2017-02-21T10:52:31-06:00 2016-04-30 611436956 NOVAK FRANCELLA LLC ONE PRESIDENTIAL BLVD SUITE 330 BALA CYNWYD PA 19004 990 2015-05-01 231324693 sheet metal workers health fund of local union no 19 SHEE 2159521990 1301 s columbus blvd - 1st floor philadelphia PA 19147 GARY MASINO CO-CHAIRMAN 2159521990 2017-02-21 1 Louis Verzella CPA P00360279 6106689400 2017-02-13 2015 2021-01-29 14:40:06Z GARY MASINO 1301 s columbus blvd - 1st floor philadelphia PA 19147 124078597 0 X NA X 1949 PA TO PROVIDE HEALTH AND WELFARE BENEFITS TO ITS MEMBERS 8 8 0 0 0 0 0 0 43266597 55921907 3664142 382901 167899 356191 47098638 56660999 0 0 52456764 48281410 715359 882652 0 0 0 631962 701857 53804085 49865919 -6705447 6795080 32846152 39196314 1226983 1650640 31619169 37545674 TO PROVIDE HEALTH AND WELFARE BENEFITS TO ITS MEMBERS. 0 0 TO PROVIDE HEALTH AND WELFARE BENEFITS TO ITS MEMBERS. 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 X 85 0 0 0 0 0 0 0 0 X 8 8 0 1 0 0 0 0 0 1 1 0 0 0 1 1 0 1 1 0 0 0 X ADMINISTRATOR 2159521990 1301 s columbus blvd philadelphia PA 19147 GARY J MASINO CO-CHAIR 5.00 40.00 X 0 204733 114425 EDMUND J BRANSFIELD CO-CHAIR 5.00 X 0 0 0 THOMAS J KLINGENBERG TRUSTEE 2.00 40.00 X 0 130217 84857 ROELAND F HOEKE TRUSTEE 2.00 X 0 0 0 PATRICK F DOYLE TRUSTEE 2.00 40.00 X 0 123908 83776 RICHARD BORRADAILE P TRUSTEE 2.00 X 0 0 0 CHARLES J BURKET P TRUSTEE 2.00 40.00 X 0 124876 83797 ERNEST J MENOLD TRUSTEE 2.00 X 0 0 0 Bryan Bush TRUSTEE 2.00 40.00 X 0 129149 85093 Matthew Sano TRUSTEE 2.00 X 0 0 0 STEVEN R THOMAS ADMINISTRATOR 1.00 40.00 X 0 112104 75553 JOSEPH HAZESKI III ASST ADMINISTRATOR 1.00 40.00 X 0 111851 90145 0 936838 617646 0 0 1 0 Independence Blue Cross 1901 Market Street Philadelphia PA 19103 Administrative fees 1399462 Express Scripts 1934 Westleigh Drive Glenview IL 60025 Administrative fees 222062 BENECARD 5040 RITTER ROAD MECHANICSBURG PA 17055 Administrative fees 140828 DELTA DENTAL 1 DELTA DRIVE MECHANICSBURG PA 17055 administrative fees 115525 4 Employer contributions 525100 36834866 36834866 401(H) RETIREE INCOME FROM PENSIO 525100 12974775 12974775 Participant and COBRA contributio 525100 6112266 6112266 55921907 697638 697638 67102861 67417598 -314737 -314737 -314737 Miscellanous income 900099 206796 206796 VACATION ADMIN FEE 900099 131684 131684 Settlement income 900099 17711 17711 356191 56660999 55607170 0 1053829 48281410 419637 232340 197019 33656 50750 32055 111116 85825 65700 76203 108629 3374 7675 29129 Regulatory fees and tax 118574 Depreciation expense al 11353 Trustee expense 1474 49865919 4172521 4146227 3420778 3551609 3895089 5009917 13333 13333 21344431 20879039 5030189 0 566000 32846152 39196314 136959 473912 1090024 1176728 1226983 1650640 X 0 0 0 0 31619169 37545674 31619169 37545674 32846152 39196314 6795080 -868575 0 X X 0 1 X 1 0 0 Limited partnership 5030189 C 5030189 Due to related organizations 1176728 1176728 X 46010316 -868574 3303782 2435208 43575108 111116 12974775 13085891 56660999 49754803 0 49754803 111116 111116 49865919 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 2d - Other Adjustments: ADDITIONS TO 401(h) account 3,303,782. Part XI, Line 4b - Other Adjustments: RETIREE INCOME FROM 401(H) ACCOUNT 12,974,775. 0 0 0 GARY J MASINO CO-CHAIR 0 204733 0 0 0 0 0 78912 0 35513 0 319158 0 0 THOMAS J KLINGENBERG TRUSTEE 0 130217 0 0 0 0 0 56776 0 28081 0 215074 0 0 PATRICK F DOYLE TRUSTEE 0 123908 0 0 0 0 0 55817 0 27959 0 207684 0 0 CHARLES J BURKET P TRUSTEE 0 124876 0 0 0 0 0 55932 0 27865 0 208673 0 0 Bryan Bush TRUSTEE 0 129149 0 0 0 0 0 56784 0 28309 0 214242 0 0 STEVEN R THOMAS ADMINISTRATOR 0 112104 0 0 0 0 0 52127 0 23426 0 187657 0 0 JOSEPH HAZESKI III ASST ADMINISTRATOR 0 111851 0 0 0 0 0 62479 0 27666 0 201996 0 0 Part I, Line 3 COMPENSATION OF ADMININSTATOR PAID BY SHEET METAL WORKERS LOCAL UNION NO. 19 PENSION FUND, A RELATED PARTY AND ALLOCATED TO RELATED BENEFIT FUNDS. FORM 990, PART V, LINES 2A AND 2B THE ORGANIZATION PROVIDES BENEFITS TO PARTICIPANTS THAT ARE TAXABLE AS WAGES. 116 FORMS W-2 WERE ISSUED FOR THE CALENDAR YEAR 2015. ALL REQUIRED FEDERAL EMPLOYEMENT TAX RETURNS WERE FILED. Form 990, Part VI, Section A, line 3 THE TRUSTEES HAS DELEGATED THE MANAGEMENT OF WELFARE FUND TO THE FUND ADMINISTRATOR. Form 990, Part VI, Section B, line 11 COPIES OF THE FORM 990 ARE PROVIDED TO CO-CHAIRMEN/TRUSTEES FOR THEIR REVIEW. Form 990, Part VI, Section C, line 19 GOVERNING DOCUMENTS,CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART XII, LINE 2C: THE FUNDS TRUSTEES ARE RESPONSIBLE FOR THE OVERSIGHT OF THE AUDIT OF FINANCIAL STATEMENTS AND THE SELECTION OF THE INDEPENDENT AUDIT. SHEET METAL WORKERS LOCAL UNION NO 19 PENSION FUND 1301 SOUTH COLUMBUS BLVD PHILADELPHIA PA 19147 231494364 PENSION FUND 401a/501a 0 SHEET METAL WORKERS LOCAL UNION NO 19 SUB FUND 1301 SOUTH COLUMBUS BLVD PHILADELPHIA PA 19147 232681497 SUB FUND 501(c)(9) 0 SHEET METAL WORKERS LOCAL UNION NO 19 ANNUITY FUND 1301 SOUTH COLUMBUS BLVD PHILADELPHIA PA 19147 232245696 ANNUITY FUND 501(c)(9) 0 sHEET METAL WORKERS LOCAL UNION NO 19 1301 SOUTH COLUMBUS BLVD pHILADELPHIA PA 19147 231077755 labor union 501(c)(5) 0 A A A SHEET METAL INC A C GENTRY A D S INC A S L REFRIGERATION INC ACCU-FLOW BALANCING CO LLC ACGWALLACE ROOFING & S METAL ADVANCED SHEET METAL ADVANCED SPECIALTY CON ADVANTAGE CONTRACTING INC AERDUX INCORPORATED AIR CONCEPTS INC AIR SYSTEMS INC AIR TECH HEATING & COOLING AIR TIGHT HEATING & COOLING AIRTECH SHEET METAL ALLIANCE SHEET METAL AMERICAN METAL CONTRACTORS INC ANDREW B DUFFY INC ARCHITECTURAL METAL CON ASBESTOS WORKERS PHILA FD ASSOCIATED INSULATION INC BALTRONIX INC BAMCO INC BCE OUTDOOR INC BLANSKI ENERGY MANAGEMENT BOHRER-REAGAN CORP BONLAND INDUSTRIES BOSIO METAL SPECIALTIES BRIAN HARRIS HEATING & AIR BROTHERS SHEET METAL INC BROWNS BUILDING SERVICE BURKHARDT MECHANICAL C & C CAMPANO HVAC LLC CRMEYER AND SONS COMPANY CADDX3 LLC CF INSTALLATION MANAGEMENT CHRISTIANA MECHANICAL INC CITY SIGN SERVICE CLEAR CHANNEL OUTDOOR CMS MECHANICAL INC COLORY METAL & GLASS COMPASS SIGN CO COMPREHENSIVE TESTBALANC CONTROLLED TEMPERATURE SYSTEMS CROSS COUNTRY FOOD SER INS CUSTOM AIR SERVICES CUSTOM FINISHERS INC D J SMITH INDUSTRIAL INC DE MAYO CONSTRUCTION INC DELAWARE VAL INST INC DELONG SERVICE CO INC DELTABJDSINC DIRECT AIR MECHANICAL DOUBLE D SHEET METAL INC DREAM MECHANICAL DWD MECHANICAL CONTRACTOR INC DYNAMIC BALANCING CO INC E J DESETA CO INC (DE) EAGLE MECHANICAL EASTERN AIR BALANCE CORP EASTERN SIGN TECH LLC ELMER W DAVIS ROOFING ENCLOS ENERPLEX MECHANICAL ENVIRONMENTAL AIR SERV INC ENVIRONMENTAL CONSTRUCTION SER EPAY INC ERNEST D MENOLD INC E-Z SIGNS & SERVICE & CRANE FILTAIREGENERAL AIRE CORP FIORE SKYLIGHTS DIV OF PEPCO FISHER BALANCING COMPANY FLOOD & STERLING INC FLUIDICS INC FREEDOM HEATING & AIR COND G M I CONTRACTORS INC G R SPONAUGLE & SONS G W METAL PRODUCTS INC GBI INCTHERMAL PIPING GENESIO COMPANY GERARD SHEET METAL FABRICATORS GLEESON POWERS H L THOMAS INC H T LYONS HAYS SHEET METAL COMPANY HUNTER MECHANICAL INC HYGRADE INSULATORS INC I D GRIFFITH INC (DE) I SIGN INC INDEPENDENT BALANCING J & S FABRICATION J REGALBUTO PLUMBINGHVAC INC JOHNS SERVICE JOSEPH OAT CORP KAGAN CUSTOM KITCHENS KAI MECHANICAL SERVICES KASL ENTERPRISE KDC SHEET METAL INC KOTTCAMP SHEET METAL INC L S MECHANICAL LEHIGH S M ERECTING CO LEIBOLD INC LITTLE BITTS SERVICE INC LOR-MAR MECH SERVICES INC LUTHE SHEET METAL INC M D ROOFING M E P MECHANICAL SERVICES LLC MARCLINE SHEET METAL MARLYN SHEET METAL INC MASSARA METALS INC MAXIMUM MECHANICAL MC CONTROLS MC SIGN COMPANY MCCLURE COMPANY MCN MECHANICAL CONTRACTORS METAL ALLIANCE INC MIDATLANTIC SITE SERVICES MISSOURI VALLEY GLASS MODERN CONTROLS MODERN SHEET METAL INC MULTI-TEMP MECHANICAL INC N W INDUSTRIES NATIONAL BALANCING CO NATIONAL GLASS & METAL COMPANY NORTHEAST MECHANICAL NOVA SIGN GROUP OPTTIMUM PERFORMANCE BALANCING ORELAND SHEET METAL INC PHILADELPHIA SIGN COMPANY PRECISION AIR SYSTEMS LLC PREFERRED PLUMBING & HTG PREMIER ARCHITECTURAL S M LLC PRIME SHEET METAL INC PROGRESSIVE S M CO K&Z PSF MECHANICAL INC PYRO STOP LLC R F KNOX COMPANY INC R S HAHN & SONS INC RADICK CORPORATION REAM ROOFING ASSOCIATES RENO SYS RESTAURANT VENT DESIGN RIGGS-DISTLER ROBERT G GANTER JR CONT ROMA STEEL ERECTION INC S P MCCARL & CO INC SALING ROOFING INC SCANLON ASSOCIATES SHOULDICE BROTHERS SOUTH JERSEY METAL INC SOUTHERN COMFORT MECHANICAL IN SPECIALTY FABRICATORS INC SSM INDUSTRIES INC STATEWIDE MECHANICAL INC STONE & WEBSTER CONSTRUCTION I STS SHEET METAL SUPER SKY PRODUCTS INC TAB SYSTEMS INC TABWORKS INC TCS HEATING & AC THERMODESIGN CORP THOMAS CO INC TOTAL SHEET METAL TRI STATE BALANCING CO ULTRA-LUM ENTERPRISES INC URBAN SIGN & CRANE INC W F SMITH WARKO ROOFING COMPANY INC WM J DONOVAN CO WYNCOTE S M CO II INC 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 SHEET METAL WORKERS LOCAL 19 PENSION FUND O 1176279 FMV