2018-02-13T14:18:42-06:00 2017-04-30 611456956 NOVAK FRANCELLA LLC ONE PRESIDENTIAL BLVD SUITE 330 BALA CYNWYD PA 19004 990 2016-05-01 232892285 BRICKLAYERS AND ALLIED CRAFTWORKERS LOCAL 1 PA/DE HEALTH & WELFARE FUND BRIC 2158569520 2791 SOUTHAMPTON ROAD No 1 PHILADELPHIA PA 19154 DENNIS J PAGLIOTTI TRUSTEE 2158569520 2018-02-13 Louis Verzella CPA P00360279 6106689400 2018-02-07 162.211.205.39 2018-02-13 14:14:53 ES P 19998950A844A1ED5F18EB360E4E9E4F9906FFA9 19998950A844A1ED5F18EB360E4E9E4F9906FFA9 2016 2021-01-29 14:40:06Z DENNIS J PAGLIOTTI 2791 SOUTHAMPTON ROAD No 1 PHILADELPHIA PA 19154 26335332 0 X WWW.BAC1PA-DE.ORG X 1997 PA PROVISION OF HEALTH AND WELFARE BENEFITS TO ELIGIBLE UNION MEMBERS 10 5 0 0 0 0 0 0 24431825 25462059 547488 593094 2463331 280179 27442644 26335332 0 0 22173991 22037035 0 0 0 0 0 813145 805017 22987136 22842052 4455508 3493280 26757242 32681341 975919 486697 25781323 32194644 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 4 0 0 0 0 0 0 0 0 X 10 5 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 2158569520 2791 SOUTHAMPTON RD SUITE 1 PHILADELPHIA PA 19154 DENNIS PAGLIOTTI UNION TRUSTEE 5.00 40.00 X 0 152372 0 RICHARD TULOWITZKI UNION TRUSTEE 2.00 40.00 X 0 115466 0 DALE DOUGLAS UNION TRUSTEE 2.00 40.00 X 0 106873 0 DONALD ANDERSON UNION TRUSTEE 2.00 40.00 X 0 119336 0 JOSEPH BATTAGLIA UNION TRUSTEE 2.00 40.00 X 0 131226 0 TOM PINTO TRUSTEE (P) 2.00 X 0 0 0 MARK CANNON MANAGEMENT TRUSTEE 2.00 X 0 0 0 CHRIS CLAUDY MANAGEMENT TRUSTEE 2.00 X 0 0 0 NICHOLAS SABIA MANAGEMENT TRUSTEE 2.00 X 0 0 0 FRED CHIARLANZA MANAGEMENT TRUSTEE 2.00 X 0 0 0 DAVE CRAWFORD mANAGEMENT TRUSTEE 2.00 X 0 0 0 0 625273 0 0 0 1 0 INDEPENDENCE BLUE CROSS 1901 MARKET STREET PHILADELPHIA PA 19103 CLAIMS PROCESSING 736507 BRICKLAYERS BENEFIT PLANS INC 2791 Southampton road ste 1 philADELPHIA PA 19154 THIRD PARTY ADMINISTRATOR 390397 O'DONOGHUE & O'DONOGHUE LLP 325 CHESTNUT STREET STE 515 PHILADELPHIA PA 19106 FUND ATTORNEY 174589 GUARDIAN NURSES PO BOX 224 FLOURTOWN PA 19031 CLAIMS PROCESSING 173011 4 EMPLOYER CONTRIBUTIONS 900099 25121750 25121750 PARTICIPANT CONTRIBUTI 900099 340309 340309 25462059 541628 541628 51466 0 51466 51466 51466 ADMINISTRATIVE FEE INC 900099 142749 142749 LIQUIDATED DAMAGES 900099 108612 108612 OTHER INCOME 900099 28818 28818 280179 26335332 25604808 0 730524 22037035 390397 199554 135375 25000 24413 3977 11286 15015 22842052 980441 3911668 4207715 3189584 33692 59071 38646 37559 12373 1087 21523021 24791931 0 728000 26757242 32681341 81692 79534 894227 407163 975919 486697 X 0 0 0 0 25781323 32194644 25781323 32194644 26757242 32681341 3493280 1275816 1644225 0 X X 0 1 X 1 0 38646 37559 1087 1087 DUE TO RELATED BENEFIT FUNDS 325791 RECIPROCAL CONTRIBUTIONS PAYABLE 81372 407163 X 27611148 1275816 1275816 26335332 0 26335332 22842052 0 22842052 0 22842052 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 152372 0 0 0 0 0 0 0 0 0 152372 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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