2020-10-12T08:50:09-05:00 2019-12-31 611436956 NOVAK FRANCELLA LLC ONE PRESIDENTIAL BLVD SUITE 330 BALA CYNWYD PA 19004 990 2019-01-01 135521921 LAUNDRY DRY CLEANING WORKERS & ALIIED INDUSTRIES HEALTH FUND WORKERS UNITED AMAL 9143675000 333 WESTCHESTER AVENUE WHITE PLAINS NY 106042910 MICHAEL POTACK TRUSTEE 9143675000 2020-10-12 1 LOUIS VERZELLA CPA P00360279 6106689400 2020-10-05 162.211.205.39 2020-10-12 08:48:35 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 214E2DE4754F8F73DD572B34B07E6CCBC316F7C9 2019 2021-04-22 16:20:28Z MICHAEL POTACK 275 7TH AVENUE NEW YORK NY 10001 85954180 0 X N/A X 1946 NY VEBA HEALTH FUND PROVIDING HEALTH BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS. 6 3 0 0 0 0 0 0 16117088 17178952 2590581 2052169 14000 15100 18721669 19246221 0 0 12643658 14785946 226165 235832 0 0 0 2012979 2077252 14882802 17099030 3838867 2147191 20948490 23435271 389174 357285 20559316 23077986 TO PROVIDE MEDICAL, HOSPITALIZATION, DENTAL, VISION AND PRESCRITION BENEFITS PAID TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS. 0 0 MEDICAL, HOSPITALIZATION, DENTAL, VISION AND PRESCRITION BENEFITS PAID TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS. 0 0 0 0 0 0 0 0 0 0 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 37 0 0 0 0 0 0 0 0 0 0 X 6 3 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X FUND OFFICE 9143675000 333 WESTCHESTER AVENUE WHITE PLAINS NY 106042910 ALBERTO ARROYO UNION TRUSTEE 1.00 40.00 X 0 121220 39798 MICHAEL POTACK EMPLOYER TRUSTEE 1.00 X 0 0 0 BRIAN SANTONELLO EMPLOYER TRUSTEE 1.00 X 0 0 0 WILFREDO LARANCUENT UNION TRUSTEE (P) 1.00 40.00 X 0 21150 34815 MEGHAN CHAMBERS UNION TRUSTEE 1.00 40.00 X 0 121220 39671 JOHN MAGLIOCCO EMPLOYER TRUSTEE 1.00 X 0 0 0 0 263590 114284 0 0 1 0 ALICARE INC 333 WESTCHESTER AVENUE WHITE PLAINS NY 10604 ADMINISTRATIVE & INVESTMENT SERVICES 1689594 EMPIRE HEALTHCHOICE ASSURANCE INC ONE LIBERTY PLAZA NEW YORK NY 10006 CLAIM PROCESSING FEE 577919 SCHULTE ROTH & ZABEL LLP 919 THIRD AVENUE NEW YORK NY 10022 LEGAL 132228 3 EMPLOYER CONTRIBUTIONS 525100 17104442 17104442 MEMBER CONTRIBUTIONS 525100 66033 66033 COBRA CONTRIBUTIONS 525100 8477 8477 17178952 592674 592674 68167454 66707959 1459495 1459495 1459495 SHARED EXPENSE REIMBURSEMENTS 525100 15100 15100 15100 19246221 17194052 0 2052169 14785946 147702 20580 53673 13877 1575594 172305 35588 118507 66895 29323 18000 5164 1247 26585 ALLOCATED PAYROLL AND C 19600 FEES MANDATED BY THE AF 8444 17099030 250 250 1444502 1546977 867215 1112997 200 212 14282246 17817291 4049899 2580306 304178 377238 20948490 23435271 100174 161159 289000 196126 389174 357285 X 0 0 0 0 20559316 23077986 20559316 23077986 20948490 23435271 2147191 371479 0 X X 0 1 X 1 0 0 HEDGE FUND OF FUNDS - DIVERSIFIED 382318 F COMMON COLLECTIVE TRUST 2197988 F 2580306 DUE TO RELATED ENTITIES 19600 CASH OVERDRAFT 89044 OBLIGATION TO DISTRIBUTE CONTRIBUTIONS TO RELATED PARTIES 77433 FEES MANDATED BY THE AFFORDABLE CARE ACT 8444 DUE TO OTHER ENTITIES 1410 DU TO ALICO 195 196126 X 19484093 371479 371479 19112614 118507 15100 133607 19246221 16965423 0 16965423 118507 15100 133607 17099030 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: SHARED REIMBURSED EXPENSES 15,100. PART XII, LINE 4B - OTHER ADJUSTMENTS: SHARED REIMBURSED EXPENSES 15,100. 0 0 0 ALBERTO ARROYO UNION TRUSTEE 0 121220 0 0 0 0 0 0 0 39798 0 161018 0 0 MEGHAN CHAMBERS UNION TRUSTEE 0 121220 0 0 0 0 0 0 0 39671 0 160891 0 0 FORM 990, PART VI, SECTION B, LINE 11B LAUNDRY, DRY CLEANING WORKERS & ALLIED INDUSTRIES HEALTH FUND, WORKERS UNITED'S FORM 990 IS PREPARED BY ITS INDEPENDENT PUBLIC ACCOUNTANT WHO THEN FORWARDS THE COMPLETED RETURN TO THE BOARD OF TRUSTEES FOR REVIEW AND SIGNATURE. FORM 990, PART VI, SECTION B, LINE 12C LAUNDRY, DRY CLEANING WORKERS & ALLIED INDUSTRIES HEALTH FUND, WORKERS UNITED MONITORS ITS CONFLICT OF INTEREST POLICY ON AN ANNUAL BASIS. FORM 990, PART VI, SECTION C, LINE 19 LAUNDRY, DRY CLEANING WORKERS & ALLIED INDUSTRIES HEALTH FUND, WORKERS UNITED'S GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VII CONTACT ADDRESSES FOR OFFICERS, DIRECTORS, ETC ALBERTO ARROYO - 703 MCCARTER HIGHWAY, NEWARK, NJ 07102. MICHAEL POTACK - 401 SOUTH MACQUESTEN PARKWAY, MOUNT VERNON, NY 10550. BRIAN SANTONELLO - 50-35 56TH ROAD, MASPETH, NY 11378. WILFREDO LARANCUENT - 1100 6TH AVENUE, NEPTUNE, NJ 07753. FORM 990, PART XII, LINE 2C: LAUNDRY, DRY CLEANING WORKERS & ALLIED INDUSTRIES HEALTH FUND,WORKERS UNITED BOARD OF TRUSTEES IS RESPONSIBLE FOR OVERSEEING THE FINANCIAL STATEMENT AUDIT AND SELECTION OF THE INDEPENDENT ACCOUNTANT WHO PERFORMED THE AUDIT. LAUNDRY DRY CLEANING WORKERS & ALLIED IND RETIREMENT FUNDWORKERS UNITED 333 WESTCHESTER AVENUE WHITE PLAINS NY 10604 135521921 PENSION FUND NY 401(A)/501(A) 0 LAUNDRY DRY CLEANING WORKERS EDUCATION & LEGAL ASSISTANCE FUND WORKERS UNI 333 WESTCHESTER AVENUE WHITE PLAINS NY 10604 201072118 EDUCATION AND LEGAL ASSISTANCE FUND NY 501(C)(9) 0 LAUNDRY DISTRIBUTION AND FOOD SERVICE JOINT BOARDWORKERS UNITED 703 MCCARTER HIGHWAY NEWARK NJ 07102 273605306 LABOR UNION NJ 501(C)(5) 0 ACLS NEW ENGLAND INC AMERICAN DRIVE IN CLEANERS OF HEWLETT ARAMARK UNIFORM SERVICES NEWARK NJ ARROW LINEN SUPPLY CO BEST METROPOLITAN ELITE AIRLINE LINEN OF NEW YORK INC ERNEST WINZER CLEANERS LLC HCSC LAUNDRY ASBURY PARK NJ HIGHLAND LIGHT STEAM LAUNDRY INC KEUM LIMITED MARVAL INDUSTRIES INC MED APPAREL SERVICES MERITEX LLC MERLIN INDUSTRIES NEW ENGLAND LINEN NORTH EAST LINEN PAUL DYEING CO RIDDELL INC ALL AMERICAN SPORTS CORP SANITARY COAT APPRON & TOWEL SUPPLY CO INC STAIN-LESS INC STAR CLEANERS - ROCKVILLE UNITEX TEXTILE RENTAL INC WH CHRISTIAN & SONS (VISION & RETIREMENT ONLY) WH LINEN SUPPLY 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 LAUNDRY DRY CLEANING WORKERS & ALLIED IND RETIREMENT FUNDWORKERS UNITED Q 13900 FMV LAUNDRY DISTRIBUTION AND FOOD SERVICE JOINT BOARDWORKERS UNITED O 19600 FMV LAUNDRY DISTRIBUTION AND FOOD SERVICE JOINT BOARDWORKERS UNITED K 18000 FMV LAUNDRY DRY CLEANING WORKERS EDUCATION & LEGAL ASSISTANCE FUND WORKERS UN Q 1200 FMV