2017-05-04T08:14:12-05:00 2016-12-31 611436956 NOVAK FRANCELLA LLC ONE PRESIDENTIAL BLVD SUITE 330 BALA CYNWYD PA 19004 990 2016-01-01 132873303 IUOE LOCAL 30 BENEFITS FUND IUOE 7188476800 16-16 WHITESTONE EXPRESSWAY WHITESTONE NY 11357 MICHAEL SPILLANE CHIEF FUNDS OFFICER 7188476800 2017-05-04 LOUIS VERZELLA CPA P00360279 6106689400 2017-05-01 162.211.205.39 2017-05-04 07:53:12 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 A96940F3BC1CB41A42F1C40DCB182A9E8131B64B 2016 2021-01-29 14:40:06Z MICHAEL SPILLANE 16-16 WHITESTONE EXPRESSWAY WHITESTONE NY 11357 63772535 0 X HTTP://WWW.IUOELOCAL30.ORG/BENEFITS X 1951 NY TO PROVIDE MEDICAL BENEFITS,SECOND OPINIONS,DENTAL,HYPERTENSION,ANNUAL PHYSICALS,OPTICAL BENEFITS,PRESCRIPTION DRUGS,ACCIDENTAL DEATH & DISMEMBERMENT,HOSPITAL & SURGICAL BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS. 10 5 4 0 0 0 0 0 49423127 49608343 1316794 1383215 7753 7126 50747674 50998684 0 0 40851219 46244510 148588 203241 0 0 0 1509703 1984958 42509510 48432709 8238164 2565975 87106898 93261622 372457 980347 86734441 92281275 TO PROVIDE MEDICAL BENEFITS,SECOND OPINIONS,DENTAL,HYPERTENSION,ANNUAL PHYSICALS,OPTICAL BENEFITS,PRESCRIPTION DRUGS,ACCIDENTAL DEATH & DISMEMBERMENT,HOSPITAL & SURGICAL BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS. 0 0 TO PROVIDE MEDICAL BENEFITS,SECOND OPINIONS,DENTAL,HYPERTENSION,ANNUAL PHYSICALS,OPTICAL BENEFITS,PRESCRIPTION DRUGS,ACCIDENTAL DEATH & DISMEMBERMENT,HOSPITAL & SURGICAL BENEFITS TO ELIGIBLE PARTICIPANTS 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 1 0 0 0 0 0 1 0 0 1 8 0 4 0 0 0 0 0 0 0 X 10 5 0 0 0 0 0 0 0 1 1 0 0 1 1 0 1 1 1 1 1 0 X MICHAEL SPILLANE 7188476800 16-16 WHITESTONE EXPRESSWAY WHITESTONE NY 11357 WILLIAM LYNN UNION TRUSTEE - CHAIRMAN 1.00 41.00 X 0 306094 109208 JOHN CULKIN EMPLOYER TRUSTEE 1.00 X 0 0 0 JACK LARKIN EMPLOYER TRUSTEE (P) 1.00 X 0 0 0 HOWARD FOX EMPLOYER TRUSTEE 1.00 X 0 0 0 FRED WARD EMPLOYER TRUSTEE 1.00 X 0 0 0 BRENDAN MCPARTLAND UNION TRUSTEE 1.00 41.00 X 0 195650 80654 ANTHONY CALANDRINO UNION TRUSTEE 1.00 41.00 X 0 195571 80957 ROBERT MOCCIO UNION TRUSTEE 1.00 41.00 X 0 85789 55260 KEVIN CRUSE UNION TRUSTEE 1.00 41.00 X 0 196011 81511 CHRISTOPHER DILEONE EMPLOYER TRUSTEE 1.00 X 0 0 0 FRANK GIBBONS EMPLOYER TRUSTEE 1.00 X 0 0 0 MICHAEL SPILLANE CHEIF FUNDS OFFICER 12.00 29.00 X 59265 141421 72048 DARREN TURTON CONTROLLER 4.00 36.00 X 13462 126619 60092 72727 1247155 539730 0 0 1 0 METROPOLITAN MANAGEMENT SERVICES INC 1400 OLD COUNTRY RD 406 WESTBURY NY 115905119 MANAGEMENT 762506 EMPIRE HEALTHCHOICE ASSURANCE INC ONE LIBERTY PLAZA NEW YORK NY 10006 CLAIMS ADMINISTRATION 750000 CIGNA HEALTH CARE 140 E 45TH ST 38 NEW YORK NY 10017 CLAIMS ADMINISTRATION 179015 MARSHALL & MOSS PAYROLL COMPLIANCE LLC 1400 OLD COUNTRY RD 406 WESTBURY NY 115905119 PAYROLL AUDITING/ACCOUNTING 128815 4 EMPLOYER CONTRIBUTIONS 525100 49360534 49360534 PARTICIPANT CONTRIBUTIONS 525100 247809 247809 49608343 433402 433402 13723664 12773851 949813 949813 949813 SUBROGATION SETTLEMENT 900099 7126 7126 7126 50998684 49608343 0 1390341 46244510 74264 82240 21698 15343 9696 777552 52056 224216 119504 68134 96265 1137 408184 5372 14988 85929 13320 FEES MANDATED BY THE AF 118301 48432709 932152 552748 36472925 28933423 7729963 8320761 1182222 56639 7812 926392 127011 281843 799381 5586391 13308620 33948253 41063020 916510 275857 87106898 93261622 191793 227646 180664 752701 372457 980347 X 0 0 0 0 86734441 92281275 86734441 92281275 87106898 93261622 2565975 3550876 -570017 0 X X 0 1 X 1 0 285006 78672 206334 641386 48339 593047 799381 COMMON COLLECTIVE TRUSTS 35578826 F REAL ESTATE PARTNERSHIP 5484194 F 41063020 DUE TO FUNDS AND RELATED ENTITIES 674507 DUE TO UNION 78194 752701 X 54430056 3550876 3550876 50879180 119504 119504 50998684 48313205 0 48313205 119504 119504 48432709 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. 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ONCE COMPLETE, THE FORM WAS PROVIDED TO AND REVIEWED BY THE BOARD OF TRUSTEES PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE FUND'S CONFLICT OF INTEREST POLICY REQUIREMENTS ARE REVIEWED PERIODICALLY. FORM 990, PART VI, SECTION B, LINE 15 PERIODICALLY, THE COMPENSATION OF THE TOP MANAGEMENT (FUND COORDINATOR) IS REVIEWED AND COMPARED TO THE COMPENSATION OF INDIVIDUALS HOLDING THE SAME POSITION AT OTHER MULTIEMPLOYER BENEFIT FUNDS. FORM 990, PART VI, SECTION C, LINE 19 THE FUND'S GOVERNING DOCUMENTS, POLICIES AND FINANCIAL STATEMENTS ARE AVAILABLE TO ALL MEMBERS UPON REQUEST. NONE OF THESE DOCUMENTS ARE AVAILABLE TO THE PUBLIC. FORM 990, PART XII, LINE 2C: THE ORGANIZATION'S GOVERNING BODY IS RESPONSIBLE FOR OVERSEEING THE FINANCIAL STATEMENT AUDIT AND FOR SELECTION OF THE INDEPENDENT ACCOUNTANT PERFORMING THE AUDIT. 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