2017-06-01T11:57:32-07:00 2016-07-31 ENNIS HARGADONLLC 739 PALISADE AVE CLIFFSIDE PARK NJ 070103255 990 2015-08-01 222004832 Teamsters Local 97 Benefits Fund TEAM 9088100022 485 Chestnut Street Union NJ 07083 JOHN GEROW TRUSTEE 9088100022 2016-10-17 true RAYMOND HARGADON 2018718710 2017-06-01 2015 2021-01-29 14:40:06Z JOHN GEROW 485 Chestnut St Union NJ 07083 13987034 false X N/A X 1972 NJ To Provide Health and welfare benefits to participants. 3 0 7 0 0 0 14738646 12941239 84299 90473 5075 1090 14828020 13032802 0 14231773 12501296 502201 492002 0 0 1314340 1351815 16048314 14345113 -1220294 -1312311 3838733 2634562 2029092 2131493 1809641 503069 To Provide Health and false false PROVIDE HEALTH AND WELFARE BENEFITS TO PARTICIPANTS false false false false false false false false false false true false false true true true true false false false false false false false false false false false false true false false false false false false false false false false false false false true false false false true 135 0 true 7 true false false false false false false false false false false X 3 0 true false false false false true false true true false false true false false false true false false X Board of Trustees 9088100022 485 Chestnut Street Union NJ 07083 JOHN GEROW Trustee 1.00 X 0 145789 60279 MARIA PEREZ Trustee 1.00 X 0 137907 58928 DANIEL REIMAN Trustee 1.00 X 0 0 0 ELAINE ALESSIO Fund Manager 37.50 X 120182 0 32197 120182 283696 151404 1 false true false Horizon Blue Cross & Blue Shield 3 Penn Plaza Newark NJ 10119 Claims Administration 648474 Ennis Hargadon LLC 739 Palisade Ave Cliffside Pk NJ 07010 Accountant 143418 2 Employers Contributions 525100 12894335 Cobra Contributions 525100 46904 12941239 53543 53543 991162 954232 36930 36930 36930 Securities Class Action Settlements 525100 269 269 Interest on Delinquencies 525100 821 821 1090 13032802 12942329 90473 12501296 118036 205039 53267 86945 28715 91049 143418 16881 864517 93841 75868 23272 13514 14898 5717 Other Benefit Fees 8840 14345113 109366 80 770107 167747 44016 518783 20809 10807 212716 153038 73158 59678 1748374 1583735 1072903 293732 3838733 2634562 307551 147191 1721541 1984302 2029092 2131493 X 1809641 503069 1809641 503069 3838733 2634562 -1312311 5739 X false true X false false 55350 55350 157366 97688 59678 59678 Accrued Interest and Dividends 9341 Stop Loss Reimbursements Advance Deposits 280592 Due from Broker for Securities Sold 3799 293732 Due to Brokers for Securities Purchased 597 Payable to Claims Administrators 1983705 1984302 X 13017242 5739 5739 13011503 21299 21299 13032802 14323814 14323814 21299 21299 14345113 Other See attached explanation false false false JOHN GEROW 139570 6219 46772 13507 206068 MARIA PEREZ 131669 6238 44559 14369 196835 ELAINE ALESSIO 120182 18027 14170 152379 Pt VI, Line 2 See attached explanation Pt VI, Line 7a See attached explanation Pt VI, Line 11b See attached explanation Pt VI, Line 12c See attached explanation Pt VI, Line 15a See attached explanation Pt VI, Line 19 See attached explanation Borough of Carteret 20 Cooke Ave Carteret NJ 07008 226001707 VEBA Contributing Employer NJ Jackson Board of Education 151 Don Conner Blvd Jackson NJ 08527 216000344 VEBA Contributing Employer NJ Lacey Township 818 W Lacey Road Forked River NJ 08731 216006469 VEBA Contributing Employer NJ Lavallette Borough 1306 Grand Central Ave Lavallette NJ 08735 216000788 VEBA Contributing Employer NJ Township of Little Falls 225 Main Street Little Falls NJ 07424 226002036 VEBA Contributing Employer NJ Palisades Park Board of Ed 410 Second Street Palisades Park NJ 07650 226002185 VEBA Contributing Employer NJ Teamsters Local Union No 97 485 Chestnut Street Union NJ 07083 221633671 VEBA Contributing Employer NJ 501(c)(5) false Borough of South Toms River 144 Mill Street South Toms River NJ 08757 221859596 VEBA Contributing Employer NJ Borough of Paramus 1 Jockish Square Paramus NJ 07652 226002186 VEBA Contributing Employer NJ City of Hackensack 65 Central Avenue Hackensack NJ 07601 226001843 VEBA Contributing Employer NJ Hoboken Housing Authority 400 Harrison Street Hoboken NJ 07030 VEBA Contributing Employer Ashbrook Care and Rehabilitation Center 1610 Raritan Road Scotch Plains NJ 07076 270398833 VEBA Contributing Employer NJ NA Forest Hill Propeties 8 West 40th Street New York NY 10018 133633569 VEBA Contributing Employer NJ NA Llanfair House Care and Rehab Center 1140 Black Oak Ridge Road Wayne NJ 07470 270399620 VEBA Contributing Employer NJ NA Greenbrook Manor & Rehab Center 303 Rock Avenue Greenbrook NJ 08812 270399365 VEBA Contributing Employer NJ NA Arcadia Nursing and Rehabilitation Center 1501 Route 33 Trenton NJ 08690 311510952 VEBA Contributing Employer BP & SC Services Inc 491 Lyons Avenue Irvington NJ 07111 208056539 VEBA Contributing Employer NJ NA S Brower Town Assoc IncProspect Heights Care Center 336 Prospect Ave Hackensack NJ 07601 222761763 VEBA Contributing Employer NJ NA S Century Distribution Service Inc 100 Passaic Ave Suite 160 Fairfield NJ 07004 223444871 VEBA Contributing Employer NJ NA C Durex Inc 5 Stahuber Ave Union NJ 07083 221426696 VEBA Contributing Employer NJ NA S Miller & Son 24 Belleville Avenue Belleville NJ 07109 221838356 VEBA Contributing Employer NJ NA Modern Facilities Services Inc 733 Ridgedale Ave East Newark NJ 07936 222256098 VEBA Contributing Employer NJ NA S Regent Care Center 50 Polifly Road Hackensack NJ 07601 222495155 VEBA Contributing Employer NJ NA C Severna Operations Inc 3 Eastmans Road Parsippany NJ 07054 010801089 VEBA Contributing Employer NJ NA S Silverline Bldg Products CorpAndersen Corp 100 4th Avenue North Bayport MN 55003 VEBA Contributing Employer T&E Industries Inc 215 Watchung Ave Orange NJ 07050 222304064 VEBA Contributing Employer NJ NA S Technical Bldg Maint Inc (Temco) 417 Fifth Avenue New York NY 10016 221852148 VEBA Contributing Employer NJ NA C The VMC Group 113 Main Street Bloomingdale NJ 07403 202305737 VEBA Contributing Employer NA Tryco Tool & Mfg Co Inc 363 So jefferson Street Orange NJ 07050 221695476 VEBA Contributing Employer NJ NA S White House Healthcare & Rehab Center Inc 560 Berkeley Ave Orange NJ 07050 221996325 VEBA Contributing Employer NJ NA S White Rose Inc 380 Middlesex Avenue Carteret NJ 07008 940431833 VEBA Contributing Employer DE NA C false false false false false false false false false false true false false false false true false false false