2021-11-05T12:22:10-05:00 2020-12-31 131578842 BUCHBINDER TUNICK & CO LLP ONE PENN PLAZA - SUITE 3200 NEW YORK NY 101193601 990 2020-01-01 221461069 TRUCKING EMPLOYEES OF NORTH JERSEY WELFARE FUND TRUC 2018673553 707 SUMMIT AVE UNION CITY NJ 07087 ROBERT BLUMENFELD FUND ADMINISTRATOR 2018673553 2021-10-29 1 ROBERT BLUMENFELD 999009999 GREG AUTERI P01366109 2126955003 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z ROBERT BLUMENFELD 707 SUMMIT AVE UNION CITY NJ 07087 39992522 0 X WWW.560BENEFITFUNDS.COM X 1948 NJ TO PROVIDE HEALTH BENEFITS TO ELIGIBLE PARTICIPANTS 6 3 27 0 0 0 0 0 17068658 15032513 1446973 1432350 702342 596689 19217973 17061552 0 0 20303040 15408912 958133 993338 0 0 0 788933 785579 22050106 17187829 -2832133 -126277 40169293 41072754 3367511 3513493 36801782 37559261 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 1 367 0 27 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 112089 79876 LAMAR E BEINHOWER EMPLOYER TRUSTEE 1.00 X 0 0 0 EDWIN H STIER UNION TRUSTEE 1.00 X 1750 0 0 GEORGE KREIS EMPLOYER TRUSTEE 1.00 X 0 0 0 JOSEPH DIPALMA UNION TRUSTEE 1.00 40.00 X 0 104679 77781 WILLIAM NATIONS EMPLOYER TRUSTEE 1.00 X 0 0 0 KEVIN BIGLEY UNION TRUSTEE ALTERNATE 1.00 40.00 X 0 95094 77781 NICHOLAS PICARELLO EMPLOYER TRUSTEE ALTERNATE 1.00 X 0 0 0 ROBERT BLUMENFELD FUND ADMINISTRATOR 12.00 X 238040 0 60235 BRIAN MCCLOSKEY CONTROLLER 8.00 X 179556 0 55465 419346 311862 351138 2 0 1 0 HORIZON BLUE CROSS BLUE SHIELD PO BOX 15306 NEWARK NJ 07105 HEALTH CARE PROVIDER 349801 CHANGE HEALTHCARE SOLUTIONS LLC 3055 LEBANON PIKE NASHVILLE TN 37214 CLAIMS REPRICING AGENT 232868 SEGAL COMPANY 333 WEST 3RD STREET NEW YORK NY 10001 ACTUARY 120434 3 EMPLOYER CONTRIBUTIONS 525100 12573729 12573729 PARTICIPANT CONTRIBUTIONS 525100 1774152 1774152 PARTICIPANT RX CONTRIBUTIONS 525100 602759 602759 COBRA CONTRIBUTIONS 525100 81873 81873 15032513 1023036 1023036 23340284 22930970 409314 409314 409314 PRESCRIPTION REBATE INCOME 525100 595783 595783 OTHER REVENUE 525100 906 906 596689 17061552 15629202 0 1432350 15408912 300025 315235 144834 186734 46510 161590 37500 87698 130839 85182 165872 74446 27 8879 32586 DUES AND SUBSCRIPTIONS 960 17187829 5578345 3212857 1421363 1167271 41506 13967 296721 280345 14770 16376 31661280 32102871 0 3178693 1452029 1380719 40169293 41072754 322311 458593 0 537400 3045200 2517500 3367511 3513493 X 0 0 0 0 36801782 37559261 36801782 37559261 40169293 41072754 -126277 883756 0 X X 0 1 X 1 0 44272 44272 0 227575 211199 16376 24874 24874 0 16376 LIMITED PARTNERSHIP 3178693 F 3178693 CLAIMS PAYABLE AND CLAIMS INCURRED BUT NOT REPORTED 2517500 2517500 X 17857610 883756 883756 16973854 87698 87698 17061552 17627831 0 17627831 87698 -527700 -440002 17187829 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, 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. 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 2017. PART XII, LINE 4B - OTHER ADJUSTMENTS: CHANGE IN BENEFIT OBLIGATIONS -527,700. X 0 0 0 ROBERT BLUMENFELD FUND ADMINISTRATOR 238040 0 0 0 0 0 33443 0 26792 0 298275 0 0 0 BRIAN MCCLOSKEY CONTROLLER 179556 0 0 0 0 0 28673 0 26792 0 235021 0 0 0 ANTHONY VALDNER UNION TRUSTEE 0 111176 0 0 0 913 0 53750 0 26126 0 191965 0 0 JOSEPH DIPALMA UNION TRUSTEE 0 103551 0 0 0 1128 0 51655 0 26126 0 182460 0 0 KEVIN BIGLEY UNION TRUSTEE ALTERNATE 0 94113 0 0 0 981 0 51655 0 26126 0 172875 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 COMMITTES 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 2020. 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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