2018-10-12T09:03:02-05:00 2017-12-31 611436956 NOVAK FRANCELLA LLC ONE PRESIDENTIAL BLVD SUITE 330 BALA CYNWYD PA 19004 990 2017-01-01 135521921 LAUNDRY DRY CLEANING WORKERS & ALIIED INDUSTRIES HEALTH FUND WORKERS UNITED AMAL 9143675000 333 WESTCHESTER AVENUE WHITE PLAINS NY 106042910 MICHAEL POTACK TRUSTEE 9143675000 2018-10-12 1 LOUIS VERZELLA CPA P00360279 6106689400 2018-10-09 162.211.205.39 2018-10-12 09:02:43 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 19998950A844A1ED5F18EB360E4E9E4F9906FFA9 2017 2018-06-14 16:35:46Z MICHAEL POTACK 275 7TH AVENUE NEW YORK NY 10001 70639199 0 X N/A X 1946 NY VEBA HEALTH FUND PROVIDING HEALTH BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS. 6 3 0 0 0 0 0 0 16557366 15372055 78366 619960 0 0 16635732 15992015 0 0 12735770 13166235 216296 222224 0 0 0 2160637 1991413 15112703 15379872 1523029 612143 18503065 19861259 368423 212407 18134642 19648852 TO PROVIDE MEDICAL, HOSPITALIZATION, DENTAL, VISION AND PRESCRITION BENEFITS PAID TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS. 0 0 MEDICAL, HOSPITALIZATION, DENTAL, VISION AND PRESCRITION BENEFITS PAID TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS. 0 0 0 0 0 0 0 0 0 0 1 0 1 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 38 0 0 0 0 0 0 0 0 X 6 3 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X FUND OFFICE 9143675000 333 WESTCHESTER AVENUE WHITE PLAINS NY 106042910 ALBERTO ARROYO TRUSTEE 1.00 40.00 X 0 106087 38149 MICHAEL POTACK TRUSTEE 1.00 X 0 0 0 BRIAN SANTONELLO TRUSTEE 1.00 X 0 0 0 WILFREDO LARANCUENT TRUSTEE 1.00 40.00 X 0 147212 44089 MEGHAN CHAMBERS TRUSTEE 1.00 40.00 X 0 95481 36528 JOHN MAGLIOCCO TRUSTEE 1.00 X 0 0 0 0 348780 118766 0 0 1 0 ALICARE INC 333 WESTCHESTER AVENUE WHITE PLAINS NY 10604 ADMINISTRATIVE & INVESTMENT SERVICES 1575367 EMPIRE HEALTHCHOICE ASSURANCE INC ONE LIBERTY PLAZA NEW YORK NY 10006 CLAIM PROCESSING FEE 552295 SCHULTE ROTH & ZABEL LLP 919 THIRD AVENUE NEW YORK NY 10022 LEGAL 136452 3 EMPLOYER CONTRIBUTIONS 525100 15298964 15298964 MEMBER CONTRIBUTIONS 525100 42369 42369 SHARED EXPENSE REIMBURSEMENTS 525100 19000 19000 COBRA CONTRIBUTIONS 525100 11722 11722 15372055 131428 131428 55135716 54647184 488532 488532 488532 15992015 15372055 0 619960 X 13166235 138673 19430 50982 13139 156834 35430 115909 1571686 27345 24236 4878 1851 22024 ALLOCATED PAYROLL AND C 23200 FEES MANDATED BY THE AF 8020 15379872 250 250 646926 745968 1187044 681420 20925 220 4902501 7735374 11473782 7716617 271637 2981410 18503065 19861259 110186 73876 258237 138531 368423 212407 X 0 0 0 0 18134642 19648852 18134642 19648852 18503065 19861259 612143 902067 0 X X 0 1 X 1 0 0 HEDGE FUND OF FUNDS - DIVERSIFIED 216126 F COMMON COLLECTIVE TRUST 7500491 F 7716617 DUE FROM RELATED ENTITIES 19000 INVESTMENT INCOME RECEIVABLE 30445 CASH HELD BY WORKERS' COMP BD - DEPOSITS 96000 PRESCRIPTION REBATES RECEIVABLE 152008 SECURITIES SOLD AND NOT SETTLED 2683957 2981410 DUE TO RELATED ENTITIES 23200 CASH OVERDRAFT 70701 DUE TO ALICO 166 OBLIGATION TO DISTRIBUTE CONTRIBUTIONS TO RELATED PARTIES 36444 FEES MANDATED BY THE AFFORDABLE CARE ACT 8020 138531 X 16759173 902067 902067 15857106 115909 19000 134909 15992015 15244963 0 15244963 115909 19000 134909 15379872 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: SHARED REIMBURSED EXPENSES 19,000. PART XII, LINE 4B - OTHER ADJUSTMENTS: SHARED REIMBURSED EXPENSES 19,000. 0 0 0 WILFREDO LARANCUENT TRUSTEE 0 147212 0 0 0 0 0 0 0 44089 0 191301 0 0 FORM 990, PART VI, SECTION B, LINE 11B LAUNDRY, DRY CLEANING WORKERS & ALLIED INDUSTRIES HEALTH FUND, WORKERS UNITED'S FORM 990 IS PREPARED BY ITS INDEPENDENT PUBLIC ACCOUNTANT WHO THEN FORWARDS THE COMPLETED RETURN TO THE BOARD OF TRUSTEES FOR REVIEW AND SIGNATURE. FORM 990, PART VI, SECTION B, LINE 12C LAUNDRY, DRY CLEANING WORKERS & ALLIED INDUSTRIES HEALTH FUND, WORKERS UNITED MONITORS ITS CONFLICT OF INTEREST POLICY ON AN ANNUAL BASIS. FORM 990, PART VI, SECTION C, LINE 19 LAUNDRY, DRY CLEANING WORKERS & ALLIED INDUSTRIES HEALTH FUND, WORKERS UNITED'S GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VII CONTACT ADDRESSES FOR OFFICERS, DIRECTORS, ETC ALBERTO ARROYO - 703 MCCARTER HIGHWAY, NEWARK, NJ 07102. MICHAEL POTACK - 401 SOUTH MACQUESTEN PARKWAY, MOUNT VERNON, NY 10550. BRIAN SANTONELLO - 50-35 56TH ROAD, MASPETH, NY 11378. WILFREDO LARANCUENT - 1100 6TH AVENUE, NEPTUNE, NJ 07753. FORM 990, PART IX, LINE 11G ACTUARY 57,197. ADMINISTRATIVE FEES 1,485,367. CONSULTING 29,122. FORM 990, PART XII, LINE 2C: LAUNDRY, DRY CLEANING WORKERS & ALLIED INDUSTRIES HEALTH FUND,WORKERS UNITED BOARD OF TRUSTEES IS RESPONSIBLE FOR OVERSEEING THE FINANCIAL STATEMENT AUDIT AND SELECTION OF THE INDEPENDENT ACCOUNTANT WHO PERFORMED THE AUDIT. LAUNDRY DRY CLEANING WORKERS & ALLIED IND RETIREMENT FUNDWORKERS UNITED 333 WESTCHESTER AVENUE WHITE PLAINS NY 10604 135521921 PENSION FUND NY 401(A)/501(A) 0 LAUNDRY DRY CLEANING WORKERS EDUCATION & LEGAL ASSISTANCE FUND WORKERS UNI 333 WESTCHESTER AVENUE WHITE PLAINS NY 10604 201072118 EDUCATION AND LEGAL ASSISTANCE FUND NY 501(C)(9) 0 LAUNDRY DISTRIBUTION AND FOOD SERVICE JOINT BOARDWORKERS UNITED 703 MCCARTER HIGHWAY NEWARK NJ 07102 273605306 LABOR UNION NJ 501(C)(5) 0 ACLS NEW ENGLAND INC ALLEN LINEN SUPPLY AMERICAN DRIVE IN CLEANERS OF HEWLETT AMERTEX SERVICES APPAREL PLUS TEXTILE RENTAL LLC ARAMARK UNIFORM SERVICES NEWARK NJ ARROW LINEN SUPPLY CO BEST METROPOLITAN ELITE AIRLINE LINEN OF NEW YORK INC ERNEST WINZER CLEANERS LLC FDR SERVICES CORP OF NEW JERSEY HCSC LAUNDRY ASBURY PARK NJ HIGHLAND LIGHT STEAM LAUNDRY INC KEUM LIMITED MSJ INC FKA AUBURN TOWEL MARVAL INDUSTRIES INC MED APPAREL SERVICES MERITEX LLC MERLIN INDUSTRIES OCEANSIDE INSTITUTIONAL INDUSTRIES PAUL DYEING CO QUALITY LINEN SUPPLY SERVICE RIDDELL INC ALL AMERICAN SPORTS CORP SANITARY COAT APPRON & TOWEL SUPPLY CO INC SHARED TEXTILES - MIDDLETOWN STAIN-LESS INC STAR CLEANERS - ROCKVILLE UNITEX TEXTILE RENTAL INC WH LINEN SUPPLY NEW ENGLAND LINEN NORTH EAST LINEN WH CHRISTIAN & SONS (VISION & RETIREMENT ONLY) 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 LAUNDRY DRY CLEANING WORKERS & ALLIED IND RETIREMENT FUNDWORKERS UNITED Q 18000 FMV LAUNDRY DRY CLEANING WORKERS & UNITE EDUCATION & LEGAL ASSISTANCE FUND Q 1000 FMV LAUNDRY DISTRIBUTION AND FOOD SERVICE JOINT BOARDWORKERS UNITED O 23200 FMV LAUNDRY DISTRIBUTION AND FOOD SERVICE JOINT BOARDWORKERS UNITED K 18000 FMV