2022-08-05T07:06:00-05:00 2021-12-31 131577780 SCHULTHEIS & PANETTIERI LLP 450 WIRELESS BLVD HAUPPAUGE NY 11788 990 2021-01-01 111630810 IBEW LOCAL 25 HEALTH & BENEFIT FUND IBEW 6314343344 372 VANDERBILT MOTOR PARKWAY HAUPPAUGE NY 11788 KEVIN CASEY UNION TRUSTEE 6314343344 2022-08-05 1 KEVIN CASEY 999009999 CAROL WESTFALL P00539069 6312734778 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z 372 VANDERBILT MOTOR PARKWAY HAUPPAUGE NY 11788 89269830 0 X N/A X 1950 NY THE PURPOSE OF THE PLAN IS TO PROVIDE HEALTH AND OTHER BENEFITS TO ELIGIBLE PARTICIPANTS. 8 8 0 0 0 0 0 0 39300030 44805029 2902796 2177286 33306 0 42236132 46982315 0 0 40652306 41222747 0 0 0 0 0 1179368 1393384 41831674 42616131 404458 4366184 74580288 77411415 5412059 4252254 69168229 73159161 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 0 1 0 0 1 0 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 2 0 1 0 0 0 0 0 0 0 0 0 X 8 8 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X ROSA ARREAGA-NEGRON 6314343344 372 VANDERBILT MOTOR PARKWAY HAUPPAUGE NY 117885133 X JAMES KENNEDY EMPLOYER TRUSTEE 0.50 0.00 X 0 0 0 CYNTHIA LASALA EMPLOYER TRUSTEE 0.50 0.00 X 0 0 0 PAT SANTORO EMPLOYER TRUSTEE 0.50 0.00 X 0 0 0 CLIFFORD SEAMAN EMPLOYER TRUSTEE 0.50 0.00 X 0 0 0 CHRISTOPHER CALLAHAN -EFF 921 UNION TRUSTEE 0.50 0.00 X 0 0 0 KEVIN CASEY UNION TRUSTEE 0.50 0.00 X 0 0 0 JAMES MALLEY UNION TRUSTEE 0.50 0.00 X 0 0 0 JOSHUA MARGOLIS - EFF 921 UNION TRUSTEE 0.50 0.00 X 0 0 0 EDWARD O'BRIEN - THRU 921 UNION TRUSTEE 1.00 0.00 X 0 0 0 GODFREY KING JR - THRU 921 UNION TRUSTEE 0.50 0.00 X 0 0 0 PAUL HEINZEL - THRU 121 FUND MANAGER 12.00 0.00 X 0 0 0 ROSA ARREAGA-NEGRON -EFF 321 FUND MANAGER 12.00 0.00 X 0 0 0 0 0 0 0 0 0 1 MAGNACARE ADMINISTRATIVE SERVICES LLC 1600 STEWART AVE WESTBURY NY 11590 HEALTHCARE PROVIDER 1257408 EXPRESS SCRIPTS INC 100 PARSONS POND DR FRANKLIN LAKES NJ 07417 HEALTHCARE PROVIDER 160449 BANK OF NEW YORK MELLON BNY MELLON CENTER RM 151-1015 PITTSBURGH PA 15230 INVESTMENT CUSTODIAN 110255 3 EMPLOYER CONTRIBUTIONS 238210 41524537 41524537 PARTICIPANT CONTRIBUTIONS 238210 3280492 3280492 44805029 1117816 1117816 43346985 42287515 1059470 1059470 1059470 46982315 44805029 0 2177286 41222747 48203 59100 174106 38550 60712 225400 780508 6805 42616131 2408654 2640626 5720221 6217229 57937701 59426541 8463712 9077019 50000 50000 74580288 77411415 203234 881454 5208825 3370800 5412059 4252254 X 0 0 0 0 69168229 73159161 69168229 73159161 74580288 77411415 4366184 -375252 0 X 0 1 X 1 0 0 COMMON COLLECTIVE TRUST 8333345 F CORP DEBT OBLIG - 144A 743674 F 9077019 BENE OBLIGATIONS CURRENTLY PAYABLE 3370800 3370800 46432957 -375252 -375252 46808209 174106 174106 46982315 44045525 0 44045525 174106 -1603500 -1429394 42616131 PART XII, LINE 4B - OTHER ADJUSTMENTS: CHANGE IN BENEFIT OBLIGATION CURRENTLY PAYABLE -1,603,500. X 0 0 0 PAUL HEINZEL - THRU 121 FUND MANAGER 0 0 0 0 0 0 0 0 0 0 0 0 ROSA ARREAGA-NEGRON -EFF 321 FUND MANAGER 0 0 0 0 0 0 0 0 0 0 0 0 SCHEDULE J SUPPLEMENTAL PAUL HEINZEL RECEIVED COMPENSATION AND BENEFITS PAID BY THE ELECTRICAL INDUSTRY BOARD OF NASSAU AND SUFFOLK COUNTIES NEW YORK (UNRELATED ORGANIZATION) IN HIS CAPACITY AS FUND MANAGER OF THE FILING ORGANIZATION THROUGH JANUARY 31, 2021 WITH REIMBURSEMENTS MADE ACCORDINGLY. EFFECTIVE MARCH 1, 2021, ROSA ARREAGA-NEGRON WAS HIRED AS FUND MANAGER AND RECEIVED COMPENSATION AND BENEFITS UNDER THE SAME ARRANGEMENT. THE FILING ORGANIZATION REIMBURSES 39.7% OF COMPENSATION AND BENEFITS. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WAS PREPARED IN COORDINATION WITH THE FUND MANAGER WHO WORKS FULL TIME FOR THE ORGANIZATION. ONCE COMPLETED THE FORM WAS PROVIDED TO AND REVIEWED BY THE BOARD OF TRUSTEES PRIOR TO SUBMISSION. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION'S CONFLICT OF INTEREST POLICY DICTATES THAT ANY CONFLICT MUST BE DISCLOSED IMMEDIATELY, THEREFORE, THE POLICY IS REGULARLY MONITORED BY EACH MEMBER OF THE BOARD. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, POLICIES AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. NO DOCUMENTS AVAILABLE TO THE PUBLIC. IBEW LOCAL 25 VACATION AND HOLIDAY 372 VANDERBILT MOTOR PARKWAY HAUPPAUGE NY 117885133 111730718 PROVIDE VACATION AND HOLIDAY BENEFITS TO ELIG PARTICIPANTS NY 501C(9) N/A N/A 0 IBEW LOCAL UNION 25 370 MOTOR PARKWAY HAUPPAUGE NY 11788 110907965 LABOR ORGANIZATION NY 501(C)(5) N/A N/A 0 SEE SCHEDULE R SUPPLEMENTAL INFORMATION 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 2021 FORM 990, SCHEDULE R ATTACHMENT, RELATED ORGANIZATIONS PART IV, IDENTIFICATION OF RELATED ORGANIZATIONS TAXABLE AS A CORPORATION OR TRUST BANA ELECTRIC CORP. GORDON L. SEAMAN, INC. E-J ELECTRIC A.S.R. ELECTRICAL L.E.B. ELECTRIC LTD. 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FRESH MEADOW ELECTRICAL CONT LLC KC NILSEN ELECTRICAL CAPITOL ELECTRIC VALIANT POWER GROUP KDC ELECTRIC LLC JOE THE ELECTRICIAN SMART HOME ENERGY SOURCE LLC STRATUS UNLIMITED LLC 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 RELATED ORGANIZATIONS IN THEIR CAPACITY AS TRUSTEES OF THIS ORGANIZATION. CERTAIN TRUSTEES LISTED ON FORM 990 PART VII, SECTION A, SERVE AS VOLUNTEERS AND DO NOT RECEIVE COMPENSATION FROM THIS ORGANIZATION BUT DO RECEIVE COMPENSATION FROM I.B.E.W. LOCAL 25 (THE UNION") IN THEIR CAPACITY AS EMPLOYEES/OFFICERS OF THE UNION. THEIR COMPENSATION IS REPORTED ON THE FORM 990 OF THE UNION.