2023-11-13T15:43:19-06:00 2022-12-31 611436956 NOVAK FRANCELLA LLC 40 MONUMENT RD 5TH FLR BALA CYNWYD PA 19004 990 2022-01-01 232627429 BENEFIT FUND FOR HOSPITAL AND BENE 2157355720 1319 LOCUST STREET PHILADELPHIA PA 19107 ERIC BROOKS EXECUTIVE DIRECTOR 2157355720 2023-11-13 1 ERIC BROOKS 999009999 0 LOUIS VERZELLA CPA P00360279 6106689400 2023-11-13 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z ERIC BROOKS 1319 LOCUST STREET PHILADELPHIA PA 19107 36558537 0 X N/A X 1991 PA TO PROVIDE HEALTH AND WELFARE BENEFITS TO DISTRICT 1199C MEMBERS AND THEIR DEPENDENTS. 12 6 0 0 0 0 0 0 35876383 30463197 1494546 713534 64553 202894 37435482 31379625 0 0 27935809 21509336 713996 755082 0 0 0 2117747 1930516 30767552 24194934 6667930 7184691 43932526 48943009 1529778 1425169 42402748 47517840 TO PROVIDE HEALTH AND WELFARE BENEFITS TO DISTRICT 1199C MEMBERS AND THEIR DEPENDENTS. 0 0 TO PROVIDE HEALTH AND WELFARE BENEFITS TO DISTRICT 1199C MEMBERS AND THEIR DEPENDENTS. BENEFITS PAID INCLUDE CLAIMS FOR HEALTH, DISABILITY, PRESCRIPTIONS, VISION CARE AND DENTAL. 0 0 0 0 0 0 0 0 0 1 0 0 0 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 0 0 0 0 0 0 0 0 0 0 0 X 12 6 0 0 0 0 0 0 0 1 1 0 0 1 0 0 1 0 0 0 X ERIC BROOKS 2157355720 1319 LOCUST STREET PHILADELPHIA PA 19107 HENRY NICHOLAS UNION TRUSTEE 2.00 40.00 X 0 50000 0 JOHN HUNDZYNSKI UNION TRUSTEE 2.00 40.00 X 0 133544 0 CHRIS WOODS UNION TRUSTEE - CO-CHAIR 2.00 40.00 X 0 143477 0 PAUL A CSIGI EMPLOYER TRUSTEE (P) 2.00 X 0 0 0 ALFRED J D'ANGELO EMPLOYER TRUSTEE 2.00 X 0 0 0 PAUL RICKERSHAUSER EMPLOYER TRUSTEE 2.00 X 0 0 0 ELYSE FORD UNION TRUSTEE 2.00 40.00 X 0 118721 0 CHRISTOPHER BATHE EMPLOYER TRUSTEE 2.00 X 0 0 0 JAMES GRIMES EMPLOYER TRUSTEE 2.00 X 0 0 0 DIONNE GARY UNION TRUSTEE 2.00 X 0 0 0 SUSAN CLEARY UNION TRUSTEE 2.00 X 0 159081 0 FRED BERGER EMPLOYER TRUSTEE - CO-CHAIR 2.00 X 0 0 0 ERIC BROOKS EXECUTIVE DIRECTOR 13.00 27.00 X 48567 97133 82677 48567 701956 82677 0 0 1 0 QCC INSURANCE 1901 MARKET ST PHILADELPHIA PA 19103 CONTRACT ADMINISTRATOR/CLAIMS PROCESSING 1111218 PAYER MATRIX 407 ELMWOOD AVE SHARON HILL PA 19079 CLAIMS PROCESSING 544204 GALLAGHER 2850 GOLF ROAD ROLLING MEADOWS IL 60008 BENEFITS CONSULTANT 175000 LABOR FIRST 3000 MIDLANTIC DR - STE 101 MOUNT LAUREL NJ 08054 BENEFITS CONSULTANT 152904 4 EMPLOYER CONTRIBUTIONS 525100 29784741 29784741 PARTICIPANTS CO-PAY 525100 666193 666193 COBRA AND SELF-PAY 525100 12263 12263 30463197 894122 894122 4998324 5178912 -180588 -180588 -180588 OTHER INCOME 900099 202894 202894 202894 31379625 30666091 0 713534 21509336 76080 451707 91251 99107 36937 159849 51000 35418 1377569 87197 99421 29938 148 18658 5840 45194 BIOMETRIC SCREENING EXP 11554 FESS MANDATED BY ACA 8730 24194934 979630 435512 16373416 22396873 4396164 3205002 76143 8075 189740 174770 15111 14970 19978529 20705009 1017500 1078884 1096033 1098684 43932526 48943009 225979 245453 832274 832274 471525 347442 1529778 1425169 X 42402748 47517840 42402748 47517840 43932526 48943009 7184691 -2069599 0 X X 0 1 X 1 0 62642 58086 4556 127098 116684 10414 14970 DUE TO RELATED PENSION FUND 347442 347442 X 29274608 -2069599 -2069599 31344207 35418 35418 31379625 24159516 0 24159516 35418 35418 24194934 PART X, LINE 2: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE PLAN MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE PLAN AND RECOGNIZE A TAX LIABILITY IF THE PLAN 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 PLAN IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. TYPICALLY, PLAN YEARS WILL REMAIN OPEN FOR THREE YEARS; HOWEVER, THIS MAY DIFFER DEPENDING UPON THE CIRCUMSTANCES OF THE PLAN. X 0 0 0 ERIC BROOKS EXECUTIVE DIRECTOR 48567 97133 0 0 0 0 10466 20932 17047 34232 76080 152297 0 0 SUSAN CLEARY UNION TRUSTEE 0 159081 0 0 0 0 0 0 0 0 0 159081 0 0 FORM 990, PART VI, SECTION B, LINE 11B DISTRICT 1199C BENEFIT FUND'S FORM 990 IS PREPARED BY ITS INDEPENDENT PUBLIC ACCOUNTANT WHO THEN FORWARDS THE COMPLETED RETURN TO THE PLAN ADMINISTRATOR. THE PLAN ADMINISTRATOR PRESENTS THE 990 TO THE FUND'S GOVERNING BODY FOR REVIEW AND SIGNATURE. FORM 990, PART VI, SECTION C, LINE 19 DISTRICT 1199C BENEFIT FUND MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XII, LINE 2C: DISTRICT 1199C BENEFIT FUND'S GOVERNING BODY IS RESPONSIBLE FOR OVERSEEING THE FINANCIAL STATEMENT AUDIT AND SELECTION OF THE INDEPENDENT ACCOUNTANT THAT PERFORMS THE AUDIT. 1199C LEGAL FUND 1199C NUHHCE 1199C TRAIN&UPGRAD 1199C UNION ARAMARK CUSTODIAL SE AVI HUP BENEFIT FUND FOR HOS INGLIS HOUSE JOHN F KENNEDY BEHAV LOCAL 1319 METROPOLITAN 1199DC PENFUND FOR HOSP & PENSION FUND FOR NUR TEMPLE UNIVERSITY THOMAS JEFFERSON HOSPITAL ARAMARK CORPORATION BURLINGTON WOODS CONVALESCENT CENTER CROTHALL SERVICES GROUP INGLIS HOUSE JOHN F KENNEDY BEHAVIORAL HEALTH CENTER KRESSON VIEW CENTER TENETHAHNEMANN UNIVERSITY HOSPITAL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 PENSION FUND FOR HOSPITAL AND HEALTHCARE WORKERS P 113297 FMV