2026-06-01T11:28:10-05:00 2025-07-31 842885766 ROMOLO & ASSOCIATES LLC 1700 W LUTHY DRIVE PEORIA IL 61615 990 2024-08-01 371037101 SOUTHERN ILLINOIS LABORERS & EMPLOYERS HEALTH & WELFARE FUND SOUT 6189981300 5100 ED SMITH WAY SUITE A MARION IL 62959 RODNEY MASTERSON CHAIRMAN 6189981300 2026-05-19 1 0 M JOSEPH ROMOLO P01273379 3096822001 2026-05-19 X 2024 2025-03-06 01:10:19Z RODNEY MASTERSON 5100 ED SMITH WAY SUITE A MARION IL 62959 25123757 0 X WWW.SILEHW.ORG X 1977 IL TO PROVIDE VACATION, HEALTH, AND DEATH BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS. 10 10 9 0 0 0 0 0 20859641 23732003 430621 717290 251251 472687 21541513 24921980 0 0 17605194 19705613 829280 878116 0 0 0 757672 902891 19192146 21486620 2349367 3435360 22847731 26202038 3826865 3180642 19020866 23021396 TO PROVIDE VACATION, HEALTH AND DEATH BENEFITS TO PARTICIPANTS AND THEIR BENEFICIARIES 0 0 TO PROVIDE VACATION, HEALTH AND DEATH BENEFITS 0 0 0 0 0 0 0 0 0 1 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 1 198 0 9 1 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 0 0 0 1 1 0 1 1 0 0 0 X SOUTHERN ILLINOIS LABORERS & EMPLOY 6189981300 5100 LABORERS WAY SUITE A MARION IL 62959 RODNEY MASTERSON CHAIRMAN 1.00 X X 0 0 0 JERRY ROSS TRUSTEE 1.00 X 0 0 0 JERRY WOMICK TRUSTEE 1.00 X 0 0 0 MATT SMITH CHAIRMAN 1.00 X X 0 0 0 JAMES MCPHAIL TRUSTEE 1.00 X X 0 0 0 LAURA WILSON TRUSTEE 1.00 X 0 0 0 BRIAN REHBEIN TRUSTEE 1.00 X 0 0 0 ERIC OLLER TRUSTEE 1.00 X 0 0 0 ROBERT BALINT TRUSTEE 1.00 X 0 0 0 DANIEL WIGGINS TRUSTEE 1.00 X 0 0 0 HEATHER ETHERTON PLAN ADMINISTRATOR 40.00 X 115746 0 56065 115746 0 56065 1 0 1 0 0 EMPLOYER CONTRIBUTIONS 900099 16912994 16912994 PARTICIPANT CONTRIBUTION 900099 6819009 6819009 23732003 444067 444067 475000 201777 273223 273223 273223 ADMINISTRATIVE SERVICES 900099 325392 325392 TRANSITIONAL REINSURANCE 900099 134060 134060 COUNTER CLAIM 900099 9568 9568 3667 3667 472687 24921980 24204690 0 717290 19705613 176409 400264 140507 116550 44386 70572 37616 19403 93211 68754 20400 184202 7499 19000 22215 BCBS ADMIN FEE 233761 NATIONAL HEALTH & SAFET 109689 MEMBERSHIP DUES 8209 PCORI FEES 5587 2773 21486620 6359128 8057683 2391239 2895803 32956 40126 409092 345331 44301 63761 9691924 10607569 4328183 4537096 22847731 26202038 1212091 1332968 123574 87674 2491200 1760000 3826865 3180642 X 19020866 23021396 19020866 23021396 22847731 26202038 3435360 565170 0 X 0 1 X 1 0 9848 9848 0 399244 335483 63761 63761 POOLED SEPARATE ACCOUNT 3730868 F COMMON COLLECTIVE TRUST 806228 F 4537096 CLAIMS INCURRED BUT NOT REPORTED 1760000 1760000 X 25467747 565170 565170 24902577 19403 19403 24921980 22198417 0 22198417 19403 -731200 -711797 21486620 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 FROM THE IRS ON NOVEMBER 22, 1978, AND THE PLAN ADMINISTRATOR AND THE BOARD OF TRUSTEES BELIEVE THAT THE TRUST, AS AMENDED, CONTINUES TO QUALIFY AND OPERATE IN ACCORDANCE WITH APPLICABLE PROVISIONS OF THE IRC. 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 JULY 31, 2025 AND 2024, THERE ARE NO UNCERTAIN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. THE PLAN HAS NEVER HAD UNRELATED BUSINESS INCOME TAX (UBIT) NOR HAS IT FILED THE FORM 990-T. THEREFORE, ALL TAX YEARS ARE OPEN FOR EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES RELATED TO UBIT. PART XII, LINE 4B - OTHER ADJUSTMENTS: CHANGE IN CLAIMS PAYABLE 0 0 0 HEATHER ETHERTON PLAN ADMINISTRATOR 115746 0 0 0 0 0 38883 0 17182 0 171811 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B ACCOUNTANT PREPARES FORM 990 AND SENDS TO PLAN ADMINISTRATOR FOR REVIEW. PLAN ADMINISTRATOR REVIEWS THE FORM AND THE CHAIRMAN SIGNS THE FORM 8879-TE. FORM 8879-TE IS SENT TO THE ACCOUNTANT, WHO THEN ELECTRONICALLY FILES THE FORM 990. FORM 990, PART VI, SECTION C, LINE 19 UPON REQUEST SOUTHERN ILLINOIS LABORERS AND EMPLOYERS ANNUITY FUND 5100 ED SMITH WAY SUITE A MARION IL 62959 371215679 ANNUITY FUND IL 401 0 BOARD OF TRUSTEES SEE PART VII FOR LISTING 1 WAY SERVICE INC 3 PHASE LINE CONSTRUCTION 618 CIVIL CONTRACTING LLC A & A CONCRETE LLC A & K SPECIALTY CONTRACTO A & R SERVICES INC A & W PLUMBING A J WALKER ABATECO INC AC PAVEMENT STRIPING CO ACCESS CONTROL CO INC ACI X ACME FIREPROOFING & INSULATION INC ADMIRAL PARKWAY INC ADVANCED ENVRIN SRVCS ALBERICI ALEXANDER CO SHERIFF'S OFFICE ALL MASONRY CONSTRUCTION CO INC ALLIED FENCE & SECURITY ALLIED POWER SERVICES LLC AM CONSTRUCTION AMBRAW ASPHALT MATERIALS AMCO FENCE COMPANY AMERICAN CIVIL CONSTRUCTORS WEST COAST LLC AMERICAN DEMO CORP AMES CONSTRUCTION APACHE INDUSTRIAL UNITED AR MARTIN CONSTRUCTION LLC ARC CONSTRUCTION ARCHVIEW CONTRACTORS LLC ARF SOLAR ASPHALT MAINT LLC ASPHALT STONE CO ASSOC PIPE LINE CONTINC ASSOCIATED CONSTRUCTORS C AZCO INC B & T DRAINAGE INC 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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.