2021-02-03T10:57:19-06:00 2020-04-30 611456956 NOVAK FRANCELLA LLC ONE PRESIDENTIAL BLVD SUITE 330 BALA CYNWYD PA 19004 990 2019-05-01 232892285 BRICKLAYERS AND ALLIED CRAFTWORKERS LOCAL 1 PA/DE HEALTH & WELFARE FUND BRIC 2158569663 2704 BLACK LAKE PLACE PHILADELPHIA PA 19154 DENNIS J PAGLIOTTI TRUSTEE 2158569520 2021-02-03 LOUIS VERZELLA CPA P00360279 6106689400 2021-01-27 2019 2022-09-23 18:48:47Z DENNIS J PAGLIOTTI 2704 BLACK LAKE PLACE PHILADELPHIA PA 19154 27686046 0 X WWW.BAC1PA-DE.ORG X 1997 PA PROVISION OF HEALTH AND WELFARE BENEFITS TO ELIGIBLE UNION MEMBERS 12 4 0 0 0 0 0 0 28415532 26796104 764129 811156 105537 78786 29285198 27686046 0 0 25332572 23561861 0 0 0 0 0 1576726 1544971 26909298 25106832 2375900 2579214 40537411 44033407 251307 320168 40286104 43713239 PROVISION OF HEALTH AND WELFARE BENEFITS TO ELIGIBLE UNION MEMBERS 0 0 PROVISION OF HEALTH AND WELFARE BENEFITS TO ELIGIBLE UNION MEMBERS 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 3 0 0 0 0 0 0 0 0 0 0 X 12 4 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 0 0 0 X BRICKLAYERS BENEFIT PLANS INC 2158569663 2704 BLACK LAKE PLACE PHILADELPHIA PA 19154 DENNIS PAGLIOTTI UNION TRUSTEE 5.00 40.00 X 0 170185 103833 DALE DOUGLAS UNION TRUSTEE 2.00 40.00 X 0 128692 85563 DONALD ANDERSON UNION TRUSTEE (P) 2.00 40.00 X 0 33537 24738 JOSEPH BATTAGLIA UNION TRUSTEE 2.00 40.00 X 0 146445 86835 MARK CANNON MANAGEMENT TRUSTEE 2.00 X 0 0 0 NICHOLAS SABIA MANAGEMENT TRUSTEE 2.00 X 0 0 0 DAVE CRAWFORD MANAGEMENT TRUSTEE 2.00 X 0 0 0 AMY HENNESSEY MANAGEMENT TRUSTEE 2.00 X 0 0 0 AL MARTINO UNION TRUSTEE 2.00 40.00 X 0 128692 80609 JUSTIN SCARCINI UNION TRUSTEE 2.00 40.00 X 0 128692 86317 RICH NEWCOMB UNION TRUSTEE 2.00 40.00 X 0 128692 86057 MATT STAFFORD UNION TRUSTEE (P) 2.00 40.00 X 0 128692 86057 PHIL MANTSON UNION TRUSTEE 2.00 40.00 X 0 73035 47473 RICK TULOWITSKI UNION TRUSTEE 2.00 40.00 X 0 120337 83641 0 1186999 771123 0 0 1 0 INDEPENDENCE BLUE CROSS 1901 MARKET STREET PHILADELPHIA PA 19103 CLAIMS PROCESSING 831627 BRICKLAYERS BENEFIT PLANS INC 2704 BLACK LAKE PLACE PHILADELPHIA PA 19154 THIRD PARTY ADMINISTRATOR 374436 GUARDIAN NURSES PO BOX 224 FLOURTOWN PA 19031 CLAIMS PROCESSING 196900 3 EMPLOYER CONTRIBUTIONS 900099 25617657 25617657 PARTICIPANT VACATION CONTRIBUTION 900099 802027 802027 PARTICIPANT COBRA CONTRIBUTIONS 900099 376420 376420 26796104 811156 811156 LIQUIDATED DAMAGES 900099 71895 71895 OTHER INCOME 900099 6891 6891 78786 27686046 26874890 0 811156 23561861 374436 59297 85367 1000119 4357 14922 FEES MANDATED BY THE AC 6473 25106832 1260139 890895 259586 5330648 3388177 126195 16005 38646 38646 0 0 33092429 38750744 728000 728000 40537411 44033407 80912 248369 170395 71799 251307 320168 X 0 0 0 0 40286104 43713239 40286104 43713239 40537411 44033407 2579214 847921 0 X X 0 1 X 1 0 38646 38646 0 0 DUE TO RELATED BENEFIT FUNDS 720 RECIPROCAL CONTRIBUTIONS PAYABLE 71079 71799 X 28533967 847921 847921 27686046 0 27686046 25106832 0 25106832 0 25106832 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. 0 0 0 DENNIS PAGLIOTTI UNION TRUSTEE 0 170185 0 0 0 0 0 85579 0 18254 0 274018 0 0 DALE DOUGLAS UNION TRUSTEE 0 128692 0 0 0 0 0 67803 0 17760 0 214255 0 0 JOSEPH BATTAGLIA UNION TRUSTEE 0 146445 0 0 0 0 0 68927 0 17908 0 233280 0 0 AL MARTINO UNION TRUSTEE 0 128692 0 0 0 0 0 62849 0 17760 0 209301 0 0 JUSTIN SCARCINI UNION TRUSTEE 0 128692 0 0 0 0 0 68557 0 17760 0 215009 0 0 RICH NEWCOMB UNION TRUSTEE 0 128692 0 0 0 0 0 68297 0 17760 0 214749 0 0 MATT STAFFORD UNION TRUSTEE (P) 0 128692 0 0 0 0 0 68297 0 17760 0 214749 0 0 RICK TULOWITSKI UNION TRUSTEE 0 120337 0 0 0 0 0 65881 0 17760 0 203978 0 0 FORM 990, PART VI, SECTION A, LINE 8B THE FUND DOES NOT COMMITTES THAT ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION'S FORM 990 WAS PREPARED BY THE INDEPENDENT ACCOUNTANT. A COPY OF THE FORM 990 WAS THEN PROVIDED TO THE PLAN ADMINISTRATOR AND JOINT BOARD OF TRUSTEES FOR THEIR REVIEW AND APPROVAL PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION MAINTAINS A CONFLICT OF INTEREST POLICY. UNDER THE TERMS OF THAT POLICY ALL EMPLOYEES OF THE ORGANIZATION ARE REQUIRED TO REPORT TO THE PLAN ADMINISTRATOR ANY ACTIONS OR INCIDENTS WHICH MAY BE IN VIOLATION OF THE POLICY. IN ADDITION, ALL ACTIONS, EXPENSES AND OTHER TRANSACTIONS ENGAGED IN BY THE PLAN ADMINISTRATOR AND EMPLOYEES WHICH ARE UNDERTAKEN IN THE COURSE OF THEIR EMPLOYMENT OR WHICH RELATED TO THE BUSINESS OF THE ORGANIZATION ARE SUBJECT TO REVIEW BY THE ORGANIZATIONS JOINT BOARD OF TRUSTEES. THE ORGANIZATION, AS A MULTI-EMPLOYER COLLECTIVELY BARGAINED WELFARE BENEFIT PLAN, IS SUBJECT TO REGULATION OF ITS INTERNAL OPERATIONS, INCLUDING FISCAL MATTERS, PURSUANT TO THE EMPLOYEE RETIREMENT INCOME SECURITY ACT OF 1974 (ERISA). IN ADDITION, THE ORGANIZATION IS SUBJECT TO PERIODIC REVIEWS BY THE DEPARTMENT OF LABOR. IF AS A RESULT OF THE ABOVE PROCESSES, ANY INCIDENTS OR ACTS ARE DETERMINED TO BE IN VIOLATION OR TO BE A POTENTIAL VIOLATION OF THE ORGANIZATIONS CONFLICT OF INTEREST POLICY, SUCH INCIDENTS OR ACTS ARE BROUGHT TO THE ATTENTION OF THE PLAN ADMINISTRATOR AND/OR JOINT BOARD OF TRUSTEES OF THE PLAN FOR APPROPRIATE REMEDIAL ACTION. FORM 990, PART VI, SECTION C, LINE 19 NO DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED. 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