2022-11-08T15:05:49-06:00 2021-12-31 222951202 MSPC CPAS & ADVISORS PC 340 NORTH AVENUE EAST CRANFORD NJ 070162496 990 2021-01-01 136126923 NEW YORK HOTEL TRADES COUNCIL AND HOTEL ASSOC OF NYC INC HEALTH BENEFITS FUND NEWY 2125866400 305 WEST 44TH STREET NEW YORK NY 10036 DR DAVID JACOBSON CHIEF EXECUTIVE OFFICER 2125866400 2022-11-08 1 DR DAVID JACOBSON 999009999 PATRICK M TROMBETTA CPA P00450410 9082727000 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z DR DAVID JACOBSON 305 WEST 44TH STREET NEW YORK NY 10036 314147563 0 X HOTELFUNDS,ORG X 1944 NY TO PROVIDE MEDICAL, DENTAL, HOSPITALIZATION AND LIFE INSURANCE BENEFITS TO PARTICIPANTS. 17 14 0 0 0 0 0 0 477529397 286580813 3182416 1730183 189407 25836567 480901220 314147563 0 0 514352381 272290492 6707402 5265946 0 0 0 15094992 10187760 536154775 287744198 -55253555 26403365 332153436 354599006 45564455 33427473 286588981 321171533 TO PROVIDE MEDICAL, DENTAL, HOSPITALIZATION AND LIFE INSURANCE BENEFITS TO PARTICIPANTS. 0 0 THE EXEMPT PURPOSE OF THE ORGANIZATION IS TO PROVIDE MEDICAL, SURGICAL, HOSPITAL, ACCIDENT, DENTAL, OPTICAL AND LIFE INSURANCE BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR COVERED DEPENDENTS. 0 0 0 0 0 0 0 0 0 1 0 0 1 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 1 100 0 1 0 0 0 0 0 0 0 0 0 0 0 X 17 14 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X FUNDS OFFICE 2125866400 305 WEST 44TH STREET NEW YORK NY 10036 RICHARD MAROKO CO-CHAIRMAN 0.10 0.60 X 0 196255 98127 JAMES DONOVAN UNION TRUSTEE 0.10 0.60 X 0 213007 106503 CHRIS CUSACK FORMER UNION TRUSTEE 0.10 0.60 X 0 0 0 LARRY MCNEIL UNION TRUSTEE 0.10 0.60 X 0 0 0 KUBA BROWN UNION TRUSTEE 0.10 0.60 X 0 0 0 LYNN HOFFARD UNION TRUSTEE 0.10 0.60 X 0 0 0 VIJAY DANDAPANI CO-CHAIRMAN 0.10 0.60 X 0 0 0 ROBERT LAFFERTY EMPLOYER TRUSTEE 0.10 0.60 X 0 0 0 GEORGE GREENE EMPLOYER TRUSTEE 0.10 0.60 X 0 0 0 SAM GRABUSH FORMER EMPLOYER TRUSTEE 0.10 0.60 X 0 0 0 GUS CECCHINI EMPLOYER TRUSTEE 0.10 0.60 X 0 0 0 CLARA PELLERANO EMPLOYER TRUSTEE 0.10 0.60 X 0 0 0 STEVE BATTA EMPLOYER TRUSTEE 0.10 0.60 X 0 0 0 MICHAEL D'ANGELO EMPLOYER TRUSTEE 0.10 0.60 X 0 0 0 FRED GRAPSTEIN EMPLOYER TRUSTEE 0.10 0.60 X 0 0 0 TOM MITUZAS EMPLOYER TRUSTEE 0.10 0.60 X 0 0 0 AMY RAVITZ EMPLOYER TRUSTEE 0.10 0.60 X 0 0 0 DR DAVID JACOBSON CHIEF EXECUTIVE OFFICER 22.00 18.00 X 0 997655 427722 JOHN HEIM CHIEF FINANCIAL OFFICER 22.00 18.00 X 0 428423 175004 LANA T VARDANIAN CHIEF MEDICAL OFFICER 29.00 11.00 X 0 433668 198130 ANDREW WINDSOR CHIEF ADMINISTRATIVE OFFIC 5.00 35.00 X 0 235458 115375 CAMILLE NAPIER MEDICAL DIRECTOR 35.00 5.00 X 0 247965 121503 KARL LATORTUE MEDICAL DIRECTOR 35.00 5.00 X 0 247187 121121 0 2999618 1363485 0 0 1 0 EMPIRE BLUECROSSBLUESHIELD 1 LIBERTY STREET NEW YORK NY 10006 CLAIMS PROCESSOR 2385612 HACELS LLC 305 WEST 44TH STREET NEW YORK NY 10036 REAL ESTATE - RENT 1259072 PITTA LLP 120 BROADWAY NEW YORK NY 10271 ATTORNEY 343468 14 SO WILLIAMSPORT HOLDINGS LLC 14 PENN PLAZA NEW YORK NY 10122 REAL ESTATE - RENT 304938 CONNECT YOUR CARE 307 INTERNATIONAL CIRCLE COKEYSVILLE MD 21030 CLAIMS PROCESSOR 220970 11 EMPLOYER CONTRIBUTIONS 900099 268344341 268344341 MEDICARE REIMBURSEMENTS 900099 13305974 13305974 PARTICIPANT CONTRIBUTIONS 900099 4930498 4930498 286580813 1730183 1730183 COBRA PREMIUM ASSISTANCE CREDIT 900099 24495806 24495806 OTHER INCOME 900099 1340761 1340761 25836567 314147563 312417380 0 1730183 272290492 3790608 1174786 300552 605198 84218 63812 5966179 568609 377970 1503038 2565 801829 101177 PCORI FEE 91155 OTHER SERVICES 22010 287744198 28982994 43479160 30283548 66632498 2409508 2117705 19155416 9940505 19207969 15566094 4421437 3641875 145818069 130883496 101082464 97903767 332153436 354599006 108855 1949673 45455600 31477800 45564455 33427473 X 286588981 321171533 286588981 321171533 332153436 354599006 26403365 8179187 0 X X 0 1 X 1 0 6598733 4458791 2139942 5195263 5166147 29116 7413973 5941156 1472817 3641875 ADVANCES TO RELATED PARTY 97903767 97903767 BENEFIT OBLIGATIONS PAYABLE 31477800 31477800 X 322262938 8179187 8179187 314083751 63812 63812 314147563 301658186 0 301658186 63812 -13977800 -13913988 287744198 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 DECEMBER 31, 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 BENEFIT PAYABLE - ($13,977,800) X 0 1 0 DR DAVID JACOBSON CHIEF EXECUTIVE OFFICER 0 997655 0 0 0 0 0 136348 0 291374 0 1425377 0 0 LANA T VARDANIAN CHIEF MEDICAL OFFICER 0 433668 0 0 0 0 0 74535 0 123595 0 631798 0 0 JOHN HEIM CHIEF FINANCIAL OFFICER 0 428423 0 0 0 0 0 52904 0 122100 0 603427 0 0 CAMILLE NAPIER MEDICAL DIRECTOR 0 247965 0 0 0 0 0 50833 0 70670 0 369468 0 0 KARL LATORTUE MEDICAL DIRECTOR 0 247187 0 0 0 0 0 50673 0 70448 0 368308 0 0 ANDREW WINDSOR CHIEF ADMINISTRATIVE OFFIC 0 235458 0 0 0 0 0 48269 0 67106 0 350833 0 0 JAMES DONOVAN UNION TRUSTEE 0 213007 0 0 0 0 0 49524 0 56979 0 319510 0 0 RICHARD MAROKO CO-CHAIRMAN 0 196255 0 0 0 0 0 45629 0 52498 0 294382 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE 990 IS ROUTED TO EACH MEMBER OF THE BOARD OF TRUSTEES PRIOR TO ITS FILING. FORM 990, PART VI, SECTION B, LINE 12C ALL OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES ARE REQUIRED TO SIGN A CONFLICT OF INTEREST POLICY ANNUALLY. FORM 990, PART VI, SECTION B, LINE 15 ALL COMPENSATION FOR THE ORGANIZATION'S OFFICERS AND KEY EMPLOYEES ARE SUBJECT TO REVIEW AND APPROVAL BY THE BOARD OF TRUSTEES AT TRUSTEES' MEETINGS BY MAJORITY VOTE. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION PROVIDES ITS FINANCIAL STATEMENTS TO THE PUBLIC UPON WRITTEN REQUEST. FORM 990, PART XXI, LINE 2C: THE BOARD OF TRUSTEES IS IN CHARGE OF OVERSEEING THE FINANCIAL STATEMENTS AUDIT AND SELECTION OF INDEPENDENT AUDITORS. NYHTC ASSN OF NYC INC PENSION FUND 305 WEST 44TH STREET NEW YORK NY 10036 131764242 TO PROVIDE RETIREMENT BENEFITS NY 1 401-1(B)(3) N/A 0 NYHTC ASSN OF NYC INC LEGAL SERVICES FUND 305 WEST 44TH STREET NEW YORK NY 10036 133418414 TO PROVIDE PERSONAL LEGAL ASSISTANCE NY 501(C)(9) N/A 0 NYHTC ASSN OF NYC INC TRAINING & SCHOLARSH 305 WEST 44TH STREET NEW YORK NY 10036 136300270 TO PROVIDE INDUSTRY TRAINING & SCHOLARSHIPS NY 501(C)(3) LINE 2 N/A 0 NYHTC ASSN OF NYC INC HEALTH CENTER INC 305 WEST 44TH STREET NEW YORK NY 10036 131595091 TO PROVIDE MEDICAL & SURGICAL CARE NY 501(C)(9) N/A 0 NYHTC ASSN OF NYC INC STAFF RETIREMENT PLA 305 WEST 44TH STREET NEW YORK NY 10036 131595091 TO PROVIDE RETIREMENT BENEFITS NY 1 401-1(B)(3) N/A 0 NYHTC ASSN OF NYC INC 401(K) FUND 305 WEST 44TH STREET NEW YORK NY 10036 134178178 TO PROVIDE RETIREMENT BENEFITS NY 1 401-1(B)(3) N/A 0 NYHTC ASSN OF NYC INC STAFF INSURANCE FUND 305 WEST 44TH STREET NEW YORK NY 10036 131531223 TO PROVIDE MEDICAL INSURANCE AND OTHER BENEFITS NY 501(C)(9) N/A 0 NYHTC ASSN OF NYC INC ANNUITY FUND 305 WEST 44TH STREET NEW YORK NY 10036 562290624 TO PROVIDE RETIREMENT BENEFITS NY 1 401-1(B)(3) N/A 0 NYHTC ASSN OF NYC INC LMC TRUST FUND 305 WEST 44TH STREET NEW YORK NY 10036 384105519 TO ENHANCE THE RELATIONSHIP BETWEEN HOTEL OWNERS AND THEIR EMPLOYEES NY 501(C)(5) N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 NY HOTEL TRADES COUNCIL & HOTEL ASSN OF NYC INC TRAINING & SCHOLARSHIP FUND Q 1093 COST ALLOCATION AGREEMENT NY HOTEL TRADES COUNCIL & HOTEL ASSN OF NYC INC STAFF RETIREMENT PLAN R 142041 CONTRIBUTION AGREEMENT NY HOTEL TRADES COUNCIL & HOTEL ASSN OF NYC INC STAFF INSURANCE FUND R 878607 CONTRIBUTION AGREEMENT NY HOTEL TRADES COUNCIL & HOTEL ASSN OF NYC INC STAFF INSURANCE FUND Q 9398630 COST ALLOCATION AGREEMENT NY HOTEL TRADES COUNCIL & HOTEL ASSN OF NYC INC PREPAID LEGAL FUND R 16298 CONTRIBUTION AGREEMENT NY HOTEL TRADES COUNCIL & HOTEL ASSN OF NYC INC PREPAID LEGAL FUND Q 76112 COST ALLOCATION AGREEMENT NY HOTEL TRADES COUNCIL & HOTEL ASSN OF NYC INC PENSION FUND R 137840 CONTRIBUTION AGREEMENT NY HOTEL TRADES COUNCIL & HOTEL ASSN OF NYC INC PENSION FUND Q 630742 CONTRIBUTION AGREEMENT NY HOTEL TRADES COUNCIL & HOTEL ASSN OF NYC INC HEALTH CENTER INC R 118471080 COSTS INCURRED NY HOTEL TRADES COUNCIL & HOTEL ASSN OF NYC INC HEALTH CENTER INC Q 52985 COST ALLOCATION AGREEMENT NY HOTEL TRADES COUNCIL & HOTEL ASSN OF NYC INC HEALTH CENTER INC P 8550110 COST ALLOCATION AGREEMENT NY HOTEL TRADES COUNCIL & HOTEL ASSN OF NYC INC 401(K) SAVINGS PLAN Q 196931 COST ALLOCATION AGREEMENT