2020-07-29T12:04:24-05:00 2019-12-31 222951202 MSPC CPAS & ADVISORS PC 340 NORTH AVENUE EAST CRANFORD NJ 070162496 990 2019-01-01 136126923 NEW YORK HOTEL TRADES COUNCIL AND HOTEL ASSOC OF NYC INC HEALTH BENEFITS FUND NEWY 2125866400 305 WEST 44TH STREET NEW YORK NY 10036 DR DAVID JACOBSON CHIEF EXECUTIVE OFFICER 2125866400 2020-07-29 1 PATRICK M TROMBETTA P00450410 9082727000 107.0.40.162 2020-07-29 12:04:20 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 7F926D27CAB0024D623411054CF6F75958FCCFC4 2019 2020-11-19 02:30:22Z DR DAVID JACOBSON 305 WEST 44TH STREET NEW YORK NY 10036 547723066 0 X HOTELFUNDS,ORG X 1944 NY TO PROVIDE MEDICAL, DENTAL, HOSPITALIZATION AND LIFE INSURANCE BENEFITS TO PARTICIPANTS. 14 14 0 0 0 0 0 0 495517694 529191273 5229289 11198203 20221 1581 500767204 540391057 0 0 476408663 539706583 6593427 6851021 0 0 0 5315775 15092535 488317865 561650139 12449339 -21259082 367188633 364860255 32251360 38320072 334937273 326540183 TO PROVIDE MEDICAL, DENTAL, HOSPITALIZATION AND LIFE INSURANCE BENEFITS TO PARTICIPANTS. 0 0 THE EXEMPT PURPOSE OF THE ORGANIZATION IS TO PROVIDE MEDICAL, SURGICAL, HOSPITAL, ACCIDENT, DENTAL, OPTICAL AND LIFE INSURANCE BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR COVERED DEPENDENTS. 0 0 0 0 0 0 0 0 0 1 0 0 1 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 1 192 0 1 0 0 0 0 0 0 0 0 0 0 0 X 14 14 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X HARRY VERAS 2125866400 305 WEST 44TH STREET NEW YORK NY 10036 PETER WARD CO-CHAIRMAN 0.10 0.60 X 0 268707 143061 VIJAY DANDAPANI CO-CHAIRMAN 0.10 0.60 X 0 0 0 CHRIS CUSACK UNION TRUSTEE 0.10 0.60 X 0 71994 40831 JAMES DONOVAN UNION TRUSTEE 0.10 0.60 X 0 84312 44966 RICHARD MAROKO UNION TRUSTEE 0.10 0.60 X 0 223229 85332 LYNN HOFFARD UNION TRUSTEE 0.10 0.60 X 0 0 0 LARRY MCNEIL UNION TRUSTEE 0.10 0.60 X 0 50460 28588 ROBERT LAFFERTY EMPLOYER TRUSTEE 0.10 0.60 X 0 0 0 GEORGE GREENE EMPLOYER TRUSTEE 0.10 0.60 X 0 0 0 SAM GRABUSH EMPLOYER TRUSTEE 0.10 0.60 X 0 0 0 GUS CECCHINI EMPLOYER TRUSTEE 0.10 0.60 X 0 0 0 DANIEL COSTELLO EMPLOYER TRUSTEE 0.10 0.60 X 0 0 0 STEVE BATTA EMPLOYER TRUSTEE 0.10 0.60 X 0 0 0 MICHAEL D'ANGELO EMPLOYER TRUSTEE 0.10 0.60 X 0 0 0 FRED GRAPSTEIN EMPLOYER TRUSTEE 0.10 0.60 X 0 0 0 DR DAVID JACOBSON CHIEF EXECUTIVE OFFICER 15.00 25.00 X 0 248077 80966 HARRY VERAS CHIEF FINANCIAL OFFICER 15.00 25.00 X 0 429429 123184 LANA T VARDANIAN CHIEF MEDICAL OFFICER 5.00 35.00 X 0 265256 58357 KARL LATORTUE MEDICAL DIRECTOR 5.00 35.00 X 0 242009 80341 CAMILLE NAPIER MEDICAL DIRECTOR 5.00 35.00 X 0 235289 75743 DOREEN SWEETING MEDICAL DIRECTOR 5.00 35.00 X 0 234805 75511 SERGE SAADOUN DIRECTOR OF CLINICAL SERVICES 5.00 35.00 X 0 209767 67521 ANDREW WINDSOR DIRECTOR OF ADMIN SERVICES 5.00 35.00 X 0 199624 64238 DR ROBERT GREENSPAN FORMER CHIEF EXECUTIVE OFFICER 15.00 25.00 X 0 922491 252027 0 3685449 1220666 0 1 1 0 EMPIRE BLUECROSSBLUESHIELD 1 LIBERTY STREET NEW YORK NY 10006 CLAIMS PROCESSOR 5603818 HACELS LLC 305 WEST 44TH STREET NEW YORK NY 10036 REAL ESTATE - RENT 1142009 FRENKEL & COMPANY 210 HUDSON STREET SUITE 601 JERSEY CITY NJ 07302 INSURANCE PROVIDER 466248 CONNECT YOUR CARE 307 INTERNATIONAL CIRCLE COKEYSVILLE MD 21030 CLAIMS PROCESSOR 406013 KANE KESSLER PC 666 THIRD AVENUE NEW YORK NY 100174041 ATTORNEY 287919 10 EMPLOYER CONTRIBUTIONS 900099 509389620 509389620 MEDICARE REIMBURSEMENTS 900099 17986086 17986086 PARTICIPANT CONTRIBUTIONS 900099 1815567 1815567 529191273 4530212 4530212 14000000 7332009 6667991 6667991 6667991 OTHER INCOME 900099 1581 1581 1581 540391057 535860845 0 4530212 539706583 4934307 1539062 377652 518877 348303 32850 9962276 618338 417180 1352153 1268 1314215 230590 PCORI FEE 185213 OTHER SERVICES 71783 BANK CHARGES 39489 561650139 33838183 257129 14163914 51556455 53494801 3870733 3919640 15194594 16174380 18737978 13539577 5657942 5198401 149630866 167390828 107439860 104261162 367188633 364860255 1065160 157072 31186200 38163000 32251360 38320072 X 334937273 326540183 334937273 326540183 367188633 364860255 -21259082 12861992 0 X X 0 1 X 1 0 6234796 4112846 2121950 7307919 4381129 2926790 5195263 5045602 149661 5198401 PREPAID BENEFITS 104261162 104261162 BENEFIT OBLIGATIONS PAYABLE 38163000 38163000 X 553220199 12861992 12861992 540358207 32850 32850 540391057 554640489 0 554640489 32850 6976800 7009650 561650139 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 DECEMBER 31, 2019 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 BENEFIT PAYABLE - $6,976,800 X 0 1 0 PETER WARD CO-CHAIRMAN 0 268707 0 0 0 0 0 73711 0 69350 0 411768 0 0 RICHARD MAROKO UNION TRUSTEE 0 223229 0 0 0 0 0 44886 0 40446 0 308561 0 0 DR DAVID JACOBSON CHIEF EXECUTIVE OFFICER 0 248077 0 0 0 0 0 51817 0 29149 0 329043 0 0 HARRY VERAS CHIEF FINANCIAL OFFICER 0 429429 0 0 0 0 0 72726 0 50458 0 552613 0 0 LANA T VARDANIAN CHIEF MEDICAL OFFICER 0 265256 0 0 0 0 0 27189 0 31168 0 323613 0 0 KARL LATORTUE MEDICAL DIRECTOR 0 242009 0 0 0 0 0 51905 0 28436 0 322350 0 0 CAMILLE NAPIER MEDICAL DIRECTOR 0 235289 0 0 0 0 0 48097 0 27646 0 311032 0 0 DOREEN SWEETING MEDICAL DIRECTOR 0 234805 0 0 0 0 0 47921 0 27590 0 310316 0 0 SERGE SAADOUN DIRECTOR OF CLINICAL SERVICES 0 209767 0 0 0 0 0 42873 0 24648 0 277288 0 0 ANDREW WINDSOR DIRECTOR OF ADMIN SERVICES 0 199624 0 0 0 0 0 40782 0 23456 0 263862 0 0 DR ROBERT GREENSPAN FORMER CHIEF EXECUTIVE OFFICER 0 922491 0 0 0 0 0 143634 0 108393 0 1174518 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE 990 IS ROUTED TO EACH MEMBER OF THE BOARD OF TRUSTEES PRIOR TO ITS FILING. FORM 990, PART VI, SECTION B, LINE 12C ALL OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES ARE REQUIRED TO SIGN A CONFLICT OF INTEREST POLICY ANNUALLY. FORM 990, PART VI, SECTION B, LINE 15 ALL COMPENSATION FOR THE ORGANIZATION'S OFFICERS AND KEY EMPLOYEES ARE SUBJECT TO REVIEW AND APPROVAL BY THE BOARD OF TRUSTEES AT TRUSTEES' MEETINGS BY MAJORITY VOTE. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION PROVIDES ITS FINANCIAL STATEMENTS TO THE PUBLIC UPON WRITTEN REQUEST. FORM 990, PART XXI, LINE 2C: THE BOARD OF TRUSTEES IS IN CHARGE OF OVERSEEING THE FINANCIAL STATEMENTS AUDIT AND SELECTION OF INDEPENDENT AUDITORS. NY HOTEL TRADES COUNCIL & HOTEL ASSOCIATION OF NYC INC PENSION FUND 305 WEST 44TH STREET NEW YORK NY 10036 131764242 TO PROVIDE RETIREMENT BENEFITS NY 1 401-1(B)(3) N/A 0 NY HOTEL TRADES COUNCIL & HOTEL ASSOCIATION OF NYC INC LEGAL SERVICES FUND 305 WEST 44TH STREET NEW YORK NY 10036 133418414 TO PROVIDE PERSONAL LEGAL ASSISTANCE NY 501(C)(9) N/A 0 NY HOTEL TRADES COUNCIL & HOTEL ASSOCIATION OF NYC INC TRAINING & SCHOLARSH 305 WEST 44TH STREET NEW YORK NY 10036 136300270 TO PROVIDE INDUSTRY TRAINING & SCHOLARSHIPS NY 501(C)(3) LINE 2 N/A 0 NY HOTEL TRADES COUNCIL & HOTEL ASSOCIATION OF NYC INC HEALTH CENTER INC 305 WEST 44TH STREET NEW YORK NY 10036 131595091 TO PROVIDE MEDICAL & SURGICAL CARE NY 501(C)(9) N/A 0 NY HOTEL TRADES COUNCIL & HOTEL ASSOCIATION OF NYC INC STAFF RETIREMENT PLA 305 WEST 44TH STREET NEW YORK NY 10036 131595091 TO PROVIDE RETIREMENT BENEFITS NY 1 401-1(B)(3) N/A 0 NY HOTEL TRADES COUNCIL & HOTEL ASSOCIATION OF NYC INC 401(K) FUND 305 WEST 44TH STREET NEW YORK NY 10036 134178178 TO PROVIDE RETIREMENT BENEFITS NY 1 401-1(B)(3) N/A 0 NY HOTEL TRADES COUNCIL & HOTEL ASSOCIATION OF NYC INC STAFF INSURANCE FUND 305 WEST 44TH STREET NEW YORK NY 10036 131531223 TO PROVIDE MEDICAL INSURANCE AND OTHER BENEFITS NY 501(C)(9) N/A 0 NY HOTEL TRADES COUNCIL & HOTEL ASSOCIATION OF NYC INC ANNUITY FUND 305 WEST 44TH STREET NEW YORK NY 10036 562290624 TO PROVIDE RETIREMENT BENEFITS NY 1 401-1(B)(3) N/A 0 NY HOTEL TRADES COUNCIL & HOTEL ASSOCIATION OF NYC INC LMC TRUST FUND 305 WEST 44TH STREET NEW YORK NY 10036 384105519 TO ENHANCE THE RELATIONSHIP BETWEEN HOTEL OWNERS AND THEIR EMPLOYEES NY 501(C)(5) N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 NY HOTEL TRADES COUNCIL & HOTEL ASSN OF NYC INC HEALTH CENTER INC P 13522586 COST ALLOCATION AGREEMENT NY HOTEL TRADES COUNCIL & HOTEL ASSN OF NYC INC HEALTH CENTER INC Q 132657 COST ALLOCATION AGREEMENT NY HOTEL TRADES COUNCIL & HOTEL ASSN OF NYC INC PENSION FUND R 167878 CONTRIBUTION AGREEMENT NY HOTEL TRADES COUNCIL & HOTEL ASSN OF NYC INC PREPAID LEGAL FUND Q 69382 COST ALLOCATION AGREEMENT NY HOTEL TRADES COUNCIL & HOTEL ASSN OF NYC INC STAFF RETIREMENT PLAN R 227206 CONTRIBUTION AGREEMENT NY HOTEL TRADES COUNCIL & HOTEL ASSN OF NYC INC PENSION FUND Q 651289 CONTRIBUTION AGREEMENT NY HOTEL TRADES COUNCIL & HOTEL ASSN OF NYC INC STAFF INSURANCE FUND Q 10626527 COST ALLOCATION AGREEMENT NY HOTEL TRADES COUNCIL & HOTEL ASSN OF NYC INC STAFF INSURANCE FUND R 565961 CONTRIBUTION AGREEMENT NY HOTEL TRADES COUNCIL & HOTEL ASSN OF NYC INC HEALTH CENTER INC R 225129791 COSTS INCURRED NY HOTEL TRADES COUNCIL & HOTEL ASSN OF NYC INC PREPAID LEGAL FUND R 22195 CONTRIBUTION AGREEMENT NY HOTEL TRADES COUNCIL & HOTEL ASSN OF NYC INC 401(K) SAVINGS PLAN Q 86200 COST ALLOCATION AGREEMENT NY HOTEL TRADES COUNCIL & HOTEL ASSN OF NYC INC PENSION FUND P 32850 COST ALLOCATION AGREEMENT NY HOTEL TRADES COUNCIL & HOTEL ASSN OF NYC INC TRAINING & SCHOLARSHIP FUND Q 2094 COST ALLOCATION AGREEMENT