2023-09-22T10:06:37-05:00 2022-12-31 131577780 SCHULTHEIS & PANETTIERI LLP 450 WIRELESS BLVD HAUPPAUGE NY 11788 990 2022-01-01 221764453 NJBLS WELFARE FUND NJBL 2019630633 485 ROUTE 1 B-401 ISELIN NJ 08830 MICHAEL HELLSTROM CO-CHARIMAN 2019630633 2023-09-22 1 MICHAEL HELLSTROM 999009999 1 CAROL WESTFALL P00539069 6312734778 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z X 485 ROUTE 1 B-401 ISELIN NJ 08830 74441432 0 X N/A X 1965 NJ PROVIDE HEALTH AND OTHER BENEFITS TO ELIGIBLE PARTICIPANTS. 10 10 23 0 0 0 0 0 40582382 44541313 2222237 591255 304713 177493 43109332 45310061 0 0 43905261 35622760 2905305 3123982 0 0 0 -468429 -1037051 46342137 37709691 -3232805 7600370 110871064 109082418 19334324 18789038 91536740 90293380 TO PROVIDE HEALTH AND OTHER BENEFITS TO ELIGIBLE PARTICIPANTS. 0 0 TO PROVIDE HEALTH AND OTHER BENEFITS TO ELIGIBLE PARTICIPANTS. 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 0 0 0 0 0 0 0 1 0 0 1 4 0 1 23 1 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 1 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X VICTORIA PETERSON-MITCHELL 2019630633 485 ROUTE 1 SUITE B-401 ISELIN NJ 08830 RAYMOND M POCINO CO-CHAIRMAN - THRU 11/22 1.00 2.00 X 0 0 0 MICHAEL E HELLSTROM CO-CHAIRMAN - EFF 11/22 1.00 2.00 X 0 0 0 JACK KOCSIS CO-CHAIRMAN 1.00 2.00 X 0 0 0 ROBERT GARIEPY TRUSTEE 1.00 2.00 X 0 0 0 MICHAEL FITZPATRICK TRUSTEE 1.00 2.00 X 0 0 0 CARL E STYLES TRUSTEE 1.00 2.00 X 0 0 0 JOSEPH GIORDANO TRUSTEE 1.00 2.00 X 0 0 0 PHIL PRICSO TRUSTEE 1.00 2.00 X 0 0 0 PAUL ROLDAN TRUSTEE 1.00 2.00 X 0 0 0 CHRISTOPHER CUPO TRUSTEE 1.00 2.00 X 0 0 0 BRYAN HALFEN TRUSTEE 1.00 2.00 X 0 0 0 MARY CASTROVINCI FUND ADMIN 21.00 19.00 X 297251 0 0 VICTORIA PETERSON-MITCHELL FUND ADMIN 21.00 19.00 X 228683 0 60726 KIMBERLY KEMPLE COLLECTIONS MGR 17.00 23.00 X 171910 0 60726 WALKIDIA STATEN ACCTG MGR 21.00 19.00 X 120042 0 60726 SUSAN DOMINGUEZ SENIOR ANALYST 16.00 24.00 X 100562 0 60726 918448 0 242904 5 0 1 0 UNITED HEALTH CARE SERVICES INC 185 ASYLUM STREET HARTFORD CT 06103 MEDICAL SERVICE FEES 770455 KROLL HEINEMAN PTASIEWICZ & PARSONS 99 WOOD AVE SO STE 307 ISELIN NJ 08830 LEGAL 546669 SCHULTHEIS & PANETTIERI LLP 450 WIRELESS BLVD HAUPPAUGE NY 11788 AUDITING 492994 THE SEGAL COMPANY (EASTERN STATES) INC 333 WEST 34TH STREET NEW YORK NY 10001 ACTUARIAL CONSULTING 123529 4 EMPLOYER CONTRIB 238900 41421334 41421334 PARTICIPANT CONTRIB 238900 3119979 3119979 44541313 1786939 1786939 27935687 29131371 -1195684 -1195684 -1195684 OTHER INCOME 238900 177493 177493 177493 45310061 44718806 0 591255 35622760 586660 1338085 639936 415840 143461 679288 497700 155640 123529 14255 132608 62650 20935 21229 176577 REPAIRS & MAINTENANCE 52714 REIMBURSED EXPENSES -2974176 37709691 20077128 23684916 7378767 7087738 45385 48789 304312 175402 135863 128910 78115908 67063179 4430013 10380886 688000 688000 110871064 109082418 1623249 993272 143427 131613 17567648 17664153 19334324 18789038 X 0 0 0 0 91536740 90293380 91536740 90293380 110871064 109082418 7600370 -8843730 0 X 0 1 X 1 0 269833 149713 120120 34479 25689 8790 128910 ULLICO SEPARATE ACCT W1 6572185 F NT COMMON EAFE INDEX 3720482 F AFL-CIO HOUSING 88219 F 10380886 DUE TO AFFILIATES 12740408 PLANS CURRENT BENEFIT OBLIGATIONS 3712968 DUE TO BROKER 1210777 17664153 36310691 -8843730 -8843730 45154421 155640 155640 45310061 40078420 0 40078420 155640 -2524369 -2368729 37709691 PART XII, LINE 4B - OTHER ADJUSTMENTS: CHANGE IN IBNR -2,524,369. X 0 0 0 MARY CASTROVINCI FUND ADMIN 297251 0 0 0 0 0 0 0 0 0 297251 0 0 0 VICTORIA PETERSON-MITCHELL FUND ADMIN 219183 0 0 0 9500 0 36806 0 23920 0 289409 0 0 0 KIMBERLY KEMPLE COLLECTIONS MGR 160460 0 0 0 11450 0 36806 0 23920 0 232636 0 0 0 WALKIDIA STATEN ACCTG MGR 120042 0 0 0 0 0 36806 0 23920 0 180768 0 0 0 SUSAN DOMINGUEZ SENIOR ANALYST 100562 0 0 0 0 0 36806 0 23920 0 161288 0 0 0 PART I, LINE 3, RELEVANT INFORMATION REGARDING COMPENSATION AND BENEFITS MARY CASTROVINCI RECEIVED COMPENSATION AND BENEFITS IN HER CAPACITY AS FUND ADMINISTRATOR OF THIS ENTITY AND THE RELATED PENSION AND ANNUITY FUNDS. COMPENSATION AND BENEFITS ARE PAID BY THE WELFARE FUND WITH REIMBURSEMENTS MADE ACCORDINGLY. THE WELFARE FUND PORTION OF THESE EXPENSES IS 52% OF THE GROSS AMOUNTS DETAILED ON SCHEDULE J, PART II. KIMBERLY KEMPLE RECEIVES COMPENSATION AND BENEFITS IN HER CAPACITY AS COLLECTIONS MANAGER OF THIS ENTITY AND THE RELATED PENSION AND ANNUITY FUNDS. COMPENSATION AND BENEFITS ARE PAID BY THE WELFARE FUND WITH REIMBURSEMENTS MADE ACCORDINGLY. THE WELFARE FUND PORTION OF THESE EXPENSES IS 42% OF THE GROSS AMOUNTS DETAILED ON SCHEDULE J, PART II. WALKIDIA STATEN RECEIVES COMPENSATION AND BENEFITS IN HER CAPACITY AS ACCTG MGR OF THIS ENTITY AND THE RELATED PENSION AND ANNUITY FUNDS. COMPENSATION AND BENEFITS ARE PAID BY THE WELFARE FUND WITH REIMBURSEMENTS MADE ACCORDINGLY. THE WELFARE FUND PORTION OF THESE EXPENSES IS 52% OF THE GROSS AMOUNTS DETAILED ON SCHEDULE J, PART II. VICTORIA PETERSON-MITCHELL RECEIVED COMPENSATION AND BENEFITS IN HER CAPACITY AS FUND ADMINISTRATOR OF THIS ENTITY AND THE RELATED PENSION AND ANNUITY FUNDS. COMPENSATION AND BENEFITS ARE PAID BY THE WELFARE FUND WITH REIMBURSEMENTS MADE ACCORDINGLY. THE WELFARE FUND PORTION OF THESE EXPENSES IS 52% OF THE GROSS AMOUNTS DETAILED ON SCHEDULE J, PART II. SUSAN DOMINGUEZ RECEIVES COMPENSATION AND BENEFITS IN HER CAPACITY AS SENIOR ANALYST OF THIS ENTITY AND THE RELATED PENSION AND ANNUITY FUNDS. COMPENSATION AND BENEFITS ARE PAID BY THE WELFARE FUND WITH REIMBURSEMENTS MADE ACCORDINGLY. THE WELFARE FUND PORTION OF THESE EXPENSES IS 41% OF THE GROSS AMOUNTS DETAILED ON SCHEDULE J, PART II. FORM 990, PART VI, SECTION A, LINE 7A THE PLAN IS JOINTLY ADMINISTERED BY TRUSTEES WHO ARE APPOINTED BY THE DISTRICT COUNCIL AND BY THE EMPLOYER ASSOCIATION. 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 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. FORM 990, PART VI, SECTION C, LINE 19 NO DOCUMENTS AVAILABLE TO PUBLIC. PARTICIPANTS MAY VIEW DOCUMENTS AT THE FUND OFFICE UPON REQUEST TO THE EXTENT REQUIRED BY LAW. SCHEDULE O: SUPPLEMENTAL INFORMATION THE RETIREE PLAN OF THE NJBLS WAS FORMED DURING YEAR ENDED DECEMBER 31, 2011 WITH A SEPARATE PLAN NUMBER BUT THE SAME EIN NUMBER AS THE NJBLS WELFARE FUND. THIS FORM 990 INCLUDES THE ACTIVITY FROM THE AUDITED FINANCIAL STATEMENTS OF THE NJBLS WELFARE FUND AND THE AUDITED FINANCIAL STATEMENTS OF THE RETIREE PLAN OF THE NJBLS. NJBLS PENSION FUND 485 ROUTE 1 SUITE B-401 ISELIN NJ 08830 226077693 TRUST FUND NJ 501(A) N/A N/A 0 NJBLS ANNUITY FUND 485 ROUTE 1 SUITE B-401 ISELIN NJ 08830 222450453 TRUST FUND NJ 501 (A) N/A N/A 0 CONST CRAFT LAB TRNG AND APPR FUND OF NJ 1 TOWER CENTER BOULEVARD EAST BRUNSWICK NJ 08816 226234965 TRUST FUND NJ 501(C)3 LINE_10_ORGANIZATION N/A 0 MASON TENDERS' DISTRICT COUNCIL WELFARE 520 EIGHTH AVENUE SUITE 600 NEW YORK NY 10018 135537605 WELFARE FUND NY 501(C)(9) N/A N/A 0 LDC CONSTRUCTION INDUSTRY PENSION FD 475 NORTH 5TH STREET PHILADELPHIA PA 19123 236235338 EMPLOYEE BEN FUND PA 401(A) N/A N/A 0 BUILDING & GEN CONST LABORERS LCL 3 1121 BRISTOL ROAD MOUNTAINSIDE NJ 07092 454637996 LABOR ORGANIZATION NJ 501(C)(5) N/A N/A 0 BUILDING AND CONST LABORERS LOCAL 77 1588 PARKSIDE AVE EWING NJ 08638 454638121 LABOR ORGANIZATION NJ 501(C)(5) N/A N/A 0 LIUNA LOCAL 17 HEALTH BENEFIT FUND 451-B LITTLE BRITAIN ROAD NEWBURGH NY 12550 146022217 WELFARE FUND NY 501(C)(9) N/A N/A 0 LIUNA LOCAL 754 WELFARE FUND 215 OLD NYACK TURNPIKE CHESTNUT RIDGE NY 10977 131895923 WELFARE FUND NY 501(C)(9) N/A N/A 0 LABORERS LOCAL 235 WELFARE FUND 41 KNOLLWOOD ROAD ELMSFORD NY 10523 131777458 WELFARE FUND NY 501(C)(9) N/A N/A 0 H&G LABORERS LCL472 & LCL172 NJ WE 700 RAYMOND BOULEVARD NEWARK NJ 07105 221481564 WELFARE FUND NJ 501(C)(9) N/A N/A 0 LABORERS EASTERN REGION ORG FD 1 TOWER CENTER BOULEVARD EAST BRUNSWICK NJ 08816 223640887 LABOR ORGANIZATION NJ 501(C)(5) N/A N/A 0 GEN BUILDING LABORERS LCL NO66 WE FD 1600 WALT WHITMAN ROAD MELVILLE NY 11747 111627279 WELFARE FUND NY 501(C)(9) N/A N/A 0 LABORERS DC HE & WE TRUST FD N02 7130 COLUMBIA GATEWAY DR SUITE A COLUMBIA MD 21046 520228954 WELFARE FUND NY 501(C)(9) N/A N/A 0 CENTRAL NEW YORK LABORERS' HEALTH & WELFARE FUND 7051 FLY ROAD EAST SYRACUSE NY 13057 166044095 EMPLOYEE BEN FUND NY 501(C)(9) N/A N/A 0 LABORERS LOCAL UNION 1174 PENSION PLAN 6345 FLANK DRIVE STE 400 HARRISBURG PA 17112 231687376 EMPLOYEE BEN FUND PA 401(A) N/A N/A 0 MICHIGAN LABORERS HEALTH AND WELFARE FUND 6525 CENTURION DR LANSING MI 48917 386058384 WELFARE FUND MI 501(C)(9) N/A N/A 0 LABORERS LOCAL 130 HEALTH AND WELFARE FUND 431 WYOMING AVENUE SUITE 10 SCRANTON PA 185031228 236408433 WELFARE FUND PA 501(C)(9) N/A N/A 0 LABORERS-EMPLOYERS BENEFIT PLAN COLLECTION TRUST 905 16TH STREET NW WASHINGTON DC 20006 526681436 LABOR ORGANIZATION DC 501(C)(5) N/A N/A 0 LABORERS DISTRICT COUNCIL OF WESTERN PA WELFARE FUND 12 EIGHTH STREET 5TH FLOOR PITTSBURGH PA 15222 256035806 WELFARE FUND PA 501(C)(9) N/A N/A 0 LABORERS OF DELAWARE LOCAL 1199 308 MARKUS COURT NEWARK DE 19713 516024937 LABOR ORGANIZATION DE 501(C)(5) N/A N/A 0 SEE SUPPLEMENTAL INFORMATION 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 1 0 0 SCHEDULE R, PART II AND IV: CERTAIN TRUSTEES LISTED ON FORM 990 PART VII, SECTION A, SERVE AS VOLUNTEERS AND DO NOT RECEIVE COMPENSATION FROM THIS ORGANIZATION OR RELATED ORGANIZATIONS 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 RELATED ORGANIZATIONS IN THEIR CAPACITY AS EMPLOYEES/OFFICERS OF THOSE ORGANIZATIONS. ACCORDINGLY, THEIR COMPENSATION IS ALREADY REPORTED ON THE FORM 990 OF THOSE ORGANIZATIONS. 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