Checklist Item #38 Application for Approval of a Suspension of 

Benefits Under MPRA

Iron Workers Local 17 Pension Fund EIN: 51-0161467

Plan No.: 001

Does the application 

include the required 

excerpts from the most 

recently filed Form 

5500. 

See section 7.08.

The following information is being provided for the 

application on behalf of the Iron Workers Local 17 

Pension Fund:

• 2013 Form 5500 pages 1&2(pages

IW17PF_700-701)

• 2013 Form 5500 Schedule MB with

attachments(pages IW17PF_702-737);and

• 2013 Form 5500 Schedule R(pages

IW17PF_738-740).

IW17PF_699
2013

Annual Return/Report of Employee Benefit Plan

Part I Annual Report Identification Information

A

B

C

D

Part II Basic Plan Information—enter all requested information

1a 1b

1c

2a 2b

2c

2d

This form is required to be filed for employee benefit plans under sections 104

and 4065 of the Employee Retirement Income Security Act of 1974 (ERISA) and

sections 6047(e), 6047(b), and 6058(a) of the Internal Revenue Code (the Code).

u Complete all entries in accordance with

This Form is Open to Public

the instructions to the Form 5500.

Inspection

For calendar plan year 2013 or fiscal plan year beginning and ending

Caution: A penalty for the late or incomplete filing of this return/report will be assessed unless reasonable cause is established.

Signature of plan administrator

Preparer's name (including firm name, if applicable) and address; include room or suite number. (optional)

Form 5500

This return/report is for: a multiemployer plan; a multiple-employer plan; or

a single-employer plan: a DFE (specify)

This return/report is: the first return/report; the final return/report;

an amended return/report; a short plan year return/report (less than 12 months).

If the plan is a collectively-bargained plan, check here . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Check box if filing under:

Name of plan Three-digit plan

number (PN) u

Effective date of plan

Plan sponsor's name and address; including room or suite number (employer, if for a single-employer plan) Employer Identification

Sponsor's telephone

Business code (see

Date Enter name of individual signing as plan administrator

OMB Nos. 1210 - 0110

1210 - 0089

Department of the Treasury

Internal Revenue Service

Department of Labor

Employee Benefits Security

Administration

Pension Benefit Guaranty Corporation

Under penalties of perjury and other penalties set forth in the instructions, I declare that I have examined this return/report, including accompanying schedules, 

statements and attachments, as well as the electronic version of this return/report, and to the best of my knowledge and belief, it is true, correct, and complete.

Form 5500 (2013)

u

SIGN

HERE

Signature of employer/plan sponsor

Form 5558;

special extension (enter description)

automatic extension; the DFVC program;

Number (EIN)

number

instructions)

HERE

SIGN

Date Enter name of individual signing as employer or plan sponsor

Date Enter name of individual signing as DFE

SIGN

HERE

Signature of DFE

For Paperwork Reduction Act Notice and OMB Control Numbers, see the instructions for Form 5500.

Preparer's telephone number

(optional)

05/01/2013 04/30/2014

X

X

X

IRON WORKERS LOCAL 17 PENSION FUND 001

05/01/1965

BOARD OF TRUSTEES OF IRON WORKERS

LOCAL 17 PENSION FUND

P.O. BOX 6327

CLEVELAND OH 44101-1327

51-0161467

216-241-1086

237990

TIM MCCARTHY

GARY KNOPF

IW17PF_700
3a 3b

3c

4 4b

a 4c

5

6

a 6a

b 6b

c 6c

d 6d

e 6e

f 6f

g

6g

h

6h

8a

9a 9b

(1) (1)

(2) (2)

(3) (3)

(4) (4)

Form 5500 (2013) Page 2

Plan administrator's name and address Administrator's EIN

Administrator's telephone

If the name and/or EIN of the plan sponsor has changed since the last return/report filed for this plan, enter the name, EIN

EIN and the plan number from the last return/report:

Sponsor's name PN

Total number of participants at the beginning of the plan year

Number of participants as of the end of the plan year (welfare plans complete only lines 6a, 6b, 6c, and 6d).

Active participants . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Retired or separated participants receiving benefits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Other retired or separated participants entitled to future benefits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Subtotal. Add lines 6a, 6b, and 6c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Deceased participants whose beneficiaries are receiving or are entitled to receive benefits . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Total. Add lines 6d and 6e . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Number of participants with account balances as of the end of the plan year (only defined contribution plans

complete this item)

 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Number of participants that terminated employment during the plan year with accrued benefits that were

less than 100% vested . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Plan funding arrangement (check all that apply) Plan benefit arrangement (check all that apply)

Insurance Insurance

Code section 412(e)(3) insurance contracts Code section 412(e)(3) insurance contracts

Trust Trust

General assets of the sponsor General assets of the sponsor

number

5

7 Enter the total number of employers obligated to contribute to the plan (only multiemployer plans complete this item)

If the plan provides pension benefits, enter the applicable pension feature codes from the List of Plan Characteristic Codes in the instructions:

b If the plan provides welfare benefits, enter the applicable welfare feature codes from the List of Plan Characteristic Codes in the instructions:

b

(Single-Employer Defined Benefit Plan Actuarial

(Financial Transaction Schedules)

(Multiemployer Defined Benefit Plan and Certain Money

(DFE/Participating Plan Information)

(Service Provider Information)

(Insurance Information)

(Financial Information - Small Plan)

(Retirement Plan Information) (Financial Information)

Check all applicable boxes in 10a and 10b to indicate which schedules are attached, and, where indicated, enter the number attached. (See instructions)

SB

(6) G

MB

(3) (5) D

(4) C

(3) A

(2) (2) I

(1) R (1) H

a Pension Schedules General Schedules

10

Purchase Plan Actuarial Information) - signed by the plan

actuary

Information) - signed by the plan actuary

7

Same as Plan Sponsor Name Same as Plan Sponsor Address

BOARD OF TRUSTEES OF IRON WORKERS 51-0161467

BOARD OF TRUSTEES OF IRON WORKERS

LOCAL 17 PENSION FUND

P.O. BOX 6327

CLEVELAND OH 44101-1327

51-0161467

216-241-1086

2064

640

889

285

1814

236

2050

115

1B

X X

X

X

X

X

X

IW17PF_701
SIGN

HERE

Pension Benefit Guaranty Corporation

Employee Benefits Security Administration

Department of Labor

Internal Revenue Service

OMB No. 1210-0110

(1)

Enter the valuation date:

Plan sponsor's name as shown on line 2a of Form 5500 or 5500-SF

plan number (PN)

Name of plan Three-digit

For calendar plan year 2013 or fiscal plan year beginning and ending

Internal Revenue Code (the Code).

Retirement Income Security Act of 1974 (ERISA) and section 6059 of the

This schedule is required to be filed under section 104 of the Employee

For Paperwork Reduction Act Notice and OMB Control Numbers, see the instructions for Form 5500 or Form 5500-SF.

1a

C D Employer Identification Number (EIN)

A B

u File as an attachment to Form 5500 or 5500-SF.

Inspection

This Form is Open to Public

(Form 5500)

SCHEDULE MB Multiemployer Defined Benefit Plan and Certain

2013

Money Purchase Plan Actuarial Information

Round off amounts to nearest dollar.

Caution: A penalty of $1,000 will be assessed for late filing of this report unless reasonable cause is established.

E Type of plan: (1) Multiemployer Defined Benefit (2) Money Purchase (see instructions)

b Assets

Current value of assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Actuarial value of assets for funding standard account

 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

(2)

c

(2) Information for plans using spread gain methods:

Accrued liability for plan using immediate gain methods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .(1)

(a)

(b)

(c)

Accrued liability under entry age normal method . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Normal cost under entry age normal method . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Unfunded liability for methods with bases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Accrued liability under unit credit cost method . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .(3)

d Information on current liabilities of the plan:

Current liability . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Expected release from "RPA '94" current liability for the plan year

 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Expected increase in current liability due to benefits accruing during the plan year

 . . . . . . . . . . . . . . . .

(c)

(b)

(a)

(1) Amount excluded from current liability attributable to pre-participation service (see instructions)

 . . . . . .

(2) "RPA '94" information:

(3) Expected plan disbursements for the plan year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Statement by Enrolled Actuary

To the best of my knowledge, the information supplied in this schedule and accompanying schedules, statements and attachments, if any, is complete and accurate. Each prescribed assumption was applied in

accordance with applicable law and regulations. In my opinion, each other assumption is reasonable (taking into account the experience of the plan and reasonable expectations) and such other assumptions, in

combination, offer my best estimate of anticipated experience under the plan.

Signature of actuary

Type or print name of actuary

Firm name

Address of the firm

Date

Most recent enrollment number

Telephone number (including area code)

If the actuary has not fully reflected any regulation or ruling promulgated under the statute in completing this schedule, check the box and see

instructions

Schedule MB (Form 5500) 2013

Department of the Treasury

Month Day Year

1b(1)

1b(2)

1c(1)

1c(2)(a)

1c(2)(b)

1c(2)(c)

1c(3)

1d(1)

1d(2)(a)

1d(2)(b)

1d(2)(c)

1d(3)

05/01/2013 04/30/2014

IRON WORKERS LOCAL 17 PENSION FUND

001

BOARD OF TRUSTEES OF IRON WORKERS 51-0161467

X

05 01 2013

85,722,489

85,722,489

223,220,296

223,220,296

365,185,596

2,232,402

19,568,434

19,968,434

12/30/2014

HENRY WONG, ASA, MAAA, FCA

SEGAL CONSULTING

14-05951

101 NORTH WACKER DRIVE, SUITE 500

CHICAGO IL 60606-1724

IW17PF_702

Redacted by the 

U.S. Department 

of the Treasury
5k

3(b)

For retired participants and beneficiaries receiving payment

 . . . . . . . . . . . . . . . . . . . .

b "RPA '94" current liability/participant count breakdown:

Current value of assets (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Schedule MB (Form 5500) 2013 Page 2-

2 Operational information as of beginning of this plan year:

a

(1)

(2) For terminated vested participants . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

(3) For active participants:

Total active . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

(c)

Vested benefits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .(b)

(a) Non-vested benefits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Total

 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

(4)

c If the percentage resulting from dividing line 2a by line 2b(4), column (2), is less than 70%, enter such

(1) Number of participants (2) Current liability

3 Contributions made to the plan for the plan year by employer(s) and employees:

(a) Date

(MM-DD-YYYY) employer(s)

(b) Amount paid by (c) Amount paid by

employees (MM-DD-YYYY)

(a) Date

employees

(b) Amount paid by (c) Amount paid by

employer(s)

4 Information on plan status:

a Enter code to indicate plan's status (see instructions for attachment of supporting evidence of plan's status). If

Funded percentage for monitoring plan's status (line 1b(2) divided by line 1c(3)) b . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

code is “N,” go to line 5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Totals u

c Is the plan making the scheduled progress under any applicable funding improvement or rehabilitation plan? . . . . . . . . . . . . . . . . . . . .

d If the plan is in critical status, were any adjustable benefits reduced? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

e If line d is "Yes," enter the reduction in liability resulting from the reduction in adjustable benefits, measured as

of the valuation date . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes No

Yes No

%

5 Actuarial cost method used as the basis for this plan year's funding standard account computations (check all that apply):

a Attained age normal

e Frozen initial liability

i Reorganization j Other (specify):

f Individual level premium

b Entry age normal c Accrued benefit (unit credit)

g Individual aggregate h Shortfall

d Aggregate

approving the change in funding method . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

n If line l is "Yes," and line m is "No," enter the date (MM-DD-YYYY) of the ruling letter (individual or class)

m If line l is "Yes," was the change made pursuant to Revenue Procedure 2000-40 or other automatic approval? . . . . . . . . . . . . . . . .

Has a change been made in funding method for this plan year? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

l

k If box h is checked, enter period of use of shortfall method . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes No

Yes No

6 Checklist of certain actuarial assumptions:

c Mortality table code for valuation purposes:

b Rates specified in insurance or annuity contracts . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

a Interest rate for "RPA '94" current liability . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Females . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .(2)

(1) Males . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Expense loading e . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

d Valuation liability interest rate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

f Salary scale . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Estimated investment return on actuarial value of assets for year ending on the valuation date g . . . . . . . . . . . . .

h Estimated investment return on current value of assets for year ending on the valuation date . . . . . . . . . . . . . . . %

%

%

% %

%

Yes No N/A Yes No N/A

Pre-retirement Post-retirement

%

%

percentage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . %

2a

2c

3(c)

4a

4b

4e

5n

6a

6c(1)

6c(2)

6d

6e

6f

6g

6h

N/A

N/A

N/A

BOARD OF TRUSTEES OF IRON WORKERS 51-0161467

85,722,489

1096 233,732,294

285 35,207,579

6,372,113

89,873,610

640 96,245,723

2021 365,185,596

23.47

11/01/2013 11769883

11769883

C

38.4

X

X

X

X

3.66

X X

A A

AF AF

7.50 7.50

41.9 X

X

12.2

12.2

IW17PF_703
Certain bases for which the amortization period has been extended . . .

If line 8d(3) is “Yes,” is the amortization base eligible for amortization using interest rates applicable under section

Yes

7 New amortization bases established in the current plan year:

(1) Type of base (2) Initial balance (3) Amortization Charge/Credit

Yes No

8 Miscellaneous information:

d If line c is "Yes," provide the following additional information:

(1) Was an extension granted automatic approval under section 431(d)(1) of the Code? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

(2) If line 8d(1) is “Yes,” enter the number of years by which the amortization period was extended . . . . . . . .

a If a waiver of a funding deficiency has been approved for this plan year, enter the date (MM-DD-YYYY) of the 

b Is the plan required to provide a Schedule of Active Participant Data? (See the instructions.) If "Yes," attach schedule.

c Are any of the plan’s amortization bases operating under an extension of time under section 412(e) (as in effect prior to

ruling letter granting the approval . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2008) or section 431(d) of the Code? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

(3) Was an extension approved by the Internal Revenue Service under section 412(e) (as in effect prior to

2008) or 431(d)(2) of the Code? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

(4) If line 8d(3) is “Yes,” enter number of years by which the amortization period was extended (not including

the number of years in line (2))

 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

(5) If line 8d(3) is “Yes,” enter the date of the ruling letter approving the extension . . . . . . . . . . . . . . . . . . . . . . . . . .

(6)

6621(b) of the Code for years beginning after 2007? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

year and the minimum that would have been required without using the shortfall method or extending the

e If box 5h is checked or line 8c is "Yes," enter the difference between the minimum required contribution for the

Yes No

No

Yes No

Yes No

9 Funding standard account statement for this plan year:

Charges to funding standard account:

b Employer's normal cost for plan year as of valuation date . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Prior year funding deficiency, if any a . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

c Amortization charges as of valuation date:

d Interest as applicable on lines 9a, 9b, and 9c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

amortization period has been extended . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

(3)

Funding waivers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .(2)

(1) All bases except funding waivers and certain bases for which the

e Total charges. Add lines 9a through 9d . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Credits to funding standard account:

h Amortization credits as of valuation date . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

f Prior year credit balance, if any . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

g Employer contributions. Total from column (b) of line 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

k Waived funding deficiency . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

i Interest as applicable to end of plan year on lines 9f, 9g, and 9h . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

j Full funding limitation (FFL) and credits:

(1)

(2)

(3)

(2)

(1)

ERISA FFL (accrued liability FFL)

 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

"RPA '94" override (90% current liability FFL)

 . . . . . . . . . . . . . . . . . . . . . . . . . .

FFL credit

 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Other credits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

n Funding deficiency: If line 9e is greater than line 9l, enter the difference . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Credit balance: If line 9l is greater than line 9e, enter the difference m . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Total credits. Add lines 9f through 9i, 9j(3), 9k(1), and 9k(2)

 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

l

Outstanding balance

Schedule MB (Form 5500) 2013 Page 3-

8a

amortization base(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

8d(2)

8d(4)

8d(5)

8e

9a

9b

9c(1)

9c(2)

9c(3)

9d

9e

9f

9g

Outstanding balance

9h

9i

9j(1)

9j(2)

9j(3)

9k(1)

9k(2)

9l

9m

9n

BOARD OF TRUSTEES OF IRON WORKERS 51-0161467

1 -3131075 -329964

X

X

20035707

1301867

136805701 29636692

3823070

54797336

11769883

19343601 12371589

1369240

149209650

253443503

25510712

29286624

IW17PF_704
9o(1)

Due to amortization bases extended and amortized using the interest rate under section 6621(b) of the Code:

(3)

(2)

(1)

9o

10

11

Current year's accumulated reconciliation account:

Due to waived funding deficiency accumulated prior to the 2013 plan year

 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

(a)

(b)

Total as of valuation date . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Reconciliation outstanding balance as of valuation date . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Reconciliation amount (line 9c(3) balance minus line 9o(2)(a))

 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Contribution necessary to avoid an accumulated funding deficiency. (See instructions.) . . . . . . . . . . . . . . . . . . . . . . .

Has a change been made in the actuarial assumptions for the current plan year? If "Yes," see instructions. . . . . . . . . . . . . . . . . . . . . . . . . Yes No

Schedule MB (Form 5500) 2013 Page 4

9o(2)(a)

9o(2)(b)

9o(3)

10

BOARD OF TRUSTEES OF IRON WORKERS 51-0161467

0

29286624

X

IW17PF_705
51-0161467 Federal Statements

Iron Workers Local 17 Pension Fund

Plan: 001

Statement 6 - Schedule MB, line 4c - Documentation Regarding Progress Under Funding

Improvement or Rehabilitation Plan

Description

SEE ATTACHED

Statement 7 - Schedule MB, line 11 - Justification for Change in Actuarial Assumptions

Description

SEE ATTACHED

6-7

IW17PF_706
51-0161467 Federal Statements

Iron Workers Local 17 Pension Fund

Plan: 001

Statement 8 - Schedule MB, line 9c - Schedule of funding Standard Account Bases

Description

Initial Amortization Outstanding Remaining Amortization Amortization Amortization

Date Amount Period Balance Period Amount Basis

$ $ 136,805,701 $ 29,636,692 OTHER

Multi

Statement 9 - Schedule MB, line 9h - Schedule of Funding Standard Account Bases

Initial Amortization Outstanding Remaining Amortization Amortization

Description Date Amount Period Balance Period Amount

$ $ 19,343,601 $ 12,371,589

 TOTAL $ 0 $ 19,343,601 $ 12,371,589

8-9

IW17PF_707
(Schedule MB, line 11):

Actuarial Assumptions Justification for Change in 

 For purposes of determining current liability, the current liability interest rate was changed due to 

a change in the permissible range and recognizing that any rate within the permissible range satisfies the requirements of IRC Section 431(c)(6)(E) and the mortality tables were changed in accordance with IRS Regulations 1.431(c)(6)-1 and 1.430(h)(3)-1. 

 Based on past experience and future expectations, the following actuarial assumption was 

changed: 

Annual administrative expenses, previously $375,000 payable monthly.

 As this change did not affect the unfunded accrued liability of the Plan, no amortization base was 

established. 

IW17PF_708
IW17PF_709

Reda

cted 

by the 

U.S. 

Depar

tment 

of the 

Treas

ury
July 29, 2013 

ACTUARIAL STATUS CERTIFICATION AS OF MAY 1, 2013 UNDER IRC SECTION 432 

This is to certify that Segal Consulting, a Member of The Segal Group, Inc. (“Segal”) has prepared an actuarial status certification under 

Internal Revenue Code Section 432 for the Iron Workers Local 17 Pension Fund as of May 1, 2013 in accordance with generally accepted 

actuarial principles and practices. It has been prepared at the request of the Board of Trustees to assist in administering the Fund and meeting filing and compliance requirements under federal law. This certification may not otherwise be copied or reproduced in any form The measurements shown in this actuarial certification may not be applicable for other purposes. without the consent of the Board of Trustees and may only be provided to other parties in its entirety. 

Future actuarial measurements may 

differ significantly from the current measurements presented in this report due to such factors as the following: plan experience differing 

from that anticipated by the economic or demographic assumptions; changes in economic or demographic assumptions; increases or decreases expected as part of the natural operation of the methodology used for these measurements (such as the end of an amortization period or additional cost or contribution requirements based on the plan's funded status); differences in statutory interpretation and 

This certification is based on the May 1, 2012 actuarial valuachanges in plan provisions or applicable law. 

tion, dated November 19, 2012. Additional assumptions required for the 

projections and sources of financial information used are summarized in Exhibit V. Segal Consulting does not practice law and, therefore, cannot and does not provide legal advice. Any statutory interpretations on which this certification is based reflect Segal’s understanding as an actuarial firm. This certification was based on the assumption that the Plan was qualified as a multiemployer plan for the year. I am a member of the American Academy of Actuaries and I meet the Qualification Standards of the American Academy of Actuaries to render the actuarial opinion herein. To the best of my knowledge, the information supplied in this actuarial certification is complete and accurate. As required by IRC Section 432(b)(3)(B)(iii), the projected industry activity is based on information provided by the plan sponsor. In my opinion, the projections are based on reasonable actuarial estimates, assumptions and methods that (other than projected industry activity) offer my best estimate of anticipated experience under the Plan. 

__ ____ Enrolled Actuary No. 11-05951 Vice President and Consulting Actuary Henry Wong, ASA, MAAA, FCA 

IW17PF_710

Re

da

cte

d 

by 

the 

U.

S. 

De

pa

rt

me

nt 

of 

the 

Tr

ea

sur y
 Certificate Contents 

EXHIBIT I Status Determination as of May 1, 2013 EXHIBIT II Summary of Actuarial Valuation Projections EXHIBIT III Funding Standard Account Projections EXHIBIT IV Funding Standard Account – Projected Bases Assumed Established After 

May 1, 2012 

EXHIBIT V Actuarial Assumptions and Methodology 

IW17PF_711
Status Determination as of May 1, 2013 

EXHIBIT I 

Status Condition 

Test Component 

Result Result 

Final 

 1.Critical Status 

Funding deficiency projected in four years? Yes 

 2. Funding deficiency projected in five years Yes  AND present value of vested benefits for non-actives more than present value of vested benefits for actives Yes 

AND normal cost plus interest on unfunded actuarial accrued liability (unit credit basis) greater than contributions 

for current year? 

Yes Yes 

 3. Funding deficiency projected in five years Yes  AND funded percentage less than 65%? Yes Yes  4. Funded percentage less than 65% Yes  AND assets plus contributions less than benefit payments and administrative expenses over seven years? No No 

 5. Assets plus contributions less than benefit payments and administrative expenses over five years? No  6. In critical status for immediately preceding plan year and funding deficiency projected within ten years? Yes 

 In Critical Status? Yes 

 1.

Endangered Status 

Funded percentage less than 80% N/A 

 AND not in Critical Status? N/A N/A  2. Funding deficiency projected in seven years N/A  AND not in Critical Status? N/A N/A 

In Endangered Status? No In Seriously Endangered Status? No 

Neither Critical Status Nor Endangered Status 

Neither Critical nor Endangered Status? No 

This certification also notifies the IRS that the Plan is making the scheduled progress in meeting the requirements of its Rehabilitation Plan, as the Plan is projected to be solvent on May 1, 2026 (i.e., benchmark in the Rehabilitation Plan). 

IW17PF_712
The actuarial factors as of May 1, 2013 (based on proj

Summary of Actuarial Valuation ProjectionsEXHIBIT II 

ections from the May 1, 2012 valuation certificate): 

May 1, 2013 

I. Asset and Contribution Information 

1. Market value of assets $85,737,724 2. Actuarial value of assets 85,737,724 3. Reasonably anticipated contributions 

a. Upcoming year 10,319,000 b. Present value for the next five years 43,315,092 c. Present value for the next seven years 56,705,215 

II. Liabilities 

1. Present value of vested benefits for active participants 44,830,105 2. Present value of vested benefits for non-active participants 177,029,267 

3. Total unit credit accrued liability 222,868,799 4. Present value of payments Benefit Payments Administrative Expenses Total 

a. Next five years $80,484,294 $1,708,327 $82,192,621 b. Next seven years 105,276,777 2,295,731 107,572,508 

5. Unit credit normal cost plus expenses 1,228,124 

III. Funded Percentage (I.2)/(II.3) 38.5% 

IV. Funding Standard Account 

1. Credit balance/(funding deficiency) as of the end of prior year -$20,102,136 2. Years to projected funding deficiency, if within ten years 0 

IW17PF_713
The table below present the Funding Standard Account Projections for the Plan Years beginni

Funding Standard Account Projections EXHIBIT III 

ng May 1, 2012 through 2022. 

Year Beginning May 1, 

2012 2013 2014 2015 2016 2017 2018 2019 

1.

of year Credit balance at beginning 

-$11,270,599 -$20,102,136 -$30,734,983 -$54,284,800 -$79,616,002 -$106,848,631 -$120,247,823 -$124,946,442 

2. Interest on (1) -845,295 -1,507,660 -2,305,124 -4,071,360 -5,971,200 -8,013,647 -9,018,587 -9,370,983 3. Normal cost 906,712 856,632 865,290 867,904 857,557 840,437 819,879 790,146 4. Administrative expenses 360,672 371,492 382,637 394,116 405,939 418,118 430,661 443,581 5. Net amortization charges 17,275,672 17,219,457 28,473,613 28,473,613 28,473,613 13,710,290 4,689,920 4,689,920 

6. Interest on (3), (4) and (5) 1,390,729 1,383,569 2,229,116 2,230,172 2,230,283 1,122,663 445,535 444,274 7. Expected contributions 11,515,704 10,319,000 10,319,000 10,319,000 10,319,000 10,319,000 10,319,000 10,319,000 8. Interest on (7) 431,839 386,963 386,963 386,963 386,963 386,963 386,963 386,963 

9.

(5) – (6) + (7) + (8) year: (1) + (2) – (3) – (4) – Credit balance at end of 

-$20,102,136 -$30,734,983 -$54,284,800 -$79,616,002 -$106,848,631 -$120,247,823 -$124,946,442 -$129,979,383 

IW17PF_714
Funding Standard Account Projections (continued) 

EXHIBIT III 

Year Beginning May 1, 

2020 2021 2022 

1. Credit balance at beginning of year -$129,979,383 -$134,362,226 -$139,069,734 2. Interest on (1) -9,748,454 -10,077,167 -10,430,230 3. Normal cost 763,026 737,611 720,567 4. Administrative expenses 456,888 470,595 484,713 5. Net amortization charges 3,747,855 3,755,798 3,755,798 

6. Interest on (3), (4) and (5) 372,583 372,300 372,081 

7. Expected contributions 10,319,000 10,319,000 10,319,000 8. Interest on (7) 386,963 386,963 386,963 9. Credit balance at end of year: (1) + (2) – (3) – (4) – (5) – (6) + (7) + (8) -$134,362,226 -$139,069,734 -$144,127,160 

IW17PF_715
Schedule of Funding Standard Account Bases 

Funding Standard Account – Projected Bases Assumed Established After May 1, 2012 EXHIBIT IV 

Type of Base Date Established 

Base 

Established 

Amortization

Period 

Amortization 

Payment 

Actuarial Gain 05/01/2013 -$3,564,236 15 -$375,612 

IW17PF_716
The actuarial assumptions and plan of benefits are as used in

Actuarial Assumptions and Methodology EXHIBIT V 

the May 1, 2012 actuarial valuation certificate, dated November 19, 2012, 

except as specifically described below. We also assumed that experience would emerge as projected, except as described below. The calculations are based on a current understanding of the requirements of ERISA Section 305 and IRC Section 432.

Contribution Rate: $10.00 per hour effective May 1, 2013. Asset Information: The financial information as of April 30, 2013 was based on an unaudited financial statement 

year and the benefit payments were projected bFor projections after that date, the assumed administrative expenses were increased by 3% per provided by the Fund Administrator. 

ased on the May 1, 2012 actuarial valuation. The 

projected net investment return was assumed to be 7.5% of the average market value of assets for the 2013 - 2022 Plan Years. 

Projected Industry Activity: As required by Internal Revenue Code Section 432, assumptions with respect to projected 

industry activity are based on information provided by the plan sponsor. Based on this 

information, the number of active participants is assumed to be 607 on May 1, 2013 and thereafter, on the average, contributions will be made for each active for 1,700 hours each year. 

Future Normal Costs: Based on the assumed industry activity, we have determined the Normal Cost based on an open 

group forecast with the number of active participants assumed to be 607 by May 1, 2013, and 

new entrants are assumed to have similar demographic characteristics to those hired in the past five years. 

Demographic Adjustments: A demographic loss as of May 1, 2013 was included to account for more benefit accruals than 

expected as actual contributions received were greater than expected during the Plan year ended April 30, 2013. 

Segal Consulting (“Segal”) does not practice law and, therefore, cannot and does not provide legal advice. Any statutory interpretation on 

which the certification is based reflects Segal’s understanding as an actuarial firm. Due to the complexity of the statute and the significance of its ramifications, Segal recommends that the Board of Trustees consult with legal counsel when making any decisions 

5363493v2/01031.026

regarding compliance with ERISA and the Internal Revenue Code. 

IW17PF_717
This exhibit summarizes the major provisions of the Plan included in

(Schedule MB, line 6) Summary of Plan Provisions (Alternate Schedule of the Rehabilitation Plan) EXHIBIT VIII 

 the valuation. It is not intended to be, nor should it be interpreted as, 

Plan Year:a complete statement of all plan provisions. 

May 1 through April 30 

Pension Credit Year: May 1 through April 30 Plan Status: Ongoing plan Regular Pension: 

Age Requirement 65 or, if later, the age of the participant on the fifth anniversary of participation 

Amount $100.00 per month per benefit credit earned prior to November 1, 2004, $50.00 per month per 

benefit credit thereafter. 

Service Pension: 

Age Requirement 62Service Requirement 30 years of vesting service Amount Regular pension accrued, unreduced for early retirement 

Early Retirement: 

Age Requirement 58 Service Requirement 10 benefit credits 

IW17PF_718
Amount Regular pension accrued reduced by 3% for each year of age between ages 65 and 62. For 

retirements between age 62 and 58, benefit is actuarially reduced to be equivalent to early retirement benefit payable at age 62. 

Disability: 

Age Requirement None Service Requirement 10 benefit credits or 10 years of vesting service, worked in covered employment for at least 475 

Security Disability Benefit. hours in the 24 months prior to becoming permanently disabled, and have been awarded a Social 

Amount 80% of regular pension accrued. 

Vesting: 

Age Requirement None Service Requirement 5 years of vesting service Amount Regular or early pension accrued Normal Retirement Age 65 

Pre-Retirement Death Benefits: 

Age Requirement None Service Requirement 5 years of vesting service Amount 

had he or she retired the day before the date The designated beneficiary is eligible for 50% of the benefit the participant would have received 

of death and elected the 50% joint and survivor 

option. If the participant died prior to eligibility for an early retirement pension, the designated beneficiary’s benefit is deferred to the participant’s earliest retirement age. Benefit is available to 

all participants regardless of marital status. 

IW17PF_719
Post-Retirement Death Benefit: If married, pension benefits are paid in the form of a 50% joint and survivor annuity unless this 

form is rejected by the participant and spouse. If not rejected, the benefit amount otherwise payable is reduced to reflect the joint and survivor coverage. If not rejected, and the spouse predeceases the participant, the participant’s benefit amount will subsequently be increased to the unreduced amount payable had the joint and survivor coverage been rejected (pop-up provision). actuarially equivalent amount. Benefits may also be payable in any other available optional form elected by the participant in an 

Optional Forms of Payment: The following forms of payment are generally available under the plan for married participants: 

 Single life annuity  75% joint and survivor annuity without pop-up provision 

Participation: First day of the month following completion of 475 hours. 

Benefit Credit:

equals one-half credit, 1,425-1,899 hours equals For plan years after April 30, 2006, 475-949 hours equals one-quarter credit, 950-1,424 hours 

three-quarters credit, 1,900 or more hours equals 

banked is 1,900. Banked hours will be converted to additional beone credit. Hours worked in excess of 1,900 are banked. Maximum number of hours that can be 

nefit credits at retirement. 

For the plan year covering May 1, 2005 through April 30, 2006, 300-599 hours equals oneFor plan years before May 1, 2005, 300-599 1,200 or more hours equals one credit. quarter credit, 600-899 hours equals one-half credit, 900-1,199 hours equals three-quarters credit, hours equals one-quarter credit, 600-899 hours 

credit, 1,750-1,999 equals one and one-quarter equals one-half credit, 900-1,199 hours equals three-quarters credit, 1,200-1,749 hours equals one 

credits and 2,000 or more hours equals one and 

one-half credits. In order to earn more than one benefit credit, banked hours must equal 1,200. For plan years covering May 1, 1965 through April 30, 2006, hours worked in excess of 1,200 are banked unless they were used to earn additional benefit credits for the plan year during which they were worked. Maximum number of hours that can be banked is 1,200. Banked hours will be converted to additional benefit credits at retirement. 

IW17PF_720
Vesting Credit: One year of vesting service for each pension credit year during the contribution period in which a 

participant works 900 hours or more. One-quarter year shall be granted for 300 but less than 600 hours, and one-half year for 600 but less than 900 hours. 

Contribution Rate: $10.00 per hour effective May 1, 2013 

There were no changes in plan provisions reflected in this actuarial valuation. 

5400440v6/01031.004

IW17PF_721
The participant data is for the year ended April 30, 2013. 

(Schedule MB, line 8b)Schedule of Active Participant Data EXHIBIT III 

 Benefit Credits 

Age Total 1-4 5-9 10-14 15-19 20-24 25-29 30-34 35-39 40 & over

Under 25 13 13 - - - - - - - - - - - - - - - - 

25 - 29 41 35 6 - - - - - - - - - - - - - - 30 - 34 90 46 24 17 3 - - - - - - - - - - 35 - 39 84 27 20 20 13 4 - - - - - - - - 40 - 44 116 16 13 30 32 13 10 2 - - - - 45 - 49 90 4 10 16 13 24 23 - - - - - - 50 - 54 101 - - 5 12 14 14 19 11 12 14 55 - 59 87 1 - - 2 6 8 10 12 23 25 60 - 64 16 2 1 2 1 1 1 1 3 4 65 - 69 1 - - - - - - - - 1 - - - - - - - - 

70 & over 1 1 - - - - - - - - - - - - - - - - 

Total 640 145 79 99 82 65 63 26 38 43 

Note: Excludes 54 participants with less than one benefit credit. 

IW17PF_722
Mortality Rates:

(Schedule MB, line 6) Statement of Actuarial Assumptions/Methods EXHIBIT VII 

Healthy: RP-2000 Combined Healthy Blue Collar Mortality Table, projected generationally, with 

the basic rates applied to the 2011 Plan year 

 Disabled (Retired Prior to May 1, 1997): RP-2000 Combined Healthy Blue Collar Mortality 

Table, projected generationally, with the basic rates applied to the 2011 Plan year 

 Disabled (Retired On or After May 1, 1997): RP-2000 Disabled Retiree Mortality Table  The RP-2000 Combined Healthy Blue Collar Mortality Table reasonably reflected the mortality 

experience of the Plan during the 2011 Plan year. The mortality table was then adjusted for future years using generational projection under Scale AA to anticipate future mortality improvement. 

IW17PF_723
Retirement: 

Termination Rates before 

Rate (%) 

 Mortality1 Disability2 Withdrawal3

Age Male Female 

60 0.80 0.49 5.22 0.12 55 0.40 0.28 2.55 1.24 50 0.23 0.19 1.20 3.38 45 0.17 0.13 0.54 5.08 40 0.13 0.09 0.27 6.20 35 0.11 0.05 0.18 6.96 30 0.07 0.03 0.15 7.44 25 0.04 0.02 0.15 7.74 20 0.03 0.02 0.15 7.95 

1Rates shown are those applicable for the current Plan year.

Disability rates cut out when the early retirement 2 benefit is greater than the disability benefit.Withdrawal rates cut out when eligible for early retirement. 3

Retirement Rates: 

Age* 

Retirement 

Rates 

 58 5%  59 3%  60-61 15%  62-64 40%*  65 100% 

* Participants eligible for the Service Pension before age 65 are assumed to retire at a rate of 50% per year. 

IW17PF_724
Retirement Age:

Description of Weighted Average 

Age 62, determined as follows: The weighted average retirement age for each participant is 

calculated as the sum of the product of each potential current or future retirement age times the other decrements. The overall weighted retirement probability of surviving from current age to that age and then retiring at that age, assuming no 

age is the average of the individual retirement 

ages based on all the active participants included in the May 1, 2013 actuarial valuation. 

Vested Participants:Retirement Age for Inactive 

Earliest age eligible for an unreduced benefit 

Future Benefit Accruals: 0.85 benefit credits per year per active participant included in the valuation. 

Unknown Data for Participants: Same as those exhibited by participants with similar known characteristics. If not specified, 

participants are assumed to be male. 

Definition of Active Participants: Those who have earned at least 1⁄4 benefit credit in the most recent plan year, and who have 

accumulated at least one benefit credit, excluding those who have retired as of the valuation date.. 

Percent Married: 80% Age of Spouse: Females 4 years younger than male spouses Benefit Election: Married participants elect the 50% joint and survivor or single life annuity, whichever is more 

valuable. Single participants elect the single life annuity. 

Net Investment Return: 7.50% 

Annual Administrative Expenses: $400,000, payable monthly, for the year beginning May 1, 2013 (equivalent to $384,717 payable 

at the beginning of the year) 

Actuarial Value of Assets: At market value Actuarial Cost Method: Unit Credit Actuarial Cost Method. Normal Cost and Actuarial Accrued Liability are calculated 

on an individual basis and are allocated by benefits accrued, 

IW17PF_725
Benefits Valued: Unless otherwise indicated, includes all benefits summarized in Exhibit VIII. 

Current Liability Assumptions: 

Interest 3.66%, within the permissible range prescribed under IRC Section 431(c)(6)(E) 

Mortality Mortality prescribed under IRS Regulations 1.431(c)(6)-1 and 1.430(h)(3)-1: RP-2000 tables 

nonannuitants projected forward to the valuation year plus seven years for annuitants and 15 years for 

IW17PF_726
IW17PF_727
IW17PF_728
IW17PF_729
IW17PF_730
IW17PF_731
IW17PF_732
IW17PF_733
IW17PF_734
IW17PF_735
IW17PF_736

Redacted by the U.S. Department of 

the Treasury

Redacted by the U.S. Department 

of the Treasury

Redacted by the U.S. Department of the 

Treasury

Redacted by the U.S. Department of the 

Treasury

Redacted by the U.S. Department of the 

Treasury

Redacted by the U.S. Department of the 

Treasury
The Plan was certified as making the scheduled progress in meeting the requirements of its Rehabilitation Plan. Under the 2014 actuarial 

status certification, the Plan was projected to be solvent as of May 1, 2026 (i.e. the benchmark of the Rehabilitation Plan). 

IW17PF_737
Part III

Part II

 box. If no, check the "No" box . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Decrease

Date:

u

Month Day Year

OMB No. 1210-0110

Increase No

 year that increased or decreased the value of benefits? If yes, check the appropriate

If this is a defined benefit pension plan, were any amendments adopted during this plan

Yes No N/A

authority providing automatic approval for the change or a class ruling letter, does the plan sponsor or plan

If a change in actuarial cost method was made for this plan year pursuant to a revenue procedure or other

 (enter a minus sign to the left of a negative amount)

 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Subtract the amount in line 6b from the amount in line 6a. Enter the result

Enter the amount contributed by the employer to the plan for this plan year

 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Enter the minimum required contribution for this plan year (include any prior year accumulated funding

plan year, see instructions and enter the date of the ruling letter granting the waiver.

If a waiver of the minimum funding standard for a prior year is being amortized in this

Is the plan administrator making an election under Code section 412(d)(2) or ERISA section 302(d)(2)? . . . . . . . . . . . . . . . . . . . Yes No N/A

ERISA section 302, skip this Part)

year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Number of participants (living or deceased) whose benefits were distributed in a single sum, during the plan

EIN(s):

payors who paid the greatest dollar amounts of benefits):

Enter the EIN(s) of payor(s) who paid benefits on behalf of the plan to participants or beneficiaries during the year (if more than two, enter EINs of the two 

instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Total value of distributions paid in property other than in cash or the forms of property specified in the

Plan sponsor's name as shown on line 2a of Form 5500

plan number

Name of plan Three-digit

For calendar plan year 2013 or fiscal plan year beginning and ending

6058(a) of the Internal Revenue Code (the Code).

Employee Retirement Income Security Act of 1974 (ERISA) and section

This schedule is required to be filed under section 104 and 4065 of the

For Paperwork Reduction Act Notice and OMB Control Numbers, see the instructions for Form 5500. Schedule R (Form 5500) 2013

9

8

If you completed line 6c, skip lines 8 and 9.

6c

c

b 6b

6a

6

If you completed line 5, complete lines 3, 9, and 10 of Schedule MB and do not complete the remainder of this schedule.

5

If the plan is a defined benefit plan, go to line 8.

4

3

3

Profit-sharing plans, ESOPs, and stock bonus plans, skip line 3.

2

1

1

All references to distributions relate only to payments of benefits during the plan year.

C D Employer Identification Number (EIN)

A B

u File as an attachment to Form 5500.

Inspection.

This Form is Open to Public

Amendments

Funding Information (If the plan is not subject to the minimum funding requirements of section of 412 of the Internal Revenue Code or

Part I Distributions

Retirement Plan Information

2013

(PN)

a

7 Will the minimum funding amount reported on line 6c be met by the funding deadline? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes No N/A

12 Does the ESOP hold any stock that is not readily tradable on an established securities market? Yes No . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

(See instructions for definition of "back-to-back" loan.) Yes No . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

b If the ESOP has an outstanding exempt loan with the employer as lender, is such loan part of a "back-to-back" loan?

Does the ESOP hold any preferred stock? Yes No . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Were unallocated employer securities or proceeds from the sale of unallocated securities used to repay any exempt loan? . . . . . . .

Part IV ESOPs (see instructions). If this is not a plan described under Section 409(a) or 4975(e)(7) of the Internal Revenue Code,

skip this Part.

10 Yes No

11 a

Both

Pension Benefit Guaranty Corporation

Employee Benefits Security Administration

Department of Labor

Internal Revenue Service

Department of the Treasury

(Form 5500)

SCHEDULE R

administrator agree with the change? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

deficiency not waived)

 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

05/01/2013 04/30/2014

IRON WORKERS LOCAL 17 PENSION FUND

001

BOARD OF TRUSTEES OF IRON WORKERS 51-0161467

0

X

X

IW17PF_738
Schedule R (Form 5500) 2013 Page 2-

Part V Additional Information for Multiemployer Defined Benefit Pension Plans

13 Enter the following information for each employer that contributed more than 5% of total contributions to the plan during the plan year (measured in

dollars). See instructions. Complete as many entries as needed to report all applicable employers.

a Name of contributing employer

b EIN c Dollar amount contributed by employer

d Date collective bargaining agreement expires (If employer contributes under more than one collective bargaining agreement, check box

e Contribution rate information (If more than one rate applies, check this box

and see instructions regarding required attachment. Otherwise, enter the applicable date.) Month Day Year

and see instructions regarding required attachment. Otherwise,

complete lines 13e(1) and 13e(2).)

(1)

(2)

Contribution rate (in dollars and cents)

Base unit measure: Hourly Weekly Unit of production Other (specify):

Base unit measure:

Contribution rate (in dollars and cents)

(2)

(1)

complete lines 13e(1) and 13e(2).)

and see instructions regarding required attachment. Otherwise,

and see instructions regarding required attachment. Otherwise, enter the applicable date.) Month Day Year

e Contribution rate information (If more than one rate applies, check this box

d Date collective bargaining agreement expires (If employer contributes under more than one collective bargaining agreement, check box

b EIN c

a Name of contributing employer

and see instructions regarding required attachment. Otherwise, enter the applicable date.) Month Day Year

c

complete lines 13e(1) and 13e(2).)

(1)

(2)

Contribution rate (in dollars and cents)

Base unit measure:

a Name of contributing employer

b EIN

and see instructions regarding required attachment. Otherwise,

d Date collective bargaining agreement expires (If employer contributes under more than one collective bargaining agreement, check box

e Contribution rate information (If more than one rate applies, check this box

Base unit measure:

Contribution rate (in dollars and cents)

(2)

(1)

complete lines 13e(1) and 13e(2).)

and see instructions regarding required attachment. Otherwise, enter the applicable date.) Month Day Year

e Contribution rate information (If more than one rate applies, check this box

d Date collective bargaining agreement expires (If employer contributes under more than one collective bargaining agreement, check box

and see instructions regarding required attachment. Otherwise,

b EIN c

a Name of contributing employer

Base unit measure:

Contribution rate (in dollars and cents)

(2)

(1)

complete lines 13e(1) and 13e(2).)

and see instructions regarding required attachment. Otherwise, enter the applicable date.) Month Day Year

e Contribution rate information (If more than one rate applies, check this box

d Date collective bargaining agreement expires (If employer contributes under more than one collective bargaining agreement, check box

and see instructions regarding required attachment. Otherwise,

b EIN c

a Name of contributing employer

and see instructions regarding required attachment. Otherwise, enter the applicable date.) Month Day Year

c

complete lines 13e(1) and 13e(2).)

(1)

(2)

Contribution rate (in dollars and cents)

Base unit measure:

a Name of contributing employer

b EIN

and see instructions regarding required attachment. Otherwise,

d Date collective bargaining agreement expires (If employer contributes under more than one collective bargaining agreement, check box

e Contribution rate information (If more than one rate applies, check this box

Dollar amount contributed by employer

Dollar amount contributed by employer

Dollar amount contributed by employer

Dollar amount contributed by employer

Dollar amount contributed by employer

Hourly Weekly Unit of production Other (specify):

Hourly Weekly Unit of production Other (specify):

Hourly Weekly Unit of production Other (specify):

Hourly Weekly Unit of production Other (specify):

Hourly Weekly Unit of production Other (specify):

BOARD OF TRUSTEES OF IRON WORKERS 51-0161467

1

KELLEY STEEL ERECTORS INC

34-0832455 1460661

04 30 2018

10.00

X

WALSH CONSTRUCTION CO OF IL

36-2231526 870091

04 30 2018

10.00

X

FOREST CITY ERECTORS

34-0865195 801866

04 30 2018

10.00

X

OMI INDUSTRIAL SERVICES

45-4127854 725565

04 30 2018

10.00

X

IW17PF_739
Schedule R (Form 5500) 2013 Page 3

14 Enter the number of participants on whose behalf no contributions were made by an employer as an employer of the

participant for:

a

b

c

The current year

 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

The plan year immediately preceding the current plan year

 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

The second preceding plan year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

14a

14b

14c

15b

15a

16a

16b

15 Enter the ratio of the number of participants under the plan on whose behalf no employer had an obligation to make an

employer contribution during the current plan year to:

a

b

The corresponding number for the plan year immediately preceding the current plan year

 . . . . . . . . . . . . . . . . . . . . .

The corresponding number for the second preceding plan year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

16 Information with respect to any employers who withdrew from the plan during the preceding plan year:

a

b

Enter the number of employers who withdrew during the preceding plan year

 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

If line 16a is greater than 0, enter the aggregate amount of withdrawal liability assessed or estimated to be

assessed against such withdrawn employers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

17 If assets and liabilities from another plan have been transferred to or merged with this plan during the plan year, check box and see instructions regarding 

supplemental information to be included as an attachment.

 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Part VI Additional Information for Single-Employer and Multiemployer Defined Benefit Pension Plans

18 If any liabilities to participants or their beneficiaries under the plan as of the end of the plan year consist (in whole or in part) of liabilities to such participants 

and beneficiaries under two or more pension plans as of immediately before such plan year, check box and see instructions regarding supplemental 

information to be included as an attachment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

19 If the total number of participants is 1,000 or more, complete lines (a) through (c)

a

b

c

Enter the percentage of plan assets held as:

Stock: % Investment-Grade Debt: % High-Yield Debt: % Real Estate: % Other: %

Provide the average duration of the combined investment-grade and high-yield debt:

0-3 years 3-6 years 6-9 years 9-12 years 12-15 years 15-18 years 18-21 years 21 years or more

What duration measure was used to calculate line 19(b)?

Effective duration Macaulay duration Modified duration Other (specify):

BOARD OF TRUSTEES OF IRON WORKERS 51-0161467

1.00

0.97

90.0 9.0 1.0

X

X

IW17PF_740