2022-05-13T16:57:07-05:00 2021-06-30 222951202 MSPC CPAS & ADVISORS PC 340 NORTH AVENUE EAST CRANFORD NJ 070162496 990 2020-07-01 134017983 PLUMBERS AND STEAMFITTERS LOCAL NO 21 WELFARE FUND PLUM 9147377220 1024 MCKINLEY STREET PEEKSKILL NY 10566 BRENDAN FOLEY PLAN ADMINISTRATOR 9147377220 2022-05-13 1 BRENDAN FOLEY 999009999 PATRICK M TROMBETTA CPA P00450410 9082727000 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z BRENDAN FOLEY 1024 MCKINLEY STREET PEEKSKILL NY 10566 19125113 0 X N/A X 1998 NY TO PROVIDE HEALTH AND WELFARE BENEFITS. 10 5 0 0 0 0 0 0 15444025 14755540 101122 -78118 1955841 1543545 17500988 16220967 0 0 17613834 15275593 377795 374492 0 0 0 803298 755596 18794927 16405681 -1293939 -184714 17688171 17744557 2766152 1912185 14922019 15832372 TO PROVIDE HEALTH AND WELFARE BENEFITS. 0 0 PROVIDING HOSPITAL, SURGICAL, MAJOR MEDICAL, DENTAL, PRESCRIPTION DRUGS, LIFE INSURANCE AND CERTAIN OTHER BENEFITS TO QUALIFYING PARTICIPANTS. 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 39 0 1 0 0 0 0 0 0 0 0 0 0 0 X 10 5 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X BOARD OF TRUSTEES 9147377220 1024 MCKINLEY STREET PEEKSKILL NY 10566 ROBERT COURTIEN EMPLOYER TRUSTEE 1.00 X 0 0 0 MARK WHALEN EMPLOYER TRUSTEE 1.00 X 0 0 0 JOHN DIMICELI EMPLOYER TRUSTEE 1.00 X 0 0 0 GRANT COPPOLA EMPLOYER TRUSTEE 1.00 X 0 0 0 FRANK PALEN FORMER UNION TRUSTEE 2.00 X 0 112843 92404 JOSEPH DULLEA UNION TRUSTEE 2.00 X 0 136816 109836 REINALDO DIAZ UNION TRUSTEE 2.00 X 0 140708 111709 THOMAS CAREY UNION TRUSTEE 2.00 X 0 136816 109836 THOMAS O'BRIEN UNION TRUSTEE 2.00 X 0 136816 109836 JAMES ESTABROOK EMPLOYER TRUSTEE 1.00 X 0 0 0 0 663999 533621 0 0 1 0 EMPIRE HEALTHCHOICE ASSURANCE INC 9 PINE STREET 14TH FLOOR NEW YORK NY 10005 CLAIMS PROCESSING 458870 1 EMPLOYERS' CONTRIBUTIONS 900099 14755540 14755540 14755540 158367 158367 2667661 2904146 -236485 -236485 -236485 INSURANCE PREMIUMS COLLECTED 900099 787692 787692 STOP LOSS REIMBURSEMENT 900099 738003 738003 MISCELLANEOUS INCOME 900099 17850 17850 1543545 16220967 16299085 0 -78118 15275593 207910 148776 17806 29156 24132 12588 540283 13872 36121 29440 159 36366 3774 EQUIPMENT RENTAL 13665 PCORI FEE 5778 PRINTING, STATIONERY AN 5299 TELEPHONE 4963 16405681 312586 8407423 9379623 1107902 1771252 1314861 35212 0 197046 121455 111956 75591 6077542 6838780 17688171 17744557 2580979 1742864 185173 169321 2766152 1912185 X 0 0 0 0 14922019 15832372 14922019 15832372 17688171 17744557 -184714 1095067 0 X X 0 1 X 1 0 197046 121455 75591 75591 DUE TO RELATED FUNDS 169321 169321 X 17303446 1095067 1095067 16208379 12588 12588 16220967 16985293 0 16985293 12588 -592200 -579612 16405681 PART X, LINE 2: THE TRUST ESTABLISHED UNDER THE PLAN TO HOLD THE PLAN'S NET ASSETS IS QUALIFIED PURSUANT TO SECTION 501(C)(9) OF THE INTERNAL REVENUE CODE ("IRC") AND, ACCORDINGLY, THE TRUST'S NET INVESTMENT INCOME IS EXEMPT FROM INCOME TAXES. THE PLAN HAS OBTAINED A FAVORABLE TAX DETERMINATION LETTER FROM THE INTERNAL REVENUE SERVICE AND THE PLAN'S MANAGEMENT BELIEVES THAT THE TRUST, AS AMENDED, CONTINUES TO OPERATE AS DESIGNED. 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 (OR ASSET) IF THE PLAN HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE. PLAN MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE PLAN, AND HAS CONCLUDED THAT AS OF JUNE 30, 2021 THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. PART XII, LINE 4B - OTHER ADJUSTMENTS: CHANGE IN CLAIMS PAYABLE X 0 0 0 REINALDO DIAZ UNION TRUSTEE 0 140708 0 0 0 0 0 87314 0 24395 0 252417 0 0 JOSEPH DULLEA UNION TRUSTEE 0 136816 0 0 0 0 0 85765 0 24071 0 246652 0 0 THOMAS CAREY UNION TRUSTEE 0 136816 0 0 0 0 0 85765 0 24071 0 246652 0 0 THOMAS O'BRIEN UNION TRUSTEE 0 136816 0 0 0 0 0 85765 0 24071 0 246652 0 0 FRANK PALEN FORMER UNION TRUSTEE 0 112843 0 0 0 0 0 73531 0 18873 0 205247 0 0 FORM 990, PART VI, SECTION B, LINE 11B FORM 990 IS DISTRIBUTED TO TRUSTEES FOR REVIEW BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C COMPLIANCE OF POLICIES ARE REVIEWED AT TRUSTEE MEETINGS. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART XII, LINE 2C THE ORGANIZATION HAS A BOARD OF TRUSTEES THAT ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT AND THE ELECTION OF INDEPENDENT ACCOUNTANTS. THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. PLUMBERS & STEAMFITTERS LOCAL 21 1024 MCKINLEY STREET PEEKSKILL NY 10566 133964242 TO PROVIDE JOB OPPORTUNITIES TO MEMBERS OF THE UNION NY 501(C)(5) N/A 0 PLUMBERS & STEAMFITTERS LOCAL 21 PENSION FUND 1024 MCKINLEY STREET PEEKSKILL NY 10566 131847042 TO PROVIDE PENSION BENEFITS TO PARTICIPANTS OF THE FUND NY 401(A) N/A 0 PLUMBERS & STEAMFITTERS LOCAL 21 PENSION FUND ZONE II 1024 MCKINLEY STREET PEEKSKILL NY 10566 146092681 TO PROVIDE PENSION BENEFITS TO PARTICIPANTS OF THE FUND NY 401(A) N/A 0 PLUMBERS & STEAMFITTERS LOCAL 21 EDUCATION FUND 1024 MCKINLEY STREET PEEKSKILL NY 10566 134015617 TO PROVIDE EDUCATION & TRAINING TO PARTICIPANTS OF THE FUND NY 501(C)(3) N/A 0 PLUMBERS & STEAMFITTERS LOCAL 21 ANNUITY FUND 1024 MCKINLEY STREET PEEKSKILL NY 10566 136320256 TO PROVIDE ANNUITY BENEFITS TO PARTICIPANTS OF THE FUND NY 401(A) N/A 0 WEST&PUT IND LABOR MGMT COMM 1024 MCKINLEY STREET PEEKSKILL NY 10566 134015609 SUPPORT LABOR MANAGEMENT NY 501(C)(5) N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 PLUMBERS & STEAMFITTERS LOCAL 21 ADMIN FUND O 372354 TIME STUDY PLUMBERS & STEAMFITTERS LOCAL 21 ADMIN FUND P 48305 ALLOCATION FACTORS 1024 MCKINLEY STREET LLC N 29440 RENT STUDY