2025-06-30T11:22:06-05:00 2024-08-31 470900880 CALIBRE CPA GROUP PLLC 230 W Monroe Street CHICAGO IL 60606 990 2023-09-01 237009055 WISCONSIN LABORERS' HEALTH FUND WISC 6088461742 4633 LIUNA WAY 201 DEFOREST WI 535322514 kent miller Trustee 6088461742 2025-06-30 1 1 COREY BILKEY P00499751 3126550037 2023 2025-03-06 01:10:19Z 4633 LIUNA WAY 201 DEFOREST WI 535322514 324630365 0 X N/A X 1967 WI to provide health and other benefits to eligible participants covered under the plan 16 8 213 0 0 0 0 0 104859567 113257438 5175165 10954787 0 0 110034732 124212225 0 0 107196225 125525754 0 0 0 0 0 6481018 8859720 113677243 134385474 -3642511 -10173249 333800666 359885014 59753245 72479191 274047421 287405823 X TO PROVIDE HEALTH AND OTHER BENEFITS TO ELIGIBLE PARTICIPANTS COVERED UNDER THE PLAN. 0 0 THE PLAN PROVIDES HOSPITAL, MEDICAL, SURGICAL, DENTAL, VISION, LIFE, ACCIDENTAL DEATH AND DISMEMBERMENT, DISABILITY, AND SKILLED NURSING CARE BENEFITS TO ALL ELIGIBLE PARTICIPANTS. THE PLAN PROVIDES HOSPITAL,MEDICAL, SURGICAL, DENTAL, VISION, LIFE, ACCIDENTAL DEATH AND DISMEMBERMENT, DISABILITY, AND SKILLED NURSING CARE BENEFITS TO ALL ELIGIBLE PARTICIPANTS. 0 0 0 0 0 0 0 0 0 0 1 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 1897 0 1 213 1 0 0 0 0 0 0 0 0 X 16 8 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 0 1 0 0 0 X benefit plan administrators 6088461742 4633 LIUNA WAY SUITE 201 DEFOREST WI 535322514 MARY WILCOX TRUSTEE 3.00 X 0 0 0 BRIAN HORNUNG TRUSTEE 3.00 X 0 0 0 MIKE TESTOLIN TRUSTEE 3.00 X 0 0 0 TONY NEIRA TRUSTEE 3.00 50.00 X 0 168307 97664 CLARK JENSEN TRUSTEE 3.00 40.00 X 0 124944 74334 DAN CULLEN TRUSTEE 3.00 X 0 0 0 KENT MILLER TRUSTEE 3.00 40.00 X 0 190988 95513 KEVIN RENLEY TRUSTEE 3.00 X 0 0 0 JAMES FOYE TRUSTEE 3.00 50.00 X 0 130287 86805 GERALD SCHOMAKER TRUSTEE 3.00 46.00 X 0 121067 47721 MATTHEW MARCELLIS TRUSTEE 3.00 X 0 0 0 PHILIP THOMPSON TRUSTEE 3.00 40.00 X 0 137598 77721 CHARLIE SCHUETT TRUSTEE 3.00 50.00 X 0 122718 83797 JACOB MRUGACZ TRUSTEE 3.00 X 0 0 0 CJ SMITH TRUSTEE 3.00 X 0 0 0 ALLEN BRADFORD TRUSTEE 3.00 40.00 X 0 101332 75383 WILLIAM KENNEDY FORMER TRUSTEE 3.00 X 0 0 0 BARRY SCHOLZ FORMER TRUSTEE 3.00 X 0 0 0 BRIAN DEHNHOFF FORMER TRUSTEE 3.00 40.00 X 0 122623 82681 0 1219864 721619 0 0 1 0 ANTHEM BLUE CROSS BLUE SHIELD PO BOX 34210 LOUISVILLE KY 40233 PPO SERVICE FEES 2217491 BENEFIT PLAN ADMINISTRATION OF WISC 2901 WEST BELTLINE HIGHWAY MADISON WI 53713 ADMIN 1981637 PREVIANT GOLDBERG UELMEN GRATZ MILLE PO BOX 12993 MILWAUKEE WI 53212 LEGAL SERVICES 467861 SEGAL CONSULTING 101 N WACKER DR STE 500 CHICAGO IL 60606 CONSULTING 256643 DELTA DENTAL INSURANCE 2801 HOOVER ROAD PO BOX 828 STEVENS POINT WI 54481 DENTAL CLAIMS ADMINISTRATOR 222074 5 EMPLOYER CONTRIBUTIONS 900099 105801687 105801687 SELF-PAY CONTRIBUTIONS 900099 6509696 6509696 Subrogation 900099 898028 898028 LIQUIDATED DAMAGES 900099 48027 48027 113257438 2948145 2948145 208424782 200418140 8006642 8006642 8006642 124212225 113257438 0 10954787 125525754 2065787 482303 75995 677324 5108949 232908 93978 23700 49186 ACA FEES AND ASSESSMENT 49590 134385474 14774514 21573683 1758907 2100600 14491974 15328188 209783 223683 14652952 287560590 320649605 351946 9255 333800666 359885014 3981249 4164649 55771996 68314542 59753245 72479191 X 0 0 0 0 274047421 287405823 274047421 287405823 333800666 359885014 -10173249 23531651 0 X X 0 1 X 1 0 0 COMMON COLLECTIVE TRUSTS 174660627 F LIMITED PARTNERSHIPS 115500757 F REAL ESTATE INVESTMENT TRUST 24276426 F 103-12 INVESTMENT ENTITY 6211795 F 320649605 EST FOR EXTENDED ELIG 49300000 EST FOR INCUR BUT NOT RPTD 8334200 EST FOR BANKED HOURS 211000 ACCUM BALANCE IN PART HSA ACCTS 10469342 68314542 X 147066552 23531651 23531651 123534901 677324 677324 124212225 120868312 0 120868312 677324 12839838 13517162 134385474 Part X, Line 2: AS OF AUGUST 31, 2024, THERE WERE NO UNCERTAIN 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 THE TAXING JURISDICTIONS; HOWEVER THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIOD IN PROGRESS. AT AUGUST 31, 2023 THE PLAN IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO THE FISCAL YEAR ENDED AUGUST 31, 2021. Part XII, Line 4b - Other Adjustments: CHANGE IN INBR 1,547,700. CHANGE IN ACCUM ELIGIBILITY 10,486,000. CHANGE IN CLAIMS PAYABLE 297,292. INCREASE IN PART HSA ACCUM BALANCE 508,846. 0 0 0 KENT MILLER TRUSTEE 0 181329 0 0 0 9659 0 73925 0 21588 0 286501 0 0 TONY NEIRA TRUSTEE 0 168307 0 0 0 0 0 77392 0 20272 0 265971 0 0 JAMES FOYE TRUSTEE 0 128986 0 0 0 1301 0 60685 0 26120 0 217092 0 0 PHILIP THOMPSON TRUSTEE 0 125410 0 0 0 12188 0 56133 0 21588 0 215319 0 0 CHARLIE SCHUETT TRUSTEE 0 120804 0 0 0 1914 0 57677 0 26120 0 206515 0 0 BRIAN DEHNHOFF FORMER TRUSTEE 0 121873 0 0 0 750 0 58223 0 24458 0 205304 0 0 CLARK JENSEN TRUSTEE 0 120839 0 0 0 4105 0 54062 0 20272 0 199278 0 0 ALLEN BRADFORD TRUSTEE 0 100732 0 0 0 600 0 51923 0 23460 0 176715 0 0 GERALD SCHOMAKER TRUSTEE 0 121067 0 0 0 0 0 23139 0 24582 0 168788 0 0 Form 990, Part VI, Section B, line 11b THE TRUSTEES AUTHORIZE THE FUND'S THIRD PARTY ADMINISTRATOR AND A DESIGNATED TRUSTEE TO REVIEW THE FORM 990 BEFORE IT IS FILED. Form 990, Part VI, Section B, line 12c THE TRUSTEES ARE GOVERNED BY THE TRUST DOCUMENT AND HAVE A FIDUCIARY RESPONSIBILITY UNDER ERISA TO ADMINISTER THE PLAN IN THE BEST INTEREST OF THE MEMBERSHIP. THE US DEPARTMENT OF LABOR REQUIRES ALL LABOR TRUSTEES TO REPORT ON FORM LM-30 POTENTIAL SITUATIONS WHERE THERE MAY BE CONFLICTS OF INTEREST. THIS INFORMATION IS OPEN TO THE PUBLIC. Form 990, Part VI, Section C, line 19 A SUMMARY ANNUAL REPORT IS DISTRIBUTED TO ALL PARTICIPANTS. PARTICIPANTS ARE ABLE TO REQUEST THE AUDITOR'S REPORT AND OTHER FINANCIAL INFORMATION FROM THE PLAN ADMINISTRATOR AND/OR DEPARTMENT OF LABOR. ALSO, THE FORM 5500 IS OPEN TO PUBLIC INSPECTION. Form 990, Part XII, line 2c: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. WISCONSIN LABORERS PENSION FUND 4633 LIUNA WAY SUITE 201 DEFOREST WI 53532 396198530 TO PROVIDE PENSION BENEFITS TO ELIGIBLE PARTICIPANTS WI 401 A 0 WISCONSIN LABORERS APPR & TRAINING FUND 4633 LIUNA WAY 100 DEFOREST WI 53532 391161160 TO PROVIDE TRAINING AND IMPROVE THE SKILLS OF MEMBERS WI 501C 3 0 LABORERS UNION LOCAL #464 1438 n stoughton rd madison WI 53714 390189279 improve condition of workers WI 501c5 0 LABORERS UNION LOCAL 113 6310 w appleton ave milwaukee WI 53210 390367985 improve condition of workers WI 501c5 0 LABORERS UNION LOCAL 140 2771 george st lacrosse WI 54603 390367733 improve condition of workers WI 501c5 0 LABORERS UNION LOCAL 330 886 w airport rd menasha WI 54952 201169193 improve condition of workers WI 501c5 0 LABORERS UNION-LOCAL 268 2233 birch st eau claire WI 54703 562460681 improve condition of workers WI 501c5 0 WIS LABORERS DISTRICT COUNC 4633 LIUNA WAY 100 DEFOREST WI 53532 391142477 improve condition of workers WI 501C5 0 WISCONSIN LABORERS LECET 4633 LIUNA WAY 100 DEFOREST WI 53532 391705116 improved labor mgmt cooperation WI 501c5 0 agc of wisconsin 4814 e broadway madison WI 53716 390712400 improved labor mgmt cooperation WI 501c6 0 allied construction employers assn 17100 w bluemound rd brookfield WI 53005 390189310 improved labor mgmt cooperation WI 501c6 0 123 LABOR INC A-1 EXCAVATING ABBEY PAVING COMPANY INC AIRY'S INC AJ HEINEN INC ALBRIGHTSON EXCAVATING ALFSON EXCAVATING LLC ALLIANCE CONCRETE SAWING & DRILLING ALLIED FENCE & SECURITY ALPINE DEMOLITION SERVICES LLC AMERICAN DEMOLITION CORPORATION AMERICAN SEWER SERVICES INC AMES CONSTRUCTION INC AMK CLEANING SERVICES ANASA TRAFFIC CONTROL SERVICES APEX COMMERCIAL CONSTRUCTION INC API CONSTRUCTION COMPANY API HVAC SERVICES INC APPLETON LATHING CORPORATION ARBOR GREEN INC ARNIE MACKEY CONSTRUCTION INC ARROW-CRETE CONSTRUCTION LLC ARTEAGA CONSTRUCTION INC ASPHALT CONCRETE & EXCAVATION SOL ASSOCIATED GENERAL CONTRACTORS ATLAS TRENCHLESS DO NOT USE ATLAS TRENCHLESS LLC AUGELLI 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