2019-07-17T08:49:57-05:00 2018-12-31 611436956 NOVAK FRANCELLA LLC ONE PRESIDENTIAL BLVD SUITE 330 BALA CYNWYD PA 19004 990 2018-01-01 236263170 CENTRAL PENNSYLVANIA TEAMSTERS HEALTH AND WELFARE FUND CENT 6103205500 1055 SPRING STREET WYOMISSING PA 19610 WILLIAM M SHAPPELL TRUSTEE TRUSTEE 6103205500 2019-07-17 1 LOUIS VERZELLA CPA P00360279 6106689400 2019-07-01 162.211.205.39 2019-07-17 08:49:12 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 214E2DE4754F8F73DD572B34B07E6CCBC316F7C9 2018 2019-02-21 02:37:17Z JOE SAMOLEWICZ 1055 SPRING STREET WYOMISSING PA 19610 160319159 0 X WWW.CENTRALPATEAMSTERS.COM X 1952 PA TO PROVIDE HEALTH AND WELFARE BENEFITS TO ELIGIBLE MEMBERS OF COLLECTIVELY BARGAINED EMPLOYERS. 9 4 0 0 0 0 0 0 116213391 121546382 4491279 4444671 -266463 389 120438207 125991442 0 0 108710763 107993919 3314050 3570028 0 0 0 2850589 2933962 114875402 114497909 5562805 11493533 117532146 117586754 908304 816440 116623842 116770314 TO PROVIDE HEALTH AND WELFARE BENEFITS TO ELIGIBLE MEMBERS OF COLLECTIVELY BARGAINED EMPLOYERS. 0 0 TO PROVIDE HEALTH AND WELFARE BENEFITS TO ELIGIBLE MEMBERS AND THEIR DEPENDENTS. 0 0 0 0 0 0 0 0 0 1 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 2246 0 0 0 0 0 0 0 0 0 0 X 9 4 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 1 1 1 0 X JOSEPH J SAMOLEWICZ 6103205500 1055 SPRING ST WYOMISSING PA 19610 X WILLIAM SHAPPELL UNION TRUSTEE 2.00 50.00 X 0 104861 68181 THOMAS J VENTURA EMPLOYER TRUSTEE 2.00 X 0 0 0 DANIEL SCHMIDT EMPLOYER TRUSTEE 2.00 X 0 0 0 HOWARD W RHINIER UNION TRUSTEE 2.00 40.00 X 0 101235 44392 KEN ROSS EMPLOYER TRUSTEE 2.00 X 0 0 0 CHARLES SHAFER UNION TRUSTEE 2.00 40.00 X 0 104790 66830 JEFFREY STRAUSE UNION TRUSTEE 2.00 50.00 X 0 83263 63282 ERIC BUCHEIT EMPLOYER TRUSTEE 2.00 X 0 0 0 KEVIN BOLIG UNION TRUSTEE 2.00 50.00 X 0 99583 57250 JOSEPH J SAMOLEWICZ FUND ADMINISTRATOR 22.50 22.50 X 0 172191 93302 MARTIN L CULLEN ASST FUND ADMINISTRATOR 22.50 22.50 X 0 126402 75191 JAMES STRICKER INFORMATION TECHNOLOGY 22.50 22.50 X 0 113296 79729 0 905621 548157 0 0 1 0 MERITAIN HEALTH INC 300 CORPORATE PARKWAY 100S AMERST NY 14226 CLAIMS PROCESSING 2340824 BASYS INC 3700 KOPPERS ST STE 400 BALTIMORE MD 21227 COMPUTER SERVICES 335980 GLOBAL PHARMACEUTICAL BENEFITS LLC 3735 CASTOR AVE PHILADELPHIA PA 19124 CLAIMS PROCESSING 276826 DELTA DENTAL OF PENNSYLVANIA ONE DELTA DRIVE MECHANICSBURG PA 17055 CLAIMS PROCESSING 239809 WILLIG WILLIAMS & DAVIDSON 1845 WALNUT STREET - 24TH FLOOR PHILADELPHIA PA 19103 ATTORNEY 167947 9 EMPLOYER CONTRIBUTIONS 525100 115458789 115458789 PARTICIPANT CONTRIBUTIONS 525100 5222806 5222806 RETIREE DRUG SUBSIDY-MEDICARE PAR 525100 864787 864787 121546382 2363340 2363340 36409048 34327717 2081331 2081331 2081331 MISCELLANEOUS INCOME 900099 389 389 389 125991442 121546382 0 4445060 107993919 1629567 1000459 805380 134622 454126 76967 283542 847806 567838 348166 148765 31138 60 54633 86576 FEES MANDATED BY ACA 31106 PAYROLL AUDIT EXPENSE 2140 INVESTMENT TAXES 1015 ALLOCATED DEPRECIATION 84 114497909 4146694 10799727 6878891 2543231 10011347 9586853 73582 298169 2685230 2400253 149150 284977 85321232 83561976 10603519 9740325 347731 771496 117532146 117586754 828960 699038 79344 117402 908304 816440 X 0 0 0 0 116623842 116770314 116623842 116770314 117532146 117586754 11493533 -11347061 0 X X 0 1 X 1 0 1574 1574 0 204236 38566 165670 2221352 2108377 112975 258068 251736 6332 284977 LIMITED PARTNERSHIP 9740325 F 9740325 DUE TO RELATED PARTIES 84 DUE TO BROKER FOR PURCHASES OF SECURITIES 117318 117402 X 114360839 -11347061 -11347061 125707900 283542 283542 125991442 114214367 0 114214367 283542 283542 114497909 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: PASS THROUGH LOSS FROM PARTNERSHIP K-1'S X 0 0 0 WILLIAM SHAPPELL UNION TRUSTEE 0 104861 0 0 0 0 0 39436 0 28745 0 173042 0 0 CHARLES SHAFER UNION TRUSTEE 0 104790 0 0 0 0 0 38592 0 28238 0 171620 0 0 KEVIN BOLIG UNION TRUSTEE 0 99583 0 0 0 0 0 38688 0 18562 0 156833 0 0 JOSEPH J SAMOLEWICZ FUND ADMINISTRATOR 0 172191 0 0 0 0 0 49854 0 43448 0 265493 0 0 MARTIN L CULLEN ASST FUND ADMINISTRATOR 0 126402 0 0 0 0 0 43259 0 31932 0 201593 0 0 JAMES STRICKER INFORMATION TECHNOLOGY 0 113296 0 0 0 0 0 41371 0 38358 0 193025 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE INDEPENDENT PUBLIC ACCOUNTANT, NOVAK FRANCELLA LLC, PRESENTS A DRAFT FORM 990 TO THE TRUSTEES AT A MEETING TO BE HELD PRIOR TO THE FILING FOR TRUSTEE REVIEW AS WELL AS LEGAL COUNSEL REVIEW. FORM 990, PART VI, SECTION B, LINE 12C ONCE A YEAR, THE CONFLICT OF INTEREST POLICY IS LOOKED AT FOR THE INVESTMENT MANAGERS AND INVESTMENT CONSULTANT. THE TRUSTEES AND KEY EMPLOYEES ARE SUPPOSED TO DISCLOSE ANY CONFLICT AS SOON AS THEY KNOW ABOUT IT. FORM 990, PART VI, SECTION B, LINE 15 THE TRUSTEES REVIEW THE ADMINISTRATOR'S SALARY ON A YEARLY BASIS IN EXECUTIVE SESSION. THE SALARY INCREASES FOR ASSISTANT ADMINISTRATOR, CONTROLLER, HR MANAGER, IT MANAGER AND ALL OTHER EMPLOYEES ARE DISCUSSED AS FOLLOWS: THE CONTROLLER GETS THE CPI NUMBER FOR THE YEAR AND THE ASSISTANT ADMINISTRATOR USES THAT PERCENTAGE AS A PROPOSED BASIS FOR SALARY INCREASES. AT THAT POINT THE COMPENSATION COMMITTEE IS GIVEN THE PROPOSED PERCENTAGE AS WELL AS HOW MUCH THAT PERCENTAGE WOULD COST THE FUND. THE COMPENSATION COMMITTEE AND THE TRUSTEES THEN HAVE A MEETING WITH THE ADMINISTRATOR AND INFORM HIM OF THE APPROVED INCREASE AND WHETHER OR NOT THERE WOULD BE ANY MERIT INCREASES ALLOWED. FORM 990, PART VI, SECTION C, LINE 19 THE FUND SENDS THE GOVERNING DOCUMENTS (SPD) TO ALL MEMBERS WHEN PRINTED AS WELL AS TO ALL NEW MEMBERS. CONFLICT OF INTEREST POLICY - NOT GIVEN TO PARTICIPANTS. ALL PARTICIPANTS ARE SENT SAR'S ANNUALLY AND THE FINANICAL STATEMENT IS MADE AVAILABLE UPON REQUEST. FORM 990, PART VII, SECTION A: JOSEPH J. SAMOLEWICZ, FUND ADMINISTRATOR, WORKED 22.50 HOURS FOR RELATED ORGANIZATIONS. MARTIN L. CULLEN, ASST. FUND ADMINISTRATOR, WORKED 22.50 HOURS FOR RELATED ORGANIZATIONS. FORM 990, PART XII, LINE 2C: THE GOVERNING BODY (TRUSTEES) OF CENTRAL PENNSYLVANIA TEAMSTERS HEALTH AND WELFARE FUND ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS AND SELECTION OF INDEPENDENT ACCOUNTANT THAT PERFORMS THE AUDIT. 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