2024-05-10T08:32:37-05:00 2023-07-31 842885766 ROMOLO & ASSOCIATES LLC 1700 W LUTHY DRIVE PEORIA IL 61615 990 2022-08-01 371037101 SOUTHERN ILLINOIS LABORERS & EMPLOYERS HEALTH & WELFARE FUND SOUT 6189981300 5100 ED SMITH WAY SUITE A MARION IL 62959 MATT SMITH CHAIRMAN 6189981300 2024-05-08 1 MATT SMITH 999009999 0 M JOSEPH ROMOLO P01273379 3096822001 2024-04-18 X 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z MATT SMITH 5100 ED SMITH WAY SUITE A MARION IL 62959 21268194 0 X WWW.SILEHW.ORG X 1977 IL TO PROVIDE VACATION, HEALTH, AND DEATH BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS. 10 10 12 0 0 0 0 0 16436644 18718198 705682 624914 289782 252837 17432108 19595949 0 0 13193183 19341503 953734 886154 0 0 0 597838 602815 14744755 20830472 2687353 -1234523 20676799 19403026 3842971 3816493 16833828 15586533 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 1 204 0 12 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 FLINT TAYLOR- PAST TRUSTEE 1.00 X 0 0 0 RODNEY MASTERSON TRUSTEE 1.00 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 103907 0 54438 103907 0 54438 1 0 1 0 0 EMPLOYER CONTRIBUTIONS 900099 13104218 13104218 PARTICIPANT CONTRIBUTION 900099 5613980 5613980 18718198 317159 317159 1980000 1672245 307755 307755 307755 ADMINISTRATIVE SERVICES 900099 222999 222999 LIQUIDATED DAMAGES 900099 29682 29682 MISC RECEIPTS 900099 156 156 252837 19595949 18971035 0 624914 19341503 163135 406419 157083 117280 42237 33832 39131 18255 115381 61805 28061 89640 3444 23845 21882 BCBS ADMIN FEE 96914 NATIONAL HEALTH & SAFET 61138 MEMBERSHIP DUES 5070 PCORI FEES 4230 187 20830472 4605164 4323355 1932893 2389819 20850 18598 372089 314225 80271 57864 9304438 8441414 4733183 4171976 20676799 19403026 1102281 1127273 65390 48420 2675300 2640800 3842971 3816493 X 16833828 15586533 16833828 15586533 20676799 19403026 -1234523 -12772 0 X 0 1 X 1 0 0 9848 9848 0 362241 304377 57864 0 57864 POOLED SEPARATE ACCOUNT 3356740 F COMMON COLLECTIVE TRUST 815236 F 4171976 CLAIMS INCURRED BUT NOT REPORTED 2640800 2640800 X 19564922 -12772 -12772 19577694 18255 18255 19595949 20846717 0 20846717 18255 -34500 -16245 20830472 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, 2023 AND 2022, 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 XI, LINE 4B - OTHER ADJUSTMENTS: LOSS ON DISPOSAL OF FIXED ASSETS PART XII, LINE 2D - OTHER ADJUSTMENTS: LOSS ON DISPOSAL OF FIXED ASSETS PART XII, LINE 4B - OTHER ADJUSTMENTS: CHANGE IN CLAIMS PAYABLE 0 0 0 HEATHER ETHERTON PLAN ADMINISTRATOR 103907 0 0 0 0 0 37597 0 16841 0 158345 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 2K COMMERCIAL CONST INC 3 PHASE LINE CONSTRUCTION 618 CIVIL CONTRACTING LLC A & H MECHANICAL CONTRACT A & K SPECIALTY CONTRACTO A & R SERVICES INC A & W PLUMBING A A CONCRETE ABATECO INC ACCESS CONTROL CO INC ACI X ACME FIREPROOFING & INSU ADMIRAL PARKWAY INC ADVANCED ENVRIN SRVCS ADVANCED CONCRETE SAWING INC ALDRIDGE ELECTRIC INC ALEXANDER CTY SHERIFF'S OFFICE ALLIANCE CONCRETE SAWING ALLIED FENCE & SECURITY ALLIED POWER SERVICES LLC ALLIED WATERPROOFING INC ALPINE DEMOLITION SERVICE AMARBOR SERVICES INC AMBRAW ASPHALT MATERIALS AMCO FENCE COMPANY AMERICAN DEMO CORP APACHE INDUSTRIAL UNITED APPALACHIAN PIPELINE CONT ARC CONSTRUCTION ARCHON INC ASPHALT STONE CO ASPHALT MAINT LLC ASPHALT PAVING INC ASSOC PIPE LINE CONTINC ASSOCIATED CONSTRUCTORS C B & T DRAINING INC B 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INC KCI CONSTRUCTION CO KEELEY & SONS KEEN COMPANY KELLER CONSTRUCTION INC KEMPER CONST INC KESSOR ENTERPRI KIEFER LANDSCAPING INC KIEFFER BROTHERS CONSTRUC KILIAN CORPORATION KING-LAR ROOFING INC KINNEY CONTRACTORS INC KINSALE CONTR GROUP INC KIRBY AND TURNER MASONRY KNAPP CONCRETE KOKOSING CONST KONSTRUCTION SERVICES LLC KO-ON SERVICES CORP KORTE & LUITJOHAN KS ENERGY SERVICES KUBERSKI EXCAVATING & TRUCKING INC KUJO INC L KEELEY CONSTRUCTION L W CONTRACTORS INC LABORERS' LOCAL 1197 LABORERS' LOCAL 581 LABORERS' LOCAL 196 LABORERS' LOCAL 742 LABORERS' LOCAL 459 LABORERS' LOCAL 703 WELFA LABORERS' LOCAL 773 LABORERS' LOCAL 159 LABORERS LOCAL 477 LABORERS' LOCAL 1197 LAKE CONTRACTING INC LAND OPERATIONS INC LANDGREBE INTERIOR CONSTR LAUBACKER ENTERPRISES INC LAVERDIERE CONSTRUCTION LEANDER CONSTRUCTION INC LEONARD MASONRY INC LIMBAUGH CONST CO INC LINDBLAD CONSTRUCTION CO LITTEKEN CONSTRUCTION LITTEKEN PLUMBING CO INC LPS PAVEMENT COMPANY LUNDA CONSTRUCTION CO LYNCHCO CONSTRUCTION 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.