2024-07-29T14:47:18-05:00 2023-12-31 320043599 LEGACY PROFESSIONALS LLP 6800 FRANCE AVENUE SO SUITE 550 EDINA MN 55435 990 2023-01-01 416023675 MISCELLANEOUS DRIVERS AND HELPERS LOCAL 638 HEALTH WELFARE EYE & DENTAL MISC 9528540795 3001 METRO DRIVE 500 BLOOMINGTON MN 55425 MARTIN LAWRENCE CHAIRMAN 9528540795 2024-07-29 1 0 ERIC C BAERTSCH P00964071 9528413950 2023 2024-08-08 14:25:15Z MARTIN LAWRENCE 3001 METRO DRIVE 500 BLOOMINGTON MN 55425 102289757 0 X N/A X 1953 MN TO PROVIDE HEALTH BENEFITS 6 0 0 0 0 0 0 0 83300054 85478120 763915 2641435 57 30452 84064026 88150007 0 0 70943549 76947131 21000 19500 0 0 0 3092629 3146227 74057178 80112858 10006848 8037149 90006663 104555757 104828 173873 89901835 104381884 TO PROVIDE HEALTH BENEFITS 0 0 THE PLAN PROVIDES HEALTH, VISION, DENTAL, DISABILITY, PRESCRIPTION DRUG AND GROUP LIFE INSURANCE BENEFITS FOR ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS OR BENEFICIARIES. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 0 0 0 0 0 0 0 0 0 0 0 0 X 6 0 0 1 0 0 0 0 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 MARTIN LAWRENCE CHAIRMAN 2.00 60.00 X 0 157877 54068 SCOTT LECY TRUSTEE 2.00 56.00 X 0 154480 54443 STEVE SEVIOLA TRUSTEE 2.00 50.00 X 0 154996 54474 STEVE HAWLEY SECRETARY 2.00 X 12000 0 0 LOWELL BIALICK TRUSTEE 2.00 X 0 0 0 AL GUDIM TRUSTEE 2.00 X 7500 0 0 19500 467353 162985 0 0 1 0 BLUECROSS AND BLUESHEILD OF MN PO BOX 64560 ST PAUL MN 55164 MEDICAL BENEFIT MANAGER 1111810 WILSON-MCSHANE CORPORATION 3001 METRO DRIVE SUITE 500 BLOOMINGTON MN 55425 PLAN ADMIN/CLAIMS ADMIN 1103405 COOKE & BIELER 2001 MARKET STREET SUITE 4000 PHILADELPHIA PA 19103 INVESTMENT MANAGEMENT 102271 3 EMPLOYER CONTRIBUTIONS 900099 78409016 78409016 PRESCRIPTION REBATES 900099 4908727 4908727 RETIREE CONTRIBUTIONS 900099 1757264 1757264 SUBROGATIONS 900099 288542 288542 COBRA CONTRIBUTIONS 900099 114571 114571 85478120 2273864 2273864 14507321 14139750 367571 367571 367571 LITIGATION SETTLEMENT 900099 30452 30452 30452 88150007 85478120 0 2671887 76947131 19500 380000 132124 26000 419142 2070677 4517 37400 51623 FEES MANDATED BY ACA 24744 80112858 10385882 7365880 1815482 1842163 10575027 10443423 67230272 84904291 90006663 104555757 104828 173873 104828 173873 X 0 0 0 0 89901835 104381884 89901835 104381884 90006663 104555757 8037149 6442900 0 X 0 1 X 1 0 0 X 94173765 6442900 6442900 87730865 419142 419142 88150007 79693716 0 79693716 419142 419142 80112858 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 MARTIN LAWRENCE CHAIRMAN 0 143594 0 0 0 14283 0 27049 0 27019 0 211945 0 0 STEVE SEVIOLA TRUSTEE 0 140134 0 0 0 14862 0 26876 0 27598 0 209470 0 0 SCOTT LECY TRUSTEE 0 140134 0 0 0 14346 0 26845 0 27598 0 208923 0 0 FORM 990, PART VI, SECTION A, LINE 3 ALTHOUGH THE TRUSTEES RETAIN 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 8B THERE ARE NO COMMITTEES WITH THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 IS PROVIDED TO THE ENTIRE BOARD OF TRUSTEES FOR REVIEW PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE TRUSTEES REVIEW THE PLAN'S CONFLICT OF INTEREST POLICY ANNUALLY. IN ADDITION, TO ENSURE THE PLAN OPERATES IN A MANNER CONSISTENT WITH ITS PURPOSE AND DOES NOT ENGAGE IN ACTIVITIES THAT COULD JEOPARDIZE ITS TAX EXEMPT STATUS AND FIDUCIARY OBLIGATIONS, PERIODIC REVIEWS OF COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY ARE CONDUCTED BY THE BOARD OF TRUSTEES. FORM 990, PART VI, SECTION C, LINE 19 ALL GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PLAN'S PARTICIPANTS. THESE DOCUMENTS CAN BE OBTAINED BY REQUEST AT THE OFFICE OF THE THIRD PARTY ADMINISTRATOR. MISCELLANEOUS DRIVERS HELPERS AND WAREHOUSEMEN UNION LOCAL NO 638 CONTRIBUTING EMPLOYER 0 ST CLOUD METROPOLITAN TRANSIT COMMISSION CONTRIBUTING EMPLOYER 0 TEAMSTERS LOCAL 320 CONTRIBUTING EMPLOYER 0 TEAMSTERS JOINT COUNCIL 32 CONTRIBUTING EMPLOYER 0 AMERICAN FISH & SEAFOOD CONTRIBUTING EMPLOYER 0 ARCHITECTURAL SALES CONTRIBUTING EMPLOYER 0 BACHMANS CONTRIBUTING EMPLOYER 0 HEINRICH ENVELOPE CORPORATION CONTRIBUTING EMPLOYER 0 INNO-FLEX CORPORATION CONTRIBUTING EMPLOYER 0 KRONICK INDUSTRIES INC CONTRIBUTING EMPLOYER 0 NATIONAL PURITY LLC CONTRIBUTING EMPLOYER 0 OLSEN FISH COMPANY CONTRIBUTING EMPLOYER 0 TARGET CENTER ARENA MANAGEMENT LLC CONTRIBUTING EMPLOYER 0 UNITED PARCEL SERVICE CONTRIBUTING EMPLOYER 0 STAR TRIBUNE - FLEET CONTRIBUTING EMPLOYER 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1