2022-11-07T09:59:32-06:00 2021-12-31 131578842 BUCHBINDER TUNICK & CO LLP ONE PENN PLAZA - SUITE 3200 NEW YORK NY 101193601 990 2021-01-01 221461069 TRUCKING EMPLOYEES OF NORTH JERSEY WELFARE FUND TRUC 2018673553 707 SUMMIT AVE UNION CITY NJ 07087 ROBERT BLUMENFELD FUND ADMINISTRATOR 2018673553 2022-11-03 1 ROBERT BLUMENFELD 999009999 GREG AUTERI P01366109 2126955003 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z ROBERT BLUMENFELD 707 SUMMIT AVE UNION CITY NJ 07087 56714210 0 X WWW.560BENEFITFUNDS.COM X 1948 NJ TO PROVIDE HEALTH BENEFITS TO ELIGIBLE PARTICIPANTS 6 3 23 0 0 0 0 0 15032513 14281906 1432350 3009892 596689 1659660 17061552 18951458 0 0 15408912 18111829 993338 1086699 0 0 0 785579 833270 17187829 20031798 -126277 -1080340 41072754 37554706 3513493 2945695 37559261 34609011 TO PROVIDE HEALTH BENEFITS TO ELIGIBLE PARTICIPANTS. 0 0 TO PROVIDE HEALTH BENEFITS TO ELIGIBLE PARTICIPANTS. 0 0 0 0 0 0 0 0 0 1 1 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 1 378 0 23 1 0 0 0 0 0 0 0 0 X 6 3 0 0 0 0 1 0 0 1 0 0 0 1 1 1 1 0 1 1 1 0 X ROBERT BLUMENFELD 2018671447 707 SUMMIT AVE UNION CITY NJ 07087 ANTHONY VALDNER UNION TRUSTEE 2.00 40.00 X 0 80115 62538 LAMAR E BEINHOWER EMPLOYER TRUSTEE 1.00 X 0 0 0 EDWIN H STIER UNION TRUSTEE 1.00 X 2284 0 0 GEORGE KREIS EMPLOYER TRUSTEE - FORMER 1.00 X 0 0 0 JOSEPH DIPALMA UNION TRUSTEE 1.00 40.00 X 0 103572 79149 WILLIAM NATIONS EMPLOYER TRUSTEE 1.00 X 0 0 0 NICHOLAS JAYME UNION TRUSTEE ALTERNATE 1.00 40.00 X 0 100593 72631 NICHOLAS PICARELLO EMPLOYER TRUSTEE ALTERNATE 1.00 X 0 0 0 RICK DENICOLA EMPLOYER TRUSTEE 1.00 X 0 0 0 ROBERT BLUMENFELD FUND ADMINISTRATOR 12.00 X 236374 0 60278 BRIAN MCCLOSKEY CONTROLLER 8.00 X 178209 0 55598 416867 284280 330194 2 0 1 0 HORIZON BLUE CROSS BLUE SHIELD PO BOX 15306 NEWARK NJ 07105 HEALTH CARE PROVIDER 460023 CHANGE HEALTHCARE SOLUTIONS LLC 3055 LEBANON PIKE NASHVILLE TN 37214 CLAIMS REPRICING AGENT 271943 SEGAL COMPANY 333 WEST 3RD STREET NEW YORK NY 10001 ACTUARY 144313 3 EMPLOYER CONTRIBUTIONS 525100 12092063 12092063 PARTICIPANT CONTRIBUTIONS 525100 1569019 1569019 PARTICIPANT RX CONTRIBUTIONS 525100 496219 496219 COBRA CONTRIBUTIONS 525100 124605 124605 14281906 906408 906408 39866236 37762752 2103484 2103484 2103484 PRESCRIPTION REBATE INCOME 525100 1122260 1122260 OTHER REVENUE 525100 537400 537400 1659660 18951458 15941566 0 3009892 18111829 298936 371589 160147 207603 48424 175843 41250 64469 155411 100741 167495 89147 165 7080 30883 DUES AND SUBSCRIPTIONS 786 20031798 3212857 2275404 1167271 1060213 13967 17627 301157 287426 16376 13731 32102871 29849439 3178693 3391317 1380719 946975 41072754 37554706 458593 178678 537400 0 2517500 2767017 3513493 2945695 X 0 0 0 0 37559261 34609011 37559261 34609011 41072754 37554706 -1080340 -1869910 0 X X 0 1 X 1 0 44272 44272 0 232011 218280 13731 24874 24874 0 13731 LIMITED PARTNERSHIP 3391317 F 3391317 CLAIMS PAYABLE AND CLAIMS INCURRED BUT NOT REPORTED 2766000 DUE TO AFFILIATES, NET 1017 2767017 X 17017079 -1869910 -1869910 18886989 64469 64469 18951458 19718829 0 19718829 64469 248500 312969 20031798 PART X, LINE 2: 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 IRS. THE PLAN ADMINISTRATOR 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. EMPLOYEE BENEFIT PLANS ARE SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS FOR THE PLAN. THE PLAN ADMINISTRATOR BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO 2018. PART XII, LINE 4B - OTHER ADJUSTMENTS: CHANGE IN BENEFIT OBLIGATIONS 248,500. X 0 0 0 ROBERT BLUMENFELD FUND ADMINISTRATOR 236374 0 0 0 0 0 32812 0 27466 0 296652 0 0 0 BRIAN MCCLOSKEY CONTROLLER 178209 0 0 0 0 0 28132 0 27466 0 233807 0 0 0 JOSEPH DIPALMA UNION TRUSTEE 0 102145 0 0 0 1427 0 51699 0 27450 0 182721 0 0 NICHOLAS JAYME UNION TRUSTEE ALTERNATE 0 99584 0 0 0 1009 0 45181 0 27450 0 173224 0 0 FORM 990, PART VI, SECTION A, LINE 6 THE FUND HAS PARTICIPANTS. FORM 990, PART VI, SECTION A, LINE 8B THE ORGANIZATION DOES NOT HAVE ANY COMMITTEES WITH THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BOARD. FORM 990, PART VI, SECTION B, LINE 11B A COPY OF THE FORM 990 WAS PROVIDED TO THE TRUSTEES OF THE ORGANIZATION BEFORE IT WAS FILED. FORM 990, PART VI, SECTION B, LINE 12C THE PLAN IS BOUND BY ERISA PROHIBITED TRANSACTION RULES WHICH PRECLUDE THE PLAN FROM ENGAGING IN ANY NON-EXEMPT PARTY IN INTEREST TRANSACTIONS. FORM 990, PART VI, SECTION B, LINE 15 A COMMITTEE OF THE BOARD OF TRUSTEES REVIEWS THE SALARY INCREASES ANNUALLY FOR ALL MANAGERS BASED ON PERFORMANCE, MARKET FORCES AND INDUSTRY PERFORMANCE. LAST REVIEW WAS DONE IN 2021. FORM 990, PART VI, SECTION C, LINE 19 THE FINANCIAL STATEMENTS ARE PROVIDED TO PARTICIPANTS AND OTHER INTERESTED PARTIES UPON REQUEST. FORM 990, PART XII, LINE 2C: THE BOARD OF TRUSTEES ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND THE SELECTION OF THE INDEPENDENT AUDITOR. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. 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