2017-04-04T07:26:06-05:00 2016-06-30 611436956 NOVAK FRANCELLA LLC ONE PRESIDENTIAL BLVD SUITE 330 BALA CYNWYD PA 19004 990 2015-07-01 050271216 Teamsters Local 251 Health Services And Insurance Plan TEAM 4014673323 1201 Elmwood Avenue Providence RI 029043799 MATTHEW G TAIBI Union Trustee 4014673323 2017-04-04 1 Louis Verzella CPA P00360279 6106689400 2017-03-30 2015 2021-01-29 14:40:06Z MATTHEW G TAIBI 121 Brightridge Avenue East Providence RI 02914 67727662 0 X na X 1954 RI The Plan provides medical, hospitalization, dental, vision, hearing, life insurance, weekly accident and sickness, prepaid legal, employees assistance program, income tax preparation, and prescription drug benefits for eligible participants and their dependents. The Plan also provides a program of benefits for eligible retirees. 7 3 6 0 0 0 0 0 43966622 46802828 2257930 826565 20244 62002 46244796 47691395 0 0 41507186 44341631 769058 719925 0 0 0 1209067 1123464 43485311 46185020 2759485 1506375 54205127 55264949 342443 337995 53862684 54926954 X The Plan provides medical, hospitalization, dental, vision, hearing, life insurance, weekly accident and sickness, prepaid legal, employees assistance program, income tax preparation, and prescription drug benefits for eligible participants and their dependents. The Plan also provides a program of benefits for eligible retirees. 0 0 THE FUND PROVIDED MEDICAL, HOSPITAL, ACCIDENT, SICKNESS, DENTAL, VISION, HEARING, LIFE INSURANCE BENEFITS, DEATH, AND PREPAID LEGAL BENEFITS FOR APPROXIMATELY 2,387 MEMBERS AND THEIR DEPENDENTS. 0 0 0 0 0 0 0 0 0 1 1 0 0 0 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 51 0 6 1 0 0 0 0 0 0 X 7 3 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 X fund office 4014673323 1201 Elmwood Avenue Providence RI 029043799 Paul M Fradin P EMPLOYER TRUSTEE/co-chairman 2.00 X 0 0 0 Antonio B Cardi P Employer Trustee 2.00 X 0 0 0 LOUIS J SPERLING P Employer Trustee 2.00 X 0 0 0 WILLIAM F LEANUES Employer Trustee/co-chairman 2.00 X 0 0 0 Matthew G Tabi UNION TRUSTEE/Co-chairman 2.00 40.00 X 0 114021 62046 Paul J Santos Union Trustee 2.00 40.00 X 0 108656 62055 Matthew A Maini Union Trustee 2.00 40.00 X 0 100802 62046 Nicholas T Williams Union Trustee 2.00 40.00 X 0 90321 62046 HOWARD DULUDE Employer Trustee 2.00 X 0 0 0 FRANK PARELLA Employer Trustee 2.00 X 0 0 0 TAMMY BEAUDREAULT FUND ADMINISTRATOR 40.00 X 103224 0 59567 103224 413800 307760 1 0 1 0 UNITEDHEALTHCARE INSURANCE COMPANY 475 KILVERT STREET WARWICK RI 02886 Claims processing 1589954 gursky law associates 420 scrabbletown rd n kingston RI 02852 legal services 229748 mellon financial corp 1 turks head place providence RI 02903 investment manager 146223 DELTA DENTAL OF RHODE ISLAND 10 CHARLES STREET PROVIDENCE RI 02904 ADMINISRATIVE FEE 119806 THE SEGAL COMAPNY 116 HUNTINGTON AVENUE BOSTON MA 02116 ACTUARIAL 108500 5 Employer Contributions 525100 45279032 45279032 RETIREE CONTRIBUTIONS 525100 716600 716600 STOP LOSS REIMBURSEMENT 525100 663459 663459 Participant Contributions 525100 143737 143737 46802828 829088 829088 20033744 20036267 -2523 -2523 -2523 MISCELLANEOUS INCOME 900099 62002 62002 62002 47691395 46802828 0 888567 44341631 395081 202451 88271 34122 214967 44000 234337 108500 64460 50977 95817 28170 37759 25059 FEES MANDATED BY THE AC 219418 46185020 2153493 1279379 2626677 2754443 2620077 4030911 42501 47879 1149014 783355 281815 365659 36910904 37508791 8894660 8546887 675000 731000 54205127 55264949 275855 268361 69634 66588 0 342443 337995 X 53862684 54926954 0 0 0 0 53862684 54926954 54205127 55264949 1506375 -420831 -21274 0 X X 0 1 X 1 0 33602 33602 734827 500885 233942 283950 192499 91451 96635 89971 6664 365659 Common Collective Trust 8546887 F 8546887 X 47036227 -420831 -420831 47457058 234337 234337 47691395 45950683 0 45950683 234337 234337 46185020 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. X 0 0 0 Matthew G Tabi UNION TRUSTEE/Co-chairman 0 114021 0 0 0 0 0 41088 0 20958 0 176067 0 0 Paul J Santos Union Trustee 0 108656 0 0 0 0 0 41097 0 20958 0 170711 0 0 Matthew A Maini Union Trustee 0 100802 0 0 0 0 0 41088 0 20958 0 162848 0 0 Nicholas T Williams Union Trustee 0 90321 0 0 0 0 0 41088 0 20958 0 152367 0 0 TAMMY BEAUDREAULT FUND ADMINISTRATOR 103224 0 0 0 0 0 38509 0 21058 0 162791 0 0 0 Form 990, Part VI, Section B, line 11 TEAMSTERS LOCAL 251 HEALTH SERVICES AND INSURANCE PLAN'S FORM 990 IS PREAPARED BY ITS INDEPENDENT PUBLIC ACCOUNTANT. THE RETURN IS FORWARDED TO THE FUND'S EXECUTIVE DIRECTOR FOR INTITIAL REVIEW. THE RETURN IS THEN PRESENTED TO THE TRUSTEES FOR REVIEW AND SIGNATURE Form 990, Part VI, Section C, line 19 TEAMSTERS LOCAL 251 HEALTH SERVICES & INSURANCE PLAN MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. Form 990, Part VII Paul M. Fradin (P) - P.O. BOX 1427, WEST GREENWICH, RI 02817. Antonio B. Cardi (P) - 400 LINCOLN AVENUE, WARWICK, RI 02888. LOUIS J. SPERLING (P) - 593 Eddy Street, PROVIDENCE, RI 02903. WILLIAM F. LEANUES - 87 BRICK KILN ROAD, CHELMSFORD, MA 01824. Form 990, Part XII, Line 2c: TEAMSTERS LOCAL 251 HEALTH SERVICES AND INSURANCE PLAN'S BOARD OF TRUSTEES IS RESPOSIBLE FOR OVERSEEING THE FINANCIAL STATEMENT AUDIT AND SELECTION OF THE INDEPENDENT ACCOUNTANT THAT PERFORMS THE AUDIT. FORM 990, PART V, LINE 1A: TEAMSTERS LOCAL 251 HEALTH SERVICES AND INSURANCE PLAN ALSO PREPARE FORMS W-2 FOR ALL PARTICIPANTS THAT RECEIVE THE TAXABLE LEGAL, DEPENDENT LIFE INSURANCE AND TAX PREPARATION BENEFITS UNDER THE PLAN. A TOTAL OF 2,820 FROMS W-2 WERE ISSUED FOR THESE BENEFITS FOR THE CALENDAR YEAR 2015. Teamsters Local 251 Health Services and Insurance 401(k) Plan 1201 Elmwood Avenue Providence RI 02907 050271216 Pension Plan RI 401(A)/501(A) 0 TEAMSTERS LOCAL 251 121 BRIGHTRIDGE AVENUE EAST PROVIDENCE RI 02914 050161170 LABOR UNION RI 501(C)(5) 0 ABCO Enterprises ABF Freight Systems Inc Adamsdale Concrete & Prods Amerigas Propane LP Angelica Corporation Baccala Concrete Corporation Baker Commodities Inc BFH Trucking Boyle & Fogarty Brito C Construction Buckley & Scott Cardi Corp Ready Mix Concrete Cap LLC Cardi Corporation Cardi Leasing Corporation Cast and Crew Catalano Construction Inc Centrex Distributors Inc Cranston Housing Constantini Brothers D'Ambra Construction DCT Inc DEL-VA Corporation Demco Dicenzo Construction DiGregorio Corporation DiGregorio Concrete Corporation East Services LLC Entertainment Partners Equality Construction Fall River Ready Mix GPL Construction Greenville Water District Hallamore Motor Trans Inc Hess John R & Sons Inc ID's Highway Safety IEG RP Iannucciolo & Sons JR Vinagro Manufacturing Lapham-Hickey Steel Corp Lynch JH & Sons Inc Marr Scaffolding Company McLaughlin & Moran Inc Schnitzer Steel Industries Mondelez Narragansett Improvement Co National Grid New England Linen Supply Co New Penn Motor Express Newport Housing Northstar Equipment & Supply LLC PJ Keating PJ Keating MA Parkside Site & Utility Co Pasquazzi Brothers Petro Drivers & Mechanics Petroleum Heat & Power Praxair Distribution Inc Rezendes KR River Head Bldg Supply Rocchio Smith's General Trucking Co Sunbelt Rentals Suburban Propane Suburban Propane CSR Teknor Apex Town of Tiverton Twin River Universal Construction Co Veolia Water Woods Heating YRC YRC Clerical 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0