2023-01-30T09:40:34-06:00 2022-03-31 131577780 SCHULTHEIS & PANETTIERI LLP 450 WIRELESS BLVD HAUPPAUGE NY 11788 990 2021-04-01 221481564 HEAVY & GENERAL LABORERS LOCAL 472 & LOCAL 172 OF NEW JERSEY WELFARE FUND HEAV 9735895050 700 RAYMOND BOULEVARD NEWARK NJ 071052909 MANUEL AMADOR JR TRUSTEE 9735895050 2023-01-30 1 MANUEL AMADOR JR 999009999 CAROL WESTFALL P00539069 6312734778 3 AAL1 IAL1 2021 2023-03-07 01:45:13Z BEVERLY CEASER 700 RAYMOND BOULEVARD NEWARK NJ 071052909 309396552 0 X N/A X 1950 NJ THE PURPOSE OF THE PLAN IS TO PROVIDE HEALTH AND OTHER BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS. 10 10 43 0 0 0 0 0 196104078 190183794 10203109 11399116 215502 17040705 206522689 218623615 0 0 181221609 199596057 5881429 5601342 0 0 0 -1048471 -784488 186054567 204412911 20468122 14210704 303259607 313433739 40645937 47450752 262613670 265982987 THE PURPOSE OF THE PLAN IS TO PROVIDE HEALTH AND OTHER BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS. 0 0 THE PURPOSE OF THE PLAN IS TO PROVIDE HEALTH AND OTHER BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS. 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 1 0 0 1 45 0 1 43 1 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X BEVERLY CEASER 9735895050 700 RAYMOND BOULEVARD NEWARK NJ 071052909 ANTONIO OLIVEIRA CO-CHAIRMAN 1.00 0.00 X 0 0 0 JACK KOCSIS JR CO-CHAIRMAN 1.00 0.00 X 0 0 0 RAYMOND M POCINO TRUSTEE 1.00 0.00 X 0 0 0 MANUEL AMADOR JR TRUSTEE 1.00 0.00 X 0 0 0 ANTHONY CAPACCIO TRUSTEE 1.00 0.00 X 0 0 0 JEFFREY S WATERS TRUSTEE 1.00 0.00 X 0 0 0 FRANK CRISCOLA JR TRUSTEE 1.00 0.00 X 0 0 0 NELSON FERREIRA TRUSTEE 1.00 0.00 X 0 0 0 LUIS RECIO - EFF 122 TRUSTEE 1.00 0.00 X 0 0 0 MARTIN DOWN - EFF 122 TRUSTEE 1.00 0.00 X 0 0 0 JOSEPH WALSH - THRU 1221 TRUSTEE 1.00 0.00 X 0 0 0 GERARD ISABELLA - THRU 1221 TRUSTEE 1.00 0.00 X 0 0 0 BEVERLY CEASER GENERAL MANAGER 20.00 15.00 X 216627 0 77786 ROBERT CALAMARI - RET IN 2021 GENERAL MANAGER 20.00 15.00 X 114031 0 24532 RUSSEL BLEY ASST. GENERAL MGR 20.00 15.00 X 148148 0 66764 CHARLES FERNS FINANCE MANAGER 14.00 21.00 X 175774 0 74298 GLENN KENYON MANAGER 18.00 17.00 X 147261 0 71874 CARLOS DEOLIVEIRA COLLECTION AUDITOR 17.00 18.00 X 145517 0 71728 THOMAS COTOV LEGAL SERVICES 35.00 0.00 X 228361 0 78768 VINCENT RICCARDI LEGAL SERVICES 35.00 0.00 X 199475 0 76312 1375194 0 542062 12 0 1 0 MERITAIN HEALTH INC 300 CORPORATE PARKWAY AMHERST NY 14426 CLAIMS PROCESSING 2902702 EXPRESS SCRIPTS 21653 NETWORK PLACE CHICAGO IL 606731216 CLAIMS PROCESSING 715350 ZAZZALI FAGELLA NOWAK 1 RIVERFRONT PLAZA NEWARK NJ 07102 LEGAL 364785 THE SEGAL COMPANY (EASTERN STATES) INC 333 WEST 34TH STREET NEW YORK NY 10001 ACTUARIAL CONSULTING 135711 WESTERN ASSET MGMT CO 385 EAST COLORADO BLVD PASADENA CA 91101 INVESTMENT MANAGER 101418 5 EMPLOYER CONTRIBUTIONS 237310 140271140 140271140 PARTICIPANT CONTRIBUTIONS 237310 49912654 49912654 190183794 5086493 5086493 312500 82643 229857 229857 229857 97002917 90690294 6312623 6312623 6312623 PRESCRIPTION DRUG REBATES 237310 16524912 16524912 OTHER 237310 285936 285936 16810848 218623615 206994642 0 11628973 199596057 580340 284405 2346341 1203213 893237 293806 385478 70600 336567 133230 449335 25060 80217 5810 12207 69024 335115 REPAIRS & MAINTENANCE 50881 REIMB EXPENSES -2738012 204412911 37380467 7649399 26233201 36604014 64529 48337 7578404 1584156 6019788 5994248 211844157 240592354 21717465 22537792 7595 303259607 313433739 2075682 1556174 38570255 45894578 40645937 47450752 X 0 0 0 0 262613670 265982987 262613670 265982987 303259607 313433739 14210704 -10841387 0 X 0 1 X 1 0 117829 117829 5582171 5582171 339739 232704 107035 1538665 1351452 187213 5994248 PARTNERSHIPS 20106945 F UNALLOCATED CONTRACTS 2430847 F 22537792 BENEFIT OBLIGATIONS PAYABLE 26141000 DUE TO RELATED ORGANIZATIONS 17322732 SEVERANCE BENEFIT LIAB - FROZEN 2430846 45894578 207445661 -10841387 -10841387 218287048 336567 336567 218623615 201300344 0 201300344 336567 2776000 3112567 204412911 PART XII, LINE 4B - OTHER ADJUSTMENTS: CHANGE IN IBNR 2,776,000. X X 0 0 0 BEVERLY CEASER GENERAL MANAGER 212369 0 0 0 4258 0 56347 0 21439 0 294413 0 0 0 RUSSEL BLEY ASST. GENERAL MGR 139165 0 0 0 8983 0 45341 0 21423 0 214912 0 0 0 CHARLES FERNS FINANCE MANAGER 175774 0 0 0 0 0 52875 0 21423 0 250072 0 0 0 GLENN KENYON MANAGER 145722 0 0 0 1539 0 50451 0 21423 0 219135 0 0 0 CARLOS DEOLIVEIRA COLLECTION AUDITOR 144679 0 0 0 838 0 50303 0 21425 0 217245 0 0 0 THOMAS COTOV LEGAL SERVICES 220904 0 0 0 7457 0 57345 0 21423 0 307129 0 0 0 VINCENT RICCARDI LEGAL SERVICES 190457 0 0 0 9018 0 54889 0 21423 0 275787 0 0 0 PART III - SUPPLEMENTAL INFORMATION COMPENSATION INFORMATION DISCLOSED IN "PART VII COMPENSATION OF OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES, HIGHEST COMPENSATED EMPLOYEES AND INDEPENDENT CONTRACTORS AND "SCHEDULE J PART II - OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES AND HIGHEST COMPENSATED EMPLOYEES" ARE GROSS AMOUNTS PAID BY THIS FUND. SUCH AMOUNTS ARE SUBSEQUENTLY ALLOCATED TO AFFILIATED ENTITIES BASED ON ESTIMATED BENEFIT RECEIVED IN ACCORDANCE WITH THE FUNDS' EXPENSE ALLOCATION POLICY. THERESA CALAMARI FAMILY MEMBER 180481 EMPLOYMENT 0 DANIELLE GAMMAN FAMILY MEMBER 103924 EMPLOYMENT 0 FORM 990, PART VI, SECTION A, LINE 7A THE PLAN IS JOINTLY ADMINISTERED BY TRUSTEES WHO ARE APPOINTED BY THE UNION AND BY EMPLOYER ASSOCIATIONS. FORM 990, PART VI, SECTION A, LINE 7B AN EMPLOYER TRUSTEE MAY BE REMOVED FROM OFFICE AT ANY TIME BY ACTION OF THE EMPLOYER ASSOCIATIONS, OR OTHER EMPLOYERS, WHICHEVER SELECTED SUCH EMPLOYER TRUSTEE. AN EMPLOYEE TRUSTEE MAY BE REMOVED FROM OFFICE AT ANY TIME BY ACTION OF THE UNION. IN BOTH CASES, WRITTEN NOTICE OF SUCH ACTION MUST BE SUBMITTED BY THE EMPLOYER ASSOCIATION, OR UNION, TO THE CHAIRMAN OR SECRETARY OF THE TRUSTEES. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WAS PREPARED IN COORDINATION WITH MANAGEMENT OF THE ORGANIZATION AND WAS REVIEWED WITH THE ORGANIZATION'S BOARD OF TRUSTEES PRIOR TO SUBMISSION. FORM 990, PART VI, SECTION B, LINE 12C AS REQUIRED BY THE FUND'S POLICY AND BY ERISA; OFFICERS, DIRECTORS, AND KEY EMPLOYEES HAVE A CONTINUOUS OBLIGATION TO REPORT POTENTIAL CONFLICTS OF INTEREST. ADDITIONALLY, IN ACCORDANCE WITH THE FUND'S POLICY, ANNUAL AFFIRMATIONS ARE OBTAINED FROM THE FUND ADMINISTRATOR AND ALL BOARD MEMBERS. FORM 990, PART VI, SECTION C, LINE 19 NO DOCUMENTS AVAILABLE TO THE PUBLIC. PARTICIPANTS MAY VIEW DOCUMENTS AT THE FUND OFFICE UPON REQUEST TO THE EXTENT REQUIRED BY LAW. H&G LBRS LOC 472 & 172 ANNUITY FD 700 RAYMOND BOULEVARD NEWARK NJ 07105 222331070 PROVIDE RETIREE BENEFITS TO ELIGIBLE PARTIC & BEN'S NJ 401(A) N/A N/A 0 H&G LBRS LOC 472 & 172 PENSION FD 700 RAYMOND BOULEVARD NEWARK NJ 07105 226032103 PROVIDE RETIREE BENEFITS TO ELIGIBLE PARTIC & BEN'S NJ 401(A) N/A N/A 0 H&G LBRS LOC 472 & 172 SET FD 700 RAYMOND BOULEVARD NEWARK NJ 07105 226171671 PROVIDE APP TRAINING, SKILL IMPROV & SAFETY EDUCATION NJ 501(C)(3) 2 N/A 0 LABORERS INT'L UNION OF 472 HCL 700 RAYMOND BOULEVARD NEWARK NJ 07105 221010627 LABOR UNION NJ 501(C)5 N/A N/A 0 LABORERS INT'L UNION LOCAL 172 604 BORDENTOWN ROAD TRENTON NJ 08610 210603706 LABOR UNION NJ 501(C)(5) N/A N/A 0 SEE SCHEDULE R SUPPLEMENTAL INFORMATION SEE SCHEDULE R SUPPLEMENTAL INFORMATION 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 SCHEDULE R, PART II AND IV CERTAIN TRUSTEES LISTED ON PART VII, SECTION A, SERVE AS VOLUNTEERS AND DO NOT RECEIVE COMPENSATION FROM THIS ORGANIZATION OR ANY RELATED ORGANIZATION IN THEIR CAPACITY AS TRUSTEES OF THIS ORGANIZATION. CERTAIN TRUSTEES LISTED ON PART VII, SECTION A, DO NOT RECEIVE COMPENSATION FROM THIS ORGANIZATION, BUT DO RECEIVE COMPENSATION FROM NOT FOR PROFIT ORGANIZATIONS IN THEIR CAPACITY AS EMPLOYEES/OFFICERS OF THOSE ORGANIZATIONS. ACCORDINGLY, THEIR COMPENSATION IS REPORTED ON THE FORM 990 OF THOSE ORGANIZATIONS. THE INFORMATION DISCLOSED ON THE ATTACHED SCHEDULES OF RELATED PARTIES IS THAT WHICH WAS AVAILABLE TO THIS ORGANIZATION AT THE TIME OF THIS FILING. FORM 990, SCHEDULE R ATTACHMENT, RELATED ORGANIZATIONS PARTS III- IDENTIFICATION OF RELATED ORGANIZATIONS TAXABLE AS A PARTNERSHIP AND PART IV- IDENTIFICATION OF RELATED ORGANIZATIONS TAXABLE AS A CORPORATION OR TRUST (A) NAME 3C DRILLING LLC 4 CLEAN-UP INC A & J CONTRACTORS GROUP A & L CONCRETE CUTTING A & R FENCE AND GUIDERAI A P CONST INC A&J CONSTRUCTION CO. A.TAKTON CONCRETE CORP AAA QUALITY MAINTENANCE AARON ENTERPRISES INC. 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