC
(79) DOOR & HARDWARE INSTALLATION
(80) DORAL CORPORATION
(81) DUCE CONSTRUCTION CO INC
(82) DUPREE CONSTRUCTION
(83) DURR SYSTEMS
(84) ENGLISH BROTHERS COMPANY
(85) EVAN & RYAN ELECTRICAL CONTR
(86) EVANS CONSTRUCTION COMPANY
(87) FA WILHELM CONSTRUCTION CO
(88) FH PASCHEN SN NIELSEN
(89) FM SYLVAN INC
(90) FELMLEY DICKERSON CO
(91) FH PASCHEN VERTICAL CONCRETE L
(92) FINELINE
(93) FIRE STOP TECHNOLOGIES
(94) FIRST BUILD ASSOCIATES INC
(95) FIXTURE CONTRACTING INC
(96) FLANNIGAN CONTRACTING LLC
(97) FLOORING SYSTEMS INC
(98) FLUOR MAINTENANCE SERVICE
(99) FRANK MILLARD & CO INC
(100) FREESEN A DIV OF UNITED
(101) FREITAG-WEINHARDT INC
(102) FRIEND ACOUSTICAL CEILING CO
(103) GA RICH & SONS INC
(104) GRE CONSTRUCTION
(105) GW THIEL INC
(106) GATEWAY CONCRETE FORMING
(107) GEISSLER ROOFING COMPANY INC
(108) GEORGE H RUMP CONSTR CO
(109) GEORGE ROTHAN COMPANY
(110) GEORGE WEIS CO
(111) GIVSCO CONSTRUCTION COMPANY
(112) GLOBAL SCAFFOLD CONST SERVICE
(113) GOETZ CONCRETE CONST CORP
(114) GOLEY INC
(115) GOULD FLOORING SERVICES INC
(116) GRAYCOR INDUSTRIAL CONSTRUCTO
(117) GRIBBINS INSULATION CO
(118) GRP MECHANICAL CO INC
(119) GRUNLOH CONSTRUCTION INC
(120) H & H BUILDERS INC
(121) H & S MECHANICAL INC
(122) HALYARD CORPORATION
(123) HANCOCK CONSTRUCTION LLC
(124) HANNIG CONSTRUCTION INC
(125) HAROLD O'SHEA BUILDERS
(126) HART CONSTRUCTION SUPPLY INC
(127) HART ERECTORS INC
(128) HAYES SERVICES LLC
(129) HEIN CONSTRUCTION CO INC
(130) HOELSCHER INTERIORS INC
(131) HOELSCHER WOODWORX UNLIMITED
(132) HOERR P J INC
(133) HOLLAND GENERAL CONTRACTORS IN
(134) HOWELL ASPHALT & PAVING INC
(135) HUNTER CONSTRUCTION SERVICES
(136) HUNTER MODULAR CONSTRUCTION
(137) ICC GROUP INC
(138) ICON INDUSTRIAL SERVICES
(139) ILLINOIS CIVIL CONTRACTORS IN
(140) ILLINOIS CONSTRUCTION GROUP LL
(141) INSTALLATION CONCEPTS INC
(142) INSTALLATION SPECIALISTS INC
(143) INSTALTECH
(144) INSULATED PANEL COMPANY
(145) INTEGRITY CONCRETE & EXC
(146) INTERIOR CONSTRUCTION SVCS
(147) INTERIOR INSTALLATION SERVICE
(148) INTERIOR SPECIALTIES INC
(149) INTERIOR SPECIALTY CONST INC
(150) INTERNATIONAL DECORATORS INC
(151) IROQUOIS PAVING CORPORATION
(152) J G STEWART CONTRACTOR INC
(153) J SPENCER CONSTRUCTION LLC
(154) JF BRENNAN CO INC
(155) JH FINDORFF & SON INC
(156) JOHN BURNS CONSTRUCTION CO
(157) JOHNCO CONSTRUCTION INC
(158) JOHNSON BROTHERS CORP
(159) JOINER SHEET METAL & ROOFING
(160) JONES & SULLIVAN
(161) JONES-BLYTHE CONSTRUCTION CO
(162) JUN CONSTRUCTION
(163) JUST RITE ACOUSTICS
(164) KB LOGUE CONTRACTING INC
(165) KAMADULSKI EXCAVATING & GRADIN
(166) KEEN COMPANY INC
(167) KELLER NORTH AMERICA INC
(168) KEMPER CONSTRUCTION INC
(169) KINGSTON TILE CO LTD
(170) KINNEY CONTRACTORS INC
(171) KNAPP CONCRETE CONTRACTORS
(172) KNESE ENTERPRISES LLC DBA EXT
(173) KNIGHT FLOORING INC
(174) KO-ON SERVICES
(175) KOOLMASTER CO INC
(176) KORTE CONSTRUCTION COMPANY
(177) KWCC INC
(178) L KEELEY CONSTRUCTION CO
(179) LANDGREBE INTERIOR CONST
(180) LANKFORD CONSTRUCTION COMPANY
(181) LAVERDIERE CONSTRUCTION INC
(182) LEANDER LAND COMPANY
(183) LENNY SZAREK INC
(184) LESCO DESIGN & MANUFACTURING
(185) LIMBAUGH CONSTRUCTION CO INC
(186) LINDBLAD CONST OF JOLIET
(187) LITTEKEN CONSTRUCTION COMPANY
(188) LYNCHCO CONSTRUCTION INC
(189) M & O ENVIROMENTAL COMPANY
(190) M A MORTENSON GENERAL CONTR
(191) MAS RIGGING
(192) MASTERCRAFT FC LLC
(193) MCABEE CONSTRUCTION INC
(194) MCCARTHY BUILDING COMPANIES I
(195) MCCARTHY IMPROVEMENTS CO
(196) MCDOWELL BUILDERS INC
(197) MCMILLEN CONSTRUCTION
(198) MERIT CONSTRUCTION INC
(199) MICHELS CONSTRUCTION INC
(200) MICHUDA CONSTRUCTION
(201) MID ILLINOIS CONCRETE &
(202) MID-CENTRAL IL RC-JATC
(203) MID-ILLINOIS COMPANIES CORP
(204) MIDWEST ASPHALT COMPANY
(205) MIDWEST DIVE SERVICE DBA
(206) MILLAR CONSTRUCTION
(207) MILLWRIGHT SERVICE INC
(208) MINOR CONSTOF PETERSBURGINC
(209) MISSOURI FLOOR CO
(210) NE FINCH CO
(211) NEFF COLVIN INC
(212) NEVERMAN FLOOR ARTISANS INC
(213) NEWELL MACHINERY COMPANY INC
(214) OLD BLUE ILLINOIS INC DBA
(215) OLYMPIC CONSTRUCTION CO LLC
(216) OMNI COMMERCIAL GROUP INC
(217) OTTO BAUM COMPANY INC
(218) PARIC CORPORATION
(219) PEORIA CIVIC CENTER
(220) PEORIA HOUSING AUTHORITY
(221) PEORIA METRO CONSTRUCTION INC
(222) PETERSBURG PLMBG & EXCAVATING
(223) PETRY-KUHNE COMPANY
(224) PHIL SCHINDLER & SONS INC
(225) PHOENIX CORPORATION OF THE
(226) PLOCHER CONSTRUCTION CO
(227) POETTKER CONSTRUCTION COMPANY
(228) POWER GENERATION SERVICE
(229) PRECISION BUILDERS
(230) PRECISION COOLING TOWERS INC
(231) PRECISION UNION
(232) PREMIER CONSTRUCTION INC
(233) PRICELESS FLOORS INC
(234) PRIME CONSTRUCTION
(235) PRODIGY CONSTRUCTION LLC
(236) PROSTAR SURFACES INC
(237) PT FERRO CONSTRUCTION CO
(238) QUAD CITY ACOUSTICAL CEILINGS
(239) R OLSON CONSTRUCTION CO
(240) RD LAWRENCE CONSTRUCTION CO
(241) RG CONSTRUCTION SERVICES IN
(242) RJ UNES INC
(243) RATHBUN & SON CARPENTRY INC
(244) RAVENSBERG INC
(245) REDBUD RIDGE CUSTOM SHOP INC
(246) RICE EQUIPMENT
(247) RICHARDET FLOOR COVERING
(248) RINGLAND JOHNSON CONSTRUCTION
(249) RIVER CITY CONSTRUCTION
(250) RIVER VALLEY CONSTRUCTION
(251) RIVERSIDE INTERIORS LLC
(252) RIVERSIDE WOODWORKING INC
(253) ROADSAFE TRAFFIC SYSTEMS INC
(254) ROECKER CABINETS-COM'L DIV
(255) ROULAND TRUCKING
(256) RP VENTURES LLC
(257) S & W CONTRACTORS OF IL INC
(258) SAMRON MIDWEST CONTRACTINGIN
(259) SANGAMO CONSTRUCTION COMPANY
(260) SCHLEIS FLOOR COVERING INC
(261) SCHNABEL FOUNDATION
(262) SCHOMBURG & SCHOMBURG CONST
(263) SEITHER & CHERRY - KEOKUK
(264) SEITHER & CHERRY-QUAD CITIES
(265) SENCO CONSTRUCTION INC
(266) SERGEANT CONSTRUCTION INC
(267) SICILIANO INC
(268) SIEMENS ENERGY GENERATION SERV
(269) SIGNATURE CRAFT
(270) SNS CONSTRUCTION SERVICES INC
(271) SOLID PLATFORMS INC
(272) SOPER CONSTRUCTION
(273) SOUTHERN ILLINOIS CABINETS
(274) SOUTHERN ILLINOIS INTERIORS
(275) ST JOHNS HOSPITAL
(276) STALWORTH UNDERGROUND LLC
(277) STARK EXCAVATING INC
(278) SUPERIOR TURF INSTALLATION
(279) SYSTEMS ENTERPRISE
(280) TAYLOR BROS CONST CO INC
(281) TC MODULAR CONSTRUCTION LLC
(282) THATCHER FOUNDATIONS INC
(283) THE BOLDT COMPANY
(284) THE STATE GROUP INDUSTRIAL LTD
(285) THIENEMAN CONSTRUCTION INC
(286) THOMAS HAPNER CONSTRUCTION INC
(287) THOMPSON BROTHERS INC
(288) THORNE ASSOCIATES INC
(289) TIEMAN BUILDERS INC
(290) TIM LIPE CONSTRUCTION INC
(291) TINDALL CONSTRUCTION CO
(292) TITAN CARPENTRY LLC
(293) TJ WIES CONTRACTING
(294) TMF CONSTRUCTION
(295) TOBEYS CONSTR & CARTAGE
(296) TOMMY LEE ARBUCKLE III
(297) TORO CONSTRUCTION CORP
(298) TRACK SURFACES COMPANY
(299) TRADE-MARK CONST SERVICES IN
(300) TSI COMMERCIAL FLOOR COVERING
(301) TURBINE PROS
(302) TWIN CITY TILE & MARBLE LLC
(303) UNION FLOORING SERVICES INC
(304) UNIVERSAL PLANT SERVICES
(305) US INSULATION LLC (GOLEY IND)
(306) VALLEY CONSTRUCTION COMPANY
(307) VERMILION MILLWORKS LLC
(308) VEYA INC
(309) VISSERING CONSTRUCTION
(310) VON ALST OPERATING LLC
(311) W F JOHNSTON CONSTRUCTION IN
(312) WATER COOLING EQUIPMENT INC
(313) WATERKOTTE CONSTRUCTION INC
(314) WEEDMAN DOOR & HARDWARE
(315) WEITZ INDUSTRIAL A DIVISION
(316) WENGER TRAFFIC CORPORATION
(317) WHEELER CONSTRUCTION CO
(318) WHITE CONSTRUCTION INC
(319) WIES DRYWALL AND CONSTRUCTION
(320) WILLIAM A RANDOLPH INC
(321) WILLIAMS BROS CONST INC
(322) WINGLE CONSTRUCTION
(323) WOODS CONSTRUCTION INC
(324) WRIGHT-WAY INTERIOR SYS LLC
(325) WT BUILDERS
(326) XPR CONSTRUCTION INC
(327) ZOBRIST N & SONS INC

Schedule R (Form 990) 2023

Page 3

Part V

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

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

Yes

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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) 2023

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) 2023

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R. See instructions.

Return Reference	Explanation
PART IV	THIS PLAN IS A VEBA EXEMPT UNDER 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 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

THIS PLAN IS A VEBA EXEMPT UNDER 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 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) 2023

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: HEALTH AND WELFARE PLAN
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	10
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	10
5	Total number of individuals employed in calendar year 2023 (Part V, line 2a) ......	5	48
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) .........	28,833,619	33,428,637
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	1,568,928	1,823,808
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	314,455	331,033
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	30,717,002	35,583,478
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).....	26,821,079	31,270,539
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	686,760	644,334
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	1,498,394	1,586,436
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	29,006,233	33,501,309
19	Revenue less expenses. Subtract line 18 from line 12.......	1,710,769	2,082,169
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	66,409,380	72,884,583
21	Total liabilities (Part X, line 26).............	4,643,670	4,566,330
22	Net assets or fund balances. Subtract line 21 from line 20.....	61,765,710	68,318,253

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )
	TO PROVIDE HEALTH & WELFARE BENEFITS TO MEMBERS

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) NATHAN GERMAN- PAST...................................................................... CHAIRMAN	0.00 .................	X	X	0	0	0
(2) RIKI DIAL...................................................................... TRUSTEE	0.00 .................	X		0	0	0
(3) JASON BREWER...................................................................... TRUSTEE	0.00 .................	X		0	0	0
(4) JEFF FUERST...................................................................... SECRETARY	0.00 .................	X	X	0	0	0
(5) MATT WATCHINISKI...................................................................... TRUSTEE	0.00 .................	X		0	0	0
(6) MATT BENDER...................................................................... TRUSTEE	0.00 .................	X		0	0	0
(7) JEFF BORT...................................................................... TRUSTEE	0.00 .................	X		0	0	0
(8) JOSH ROBERTSON...................................................................... TRUSTEE	0.00 .................	X		0	0	0
(9) MIKE SUNLEY...................................................................... TRUSTEE	0.00 .................	X		0	0	0
(10) NICK HART...................................................................... TRUSTEE	0.00 .................	X		0	0	0
(11) WES ZOBRIST...................................................................... TRUSTEE	0.00 .................	X		0	0	0
(12) KRISTINA GUASTAFERRI...................................................................... ADMIN	40.00 .................		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
ROMOLO & ASSOCIATES LLC 1700 W LUTHY DRIVE PEORIA,IL61615	ACCOUNTING/AUDITING	128,597
CAVANAGH & O'HARA 2319 WEST JEFFERSON STREET SPRINGFIELD,IL62702	LEGAL	112,406



2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 2

1a	Federated campaigns..	1a
b	Membership dues..	1b
c	Fundraising events..	1c
d	Related organizations	1d
e	Government grants (contributions)	1e

f	All other contributions, gifts, grants, and similar amounts not included above	1f

g	Noncash contributions included in lines 1a - 1f:$	1g

h Total. Add lines 1a-1f.......

		Business Code
2a	EMPLOYER CONTRIBUTIONS	900099	31,052,236	31,052,236
b	PARTICIPANT CONTRIBUTIONS	900099	2,376,401	2,376,401
c
d
e
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		33,428,637

3 Investment income (including dividends, interest, and othersimilar amounts) ......			1,719,673			1,719,673
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
			(i) Real	(ii) Personal
6a	Gross rents	6a
b	Less: rental expenses	6b
c	Rental income or (loss)	6c
d	Net rental income or (loss).......
			(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	7a	17,098,700
b	Less: cost or other basis and sales expenses	7b	16,991,788	2,777
c	Gain or (loss)	7c	106,912	-2,777
d	Net gain or (loss).........			104,135			104,135
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
11a	SERVICE FEE		900099	196,052	196,052
b	REIMBURSEMENT FROM RSF		900099	133,639	133,639
c	MISC		900099	900	900
d	All other revenue ....			442	442
e	Total. Add lines 11a–11d ......			331,033
12	Total revenue. See instructions.....			35,583,478	33,759,670	0	1,823,808

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 .......	31,270,539
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........	361,029
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	80,198
9	Other employee benefits .......	152,347
10	Payroll taxes ...........	50,760
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	111,324
c	Accounting ...........	126,997
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	82,502
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	191,516
12	Advertising and promotion ....
13	Office expenses .......	161,557
14	Information technology ......	190,385
15	Royalties ..
16	Occupancy ...........	42,192
17	Travel ............
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	4,712
20	Interest ...........
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	102,638
23	Insurance ...	36,120
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	BCBS ADMINISTRATIVE FEE	400,385
b	MACRC ADMIN FEES	86,875
c	VISION ADMINISTRATIVE E	29,197
d	PCORI FEES	14,524
e	All other expenses	5,512
25	Total functional expenses. Add lines 1 through 24e	33,501,309
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........				1
2	Savings and temporary cash investments .........			10,486,927	2	15,430,738
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			3,278,272	4	3,673,341
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 ......			65,916	9	41,387
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	1,465,557
b	Less: accumulated depreciation	10b	963,998	565,613	10c	501,559
11	Investments—publicly traded securities .			48,435,723	11	49,481,361
12	Investments—other securities. See Part IV, line 11 .....			3,576,929	12	3,756,197
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)...			66,409,380	16	72,884,583

17	Accounts payable and accrued expenses .....	1,515,591	17	1,177,768
18	Grants payable ...		18
19	Deferred revenue .........	373,079	19	381,562
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	2,755,000	25	3,007,000
26	Total liabilities. Add lines 17 through 25..	4,643,670	26	4,566,330

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	61,765,710	27	68,318,253
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 ...........	61,765,710	32	68,318,253
33	Total liabilities and net assets/fund balances ........	66,409,380	33	72,884,583