2020-02-11T09:28:56-06:00 2019-04-30 611456956 NOVAK FRANCELLA LLC ONE PRESIDENTIAL BLVD SUITE 330 BALA CYNWYD PA 19004 990 2018-05-01 232892285 BRICKLAYERS AND ALLIED CRAFTWORKERS LOCAL 1 PA/DE HEALTH & WELFARE FUND BRIC 2158569663 2704 BLACK LAKE PLACE PHILADELPHIA PA 19154 DENNIS J PAGLIOTTI TRUSTEE 2158569520 2020-02-11 LOUIS VERZELLA CPA P00360279 6106689400 2020-01-27 162.211.205.39 2020-02-11 09:28:10 ES P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 214E2DE4754F8F73DD572B34B07E6CCBC316F7C9 2018 2020-09-23 17:36:50Z X DENNIS J PAGLIOTTI 2704 BLACK LAKE PLACE PHILADELPHIA PA 19154 29285198 0 X WWW.BAC1PA-DE.ORG X 1997 PA PROVISION OF HEALTH AND WELFARE BENEFITS TO ELIGIBLE UNION MEMBERS 12 4 0 0 0 0 0 0 26103004 28415532 619891 764129 287709 105537 27010604 29285198 0 0 21793101 25332572 0 0 0 0 0 1755972 1576726 23549073 26909298 3461531 2375900 38164914 40537411 1781926 251307 36382988 40286104 PROVISION OF HEALTH AND WELFARE BENEFITS TO ELIGIBLE UNION MEMBERS 0 0 PROVISION OF HEALTH AND WELFARE BENEFITS TO ELIGIBLE UNION MEMBERS 0 0 0 0 0 0 0 0 0 1 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 0 0 0 0 0 0 0 0 0 0 0 X 12 4 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 0 0 0 X BRICKLAYERS BENEFIT PLANS INC 2158569663 2704 BLACK LAKE PLACE PHILADELPHIA PA 19154 DENNIS PAGLIOTTI UNION TRUSTEE 5.00 40.00 X 0 164513 100149 DALE DOUGLAS UNION TRUSTEE 2.00 40.00 X 0 123216 82261 DONALD ANDERSON UNION TRUSTEE 2.00 40.00 X 0 123216 79366 JOSEPH BATTAGLIA UNION TRUSTEE 2.00 40.00 X 0 141949 83359 MARK CANNON MANAGEMENT TRUSTEE 2.00 X 0 0 0 NICHOLAS SABIA MANAGEMENT TRUSTEE 2.00 X 0 0 0 DAVE CRAWFORD MANAGEMENT TRUSTEE 2.00 X 0 0 0 AMY HENNESSEY MANAGEMENT TRUSTEE 2.00 X 0 0 0 AL MARTINO UNION TRUSTEE 2.00 40.00 X 0 123216 77026 JUSTIN SCARCINI UNION TRUSTEE 2.00 40.00 X 0 121435 80684 RICH NEWCOMB UNION TRUSTEE 2.00 40.00 X 0 125611 83306 MATT STAFFORD UNION TRUSTEE 2.00 40.00 X 0 125612 83306 0 1048768 669457 0 0 1 0 INDEPENDENCE BLUE CROSS 1901 MARKET STREET PHILADELPHIA PA 19103 CLAIMS PROCESSING 879689 BRICKLAYERS BENEFIT PLANS INC 2704 BLACK LAKE PLACE PHILADELPHIA PA 19154 THIRD PARTY ADMINISTRATOR 374436 GUARDIAN NURSES PO BOX 224 FLOURTOWN PA 19031 CLAIMS PROCESSING 196900 3 EMPLOYER CONTRIBUTIONS 900099 27169951 27169951 PARTICIPANT VACATION C 900099 840785 840785 PARTICIPANT COBRA CONT 900099 404796 404796 28415532 764129 764129 LIQUIDATED DAMAGES 900099 97402 97402 OTHER INCOME 900099 8135 8135 105537 29285198 28521069 0 764129 25332572 374436 64050 66344 1046575 3863 69 15414 FEES MANDATED BY THE AC 5975 26909298 3522987 1260139 3661506 5330648 113717 126195 38646 38646 69 0 30138635 33092429 728000 728000 38164914 40537411 14744 80912 1767182 170395 1781926 251307 X 0 0 0 0 36382988 40286104 36382988 40286104 38164914 40537411 2375900 2189664 -662448 0 X X 0 1 X 1 0 38646 38646 0 0 DUE TO RELATED BENEFIT FUNDS 60195 RECIPROCAL CONTRIBUTIONS PAYABLE 110200 170395 X 31474862 2189664 2189664 29285198 0 29285198 26909298 0 26909298 0 26909298 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 DENNIS PAGLIOTTI UNION TRUSTEE 0 164513 0 0 0 0 0 82245 0 17904 0 264662 0 0 DALE DOUGLAS UNION TRUSTEE 0 123216 0 0 0 0 0 64851 0 17410 0 205477 0 0 DONALD ANDERSON UNION TRUSTEE 0 123216 0 0 0 0 0 61956 0 17410 0 202582 0 0 JOSEPH BATTAGLIA UNION TRUSTEE 0 141949 0 0 0 0 0 65801 0 17558 0 225308 0 0 AL MARTINO UNION TRUSTEE 0 123216 0 0 0 0 0 59616 0 17410 0 200242 0 0 JUSTIN SCARCINI UNION TRUSTEE 0 121435 0 0 0 0 0 63374 0 17310 0 202119 0 0 RICH NEWCOMB UNION TRUSTEE 0 125611 0 0 0 0 0 65896 0 17410 0 208917 0 0 MATT STAFFORD UNION TRUSTEE 0 125612 0 0 0 0 0 65896 0 17410 0 208918 0 0 FORM 990, PART VI, SECTION A, LINE 8B THE FUND DOES NOT COMMITTES THAT ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION'S FORM 990 WAS PREPARED BY THE INDEPENDENT ACCOUNTANT. A COPY OF THE FORM 990 WAS THEN PROVIDED TO THE PLAN ADMINISTRATOR AND JOINT BOARD OF TRUSTEES FOR THEIR REVIEW AND APPROVAL PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION MAINTAINS A CONFLICT OF INTEREST POLICY. UNDER THE TERMS OF THAT POLICY ALL EMPLOYEES OF THE ORGANIZATION ARE REQUIRED TO REPORT TO THE PLAN ADMINISTRATOR ANY ACTIONS OR INCIDENTS WHICH MAY BE IN VIOLATION OF THE POLICY. IN ADDITION, ALL ACTIONS, EXPENSES AND OTHER TRANSACTIONS ENGAGED IN BY THE PLAN ADMINISTRATOR AND EMPLOYEES WHICH ARE UNDERTAKEN IN THE COURSE OF THEIR EMPLOYMENT OR WHICH RELATED TO THE BUSINESS OF THE ORGANIZATION ARE SUBJECT TO REVIEW BY THE ORGANIZATIONS JOINT BOARD OF TRUSTEES. THE ORGANIZATION, AS A MULTI-EMPLOYER COLLECTIVELY BARGAINED WELFARE BENEFIT PLAN, IS SUBJECT TO REGULATION OF ITS INTERNAL OPERATIONS, INCLUDING FISCAL MATTERS, PURSUANT TO THE EMPLOYEE RETIREMENT INCOME SECURITY ACT OF 1974 (ERISA). IN ADDITION, THE ORGANIZATION IS SUBJECT TO PERIODIC REVIEWS BY THE DEPARTMENT OF LABOR. IF AS A RESULT OF THE ABOVE PROCESSES, ANY INCIDENTS OR ACTS ARE DETERMINED TO BE IN VIOLATION OR TO BE A POTENTIAL VIOLATION OF THE ORGANIZATIONS CONFLICT OF INTEREST POLICY, SUCH INCIDENTS OR ACTS ARE BROUGHT TO THE ATTENTION OF THE PLAN ADMINISTRATOR AND/OR JOINT BOARD OF TRUSTEES OF THE PLAN FOR APPROPRIATE REMEDIAL ACTION. FORM 990, PART VI, SECTION C, LINE 19 NO DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED. 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