2022-09-21T07:47:31-05:00 2021-12-31 131577780 SCHULTHEIS & PANETTIERI LLP 450 WIRELESS BLVD HAUPPAUGE NY 11788 990 2021-01-01 135542693 CEMENT AND CONCRETE WORKERS DC WELFARE FUND CEME 7187626133 35-30 FRANCIS LEWIS BLVD 201 FLUSHING NY 11358 ANGELO ANGELONE UNION TRUSTEE 7187626133 2022-09-21 1 ANGELO ANGELONE 999009999 CAROL WESTFALL P00539069 6312734778 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z MARGARET BOWEN 35-30 FRANCIS LEWIS BLVD 201 FLUSHING NY 11358 76448800 0 X WWW.CCWBF.ORG X 1949 NY TO PROVIDE HEALTH AND OTHER BENEFITS TO ELIGIBLE PARTICIPANTS. 7 7 10 0 0 0 0 0 24765260 24350375 2002612 10139526 206377 50605 26974249 34540506 0 0 34965884 35971608 1612936 1601516 0 0 0 276111 185007 36854931 37758131 -9880682 -3217625 115159029 115712146 8660355 7772016 106498674 107940130 TO PROVIDE HEALTH AND OTHER BENEFITS TO ELIGIBLE PARTICIPANTS. 0 0 TO PROVIDE HEALTH AND OTHER BENEFITS TO ELIGIBLE PARTICIPANTS. 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 1 196 0 1 10 0 0 0 0 0 0 0 0 0 X 7 7 0 0 0 0 0 1 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X MARGARET BOWEN 7187626133 35-30 FRANCIS LEWIS BLVD FLUSHING NY 11358 ANGELO ANGELONE UNION TRUSTEE 1.00 5.00 X 0 0 0 MICHAEL SALGO EMP TRUSTEE 1.00 5.00 X 0 0 0 ERIC LEE EMP TRUSTEE 1.00 4.00 X 0 0 0 ANTHONY AMELLA UNION TRUSTEE - ALTERNATE 1.00 3.00 X 0 0 0 KIERAN O'SULLIVAN UNION TRUSTEE 1.00 5.00 X 0 0 0 JOHN PETERS UNION TRUSTEE 1.00 5.00 X 0 0 0 KEVIN O'BRIEN EMP TRUSTEE 1.00 5.00 X 0 0 0 MARGARET BOWEN FUND ADMINISTRATOR 19.00 21.00 X 267903 0 104298 ABBY KAPLAN ASSISTANT FUND ADMINISTRAT 19.00 21.00 X 175480 0 72373 JESSICA SCHIPPELL PEN FD MGR 0.00 40.00 X 102065 0 46822 545448 0 223493 3 0 1 0 EMPIRE HEALTHCHOICE ASSURANCE INC ONE LIBERTY PLAZA STE 200 NEW YORK NY 10006 HEALTH CLAIMS PROCES 639664 GORLICK KRAVITZ & LISTHAUS PC 17 STATE STREET 4TH FLR NEW YORK NY 100041501 LEGAL 386579 FITZSIMMONS ABRAMS LLP 7600 JERICHO TURNPIKE 403 WOODBURY NY 11797 PAYROLL AUDIT 208404 BASYS 15300 W 105TH TERRACE LENEXA KS 66219 COMPUTER 200702 4 EMPLOYER CONTRIBUTIONS 238900 18642381 18642381 PARTICIPANT CONTRIBUTIONS 238900 5707994 5707994 24350375 1502512 1502512 50545308 41908294 8637014 8637014 8637014 OTHER INCOME 238900 37327 37327 MEDICARE PART D 238900 13278 13278 50605 34540506 24400980 0 10139526 35971608 372201 783737 271076 93419 81083 455780 255979 144497 145725 151640 263692 266716 41261 127404 REIMBURSED EXPENSES -1667687 37758131 11225468 5217137 992137 1293580 5637572 4517785 21070 412610 85023 368848 327587 24244520 26148708 72669414 78207349 115159029 115712146 216406 81142 8443949 7690874 8660355 7772016 X 0 0 0 0 106498674 107940130 106498674 107940130 115159029 115712146 -3217625 4659081 0 X 0 1 X 1 0 412610 85023 327587 327587 COMMON/COLLECTIVE TRUST FUNDS 31638259 F PARTNERSHIP/JOINT VENTURE INTERESTS 17469495 F UNALLOCATED INSURANCE CONTRACTS 14890900 F 103-12 INVESTMENT ENTITIES 14208695 F 78207349 DUE TO AFFILIATES 1380618 PLANS CURRENT BENEFIT OBLIGATIONS 6310256 7690874 39055090 4659081 4659081 34396009 144497 144497 34540506 37381657 0 37381657 144497 231977 376474 37758131 PART XII, LINE 4B - OTHER ADJUSTMENTS: CHANGE IN IBNR 231,977. X 0 0 0 MARGARET BOWEN FUND ADMINISTRATOR 267903 0 0 0 0 0 93328 0 10970 0 372201 0 0 0 ABBY KAPLAN ASSISTANT FUND ADMINISTRAT 175480 0 0 0 0 0 60614 0 11759 0 247853 0 0 0 ALEXA ANGELONE FAMILY MEMBER 145358 EMPLOYMENT 0 FORM 990, PART VI, SECTION A, LINE 7A THE PLAN IS JOINTLY ADMINISTERED BY TRUSTEES WHO ARE APPOINTED BY THE DISTRICT COUNCIL AND BY EMPLOYER ASSOCIATIONS. FORM 990, PART VI, SECTION B, LINE 11B A COPY OF FORM 990 IS PROVIDED TO ALL VOTING MEMBERS OF THE GOVERNING BODY AND REVIEWED AT A REGULARLY SCHEDULED BOARD MEETING 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. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS ARE AVAILABLE TO THE PUBLIC TO THE EXTENT REQUIRED BY LAW. PARTICIPANTS MAY VIEW DOCUMENTS AT THE FUND OFFICE UPON REQUEST. 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