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← MIDWEST TEAMSTERS HEALTH REIMBURSEMENT ARRANGEMENT TR FUND

Form 990 for tax year 2022

Filed by MIDWEST TEAMSTERS HEALTH REIMBURSEMENT ARRANGEMENT TR FUND.

Totals

Total revenue
$997,944
Total expenses
$751,803
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$646,396
Investment income
$351,548
Other revenue
$0
Total assets, end of year
$8,364,528
Total liabilities, end of year
$12,266
Net assets or fund balances, end of year
$8,352,262
Program services expenses (Part IX)
not reported
Management and general expenses
not reported
Fundraising expenses
not reported
Program service expenses (Part III)
not reported

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 2a · Program service revenue: EMPLOYER CONTRIBUTIONS

    total $646,201 · related or exempt $646,201

  • 2b · Program service revenue: LIQUIDATED DAMAGES

    total $195 · related or exempt $195

  • 3 · Investment income

    total $351,548 · excluded $351,548

Functional expenses

Part IX, the statement of functional expenses.

  • 4 · Benefits paid to or for members

    total $586,074

  • 11a · Fees: management

    total $81,503

  • 11b · Fees: legal

    total $21,003

  • 11c · Fees: accounting

    total $35,200

  • 11f · Fees: investment management

    total $6,791

  • 13 · Office expenses

    total $6,952

  • 19 · Conferences, conventions and meetings

    total $1,100

  • 23 · Insurance

    total $11,182

  • 24a · Other expenses: PCORI FEE

    total $1,998

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $213,607 · end of year $201,053

  • 2 · Savings and temporary cash investments

    beginning of year $3,282,927 · end of year $3,082,724

  • 4 · Accounts receivable

    beginning of year $34,598 · end of year $51,496

  • 9 · Prepaid expenses and deferred charges

    beginning of year $7,703 · end of year $8,922

  • 11 · Investments: publicly traded securities

    beginning of year $5,899,957 · end of year $5,020,333

  • 17 · Accounts payable and accrued expenses

    beginning of year $4,486 · end of year $12,266

  • 29 · Capital stock, trust principal or current funds

    beginning of year $0 · end of year $0

  • 30 · Paid-in or capital surplus, or land, building or equipment fund

    beginning of year $0 · end of year $0

  • 31 · Retained earnings, endowment or other funds

    beginning of year $9,434,306 · end of year $8,352,262

Mission and programs · 2022

Mission

THIS TRUST IS INTENDED TO PERMIT ELIGIBLE EMPLOYEES TO OBTAIN REIMBURSEMENT OF MEDICAL CARE EXPENSES ON A NONTAXABLE BASIS FROM THEIR HRA ACCOUNT.

Activities or mission (Part I)

HEALTH REIMBURSEMENT ARRANGEMENT

  • REIMBURSEMENT OF MEDICAL EXPENSES THAT QUALIFY UNDER SECTION 213 OF THE INTERNAL REVENUE CODE.

As filed on the 2022 return.

Listed in Part VII

  • Doug Rubbelke

    CHAIRMAN

    Total calculated
    $0
    Hours/week
    0.5

  • Trevor Lawrence

    UNION TRUSTEE

    Total calculated
    $28,739
    From this org
    $0
    From related orgs
    $24,035
    Other
    $4,704
    Hours/week
    0.5 + 5 related

  • Susan Mauren

    SECRETARY - PAST

    Total calculated
    $0
    Hours/week
    0.5

  • Keith Gleason

    UNION TRUSTEE - PAST

    Total calculated
    $0
    Hours/week
    0.5

  • Lawrence Yoswa

    EMPLOYER TRUSTEE

    Total calculated
    $219,781
    From this org
    $0
    From related orgs
    $164,309
    Other
    $55,472
    Hours/week
    0.5 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $155,909 related
    Bonus
    $0 + $8,400 related
    Other
    $0
    Deferred
    $0 + $29,694 related
    Nontaxable benefits
    $0 + $25,778 related
    Filer's total
    $0 + $219,781 related

  • Frank Kazenske

    EMPLOYER TRUSTEE

    Total calculated
    $0
    Hours/week
    0.5

  • Brian Aldes

    SECRETARY

    Total calculated
    $274,929
    From this org
    $0
    From related orgs
    $201,869
    Other
    $73,060
    Hours/week
    0.5 + 55 related

    Schedule J breakdown matched by us

    Base
    $0 + $201,869 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0 + $39,882 related
    Nontaxable benefits
    $0 + $33,178 related
    Filer's total
    $0 + $274,929 related

  • Patrick Gleason

    UNION TRUSTEE

    Total calculated
    $0
    Hours/week
    0.5

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

None.

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

  • TEAMSTERS LOCAL 320

    CONTRIBUTING EMPLOYER

  • TEAMSTERS LOCAL 346

    CONTRIBUTING EMPLOYER

  • TEAMSTERS LOCAL 970

    CONTRIBUTING EMPLOYER

  • TEAMSTERS LOCAL 792

    CONTRIBUTING EMPLOYER

  • TEAMSTERS JOINT COUNCIL 32

    CONTRIBUTING EMPLOYER

  • TEAMSTERS LOCAL 974

    CONTRIBUTING EMPLOYER

  • GCIU LOCAL 1B1M

    CONTRIBUTING EMPLOYER

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

  • ACCURATE UNDERGROUND HDD LLC

    CONTRIBUTING EMPLOYER

  • ALLIED POWER LLC

    CONTRIBUTING EMPLOYER

  • ALLIED POWER SERVICES LLC

    CONTRIBUTING EMPLOYER

  • CHAMPAIGN ASPHALT CO LLC

    CONTRIBUTING EMPLOYER

  • CHAMPION SPECIALTY SERVICES LL

    CONTRIBUTING EMPLOYER

  • KS ENERGY SERVICELLC

    CONTRIBUTING EMPLOYER

  • SIERRA BRAVO CONTRACTORS LLC

    CONTRIBUTING EMPLOYER

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • ADVANCED ASPHALT COMPANY

    CONTRIBUTING EMPLOYER

  • ANDREW NELSON LTD

    CONTRIBUTING EMPLOYER

  • ATOR INC

    CONTRIBUTING EMPLOYER

  • BARNHART CRANE & RIGGING CO

    CONTRIBUTING EMPLOYER

  • BAXMEYER CONSTRUCTION INC

    CONTRIBUTING EMPLOYER

  • BECO

    CONTRIBUTING EMPLOYER

  • BERCO CONSTRUCTIONINC

    CONTRIBUTING EMPLOYER

  • BLANKENSHIP CONSTRUCTION CO

    CONTRIBUTING EMPLOYER

  • CHARLES E MAHONEY CO

    CONTRIBUTING EMPLOYER

  • CIVIL

    CONTRIBUTING EMPLOYER

  • CLEVENGER CONTRACTORS INC

    CONTRIBUTING EMPLOYER

  • COLLINS & HERMANNINC

    CONTRIBUTING EMPLOYER

  • COUNTY CONTRACTORS INC

    CONTRIBUTING EMPLOYER

  • CROSS CONSTRUCTIONINC

    CONTRIBUTING EMPLOYER

  • CURRAN CONTRACTING COMPANY

    CONTRIBUTING EMPLOYER

  • DELAURENT CONST CO

    CONTRIBUTING EMPLOYER

  • DIAMOND CONSTRUCTION COMPANY

    CONTRIBUTING EMPLOYER

  • DUNN COMPANY

    CONTRIBUTING EMPLOYER

  • ETSIMONDS CONSTRUCTION CO

    CONTRIBUTING EMPLOYER

  • EARL WALKER COMPANY INC

    CONTRIBUTING EMPLOYER

  • EHRET INC

    CONTRIBUTING EMPLOYER

  • FEKEN TRUCKING & EXCAVATING

    CONTRIBUTING EMPLOYER

  • FEUTZ CONTRACTORS INC

    CONTRIBUTING EMPLOYER

  • FREESEN

    CONTRIBUTING EMPLOYER

  • G M SIPES

    CONTRIBUTING EMPLOYER

  • GARICH & SONS INC

    CONTRIBUTING EMPLOYER

  • GARDENSCAPE CONTRACTORSINC

    CONTRIBUTING EMPLOYER

  • GENSINI EXCAVATING INC

    CONTRIBUTING EMPLOYER

  • GRAPHIC PACKAGING

    CONTRIBUTING EMPLOYER

  • GRP MECHANICAL COMPANYINC

    CONTRIBUTING EMPLOYER

  • GUINZY CONSTRUCTION INC

    CONTRIBUTING EMPLOYER

  • GUNTHER CONSTRUCTION CO

    CONTRIBUTING EMPLOYER

  • H J EPPEL & CO INC

    CONTRIBUTING EMPLOYER

  • HAIER PLUMBING AND HEATINGINC

    CONTRIBUTING EMPLOYER

  • HANKS EXCAVATING & LANDSCAPING

    CONTRIBUTING EMPLOYER

  • HARMON FARMS TRUCKINGINC

    CONTRIBUTING EMPLOYER

  • HOERR CONSTRUCTION INC

    CONTRIBUTING EMPLOYER

  • HOWELL PAVING INC

    CONTRIBUTING EMPLOYER

  • ILLIANA CONSTRUCTION DIV CACO

    CONTRIBUTING EMPLOYER

  • ILLINI EXCAVATION& RECLAMATION

    CONTRIBUTING EMPLOYER

  • ILLINOIS EXCAVATORS INC

    CONTRIBUTING EMPLOYER

  • ILLINOIS VALLEY PAVING

    CONTRIBUTING EMPLOYER

  • INTERCON CONSTRUCTION INC

    CONTRIBUTING EMPLOYER

  • JCDILLON INC

    CONTRIBUTING EMPLOYER

  • JJ WHITE INC

    CONTRIBUTING EMPLOYER

  • JCC MANAGEMENT INC

    CONTRIBUTING EMPLOYER

  • JOE HATZER & SON CONTRACTORS

    CONTRIBUTING EMPLOYER

  • JOHN POHAR & SONS INC

    CONTRIBUTING EMPLOYER

  • JOHNSON PRINTING & PACKAGING

    CONTRIBUTING EMPLOYER

  • KEELEY AND SONS INC

    CONTRIBUTING EMPLOYER

  • KINNEY CONTRACTORS INC

    CONTRIBUTING EMPLOYER

  • KLOECKNER CORP NAMASCO

    CONTRIBUTING EMPLOYER

  • L W CONTRACTORSINC

    CONTRIBUTING EMPLOYER

  • MADISON INDUSTRIAL SERVICES

    CONTRIBUTING EMPLOYER

  • MARTIN & COMPANY EXCAVATING

    CONTRIBUTING EMPLOYER

  • MATRIX NORTH AMERICAN CONST

    CONTRIBUTING EMPLOYER

  • MCCARTHY BUILDING COMPANIES INC

    CONTRIBUTING EMPLOYER

  • MCCARTHY IMPROVEMENT COMPANY

    CONTRIBUTING EMPLOYER

  • MCLEAN COUNTY ASPHALT

    CONTRIBUTING EMPLOYER

  • MILLER INDUSTRIAL SERVICE TEAM

    CONTRIBUTING EMPLOYER

  • MT CARMEL STABILIZATION GROUP

    CONTRIBUTING EMPLOYER

  • NEFINCH COMPANY

    CONTRIBUTING EMPLOYER

  • NE-CO ASPHALT COMPANYINC

    CONTRIBUTING EMPLOYER

  • OUTDOOR CONSTRUCTION INC

    CONTRIBUTING EMPLOYER

  • PETERSON ROLLING OAKS CG

    CONTRIBUTING EMPLOYER

  • PHILLIPS INTERIOREXTERIOR SYS

    CONTRIBUTING EMPLOYER

  • PROCESS DISPLAYS

    CONTRIBUTING EMPLOYER

  • R A CULLINAN & SON

    CONTRIBUTING EMPLOYER

  • RCS CONSTRUCTION INC

    CONTRIBUTING EMPLOYER

  • RIBBE DANIEL L TRUCKING INC

    CONTRIBUTING EMPLOYER

  • RIGHT WAY TRAFFIC CONTROL INC

    CONTRIBUTING EMPLOYER

  • ROADSAFE TRAFFIC

    CONTRIBUTING EMPLOYER

  • ROCK SOLID STABILIZATION & REC

    CONTRIBUTING EMPLOYER

  • ROCKY HOLLOW INC

    CONTRIBUTING EMPLOYER

  • ROGER JAMESON

    CONTRIBUTING EMPLOYER

  • ROWE CONST DIV OF UNITED CONTR

    CONTRIBUTING EMPLOYER

  • SAMRON MIDWEST CONTRACTINGINC

    CONTRIBUTING EMPLOYER

  • SOUTHERN IL ASPHALT COMPANY

    CONTRIBUTING EMPLOYER

  • STARK EXCAVATINGINC

    CONTRIBUTING EMPLOYER

  • STUTZ EXCAVATING INC

    CONTRIBUTING EMPLOYER

  • SUMMIT MATERIALS

    CONTRIBUTING EMPLOYER

  • TAZEWELL COUNTY ASPHALT COINC

    CONTRIBUTING EMPLOYER

  • TERRA FIRMA SOIL SOLUTIONS INC

    CONTRIBUTING EMPLOYER

  • TRAFIC SERVICES INC

    CONTRIBUTING EMPLOYER

  • TWAIT FARMS TRUCKINGINC

    CONTRIBUTING EMPLOYER

  • UNITED CONTRACTORS MIDWESTINC

    CONTRIBUTING EMPLOYER

  • UNIVERSITY OF MN PRINTING SERV

    CONTRIBUTING EMPLOYER

  • UPS INDUSTRIAL SERV OF CALIF

    CONTRIBUTING EMPLOYER

  • VISSERING CONSTRUCTION COMPANY

    CONTRIBUTING EMPLOYER

  • WILLIAM CHARLES CONST

    CONTRIBUTING EMPLOYER

  • WILLIAM M LONIE

    CONTRIBUTING EMPLOYER

  • WM AUPPERLE & SONS INC

    CONTRIBUTING EMPLOYER

Provenance

Return type
form_990
Tax year
2022
Filed
9 November 2023
IRS schema version
2022v5.0
Source object
202303139349303900

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