2023-11-09T13:49:31-06:00 2022-12-31 131577780 SCHULTHEIS & PANETTIERI LLP 450 WIRELESS BLVD HAUPPAUGE NY 11788 990 2022-01-01 042191579 NORTH ATLANTIC STATES CARPENTERS HEALTH BENEFITS FUND NEWE 9786941000 350 FORDHAM ROAD WILMINGTON MA 01887 NICOLA FAVORITO EXECUTIVE DIRECTOR 9786941000 2023-11-09 1 NICOLA FAVORITO 999009999 1 CAROL WESTFALL P00539069 6312734778 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z THOMAS J FLYNN 350 FORDHAM ROAD WILMINGTON MA 01887 554635499 0 X WWW.CARPENTERSFUND.ORG X 1955 MA THE PURPOSE OF THE PLAN IS TO PROVIDE HEALTH AND OTHER BENEFITS TO ELIGIBLE PARTICIPANTS. 26 26 0 0 4853 3773 0 0 295535065 295134540 23452727 16072009 0 4237 318987792 311210786 0 0 298103121 273876947 0 0 0 0 0 17988746 18174132 316091867 292051079 2895925 19159707 922995900 844881039 51145827 41008157 871850073 803872882 THE PURPOSE OF THE PLAN IS TO PROVIDE HEALTH AND OTHER BENEFITS TO ELIGIBLE PARTICIPANTS. 0 0 THE PURPOSE OF THE PLAN IS 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 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 50 0 1 0 1 1 0 0 0 0 0 0 0 X 26 26 0 0 0 0 0 1 0 1 1 0 0 1 0 0 1 1 1 0 X NICOLA FAVORITO 9786941000 350 FORDHAM ROAD WILMINGTON MA 01887 X THOMAS J FLYNN CHAIRMAN 1.00 39.00 X 0 0 0 THOMAS STEEVES SECRETARY/TREAS 1.00 3.00 X 0 0 0 MICHAEL C SANCHEZ TRUSTEE 1.00 3.00 X 0 0 0 JOSEPH BYRNE TRUSTEE 1.00 39.00 X 0 0 0 MICHAEL SHAUGHNESSY TRUSTEE 1.00 3.00 X 0 0 0 WILLIAM SHEA TRUSTEE 1.00 3.00 X 0 0 0 JAMIE NOON TRUSTEE 1.00 3.00 X 0 0 0 JACK DONAHUE TRUSTEE 1.00 39.00 X 0 0 0 JOHN MURPHY TRUSTEE 1.00 39.00 X 0 0 0 JOHN BUTTS TRUSTEE 1.00 3.00 X 0 0 0 JOSEPH EPIFANO TRUSTEE 1.00 3.00 X 0 0 0 JAMES CARR TRUSTEE 1.00 3.00 X 0 0 0 JEFF WOLCHESKI TRUSTEE 1.00 39.00 X 0 0 0 RODNEY FRIAS TRUSTEE 1.00 3.00 X 0 0 0 DAVID MINASIAN TRUSTEE 1.00 39.00 X 0 0 0 NOEL XAVIER TRUSTEE 1.00 39.00 X 0 0 0 MICHAEL HOLMES TRUSTEE 1.00 39.00 X 0 0 0 MARC OKUN TRUSTEE 1.00 39.00 X 0 0 0 THOMAS S GUNNING TRUSTEE 1.00 3.00 X 0 0 0 KIM HOKANSON TRUSTEE 1.00 39.00 X 0 0 0 JOHN DELOLLIS TRUSTEE 1.00 2.00 X 0 0 0 EARL HALL ALT. TRUSTEE 1.00 2.00 X 0 0 0 ALAN SEIDMAN TRUSTEE 1.00 2.00 X 0 0 0 TODD HELFRICH TRUSTEE 1.00 2.00 X 0 0 0 CHRISTOPHER AUSTIN TRUSTEE 1.00 39.00 X 0 0 0 WILLIAM BANFIELD TRUSTEE 1.00 39.00 X 0 0 0 JAMES MASON TRUSTEE 1.00 39.00 X 0 0 0 RICHARD S MONARCA EXECUTIVE DIR. 10.00 30.00 X 0 255824 43695 SUZANNE M SMITH CFO 9.00 28.50 X 0 226937 61445 ROBERT R SICA CIO 9.00 28.50 X 0 184325 61445 INGRID BIEREN COO 10.00 27.50 X 0 161889 61445 JOEL CONNER CONTROLLER 10.00 27.50 X 0 152067 57760 ORHAN COSKUNER IT MANAGER 11.00 26.50 X 0 136760 56912 0 1117802 342702 0 0 1 0 INDEPENDENCE ADMINISTRATORS 1900 MARKET ST PHILADELPHIA PA 19103 CLAIMS PROCESSOR 5430154 EXPRESS SCRIPTS INC 1 EXPRESS WAY SAINT LOUIS MO 63121 CLAIMS PROCESSOR 2108808 DELTA DENTAL 465 MEDFORD STREET BOSTON MA 02129 CLAIMS PROCESSOR 696622 THE SEGAL COMPANY 116 HUNTINGTON AVENUE BOSTON MA 02116 ACTUARIAL & CONSULT 647400 LEVEL CARE HEALTH CONSORTIUM 1811 SPRING GARDEN STREET 1 PHILADELPHIA PA 19130 CLAIMS PROCESSOR 262164 15 EMPLOYER CONTRIBUTIONS 236200 269161147 269161147 PARTICIPANTS - VACATION 236200 14678977 14678977 PARTIC CONTRIBS BUY-IN 236200 11294416 11294416 295134540 9407969 4853 9403116 250088753 243424713 6664040 6664040 6664040 OTHER INCOME 236200 4237 4237 4237 311210786 295138777 4853 16067156 273876947 263229 135000 834002 768673 306141 388846 360293 24025 569500 130749 ADMINISTRATIVE FEES 10350226 REIMB. P/R, TAXES & BEN 3982398 REPAIRS & MAINTENANCE 31170 AUTO 29880 292051079 2983984 700 68479404 68244301 34975341 36069023 28501 3927265 7578047 6982343 1050224 595704 206647932 201277683 593450120 523991919 15380394 10774444 922995900 844881039 15337649 3667444 35808178 37340713 51145827 41008157 X 0 0 0 0 871850073 803872882 871850073 803872882 922995900 844881039 19159707 -87136898 0 X 0 1 X 1 0 44609 42172 2437 7533438 6940171 593267 595704 COMMON/COLLECTIVE TRUSTS 335972088 F PARTNERSHIPS 102113740 F 103-12 INVEST ENTITIES 47635712 F REG INV CO @ EST FMV 38043821 F COMMON STOCK @ EST FMV 226558 F 523991919 BEN OBLIG CURRENTLY PAYABLE 30778982 PAYABLE UNDER SECURITIES LENDING 6561731 37340713 223239886 -87136898 -87136898 310376784 834002 834002 311210786 291006902 0 291006902 834002 210175 1044177 292051079 PART XII, LINE 4B - OTHER ADJUSTMENTS: CHANGE IN BEN OBLIG CURRENTLY PAYABLE 210,175. CENTRAL AMERICA & CARIBBEAN 0 0 INVESTMENTS 226558 0 0 0 0 0 0 226558 0 226558 0 0 1 0 0 0 PART III ACCOUNTING METHOD: X X 1 1 0 RICHARD S MONARCA EXECUTIVE DIR. 0 253222 0 0 0 2602 0 34005 0 9690 0 299519 0 0 SUZANNE M SMITH CFO 0 225749 0 0 0 1188 0 38035 0 23410 0 288382 0 0 ROBERT R SICA CIO 0 183962 0 0 0 363 0 38035 0 23410 0 245770 0 0 INGRID BIEREN COO 0 161327 0 0 0 562 0 38035 0 23410 0 223334 0 0 JOEL CONNER CONTROLLER 0 151564 0 0 0 503 0 34350 0 23410 0 209827 0 0 ORHAN COSKUNER IT MANAGER 0 136760 0 0 0 0 0 34392 0 22520 0 193672 0 0 PART I, LINES 4A-B THE EXECUTIVE DIRECTOR RETIRED EFFECTIVE 06/30/2022 AND PARTICIPATES IN A DEFERRED COMPENSATION PLAN, PROVIDED BY A RELATED ORGANIZATION, IN HIS CAPACITY AS EXECUTIVE DIRECTOR OF THIS ENTITY AND RELATED ORGANIZATIONS. FORM 990, PART VI, SECTION A, LINE 7A UNION TRUSTEES ARE APPOINTED BY THE UNION REGIONAL COUNCIL. THE EMPLOYER TRUSTEES ARE APPOINTED BY THE EMPLOYER GROUPS. 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 15 THE ORGANIZATION'S BOARD OF TRUSTEES REVIEW COMPENSATION OF THE OFFICERS AND KEY EMPLOYEES ON AN ANNUAL BASIS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE TO ALL PARTICIPANTS UPON REQUEST. DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST TO THE EXTENT REQUIRED BY LAW. 990 PART VII, SECTION A AND SCHEDULE J, PART II THE EXECUTIVE DIRECTOR AND HIGHEST COMPENSATED EMPLOYEES RECEIVED COMPENSATION AND BENEFITS IN THEIR CAPACITY AS EXECUTIVE DIRECTOR OR EMPLOYEE OF THIS ENTITY AND RELATED ORGANIZATIONS. TOTAL COMPENSATION, PAID THROUGH A PAYMASTER ARRANGEMENT, IS LISTED ON THE 990 PART VII, SECTION A AND SCHEDULE J, PART II. THIS ENTITY REIMBURSES A PORTION OF THAT COMPENSATION BASED ON THE ESTIMATED TIME SPENT ON THE WORK OF THIS ENTITY. NORTH ATLANTIC STATES CARP PENSION FUND 350 FORDHAM ROAD WILMINGTON MA 01887 042305512 PROVIDE RETIREMENT BENEFITS TO ITS PARTICIPANTS MA 501(A) N/A N/A 0 NORTH ATLANTIC STATES CARP GUARANTEED AN FUND 350 FORDHAM ROAD WILMINGTON MA 01887 042776873 PROVIDE ANNUITY BENEFITS TO ITS PARTICIPANTS MA 501(A) N/A N/A 0 NORTH ATLANTIC STATES CARP VACATION FUND 350 FORDHAM ROAD WILMINGTON MA 01887 043322721 PROVIDE VACATION BENEFITS TO ITS PARTICIPANTS MA 501(C)(9) N/A N/A 0 NORTH ATLANTIC STATES REGIONAL COUNCIL OF CARPENTERS 750 DORCHESTER AVENUE BOSTON MA 02125 043322535 LABOR UNION MA 501(C)(5) N/A NA 0 NORTH ATLANTIC STATES CARP ANNUITY FUND 10 BROADWAY HAMDEN CT 06518 061308364 PROVIDE ANNUITY BENEFITS TO ITS PARTICIPANTS CT 501(A) N/A N/A 0 SEE SUPPLEMENTAL R INFORMATION SEE SCHEDULE R SUPPLEMENTAL INFORMATION 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 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 ANY RELATED ORGANIZATION FOR SERVICES PROVIDED TO THIS ORGANIZATION. CERTAIN TRUSTEES LISTED ON FORM 990 PART VII, SECTION A, DO NOT RECEIVE COMPENSATION FROM THIS ORGANIZATION, BUT DO RECEIVE COMPENSATION FROM RELATED ORGANIZATIONS IN THEIR CAPACITY AS EMPLOYEES/ TRUSTEES OF THOSE ORGANIZATIONS. ACCORDINGLY, THEIR COMPENSATION IS ALREADY REPORTED ON THE FORM 990 OF THOSE RELATED ORGANIZATIONS. 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