2021-02-18T09:13:13-06:00 2020-06-30 611436956 NOVAK FRANCELLA LLC ONE PRESIDENTIAL BLVD SUITE 330 BALA CYNWYD PA 19004 990 2019-07-01 050271216 TEAMSTERS LOCAL 251 HEALTH SERVICES AND INSURANCE PLAN TEAM 4014673323 1201 ELMWOOD AVENUE PROVIDENCE RI 029043799 MATTHEW G TAIBI UNION TRUSTEE 4014673323 2021-02-18 1 LOUIS VERZELLA CPA P00360279 6106689400 2021-02-09 2019 2022-09-23 18:48:47Z MATTHEW G TAIBI 121 BRIGHTRIDGE AVENUE EAST PROVIDENCE RI 02914 70848386 0 X NA X 1954 RI THE PLAN PROVIDES MEDICAL, HOSPITALIZATION, DENTAL, VISION, HEARING, LIFE INSURANCE, WEEKLY ACCIDENT AND SICKNESS, PREPAID LEGAL, EMPLOYEES ASSISTANCE PROGRAM, INCOME TAX PREPARATION, AND PRESCRIPTION DRUG BENEFITS FOR ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS. THE PLAN ALSO PROVIDES A PROGRAM OF BENEFITS FOR ELIGIBLE RETIREES. 6 3 5 0 0 0 0 0 53970525 64074755 3964482 1518395 52671 12042 57987678 65605192 0 0 44594981 49738775 677118 712327 0 0 0 680795 922710 45952894 51373812 12034784 14231380 78399300 95668160 313339 392568 78085961 95275592 X THE PLAN PROVIDES MEDICAL, HOSPITALIZATION, DENTAL, VISION, HEARING, LIFE INSURANCE, WEEKLY ACCIDENT AND SICKNESS, PREPAID LEGAL, EMPLOYEES ASSISTANCE PROGRAM, INCOME TAX PREPARATION, AND PRESCRIPTION DRUG BENEFITS FOR ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS. THE PLAN ALSO PROVIDES A PROGRAM OF BENEFITS FOR ELIGIBLE RETIREES. 0 0 THE FUND PROVIDED MEDICAL, HOSPITAL, ACCIDENT, SICKNESS, DENTAL, VISION, HEARING, LIFE INSURANCE BENEFITS, DEATH, AND PREPAID LEGAL BENEFITS FOR APPROXIMATELY 2,387 MEMBERS AND THEIR DEPENDENTS. 0 0 0 0 0 0 0 0 0 1 0 0 0 0 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 63 0 5 1 0 0 0 0 0 0 0 0 X 6 3 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 X FUND OFFICE 4014673323 1201 ELMWOOD AVENUE PROVIDENCE RI 029043799 JEFFERY ISAACS EMPLOYER TRUSTEE 2.00 X 0 0 0 MATTHEW G TAIBI UNION TRUSTEE/CO-CHAIRMAN 2.00 40.00 X 0 119150 67968 PAUL J SANTOS UNION TRUSTEE 2.00 40.00 X 0 113390 67968 MATTHEW A MAINI UNION TRUSTEE 2.00 40.00 X 0 107454 67968 FRANK PARELLA EMPLOYER TRUSTEE/CO-CHAIRM 2.00 X 0 0 0 WILLIAM SCHMIEDEKNECHT EMPLOYER TRUSTEE 2.00 X 0 0 0 TAMMY BEAUDREAULT FUND ADMINISTRATOR 40.00 X 116641 0 66885 116641 339994 270789 1 0 1 0 UNITEDHEALTHCARE INSURANCE COMPANY 475 KILVERT STREET WARWICK RI 02886 CLAIMS PROCESSING 1874036 GURSKY LAW ASSOCIATES 420 SCRABBLETOWN RD N KINGSTON RI 02852 LEGAL SERVICES 312625 DELTA DENTAL OF RHODE ISLAND 10 CHARLES STREET PROVIDENCE RI 02904 CLAIMS PROCESSING 142369 THE SEGAL COMAPNY 116 HUNTINGTON AVENUE BOSTON MA 02116 ACTUARIAL 135000 4 EMPLOYER CONTRIBUTIONS 525100 63151358 63151358 RETIREE CONTRIBUTIONS 525100 692728 692728 PARTICIPANT CONTRIBUTIONS 525100 230669 230669 64074755 1489831 1489831 5271758 5243194 28564 28564 28564 MISCELLANEOUS INCOME 900099 12042 12042 12042 65605192 64086797 0 1518395 49738775 398273 191904 122150 284275 52297 65463 135000 100700 65089 84391 44876 40931 37759 FEES MANDATED BY THE AC 11929 51373812 49587 313413 4652710 9446197 3068870 6798809 47594 43728 1200204 919848 307052 280356 65603305 73344073 3900182 4611584 770000 830000 78399300 95668160 222364 325208 90975 67360 313339 392568 X 78085961 95275592 0 0 0 0 78085961 95275592 78399300 95668160 14231380 2958251 0 X X 0 1 X 1 0 33602 33602 743268 576950 166318 326699 249379 77320 96635 93519 3116 280356 X 68497980 2958251 2958251 65539729 65463 65463 65605192 51308349 0 51308349 65463 65463 51373812 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 IF THE PLAN HAS TAKEN AN UNCERTAIN POSITION THAT, MORE LIKELY THAN NOT, WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE U.S. FEDERAL, STATE, OR LOCAL TAXING AUTHORITIES. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. TYPICALLY, PLAN TAX YEARS WILL REMAIN OPEN FOR THREE YEARS; HOWEVER, THIS MAY DIFFER DEPENDING UPON THE CIRCUMSTANCES OF THE PLAN. X 0 0 0 MATTHEW G TAIBI UNION TRUSTEE/CO-CHAIRMAN 0 119150 0 0 0 0 0 42550 0 25418 0 187118 0 0 PAUL J SANTOS UNION TRUSTEE 0 113390 0 0 0 0 0 42550 0 25418 0 181358 0 0 MATTHEW A MAINI UNION TRUSTEE 0 107454 0 0 0 0 0 42550 0 25418 0 175422 0 0 TAMMY BEAUDREAULT FUND ADMINISTRATOR 116641 0 0 0 0 0 41101 0 25784 0 183526 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B TEAMSTERS LOCAL 251 HEALTH SERVICES AND INSURANCE PLAN'S FORM 990 IS PREAPARED BY ITS INDEPENDENT PUBLIC ACCOUNTANT. THE RETURN IS FORWARDED TO THE FUND'S EXECUTIVE DIRECTOR FOR INTITIAL REVIEW. THE RETURN IS THEN PRESENTED TO THE TRUSTEES FOR REVIEW AND SIGNATURE FORM 990, PART VI, SECTION C, LINE 19 TEAMSTERS LOCAL 251 HEALTH SERVICES & INSURANCE PLAN MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990. PART XII, LINE 2C: TEAMSTERS LOCAL 251 HEALTH SERVICES AND INSURANCE PLAN'S BOARD OF TRUSTEES IS RESPOSIBLE FOR OVERSEEING THE FINANCIAL STATEMENT AUDIT AND SELECTION OF THE INDEPENDENT ACCOUNTANT THAT PERFORMS THE AUDIT. FORM 990, PART V, LINE 1A: TEAMSTERS LOCAL 251 HEALTH SERVICES AND INSURANCE PLAN ALSO PREPARE FORMS W-2 FOR ALL PARTICIPANTS THAT RECEIVE THE TAXABLE LEGAL, DEPENDENT LIFE INSURANCE AND TAX PREPARATION BENEFITS UNDER THE PLAN. A TOTAL OF 2,771 FROMS W-2 WERE ISSUED FOR THESE BENEFITS FOR THE CALENDAR YEAR 2018. TEAMSTERS LOCAL 251 HEALTH SERVICES AND INSURANCE 401(K) PLAN 1201 ELMWOOD AVENUE PROVIDENCE RI 02907 050271216 PENSION PLAN RI 401(A)/501(A) 0 TEAMSTERS LOCAL 251 121 BRIGHTRIDGE AVENUE EAST PROVIDENCE RI 02914 050161170 LABOR UNION RI 501(C)(5) 0 ABF FREIGHT SYSTEMS INC ADAMSDALE CONCRETE & PRODUCTS AMERIGAS PROPANE LP ANGELICA CORPORATION BACCALA J & SONS INC BAKER COMMODITIES INC BOYLE & FOGARTY BRADFORD BRITOC CONSTRUCTION COINC BUCKLEY HEATING AND COOLING C & J LLC CARDI CORPREADY MIX CONCRETE CARDI CORPORATION CARDI LEASING CORPORATION CAST AND CREW CATALANO CONSTRUCTION INC CENTREX DISTRIBUTORS CRANSTON HOUSING AUTHORITY D'AMBRA CONSTRUCTION CO INC DEL-VA CORPORATION DEMCO LLC DHL EXPRESS DIGREGORIO CONCRETE CORPORATION DIGREGORIO INC ENTERTAINMENT PARTNERS EQUALITY CONTRUCTION LLC FALL RIVER READY MIX CONCRETE GPL CONSTRUCTION GREENSLATE LLC GREENVILLE WATER DISTRICT HESS JOHN R & SONS INC HORIZON BEVERAGE GROUP IANNUCCILLO R P & SONS IDS HIGHWAY SAFETY INC JACK COOPER TRANSPORT KIEWIT POWER CONTRUCTORS CO LYNCH J H & SONS INC MARR SCAFFOLDING COMPANY MC LAUGHLIN & MORAN METALS RECYCLING MONDELEZ NARRAGANSETT IMPROVEMENT CO NATIONAL GRID NEW ENGLAND LINEN SUPPLY CO NEW PENN MOTOR EXPRESS NORTHSTAR EQUIPMENT & SUPPLY PJ KEATING CO - MA PJ KEATING COMPANY PARKSIDE SITE & UTILITY CO PASQUAZZI BROTHERS INC PETRO DRIVERS AND MECHANICS PETROLEUM HEAT & POWER CO PRAXAIR DISTRIBUTION INC REZENDES K R INC RHODE ISLAND HOSP SUPPLEMENTAL RHODE ISLAND HOSPITAL RI FLG GENCO LLC RIVERHEAD BUILDING SUPPLY ROCCHIO JOHN CORPORATION SMITH'S GENERAL TRUCKING CO SUNBELT RENTALS TEAMSTERS LOCAL 251 TEAMSTERS LOCAL 251 HSIP TEKNOR APEX COMPANY TOWN OF TIVERTON TWIN RIVER UNITED PARCEL SERVICE UNIVERSAL CONSTRUCTION CO URBAN SERVICES GROUP INC VEOLIA WATER VINAGRO JR CO WOOD'S HEATING SERVICE YRC YRC CLERICAL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0