2018-07-18T09:22:06-05:00 2017-12-31 611436956 NOVAK FRANCELLA LLC ONE PRESIDENTIAL BLVD SUITE 330 BALA CYNWYD PA 19004 990 2017-01-01 236263170 CENTRAL PENNSYLVANIA TEAMSTERS HEALTH AND WELFARE FUND CENT 6103205500 1055 SPRING STREET WYOMISSING PA 19610 WILLIAM M SHAPPELL TRUSTEE TRUSTEE 6103205500 2018-07-18 1 LOUIS VERZELLA CPA P00360279 6106689400 2018-07-25 2017 2022-09-23 18:48:47Z JOE SAMOLEWICZ 1055 SPRING STREET WYOMISSING PA 19610 151050035 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 -271762 -271762 0 0 106661633 116213391 2345248 4491279 -126694 -266463 108880187 120438207 0 0 105645766 108710763 3217300 3314050 0 0 0 2908673 2850589 111771739 114875402 -2891552 5562805 102882373 117532146 982947 908304 101899426 116623842 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 2340 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 101314 65735 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 98573 42668 KEN ROSS EMPLOYER TRUSTEE 2.00 X 0 0 0 CHARLES SHAFER UNION TRUSTEE 2.00 40.00 X 0 97227 55860 JEFFREY STRAUSE UNION TRUSTEE 2.00 50.00 X 0 80448 60981 ERIC BUCHEIT EMPLOYER TRUSTEE 2.00 X 0 0 0 KEVIN BOLIG UNION TRUSTEE 2.00 50.00 X 0 96215 55513 JOSEPH J SAMOLEWICZ FUND ADMINISTRATOR 22.50 22.50 X 0 159354 89773 MARTIN L CULLEN ASST FUND ADMINISTRATOR 22.50 22.50 X 0 116974 73672 JAMES STRICKER INFORMATION TECHNOLOGY 22.50 22.50 X 0 105092 76751 0 855197 520953 0 0 1 0 MERITAIN HEALTH INC 300 CORPORATE PARKWAY 100S AMERST NY 14226 CLAIMS PROCESSING 2371666 DELTA DENTAL OF PENNSYLVANIA ONE DELTA DRIVE MECHANICSBURG PA 17055 CLAIMS PROCESSING 238592 GENERAL PRESCRIPTION PROGRAMS INC 305 MADISON AVENUE - SUITE 1166B NEW YORK NY 10165 CLAIMS PROCESSING 223225 BASYS INC 3700 KOPPERS ST STE 400 BALTIMORE MD 21227 COMPUTER SERVICES 216576 STEVENS & LEE PC 17 NORTH SECOND STREET 16TH FLOOR HARRISBURG PA 17101 ATTORNEY 181316 9 EMPLOYER CONTRIBUTIONS 525100 109701004 109701004 PARTICIPANT CONTRIBUTIONS 525100 5625045 5625045 RETIREE DRUG SUBSIDY-MEDICARE PAR 525100 887342 887342 116213391 2436815 2436815 32666292 30611828 2054464 2054464 2054464 MISCELLANEOUS INCOME 900099 5299 5299 PASS THROUGH INCOME FROM PARTNERS 900099 -271762 -271762 -266463 120438207 116213391 -271762 4496578 108710763 1526359 912420 746789 128482 510284 89500 286183 685586 556660 331130 147772 47245 1124 66591 96397 FEES MANDATED BY ACA 28667 PAYROLL AUDIT EXPENSE 1969 INVESTMENT TAXES 1398 ALLOCATED DEPRECIATION 83 114875402 3727199 4146694 1500682 6878891 9044597 10011347 87337 73582 2543655 2394505 130582 149150 79256788 85321232 8689695 10603519 445493 347731 102882373 117532146 884983 828960 97964 79344 982947 908304 X 0 0 0 0 101899426 116623842 101899426 116623842 102882373 117532146 X 5562805 8889849 271762 X X 0 1 X 1 0 1574 1574 0 117011 19264 97747 2035171 1993359 41812 389899 380308 9591 149150 LIMITED PARTNERSHIP 10603519 F 10603519 DUE TO RELATED PARTIES 82 DUE TO BROKER FOR PURCHASES OF SECURITIES 70241 OBLIGATION UNDER CAPITAL LEASE 9021 79344 X 129313277 8889849 8889849 120423428 286541 -271762 14779 120438207 114588861 0 114588861 286541 286541 114875402 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 -271,762. X 0 0 0 WILLIAM SHAPPELL UNION TRUSTEE 0 101314 0 0 0 0 0 38527 0 27208 0 167049 0 0 CHARLES SHAFER UNION TRUSTEE 0 97227 0 0 0 0 0 37310 0 18550 0 153087 0 0 KEVIN BOLIG UNION TRUSTEE 0 96215 0 0 0 0 0 33308 0 22205 0 151728 0 0 JOSEPH J SAMOLEWICZ FUND ADMINISTRATOR 0 159354 0 0 0 0 0 48532 0 41241 0 249127 0 0 MARTIN L CULLEN ASST FUND ADMINISTRATOR 0 116974 0 0 0 0 0 42175 0 31497 0 190646 0 0 JAMES STRICKER INFORMATION TECHNOLOGY 0 105092 0 0 0 0 0 40393 0 36358 0 181843 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 XI, LINE 9: PASS THROUGH LOSS FROM PARTNERSHIP K-1'S 271,762. 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. CENTRAL PENNSYLVANIA TEAMSTERS DEFINED BENEFIT PLAN 1055 SPRING STREET WYOMISSING PA 19610 236262789 PENSION PLAN PA 401(A) 0 CENTRAL PENNSYLVANIA TEAMSTERS RETIREMENT INCOME PLAN - 1987 1055 SPRING STREET WYOMISSING PA 19610 236262789 PENSION PLAN PA 401(A) 0 BERKS COUNTY JAIL SYSTEM 236003049 LOCAL GOVERNMENT PA 0 BERN TOWNSHIP 236000249 LOCAL GOVERNMENT PA 0 BIRDSBORO BOROUGH 236003118 LOCAL GOVERNMENT PA 0 BOROUGH OF BERWICK 246000568 LOCAL GOVERNMENT PA 0 CUMRU TOWNSHIP 236000288 LOCAL GOVERNMENT PA 0 DENVER BOROUGH 236002983 LOCAL GOVERNMENT PA 0 EXETER TWP BD OF SUPV 236000327 LOCAL GOVERNMENT PA 0 LOYALSOCK TOWNSHIP 246001483 LOCAL GOVERNMENT PA 0 MAHANOY CITY BOROUGH 236002892 LOCAL GOVERNMENT PA 0 MILTON REGIONAL SEWER ATH 300093422 LOCAL GOVERNMENT PA 0 MUHLENBERG TOWNSHIP 236000435 LOCAL GOVERNMENT PA 0 MUHLENBERG TOWNSHIP AUTH 256010770 LOCAL GOVERNMENT PA 0 NESCOPECK BOROUGH 246000638 LOCAL GOVERNMENT PA 0 NEWBERRY TWP BD OF SUPV 236000437 LOCAL GOVERNMENT PA 0 NORTHUMBERLAND COUNTY 246000742 LOCAL GOVERNMENT PA 0 PA CONFERENCE OF TEAMSTER 232311355 LOCAL GOVERNMENT PA 0 POLK TOWNSHIP SUPERVISORS 246001528 LOCAL GOVERNMENT PA 0 RDG REGIONAL AIRPORT AUTH 236050410 LOCAL GOVERNMENT PA 0 SCHUYLKILL COUNTY PRISON 236003048 LOCAL GOVERNMENT PA 0 SMITHFIELD TOWNSHIP 232089952 LOCAL GOVERNMENT PA 0 SNYDER COUNTY 236003152 LOCAL GOVERNMENT PA 0 SPRING GARDEN TWP BOC 236003037 LOCAL GOVERNMENT PA 0 SPRINGETTSBURY TOWNSHIP 236000513 LOCAL GOVERNMENT PA 0 SUMMIT HILL BOROUGH 246000664 LOCAL GOVERNMENT PA 0 TEAMSTERS LOCAL UNION 229 240565465 LABOR UNION PA 501(C)(5) 0 TEAMSTERS LOCAL UNION 429 230724625 LABOR UNION PA 501(C)(5) 0 TEAMSTERS LOCAL UNION 764 240773584 LABOR UNION PA 501(C)(5) 0 TEAMSTERS LOCAL UNION 771 231071860 LABOR UNION PA 501(C)(5) 0 TEAMSTERS LOCAL UNION 773 230724667 LABOR UNION PA 501(C)(5) 0 TEAMSTERS LOCAL UNION 776 231147664 LABOR UNION PA 501(C)(5) 0 UPPER MT BETHEL TOWNSHIP 246001583 LOCAL GOVERNMENT PA 0 WASHINGTON TOWNSHIP 236000563 LOCAL GOVERNMENT PA 0 WEST READING BOROUGH 236002959 LOCAL GOVERNMENT PA 0 WEST YORK BOROUGH FIREFIG 236003014 LOCAL GOVERNMENT PA 0 VALLEY FORGE SEWER AUTHORITY 231859795 LOCAL GOVERNMENT PA 0 LOWER MACUNGIE TOWNSHIP 236000397 LOCAL GOVERNMENT PA 0 3B SERVICES INC ABM FLOOR SERVICES AIRGAS SPECIALTY PRODUCTS ANTHRACITE INDUSTRIES INC APPALACIAN PIPELINE CONT ARKANSAS BEST FREIGHT SYS ARKEMA INC B&N CLEARING & ENVIRONMENT BERKS PACKING COMPANY INC BRENNTAG NORTHEAST INC CANTEEN VENDING SERVICES CBI CONSTRUCTION SERV LLC CEMPORT INC CENTRAL BUILDERS SUPPLY C CENTRE CONCRETE COMPANY CPC TANKER LLC CSI DAIRY FARMERS OF AMERICA DIVISION OF DEAN TRANS IN DOUBLE M TRENCHING LLC E J BRENEMAN L P EJ BRENEMAN LLC EARTH PIPELINE SERV INC EJB PAVING AND MATERIALS ENERFAB POWER & INDUSTRIAL GLOBAL ENERGY SOLUTIONS GOODMAN VENDING SERVICE GREGORY GENERAL CONTRACTING GROCERY HAULERS INC HANSON READY MIX INC INT SCRAP IRON & METAL CO JONES MOTOR CO INC KIEWIT POWER CONSTRUCTORS KUNZLER & COMPANY INC LATEX CONSTRUCTION COMPANY LEHIGH VALLEY DAIRIES INC LETOURNEAU ENTERPRISES MC COMMUNICATIONS INC MICHELS CORPORATION MILLER ROBESONIA TRUCK SV NEW PENN MOTOR EXPRESS IN NORTHERN CLEARING INC OTIS EASTERN SERVICE LLC PE BEN USA INC PENN LINE SERVICES PENNSY SUPPLY INC DBA MCMINNS ASPHALT PENSKE TRUCK LEASING CO PETRO OIL PHILLIPS & JORDAN INC PRECISION PIPELINE LLC PRICE GREGORY INT'L INC RL COOLSAET CONSTRUCTION RABBIT TRANSIT READING FOUNDRY & SUPPLY ROCKFORD CORPORATION R-VALUE FOAM INSULATION SAVOR STREET FOODS INC SOUTHEAST DIRECT DRILLIN SUPERVALU INC SUPREME INDUSTRIES TG MERCER CONSULTING THE HILLIS GROUP LLC UNITED PARCEL SERVICE URSA MAJOR DIRECTIONAL US BORTEK LLC VALLEY DIRECTIONAL DRILL WALTER W ZEIGLER & SONS WELDED CONSTRUCTION WILLIAM E BUCKHOLZ CORPORATION WINDSOR SERVICE TRUCKING WOLVERINE TRUCKING INC WOOD-MODE INCORPORATED YEAGER SUPPLY INC YORK CONCRETE CO YORK GROUP INC YRC FREIGHT 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0 0 CENTRAL PENNSYLVANIA TEAMSTERS RETIREMENT INCOME PLAN - 1987 P 2798710 FMV TEAMSTERS LOCAL UNION NO 429 K 135563 FMV