2018-11-30T08:36:48-06:00 2018-04-30 611436956 NOVAK FRANCELLA LLC ONE PRESIDENTIAL BLVD SUITE 330 BALA CYNWYD PA 19004 990 2017-05-01 231574984 BOARD OF ADMINISTRATION CARPENTERS' HEALTH & CARP 2155680430 1811 SPRING GARDEN STREET PHILADELPHIA PA 19130 WILLIAM SPROULE LABOR TRUSTEE 2155680430 2018-11-30 1 LOUIS VERZELLA CPA P00360279 6106689400 2018-11-27 162.211.205.39 2018-11-30 08:33:58 ES P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 A96940F3BC1CB41A42F1C40DCB182A9E8131B64B 2017 2019-02-21 02:37:17Z JOHN BALLANTYNE 1803 SPRING GARDEN STREET PHILADELPHIA PA 19130 1331849713 0 X N/A X 1960 PA THE CARPENTERS' HEALTH AND WELFARE FUND OF PHILADELPHIA AND VICINITY (THE PLAN) PROVIDES HEALTH AND OTHER BENEFITS TO ELIGIBLE MEMBERS OF METROPOLITAN REGIONAL COUNCIL OF PHILADELPHIA AND VICINITY OF THE UNITED BROTHERHOOD OF CARPENTERS AND JOINERS OF AMERICA WHICH REPRESENTS CARPENTERS EMPLOYED PRIMARILY IN SOUTHEASTERN PENNSYLVANIA. 12 6 0 0 0 0 0 0 134231021 127816928 3274949 11051139 2575 11334 137508545 138879401 0 0 109459151 94616021 1260089 1592892 0 0 0 1982436 2344353 112701676 98553266 24806869 40326135 348150507 395684573 4916234 11896047 343234273 383788526 X THE CARPENTERS' HEALTH AND WELFARE FUND OF PHILADELPHIA AND VICINITY (THE PLAN) PROVIDES HEALTH AND OTHER BENEFITS TO ELIGIBLE MEMBERS OF METROPOLITAN REGIONAL COUNCIL OF PHILADELPHIA AND VICINITY OF THE UNITED BROTHERHOOD OF CARPENTERS AND JOINERS OF AMERICA WHICH REPRESENTS CARPENTERS EMPLOYED PRIMARILY IN SOUTHEASTERN PENNSYLVANIA. 0 0 THE PLAN PROVIDES MEDICAL, HOSPITAL, DENTAL, PRESCRIPTION, VISION, WEEKLY DISABILITY INCOME AND WORKERS' COMPENSATION, DEATH AND ACCIDENTAL DEATH AND DISMEMBERMENT, AND VACATION BENEFITS. REFERENCE SHOULD BE MADE TO THE SUMMARY PLAN DESCRIPTION FOR SPECIFIC DETAILS ON ELIGIBILITY AND BENEFITS. 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 1593 0 0 0 0 0 0 0 0 X 12 6 0 0 0 0 0 0 0 1 1 0 0 1 0 0 1 0 0 0 X THE BOARD OF ADMINISTRATION 2155680430 1811 SPRING GARDEN STREET PHILADELPHIA PA 19130 FRANK T LUTTER MGMT TRUSTEE 2.00 X 0 0 0 JAMES R DAVIS MGMT TRUSTEE CO-CHAIR 2.00 X 0 0 0 ROBERT NAUGHTON LABOR TRUSTEE 2.00 60.00 X 0 275057 0 PHILIP RADOMSKI MGMT TRUSTEE 2.00 X 0 0 0 JOSEPH CLEARKIN MGMT TRUSTEE 2.00 X 0 0 0 JACK HEALY MGMT TRUSTEE 2.00 X 0 0 0 MICHAEL MORROW LABOR TRUSTEE 2.00 50.00 X 0 152629 0 MICHAEL HAND LABOR TRUSTEE 2.00 50.00 X 0 159278 0 THOMAS BRESLIN LABOR TRUSTEE 2.00 50.00 X 0 157604 0 JOHN BALLANTYNE LABOR TRUSTEE CO-CHAIR 2.00 60.00 X 0 341774 0 DAVE HAINES LABOR TRUSTEE 2.00 60.00 X 0 236896 0 BENJAMIN J CONNORS MGMT TRUSTEE 2.00 X 0 0 0 PETE TONIA COORDINATOR OF BENEFITS 16.00 24.00 X 97367 146050 30708 JOSEPH OBUCHOWICZ ASST COORDINATOR OF BENEFI 16.00 24.00 X 57762 86643 28813 155129 1555931 59521 0 0 1 0 INDEPENDENCE BLUE CROSS 1901 MARKET STREET PHILADELPHIA PA 19103 BENEFIT CLAIMS ADMINISTRATION 3920957 HEALTH CARE SOLUTIONS CORP 14 MYSTIC LANE MALVERN PA 19355 BENEFIT CLAIMS AND ADMINISTRATION 1046713 BNY MELLON 500 GRANT STREET SUITE 151-0625 PITTSBURGH PA 15258 INVESTMENT MANAGEMENT 383999 FOUNDRY PARTNERS 323 WASHINGTON AVE NORTH SUITE 36 MINNEAPOLIS MN 55401 INVESTMENT MANAGEMENT 268340 THE REVOLT GROUP 929 SOUTH HIGH STREET SUITE 182 WEST CHESTER PA 19382 BUSINESS CONSULTANT 167066 10 EMPLOYER CONTRIBUTIONS 525100 121675773 121675773 PARTICIPANT COBRA CONTRIBUTIONS 525100 6141155 6141155 127816928 8145428 8145428 1195876023 1192970312 2905711 2905711 2905711 OTHER INCOME 900099 11334 11334 11334 138879401 127816928 0 11062473 94616021 907543 295604 301003 88742 161535 29150 1062579 210854 358997 241317 128889 13758 74023 REGULATORY FEES AND TAX 39263 ADMIN EXPENSE REIMB. 23988 98553266 3163945 82821952 22511507 15719233 19254944 1894037 1894037 246173055 276736479 70830486 1542230 1293175 348150507 395684573 910250 1035153 4005984 10860894 4916234 11896047 X 0 0 0 0 343234273 383788526 343234273 383788526 348150507 395684573 40326135 228118 0 X X 0 1 X 1 0 0 LIMITED PARTNERSHIPS 70830486 C 70830486 ESCROW LIABILITY 1293175 DUE TO CARPENTERS PENSION & ANNUITY FUND 344267 DUE TO BROKER 9223452 10860894 X 138037104 228118 228118 137808986 1062579 7836 1070415 138879401 97482851 0 97482851 1062579 7836 1070415 98553266 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: LEGAL FEES REIMBURSEMENTS 7,836. PART XII, LINE 4B - OTHER ADJUSTMENTS: LEGAL FEES REIMBURSEMENTS 7,836. 0 0 0 ROBERT NAUGHTON LABOR TRUSTEE 0 275057 0 0 0 0 0 0 0 0 0 275057 0 0 MICHAEL MORROW LABOR TRUSTEE 0 152629 0 0 0 0 0 0 0 0 0 152629 0 0 MICHAEL HAND LABOR TRUSTEE 0 159278 0 0 0 0 0 0 0 0 0 159278 0 0 THOMAS BRESLIN LABOR TRUSTEE 0 157604 0 0 0 0 0 0 0 0 0 157604 0 0 JOHN BALLANTYNE LABOR TRUSTEE CO-CHAIR 0 341774 0 0 0 0 0 0 0 0 0 341774 0 0 DAVE HAINES LABOR TRUSTEE 0 236896 0 0 0 0 0 0 0 0 0 236896 0 0 PETE TONIA COORDINATOR OF BENEFITS 97367 146050 0 0 0 0 5084 7626 7199 10799 109650 164475 0 0 JOSEPH OBUCHOWICZ ASST COORDINATOR OF BENEFI 57762 86643 0 0 0 0 4326 6489 7199 10799 69287 103931 0 0 FORM 990, PART VI, SECTION B, LINE 11B CARPENTERS' HEALTH AND WELFARE FUND OF PHILADELPHIA AND VICINITY'S FORM 990 IS PREPARED BY ITS INDEPENDENT PUBLIC ACCOUNTANT WHO THEN FORWARDS THE RETURN TO THE FUND ADMINISTRATOR FOR INITIAL REVIEW. THE ADMINISTRATOR THEN PRESENTS THE FORM 990 TO THE BOARD OF TRUSTEES FOR SIGNATURE AND FILING. FORM 990, PART VI, SECTION C, LINE 19 CARPENTERS' HEALTH AND WELFARE FUND OF PHILADELPHIA AND VICINITY'S GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XII, LINE 2C: CARPENTERS' HEALTH AND WELFARE FUND OF PHILADELPHIA AND VICINITY'S BOARD OF TRUSTEES IS RESPONSIBLE FOR OVERSEEING THE FINANCIAL STATEMENT AUDIT AND SELECTION OF THE INDEPENDENT PUBLIC ACCOUNTANT THAT PERFORMS THE AUDIT. FORM 990, PART V, LINE 2A/2B: CARPENTERS HEALTH AND WELFARE FUND OF PHILADELPHIA & VICINITY PAYS VACATION BENEFITS TO ELIGIBLE FUND PARTICIPANTS. FOR THE TAX PERIOD ENDING 12/31/2017 THE FUND ISSUED 8,841 FORMS W-2. THE FUND ALSO FILED ALL REQUIRED EMPLOYMENT TAX RETURNS. CARPENTERS' PENSION AND ANNUITY FUND OF PHILADELPHIA AND VICINITY 1811 SPRING GARDEN STREET PHILADELPHIA PA 19130 231613018 PENSION FUND PA 401(A)/501(A) 0 CARPENTERS JOINT APPRECTICESHIP TRAINING FUND OF PHILADELPHIA & VICINITY 10401 DECATUR ROAD PHILADELPHIA PA 19154 231518467 EDUCATION AND TRAINING FUND PA 501(C)(3) 170(B)(1)(A)(II) 0 CARPENTERS SAVINGS PLAN OF PHILADELPHIA AND VICINITY 1811 SPRING GARDEN STREET PHILADELPHIA PA 19130 232508131 PENSION FUND PA 401(A)/501(A) 0 NORTHEAST REGIONAL COUNCIL OF CARPENTERS 91 FIELDCREST AVE 2ND FLOOR EDISON NY 08837 223848173 LABOR UNION PA 501(C)(5) 0 GENERAL BUILDING CONTRACTORS ASSOCIATION PO BOX 15959 PHILADELPHIA PA 19103 230847495 EMPLOYER ASSOCIATION PA 501(C)(6) 0 UBC EDUCATION FUND 6801 PLACID STREET LAS VEGAS NV 89119 526447063 TRAINING FUND NV 501(C)(3) 0 CARPENTERS BENEFIT SERVICES INC 1811 SPRING GARDEN STREET PHILADELPHIA PA 19130 822755974 ADMIN FUND PA 501(C)(5) 0 365 SPACE SOLUTIONS 3C DRILLING AJ BUILDERS INC AV WOODWORK 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