2017-07-19T14:14:38-05:00 2016-12-31 462754053 ARMAO LLP 100 QUENTIN ROOSEVELT BLVD STE 209 GARDEN CITY NY 11530 990 2016-01-01 136126923 NEW YORK HOTEL TRADES COUNCIL AND HOTEL ASSOC OF NYC INC HEALTH BENEFITS FUND NEWY 2125866400 305 WEST 44TH STREET NEW YORK NY 10036 DR ROBERT GREENSPAN CHIEF EXECUTIVE OFFICER 2125866400 2017-06-22 1 Salvatore Armao P00065983 5163207220 74.108.66.242 2017-06-22 14:17:19 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 E6406FF227D4156BC1199450DD1B4A07666A96CF 2016 2021-01-29 14:40:06Z DR ROBERT GREENSPAN 305 West 44th street new york NY 10036 565204607 0 X hotelfunds.org X 1944 NY TO PROVIDE MEDICAL, DENTAL, HOSPITALIZATION AND LIFE INSURANCE BENEFITS TO PARTICIPANTS 13 13 104 0 0 0 0 0 450817680 559058772 3400061 2074907 7910952 4070928 462128693 565204607 0 0 388233256 389273541 34756892 36554130 0 0 0 18120127 17588221 441110275 443415892 21018418 121788715 205245028 349456501 35290972 33417226 169954056 316039275 TO PROVIDE MEDICAL, DENTAL, HOSPITALIZATION AND LIFE INSURANCE BENEFITS TO PARTICIPANTS 0 0 THE EXEMPT PURPOSE OF THE ORGANIZATION IS TO PROVIDE MEDICAL, SURGICAL, HOSPITAL, ACCIDENT, DENTAL, OPTICAL AND LIFE INSURANCE BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR COVERED DEPENDENTS. 0 0 0 0 0 0 0 0 0 1 0 0 1 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 1 151 0 1 104 0 0 0 0 0 0 0 X 13 13 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 1 1 0 X HARRY VERAS 2125866400 305 W 44TH STREET NEW YORK NY 10036 VIJAY DANDAPANI CO-CHAIRMAN 0.10 0.60 X 0 0 0 PETER WARD CO-CHAIRMAN 0.10 0.60 X 0 0 0 CHRIS CUSACK UNION TRUSTEE 0.10 0.60 X 0 0 0 JAMES DONOVAN UNION TRUSTEE 0.10 0.60 X 0 0 0 LYNN HOFFARD UNION TRUSTEE 0.10 0.60 X 0 0 0 LARRY MCNEIL UNION TRUSTEE 0.10 0.60 X 0 0 0 ROBERT LAFFERTY EMPLOYER TRUSTEE 0.10 0.60 X 0 0 0 GEORGE GREENE EMPLOYER TRUSTEE 0.10 0.60 X 0 0 0 SAM GRABUSH EMPLOYER TRUSTEE 0.10 0.60 X 0 0 0 GUS CECCHINI EMPLOYER TRUSTEE 0.10 0.60 X 0 0 0 DANIEL COSTELLO EMPLOYER TRUSTEE 0.10 0.60 X 0 0 0 MICHAEL D'ANGELO EMPLOYER TRUSTEE 0.10 0.60 X 0 0 0 STEVE BATTA EMPLOYER TRUSTEE 0.10 0.60 X 0 0 0 DR ROBERT GREENSPAN CHIEF EXECUTIVE OFFICER 15.40 24.60 X 323735 519783 238061 HARRY VERAS CHIEF FINANCIAL OFFICER 14.70 25.30 X 137612 237318 119157 VINCENT JARVIS CHIEF MEDICAL OFFICER 11.10 28.90 X 71340 186126 89350 SERGE SAADOUN DIR. OF CLINICAL SERVICES 40.00 0.00 X 206926 0 73218 ANDREW WINDSOR DIR. OF ADMIN SERVICES 39.80 0.20 X 179143 808 63675 JOHN BRISCOE CHIEF INFORMATION OFFICER 10.20 29.80 X 47243 138418 65695 SARINA GERTRUDE JEAN-LOUIS DIR. OF HEALTH CENTER OPERATIONS 4.40 35.60 X 18861 154398 61309 WILLIAM TORRES DIR. OF HUMAN RESOURCES 5.80 34.20 X 24369 143550 59419 ANDREW J STEWART DIR. OF PROC IMPROVEMENT 38.90 1.10 X 158853 4613 57843 ERIC CLANCY DIR. OF FACILITIES 2.50 37.50 X 9625 143641 54237 1177707 1528655 881964 5 0 1 0 MOMENTUM RESOURCE SOLUTIONS LLC 1090 KING GEORGES POST RD 804 EDISON NJ 08837 HUMAN RESOURCE SERVICES 341431 AUTOMATIC DATA PROCESSING INC 824 63RD STREET BROOKLYN NY 11220 PAYROLL PROCESSING 330214 ARMAO LLP 100 QUENTIN ROOSEVELT BLVD SUITE GARDEN CITY NY 10530 ACCOUNTING 259686 PITTA & GIBLIN LLP 120 BROADWAY 28TH FLOOR NEW YORK NY 10271 ATTORNEY 254783 KANE KESSLER PC 1350 6TH AVENUE NEW YORK NY 10019 ATTORNEY 250891 5 Employer Contributions 900099 548632426 548632426 Medicare Reimbursements 900099 9052139 9052139 Participant Contributions 900099 1374207 1374207 559058772 2074907 2074907 PHARMACEUTICAL REBATES 900099 3283754 3283754 MEDICAL PREMIUM REFUNDS 900099 787174 787174 4070928 565204607 563129700 0 2074907 389273541 1215221 24173005 9100015 2065889 575913 368650 25639 258541 11054 798568 543769 1581726 20938 750812 546124 Consultation and Surger 4556980 TRANSISTIONAL REINSURAN 1984473 Laboratory 1671489 Chemicals and Supplies 1376430 2517115 443415892 26588100 51777403 238078 586415 48088175 59082520 3275833 3743345 11433559 11689176 15405802 10002801 4025361 5403001 69898047 104282132 41697875 112892509 205245028 349456501 34526143 33417226 764829 0 35290972 33417226 X 169954056 316039275 169954056 316039275 205245028 349456501 121788715 2309823 21986681 0 X 0 1 X 0 0 5657374 3549941 2107433 9748428 6452860 3295568 5403001 Prepaid Benefits 112332747 DUE FROM RELATED FUNDS 559762 112892509 X 567488791 2309823 2309823 565178968 25639 25639 565204607 443196269 -193984 -193984 443390253 25639 25639 443415892 Part X, Line 2: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE FUND MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE FUND AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF THE FUND HAS TAKEN AN UNCERTAIN TAX POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE. THE FUND IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. THE FUND ADMINISTRATOR BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO 2012. Part XII, Line 2d - Other Adjustments: CHANGE IN BENEFITS PAYABLE -193,984. X 0 1 0 DR ROBERT GREENSPAN CHIEF EXECUTIVE OFFICER 323735 519783 0 0 0 0 9211 14789 82155 131906 415101 666478 0 0 HARRY VERAS CHIEF FINANCIAL OFFICER 137612 237318 0 0 0 0 8809 15191 34926 60231 181347 312740 0 0 VINCENT JARVIS CHIEF MEDICAL OFFICER 71340 186126 0 0 0 0 6650 17350 18108 47242 96098 250718 0 0 SERGE SAADOUN DIR. OF CLINICAL SERVICES 206926 0 0 0 0 0 20693 0 52525 0 280144 0 0 0 ANDREW WINDSOR DIR. OF ADMIN SERVICES 179143 808 0 0 0 0 17914 81 45475 205 242532 1094 0 0 JOHN BRISCOE CHIEF INFORMATION OFFICER 47243 138418 0 0 0 0 4724 13842 11992 35137 63959 187397 0 0 SARINA GERTRUDE JEAN-LOUIS DIR. OF HEALTH CENTER OPERATIONS 18861 154398 0 0 0 0 1886 15440 4788 39195 25535 209033 0 0 WILLIAM TORRES DIR. OF HUMAN RESOURCES 24369 143550 0 0 0 0 2437 14355 6186 36441 32992 194346 0 0 ANDREW J STEWART DIR. OF PROC IMPROVEMENT 158853 4613 0 0 0 0 15885 461 40326 1171 215064 6245 0 0 ERIC CLANCY DIR. OF FACILITIES 9625 143641 0 0 0 0 963 14364 2444 36466 13032 194471 0 0 Part I, Line 4b DR. ROBERT GREENSPAN -0- Form 990, Part VI, Section A, line 8b THE ORGANIZATION DOES NOT HAVE ANY OTHER COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. Form 990, Part VI, Section B, line 11b THE 990 IS ROUTED TO EACH MEMBER OF THE BOARD OF TRUSTEES PRIOR TO FILING. Form 990, Part VI, Section B, line 12c ALL OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES ARE REQUIRED TO SIGN A CONFLICT OF INTEREST POLICY ANNUALLY. Form 990, Part VI, Section B, line 15 ALL COMPENSATION FOR THE ORGANIZATION'S OFFICERS AND KEY EMPLOYEES ARE SUBJECT TO REVIEW AND APPROVAL BY THE BOARD OF TRUSTEES AT TRUSTEES' MEETINGS BY MAJORITY VOTE. Form 990, Part VI, Section C, line 19 THE ORGANIZATION PROVIDES ITS FINANCIAL STATEMENTS TO THE PUBLIC UPON WRITTEN REQUEST. NY HOTEL TRADES COUNCIL & HOTEL ASSN OF NYC INC PENSION FUND 305 WEST 44TH STREET NEW YORK NY 10036 131764242 TO PROVIDE RETIREMENT BENEFITS NY 1.401-1(b)(3) N/A 0 NY HOTEL TRADES COUNCIL & HOTEL ASSN OF NYC INC PREPAID LEGAL FUND 305 WEST 44TH STREET NEW YORK NY 10036 133418414 TO PROVIDE PERSONAL LEGAL ASSISTANCE NY 501(C)(9) N/A 0 NY HOTEL TRADES COUNCIL & HOTEL ASSN OF NYC INC ITPSCHOLARSHIP FUND 305 WEST 44TH STREET NEW YORK NY 10036 136300270 tO PROVIDE INDUSTRY TRAINING AND SCHOLARSHIPS NY 501(C)(3) Line 2 N/A 0 NY HOTEL TRADES COUNCIL & HOTEL ASSN OF NYC INC HEALTH CENTER INC 305 WEST 44TH STREET NEW YORK NY 10036 131595091 TO PROVIDE MEDICAL AND SURGICAL CARE NY 501(C)(9) N/A 0 NY HOTEL TRADES COUNCIL & HOTEL ASSN OF NYC INC STAFF RETIREMENT PLAN 305 WEST 44TH STREET NEW YORK NY 10036 131912520 TO PROVIDE RETIREMENT BENEFITS NY 1.401-1(b)(3) N/A 0 NY HOTEL TRADES COUNCIL & HOTEL ASSN OF NYC INC 401(K) SAVINGS PLAN 305 WEST 44TH STREET NEW YORK NY 10036 134178178 TO PROVIDE RETIREMENT BENEFITS NY 1.401-1(b)(3) N/A 0 NY HOTEL TRADES COUNCIL & AFFILIATED LOCALS STAFF INSURANCE FUND 305 WEST 44TH STREET NEW YORK NY 10036 131531223 TO PROVIDE MEDICAL INSURANCE AND OTHER BENEFITS NY 501(C)(9) N/A 0 DIVISION A PENSION FUND 709 EIGHTH AVENUE NEW YORK NY 10036 132569697 TO PROVIDE RETIREMENT BENEFITS NY 1.401-1(b)(3) N/A 0 DIVISION A ANNUITY FUND 709 EIGHTH AVENUE NEW YORK NY 10036 562290624 TO PROVIDE RETIREMENT BENEFITS NY 1.401-1(b)(3) N/A 0 DIVISION A EDUCATION & SCHOLARSHIP FUND 709 EIGHTH AVENUE NEW YORK NY 10036 134181778 TO PROVIDE SCHOLARSHIPS NY 501(C)(3) Line 2 N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 1 NY HOTEL TRADES COUNCIL & HOTEL ASSN OF NYC INC HEALTH CENTER INC P 3622272 COST ALLOCATION AGREEMENT NY HOTEL TRADES COUNCIL & HOTEL ASSN OF NYC INC HEALTH CENTER INC Q 809795 COST ALLOCATION AGREEMENT NY HOTEL TRADES COUNCIL & HOTEL ASSN OF NYC INC PENSION FUND R 486392 CONTRIBUTION AGREEMENT NY HOTEL TRADES COUNCIL & HOTEL ASSN OF NYC INC PREPAID LEGAL FUND Q 65175 COST ALLOCATION AGREEMENT NY HOTEL TRADES COUNCIL & HOTEL ASSN OF NYC INC STAFF RETIREMENT PLAN R 1586063 CONTRIBUTION AGREEMENT NY HOTEL TRADES COUNCIL & HOTEL ASSN OF NYC INC PENSION FUND Q 390582 CONTRIBUTION AGREEMENT NY HOTEL TRADES COUNCIL & AFFILIATED LOCALS STAFF INSURANCE FUND Q 6066208 COST ALLOCATION AGREEMENT NY HOTEL TRADES COUNCIL & AFFILIATED LOCALS STAFF INSURANCE FUND R 3180578 CONTRIBUTION AGREEMENT NY HOTEL TRADES COUNCIL & HOTEL ASSN OF NYC INC HEALTH CENTER INC R 251000000 COSTS INCURRED NY HOTEL TRADES COUNCIL & HOTEL ASSN OF NYC INC PREPAID LEGAL FUND R 124729 CONTRIBUTION AGREEMENT NY HOTEL TRADES COUNCIL & HOTEL ASSN OF NYC INC 401(K) SAVINGS PLAN Q 71245 COST ALLOCATION AGREEMENT