2023-11-10T17:50:21-06:00 2022-12-31 132688836 ROGOFF & COMPANY PC 355 LEXINGTON AVENUE 6TH FLOOR NEW YORK NY 100176603 990 2022-01-01 133029280 VOLUNTARY HOSPITALS HOUSE STAFF BENEFITS PLAN VOLU 2123568180 10-27 46TH AVENUE LONG ISLAND CITY NY 11101 SHEILA BLANC ASSISTANT PLAN ADMINISTRATOR 2123568180 2023-11-10 1 SHEILA BLANC 999009999 0 ABDELLATIF ELMAGHRABI P00645962 2125575666 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z SHEILA BLANC 10-27 46TH AVENUE LONG ISLAND CITY NY 11101 71565284 0 X WWW.CIRSEIU.ORG/BENEFITS X 1980 NY TO PROVIDE 501(C)(9) BENEFITS TO VOLUNTARY HOSPITALS HOUSE STAFF BENEFITS PLAN PARTICIPANTS. BENEFITS INCLUDE MEDICAL, DENTAL, LEGAL, SHORT AND LONG-TERM DISABILITY, LIFE INSURANCE, TRAINING, EDUCATION AND OTHERS. 4 4 0 0 0 0 0 0 44557122 47846758 3858161 2264780 0 0 48415283 50111538 0 0 38335641 42059086 0 0 0 0 0 3226084 3328961 41561725 45388047 6853558 4723491 71604820 65366702 5361173 6274862 66243647 59091840 TO PROVIDE 501(C)(9) BENEFITS TO VOLUNTARY HOSPITALS HOUSE STAFF BENEFITS PLAN PARTICIPANTS. BENEFITS INCLUDE MEDICAL, DENTAL, LEGAL,SHORT AND LONG-TERM DISABILITY, LIFE INSURANCE, TRAINING, EDUCATION AND OTHERS. 0 0 TO PROVIDE 501(C)(9) BENEFITS TO VOLUNTARY HOSPITALS HOUSE STAFF BENEFITS PLAN PARTICIPANTS. BENEFITS INCLUDE MEDICAL, DENTAL, LEGAL, SHORT AND LONG-TERM DISABILITY, LIFE INSURANCE, TRAINING, EDUCATION AND OTHERS. 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 51 0 0 0 0 0 0 0 0 0 0 0 0 X 4 4 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X THE ORGANIZATION 2123568180 10-27 46TH AVENUE LONG ISLAND CITY NY 11101 JED TYRPAK TRUSTEE 1.00 X 0 0 0 PAUL STUART TRUSTEE 1.00 X 0 0 0 SUSAN NARANJO TRUSTEE 1.00 X 0 0 0 JARED SMITH TRUSTEE 1.00 X 0 0 0 BILL LYNCH TRUSTEE 1.00 X 0 0 0 FRANCESCA TINTI TRUSTEE 1.00 X 0 0 0 0 0 0 0 0 0 0 EMPIRE BLUE CROSS 15 METRO TECH CENTER BROOKLYN NY 11201 BENEFIT ADMINISTRATOR 2074914 HOUSE STAFF BENEFITS PLAN OF CIR 520 EIGTH AVENUE NEW YORK NY 10018 ALLOCATED PAYROLL 396755 COHEN WEISS AND SIMON LLP LEGAL NEW YORK NY 10021 LEGAL 100660 3 EMPLOYER CONTRIBUTIONS 525100 47169115 47169115 PARTICIPANT CONTRIBUTIONS 525100 677643 677643 47846758 1059114 1059114 22659412 21453746 1205666 1205666 1205666 50111538 47846758 0 2264780 42059086 101270 31900 238424 142332 23903 3280 103 42697 25692 EMPIRE BLUE CROSS 2074914 ALLOCATED PAYROLL EXPEN 432884 COMPUTER NETWORK EXPENS 92545 ALLOCATED COMMON EXPENS 61819 57198 45388047 5972440 8151363 2324119 1966349 2977766 3905390 26784 93423 312489 155850 199336 156639 58261304 48365323 1843071 2728215 71604820 65366702 233907 291109 5127266 5983753 5361173 6274862 X 0 0 0 0 66243647 59091840 66243647 59091840 71604820 65366702 4723491 -11875298 0 X 0 1 X 1 0 43190 14531 28659 19929 16046 3883 249370 125273 124097 156639 DUE TO AFILLIATES 696210 CLAIMS INCURRED BUT NOT REPORTED 4918517 PREPAID CONTRIBUTIONS 369026 5983753 37997816 -11875298 -11875298 49873114 238424 238424 50111538 45149623 0 45149623 238424 238424 45388047 FORM 990, PART VI, SECTION B, LINE 11B FORM 990 EMAILED AND PRESENTED TO TRUSTEES PRIOR TO FILING FORM 990, PART VI, SECTION B, LINE 12C WRITTEN STATEMENT FROM OFFICERS, TRUSTEES, AND KEY EMPLOYEES REQUIRED ANNUALLY. FORM 990, PART VI, SECTION B, LINE 15 THERE ARE NO EMPLOYEES FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS ARE DISCLOSED UPON REQUEST COMMITTEE OF INTERNS AND RESIDENTS 10-27 46TH STREET LONG ISLAND CITY NY 11101 132771401 FAIR LABOR PARCTICES NY 501(C)(5) N/A 0 HOUSE STAFF BENEFITS PLAN OF CIR 10-27 46TH STREET LONG ISLAND CITY NY 11101 136203291 BENEFITS FUND NY 501(C)(9) N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0