ROOFERS UNION LOCAL 33 INSURANCE: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization
ROOFERS UNION LOCAL 33 INSURANCE (EIN 04-6148460)
Tax period
2023-01-01 to 2023-12-31
Filed
2024-10-25
IRS object ID
202442999349300029
Schema version
2023v5.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2024-10-25T12:18:12-05:00ReturnTs
Tax Period End2023-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN043508036PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1MANZI & ASSOCIATES LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1855 TURNPIKE STREETAddressLine1Txt
CityNORTH ANDOVERCityNm
State AbbreviationMAStateAbbreviationCd
ZIP01845ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2023-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN046148460EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ROOFERS-UNION LOCAL NO 33BusinessNameLine1Txt
Business Name Line2INSURANCE FUNDBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlROOFBusinessNameControlTxt
Phone7813411657PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line153 EVANS DRIVEAddressLine1Txt
CitySTOUGHTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02072ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonPAUL BICKFORDPersonNm
Person TitleTRUSTEEPersonTitleTxt
Phone7813411657PhoneNum
Signature2024-10-21SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJEANNIE MICKELPreparerPersonNm
PTINP01058630PTIN
Phone9789751099PhoneNum
FieldValueIRS element (for citing)
Tax2023TaxYr
Build TS2024-10-15 13:58:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerANNA BROUSAIDESPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line153 EVANS DRIVEAddressLine1Txt
CitySTOUGHTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02072ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$13,689,649GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501cYes (X)Organization501cInd
Website AddressN/AWebsiteAddressTxt
Type Of Organization TrustYes (X)TypeOfOrganizationTrustInd
Formation1951FormationYr
Legal Domicile StateMALegalDomicileStateCd
Activity Or MissionPROVIDE MEDICAL, LIFE AND DISABILITY INSURANCE BENEFITS TO UNION MEMBERS AND THEIR FAMILIESActivityOrMissionDesc
Voting Members Governing Body6VotingMembersGoverningBodyCnt
Voting Members Independent6VotingMembersIndependentCnt
Total Employee7TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$12,000,687PYProgramServiceRevenueAmt
CY Program Service Revenue$13,479,443CYProgramServiceRevenueAmt
PY Investment Income$175,158PYInvestmentIncomeAmt
CY Investment Income$210,206CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$12,175,845PYTotalRevenueAmt
CY Total Revenue$13,689,649CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$11,657,611PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$10,299,294CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$259,819PYOtherExpensesAmt
CY Other Expenses$1,378,988CYOtherExpensesAmt
PY Total Expenses$11,917,430PYTotalExpensesAmt
CY Total Expenses$11,678,282CYTotalExpensesAmt
PY Revenues Less Expenses$258,415PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$2,011,367CYRevenuesLessExpensesAmt
Total Assets BOY$9,580,597TotalAssetsBOYAmt
Total Assets EOY$10,265,345TotalAssetsEOYAmt
Total Liabilities BOY$55,890,055TotalLiabilitiesBOYAmt
Total Liabilities EOY$54,447,668TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$46,309,458NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$44,182,323NetAssetsOrFundBalancesEOYAmt
MissionPROVIDE HOSPITAL, MAJOR MEDICAL, PRESCRIPTIONS, VISION CARE, DENTAL CARE, LIFE AND LONG-TERM DISABILITY BENEFITS MEMBERS AND/OR BENEFICIARIESMissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
DescPROVIDE HOSPITAL, MAJOR MEDICAL, PRESCRIPTIONS, VISION CARE, DENTAL CARE,LIFE AND LONGTERM DISABILITY BENEFITS TO MEMBERS AND THEIR FAMILIES AND/OR BENEFICIARIES.Desc
Described In Section501c30DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document3IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee7EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members6GoverningBodyVotingMembersCnt
Independent Voting Member6IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy0ConflictOfInterestPolicyInd
Whistleblower Policy0WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ANNA BROUSAIDESBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7813411657PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line153 EVANS DRIVEAddressLine1Txt
CitySTOUGHTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02072ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (7 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
MARK BROUSSEAU
TRUSTEE2.00Yes (X)$0$0$0
DAVID KLEIN
TRUSTEE2.00Yes (X)$0$0$0
JOHN MARCONE
TRUSTEE2.00Yes (X)$0$0$0
PAUL BICKFORD
TRUSTEE2.00Yes (X)$0$0$0
THOMAS S GUNNING
TRUSTEE2.00Yes (X)$0$0$0
JOSEPH FERRIS JR
TRUSTEE2.00Yes (X)$0$0$0
ANNA BROUSAIDES
ADMINISTRATOR40.00$0$128,213$61,256Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$128,213TotReportableCompRltdOrgAmt
Total Other Compensation$61,256TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BCBSBusinessNameLine1Txt

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line1401 PARK DRIVEAddressLine1Txt
CityBOSTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02215ZIPCd
FieldValueIRS element (for citing)
ServicesCLAIMS ADMINISTRATIONServicesDesc
Compensation$424,409CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
EMPLOYER CONTRIBUTIONS525100$13,093,965$13,093,965
PARTICIPANT CONTRIBUTIONS525100$385,478$385,478
FieldValueIRS element (for citing)
Total Program Service Revenue$13,479,443TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$210,206TotalRevenueColumnAmt
Exclusion$210,206ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$13,689,649TotalRevenueColumnAmt
Related Or Exempt Func Income$13,479,443RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$210,206ExclusionAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$10,299,294TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$18,500TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$25,175TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$14,982TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$56,250TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$793TotalAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,317TotalAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmt
STOP/LOSS PREMIUMS$1,108,815
ADMINISTRATION FEES$145,125
PCORI FEES$4,572
PRINTING EXPENSE$3,459

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$11,678,282TotalAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,710,634BOYAmt
EOY$1,957,850EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,602,985BOYAmt
EOY$1,877,339EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$147,671BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$20,939LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$20,939LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$3,943,946BOYAmt
EOY$4,340,867EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$2,083,061BOYAmt
EOY$1,996,989EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$92,300BOYAmt
EOY$92,300EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$9,580,597BOYAmt
EOY$10,265,345EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$5,615BOYAmt
EOY$10,840EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$55,884,440BOYAmt
EOY$54,436,828EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$55,890,055BOYAmt
EOY$54,447,668EOYAmt
FieldValueIRS element (for citing)
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

FieldValueIRS element (for citing)
BOY-$46,309,458BOYAmt
EOY-$44,182,323EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$46,309,458BOYAmt
EOY-$44,182,323EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$9,580,597BOYAmt
EOY$10,265,345EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$2,011,367ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$115,769NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit Committee0AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule D IRS990ScheduleD

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$20,939OtherCostOrOtherBasisAmt
Depreciation$20,939DepreciationAmt
Book Value$0BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (3 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
U.S. REAL ESTATE INVESTMENT FUND$766,862F
AFL-CIO HOUSING INVESTMENT TRUST$638,564F
UNION LABOR LIFE POOLED SEPARATE ACCT$591,563F
FieldValueIRS element (for citing)
Total Book Value Securities$1,996,989TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescESTIMATED BENEFIT OBLIGATIONSDesc
Amt$54,436,828Amt
FieldValueIRS element (for citing)
Total Liability$54,436,828TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$13,790,436TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$115,769NetUnrealizedGainsInvstAmt
Revenue Not Reported$115,769RevenueNotReportedAmt
Revenue Subtotal$13,674,667RevenueSubtotalAmt
Investment Expenses Not Incld$14,982InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt$14,982RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$13,689,649TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$13,110,912TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$13,110,912ExpensesSubtotalAmt
Investment Expenses Not Incld2$14,982InvestmentExpensesNotIncld2Amt
Other Expenses Not Included-$1,447,612OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt-$1,432,630ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$11,678,282TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 DEPARTMENT OF LABOR AND INTERNAL REVENUE SERVICE. 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. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS.
PART XII, LINE 4B - OTHER ADJUSTMENTS:CHANGE IN BENEFIT OBLIGATIONS
PART XII, LINE 4BCHANGE IN BENEFIT OBLIGATIONS

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp

FieldValueIRS element (for citing)
PersonANNA BROUSAIDESPersonNm
TitleADMINISTRATORTitleTxt
Base Compensation Filing Org$0BaseCompensationFilingOrgAmt
Compensation Based On Rltd Orgs$128,213CompensationBasedOnRltdOrgsAmt
Bonus Filing Organization$0BonusFilingOrganizationAmount
Bonus Related Organizations$0BonusRelatedOrganizationsAmt
Other Compensation Filing Org$0OtherCompensationFilingOrgAmt
Other Compensation Rltd Orgs$0OtherCompensationRltdOrgsAmt
Deferred Compensation Flng Org$0DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs$35,714DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org$0NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs$25,542NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org$0TotalCompensationFilingOrgAmt
Total Compensation Rltd Orgs$189,469TotalCompensationRltdOrgsAmt
Comp Report Prior990 Filing Org$0CompReportPrior990FilingOrgAmt
Comp Report Prior990 Rltd Orgs$0CompReportPrior990RltdOrgsAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6THE ORGANIZATION CONSISTS OF UNION MEMBERS WHO PARTICIPATE IN THE HEALTH AND WELFARE PLAN.
FORM 990, PART VI, SECTION A, LINE 7ATHE UNION MEMBERS APPOINT THREE TRUSTEES TO THE GOVERNING BOARD AND THE EMPLOYERS APPOINT THREE.
FORM 990, PART VI, SECTION A, LINE 7BMEMBERS APPROVE THE BENEFITS PACKAGE.
FORM 990, PART VI, SECTION B, LINE 11BTHE ADMINISTRATOR REVIEWS THE FORM 990 WITH A GROUP OF TRUSTEES PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 15BCOMPENSATION IS REVIEWED ANNUALLY BY THE BOARD OF TRUSTEES
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION'S GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE FOR INSPECTION AT THE FUND OFFICE. IN ADDITION, OUR ORGANIZATION FILES AN ANNUAL FINANCIAL REPORT WITH THE DEPARTMENT OF LABOR WHICH CAN BE OBTAINED
FORM 990, LINE 19THE ORGANIZATION'S GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE FOR INSPECTION AT THE FUND OFFICE. IN ADDITION, OUR ORGANIZATION FILES AN ANNUAL FINANCIAL REPORT WITH THE DEPARTMENT OF LABOR WHICH CAN BE OBTAINED.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationInd
ROOFERS LOCAL NO 33 ADMIN
53 EVANS DRIVESTOUGHTONMA02072042628775ADMINMA501(C)(6)N/A0
ROOFERS LOCAL NO 33 THRIFT FUND
53 EVANS DRIVESTOUGHTONMA02072046358332BENEFITSMA501(C)(9)N/A0
ROOFERS LOCAL NO 33 PENSION
53 EVANS DRIVESTOUGHTONMA02072042228135BENEFITSMA501(C)(9)N/A0

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (19 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdLegal Domicile StateLegalDomicileStateCd
APEX GREEN ROOFS INC
17 PARKER STNEWBURYMA01951MA
APOLLO ROOFER
316 LOCKWOOD STPROVIDENCEMA02907MA
COMMERCIAL RI MEMBERS
340 KENNEDY DRPUTNAMCT06260CT
COMMERCIAL ROOFING CO INC
340 KENNEDY DRPROVIDENCECT06260CT
COMMONWEALTH BLDG OFFICE STAFF
17 ROCKVIEW WAYROCKLANDMA02370MA
COMMONWEALTH BUILDING SYSTEMS
17 ROCKVIEW WAYROCKLANDMA02370MA
FEELEYMCANESPIE INC
200 TANNER STLOWELLMA01852MA
FLAGSHIPGREENWOOD INDUSTRIES
PO BOX 2800WORCESTERMA01605MA
GILBERT & BECKER COINC
16-24 CLAPP STDORCHESTERMA02125MA
GREENWOOD INDUSTRIES INC
PO BOX 2800WORCESTERMA01605MA
LEADING WAY ROOFING & SHTMETAL
31 PERKINS STBROCKTONMA02302MA
MARSHALL ROOFING COINC
PO BOX 3279PEABODYMA01960MA
MIKE KOBITHEN ROOFING INC
2200 WAKELING STPHILADELPHIAPA19137PA
PJ MCKENNA ROOFING INC
PO BOX 3132PAWTUCKETRI02861RI
RELIABLE ROOFING & SHEET METAL
290 VANDERBILT AVENORWOODMA02062MA
ROTH BROS INC
3847 CRUM RDYOUNGSTOWNOH44515OH
SHEA JOHN F CO INC
655 BODWELL STAVONMA02322MA
SILKTOWN ROOFING INC
100 DAVIS STDOUGLASMA01516MA
TITAN ROOFING COINC
200 TAPLEY STSPRINGFIELDMA01104MA
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1ROOFERS UNION LOCAL NO 33 ADMINISTRATION FUNDBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypePTransactionTypeTxt
Involved$145,125InvolvedAmt
Method Of Amount DeterminationPAID EXPENSESMethodOfAmountDeterminationTxt

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