2021-03-19T10:29:38-05:00 2020-06-30 131577780 SCHULTHEIS & PANETTIERI LLP 450 WIRELESS BLVD HAUPPAUGE NY 11788 990 2019-07-01 135615576 NYC DISTRICT COUNCIL OF CARPENTERS WELFARE FUND NYCD 2123667300 395 HUDSON STREET NEW YORK NY 10014 KRISTIN O'BRIEN FOWLKES EXECUTIVE DIRECTOR 2123667300 2021-03-19 1 CAROL WESTFALL P00539069 6312734778 2019 2022-09-23 18:48:47Z KRISTIN O'BRIEN FOWLKES 395 HUDSON STREET NEW YORK NY 10014 1365532499 0 X WWW.NYCCBF.COM X 1950 NY THE PURPOSE OF THE PLAN IS TO PROVIDE HEALTH AND OTHER BENEFITS TO ELIGIBLE PARTICIPANTS. 10 10 98 0 91 0 0 0 495041661 406747811 44465332 30949647 113932 269870 539620925 437967328 348250 336000 439270519 386722090 4754874 4825867 0 0 0 7193056 7514032 451566699 399397989 88054226 38569339 839438559 861346931 124865839 101973420 714572720 759373511 THE PURPOSE OF THE PLAN IS TO PROVIDE HEALTH AND OTHER BENEFITS TO ELIGIBLE PARTICIPANTS. 0 0 THE PURPOSE OF THE PLAN IS 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 1 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1731 0 1 98 1 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X BOARD OF TRUSTEES 2123667300 395 HUDSON STREET NEW YORK NY 10014 DAVID MEBERG EMP TSTE-CHAIRM 2.00 0.00 X 0 0 0 KEVIN O'CALLAGHAN EMP TRUSTEE 2.00 0.00 X 0 0 0 JOHN DELOLLIS EMP TRUSTEE 2.00 0.00 X 0 0 0 MICHAEL SALGO EMP TRUSTEE 2.00 0.00 X 0 0 0 JOHN O'HARE EMP TRUSTEE 2.00 0.00 X 0 0 0 JOSEPH GEIGER UN TSTE-CHAIRM 2.00 0.00 X 0 0 0 JOHN SHEEHY UNION TRUSTEE 2.00 0.00 X 0 0 0 PAUL CAPURSO UNION TRUSTEE 2.00 0.00 X 0 0 0 MICHAEL CAVANAUGH UNION TRUSTEE 2.00 0.00 X 0 0 0 MICHAEL RODIN UNION TRUSTEE 2.00 0.00 X 0 0 0 DAVID STEWART EXECUTIVE DIR. 17.00 23.00 X 364560 0 49986 ROBERT LESNIEWSKI CFO 17.00 23.00 X 310177 0 49986 DAVID JACOBSEN CONTROLLER 17.00 23.00 X 181182 0 47735 BENJAMIN LAMBERT IT DIRECTOR 17.00 23.00 X 162814 0 38167 KRISTIN O'BRIEN FOWLKES ADMIN SVCS DIRECTOR 17.00 23.00 X 137156 0 41544 FRANCES CONSIDINE WELFARE DIRECTOR 17.00 23.00 X 137112 0 37364 GINO FIACCO REMITTANCE MANAGER 17.00 23.00 X 136655 0 41475 1429656 0 306257 7 0 1 0 EMPIRE BLUE CROSS ONE LIBERTY PLAZA NEW YORK NY 10006 HEALTH CLAIM PROCESS 7359576 VIRGINIA & AMBINDER LLP 40 BROAD STREET 7TH FLOOR NEW YORK NY 10004 LEGAL COUNSEL 1921123 SCHULTHEIS & PANETTIERI LLP 450 WIRELESS BOULEVARD HAUPPAUGE NY 11788 AUDIT/PR AUDIT 1658244 NOVAK FRANCELLA LLC ONE PRESIDENTIAL BLVD BALA CYNWYD PA 19004 PR AUDIT 1212398 EXPRESS SCRIPTS INC 100 PARSONS POND DRIVE FRANKLIN LAKES NY 10123 PRESCR CLAIM PROCESS 904152 22 EMPLOYER CONTRIBUTION 236200 264938373 264938373 EMPLOYER CONTRIBUTION-VAC 236200 127910038 127910038 MEDICARE DRUG SUBSIDY 236200 9392243 9392243 PARTICIPANT CONTRIBUTIONS 236200 4507157 4507157 406747811 11358267 91 11358176 947156551 927565171 19591380 19591380 19591380 LITIGATION/ADMIN FEE INC 236200 269870 269870 269870 437967328 407017681 91 30949556 336000 386722090 769517 2144055 864751 834445 213099 1166808 1551446 1594868 295196 376815 497050 922045 37537 242288 182467 NET REIMB TO/FROM RELAT 434872 OUTSIDE SERVICES 113251 REPAIRS & MAINTENANCE 99389 399397989 8759388 6523810 42930098 33280955 6013479 5091170 1142120 922309 376680740 405586453 409558285 414668336 367928 365068 839438559 861346931 2308057 2453181 122557782 99520239 124865839 101973420 X 0 0 0 0 714572720 759373511 714572720 759373511 839438559 861346931 38569339 6231452 0 X 0 1 X 1 0 535836 235655 300181 5477643 4855515 622128 922309 COMMON COLLECTIVE FUNDS 294949551 F 103-12 INVESTMENT ENTITIES 55032258 F PARTNERSHIPS 64686527 F 414668336 BENEFIT OBLIGATIONS CURRENTLY PAY 44600000 CONTRACTOR SURETY BONDS PAYABLE 3697421 DUE TO RELATED ORGANIZATIONS 29720729 NET TRADES PENDING SETTLEMENT 21502089 99520239 442611813 6231452 6231452 436380361 1586967 1586967 437967328 421011022 0 421011022 1586967 -23200000 -21613033 399397989 PART XII, LINE 4B - OTHER ADJUSTMENTS: CHANGE IN BENEFIT OBLIG. 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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 NYCDCC WELFARE FUND - FORM 990 IS PREPARED BY ITS INDEPENDENT PUBLIC ACCOUNTANT. THE RETURN IS THEN PRESENTED TO THE BOARD OF TRUSTEES FOR REVIEW AND SIGNATURE. FORM 990, PART VI, SECTION B, LINE 12C NYCDCC WELFARE FUND MONITORS ITS CONFLICT OF INTEREST POLICY ON AN ANNUAL BASIS. FORM 990, PART VI, SECTION B, LINE 15 NYCDCC WELFARE FUND'S BOARD OF TRUSTEES REVIEW COMPENSATION OF ALL EMPLOYEES ON AN ANNUAL BASIS AND VERIFY THAT PERSONS WITH A CONFLICT OF INTEREST WERE NOT INCLUDED IN APPROVAL PROCESS AND DOCUMENT IT IN THE MINUTES. FORM 990, PART VI, SECTION C, LINE 19 NYCDCC WELFARE FUND MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO ALL PARTICIPANTS UPON REQUEST. DOCUMENTS ARE AVAILABLE TO THE PUBLIC TO THE EXTENT REQUIRED BY LAW. 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FORM 990 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. CERTAIN TRUSTEES LISTED ON PART VII, SECTION A, DO NOT RECEIVE COMPENSATION FROM THIS ORGANIZATION, BUT DO RECEIVE COMPENSATION FROM RELATED ORGANIZATIONS IN THEIR CAPACITY AS EMPLOYEES/OFFICERS OF THOSE ORGANIZATIONS. ACCORDINGLY, THEIR COMPENSATION IS ALREADY REPORTED ON THE FORM 990 OF THOSE RELATED ORGANIZATIONS. PART IV, IDENTIFICATION OF RELATED ORGANIZATIONS TAXABLE AS A CORP OR TR (A) NAME 160 BROADWAY CONCRETE CORP 3 C DRILLING LLC 365 SPACE SOLUTIONS INC. 3RD TRACK CONSTRUCTORS 41 G CONSTRUCTORS 458 CONSTRUCTION COMPANY IN 711 NEW YORK PAINTING & 81 WORKROOM 86TH STREET CONSTRUCTORS JV A & N INSTALLATIONS INC. A A ALLIANCE FLOORS INC. A A H CONSTRUCTION CORP. 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