2022-01-28T15:23:18-06:00 2021-03-31 131577780 SCHULTHEIS & PANETTIERI LLP 450 WIRELESS BLVD HAUPPAUGE NY 11788 990 2020-04-01 221481564 HEAVY & GENERAL LABORERS LOCAL 472 & LOCAL 172 OF NEW JERSEY WELFARE FUND HEAV 9735895050 700 RAYMOND BOULEVARD NEWARK NJ 071052909 ANTONIO OLIVEIRA CO-CHAIRMAN 9735895050 2022-01-28 1 ANTONIO OLIVEIRA 999009999 CAROL WESTFALL P00539069 6312734778 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z BEVERLY CEASER 700 RAYMOND BOULEVARD NEWARK NJ 071052909 437541795 0 X N/A X 1950 NJ THE PURPOSE OF THE PLAN IS TO PROVIDE HEALTH AND OTHER BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS. 10 10 50 0 0 0 0 0 199094946 196104078 10642557 10203109 128182 215502 209865685 206522689 0 0 177194634 181221609 5498960 5881429 0 0 0 -545233 -1048471 182148361 186054567 27717324 20468122 270617489 303259607 42603482 40645937 228014007 262613670 THE PURPOSE OF THE PLAN IS TO PROVIDE HEALTH AND OTHER BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS. 0 0 THE PURPOSE OF THE PLAN IS TO PROVIDE HEALTH AND OTHER BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS. 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 1 0 0 1 48 0 1 50 1 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X BEVERLY CEASER 9735895050 700 RAYMOND BOULEVARD NEWARK NJ 071052909 ANTONIO OLIVEIRA CO-CHAIRMAN 1.00 0.00 X 0 0 0 RAYMOND M POCINO TRUSTEE 1.00 0.00 X 0 0 0 JEFFREY S WATERS TRUSTEE 1.00 0.00 X 0 0 0 MANUEL AMADOR JR TRUSTEE 1.00 0.00 X 0 0 0 ANTHONY CAPACCIO TRUSTEE 1.00 0.00 X 0 0 0 JACK KOCSIS JR CO-CHAIRMAN 1.00 0.00 X 0 0 0 JOSEPH WALSH TRUSTEE 1.00 0.00 X 0 0 0 FRANK CRISCOLA JR TRUSTEE 1.00 0.00 X 0 0 0 GERARD ISABELLA TRUSTEE 1.00 0.00 X 0 0 0 NELSON FERREIRA TRUSTEE 1.00 0.00 X 0 0 0 ROBERT CALAMARI GENERAL MANAGER 20.00 15.00 X 243497 0 79024 BEVERLY CEASER ASSISTANT GENERAL MANAGER 20.00 15.00 X 189340 0 74664 CHARLES FERNS FINANCE MANAGER 14.00 21.00 X 161930 0 74763 GLENN KENYON MANAGER 18.00 17.00 X 139961 0 72030 THOMAS COTOV LEGAL SERVICES 35.00 0.00 X 215870 0 76448 VINCENT RICCARDI LEGAL SERVICES 35.00 0.00 X 189351 0 74521 CARLOS DEOLIVEIRA COLLECTION AUDITOR 17.00 18.00 X 138948 0 70719 CHARLES O'NEILL FORMER GENERAL MGR 0.00 0.00 X 78177 0 78177 1357074 0 600346 7 1 1 0 MERITAIN HEALTH INC 300 CORPORATE PARKWAY AMHERST NY 14226 CLAIMS PROCESSOR 2425411 ZAZZALI FAGELLA NOWAK 1 RIVERFRONT PLAZA NEWARK NJ 07102 LEGAL 293671 THE SEGAL COMPANY (EASTERN STATES) INC 333 WEST 34TH STREET NEW YORK NY 10001 ACTUARIAL CONSULTING 122828 3 EMPLOYER CONTRIBUTIONS 237310 132215937 132215937 PARTICIPANT CONTRIBUTIONS 237310 46285055 46285055 MEDICARE DRUG SUBSIDY 237310 16510637 16510637 REIMBURSEMENTS 237310 1092449 1092449 196104078 5367324 5367324 302250 86748 215502 215502 215502 235768143 230932358 4835785 4835785 4835785 206522689 196104078 0 10418611 181221609 642770 259461 2589997 1225453 886110 277638 365672 84425 409546 139520 340510 71326 93757 5342 19542 105062 245365 REPAIRS & MAINTENANCE 62948 CONSULTING 7642 REIMB EXPENSES -2999128 186054567 47004209 37380467 25640243 26233201 1713122 64529 7539906 1520118 6152282 6019788 169866397 211844157 20241236 21717465 270617489 303259607 5716389 2075682 36887093 38570255 42603482 40645937 X 0 0 0 0 228014007 262613670 228014007 262613670 270617489 303259607 20468122 14131541 0 X 0 1 X 1 0 117829 117829 5582171 5582171 307197 182361 124836 1532709 1337757 194952 6019788 PARTNERSHIP/JOINT VENTURE INTERESTS 19398712 F UNALLOCATED CONTRACTS 2318753 F 21717465 BENEFIT OBLIGATIONS CURRENTLY PAYABLE 23365000 DUE TO RELATED ORGANIZATIONS 11352223 NET TRADES PENDING SETTLEMENT 1534279 SEVERANCE BENEFIT LIABILITY - FROZEN 2318753 38570255 220244684 14131541 14131541 206113143 409546 409546 206522689 184958021 0 184958021 409546 687000 1096546 186054567 PART XII, LINE 4B - OTHER ADJUSTMENTS: CHANGE IN IBNR 687,000. X X 0 0 0 ROBERT CALAMARI GENERAL MANAGER 241015 0 0 0 2482 0 57653 0 21371 0 322521 0 0 0 BEVERLY CEASER ASSISTANT GENERAL MANAGER 185364 0 0 0 3976 0 53293 0 21371 0 264004 0 0 0 CHARLES FERNS FINANCE MANAGER 161930 0 0 0 0 0 53392 0 21371 0 236693 0 0 0 GLENN KENYON MANAGER 137955 0 0 0 2006 0 50659 0 21371 0 211991 0 0 0 THOMAS COTOV LEGAL SERVICES 209144 0 0 0 6726 0 55077 0 21371 0 292318 0 0 0 VINCENT RICCARDI LEGAL SERVICES 184909 0 0 0 4442 0 53150 0 21371 0 263872 0 0 0 CARLOS DEOLIVEIRA COLLECTION AUDITOR 138123 0 0 0 825 0 49348 0 21371 0 209667 0 0 0 CHARLES O'NEILL FORMER GENERAL MGR 0 0 0 0 78177 0 0 0 78177 0 156354 0 0 0 PART III - SUPPLEMENTAL INFORMATION COMPENSATION INFORMATION DISCLOSED IN "PART VII COMPENSATION OF OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES, HIGHEST COMPENSATED EMPLOYEES AND INDEPENDENT CONTRACTORS AND "SCHEDULE J PART II - OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES AND HIGHEST COMPENSATED EMPLOYEES" ARE GROSS AMOUNTS PAID BY THIS FUND. SUCH AMOUNTS ARE SUBSEQUENTLY ALLOCATED TO AFFILIATED ENTITIES BASED ON ESTIMATED BENEFIT RECEIVED IN ACCORDANCE WITH THE FUNDS' EXPENSE ALLOCATION POLICY. THERESA CALAMARI FAMILY MEMBER 177778 EMPLOYMENT 0 DANNIELLE GAMMAN FAMILY MEMBER 81683 EMPLOYMENT 0 FORM 990, PART VI, SECTION A, LINE 7A THE PLAN IS JOINTLY ADMINISTERED BY TRUSTEES WHO ARE APPOINTED BY THE UNION AND BY EMPLOYER ASSOCIATIONS. FORM 990, PART VI, SECTION A, LINE 7B AN EMPLOYER TRUSTEE MAY BE REMOVED FROM OFFICE AT ANY TIME BY ACTION OF THE EMPLOYER ASSOCIATIONS, OR OTHER EMPLOYERS, WHICHEVER SELECTED SUCH EMPLOYER TRUSTEE. AN EMPLOYEE TRUSTEE MAY BE REMOVED FROM OFFICE AT ANY TIME BY ACTION OF THE UNION. IN BOTH CASES, WRITTEN NOTICE OF SUCH ACTION MUST BE SUBMITTED BY THE EMPLOYER ASSOCIATION, OR UNION, TO THE CHAIRMAN OR SECRETARY OF THE TRUSTEES. 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 ORGANIZATION'S BOARD OF TRUSTEES PRIOR TO SUBMISSION. FORM 990, PART VI, SECTION B, LINE 12C AS REQUIRED BY THE FUND'S POLICY AND BY ERISA; OFFICERS, DIRECTORS, AND KEY EMPLOYEES HAVE A CONTINUOUS OBLIGATION TO REPORT POTENTIAL CONFLICTS OF INTEREST. ADDITIONALLY, IN ACCORDANCE WITH THE FUND'S POLICY, ANNUAL AFFIRMATIONS ARE OBTAINED FROM THE FUND ADMINISTRATOR AND ALL BOARD MEMBERS. FORM 990, PART VI, SECTION C, LINE 19 NO DOCUMENTS AVAILABLE TO THE PUBLIC. PARTICIPANTS MAY VIEW DOCUMENTS AT THE FUND OFFICE UPON REQUEST TO THE EXTENT REQUIRED BY LAW. H&G LBRS LOC 472 & 172 ANNUITY FD 700 RAYMOND BOULEVARD NEWARK NJ 07105 222331070 PROVIDE RETIREE BENEFITS TO ELIGIBLE PARTICIPANTS NJ 401(A) N/A N/A 0 H&G LBRS LOC 472 & 172 PENSION FD 700 RAYMOND BOULEVARD NEWARK NJ 07105 226032103 PROVIDE RETIREE BENEFITS TO ELIGIBLE PARTICIPANTS NJ 401(A) N/A N/A 0 H&G LBRS LOC 472 & 172 SET FD 700 RAYMOND BOULEVARD NEWARK NJ 07105 226171671 PROVIDE APP TRAINING, SKILL IMPROV & SAFETY EDUCATION NJ 501(C)(3) 2 N/A 0 LABORERS INT'L UNION OF 472 HCL 700 RAYMOND BOULEVARD NEWARK NJ 07105 221010627 LABOR UNION NJ 501(C)5 N/A N/A 0 LABORERS INT'L UNION LOCAL 172 604 BORDENTOWN ROAD TRENTON NJ 08610 210603706 LABOR UNION NJ 501(C)(5) N/A N/A 0 LABORERS LOCAL 235 WELFARE FUND 41 KNOLLWOOD ROAD ELMSFORD NY 10523 131777458 PROVIDE HEALTH BEN.TO ELIG PARTICIPANTS NY 501(C)(9) N/A N/A 0 LABORERS LOCAL 1298 WELFARE FUND PO BOX 309 HEMPSTEAD NY 11551 112501979 PROVIDE HEALTH BEN.TO ELIG PARTICIPANTS NY 501(C)(9) N/A N/A 0 LIUNA LOCAL 17 HEALTH BEN FUND 451-B LITTLE BRITAIN ROAD NEWBURGH NY 12550 146022217 PROVIDE HEALTH BEN.TO ELIG PARTICIPANTS NY 501(C)(9) N/A N/A 0 LABORERS LOCAL UNION 158 H&W FUND 2201 FOREST HILLS DRIVE HARRISBURG PA 17112 231608209 PROVIDE HEALTH BEN.TO ELIG PARTICIPANTS PA 501(C)(9) N/A N/A 0 LIUNA LOCAL 754 WELFARE FUND 215 OLD NYACK TURNPIKE CHESTNUT RIDGE NY 10977 131895923 PROVIDE HEALTH BEN.TO ELIG PARTICIPANTS NY 501(C)(9) N/A N/A 0 WESTCHESTER HCL LAB LOC 60 H&W FUND 140 BROADWAY HAWTHORNE NY 10532 131737041 PROVIDE HEALTH BEN.TO ELIG PARTICIPANTS NY 501(C)(9) N/A N/A 0 SEE SCHEDULE R SUPPLEMENTAL INFORMATION SEE SCHEDULE R SUPPLEMENTAL INFORMATION 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 0 0 SCHEDULE R, PART II AND IV CERTAIN TRUSTEES LISTED ON PART VII, SECTION A, SERVE AS VOLUNTEERS AND DO NOT RECEIVE COMPENSATION FROM THIS ORGANIZATION OR ANY RELATED ORGANIZATION IN THEIR CAPACITY AS TRUSTEES OF THIS ORGANIZATION. CERTAIN TRUSTEES LISTED ON PART VII, SECTION A, DO NOT RECEIVE COMPENSATION FROM THIS ORGANIZATION, BUT DO RECEIVE COMPENSATION FROM NOT FOR PROFIT ORGANIZATIONS IN THEIR CAPACITY AS EMPLOYEES/OFFICERS OF THOSE ORGANIZATIONS. ACCORDINGLY, THEIR COMPENSATION IS REPORTED ON THE FORM 990 OF THOSE ORGANIZATIONS. THE INFORMATION DISCLOSED ON THE ATTACHED SCHEDULES OF RELATED PARTIES IS THAT WHICH WAS AVAILABLE TO THIS ORGANIZATION AT THE TIME OF THIS FILING. FORM 990, SCHEDULE R ATTACHMENT, RELATED ORGANIZATIONS PART III- IDENTIFICATION OF RELATED ORGANIZATIONS TAXABLE AS A PARTNERSHIP AND PART IV- IDENTIFICATION OF RELATED ORGANIZATIONS TAXABLE AS A CORPORATION OR TRUST (A) NAME 3C DRILLING LLC 4 CLEAN-UP INC A & J CONTRACTORS GROUP A & L CONCRETE CUTTING A & P SONS SERVICES LLC A & R FENCE AND GUIDERAI A P CONST INC A&J CONSTRUCTION CO. A.TAKTON CONCRETE CORP A-1 BLACKTOP LLC AAA QUALITY MAINTENANCE AARON ENTERPRISES INC. 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COLLINS CONSTRUCTIO DAIDONE ELECTRIC INC DAKOTA EXCAVATING CONTRA DANELLA CONSTRUCTION COR DANELLA CONSTRUCTION OF D'ANNUNZIO & SONS INC.*J DANSAN COMPANY DARBY DEVELOPMENT LLC DAVICIN CO INC/ELITE LAN DE SILVIO & CO. INC. DEFINO CONTRACTING DELLA PELLO CONT CO INC DELTA LINE CONSTRUCTION DIACO CONTRACTING INC. DIATCHUKI CONSTRUCTION L DISCOVER CONSTRUCTION LL DOUGHERTY & SON INC.*JOH DOWN TO EARTH LANDSCAPIN DOWNES LAWN CARE LLC DRISCOLL CONSTRUCTION CO DULAINE CONTRACTING DUMOR CONTRACTING INC. E I C ASSOCIATES, INC. E. U. C. CORP EAISE DESIGN & LANDSCAPI EAST COAST UTILITY LLC EASTCO SHOTCRETE LLC EASTERN CONCRETE MATERIA EASTERN LANDSCAPE CONTRA EB FENCE LLC EC FENCE & IRON WORKS IN ECI DRILLING INTERNATION ECO CRETE ECOLOGICAL RESTORATION & EDGEBORO INTERNAT'L, INC EFFLUENT RETRIEVAL SERVI EII, INCORPORATED EL SOL CONTR. AND CONST. ELK PIPELINE INC.T/A CRO EMMY INC. EMPIRE CONSTRUCTION EMPIRE STATE PIPING CO., ENTACT, LLC EN-TECH CORP ENVIRONMENTAL & INFR. 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