TY 2024 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.
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Attach to Form 990.
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Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public Inspection

Name of the organization

KENTUCKY LABORERS DISTRICT COUNCIL
HEALTH & WELFARE FUND

Employer identification number

23-7017526

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) (Rev. 1-2025)

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 .....
b	Buildings ....
c	Leasehold improvements	28,610	28,610	0
d	Equipment ....	113,811	102,104	11,707
e	Other .....
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				11,707

Schedule D (Form 990) (Rev. 1-2025)

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
OPERATING LEASE LIABILITIES	67,923








Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	67,923
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) (Rev. 1-2025)

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	30,253,216
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a	1,379,473
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	1,379,473
3	Subtract line 2e from line 1..................			3	28,873,743
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
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................			4c	0
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......			5	28,873,743

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	22,606,614
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	22,606,614
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
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b.....................		4c	0
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5	22,606,614

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 ("IRC"), AND, ACCORDINGLY, THE TRUST'S NET INVESTMENT INCOME IS EXEMPT FROM INCOME TAXES. THE TRUST HAS OBTAINED A FAVORABLE TAX DETERMINATION LETTER DATED MAY 14, 1969 FROM THE INTERNAL REVENUE SERVICE ("IRS"), AND THE PLAN ADMINISTRATOR AND THE PLAN'S TAX COUNSEL BELIEVE THAT THE TRUST, AS AMENDED, CONTINUES TO QUALIFY AND TO OPERATE IN ACCORDANCE WITH APPLICABLE PROVISIONS OF THE IRC. U.S. GAAP REQUIRES PLAN MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE PLAN AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF THE ORGANIZATION HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS. THE PLAN ADMINISTRATOR HAS ANALYZED THE TAX POSITIONS TAKEN BY THE PLAN, AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2024 AND 2023, 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.

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 ("IRC"), AND, ACCORDINGLY, THE TRUST'S NET INVESTMENT INCOME IS EXEMPT FROM INCOME TAXES. THE TRUST HAS OBTAINED A FAVORABLE TAX DETERMINATION LETTER DATED MAY 14, 1969 FROM THE INTERNAL REVENUE SERVICE ("IRS"), AND THE PLAN ADMINISTRATOR AND THE PLAN'S TAX COUNSEL BELIEVE THAT THE TRUST, AS AMENDED, CONTINUES TO QUALIFY AND TO OPERATE IN ACCORDANCE WITH APPLICABLE PROVISIONS OF THE IRC. U.S. GAAP REQUIRES PLAN MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE PLAN AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF THE ORGANIZATION HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS. THE PLAN ADMINISTRATOR HAS ANALYZED THE TAX POSITIONS TAKEN BY THE PLAN, AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2024 AND 2023, 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.

Schedule D (Form 990) (Rev. 1-2025)

Additional Data

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Schedule J
(Form 990)
(Rev. January 2025)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
medium right arrow graphic

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
medium right arrow graphic

Attach to Form 990.
medium right arrow graphic

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

OMB No. 1545-0047

Open to Public Inspection

Name of the organization

KENTUCKY LABORERS DISTRICT COUNCIL
HEALTH & WELFARE FUND

Employer identification number

23-7017526

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .....

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ....

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? .............

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ....................

Any related organization? .......................

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ..................

Any related organization? ......................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

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

Cat. No. 50053T

Schedule J (Form 990) (Rev. 1-2025)

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2, 1099-MISC compensation, and/or 1099-NEC			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column (B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1SAMANTHA GRIFFIETH FUND ADMINISTRATOR	(i) (ii)	105,528 ------------- 0	1,000 ------------- 0	0 ------------- 0	67,341 ------------- 0	13,500 ------------- 0	187,369 ------------- 0	0 ------------- 0

Schedule J (Form 990) (Rev. 1-2025)

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference	Explanation

Schedule J (Form 990) (Rev. 1-2025)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990)
(Rev. January 2025)
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 instructions and the latest information.

OMB No. 1545-0047

Open to Public
Inspection

Name of the organization

KENTUCKY LABORERS DISTRICT COUNCIL
HEALTH & WELFARE FUND

Employer identification number

23-7017526

Return Reference	Explanation
FORM 990, PART VI, SECTION A, LINE 2	TERRY BLADES AND PERRY BLADES HAVE A FAMILY RELATIONSHIP.
FORM 990, PART VI, SECTION B, LINE 11B	990 IS REVIEWED BY FUND ADMINISTRATORS & FUND CONSULTANT UPON RECEIPT FROM THE FUND AUDITOR AFTER THE FUND AUDIT. IT IS THEN SENT TO THE TRUSTEES OF THE BOARD PRIOR TO THE BOARD MEETING AT WHICH THE FORM 990 IS FORMALLY APPROVED BY THE BOARD. AFTER APPROVAL, IT IS FILED BY THE SPECIFIED DEADLINE
FORM 990, PART VI, SECTION B, LINE 12C	TRUSTEES/EMPLOYEES OF FUND HAVE DUTY TO DISCLOSE ANY ACTUAL OR POSSIBLE CONFLICT OF INTEREST. THEY MUST DISCLOSE EXISTENCE OF FINANCIAL INTEREST & BE GIVEN OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO TRUSTEES DELEGATED POWERS CONSIDERING PROPOSED TRANSACTION OR ARRANGEMENT. AFTER DISCLOSURE OF FINANCIAL INTEREST & MATERIAL FACTS AND AFTER DISCUSSION WITH INTERESTED PERSON, BOARD WILL DISCUSS & VOTE TO DETERMINE IF CONFLICT OF INTEREST EXISTS. IF IT DOES EXIST, BOARD CHAIRMAN SHALL, IF APPROPRIATE, APPOINT DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO PROPOSED TRANSACTION OR ARRANGEMENT. BOARD SHALL THEN DETERMINE IF FUND CAN OBTAIN WITH REASONABLE EFFORTS A MORE ADVANTAGEOUS TRANSACTION/ARRANGEMENT FROM PERSON/ENTITY THAT WOULD NOT CAUSE CONFLICT OF INTEREST. IF SUCH MORE ADVANTAGEOUS TRANSACTION/ARRANGEMENT IS NOT REASONABLY POSSIBLE UNDER CIRCUMSTANCES NOT PRODUCING CONFLICT, BOARD SHALL DETERMINE BY MAJORITY VOTE OF DISINTERESTED TRUSTEES WHETHER TRANSACTION/ARRANGEMENT IS IN FUND'S BEST INTEREST, FOR ITS OWN BENEFIT, AND IF IT IS FAIR AND REASONABLE.
FORM 990, PART VI, SECTION B, LINE 15	IN DETERMINING WAGE INCREASES FOR FUND EMPLOYEES, BOARD REVIEWS CURRENT & PROJECTED FINANCIAL STATUS OF FUND, INCLUDING CURRENT/PROJECTED COST OF LIVING TRENDS & EMPLOYEES' WORK HISTORIES/JOB PERFORMANCES. TRUSTEES ARE NOT COMPENSATED. THE FUND, AS IT IS SELF ADMINISTERED, DOES HAVE FUND EMPLOYEES WHO RECEIVE WAGES/BENEFITS TO ADMINISTER THE PLAN.
FORM 990, PART VI, SECTION C, LINE 19	THEY ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
PART XII, LINE 2C	THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.

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

Cat. No. 51056K

Schedule O (Form 990) (Rev. 1-2025)

Additional Data

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Software Version:

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SCHEDULE R
(Form 990)
(Rev. January 2025)

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

Open to Public Inspection

Name of the organization

KENTUCKY LABORERS DISTRICT COUNCIL
HEALTH & WELFARE FUND

Employer identification number

23-7017526

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)DISTRICT EIGHT REGIONAL ORGANIZING COMMITTEE 102 DORCHESTER SQUARE WESTERVILLE,OH43081 48-1289600	BENEFITS	OH	501(C)(5)				No

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

Cat. No. 50135Y

Schedule R (Form 990) (Rev. 1-2025)

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	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(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) APPALACHIAN PIPELINE CONTR LLP 170 D EAST MAIN ST 280 HENDERSONVILLE,TN37075 77-0594803	CONSTRUCTION	TN		RELATED				No			No

Part IV

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

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	Yes	No
(1) ABATEMENT & ENVIRONMENTAL SER DBA AES LLC SPECIALTY 1441 HUGH AVE LOUISVILLE,KY40213 61-1384615	CONSTRUCTION	KY		C					No
(2) ABEL CONSTRUCTION CO INC 2401 STANLEY GAULT PKWY LOUISVILLE,KY40223 61-0674234	CONSTRUCTION	KY		C					No
(3) ACCESS LIMITED CONSTRUCTION 1102 PIKE LANE OCEANO,CA93445 46-2724404	CONSTRUCTION	CA		C					No
(4) ACE PIPELINE 189 CARRIER WAY SUITE 2 SCOTT DEPOT,WV25560 45-4834309	CONSTRUCTION	WV		C					No
(5) AECON INDUSTRIAL MANAGEMENT 150 SHELDON DRIVE ONTARIO,CAMBRIDGEN1R 7K9 CA 31-1269399	CONSTRUCTION	KY		C					No
(6) ALLARD EXCAVATION LLC 59 HIGH STREET SOUTH WEBSTER,OH45682 45-4040618	CONSTRUCTION	OH		C					No
(7) AMERICAN CONTRACTING & SERVICE 6200 E HWY 62 BLDG 2503 JEFFERSONVILLE,IN47130 35-1618530	CONSTRUCTION	IN		C					No
(8) AMERICAN REFRACTORY CO 103 MARTIN DRIVE MT HOPE,WV25880 30-0474269	CONSTRUCTION	WV		C					No
(9) APACHESKYWAY USA 11171 VIRGINIA ST CROWN POINT,IN46307 36-4814424	CONSTRUCTION	DE		C					No
(10) APCOM POWER INC 3213 PASADENA BLVD PASADENA,TX77503 06-1310571	CONSTRUCTION	DE		C					No
(11) APEX BUILDING COMPANY LLC PO BOX 945 MILAN,TN38358 26-3197584	CONSTRUCTION	TN		C					No
(12) APEX PIPELINE SERVICES INC P O BOX 580 NITRO,WV25143 20-4082705	CONSTRUCTION	WV		C					No
(13) APPALACHIAN MECHANICAL 2430 S 3RD STREET IRONTON,OH45638 83-0684024	CONSTRUCTION	OH		C					No
(14) ARC CONSTRUCTION CO INC PO BOX 2660 EVANSVILLE,IN47728 35-1164830	CONSTRUCTION	IN		C					No
(15) ARISTEO CONSTRUCTION CO 12822 STARK RD LIVONIA,MI48150 38-2168471	CONSTRUCTION	MI		C					No
(16) ASSOCIATED PIPELINE CONT INC 3535 BRIARPARK STE 135 HOUSTON,TX77042 74-1250343	CONSTRUCTION	DE		C					No
(17) AZCO INC PO BOX 567 APPLETON,WI54912 39-0789900	CONSTRUCTION	WI		C					No
(18) B & B WRECKING EXCAVATING INC 4510 E 71ST ST STE 6 CLEVELAND,OH44105 34-0877664	CONSTRUCTION	OH		C					No
(19) BABCOCK & WILCOX CONSTRUCTION 1200 E MARKET ST STE 651 AKRON,OH44305 72-1035422	CONSTRUCTION	DE		C					No
(20) BADGETT CONSTRUCTION LLC 217 E BURNETT AVE LOUISVILLE,KY40208 61-1276211	CONSTRUCTION	KY		C					No
(21) BAKER CONCRETE CONSTRUCTION IN 900 NORTH GARVER RD MONROE,OH45050 31-0817881	CONSTRUCTION	OH		C					No
(22) BAKER'S CONSTRUCTION SERVICES INC 4533 HWY 11-E BLUFF CITY,TN37618 62-1292868	CONSTRUCTION	TN		C					No
(23) BARTON MALOW CO 26500 AMERICAN DR SOUTHFIELD,MI48034 38-1327761	CONSTRUCTION	MI		C					No
(24) BASS MAINTENANCE CORP PO BOX 638 CALVERT CITY,KY42029 61-1085308	CONSTRUCTION	KY		C					No
(25) BERGER INC PO BOX 16250 LOUISVILLE,KY40256 61-0657134	CONSTRUCTION	KY		C					No
(26) BERKEL & COMPANY CONTR INC PO BOX 335 BONNER SPRINGS,KS66012 48-0650969	CONSTRUCTION	KS		C					No
(27) BLACKHAWK FOUNDATION PO BOX 29 GENESEO,IL61254 36-2607643	CONSTRUCTION	DE		C					No
(28) BLOOMSDALE EXCAVATING CO INC PO BOX 86 BLOOMSDALE,MO63627 43-0712069	CONSTRUCTION	MO		C					No
(29) BOBBY LUTTRELL & SONS LLC 190 BANK CIRCLE DR DUNDEE,KY42338 61-1383224	CONSTRUCTION	KY		C					No
(30) BOWEN ENGINEERING CORP 8802 N MERIDIAN ST INDIANAPOLIS,IN46260 35-1136995	CONSTRUCTION	IN		C					No
(31) BRANDENBURG INDUSTRIAL SERVICE 501 W LAKE ST STE 204 ELMHURST,IL601261419 36-3353196	CONSTRUCTION	IL		C					No
(32) BRANDSAFWAY INDUSTRIES LLC 14950 HEATHROW FOREST PKWY STE 295 HOUSTON,TX77032 13-3909680	CONSTRUCTION	DE		C					No
(33) BRAY CONCRETE LLC 941 BRIER FIELD LN CLOVERPORT,KY40111 82-5528481	CONSTRUCTION	KY		C					No
(34) BREWSTER COMPANIES INC 6321 EAST MAIN STREET MARYVILLE,IL62062 20-8840758	CONSTRUCTION	IL		C					No
(35) BRUNS GUTZWILLER INC PO BOX 119 BATESVILLE,IN47006 35-1046681	CONSTRUCTION	IN		C					No
(36) BUNN ENTERPRISES INC 13589 ST RTE 550 FLEMING,OH45729 31-1456458	CONSTRUCTION	OH		C					No
(37) CAPITOL TUNNELING INC 2216 REFUGEE RD COLUMBUS,OH43207 31-0802082	CONSTRUCTION	OH		C					No
(38) CARDINAL INDUSTRIAL INSULATION 1300 WEST MAIN ST LOUISVILLE,KY40203 61-0154975	CONSTRUCTION	KY		C					No
(39) CARL WALKER CONSTRUCTION 935 VISTA DRIVE PITTSBURGH,PA15205 27-1071378	CONSTRUCTION	PA		C					No
(40) CECO CONCRETE CONSTRUCTION 10100 N W AMBASSADOR DR STE 400 KANSAS CITY,MO641533415 36-4143009	CONSTRUCTION	DE		C					No
(41) CENTRAL INDUSTRIAL LLC 1400 BLUE DANUBE ST ARLINGTON,TX76015 36-2721807	CONSTRUCTION	MI		C					No
(42) CENTRAL MASONRY INC PO BOX 9367 HUNTINGTON,WV25704 55-0784732	CONSTRUCTION	WV		C					No
(43) CESA CONTRACTORS INC PO BOX 525 CALVERT CITY,KY42029 61-0673737	CONSTRUCTION	KY		C					No
(44) CHARLIE NELSON TRUCKING 1833 BENTON BRIENSBURG RD BENTON,KY42025 13-4322725	CONSTRUCTION	KY		C					No
(45) CHARPS LLC 453 TOWER ST CLEARBROOK,MN56634 81-7929464	CONSTRUCTION	MN		C					No
(46) CHESTER MECHANICAL INC PO BOX 96 PADUCAH,KY42002 61-1331441	CONSTRUCTION	KY		C					No
(47) CHRISTY INDUSTRIAL SERVICES 4641 MCREE AVENUE ST LOUIS,MO63110 59-3774717	CONSTRUCTION	MO		C					No
(48) CJ MAHAN CONSTRUCTION 3458 LEWIS CENTRE WAY GROVE CITY,OH43123 72-1576467	CONSTRUCTION	DE		C					No
(49) CLAYS PERFORMANCE CONSTR LLC 279 RICHWOOD WAY ASHLAND,KY41102 47-2331636	CONSTRUCTION	WV		C					No
(50) CLEARY CONSTRUCTION INC 2006 EDMONTON RD TOMPKINSVILLE,KY42167 61-1279574	CONSTRUCTION	KY		C					No
(51) CONGLETON HACKER COMPANY 872 FLOYD DR LEXINGTON,KY40505 61-0592669	CONSTRUCTION	KY		C					No
(52) CONLEY PAINTING & SPECIAL COATINGS LLC 2430 S 3RD STREET IRONTON,OH45638 20-8733505	PAINTING	OH		C					No
(53) CONNECTICUT LABORERS BENEFIT 435 CAPITIAN THOMAS BLVD WEST HAVEN,CT06516 06-0960814	BENEFITS	CT		T					No
(54) CONSTRUCTION INDUSTRY LABORERS PO BOX 909500 KANSAS CITY,MO64190 44-0568755	BENEFITS	MO		T					No
(55) CONTRACTORS RENTAL CORP PO BOX 7305 HUNTINGTON,WV25776 55-0624135	CONSTRUCTION	WV		C					No
(56) CORNERSTONE INTERIORS PO BOX 412 ELEANOR,WV25070 55-0772315	CONSTRUCTION	WV		C					No
(57) CPR CONSTRUCTION LLC 220 S HORD ST STE B GRAYSON,KY41143 86-1536558	CONSTRUCTION	KY		C					No
(58) DADS BOBCAT SERVICES LLC PO BOX 117 CALIFORNIA,KY41007 13-4243628	CONSTRUCTION	KY		C					No
(59) DANCO CONSTRUCTION INC 3201 INTERSTATE DR EVANSVILLE,IN47715 35-1552239	CONSTRUCTION	IN		C					No
(60) DAY & ZIMMERMANN NPS INC 1101 MARKET ST CHATTANOOGA,TN37402 23-2499111	CONSTRUCTION	DE		C					No
(61) DEBRA-KUEMPEL INC 3976 SOUTHERN AVE CINCINNATI,OH45227 31-1615931	CONSTRUCTION	DE		C					No
(62) DECORATIVE PAVING OF INDIANA PO BOX 807 INDIANAPOLIS,IN46206 11-3825952	CONSTRUCTION	IN		C					No
(63) DEIG BROS LUMBER & CONST INC PO BOX 6429 EVANSVILLE,IN47712 35-1009310	CONSTRUCTION	IN		C					No
(64) DELTA SERVICES LLC 4676 JENNINGS LANE LOUISVILLE,KY40218 20-1972910	CONSTRUCTION	KY		C					No
(65) DENHAM-BLYTHE CO INC 100 TRADE ST LEXINGTON,KY40511 61-0902693	CONSTRUCTION	KY		C					No
(66) DH GRIFFIN WRECKING CO INC 4716 HILLTOP ROAD GREENSBORO,NC27407 56-0897274	CONSTRUCTION	NC		C					No
(67) DIAMOND CORING COMPANY INC 11800 S EWING AVE CHICAGO,IL60617 36-3921272	CONSTRUCTION	IL		C					No
(68) DIXIE PAVERS INC (ROGERS GROUP) PO BOX 25250 NASHVILLE,TN372025250 61-0563555	CONSTRUCTION	IN		C					No
(69) DK CONSTRUCTION CO INC PO BOX 388 CALVERT CITY,KY42029 46-1625389	CONSTRUCTION	KY		C					No
(70) DUNCAN MACHINERY MOVERS INC 2004 DUNCAN MACHINERY DR LEXINGTON,KY40504 61-1099951	MOVING	KY		C					No
(71) E&B PAVING INC 8032 N SR 9 GREENFIELD,IN46140 35-1139301	PAVING	IN		C					No
(72) EARLY CONSTRUCTION COMPANY P O BOX 7966 HUNTINGTON,WV25779 55-0620961	CONSTRUCTION	WV		C					No
(73) EARTH IMAGES INC PO BOX 216 FLOYD KNOBS,IN47119 35-1990156	MISC. SERVICES	IN		C					No
(74) EATON CONSTRUCTION CO PO BOX 684 CIRCLEVILLE,OH43113 31-0882530	CONSTRUCTION	OH		C					No
(75) ELITE ENVIRONMENTAL SERVICES 1401 E MARYLAND ST EVANSVILLE,IN47711 35-2019819	MISC. SERVICES	IN		C					No
(76) EMPIRE SOLUTIONS NA INC 2979 REMICO ST SW GRANDVILLE,MI49418 20-3972233	MISC. SERVICES	OH		C					No
(77) ENERFAB POWER & INDUSTRIAL INC 4955 SPRING GROVE AVE CINCINNATI,OH45232 46-5227318	MISC. SERVICES	OH		C					No
(78) ENTACT LLC 999 OAKMONT PLAZA DR SUITE 300 WESTMONT,IL60559 77-0594061	MISC. SERVICES	DE		C					No
(79) ENVIROCON INC PO BOX 16655 MISSOULA,MT59808 81-0448332	MISC. SERVICES	KY		C					No
(80) ENVIRONMENTAL SPECIALTIES 7943 PECUE LN SUITE A BATON ROUGE,LA70809 72-1341830	MISC. SERVICES	KY		C					No
(81) EVRARD- KY DIVISION 2715 OLIVET CHURCH RD STE 2 PADUCAH,KY42001 87-1583843	CONTRACTOR	KY		C					No
(82) F A WILHELM CONSTRUCTION CO 3914 PROSPECT STREET INDIANAPOLIS,IN46203 35-2124363	CONSTRUCTION	IN		C					No
(83) FABCON PRECAST LLC 8911 COLUMBINE RD STE 150 EDEN PRARIE,MN55347 45-5442888	MISC. SERVICES	DE		C					No
(84) FESSLER & BOWMAN 4099 EAGLES NEST CT FLUSHING,MI48433 38-1709144	MISC. SERVICES	MI		C					No
(85) FISHER CONTRACTING COMPANY 3401 CONTRACTOR DR MIDLAND,MI48642 38-1547520	MISC. SERVICES	MI		C					No
(86) FIVE STAR ENERGY SERVICES LLC W228S7055 ENTERPRISE DR BIG BEND,WI53102 82-3287884	MISC. SERVICES	WI		C					No
(87) FM SYLVAN INC 2851 HIGH MEADOW CIRCLE STE 190 AUBURN HILLS,MI48326 22-3841378	MISC. SERVICES	MI		C					No
(88) FRONTIER ENTERPRISES INC 4101 RALPH AVE LOUISVILLE,KY40211 61-1175067	MISC. SERVICES	KY		C					No
(89) G & G CONSTRUCTION LLC PO BOX 8 DYCUSBURG,KY42037 99-1273788	CONSTRUCTION	KY		C					No
(90) GABE'S CONSTRUCTION CO INC 4804 NORTH 4OTH STREET SHEBOYGAN,WI53083 39-1018472	CONSTRUCTION	WI		C					No
(91) GALLAGHER-KAISER CORP 5555 NEW KING TROY,MI48098 38-1396724	MISC. SERVICES	MI		C					No
(92) GATEWAY CONCRETE FORMING P O BOX 130 MIAMITOWN,OH45041 31-0958608	CONCRETE SVCS	IL		C					No
(93) GDI SERVICES 24300 SOUTHFIELD RD STE 300 SOUTHFIELD,MI48075 39-2079800	MISC. SERVICES	DE		C					No
(94) GEIGER BROTHERS PO BOX 469 JACKSON,OH45640 31-0733949	MISC. SERVICES	OH		C					No
(95) GILLESPIE & POWERS 1699 HANLEY RD STE 200 ST LOUIS,MO63144 43-0648117	MISC. SERVICES	MO		C					No
(96) GLOBAL SCAFFOLD CNSTR SVCS INC 720 WASHINGTON ST UNIT 5 HANOVER,MA02339 27-1258935	CONSTRUCTION	NV		C					No
(97) GRAHAM INDUSTRIAL MAINTENANCE PO BOX 3450 NAMPA,ID83653 84-3057722	MISC. SERVICES	DE		C					No
(98) GREER EXCAVATING 897 HOWARDS GROVE RD CALVERT CITY,KY42029 46-4288608	CONSTRUCTION	KY		C					No
(99) GROUT SYSTEMS PO BOX 557 WADSWORTH,OH44282 34-1481761	MISC. SERVICES	OH		C					No
(100) G-UB-MK 1324 ELM HILL PIKE NASHVILLE,TN37210 62-1623583	ELECTRICAL	TN		C					No
(101) HAGERMAN CONSTRUCTION CORP PO BOX 10690 FORT WAYNE,IN46853 35-0813400	CONSTRUCTION	IN		C					No
(102) HAO SYSTEMS 4375 RIVER GREEN PKWY SUITE 210 DULUTH,GA30096 83-2515376	MISC. SERVICES	GA		C					No
(103) HARMON CONSTRUCTION INC 621 S STATE ST NORTH VERNON,IN47265 35-1610556	CONSTRUCTION	KY		C					No
(104) HAYDEN WRECKING CORP 4201 ST CLAIR AVE WASHINGTON PARK,IL62203 37-1009168	CONSTRUCTION	MO		C					No
(105) HAYES DRILLING INC 15525 S MAHAFFIE STREET OLATHE,KS66062 43-1875850	CONSTRUCTION	MO		C					No
(106) HAZEX CONSTRUCTION CO P O BOX 357 HENDERSON,KY42419 61-0623578	CONSTRUCTION	KY		C					No
(107) HEIMBROCK INC 4632 ILLINOIS AVE LOUISVILLE,KY40213 61-0663114	MISC. SERVICES	KY		C					No
(108) HELMKAMP CONSTRUCTION CO 707 BERKSHIRE BLVD EAST ALTON,IL62024 37-1353840	CONSTRUCTION	MO		C					No
(109) HENKELS & MCCOY 985 JOLLY RD BLUE BELL,PA19422 23-1535602	MISC. SERVICES	PA		C					No
(110) HENRY F TEICHMANN INC 3009 WASHINGTON RD MCMURRAY,PA15317 25-0933019	MISC. SERVICES	PA		C					No
(111) HILTON VENTILATION & IND CO 240 ROBERT CURRY DR MARTINSVILLE,IN46151 47-1320063	MISC. SERVICES	IN		C					No
(112) HUELSMAN & SWEENEY CONSTRUCTIO PO BOX 188 SELLERSBURG,IN47172 35-1548740	CONSTRUCTION	IN		C					No
(113) ICC COMMONWEALTH CORP 795 WURLITZER DR NORTH TONAWANDA,NY14120 16-0850893	MISC. SERVICES	NY		C					No
(114) INDEPENDENCE EXCAVATING INC 5720 INDEPENDENCE DR STE 500 BRECKSVILLE,OH44141 34-0938274	CONSTRUCTION	OH		C					No
(115) INDIANA LABORERS WELFARE FUND PO BOX 1587 TERRE HAUTE,IN478081587 35-0923209	BENEFITS	IN		T					No
(116) INDUSTRIAL CONTRACTORS SKANSKA 401 NW FIRST ST EVANSVILLE,IN47708 35-1103660	CONTRACTOR	IN		C					No
(117) INDUSTRIAL PIPING INC 712 W 15TH ST HOPKINSVILLE,KY42240 61-0722791	MISC. SERVICES	KY		C					No
(118) INLAND INDUSTRIAL SRVS GRP LLC 987 WEST HURD RD MONROE,MI48612 20-8630545	MISC. SERVICES	MI		C					No
(119) INTEGRITY KOKOSING PIPELINE 17531 WATERFORD ROAD FREDERICKTOWN,OH43019 45-5069971	CONSTRUCTION	OH		C					No
(120) IOWA LABORERS DISTRICT COUNCIL 150 1ST AVE NE STE 450 CEDAR RAPIDS,IA52401 42-0946060	BENEFITS	IA		T					No
(121) J T THORPE & SON INC 1060 HENSLEY ST RICHMOND,CA94801 94-0925270	CONSTRUCTION	CA		C					No
(122) J&J GENERAL MAINTENANCE INC 2430 S 3RD ST IRONTON,OH456380633 26-2399696	CONSTRUCTION	OH		C					No
(123) JBI CONSTRUCTION INC 10335 HEDDEN ROAD EVANSVILLE,IN47725 35-2131982	CONSTRUCTION	IN		C					No
(124) JIM SMITH CONTRACTING CO 1108 DOVER ROAD GRAND RIVERS,KY42045 61-1380786	CONSTRUCTION	KY		C					No
(125) KELLER NORTH AMERICA INC 7550 TEAGUE RD STE 300 HANOVER,MD21076 59-2059235	CONSTRUCTION	DE		C					No
(126) KENTUCKY LABORERS DISTRICT COUNCIL 1994 BY PASS SOUTH LAWRENCEBURG,KY40342 61-0655782	CONSTRUCTION	KY		C					No
(127) KIEWIT POWER CONST 7700 EAST PORT PKWY LA VISTA,NE68128 47-0647804	CONSTRUCTION	DE		C					No
(128) KLM MECHANICAL LLC 220 S HORD ST STE F GRAYSON,KY41143 93-3551044	CONSTRUCTION	KY		C					No
(129) KOKOSING CONSTRUCTION CO INC PO BOX 226 FREDERICKTOWN,OH43019 31-1023518	CONSTRUCTION	OH		C					No
(130) KOLB GRADING LLC 5731 WESTWOOD ST CHARLES,MO63304 32-0289822	CONSTRUCTION	MO		C					No
(131) KY COOP TRUST-LECET 1998 BYPASS SOUTH LAWRENCEBURG,KY40342 62-1520871	MANAGEMENT	KY		C					No
(132) KY LABORERS HEALTH & WELFARE F 1996 BY-PASS SOUTH LAWRENCEBURG,KY40342 23-7017526	BENEFITS	KY		T					No
(133) KY LABORERS TRAINING FUND 2000 US BY PASS SOUTH LAWRENCEBURG,KY40342 61-1145645	CONSTRUCTION	KY		T					No
(134) L E MYERS GROUP INCMYR GROUP 401 CHESTNUT ST STE 120 CHATTANOOGA,TN37402 36-1517230	CONSTRUCTION	DE		C					No
(135) L G FOX INC PO BOX 11841 LEXINGTON,KY40578 61-1163618	CONSTRUCTION	KY		C					No
(136) LABORERS COMBINED FUNDS W PENNSYLVANIA P O BOX 360137 PITTSBURGH,PA152516137 25-6035806	BENEFITS	PA		T					No
(137) LABORERS LOCAL 1214 1415 SOUTH 3RD ST PADUCAH,KY42003 61-0366884	CONSTRUCTION	KY		C					No
(138) LABORERS LOCAL 1392 827 OLD HARTFORD RD OWENSBORO,KY42303 61-0430426	CONSTRUCTION	KY		C					No
(139) LABORERS LOCAL 1445 PO BOX 438 CATLETTSBURG,KY41129 61-0391690	CONSTRUCTION	KY		C					No
(140) LABORERS LOCAL 189 2631 WILHITE DRIVE LEXINGTON,KY40503 61-2098401	CONSTRUCTION	KY		C					No
(141) LABORERS LOCAL 576 646 PHILLIPS LANE LOUISVILLE,KY40209 61-0235277	CONSTRUCTION	KY		C					No
(142) LACY CONSTR GROUP DBA THE NE 1339 SUNDAY DR INDIANAPOLIS,IN46217 81-3131218	CONSTRUCTION	IN		C					No
(143) LEIDAL & HART MASON CONTR INC 12100 GLOBE ST LIVONIA,MI48150 38-1903393	CONSTRUCTION	MI		C					No
(144) LESCO DESIGN & MFG CO 1120 FT PICKINS RD LAGRANGE,KY40031 61-0600006	CONSTRUCTION	KY		C					No
(145) LIGHTHOUSE ELECTRIC CO INC 2200 ENERGY DR SUITE 200 CANONSBURG,PA15317 25-1461881	CONSTRUCTION	KY		C					No
(146) LILJA CORP 229 RICKENBACKER CIRCLE LIVERMORE,CA94551 94-3165094	MISC. SERVICES	CA		C					No
(147) LUTGRING BROS INC 5980 SHILOH RD TELL CITY,IN47586 35-0958970	CONSTRUCTION	IN		C					No
(148) MADDOX INDUSTRIAL CONTRACTING PO BOX 44 SANTA CLAUS,IN47579 46-3368043	CONSTRUCTION	IN		C					No
(149) MALCOLM DRILLING CO 92 NATOMA ST STE 400 SAN FRANCISCO,CA94105 94-1671918	CONSTRUCTION	CA		C					No
(150) MCABEE CONSTRUCTION INC 5724 21ST STREET TUSCALOOSA,AL35401 63-0622649	CONSTRUCTION	AL		C					No
(151) MEL-KAY ELECTRIC CO 1511 N GARVIN ST EVANSVILLE,IN47711 35-1061958	CONSTRUCTION	IN		C					No
(152) METRO MASONRY INC 5050 A STATE RT 10 BARBOURSVILLE,WV25504 55-0665583	CONSTRUCTION	WV		C					No
(153) MICHELS PIPELINE CONSTRUCTION 817 W MAIN ST PO BOX 128 BROWNSVILLE,WI530060128 39-0970311	CONSTRUCTION	DE		C					No
(154) MICHIGAN LABORERS HEALTH 6452 MILLENNIUM DRIVE SUITE 100 LANSING,MI48917 38-6058384	BENEFITS	MI		T					No
(155) MI-DE-CON INC 3331 SOUTH 3RD IRONTON,OH45638 31-1653157	CONSTRUCTION	OH		C					No
(156) MIDWEST MOLE INC 6814 W 350N GREENFIELD,IN46140 35-1526557	CONSTRUCTION	IN		C					No
(157) MILLER PIPELINE CORP PO BOX 34141 INDIANAPOLIS,IN46234 35-1959522	CONSTRUCTION	IN		C					No
(158) MITCHELL CONSTRUCTION LLC 7309 BENTON ROAD PADUCAH,KY42003 26-2952015	CONSTRUCTION	KY		C					No
(159) MOMENTUM PIPELINE LLC 8075 S CALHOUN HWY MILLSTONE,WV25261 82-4761564	MISC. SERVICES	WV		C					No
(160) MONARCH CONSTRUCTION CO 1654 SHERMAN AVE CINCINNATI,OH45212 31-1122357	CONSTRUCTION	KY		C					No
(161) MORSEY CONSTRUCTORS LLC PO BOX 558 CALVERT CITY,KY42029 20-5544676	CONSTRUCTION	KY		C					No
(162) MURTCO MECHANICAL 2900 IRVIN COBB DR PADUCAH,KY42003 61-1127838	CONSTRUCTION	KY		C					No
(163) NICHOLSON CONSTRUCTION 2400 ANSYS DR STE 303 CANONSBURG,PA15317 25-1024823	CONSTRUCTION	PA		C					No
(164) NORTH AMERICAN DISMANTLING CO P O BOX 307 LAPEER,MI484460307 38-2551338	CONSTRUCTION	MI		C					No
(165) OFFICE RESOURCES INC 12600 PLANTSIDE DRIVE LOUISVILLE,KY40299 20-1623069	CONSTRUCTION	KY		C					No
(166) OHIO LABORERS DISTRICT COUNCIL 800 HILLSDOWNE RD WESTERVILLE,OH43081 31-6052984	BENEFITS	OH		T					No
(167) OMI REFRACTORIES LLC (BISCO REFRACTORIES) 500 SUPERIOR ST BLDG 4 CARNEGIE,PA15106 20-0386326	CONSTRUCTION	AL		C					No
(168) OTIS MINNESOTA SERVICE INC PO BOX 330 WELLSVILLE,NY14895 16-0725868	CONSTRUCTION	DE		C					No
(169) OUTDOOR SPECIALTIES LAWN & LANDSCAPING LLC 1205 ARMORY PLACE BRANDENBURG,KY40108 45-5205409	CONSTRUCTION	KY		C					No
(170) PARCO CONSTRUCTORS GROUP LLC PO BOX 99339 LOUISVILLE,KY40269 26-1751402	CONSTRUCTION	KY		C					No
(171) PERFORMANCE CONTRACTING INC 11145 THOMPSON AVE LENEXA,KS66219 34-1467168	CONSTRUCTION	KS		C					No
(172) PHILLIPS HARDY INC 2601 BERNADETTE PLACE COLUMBIA,MO65203 43-1697192	CONSTRUCTION	MO		C					No
(173) POYNTER SHEET METAL 775 COMMERCE PARKWAY WEST DR GREENWOOD,IN46143 35-2124366	CONSTRUCTION	IN		C					No
(174) PRECISION COOLING TOWERS INC 1365 COMMONWEALTH DRIVE HENDERSON,KY42420 61-1133637	CONSTRUCTION	KY		C					No
(175) PRECISION ENVIRONMENTAL CO 5500 OLD BRECKSVILLE RD INDEPENDENCE,OH44131 34-1570806	CONSTRUCTION	OH		C					No
(176) PRECISION PIPELINE LLC 3314 56TH STREET EAU CLAIRE,WI54703 20-0667117	CONSTRUCTION	WI		C					No
(177) PRETEC DIRECTIONAL DRILLING L 3314 56TH ST EAU CLAIRE,WI54703 81-2154750	CONSTRUCTION	FL		C					No
(178) PRICE GREGORY INTERNATIONAL 920 MEMORIAL CITY WAY SUITE 600 HOUSTON,TX77024 73-1103884	CONSTRUCTION	DE		C					No
(179) PROFESSIONAL CONST SERVICES PO BOX 510 RIPLEY,WV25271 04-3815019	CONSTRUCTION	WV		C					No
(180) PULLMAN POWER LLC 10150 N AMBASSADOR DR STE 200 KANSAS CITY,MO64153 52-2264809	CONSTRUCTION	MD		C					No
(181) RAGLE INC P O BOX 444 NEWBURGH,IN47629 35-1878024	CONSTRUCTION	IN		C					No
(182) RAM CONSTRUCTION SERVICES 13800 ECKLES ROAD LIVONIA,MI48150 38-1164400	CONSTRUCTION	MI		C					No
(183) RAY BLACK & SON INC 348 S 31ST ST PADUCAH,KY42001 61-0707318	CONSTRUCTION	KY		C					No
(184) RC REFRACTORY INC P O BOX 488 CARNEGIE,PA15106 20-2691958	CONSTRUCTION	KY		C					No
(185) RELIACOR INC 160 HIDDEN ACRES DR WEST UNION,OH45693 82-2922395	MISC. SERVICES	OH		C					No
(186) RENASCENT INC 6325 DIGITAL WAY STE 300 INDIANAPOLIS,IN46278 20-2107424	CONSTRUCTION	IN		C					No
(187) REPP & MUNDT INC PO BOX 368 COLUMBUS,IN47202 35-0831284	CONSTRUCTION	IN		C					No
(188) REYNOLDS CONSTRUCTION 6225 N COUNTY RD 75 E ORLEANS,IN47452 38-3995757	CONSTRUCTION	DE		C					No
(189) RICHARD GOETTLE INC 12071 HAMILTON AVE CINCINNATI,OH45231 20-3716480	CONSTRUCTION	OH		C					No
(190) RIVER TOWN CONSTRUCTION LLC PO BOX 444 NEWBURGH,IN47629 35-2267846	CONSTRUCTION	IN		C					No
(191) RLA INVESTMENTS INC 389 S WAYNE AVE CINCINNATI,OH45215 31-1456664	CONSTRUCTION	OH		C					No
(192) RMF NOOTER LLC 915 MATZINGER RD TOLEDO,OH43612 20-0154319	CONSTRUCTION	MO		C					No
(193) ROCKY MOUNTAIN SPECIALTY SVC 1824 SUMNER ST HAMMOND,IN46320 45-3064985	MISC. SERVICES	IN		C					No
(194) ROLLING PLAINS CONSTRUCTION 12331 N PEORIA ST HENDERSEN,CO80640 84-0960975	CONSTRUCTION	CO		C					No
(195) RTW REFRACTORY INC 3141 BROADWAY AVENUE EVANSVILLE,IN47712 35-2136416	CONSTRUCTION	IN		C					No
(196) SACHS ELECTRIC 1572 LARKIN WILLIAMS RD FENTON,MO630263009 43-0911363	CONSTRUCTION	MO		C					No
(197) SAK CONSTRUCTION LLC 864 HOFF ROAD OFALLON,MO63366 20-4193988	CONSTRUCTION	MO		C					No
(198) SCHAD BOILER SETTING COMPANY 15240 CASTLETON DETROIT,MI48227 38-1844208	MISC. SERVICES	MI		C					No
(199) SCHNELL CONTRACTORS INC 1343 TILE FACTORY LN LOUISVILLE,KY40213 61-1044453	CONSTRUCTION	KY		C					No
(200) SCRUGGS CONSTRUCTION INC 795 W COUNTY RD 500 N NORTH VERNON,IN47265 82-4549462	CONSTRUCTION	IN		C					No
(201) SERVPRO OF LEXINGTON 731 RED MILE RD LEXINGTON,KY40504 61-1384429	CONSTRUCTION	KY		C					No
(202) SHEET PILING SERVICES 6872 STATE HWY 66 CUSTER,WI54423 47-2908892	CONSTRUCTION	WI		C					No
(203) SHIMMICK CONSTRUCTION COMPANY 1 HARBOR CENTER SUITE 200 SUISUN CITY,CA94585 94-3107390	CONSTRUCTION	CA		C					No
(204) SIERRA BRAVO CONTRACTORS PO BOX 130 SESSER,IL62884 20-0995647	CONSTRUCTION	IL		C					No
(205) SIGN CRAFTERS INC 1508 STRINGTOWN RD EVANSVILLE,IN47711 35-1005279	CONSTRUCTION	KY		C					No
(206) SIMCO CONSTRUCTION INC 1311 COMMERCE DR DECATUR,AL35601 63-1177747	CONSTRUCTION	KY		C					No
(207) SKEENS EXCAVATING INC 680 GREAT MEADOW RD WHEELERSBURG,OH45694 46-2237478	CONSTRUCTION	OH		C					No
(208) SNELSON COMPANIES INC 601 WEST STATE STREET SEDRO WOOLEY,WA98284 95-0541448	CONSTRUCTION	WA		C					No
(209) SOUTHERN ILLINOIS HEALTH AND W 5100 LABORERS WAY SUITE A MARION,IL62959 37-1037101	BENEFITS	IL		T					No
(210) SOUTHERN OHIO TRENCHING 3228 COUNTY ROAD 103 IRONTON,OH45638 31-1041046	CONSTRUCTION	OH		C					No
(211) ST LOUIS CONSTRUCTION BENEFIT OFFICE 2357 -59TH STREET ST LOUIS,MO631102811 43-0688695	BENEFITS	MO		T					No
(212) STEBBINS ENG & MFG 363 EASTERN BLVD WATERTOWN,NY13601 15-0458520	CONSTRUCTION	NY		C					No
(213) STERLING INDUSTRIAL LLC 401 NW FIRST ST EVANSVILLE,IN47702 35-1537007	CONSTRUCTION	IN		C					No
(214) STRUCTSURE SCAFFOLD SOLUTIONS LLC 15419 HUNTINGTON RD GALLIPOLIS FERRY,WV25515 83-4010420	CONSTRUCTION	WV		C					No
(215) SULLIVAN COZART INC PO BOX 953 LOUISVILLE,KY40201 61-0416180	CONSTRUCTION	KY		C					No
(216) SUPREME ENTERPRISES LLC 1214 US HWY 68 W BENTON,KY42025 46-3495281	CONSTRUCTION	KY		C					No
(217) TAYLOR BROS CONSTRUCTION CO 4555 MIDDLE ROAD COLUMBUS,IN47203 35-1161310	CONSTRUCTION	IN		C					No
(218) THALLE CONSTRUCTION CO INC 900 NC 86 NORTH HILLSBOROUGH,NC27278 13-1734206	CONSTRUCTION	NY		C					No
(219) THE BOLDT COMPANY 2121 E CAPITOL DR APPLETON,WI54911 39-0174190	CONSTRUCTION	WI		C					No
(220) THE HARPER COMPANY PO BOX 420 HEBRON,KY41048 31-0533105	CONSTRUCTION	KY		C					No
(221) THE LATHROP COMPANY INC 28 N ST CLAIR ST TOLEDO,OH43604 13-3360612	CONSTRUCTION	DE		C					No
(222) THE SCHAEFER GROUP INC 1300 GRANGE HALL ROAD DAYTON,OH45430 31-0584868	CONSTRUCTION	OH		C					No
(223) THE SELINSKY FORCE LLC 5365 EAST CENTER DRIVE NE SUITE C CANTON,OH44721 20-8865828	CONSTRUCTION	OH		C					No
(224) THE STATE GROUP INDUSTRIAL 13800 N HWY 57 EVANSVILLE,IN47725 98-0361702	CONSTRUCTION	DE		C					No
(225) THERMAL SOLUTIONS INC 9329 COUNTY RD 107 PROCTORVILLE,OH45669 55-0772752	CONSTRUCTION	WV		C					No
(226) THIENEMAN CONSTRUCTION 17219 FOUNDATION PKWY WESTFIELD,IN46074 35-2073270	CONSTRUCTION	IN		C					No
(227) TRAVIS CONSTRUCTION CO INC PO BOX 248 CALVERT CITY,KY42029 61-0999813	CONSTRUCTION	KY		C					No
(228) TRI AMERICA CONTRACTORS INC 1664 ST RT 522 WHEELERSBURG,OH45694 31-1556463	CONTRACTOR	OH		C					No
(229) TRI STATE FENCE CO 5900 OAK GROVE RD EVANSVILLE,IN47715 35-1693767	CONSTRUCTION	KY		C					No
(230) TRIANGLE ENTERPRISES INC 3630 CAIRO ROAD PADUCAH,KY42001 61-0505334	CONSTRUCTION	KY		C					No
(231) TRI-STATE BUILDING TRADES COUNCIL 2141 CARTER AVE ASHLAND,KY41101 61-0867186	CONSTRUCTION	KY		C					No
(232) TRITON CONSTRUCTION CO PO BOX 1360 ST ALBANS,WV25177 27-2000626	CONSTRUCTION	WV		C					No
(233) TRUE-STRING DBA METRO MASONRY DBA METRO MASONRY 5050 A STATE RD 1 BARBOURVILLE,WV25504 99-3047975	CONSTRUCTION	WV		C					No
(234) TURNER CONSTRUCTION COMPANY 510 RACE STREET CINCINNATI,OH45202 13-1401980	CONSTRUCTION	NY		C					No
(235) TURNER INDUSTRIAL MAINTENANCE P O BOX 2750 BATON ROUGE,LA70821 55-0869273	CONSTRUCTION	LA		C					No
(236) TWENTY FIRST CENTURY SALVAGE 10750 MARTZ RD YPSILANTI,MI48197 38-3337659	CONSTRUCTION	MI		C					No
(237) US PIPELINE INC 950 ECHO LANE 100 HOUSTON,TX77024 52-2129576	MISC. SERVICES	TX		C					No
(238) UNITED ELECTRIC CO INC 9901 LINN STATION RD STE 850 LOUISVILLE,KY40223 61-0526410	ELECTRICAL	KY		C					No
(239) UNITED PIPING INC 4510 AIRPORT ROAD DULTH,MN55811 41-1863656	MISC. SERVICES	MN		C					No
(240) W B FOSSON & SONS P O BOX 1859 ASHLAND,KY411051859 61-0985720	MISC. SERVICES	KY		C					No
(241) WALBRIDGE EQUIPMENT 777 WOODWARD AVE STE 300 DETROIT,MI48226 36-3973394	EQUIPMENT	IL		C					No
(242) WALSH CONSTRUCTION COMPANY 929 WEST ADAMS ST CHICAGO,IL60607 36-2231526	CONSTRUCTION	IL		C					No
(243) WB-KOESTER CONSTRUCTION LLC PO BOX 1330 BLOOMINGTON,IN47402 06-1738116	CONSTRUCTION	IN		C					No
(244) WEHR CONSTRUCTORS INC 2517 PLANTSIDE DRIVE LOUISVILLE,KY40299 61-0668134	CONSTRUCTION	KY		C					No
(245) WEST VIRGINIA LABORERS TRUST F ONE UNION SQUARE CHARLESTON,WV25302 55-0451207	BENEFITS	WV		T					No
(246) WESTERN WEATHERPROOFING DBA WESTERN SPECIALTY CONTRACTORS 2915 TOBEY DRIVE INDIANAPOLIS,IN46219 43-0634668	MISC. SERVICES	MO		C					No
(247) WHITTENBERG CONSTRUCTION 4774 ALLMOND AVE LOUISVILLE,KY40209 61-1201183	CONSTRUCTION	KY		C					No

Schedule R (Form 990) (Rev. 1-2025)

Page 3

Part V

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

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

Yes

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Yes

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

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

Schedule R (Form 990) (Rev. 1-2025)

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) (Rev. 1-2025)

Page 5

Part VII

Supplemental Information

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

Return Reference	Explanation

Schedule R (Form 990) (Rev. 1-2025)

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: EMPLOYEE BENEFIT PLAN PROVIDING ACCIDENT, SICKNESS, VISION, DENTAL, DEATH AND ACCIDENTAL DEATH & DISMEMBERMENT BENEFITS FOR ACTIVE PARTICIPANTS AND ACCIDENT, SICKNESS, VISION, DENTAL AND DEATH BENEFITS FOR RETIRED PARTICIPANTS.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	9
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	9
5	Total number of individuals employed in calendar year 2024 (Part V, line 2a) ......	5	8
6	Total number of volunteers (estimate if necessary) .............	6	9
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) .........	24,323,295	27,740,813
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	318,238	1,060,904
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	72,491	72,026
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	24,714,024	28,873,743
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).....	19,290,206	19,937,740
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	1,071,439	1,088,339
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)....	1,311,050	1,580,535
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	21,672,695	22,606,614
19	Revenue less expenses. Subtract line 18 from line 12.......	3,041,329	6,267,129
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	38,623,854	46,212,126
21	Total liabilities (Part X, line 26).............	943,267	884,937
22	Net assets or fund balances. Subtract line 21 from line 20.....	37,680,587	45,327,189

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )
	EMPLOYEE BENEFIT PLAN PROVIDING ACCIDENT, SICKNESS, VISION, DENTAL, DEATH AND ACCIDENTAL DEATH & DISMEMBERMENT BENEFITS FOR ACTIVE PARTICIPANTS AND ACCIDENT, SICKNESS, VISION, DENTAL AND DEATH BENEFITS FOR RETIRED 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) DONALD TRAVIS...................................................................... EMPLOYER TRUSTEE	1.00 .................	X			0	0	0
(2) JEFF STORY...................................................................... EMPLOYER TRUSTEE	1.00 .................	X			0	0	0
(3) ANTHONY WICKLINE...................................................................... TRUSTEE (TO 01/24)	1.00 .................	X			0	0	0
(4) LARRY HENDERSON...................................................................... UNION TRUSTEE	1.00 .................	X			0	0	0
(5) DWAYNE MCCAULEY...................................................................... UNION TRUSTEE	1.00 .................	X			0	0	0
(6) JEREMY JENKINS...................................................................... UNION TRUSTEE	1.00 .................	X			0	0	0
(7) TERRY BLADES...................................................................... ALTERNATE UNION TRUSTEE	1.00 .................	X			0	0	0
(8) PERRY BLADES...................................................................... CHAIRMAN	1.00 .................	X	X		0	0	0
(9) DOUG HACKER...................................................................... SECRETARY/TREASURER	1.00 .................	X	X		0	0	0
(10) DAVID BOIEN...................................................................... EMPLOYER TRUSTEE (FROM 01/24)	1.00 .................	X			0	0	0
(11) SAMANTHA GRIFFIETH...................................................................... FUND ADMINISTRATOR	40.00 .................			X	106,528	0	80,841

1b	Sub-Total..............
c	Total from continuation sheets to Part VII, Section A..
d	Total (add lines 1b and 1c).........	106,528	0	80,841

(A) Name and business address	(B) Description of services	(C) Compensation
ANTHEM BLUE CROSS BLUE SHIELD 3350 PEACHTREE ROAD NE ATLANTA,GA30326	JOINT CLAIMS ADMINISTRATION	729,492
SOLXSYS ADMINISTRATIVE SOLUTIONS 5600 NEW KING DRIVE STE 330 TROY,MI48098	CONSULTING & SOFTWARE SERVICES	201,659



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	525120	26,866,223	26,866,223
b	EMPLOYEE CONTRIBUTIONS	525120	874,590	874,590
c
d
e
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		27,740,813

3 Investment income (including dividends, interest, and othersimilar amounts) ......			1,013,845			1,013,845
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	17,621,034
b	Less: cost or other basis and sales expenses	7b	17,573,975
c	Gain or (loss)	7c	47,059
d	Net gain or (loss).........			47,059			47,059
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	REIMBURSEMENT FOR SVCS		900099	72,026	72,026
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			72,026
12	Total revenue. See instructions.....			28,873,743	27,812,839	0	1,060,904

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 .......	19,937,740
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........	547,709
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	390,220
9	Other employee benefits .......	105,538
10	Payroll taxes ...........	44,872
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	90,545
c	Accounting ...........	104,602
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	100,795
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	824,895
12	Advertising and promotion ....
13	Office expenses .......	98,599
14	Information technology ......	183,467
15	Royalties ..
16	Occupancy ...........	37,138
17	Travel ............
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	14,747
20	Interest ...........
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	2,881
23	Insurance ...	30,027
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	MAINT/SVC CONTRACTS	50,829
b	INTERNATIONAL FDN	31,687
c	PCORI TAX	10,323
d
e	All other expenses
25	Total functional expenses. Add lines 1 through 24e	22,606,614
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 ........			2,303,504	1	2,755,435
2	Savings and temporary cash investments .........			491,828	2	228,039
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			3,178,838	4	2,790,599
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 ......			78,757	9	83,569
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	142,421
b	Less: accumulated depreciation	10b	130,714	1,338	10c	11,707
11	Investments—publicly traded securities .			32,468,216	11	40,273,549
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 ...........			101,373	15	69,228
16	Total assets. Add lines 1 through 15 (must equal line 33)...			38,623,854	16	46,212,126

17	Accounts payable and accrued expenses .....	843,645	17	817,014
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	99,622	25	67,923
26	Total liabilities. Add lines 17 through 25..	943,267	26	884,937

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........		27
28	Net assets with donor restrictions ...........		28
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....	37,680,587	29	45,327,189
30	Paid-in or capital surplus, or land, building or equipment fund ...	0	30	0
31	Retained earnings, endowment, accumulated income, or other funds	0	31	0
32	Total net assets or fund balances ...........	37,680,587	32	45,327,189
33	Total liabilities and net assets/fund balances ........	38,623,854	33	46,212,126