2024-02-14T17:04:20-06:00 2023-03-31 320043599 LEGACY PROFESSIONALS LLP 6800 FRANCE AVENUE SO SUITE 550 EDINA MN 55435 990 2022-04-01 416039051 PLASTERERS AND CABINET MAKERS HEALTH FUND PLAS 9528540795 3001 METRO DRIVE 500 BLOOMINGTON MN 55425 TIM HOUSE TRUSTEE 9528540795 2024-01-24 1 TIM HOUSE 999009999 0 LARRY WOOD P00634996 9528413950 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z TIM HOUSE 3001 METRO DRIVE 500 BLOOMINGTON MN 55425 9636259 0 X N/A X 1955 MN PROVIDE HEALTH AND WELFARE BENEFITS 5 3 27 0 0 0 0 0 6140474 6810799 166792 -65648 0 0 6307266 6745151 0 0 6219772 8662756 0 0 0 0 0 156810 188994 6376582 8851750 -69316 -2106599 8022574 5688737 203402 203890 7819172 5484847 PROVIDE HEALTH AND WELFARE BENEFITS 0 0 THE PLAN PROVIDES MEDICAL, DENTAL, PRESCRIPTION DRUG, VISION, DEATH , ACCIDENTAL DEATH AND DISMEMBERMENT AND SHORT-TERM DISABILITY BENEFITS FOR ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS OR BENEFICIARIES. 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 2 0 1 27 1 0 0 0 0 0 0 0 0 0 0 X 5 3 0 1 0 0 0 1 0 1 0 0 0 1 1 1 1 1 1 0 0 0 X WILSON-MCSHANE CORPORATION 9528540795 3001 METRO DRIVE 500 BLOOMINGTON MN 55425 TIM HOUSE TRUSTEE 1.00 40.00 X 0 94427 61961 DARRELL ROBERTSON TRUSTEE 1.00 X 0 0 0 RICHARD FELBER TRUSTEE 1.00 X 0 0 0 MARTHA HENRICKSON TRUSTEE 1.00 X 0 0 0 SEAN CONRAD TRUSTEE 1.00 X 0 0 0 0 94427 61961 0 0 1 0 WILSON-MCSHANE CORPORATION 3001 METRO DRIVE 500 BLOOMINGTON MN 55425 THIRD PARTY ADMINISTRATOR 274392 BLUE CROSS AND BLUE SHIELD OF MINNESOTA PO BOX 64560 ST PAUL MN 55164 PPO PROVIDER 171918 2 EMPLOYER CONTRIBUTIONS 900099 5816572 5816572 PRESCRIPTION DRUG REBATES 900099 684629 684629 PARTICIPANT CONTRIBUTIONS 900099 197427 197427 STOP LOSS REIMBURSEMENT 900099 83901 83901 SUBROGATION 900099 28270 28270 6810799 149197 149197 2676263 2891108 -214845 -214845 -214845 6745151 6810799 0 -65648 8662756 36000 38996 19500 33276 49000 2265 3151 4340 FEES MANDATED BY ACA 2466 8851750 698032 584158 135034 28272 708398 706037 4074 0 6477036 4370270 8022574 5688737 26891 30225 103665 101578 72846 72087 203402 203890 X 0 0 0 0 7819172 5484847 7819172 5484847 8022574 5688737 -2106599 -227726 0 X 0 1 X 1 0 0 UNALLOCATED DEPOSITS 72087 72087 X 6484149 -227726 -227726 6711875 33276 33276 6745151 8818474 0 8818474 33276 33276 8851750 PART X, LINE 2: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE THE PLAN TO EVALUATE TAX POSITIONS TAKEN AND RECOGNIZE A TAX LIABILITY IF THE PLAN HAS TAKEN UNCERTAIN TAX POSITIONS THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY TAX AUTHORITIES. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. 0 0 0 TIM HOUSE TRUSTEE 0 94427 0 0 0 0 0 45379 0 16582 0 156388 0 0 FORM 990, PART VI, SECTION A, LINE 3 ALTHOUGH THE TRUSTEES RETAIN THE ULTIMATE RESPONSIBILITY, THE TRUSTEES HAVE DELEGATED THE DAY TO DAY ADMINISTRATIVE DUTIES TO WILSON-MCSHANE CORPORATION AS THE THIRD PARTY ADMINISTRATOR OF THE PLAN. FORM 990, PART VI, SECTION A, LINE 7A THREE MEMBERS OF THE BOARD OF TRUSTEES SHALL BE KNOWN AS EMPLOYER TRUSTEES AND ARE APPOINTED BY THE EMPLOYER ASSOCIATION. THREE MEMBERS OF THE BOARD OF TRUSTEES SHALL BE KNOWN AS UNION TRUSTEES AND ARE APPOINTED BY THE UNION. FORM 990, PART VI, SECTION A, LINE 8B THERE ARE NO COMMITTEES WITH THE AUTHORITY TO ACT ON BEHALF OF THE BOARD OF TRUSTEES (GOVERNING BODY). FORM 990, PART VI, SECTION B, LINE 11B FORM 990 IS PROVIDED TO AND REVIEWED BY THE ENTIRE BOARD OF TRUSTEES PRIOR TO ITS FILING. FORM 990, PART VI, SECTION B, LINE 12C THE TRUSTEES CONSTANTLY MONITOR THE ACTIONS OF EVERY TRUSTEE TO VERIFY THAT THEY ARE AVOIDING ANY CONFLICT OF INTEREST OR APPEARANCE OF ANY CONFLICT OF INTEREST. THE TRUSTEES WILL SEEK LEGAL ADVICE REGARDING ANY CONFLICTS OF INTEREST THEY ENCOUNTER IN FULFILLING THEIR DUTIES TO THE PLAN. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO PARTICIPANTS, UPON REQUEST, AT THE THIRD PARTY ADMINISTRATOR'S OFFICE IN BLOOMINGTON, MN. INDUSTRY SCHOOL DISTRICT #625 CONTRIBUTING EMPLOYER 0 PLASTERERS LOCAL 265 CONTRIBUTING EMPLOYER 0 MINNEAPOLIS PUBLIC SCHOOLS #1 CONTRIBUTING EMPLOYER 0 PLASTERERS LOCAL 265 APPRENTICE TRAINING CONTRIBUTING EMPLOYER 0 BERG PLASTERING LLC CONTRIBUTING EMPLOYER 0 0 CONTRACT DIRECT LLC CONTRIBUTING EMPLOYER 0 0 INTERKAL LLC CONTRIBUTING EMPLOYER 0 0 JSH CONSTRUCTION LLC CONTRIBUTING EMPLOYER 0 0 MALACE FACILITY SERVICES LLC CONTRIBUTING EMPLOYER 0 0 MULCAHY NICKOLAUS LLC CONTRIBUTING EMPLOYER 0 0 ENCLOSE CONSTRUCTION SOLUTIONS LLC CONTRIBUTING EMPLOYER 0 0 A E CONRAD CO CONTRIBUTING EMPLOYER 0 ANDERSON DRYWALL INC CONTRIBUTING EMPLOYER 0 ART WOODWORKING & MFG CONTRIBUTING EMPLOYER 0 BUFFALO VENEER & PLYWOOD CONTRIBUTING EMPLOYER 0 CALMAR MANUFACTURING CONTRIBUTING EMPLOYER 0 CAPITAL WOOD PRODUCTS CONTRIBUTING EMPLOYER 0 CHASE INDUSTRIES INC CONTRIBUTING EMPLOYER 0 COMMERCIAL DRYWALL INC CONTRIBUTING EMPLOYER 0 CUSTOM DRYWALL INC CONTRIBUTING EMPLOYER 0 DONNELLY STEPHEN CO INC CONTRIBUTING EMPLOYER 0 EXTERIOR BUILDING SERVICES CONTRIBUTING EMPLOYER 0 FACILITIES SOLUTION CORP CONTRIBUTING EMPLOYER 0 FLOOR TECHNOLOGIES INC CONTRIBUTING EMPLOYER 0 FULLERTON BUILDING SYSTEMS CONTRIBUTING EMPLOYER 0 GOEBEL FIXTURE CO CONTRIBUTING EMPLOYER 0 IMPERIAL WALL INC CONTRIBUTING EMPLOYER 0 JORDAN S A CONSTRUCTION CONTRIBUTING EMPLOYER 0 K&H EXTERIORS INC CONTRIBUTING EMPLOYER 0 MC CLELLAN STUCCO CO CONTRIBUTING EMPLOYER 0 OLYMPIC COMPANIES INC CONTRIBUTING EMPLOYER 0 PETERSEN PARANTEAU CONTRIBUTING EMPLOYER 0 PINNACLE WALL SYSTEMS INC CONTRIBUTING EMPLOYER 0 SCHREIER CABINET CO INC CONTRIBUTING EMPLOYER 0 STERN DRYWALL INC CONTRIBUTING EMPLOYER 0 STRUCTURAL APPLICATORS CONTRIBUTING EMPLOYER 0 SWANSON & YOUNGDALE INC CONTRIBUTING EMPLOYER 0 TED BOLLE MILLWORK INC CONTRIBUTING EMPLOYER 0 TORRINI COMPANIES CONTRIBUTING EMPLOYER 0 VHM ENTERPRISES CONTRIBUTING EMPLOYER 0 ZINTL INC CONTRIBUTING EMPLOYER 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1