2024-11-01T11:06:15-05:00 2023-12-31 750786316 WEAVER AND TIDWELL LLP ONE PENNSYLVANIA PLAZA SUITE 3200 NEW YORK NY 10119 990 2023-01-01 226058341 TEAMSTERS INDUSTRIAL EMPLOYEES WELFARE FUND TEAM 2018673553 303 MOLNAR DRIVE ELMWOOD PARK NJ 074073213 ROBERT BLUMENFELD FUND ADMINISTRATOR 2018673553 2024-10-31 1 1 STELLA DENG P01718982 2126955003 2023 2024-10-15 13:58:12Z ROBERT BLUMENFELD 303 MOLNAR DRIVE ELMWOOD PARK NJ 074073213 44597325 0 X WWW.560BENEFITFUNDS.COM X 1948 NJ TO PROVIDE HEALTH BENEFITS TO ELIGIBLE PARTICIPANTS. 5 4 0 0 0 0 0 0 19047739 19214438 249515 1410015 778391 926293 20075645 21550746 0 0 16727998 20328298 307381 332404 0 0 0 1057646 1078819 18093025 21739521 1982620 -188775 44542546 46072746 3219308 3813778 41323238 42258968 TO PROVIDE HEALTH BENEFITS TO ELIGIBLE PARTICIPANTS 0 0 TO PROVIDE HEALTH BENEFITS TO ELIGIBLE PARTICIPANTS. 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 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 83 0 0 0 0 0 0 0 0 0 0 X 5 4 0 0 0 0 1 0 0 1 0 0 0 1 1 1 1 0 1 0 0 0 X ROBERT BLUMENFELD 2018671447 303 MOLNAR DRIVE ELMWOOD PARK NJ 074073213 EDWIN H STIER UNION TRUSTEE 1.00 X 2767 0 0 JOSEPH DIPALMA UNION TRUSTEE 2.00 X 0 0 0 CHARLES T CONNORS EMPLOYER TRUSTEE 1.00 X 0 0 0 NICHOLAS JAYME UNION TRUSTEE (ALTERNATE) 1.00 X 0 0 0 LOUIS RODRIGUEZ UNION TRUSTEE 1.00 X 0 0 0 RICHARD GOLDBERG EMPLOYER TRUSTEE (FORMER) 1.00 X 0 0 0 JAMES COONEY EMPLOYER TRUSTEE 1.00 X 0 0 0 ROBERT BLUMENFELD FUND ADMINISTRATOR 11.00 X 0 0 0 2767 0 0 0 0 0 0 HORIZON BLUE CROSS BLUE SHIELD THREE PENN PLAZA EAST NEWARK NJ 07105 HEALTH CARE PROVIDER 532092 CHANGE HEALTHCARE SOLUTIONS LLC 19732 MACARTHUR BLVD SUITE 100 IRVINE CA 92612 CLAIMS REPRICING AGENT 348929 2 EMPLOYER CONTRIBUTIONS 525100 19149106 19149106 COBRA 525100 65332 65332 19214438 1571423 1571423 22885171 23046579 -161408 -161408 -161408 PRESCRIPTION REBATE INCOME 525100 851274 851274 OTHER INCOME 525100 75019 75019 926293 21550746 20140731 0 1410015 20328298 332404 60529 30660 46196 96940 7864 23018 18 2027 ALLOCATED SALARIES AND 810844 DUES AND SUBSCRIPTIONS 723 21739521 864832 2420782 765878 2351166 1757998 1738349 12970 17915 98218 95011 5234 3207 34210743 34597535 6022694 4030359 902197 913433 44542546 46072746 163366 199827 3055942 3613951 3219308 3813778 X 0 0 0 0 41323238 42258968 41323238 42258968 44542546 46072746 -188775 1124505 0 X X 0 1 X 1 0 10211 10211 0 81061 77854 3207 6946 6946 0 3207 LIMITED PARTNERSHIP 4030359 F 4030359 CLAIMS PAYABLE AND CLAIMS INCURRED BUT NOT REPORTED 3551400 DUE TO AFFILIATES, NET 62551 3613951 X 22629055 1124505 1124505 21504550 46196 46196 21550746 20989025 0 20989025 46196 704300 750496 21739521 PART X, LINE 2: 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 PLAN HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS. THE PLAN ADMINISTRATOR HAS ANALYZED THE TAX POSITIONS TAKEN BY THE PLAN, AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2023, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE FINANCIAL STATEMENTS. EMPLOYEE BENEFIT PLANS ARE SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS FOR THE PLAN. THE PLAN ADMINISTRATOR BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO 2020. PART XII, LINE 4B - OTHER ADJUSTMENTS: CHANGES IN CLAIMS PAYABLE AND CLAIMS INCURRED BUT NOT REPORTED 704,300. FORM 990, PART VI, SECTION A, LINE 6 THE PLAN HAS PARTICIPANTS. FORM 990, PART VI, SECTION A, LINE 8B THE ORGANIZATION DOES NOT HAVE ANY COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BOARD. FORM 990, PART VI, SECTION B, LINE 11B A COPY OF THE FORM 990 WAS PROVIDED TO THE TRUSTEES OF THE ORGANIZATION BEFORE IT WAS FILED. FORM 990, PART VI, SECTION B, LINE 12C THE PLAN IS BOUND BY ERISA PROHIBITED TRANSACTION RULES WHICH PRECLUDE THE PLAN FROM ENGAGING IN ANY NON-EXEMPT PARTY IN INTEREST TRANSACTIONS. FORM 990, PART VI, SECTION C, LINE 19 THE FINANCIAL STATEMENTS ARE PROVIDED TO PARTICIPANTS AND OTHER INTERESTED PARTIES UPON REQUEST. FORM 990, PART XII, LINE 2C THE BOARD OF TRUSTEES ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND THE SELECTION OF THE INDEPENDENT AUDITOR. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. 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