2019-04-30T11:50:24-05:00 2018-07-31 470900880 CALIBRE CPA GROUP PLLC 462 SEVENTH AVENUE 16TH FLOOR NEW YORK NY 10018 990 2017-08-01 226062063 LOCAL 522 WELFARE FUND OF NEW YORK AND NEW JERSEY LOCA 7188592326 C/O UTF 2137-2147 UTICA AVE BROOKLYN NY 11234 JAMES KANE TRUSTEE 7188592326 2019-04-23 1 JOSEPH MORELLO P02146706 2126951300 2019-04-30 38.100.43.100 2019-04-30 12:50:12 ED P 883CF1A9781ABDA3268701484D9C94428E8D752B 099BB351ED5C43DB8E4A0DD96B056B1430213725 2017 2019-02-21 02:37:17Z 29077733 0 X N/A X 1963 NY TO PROVIDE HEALTH AND WELFARE BENEFITS TO ITS MEMBERS. 4 4 0 0 0 0 0 0 13594784 17173040 1020496 465389 0 0 14615280 17638429 0 0 15355117 19230759 0 0 0 0 0 674184 700805 16029301 19931564 -1414021 -2293135 24647708 23467016 2454248 2422308 22193460 21044708 TO PROVIDE HEALTH AND WELFARE BENEFITS TO ITS MEMBERS. 0 0 THE PLAN PROVIDES VALUABLE MEDICAL, HOSPITALIZATION, DENTAL, OPTICAL, LIFE INSURANCE AND SEVERANCE BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS. 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 22 0 1 0 0 0 0 0 0 0 X 4 4 1 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 X THE ORGANIZATION 7188592326 C/O UTF 2137-2147 UTICA AVE BROOKLYN NY 11234 JAMES KANE TRUSTEE 2.00 40.00 X 0 120810 46723 ANDREW SOMMER TRUSTEE 2.00 X 0 0 0 DANIEL KANE SR TRUSTEE 2.00 X 0 0 0 JEFFREY KELLY TRUSTEE 2.00 X 0 0 0 0 120810 46723 0 0 1 0 AETNA LIFE INSURANCE CO 151 FARMINGTON AVENUE HARTFORD CT 06156 MEDICAL ADMIN. 770900 UNITED TEAMSTER FUND 2137 UTICA AVENUE BROOKLYN NY 11234 CONTRACT ADMIN. 457994 DJ O'GRADY CONSULTANT 3219 E TREMONT AVENUE BRONX NY 10461 CONSULTING 137562 HEALTH MANAGEMENT CONCEPTS 140 INTRACOASTAL POINTE DR JUPITER FL 33477 WELLNESS PROGRAM 114121 4 EMPLOYERS CONTRIBUTIONS 230000 17062483 17062483 PARTICIPANTS CONTRIBUTION 230000 110557 110557 17173040 311932 311932 11592761 11439304 153457 153457 153457 17638429 17173040 0 465389 19230759 40601 51228 54000 481994 27697 14594 6630 24061 19931564 971141 648040 5407498 5550769 1072217 833817 99531 76613 17097321 16357777 24647708 23467016 104248 82308 2350000 2340000 2454248 2422308 X 0 0 0 0 22193460 21044708 22193460 21044708 24647708 23467016 -2293135 1144383 0 X 0 1 X 0 0 0 BENEFIT OBLIGATIONS 2340000 2340000 X 18728812 1144383 1144383 17584429 54000 54000 17638429 19887564 0 19887564 54000 -10000 44000 19931564 PART X, LINE 2: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRES THE PLAN TO EVALUATE TAX POSITIONS TAKEN BY THE PLAN AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF IT HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS. 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: DECREASE IN BENEFIT OBLIGATIONS 0 0 0 JAMES KANE TRUSTEE 0 100700 0 0 0 20110 0 35543 0 11180 0 167533 0 0 FORM 990, PART VI, SECTION A, LINE 2 LINE 2 EXPLANATION - JAMES KANE AND DANIEL KANE, SR. - FAMILY RELATIONSHIP. FORM 990, PART VI, SECTION B, LINE 11B LINE 11B EXPLANATION - THE RETURN PREPARER E-MAILS A COPY OF THE FINAL VERSION OF FORM 990 TO THE PLAN ADMINISTRATOR WHO E-MAILS THE FILING TO EACH BOARD MEMBER BEFORE IT IS FILED. ALTHOUGH NO FORAML DETAILED REVIEW PROCESS IS ANTICIPATED, EACH BOARD MEMBER HAS AN OPPORTUNITY TO MAKE INQUIRES BEFORE AND AFTER FILING. FORM 990, PART VI, SECTION C, LINE 19 NO OTHER DOCUMENTS ARE AVAILABLE TO THE PUBLIC. 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