2020-10-20T15:07:53-05:00 2019-12-31 131577780 SCHULTHEIS & PANETTIERI LLP 450 WIRELESS BLVD HAUPPAUGE NY 11788 990 2019-01-01 135542693 CEMENT AND CONCRETE WORKERS DC WELFARE FUND CEME 7187626133 35-30 FRANCIS LEWIS BLVD NO 201 FLUSHING NY 11358 ANGELO ANGELONE TRUSTEE 7187626133 2020-10-20 1 CAROL WESTFALL P00539069 6312734778 173.56.115.218 2020-10-20 15:51:46 ED P 3D4AE2E8976E81368E472ACBB9DF04FDA774F33F 3D4AE2E8976E81368E472ACBB9DF04FDA774F33F 2019 2021-04-22 16:20:28Z MARGARET BOWEN 35-30 FRANCIS LEWIS BLVD NO 201 FLUSHING NY 11358 96211532 0 X WWW.CCWBF.ORG X NY TO PROVIDE HEALTH AND OTHER BENEFITS TO ELIGIBLE PARTICIPANTS. 7 7 12 0 0 0 0 0 29714524 27223545 4532265 11808278 72055 131544 34318844 39163367 0 0 35356840 35803992 1107302 1357022 0 0 0 1202461 1283860 37666603 38444874 -3347759 718493 114605489 116121628 10438286 8241261 104167203 107880367 TO PROVIDE HEALTH AND OTHER BENEFITS TO ELIGIBLE PARTICIPANTS. 0 0 TO PROVIDE HEALTH AND OTHER BENEFITS TO ELIGIBLE PARTICIPANTS. 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 1 0 0 1 664 0 1 12 0 0 0 0 0 0 0 0 0 X 7 7 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X MARGARET BOWEN 7187626133 35-30 FRANCIS LEWIS BLVD FLUSHING NY 11358 X ANGELO ANGELONE UNION TRUSTEE 1.00 X 0 0 0 MICHAEL SALGO EMP TRUSTEE 1.00 X 0 0 0 ERIC LEE EMP TRUSTEE 1.00 X 0 0 0 ANTHONY AMELLA UNION TRUSTEE 1.00 X 0 0 0 KIERAN O'SULLIVAN UNION TRUSTEE 1.00 X 0 0 0 JOHN PETERS UNION TRUSTEE 1.00 X 0 0 0 KEVIN O'BRIEN EMP TRUSTEE 1.00 X 0 0 0 MARGARET BOWEN FUND ADMINISTRATOR 40.00 X 244385 0 36577 ABBY KAPLAN ASSISTANT FUND ADMINISTRATOR 40.00 X 161451 0 30348 405836 0 66925 2 0 1 0 EMPIRE HEALTHCHOICE ASSURANCE INC ONE LIBERTY PLAZA STE 200 NEW YORK NY 10006 HEALTH CLAIMS PROCES 917451 GORLICK KRAVITZ & LISTHAUS PC 17 STATE STREET 4TH FLR NEW YORK NY 100041501 LEGAL 362608 FRANK M VACCARO & ASSOC 27 ROLAND AVE STE 200 MT LAUREL NJ 08054 CONSULTING 185572 PROSKAUER ROSE LLP 11 TIMES SQUARE NEW YORK NY 10036 LEGAL 140683 COHEN WEISS & SIMON LLP 900 THIRD AVE NEW YORK NY 10022 LEGAL 118537 6 EMPLOYER CONTRIBUTIONS 238900 20370711 20370711 PARTICIPANT CONTRIBUTIONS 238900 6852834 6852834 27223545 898680 898680 67957763 57048165 10909598 10909598 10909598 OTHER INCOME 238900 131544 131544 131544 39163367 27355089 0 11808278 35803992 280962 799985 161292 35842 78941 625644 143149 245040 235805 96171 143700 133068 3334 36721 REIMBURSED EXPENSES -378772 38444874 6105466 7242831 2300101 1077456 6481689 7563625 400110 3334 254120 396776 17089720 20852259 82331979 78935684 42414 52997 114605489 116121628 214161 191094 10224125 8050167 10438286 8241261 X 0 0 0 0 104167203 107880367 104167203 107880367 114605489 116121628 718493 2994671 0 X 0 1 X 1 0 400110 3334 396776 396776 COMMON/COLLECTIVE TRUST FUNDS 31641207 F PARTNERSHIP/JOINT VENTURE INTERESTS 15460221 F UNALLOCATED INSURANCE CONTRACTS 16329174 F 103-12 INVESTMENT ENTITIES 15505082 F 78935684 DUE TO AFFILIATES 1596764 PLANS CURRENT BENEFIT OBLIGATIONS 6453403 8050167 41912998 2994671 2994671 38918327 245040 245040 39163367 39286431 0 39286431 245040 -1086597 -841557 38444874 PART XII, LINE 4B - OTHER ADJUSTMENTS: CHANGE IN IBNR -1,086,597. X 0 0 0 MARGARET BOWEN FUND ADMINISTRATOR 244385 0 0 0 0 0 32817 0 3760 0 280962 0 0 0 ABBY KAPLAN ASSISTANT FUND ADMINISTRATOR 161451 0 0 0 0 0 26292 0 4056 0 191799 0 0 0 ALEXA ANGELONE FAMILY MEMBER 44848 EMPLOYMENT 0 FORM 990, PART VI, SECTION B, LINE 11B A COPY OF FORM 990 IS PROVIDED TO ALL VOTING MEMBERS OF THE GOVERNING BODY AND REVIEWED AT A REGULARLY SCHEDULED BOARD MEETING PRIOR TO SUBMISSION. FORM 990, PART VI, SECTION B, LINE 12C AS REQUIRED BY THE FUND'S POLICY AND BY ERISA, OFFICERS, DIRECTORS, AND KEY EMPLOYEES HAVE A CONTINUOUS OBLIGATION TO REPORT POTENTIAL CONFLICTS OF INTEREST. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS ARE AVAILABLE TO THE PUBLIC TO THE EXTENT REQUIRED BY LAW. PARTICIPANTS MAY VIEW DOCUMENTS AT THE FUND OFFICE UPON REQUEST. CCW ANNUITY FUND 35-30 FRANCIS LEWIS BLVD STE 201 FLUSHING NY 11358 112942389 EMPLOYEE BENEFIT FUND NY 501(A) N/A N/A 0 CCW PENSION FUND 35-30 FRANCIS LEWIS BLVD STE 201 FLUSHING NY 11358 135629824 EMPLOYEE BENEFIT FUND NY 501(A) N/A N/A 0 CCW SCHOLARSHIP FUND 35-30 FRANCIS LEWIS BLVD STE 201 FLUSHING NY 11358 306082178 SCHOLARSHIP FUND NY 501(C)3 10 N/A 0 CCW LABOR MGMT FUND 30-56 WHITESTONE EXWY STE 320 FLUSHING NY 11354 616337806 LABOR ORGANIZATION NY 501(C)5 N/A N/A 0 CCW TRAINING AND EDUC FUND 29-18 35TH AVENUE ASTORIA NY 11106 113443290 EMPLOYEE BENEFIT FUND NY 501(C)3 N/A N/A 0 LIUNA LOCAL 18A 4235 KATONAH AVE BRONX NY 10741 130558180 LABOR ORGANIZATION NY 501(C)5 N/A N/A 0 LIUNA CEMENT & CONCRETE LOCAL 20 36-36 33RD STREET ASTORIA NY 11106 130872405 LABOR ORGANIZATION NY 501(C)5 N/A N/A 0 CONCRETE WORKERS LOCAL 6A 30-56 WHITESTONE EXPRESSWAY FLUSHING NY 11354 134988576 LABOR ORGANIZATION NY 501(C)5 N/A N/A 0 CONCRETE WORKERS DISTRICT COUNCIL 30-56 WHITESTONE EXPRESSWAY FLUSHING NY 11354 135541522 LABOR ORGANIZATION NY 501(C)5 N/A N/A 0 GBLL 66 WELFARE FUND 1600 WALT WHITMAN RD MELVILLE NY 11747 111627279 WELFARE FUND NY 501A N/A N/A 0 LABORERS LOCAL 235 WELFARE FUND 41 KNOLLWOOD RD ELMSFORD NY 10523 131777458 WELFARE FUND NY 501A N/A N/A 0 NEW YORK STATE LABORERS ORG FUND 35-11 35TH AVE ASTORIA NY 11106 208063145 LABOR ORGANIZATION NY 501(C)5 N/A N/A 0 CCW ORGANIZING FUND 29-18 35TH AVENUE ASTORIA NY 11106 830561890 LABOR ORGANIZATION NY 501(C)5 N/A N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 SCHEDULE R, PART II AND IV: CERTAIN TRUSTEES LISTED ON PART VII, SECTION A, SERVE AS VOLUNTEERS AND DO NOT RECEIVE COMPENSATION FROM THIS ORGANIZATION OR ANY RELATED ORGANIZATION. CERTAIN TRUSTEES LISTED ON PART VII, SECTION A, DO NOT RECEIVE COMPENSATION FROM THIS ORGANIZATION, BUT DO RECEIVE COMPENSATION FROM RELATED ORGANIZATIONS IN THEIR CAPACITY AS EMPLOYEES/OFFICERS OF THOSE ORGANIZATIONS. ACCORDINGLY, THEIR COMPENSATION IS REPORTED ON THE FORM 990 OF THOSE RELATED ORGANIZATIONS. THE INFORMATION DISCLOSED IN THE ATTACHED SCHEDULES OF RELATED PARTIES IS THAT WHICH WAS AVAILABLE TO THIS ORGANIZATION AT THE TIME OF THIS FILING. 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