2017-11-07T14:52:30-06:00 2016-12-31 131578842 BUCHBINDER TUNICK & CO LLP ONE PENN PLAZA - SUITE 3500 NEW YORK NY 101193601 990 2016-01-01 131931288 INTERNATIONAL UNION OF OPERATING ENGINEE LOCAL 25 MARINE DIVISION MEDICAL PLAN INTE 8005486662 461 STATE ROUTE 33 MILLSTONE TOWNSHIP NJ 08535 LARRY SCHLEYER PLAN ADMINISTRATOR 8005486662 2017-10-30 1 2126955003 38.142.119.26 2017-10-30 09:36:36 ED P 58B65FF6926702B2D06B68D2D6C13774ADF4D4E0 87176F949019D628C1220AC1AF2F2946CB952B14 2016 2021-01-29 14:40:06Z LARRY SCHLEYER 461 STATE ROUTE 33 MILLSTONE TOWNSHIP NJ 08535 48241406 0 X N/A X 1960 NJ PROVIDE BENEFITS TO ELIGIBLE PARTICIPANTS AND DEPENDENTS. 6 3 8 0 0 0 0 0 19162978 18603105 -64759 -235706 3305 27353 19101524 18394752 0 0 17456978 15902458 602074 660167 0 0 0 1027102 888654 19086154 17451279 15370 943473 17345216 18916087 79537 50860 17265679 18865227 THE PLAN PROVIDES CERTAIN HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS AND DEPENDENTS. 0 0 PLAN PROVIDES CERTAIN HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS AND DEPENDENTS. 0 0 0 0 0 0 0 0 0 1 0 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 1204 0 8 1 0 0 0 0 0 0 X 6 3 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 X LARRY SCHLEYER- ADMINISTRATOR 8005486662 461 STATE ROUTE 33 MILLSTONE TOWNSHIP NJ 08535 STEPHEN NEWTON EMPLOYER TRUSTEE 1.00 X 0 0 0 PAUL ABELL UNION TRUSTEE 1.00 X 0 178886 52063 JOHN ZAPPALA ALTERNATE UNION TRUSTEE 1.00 X 0 5224 0 G DUDLEY WAREJR ALTERNATE EMPLOYER TRUSTEE 1.00 X 0 0 0 CHRISTINE SCHUVER ALTERNATE EMPLOYER TRUSTEE 1.00 X 0 0 0 SCOTT REEVES UNION TRUSTEE 1.00 X 0 150387 49816 ANTHONY GONSIEWSKI UNION TRUSTEE 1.00 X 0 150522 49816 TIM WECKWERTH EMPLOYER TRUSTEE 1.00 X 0 0 0 PATRICK WHALEN ALTERNATE EMPLOYER TRUSTEE 1.00 X 0 0 0 STEVEN O'HARA FORMER ALTERNATE EMPLOYER TRUSTEE 1.00 X 0 0 0 ALAN PIRO FORMER UNION TRUSTEE 1.00 X 0 0 0 ANTHONY STEWART ALTERNATE UNION TRUSTEE 1.00 X 0 148352 49678 MELSON GOODLOE ALTERNATE UNION TRUSTEE 1.00 X 0 132655 46666 TONY B ZEZOVSKI EMPLOYER TRUSTEE 1.00 X 0 0 0 LARRY SCHLEYER ADMINISTRATOR 35.00 X 136135 19264 42679 136135 785290 290718 1 0 1 0 HORIZON BLUE CROSS BLUE SHIELD OF NEW JE PO BOX 1738 NEWARK DE 071011738 MEDICAL CLAIMS PROCESSOR 391126 1 EMPLOYERS' CONTRIBUTIONS 230000 18302150 18302150 COBRA CONTRIBUTIONS 230000 300955 300955 18603105 266134 266134 29344814 29846654 -501840 -501840 -501840 SUBROGATION INCOME 900099 27353 27353 27353 18394752 18630458 0 -235706 15902458 140542 304010 50534 126650 38431 51329 33320 47175 16675 80360 44906 41514 4161 9616 18589 10209 HORIZON BLUE CROSS BLUE 391126 ACA TRANSITIONAL REINSU 65991 MEDICAL CONSULTANTS 42689 PRESCRIPTION DRUG SERVI 12778 18216 17451279 264355 16905 4847818 4370942 2411755 2367289 6597 6357 252151 135194 125918 116957 9478173 11827037 210600 210600 17345216 18916087 67735 50860 11802 0 79537 50860 X 0 0 0 0 17265679 18865227 17265679 18865227 17345216 18916087 943473 656075 0 X 0 1 X 0 0 252151 135194 116957 116957 X 19003652 656075 656075 18347577 47175 47175 18394752 17404104 0 17404104 47175 47175 17451279 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(OR ASSET) IF THE PLAN HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE. THE PLAN ADMINISTRATOR HAS ANALYZED THE TAX POSITIONS TAKEN BY THE PLAN, AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2016, THERE ARE NO UNCERTIAN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY(OR ASSET) OR DISCLOSURE IN THE FINANCIAL STATEMENTS. X 0 0 0 PAUL ABELL UNION TRUSTEE 0 177686 0 0 0 1200 0 7420 0 44643 0 230949 0 0 SCOTT REEVES UNION TRUSTEE 0 149187 0 0 0 1200 0 7420 0 42396 0 200203 0 0 ANTHONY GONSIEWSKI UNION TRUSTEE 0 149322 0 0 0 1200 0 7420 0 42396 0 200338 0 0 ANTHONY STEWART ALTERNATE UNION TRUSTEE 0 147152 0 0 0 1200 0 7420 0 42258 0 198030 0 0 MELSON GOODLOE ALTERNATE UNION TRUSTEE 0 131555 0 0 0 1100 0 6720 0 39946 0 179321 0 0 LARRY SCHLEYER ADMINISTRATOR 134066 19264 0 0 2069 0 9880 0 32799 0 178814 19264 0 0 FORM 990, PART VI, SECTION A, LINE 6 THE MEDICAL FUND HAS PARTICIPANTS. FORM 990, PART VI, SECTION B, LINE 11B THE RETURN IS REVIEWED BY THE BOARD OF TRUSTEES PRIOR TO ITS FILING. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE ALL AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST. INTERNATIONAL UNION OF OPERATING ENGINEERS LOCAL 25 ANNUITY FUND 461 STATE ROUTE 33 MILLSTONE TOWNSHIP NJ 08535 113041922 ANNUITY PLAN NJ 401(A) 0 INTERNATIONAL UNION OF OPERATING ENGINEERS LOCAL 25 463 STATE ROUTE 33 MILLSTONE TOWNSHIP NJ 08535 111903743 RELATED UNION NJ 501(C)5 0 INTERNATIONAL UNION OF OPERATING ENGINEERS LOCAL 25 VACATION FUND 461 STATE ROUTE 33 MILLSTONE TOWNSHIP NJ 08535 136112548 VACATION PLAN NJ T 0 CALDWELL MARINE INTERNATIONAL CASHMAN DREDGING & MARINE LLC COAST LINE SERVICE INC CONSTRUCTION & MARINE EQUIPMENT CO INC DUTRA DREDGING GIBSON & CUSHMAN CONTRACTING LLC GORE MARINE TRANSPORTATION CO GREAT LAKES DREDGE & DOCK COMPANY LLC INTERPORT TOWING J WILLIS SMITH & BROTHER MANSON CONSTRUCTION COMPANY MOBILE DREDGING & PUMPING COMPANY NORFOLK DREDGING CO NORTH STAR MARINE INC SEA WOLF MARINE TOWING INC H&L CONTRACTING LLC STERLING EQUIPMENT INC ISLAND BREEZE MARINE INC TREVCON CONSTRUCTION CO INC VILLAGE DOCK INC WEEKS MARINE INC WITTE HEAVY LIFT INC WITTICH BROTHERS MARINE LEGACY SUPPLY LLC AF OF L-AGC BUILDING TRADES HYDRO MARINE CONSTRUCTION SEVENSON ENVIRONMENTAL MIDWEST OPERATING ENGINEERS LOCAL OPERATING ENGINEERS LOCALS SOUTHERN OPERATORS HEALTH FUND UPSTATE NY ENGINEERS HEALTH FD 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 0 0 INTERNATIONAL UNION OF OPERATING ENGINEERS LOCAL 25 VACATION FUND N 113265 ALLOCATED EXPENSES INTERNATIONAL UNION OF OPERATING ENGINEERS LOCAL 25 VACATION FUND O 61689 ALLOCATION PERCENTAGE INTERNATIONAL UNION OF OPERATING ENGINEERS LOCAL 25 VACATION FUND Q 155579 CASH RECEIPTS FROM RELATED FUND INTERNATIONAL UNION OF OPERATING ENGINEERS LOCAL 25 ANNUITY FUND N 134735 ALLOCATED EXPENSES INTERNATIONAL UNION OF OPERATING ENGINEERS LOCAL 25 ANNUITY FUND O 41126 ALLOCATION PERCENTAGE INTERNATIONAL UNION OF OPERATING ENGINEERS LOCAL 25 ANNUITY FUND Q 154496 CASH RECEIPTS FROM RELATED FUND