2023-10-05T07:38:07-05:00 2022-12-31 611436956 NOVAK FRANCELLA LLC 40 MONUMENT RD 5TH FLR BALA CYNWYD PA 19004 990 2022-01-01 016196051 TRUSTEES OF INTERNATIONAL BROTHERHOOD TEAMSTERS VOLUNTARY EMPLOYEE BENEFITS INTE 2026246800 25 LOUISIANA AVENUE NW WASHINGTON DC 20001 CHUCK WHOBREY CHAIRMAN TRUSTEE 2026246800 2023-10-05 1 CHUCK WHOBREY CHAIRMAN XXX-XX-XXXX 0 LOUIS VERZELLA CPA P00360279 6106689400 2023-09-26 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z FRED ZUCKERMAN 25 LOUISIANA AVENUE NW WASHINGTON DC 20001 53154381 0 X WWW.TEAMSTER.ORG X 2002 DC TO SERVE AS A VEHICLE FOR THE COORDINATION AND FUNDING OF NUMEROUS IBT HEALTH AND WELFARE PROGRAMS. 5 0 0 0 0 0 0 0 51363960 53117273 34924 31074 0 3333 51398884 53151680 0 0 46066801 46503031 0 0 0 0 0 4587622 4815055 50654423 51318086 744461 1833594 25157658 25472315 3457359 1432716 21700299 24039599 TO SERVE AS A VEHICLE FOR THE COORDINATION AND FUNDING OF NUMEROUS HEALTH INSURANCE WELFARE AND EDUCATIONAL PROGRAMS FOR THE BENEFIT OF MEMBERS OF THE INTERNATIONAL BROTHERHOOD OF TEAMSTERS AND THEIR FAMILIES. 0 0 TO SERVE AS A VEHICLE FOR THE COORDINATION AND FUNDING OF NUMEROUS HEALTH INSURANCE WELFARE AND EDUCATIONAL PROGRAMS FOR THE BENEFIT OF MEMBERS OF THE INTERNATIONAL BROTHERHOOD OF TEAMSTERS AND THEIR FAMILIES. 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 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 5 0 0 0 0 0 0 0 0 0 0 X 5 0 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 1 0 0 0 X FRED ZUCKERMAN TRUSTEE 2026246800 25 LOUISIANA AVENUE NW WASHINGTON DC 20001 WILLIAM HAMILTON TRUSTEE 2.00 40.00 X 0 162977 49591 SEAN O'BRIEN CHAIRMAN 2.00 40.00 X 0 314998 79318 FRED E ZUCKERMAN TRUSTEE 2.00 40.00 X 0 260088 59773 CHARLES A JONES TRUSTEE 2.00 40.00 X 0 129088 43414 LINDSAY DOUGHERTY TRUSTEE 2.00 40.00 X 0 31008 22900 KEN HALL P TRUSTEE 2.00 40.00 X 0 57855 15735 JOHN F MURPHY P CHAIRMAN 2.00 40.00 X 0 50083 13634 DENIS TAYLOR P TRUSTEE 2.00 40.00 X 0 38990 12064 THOMAS CONELIAS P TRUSTEE 2.00 40.00 X 0 82096 12232 0 1127183 308661 0 1 1 0 UNITED AMERICAN INSURANCE COMPANY 3700 S STONEBRIDGE DRIVE MCKINNEY TX 75070 CLAIMS ADMINISTRATION 1929011 MEDIMPACT HEALTHCARE SYSTEMS INC 10181 SCRIPPS GATEWAY CT SAN DIEGO CA 92131 CLAIMS ADMINISTRATION 1614753 PILLAR RX CONSULTING LLC 10400 W INNOVATION DR STE 105 MILWAUKEE WI 53226 ACTUARIAL/CONSULTING 323000 3 PARTICIPANT CONTRIBUTION 900099 22985357 22985357 PRESCRIPTION DRUG REBATES 900099 10620970 10620970 MEDICARE REINSURANCE REVENUE 900099 10140091 10140091 COVERAGE GAP DISCOUNT PROGRAM 900099 7406772 7406772 FEES FOR SUPPORT SERVICES 900099 1964083 1964083 53117273 33141 33141 634 2701 -2067 -2067 -2067 EXPENSES REIMBURSEMENTS 900099 3333 3333 3333 53151680 53120606 0 31074 46503031 32098 28705 18000 3889349 12790 CENTER FOR MEDICARE AND 543821 REIMBURSED ADMINISTRATI 286565 BANK FEES 3727 51318086 2766820 6330710 32165 32491 2399443 2935796 19959230 16173318 25157658 25472315 194359 166716 3000000 1000000 263000 266000 3457359 1432716 X 21700299 24039599 21700299 24039599 25157658 25472315 X 1833594 -211064 716770 X X 0 1 X 1 0 0 FEE FOR SUPPORT SERVICES RECEIVABLE 445410 MEDICARE REINSURANCE RECEIVABLE 1118811 PRESCRIPTION DRUG REBATES 7598541 PARTICIPANT CONTRIBUTIONS 2123809 COVERAGE GAP DISCOUNT 4883280 OTHER RECEIVEABLES 3367 INTEREST AND DIVIDEND RECEIVABLE 100 16173318 DUE TO INTERNATIONAL UNION 266000 266000 X 41750765 -211064 -543821 -754885 42505650 21727 10624303 10646030 53151680 40128235 -10624303 -10624303 50752538 21727 543821 565548 51318086 PART X, LINE 2: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE TRUST MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE TRUST AND RECOGNIZE A TAX LIABILITY IF THE TRUST HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE U.S. FEDERAL, STATE, OR LOCAL TAXING AUTHORITIES. THE TRUST IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. TYPICALLY, TRUST TAX YEARS WILL REMAIN OPEN FOR THREE YEARS; HOWEVER, THIS MAY DIFFER DEPENDING UPON THE CIRCUMSTANCES OF THE TRUST. PART XI, LINE 2D - OTHER ADJUSTMENTS: CENTER FOR MEDICARE AND MEDICAID SERVICES -543,821. PART XI, LINE 4B - OTHER ADJUSTMENTS: PRESCRITPTION DRUG REBATES 10,620,970. EXPENSE REIMBURSEMENTS 3,333. PART XII, LINE 2D - OTHER ADJUSTMENTS: PRESCRIPTION DRUG REBATES -10,620,970. EXPENSE REIMBURSEMENTS -3,333. PART XII, LINE 4B - OTHER ADJUSTMENTS: MEDICARE AND MEDICAID SERVICES 543,821. X 0 0 0 SEAN O'BRIEN CHAIRMAN 0 206814 0 0 0 108184 0 40639 0 38679 0 394316 0 0 FRED E ZUCKERMAN TRUSTEE 0 166295 0 0 0 93793 0 32677 0 27096 0 319861 0 0 WILLIAM HAMILTON TRUSTEE 0 147638 0 0 0 15339 0 29011 0 20580 0 212568 0 0 CHARLES A JONES TRUSTEE 0 116203 0 0 0 12885 0 22834 0 20580 0 172502 0 0 THOMAS CONELIAS P TRUSTEE 0 34796 0 0 0 47300 0 6837 0 5395 0 94328 0 0 KEN HALL P TRUSTEE 0 52620 0 0 0 5235 0 10340 0 5395 0 73590 0 0 JOHN F MURPHY P CHAIRMAN 0 43203 0 0 0 6880 0 8489 0 5145 0 63717 0 0 DENIS TAYLOR P TRUSTEE 0 35214 0 0 0 3776 0 6919 0 5145 0 51054 0 0 FORM 990, PART VI, SECTION B, LINE 11B INTERNATIONAL BROTHERHOOD OF TEAMSTERS VOLUNTARY EMPLOYEE BENEFITS TRUST'S FORM 990 IS PREPARED BY ITS INDEPENDENT PUBLIC ACCOUNTANT. THE FORM IS THEN FORWARDED TO THE BOARD OF TRUSTEES FOR REVIEW AND SIGNATURE. FORM 990, PART VI, SECTION B, LINE 12C INTERNATIONAL BROTHERHOOD OF TEAMSTERS VOLUNTARY EMPLOYEE BENEFITS TRUST MONITORS ITS CONFLICT OF INTEREST POLICY ON AN ANNUAL BASIS. FORM 990, PART VI, SECTION C, LINE 19 INTERNATIONAL BROTHERHOOD OF TEAMSTERS VOLUNTARY EMPLOYEE BENEFITS TRUST MAKES ITS FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: PROCEEDS FROM JLMC TEAMSTER VOLUNTARY EMPLOYEE BENEFITS TRUST 716,770. PART XII, LINE 2C: INTERNATIONAL BROTHERHOOD OF TEAMSTERS VOLUNTARY EMPLOYEE BENEFITS TRUST'S BOARD OF TRUSTEES IS RESPONSIBLE FOR OVERSEEING THE FINANCIAL STATEMENT AUDIT AND SELECTION OF THE INDEPENDENT ACCOUNTANT WHO PERFORMS THE AUDIT. INTERNATIONAL BROTHERHOOD OF TEAMSTERS 25 LOUISIANA AVENUE NW WASHINGTON DC 20001 530215427 LABOR UNION DC 501(C)(5) 0 TEAMSTER DISASTER RELIEF FUND 25 LOUISIANA AVENUE NW WASHINGTON DC 20001 521790540 CHARITABLE ORANIZATION DC 501(C)(3) 170(B)(1)(A)(VI) 0 COMM FOR DMCRTC REPUB INDP VOTER EDUCATION (DRIVE) 25 LOUISIANA AVENUE NW WASHINGTON DC 20001 530261255 POLITICAL ACTION COMMITTEE DC SECTION 527 0 INTERNATIONAL BROTHERHOOD OF TEAMSTERS SUPP'L BENEFITS TRUST 25 LOUISIANA AVENUE NW WASHINGTON DC 20001 200412571 SUPPLEMENTAL BENEFITS TRUST DC 501(C)(5) 0 TEAMSTERS LEGAL DEFENSE TRUST 25 LOUISIANA AVENUE NW WASHINGTON DC 20001 263361356 LEGAL DEFENSE FUND DC 501(C)(9) 0 TEAMSTERS EDUCATION AND MOBILIZATION FUND 25 LOUISIANA AVENUE NW WASHINGTON DC 20001 262912925 POLITICAL ACTION COMMITTEE DC SECTION 527 0 JLMC TEAMSTERS VOLUNTARY EMPLOYEE BENEFIT TRUST 25 LOUISIANA AVENUE NW WASHINGTON DC 20001 274722755 VEBA TRUST DC 501(C)(4) 0 TEAMSTER AFFILIATES PENSION PLAN 25 LOUISIANA AVENUE NW WASHINGTON DC 20001 526128127 PENSION PLAN DC 401(A)/501(A) 0 INT'L BRTHD OF TMSTRS RETIREMENT & FAMILY PROTECTION 25 LOUISIANA AVENUE NW WASHINGTON DC 20001 530215427 PENSION PLAN DC 401(A)/501(A) 0 TEAMSTERS NATIONAL HEADQUARTERS BUILDING CORPORATION 25 LOUISIANA AVENUE NW WASHINGTON DC 20001 530226398 BUILDING CORPORATION DC C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 INTERNATIONAL BROTHERHOOD OF TEAMSTERS P 286565 FMV