2020-07-23T09:41:42-05:00 2019-12-31 611436956 NOVAK FRANCELLA LLC ONE PRESIDENTIAL BLVD SUITE 330 BALA CYNWYD PA 19004 990 2019-01-01 236263170 CENTRAL PENNSYLVANIA TEAMSTERS HEALTH AND WELFARE FUND CENT 6103205500 1055 SPRING STREET WYOMISSING PA 19610 WILLIAM M SHAPPELL TRUSTEE TRUSTEE 6103205500 2020-07-23 1 LOUIS VERZELLA CPA P00360279 6106689400 2020-06-24 162.211.205.39 2020-07-23 09:40:16 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 214E2DE4754F8F73DD572B34B07E6CCBC316F7C9 2019 2020-09-23 17:36:50Z JOE SAMOLEWICZ 1055 SPRING STREET WYOMISSING PA 19610 274445044 0 X WWW.CENTRALPATEAMSTERS.COM X 1952 PA TO PROVIDE HEALTH AND WELFARE BENEFITS TO ELIGIBLE MEMBERS OF COLLECTIVELY BARGAINED EMPLOYERS. 9 4 0 0 0 0 0 0 121546382 122625633 4444671 12494513 389 5980 125991442 135126126 0 0 107993919 105621768 3570028 3602711 0 0 0 2933962 3226294 114497909 112450773 11493533 22675353 117586754 145300133 816440 1013679 116770314 144286454 TO PROVIDE HEALTH AND WELFARE BENEFITS TO ELIGIBLE MEMBERS OF COLLECTIVELY BARGAINED EMPLOYERS. 0 0 TO PROVIDE HEALTH AND WELFARE BENEFITS TO ELIGIBLE MEMBERS AND THEIR DEPENDENTS. 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 2233 0 0 0 0 0 0 0 0 0 0 X 9 4 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 1 1 1 0 X JOSEPH J SAMOLEWICZ 6103205500 1055 SPRING ST WYOMISSING PA 19610 X WILLIAM SHAPPELL UNION TRUSTEE 2.00 50.00 X 0 107482 71148 THOMAS J VENTURA EMPLOYER TRUSTEE 2.00 X 0 0 0 DANIEL SCHMIDT EMPLOYER TRUSTEE 2.00 X 0 0 0 HOWARD W RHINIER UNION TRUSTEE 2.00 40.00 X 0 103593 46063 KEN ROSS EMPLOYER TRUSTEE 2.00 X 0 0 0 CHARLES SHAFER UNION TRUSTEE 2.00 40.00 X 0 108007 39202 JEFFREY STRAUSE UNION TRUSTEE (P) 2.00 50.00 X 0 49275 39420 ERIC BUCHEIT EMPLOYER TRUSTEE (P) 2.00 X 0 0 0 KEVIN BOLIG UNION TRUSTEE 2.00 50.00 X 0 102072 59507 BRYAN SWAIM EMPLOYER TRUSTEE 2.00 X 0 0 0 KEVIN MOYER UNION TRUSTEE 2.00 40.00 X 0 85345 68276 JOSEPH J SAMOLEWICZ FUND ADMINISTRATOR 22.50 22.50 X 0 178006 97662 MARTIN L CULLEN ASST FUND ADMINISTRATOR 22.50 22.50 X 0 130678 78761 JAMES STRICKER INFORMATION TECHNOLOGY 22.50 22.50 X 0 116846 83515 0 981304 583554 0 0 1 0 MERITAIN HEALTH INC 300 CORPORATE PARKWAY 100S AMERST NY 14226 CLAIMS PROCESSING 2080981 GLOBAL PHARMACEUTICAL BENEFITS LLC 3735 CASTOR AVE PHILADELPHIA PA 19124 CLAIMS PROCESSING 623717 BASYS INC 3700 KOPPERS ST STE 400 BALTIMORE MD 21227 COMPUTER SERVICES 279181 DELTA DENTAL OF PENNSYLVANIA ONE DELTA DRIVE MECHANICSBURG PA 17055 CLAIMS PROCESSING 230130 WILLIG WILLIAMS & DAVIDSON 1845 WALNUT STREET - 24TH FLOOR PHILADELPHIA PA 19103 ATTORNEY 174212 8 EMPLOYER CONTRIBUTIONS 525100 116679992 116679992 PARTICIPANT CONTRIBUTIONS 525100 5134168 5134168 RETIREE DRUG SUBSIDY-MEDICARE PAR 525100 811473 811473 122625633 3677884 3677884 148135547 139318918 8816629 8816629 8816629 MISCELLANEOUS INCOME 900099 5980 5980 5980 135126126 122625633 0 12500493 105621768 1673306 975204 813914 140287 445094 72920 287734 1072354 565080 419674 151002 44594 49326 84648 FEES MANDATED BY ACA 31855 PAYROLL AUDIT EXPENSE 1931 ALLOCATED DEPRECIATION 82 112450773 10799727 20658060 2543231 2684588 9586853 9958430 298169 94420 2990096 2449579 284977 540517 83561976 100225476 9740325 10292103 771496 846539 117586754 145300133 699038 731418 117402 282261 816440 1013679 X 0 0 0 0 116770314 144286454 116770314 144286454 117586754 145300133 22675353 4840787 0 X X 0 1 X 1 0 1574 1574 0 285567 66034 219533 2444381 2128799 315582 258574 253172 5402 540517 LIMITED PARTNERSHIP 10292103 F 10292103 DUE TO BROKER FOR PURCHASES OF SECURITIES 282261 282261 X 139679179 4840787 4840787 134838392 287734 287734 135126126 112163039 0 112163039 287734 287734 112450773 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. PART XI, LINE 4B - OTHER ADJUSTMENTS: PASS THROUGH LOSS FROM PARTNERSHIP K-1'S X 0 0 0 WILLIAM SHAPPELL UNION TRUSTEE 0 107482 0 0 0 0 0 40732 0 30416 0 178630 0 0 KEVIN BOLIG UNION TRUSTEE 0 102072 0 0 0 0 0 39943 0 19564 0 161579 0 0 KEVIN MOYER UNION TRUSTEE 0 85345 0 0 0 0 0 68276 0 0 0 153621 0 0 JOSEPH J SAMOLEWICZ FUND ADMINISTRATOR 0 178006 0 0 0 0 0 52429 0 45233 0 275668 0 0 MARTIN L CULLEN ASST FUND ADMINISTRATOR 0 130678 0 0 0 0 0 45588 0 33173 0 209439 0 0 JAMES STRICKER INFORMATION TECHNOLOGY 0 116846 0 0 0 0 0 43587 0 39928 0 200361 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE INDEPENDENT PUBLIC ACCOUNTANT, NOVAK FRANCELLA LLC, PRESENTS A DRAFT FORM 990 TO THE TRUSTEES AT A MEETING TO BE HELD PRIOR TO THE FILING FOR TRUSTEE REVIEW AS WELL AS LEGAL COUNSEL REVIEW. FORM 990, PART VI, SECTION B, LINE 12C ONCE A YEAR, THE CONFLICT OF INTEREST POLICY IS LOOKED AT FOR THE INVESTMENT MANAGERS AND INVESTMENT CONSULTANT. THE TRUSTEES AND KEY EMPLOYEES ARE SUPPOSED TO DISCLOSE ANY CONFLICT AS SOON AS THEY KNOW ABOUT IT. FORM 990, PART VI, SECTION B, LINE 15 THE TRUSTEES REVIEW THE ADMINISTRATOR'S SALARY ON A YEARLY BASIS IN EXECUTIVE SESSION. THE SALARY INCREASES FOR ASSISTANT ADMINISTRATOR, CONTROLLER, HR MANAGER, IT MANAGER AND ALL OTHER EMPLOYEES ARE DISCUSSED AS FOLLOWS: THE CONTROLLER GETS THE CPI NUMBER FOR THE YEAR AND THE ASSISTANT ADMINISTRATOR USES THAT PERCENTAGE AS A PROPOSED BASIS FOR SALARY INCREASES. AT THAT POINT THE COMPENSATION COMMITTEE IS GIVEN THE PROPOSED PERCENTAGE AS WELL AS HOW MUCH THAT PERCENTAGE WOULD COST THE FUND. THE COMPENSATION COMMITTEE AND THE TRUSTEES THEN HAVE A MEETING WITH THE ADMINISTRATOR AND INFORM HIM OF THE APPROVED INCREASE AND WHETHER OR NOT THERE WOULD BE ANY MERIT INCREASES ALLOWED. FORM 990, PART VI, SECTION C, LINE 19 THE FUND SENDS THE GOVERNING DOCUMENTS (SPD) TO ALL MEMBERS WHEN PRINTED AS WELL AS TO ALL NEW MEMBERS. CONFLICT OF INTEREST POLICY - NOT GIVEN TO PARTICIPANTS. ALL PARTICIPANTS ARE SENT SAR'S ANNUALLY AND THE FINANICAL STATEMENT IS MADE AVAILABLE UPON REQUEST. FORM 990, PART VII, SECTION A: JOSEPH J. SAMOLEWICZ, FUND ADMINISTRATOR, WORKED 22.50 HOURS FOR RELATED ORGANIZATIONS. MARTIN L. CULLEN, ASST. FUND ADMINISTRATOR, WORKED 22.50 HOURS FOR RELATED ORGANIZATIONS. FORM 990, PART XII, LINE 2C: THE GOVERNING BODY (TRUSTEES) OF CENTRAL PENNSYLVANIA TEAMSTERS HEALTH AND WELFARE FUND ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS AND SELECTION OF INDEPENDENT ACCOUNTANT THAT PERFORMS THE AUDIT. 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