LOCAL 812 HEALTH FUND: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- LOCAL 812 HEALTH FUND (EIN 13-6162404)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-10-30
- IRS object ID
- 201733039349301218
- Schema version
- 2016v3.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-10-30T14:07:55-05:00 | ReturnTs |
| Tax Period End | 2016-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 611436956 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NOVAK FRANCELLA LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | ONE PRESIDENTIAL BLVD SUITE 330 | AddressLine1Txt |
| City | BALA CYNWYD | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 19004 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 136162404 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LOCAL 812 HEALTH FUND | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | LOCA | BusinessNameControlTxt |
| Phone | 5163031455 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 445 NORTHERN BLVD | AddressLine1Txt |
| City | GREAT NECK | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 11021 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | EDWARD WEBER | PersonNm |
| Person Title | TRUSTEE | PersonTitleTxt |
| Phone | 5163031455 | PhoneNum |
| Signature | 2017-10-30 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Louis Verzella CPA | PreparerPersonNm |
| PTIN | P00360279 | PTIN |
| Phone | 6106689400 | PhoneNum |
| Preparation | 2017-10-25 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 162.211.205.39 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2017-10-30 | IPDt |
| IP Tm | 14:06:37 | IPTm |
| IP Timezone | ED | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | A96940F3BC1CB41A42F1C40DCB182A9E8131B64B | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | A96940F3BC1CB41A42F1C40DCB182A9E8131B64B | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | EDWARD WEBER | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 445 NORTHERN BLVD | AddressLine1Txt |
| City | GREAT NECK | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 11021 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $49,216,346 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c | Yes (X) | Organization501cInd |
| Website Address | N/A | WebsiteAddressTxt |
| Type Of Organization Trust | Yes (X) | TypeOfOrganizationTrustInd |
| Formation | 1945 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE HOSPITALIZATION, DRUG, DENTAL, LIFE, VISION, DISABILITY AND OTHER BENEFITS TO ELIGIBLE PARTICIPANTS AND COVERED DEPENDENTS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 7 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 0 | VotingMembersIndependentCnt |
| Total Employee | 3695 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $47,416,038 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $48,148,163 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,167,579 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,068,183 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $48,583,617 | PYTotalRevenueAmt |
| CY Total Revenue | $49,216,346 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $49,136,212 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $46,690,422 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $291,429 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $268,374 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $580,931 | PYOtherExpensesAmt |
| CY Other Expenses | $1,254,760 | CYOtherExpensesAmt |
| PY Total Expenses | $50,008,572 | PYTotalExpensesAmt |
| CY Total Expenses | $48,213,556 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$1,424,955 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,002,790 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $40,126,875 | TotalAssetsBOYAmt |
| Total Assets EOY | $41,794,925 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $10,649,927 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $9,506,784 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $29,476,948 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $32,288,141 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO PROVIDE HOSPITALIZATION, DRUG, DENTAL, LIFE, VISION, DISABILITY AND OTHER BENEFITS TO ELIGIBLE PARTICIPANTS AND COVERED DEPENDENTS. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Desc | TO PROVIDE HOSPITALIZATION, DRUG, DENTAL, LIFE, VISION, DISABILITY AND OTHER BENEFITS TO ELIGIBLE PARTICIPANTS AND COVERED DEPENDENTS. | Desc |
| Described In Section501c3 | 0 | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| IRP Document | 8 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 3695 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 7 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 0 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | 0 | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | 0 | ConflictOfInterestPolicyInd |
| Whistleblower Policy | 0 | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BOARD OF TRUSTEES LOCAL 812 HEALTH FUND | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5163031455 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 445 NORTHERN BLVD | AddressLine1Txt |
| City | GREAT NECK | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 11021 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (10 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| EDWARD WEBER | |||||||
| TRUSTEE | 5.00 | 40.00 | Yes (X) | $0 | $194,212 | $24,179 | |
| JOSEPH VITTA | |||||||
| TRUSTEE | 5.00 | 40.00 | Yes (X) | $0 | $154,317 | $24,179 | |
| JOHN ULRICH | |||||||
| TRUSTEE (P) | 5.00 | 40.00 | Yes (X) | $0 | $18,507 | $4,330 | |
| ANGEL MARTINEZ | |||||||
| TRUSTEE | 5.00 | 40.00 | Yes (X) | $0 | $117,007 | $24,179 | |
| JOHN VISCONTI | |||||||
| TRUSTEE | 5.00 | 40.00 | Yes (X) | $0 | $154,845 | $24,179 | |
| JAMES SURDI | |||||||
| TRUSTEE | 5.00 | 40.00 | Yes (X) | $0 | $136,616 | $24,179 | |
| LAWRENCE DEBELLIS | |||||||
| TRUSTEE (P) | 5.00 | 40.00 | Yes (X) | $0 | $13,385 | $10,960 | |
| THOMAS STAROPOLI | |||||||
| TRUSTEE | 5.00 | 40.00 | Yes (X) | $0 | $76,671 | $6,175 | |
| JEFF KNATZ | |||||||
| TRUSTEE | 5.00 | 40.00 | Yes (X) | $0 | $35,671 | $6,175 | |
| JAMES SCARPATI | |||||||
| CONTROLLER | 20.00 | 20.00 | $76,671 | $76,671 | $24,180 | Yes (X) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $76,671 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $977,902 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $172,715 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| MAGNACARE | |||||
| 1600 STEWART AVE | WESTBURY | NY | 11590 | PROVIDER NETWORK ADMIN | $1,424,093 |
| CROSSROADS HEALTHCARE MGT LLC | |||||
| 2556 ARTHUR KILL ROAD | STATEN ISLAND | NY | 10309 | CONTRACT ADMIN | $1,001,126 |
| PROSCRIPT PHARMACY MGT LLC | |||||
| 2556 ARTHUR KILL ROAD | STATEN ISLAND | NY | 10309 | RX ADMIN | $559,403 |
| CARY KANE LLP | |||||
| 1350 BROADWAY SUITE 1400 | NEW YORK | NY | 10018 | LEGAL | $315,971 |
| THE SEGAL COMPANY | |||||
| 333 W 34TH STREET | NEW YORK | NY | 10001 | BENEFIT CONSULTING | $118,780 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 6 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| EMPLOYER CONTRIBUTIONS | 900099 | $46,709,060 | $46,709,060 |
| STOP LOSS REIMBURSEMENTS | 900099 | $647,423 | $647,423 |
| MEDICARE PART D SUBSIDY | 900099 | $506,704 | $506,704 |
| COBRA CONTRIBUTIONS | 900099 | $284,976 | $284,976 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $48,148,163 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,068,183 | TotalRevenueColumnAmt |
| Exclusion | $1,068,183 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $49,216,346 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $48,148,163 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,068,183 | ExclusionAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $46,690,422 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $199,126 | TotalAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,670 | TotalAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,694 | TotalAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,884 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $463,105 | TotalAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $125,341 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $81,123 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $118,780 | TotalAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $48,873 | TotalAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,435 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,394 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,838 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,353 | TotalAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,050 | TotalAmt |
Other Expenses OtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | GOVERNMENT FEES MANDATE | Desc |
| Total | $303,468 | TotalAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $48,213,556 | TotalAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $38,893 | BOYAmt |
| EOY | $269,845 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,887,730 | BOYAmt |
| EOY | $1,777,366 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $287,732 | BOYAmt |
| EOY | $261,247 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $158,924 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $153,569 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,708 | BOYAmt |
| EOY | $5,355 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,948,366 | BOYAmt |
| EOY | $37,835,223 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,948,446 | BOYAmt |
| EOY | $1,645,889 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,126,875 | BOYAmt |
| EOY | $41,794,925 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $63,338 | BOYAmt |
| EOY | $65,984 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,586,589 | BOYAmt |
| EOY | $9,440,800 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,649,927 | BOYAmt |
| EOY | $9,506,784 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Org Does Not Follow SFAS117 | Yes (X) | OrgDoesNotFollowSFAS117Ind |
Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,476,948 | BOYAmt |
| EOY | $32,288,141 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,476,948 | BOYAmt |
| EOY | $32,288,141 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,126,875 | BOYAmt |
| EOY | $41,794,925 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $1,002,790 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $1,808,403 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $98,115 | OtherCostOrOtherBasisAmt |
| Depreciation | $93,476 | DepreciationAmt |
| Book Value | $4,639 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $60,809 | OtherCostOrOtherBasisAmt |
| Depreciation | $60,093 | DepreciationAmt |
| Book Value | $716 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $5,355 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | BENEFITS PAYABLE & CLAIMS INCURRED BUT NOT REPORTED | Desc |
| Amt | $9,440,800 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $9,440,800 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $50,943,626 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $1,808,403 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | $1,808,403 | RevenueNotReportedAmt |
| Revenue Subtotal | $49,135,223 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $81,123 | InvestmentExpensesNotIncldAmt |
| Revenue Not Reported Fincl Stmt | $81,123 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $49,216,346 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $49,278,222 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $1,145,789 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $1,145,789 | ExpensesNotReportedAmt |
| Expenses Subtotal | $48,132,433 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $81,123 | InvestmentExpensesNotIncld2Amt |
| Expenses Not Rpt Fincl Stmt | $81,123 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $48,213,556 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part X, Line 2: | The Plan obtained its determination letter on April 20, 1993, in which the Internal Revenue Service stated that the Plan, as then designed, was in compliance with the applicable requirements of Section 501(c)(9) of the Internal Revenue Code, and was, therefore, exempt from Federal income taxes. The Plan has been amended since receiving the determination letter. The Plan's Administrator and the Plan's counsel believe that the Plan is currently designed and being operated in compliance with the applicable requirements of the Internal Revenue Code. 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 XII, Line 2d - Other Adjustments: | CHANGE IN BENEFIT OBLIGATION 1,145,789. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (5 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| EDWARD WEBER | ||||||||||||||
| TRUSTEE | $0 | $194,212 | $0 | $0 | $0 | $0 | $0 | $10,920 | $0 | $13,259 | $0 | $218,391 | $0 | $0 |
| JOSEPH VITTA | ||||||||||||||
| TRUSTEE | $0 | $154,317 | $0 | $0 | $0 | $0 | $0 | $10,920 | $0 | $13,259 | $0 | $178,496 | $0 | $0 |
| JOHN VISCONTI | ||||||||||||||
| TRUSTEE | $0 | $154,845 | $0 | $0 | $0 | $0 | $0 | $10,920 | $0 | $13,259 | $0 | $179,024 | $0 | $0 |
| JAMES SURDI | ||||||||||||||
| TRUSTEE | $0 | $136,616 | $0 | $0 | $0 | $0 | $0 | $10,920 | $0 | $13,259 | $0 | $160,795 | $0 | $0 |
| JAMES SCARPATI | ||||||||||||||
| CONTROLLER | $76,671 | $76,671 | $0 | $0 | $0 | $0 | $5,460 | $5,460 | $6,630 | $6,630 | $88,761 | $88,761 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART V, LINE 2A | THIS LINE INCLUDES 3 PAID EMPLOYEES AND 3,692 PARTICIPANTS THAT RECEIVED A TAXABLE LIFE INSURANCE BENEFIT. |
| Form 990, Part VI, Section A, line 8b | THERE ARE NO COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE BOARD. |
| Form 990, Part VI, Section B, line 11b | THE FUND'S INDEPENDENT ACCOUNTANT PREPARES THE FORM 990. THE 990 IS GIVEN TO THE BOARD OF TRUSTEES, WHO REVIEW IT WITH THE CONTROLLER, THE FUND'S ACCOUNTANT AND COUNSEL. |
| Form 990, Part VI, Section C, line 19 | THE FUND'S DOCUMENTS , POLICIES AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST AND MAY BE EXAMINED AT THE FUND OFFICE. |
| Form 990, Part XII, Line 2c: | THE FUND'S BOARD OF TRUSTEES ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND SELECTION OF THE INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED SINCE THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|
| SDBWU LOCAL 812 RETIREMENT PLAN | ||||||||
| 445 NORTHERN BLVD | GREAT NECK | NY | 11021 | 135660090 | PROVIDES RETIREMENT BENEFITS TO ITS MEMBERS | NY | 501(A) | 0 |
| SDBWU LOCAL 812 IBT | ||||||||
| 445 NORTHERN BLVD | GREAT NECK | NY | 11021 | 135045803 | LABOR ORGANIZATION | NY | 501(C)(5) | 0 |
| JOINT COUNCIL NO 16 | ||||||||
| 265 WEST 14TH STREET | NEW YORK | NY | 10011 | 135505746 | LABOR ORGANIZATION | NY | 501(C)(5) | 0 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (107 entries)
| COCA COLA |
| PEPSI |
| CLARE ROSE |
| ABNY |
| MEADOWBROOK DIST |
| UNION BEER DISTRIBUTORS |
| PHOENIX BEVERAGE |
| CANADA DRY |
| PEPSI MT VERNON |
| OAK BEVERAGE |
| MANHATTAN BEER |
| BETT-A-WAY BEV |
| AMERICAN COMPRESSED |
| BOENING BROS |
| SNAPPLE DISTRIBUTORS |
| BEEHIVE |
| LOBO |
| BETT-A-WAY TRAFFIC |
| CDNY MED DED |
| PEPSI SECURITY |
| IPPOLITO DIST |
| BAYVIEW BEVERAGE |
| PELHAM BAY BEV |
| BAILEY DIST INC |
| HUDSON INSURANCE CO |
| EAST HILLS BEV |
| J Wild BEVERAGE CORP |
| BROOKLYN EXPRESS |
| TMJ BEV |
| COLONIAL BEV |
| GOOD-O |
| DITMARS DIST |
| JOINT COUNCIL |
| CO-OP CITY BEV |
| SUNSET BEV |
| TRIBECA BEV |
| A J A BEVERAGE |
| BEN DARA |
| BENSON |
| BROOKLYN HEIGHTS |
| GALBO BEVERAGE |
| TRM BEV |
| FLATLANDS BEV |
| SIBEN AND SIBEN LLP |
| MADERA DIST |
| MEEKER BEVERAGE |
| WJD BEV |
| KJL DISTRIBUTOR INC |
| MIDWOOD BEV |
| PJ BEV |
| HOYT BEV |
| ZANDRA DISTRIBUTORS INC |
| Quinco BEVERAGE DISTRIBUTORS INC |
| BROOK BEV |
| ROLEO BEVERAGE |
| MALBA BEV |
| 4 J'S BEVERAGE |
| WADE |
| JYM BEV |
| RED BEV |
| NELCY BEV |
| D & B BEV |
| ALEGNA DIST |
| BJ DIST |
| BW BEV |
| BLUE SKY BEV |
| CAMBRIDGE BEV |
| DAVID SKYWAY |
| DCT BEV |
| DFG BEVERAGE INC |
| DIDIT BEVERAGE |
| G & N BEV |
| KAM BEV |
| KAP BEVERAGE |
| KATHICO DIST |
| Kenro DISTRIBUTOR INC |
| LETTA BEVERAGE |
| MALEX BEVERAGE INC |
| PRINCE BEV |
| SEASIDE BEVERAGE |
| SHANKEN BEV |
| SOUTH BRONX BEV |
| TJD BEV |
| TOWER DISTRIBUTOR |
| AL |
| CAPELLAN BEV DIST |
| GVM BEVERAGE DISTRIBUTOR INC |
| JENCON BEV |
| REBECCA BEV |
| TJC BEVERAGE |
| TOMKINS SQUARE |
| BRIDGEVIEW BEV |
| TM BEV |
| WHITESTONE SALES |
| SODAMAN 44 |
| WAKEFIELD |
| PROSPECT DIST |
| NEXT LEVEL DIST |
| M&C BEV |
| F&F BEVERGAE |
| LPL BEV |
| DANTE BEV |
| jackson Heights DISTRIBUTORS INC |
| SHERMAN BEV |
| TKO DIST |
| PJ BEV |
| G & M BEV |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| SOFT DRINK BWERY WRKERS & DELIVERY EMPL IND'L EMPL WRHMEN HLPR & MISC | ||
| N | $49,325 | ACCRUAL BASIS |
| SOFT DRINK BWERY WRKERS & DELIVERY EMPL IND'L EMPL WRHMEN HLPR & MISC | ||
| K | $31,597 | ACCRUAL BASIS |