2020-10-10T10:41:30-05:00 2019-12-31 611436956 NOVAK FRANCELLA LLC ONE PRESIDENTIAL BLVD SUITE 330 BALA CYNWYD PA 19004 990 2019-01-01 581910292 SOUTHERN PAINTERS WELFARE FUND SOUT 4124321125 5 HOT METAL STREET NO 200 PITTSBURGH PA 15203 CHARLES HILL TRUSTEE 4124321125 2020-10-10 1 LOUIS VERZELLA CPA P00360279 6106689400 2020-10-05 162.211.205.39 2020-10-10 09:37:36 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 214E2DE4754F8F73DD572B34B07E6CCBC316F7C9 2019 2021-04-22 16:20:28Z CHARLES HILL 5 HOT METAL STREET NO 200 PITTSBURGH PA 15203 46386875 0 X N/A X 1990 GA THIS IS A MULTIEMPLOYER HEALTH AND WELFARE PLAN WHICH HAS BEEN ESTABLISHED TO PROVIDE HEALTH AND WELFARE BENEFITS FOR ELIGIBLE PARTICIPANTS. 8 4 0 0 0 0 0 0 22002169 22893280 559857 563872 510903 970 23072929 23458122 0 0 24259354 23450481 0 0 0 0 0 2413457 1977709 26672811 25428190 -3599882 -1970068 16861379 15247754 2281012 2600952 14580367 12646802 THIS IS A MULTIEMPLOYER HEALTH AND WELFARE PLAN WHICH HAS BEEN ESTABLISHED TO PROVIDE HEALTH AND WELFARE BENEFITS FOR ELIGIBLE PARTICIPANTS 0 0 THE PLAN PROVIDES DEATH, LIFE, AND HEALTH BENEFITS (MEDICAL, SURGICAL, MAJOR MEDICAL, SHORT-TERM DISABILITY, DENTAL, PRESCRIPTION, AND VISION) FOR ELIGIBLE PARTICIPANTS 0 0 0 0 0 0 0 0 0 0 0 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 X 124 0 0 0 0 0 0 0 0 0 0 X 8 4 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X CDS ADMINISTRATORS 4124321125 5 HOT METAL STREET NO 200 PITTSBURGH PA 15203 HERBERT SANTOS JR UNION TRUSTEE/CHAIRMAN 2.00 X 0 117980 39654 CHUCK HILL UNION TRUSTEE 2.00 X 0 120710 57172 GAROLD MAY EMPLOYER TRUSTEE/SECRETARY 2.00 X 0 0 0 DARRYL TRAYLOR EMPLOYER TRUSTEE 2.00 X 0 0 0 WALDO EMERSON EMPLOYER TRUSTEE 2.00 X 0 0 0 ERIC PORTER UNION TRUSTEE 2.00 X 0 120362 36027 WALTER ILCZYSZYN UNION TRUSTEE 2.00 X 0 125741 60799 NIKITAS MANIAS EMPLOYER TRUSTEE 2.00 X 0 0 0 0 484793 193652 0 0 1 0 HIGHMARK 120 FIFTH AVE SUITE P2307 PITTSBURGH PA 15222 CLAIMS PROCESSOR 1011395 CENTRAL DATA SERVICES INC 5 HOT METAL ST STE 200 PITTSBURGH PA 15203 BENEFIT ADMINISTRATION 329952 NOVAK FRANCELLA LLC ONE PRESIDENTIAL BLVD STE 330 BALA CYNWYD PA 19004 ACCOUNTING 107603 3 EMPLOYER CONTRIBUTIONS 525100 22472382 22472382 RETIREE CONTRIBUTIONS 525100 420898 420898 22893280 289603 289603 23203022 22928753 274269 274269 274269 OTHER INCOME 900099 765 765 CLASS ACTION SETTLEMENT 900099 205 205 970 23458122 22893280 0 564842 23450481 329952 131535 107603 34014 1206525 102139 47544 8199 FEES MANDATED BY ACA 10198 25428190 1985394 3152745 1869081 1618339 2215388 3119943 14272 8526 10777244 7348201 16861379 15247754 401209 139402 1879803 2461550 2281012 2600952 X 0 0 0 0 14580367 12646802 14580367 12646802 16861379 15247754 -1970068 36503 0 X X 0 1 X 1 0 0 THE AFFORDABLE CARE ACT FEE LIABILITY 10198 DUE TO RELATED PARTIES 2451352 2461550 X 23460611 36503 36503 23424108 34014 34014 23458122 25394176 0 25394176 34014 34014 25428190 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. 0 0 0 HERBERT SANTOS JR UNION TRUSTEE/CHAIRMAN 0 117260 0 0 0 720 0 29309 0 10345 0 157634 0 0 CHUCK HILL UNION TRUSTEE 0 120710 0 0 0 0 0 39935 0 17237 0 177882 0 0 ERIC PORTER UNION TRUSTEE 0 120362 0 0 0 0 0 25497 0 10530 0 156389 0 0 WALTER ILCZYSZYN UNION TRUSTEE 0 125741 0 0 0 0 0 56027 0 4772 0 186540 0 0 FORM 990, PART V, LINE 2A AND 2B: SOME WELFARE BENEFITS PAID BY SOUTHERN PAINTERS WELFARE FUND ARE TAXABLE TO PARTICIPANTS AND MUST BE REPORTED ON FORM W-2. 2966 FORMS WERE ISSUED FOR THE 2017 PLAN YEAR. FORM 990, PART VI, SECTION B, LINE 11B SOUTHERN PAINTERS' WELFARE FUND'S FORM 990 IS PREPARED BY ITS INDEPENDENT PUBLIC ACCOUNTANT WHO THEN FORWARDS THE COMPLETED RETURN TO THE FUND'S GOVERNING BODY FOR REVIEW AND SIGNATURE. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION MONITORS IT'S CONFLICT OF INTEREST POLICY ANNUALLY. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XII, LINE 2C THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. IUPAT DISTRICT COUNCIL 80 2400 CRESTVIEW AVE KENNER LA 70062 721438188 LABOR ORGANIZATION LA 501(C)(5) 0 IUPAT DISTRICT COUNCIL 77 5403 DIVIDEND DRIVE DECATUR GA 30035 200795445 LABOR ORGANIZATION GA 501(C)(5) 0 IUPAT DISTRICT COUNCIL 88 5425 SPINDLE DRIVE HOUSTON TX 77028 412176908 LABOR ORGANIZATION TX 501(C)(5) 0 IUPAT DISTRICT COUNCIL 78 2153 WEST OAKRIDGE ROAD ORLANDO FL 32809 593384405 LABOR ORGANIZATION FL 501(C)(5) 0 DIST CON 80 JATC L424 AR DISTRICT CO 77 L226 TN DISTRICT CO 77 L1169 GA DISTRICT CO 77 L1756 SC DISTRICT CO 77 L193 GA DISTRICT CO 77 L1940 GA DISTRICT COUNCIL 80 L779 AL FINISHING TRADES 130 TX FINISHING TRADES 1756DC77 GA FINISHING TRADES 193 GA FINISHING TRADES L424 AR IUPAT 88 L130 TX JAC PAINTERS APP TR FD LA L823 NEW MEXICO DIST COUN NM LOCAL UNION 1244 LA FINISHING TRADES 1778 TX A S STEEL MACHINERY ACTION ELEC ADVANCED IND SVCS ALL METRO GLASS ALLIANCE EXHIBIT ALLIANCE GLZG TECH ALLIED CONV SVCS ALLSTATE GLASS AMSTAR OF W NY ANNING JOHNSON CO APACHE IND ARANI CONSULT DTX ARCHITECT ALUM TECH ARCHITECT GLS SVCS ARCHITECT GLZNG SPEC ARROWALL (G33H) ASHTON & CO ATLANTA CONTRACT GL AVALOTIS AVALOTIS CORP AVALOTIS PAINT BELL GLASS BHI ENERGY BILL THOMPSON BINSWNGER GLASS CO BLASTECH ENT BRAND ENERGY C&SGLASS C3 IND BLASTING CANNONSLINE CB&IPROJECTSVCS CENTRALCONVEYORCO CERTIFIEDCOATINGS CHAMPION PNTG CIVIL COATINGS & CONSTR CL COATINGS INC COASTAL INTL CORROSION RESISTANCE COSMOSCOMPCONTR CRASTOGLASS CREATIVEDISPLAYS CREATIVEMGMT CROWNCORRINC CSI WORLDWIDE CZARNOWSKI DISPLAY D & D GLASS D E MCNABB CO D2 IND SRV DAY & ZIMMERMAN DE GEORGE GLASS DEJEAN CONTR DESCO SYSTEMS INC DGI DISNEY WORLDWIDE DPS EVANS INC EAGLE MGMT EGM ENCLOS CORP EUGENIO PTG EURO PAINT EVCO NATIONAL EWI WORLWIDE EXPO CONV EXCELETECH COATINGS EXHIBIT DESIGN GROUP FD THOMAS INC FES RENTALS FLUOR MAINT FORK ENTERPRISES FREEMAN EXPOSITIONS G C ZARNAS GENERAL ACOUSTICS INC GENERAL GLASS WORKS GLASSMAN OF LA GLAZING SPECIALISTS GLOBAL EXP SPEC GOMEZ FLOOR COVERING GOVERNMENT CONTR GUBMK HARMON INC HAROLD GORDON & SONS HART BOYD CO HARTMAN WALSH HC BECK LTD HOU-TEX NEWNOM INC IMMS IND COAT INDUSTRIAL PTG INDUSTRIAL TECH CTNGS INTRAAMERICA INTERIOR INST JE TITUS CO JAZZ CASINO JIMMY MILLER & SON JRT INC JT THORPE & SON KA-TEX CONSTRUCTORS L&Z LLC LANIER JONES CONTR LASER EXHIBITOR SVC LIBERTY MAIN LIPS DOOR GLASS LOTSPEICH CO LPI INC MARLEY IND SVC MARTIN JC & BARRY MCABEE CONSTR MCCORMICK IND ABATE MCCORMICK PAINTING MEMO PAINTING CO MERCEDES BENZ DOME MET CON INC MIDWEST PRO PAINTING MONDELEZ INT MPS GROUP NABORS GLASS NATIONAL CONVENTION NATL GLASS & METAL NEXXT SHOW LLC NILES CONSTRUCTION NILES IND COATINGS NORTH STAR PAINTING NTH DEGREE OASIS INTERIORS INC ODLE INC ON LOCATION PAE APPLIED TECH PAINT PRO DEPOT PALACIOS MARINE PALM BEACH GLASS PARSONS SAVANNAH CON PASS PAINTING PERFORMANCE CONT PERMASTEELISA PHYSICAL SECURITY PIONEER CLADDING PMI POPS PAINTING PRECISION CONSTR PRECISION SURVEL PREFERRED FLOORING PRO COAT INC L PRO PAINTING PRO WALL COVERING PURCELL PAINTING RDR GLASS REGAL SHOW SVCS RENAISSANCE MGMT REOD LLC RETAIL STORE FR ROSS HARTRICK ROVER CONTRACTING RICHMOND CO CONST RP COATINGS SAFESPAN PLATFORM SASSER COMM GLASS SAVANNAH RIVER SDB ENGINEERS & CON SEELE INC SERVICE GLASS CO SHEPARD EXPO SHO LINK SHUGART GLASS OF TX SKYLIGHT TECH SKYLINE PNTG SOUTHERN GLASS PROD SPRING GLASS ST LOUIS STAK DESIGNINC STRONG TWR BLDG ENV SUPER SKY CONSTR STAK DESIGN INC SUPER SKY CONSTR T&T CUSTOM DESIGNS TAB GLASS & WINDOW THOMAS IND COAT THOMPSON CONST TITAN IND SVCS TOUBY PAINTING TRI STATE PNTNG TURNER INDUS MAINT TUXEDO GLS & MIRR UCL INC UNION PAYROLL UNION TANK & ERECT UNION TEMP SVCS UNIVERSAL UTP PRODUCTIONS VIMAS PAINTING CO VISTA CONV SVCS VULCAN ENVIRONMENTAL VULCAN INDUSTRIAL L VULCAN PAINTERS L WAY TECH INC WELCH FLOORS INC WILLIAMS PLANT SERVICES WILLIAMS SPECIALTY WOODS CONSTRUCTION CO 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0