2021-03-31T09:45:08-05:00 2020-06-30 222951202 MSPC CPAS & ADVISORS PC 340 NORTH AVENUE EAST CRANFORD NJ 070162496 990 2019-07-01 134017983 PLUMBERS AND STEAMFITTERS LOCAL NO 21 WELFARE FUND PLUM 9147377220 1024 MCKINLEY STREET PEEKSKILL NY 10566 BRENDAN FOLEY PLAN ADMINISTRATOR 9147377220 2021-03-31 1 PATRICK M TROMBETTA P00450410 9082727000 2019 2022-09-23 18:48:47Z BRENDAN FOLEY 1024 MCKINLEY STREET PEEKSKILL NY 10566 24280043 0 X N/A X 1998 NY TO PROVIDE HEALTH AND WELFARE BENEFITS. 10 5 0 0 0 0 0 0 18622620 15444025 -401347 101122 1648299 1955841 19869572 17500988 0 0 18630458 17613834 391983 377795 0 0 0 819311 803298 19841752 18794927 27820 -1293939 18680508 17688171 2789825 2766152 15890683 14922019 TO PROVIDE HEALTH AND WELFARE BENEFITS. 0 0 PROVIDING HOSPITAL, SURGICAL, MAJOR MEDICAL, DENTAL, PRESCRIPTION DRUGS, LIFE INSURANCE AND CERTAIN OTHER BENEFITS TO QUALIFYING PARTICIPANTS. 0 0 0 0 0 0 0 0 0 1 0 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 1 119 0 1 0 0 0 0 0 0 0 0 0 0 0 X 10 5 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X BOARD OF TRUSTEES 9147377220 1024 MCKINLEY STREET PEEKSKILL NY 10566 ROBERT COURTIEN EMPLOYER TRUSTEE 1.00 X 0 0 0 MARK WHALEN EMPLOYER TRUSTEE 1.00 X 0 0 0 JOHN DIMICELI EMPLOYER TRUSTEE 1.00 X 0 0 0 GRANT COPPOLA EMPLOYER TRUSTEE 1.00 X 0 0 0 FRANK PALEN UNION TRUSTEE 2.00 X 0 144588 110677 JOSEPH DULLEA UNION TRUSTEE 2.00 X 0 131229 103213 REINALDO DIAZ UNION TRUSTEE 2.00 X 0 131229 103213 THOMAS CAREY UNION TRUSTEE 2.00 X 0 131229 103213 THOMAS O'BRIEN UNION TRUSTEE 2.00 X 0 131229 103213 JAMES ESTABROOK EMPLOYER TRUSTEE 1.00 X 0 0 0 0 669504 523529 0 0 1 0 EMPIRE HEALTHCHOICE ASSURANCE INC 9 PINE STREET 14TH FLOOR NEW YORK NY 10005 CLAIMS PROCESSING 531839 1 EMPLOYERS' CONTRIBUTIONS 900099 15444025 15444025 15444025 199788 199788 6680389 6779055 -98666 -98666 -98666 STOP LOSS REIMBURSEMENT 900099 1487199 1487199 INSURANCE PREMIUMS COLLECTED 900099 454764 454764 MISCELLANEOUS INCOME 900099 13878 13878 1955841 17500988 17301200 0 199788 17613834 216553 143258 17984 27591 21263 10393 612689 11372 14747 29440 1921 27105 3954 PRINTING, STATIONERY AN 18560 EQUIPMENT RENTAL 14688 PCORI FEE 5385 TELEPHONE 4190 18794927 2542720 312586 7309531 9379623 2401796 1771252 0 35212 197046 85090 100992 111956 6325469 6077542 18680508 17688171 2642599 2580979 147226 185173 2789825 2766152 X 0 0 0 0 15890683 14922019 15890683 14922019 18680508 17688171 -1293939 325275 0 X X 0 1 X 1 0 197046 85090 111956 111956 DUE TO RELATED FUNDS 185173 185173 X 17815870 325275 325275 17490595 10393 10393 17500988 18955934 0 18955934 10393 -171400 -161007 18794927 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 JUNE 30, 2020 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 CLAIMS PAYABLE X 0 0 0 FRANK PALEN UNION TRUSTEE 0 144588 0 0 0 0 0 87425 0 23252 0 255265 0 0 JOSEPH DULLEA UNION TRUSTEE 0 131229 0 0 0 0 0 80995 0 22218 0 234442 0 0 REINALDO DIAZ UNION TRUSTEE 0 131229 0 0 0 0 0 80995 0 22218 0 234442 0 0 THOMAS CAREY UNION TRUSTEE 0 131229 0 0 0 0 0 80995 0 22218 0 234442 0 0 THOMAS O'BRIEN UNION TRUSTEE 0 131229 0 0 0 0 0 80995 0 22218 0 234442 0 0 FORM 990, PART VI, SECTION B, LINE 11B FORM 990 IS DISTRIBUTED TO TRUSTEES FOR REVIEW BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C COMPLIANCE OF POLICIES ARE REVIEWED AT TRUSTEE MEETINGS. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART XII, LINE 2C THE ORGANIZATION HAS A BOARD OF TRUSTEES THAT ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT AND THE ELECTION OF INDEPENDENT ACCOUNTANTS. THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. PLUMBERS & STEAMFITTERS LOCAL 21 1024 MCKINLEY STREET PEEKSKILL NY 10566 133964242 TO PROVIDE JOB OPPORTUNITIES TO MEMBERS OF THE UNION NY 501(C)(5) N/A 0 PLUMBERS & STEAMFITTERS LOCAL 21 PENSION FUND 1024 MCKINLEY STREET PEEKSKILL NY 10566 131847042 TO PROVIDE PENSION BENEFITS TO PARTICIPANTS OF THE FUND NY 401(A) N/A 0 PLUMBERS & STEAMFITTERS LOCAL 21 PENSION FUND ZONE II 1024 MCKINLEY STREET PEEKSKILL NY 10566 146092681 TO PROVIDE PENSION BENEFITS TO PARTICIPANTS OF THE FUND NY 401(A) N/A 0 PLUMBERS & STEAMFITTERS LOCAL 21 EDUCATION FUND 1024 MCKINLEY STREET PEEKSKILL NY 10566 134015617 TO PROVIDE EDUCATION & TRAINING TO PARTICIPANTS OF THE FUND NY 501(C)(3) N/A 0 PLUMBERS & STEAMFITTERS LOCAL 21 ANNUITY FUND 1024 MCKINLEY STREET PEEKSKILL NY 10566 136320256 TO PROVIDE ANNUITY BENEFITS TO PARTICIPANTS OF THE FUND NY 401(A) N/A 0 WEST&PUT IND LABOR MGMT COMM 1024 MCKINLEY STREET PEEKSKILL NY 10566 134015609 SUPPORT LABOR MANAGEMENT NY 501(C)(5) N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 PLUMBERS & STEAMFITTERS LOCAL 21 ADMIN FUND O 376150 TIME STUDY PLUMBERS & STEAMFITTERS LOCAL 21 ADMIN FUND P 32944 ALLOCATION FACTORS 1024 MCKINLEY STREET LLC N 29440 RENT STUDY