2017-08-15T12:50:53-05:00 2017-02-28 611436956 NOVAK FRANCELLA LLC ONE PRESIDENTIAL BLVD SUITE 330 BALA CYNWYD PA 19004 990 2016-03-01 597097019 BOARD OF TRUSTEES OF PAINTERS DC78 HEALTH & welfare IUPA 7709343953 5 Hot Metal Street No 200 Pittsburgh PA 152032352 WALTER iLCZYSZYN chairman 7709343953 2017-08-15 1 Louis Verzella CPA P00360279 6106689400 2017-08-09 162.211.205.39 2017-08-15 12:49:33 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 19998950A844A1ED5F18EB360E4E9E4F9906FFA9 2016 2021-01-29 14:40:06Z X X WALTER iLCZYSZYN 5 Hot Metal Street No 200 Pittsburgh PA 152032352 8392376 0 X N/A X 1998 FL PAINTERS DISTRICT COUNCIL 78 HEALTH & WELFARE FUND PROVIDES HEALTH CARE,PRESCRIPTION,DENTAL, DISABILITY,LIFE AND ACCIDENTAL DEATH AND DISMEMBERMENT BENEFITS TO ELIGIBLE MEMBERS AND THEIR DEPENDENTS. X 9 9 0 0 0 0 0 0 8615283 6232452 162650 257426 53980 0 8831913 6489878 0 0 8183082 6551714 0 0 0 0 0 797640 766134 8980722 7317848 -148809 -827970 10859966 0 140624 0 10719342 0 TO PROVIDE HEALTH AND OTHER BENEFITS TO ELIGIBLE MEMBERS OF IUPAT DISTRICT COUNCIL 78 0 0 TO PROVIDE HEALTH AND OTHER BENEFITS TO ELIGIBLE MEMBERS OF IUPAT DISTRICT COUNCIL 78 0 0 0 0 0 0 0 0 0 0 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 1 0 0 1 0 0 1 1627 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 0 0 0 1 1 0 0 1 1 1 0 1 1 0 0 0 X CDS Administrators 4124321125 5 Hot Metal Street suite 200 PITTSBURGH PA 152032352 Walter ILczyszyn Trustee/ Co-Chairman 2.00 60.00 X 0 116655 49723 NiKITas Manias Trustee/ Co-Chairman 2.00 X 0 0 0 Jack Plettinck trustee 2.00 50.00 X 0 92580 43021 Alan Litchman trustee 2.00 50.00 X 0 99115 43021 Bruce Wohl trustee 2.00 X 0 0 0 Frank Whitaker trustee 2.00 X 0 0 0 Tom Troffer trustee 2.00 X 0 0 0 ALEX VARGAS TRustee 2.00 50.00 X 0 66160 34080 STEVE HALL Trustee 2.00 50.00 X 0 74793 20157 0 449303 190002 0 0 1 0 CIGNA 540 WEST MADISON ST CHICAGO IL 60661 CLAIMS PROCESSING 219201 CDS Administrators 5 Hot Metal Street Suite 200 Pittsburgh PA 152032352 THIRD PARTY ADMINISTRATOR 163617 Sugarman & Susskind 100 Miracle Mile CORAL GABLES FL 33134 Legal Services 120270 3 Employer contributions 900099 6098804 6098804 Participant contributions 900099 133648 133648 6232452 207335 207335 1952589 1902498 50091 50091 50091 6489878 6232452 0 257426 6551714 147157 120270 32457 40730 290681 37189 16500 14582 4652 ACA REINSURANCE FEES 54624 Bank fees 7292 7317848 1741480 0 1072109 0 0 960795 0 0 0 0 0 7938 0 0 7077644 0 0 0 0 0 10859966 0 5052 135572 0 140624 0 X 0 0 0 0 10719342 0 10719342 0 10859966 0 X -827970 121592 -10012964 X X 0 1 X 1 0 0 X 6570740 121592 121592 6449148 40730 40730 6489878 7277118 0 7277118 40730 40730 7317848 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, 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. 0 0 0 Walter ILczyszyn Trustee/ Co-Chairman 0 116655 0 0 0 0 0 45740 0 3983 0 166378 0 0 ASSETS, LIABILITIES AND BENEFIT OBLIGATIONS 2017-02-28 10012964 581910292 Southern Painters Welfare Fund 5 HOT METAL STREET PITTSBURGH PA 15203 501(c)(9) 0 0 0 0 0 0 0 0 0 Form 990, Part VI, Section B, line 11b Painters District Council 78 Health and Welfare Fund's Form 990 is prepared by its independent public accountant. The form is forwarded to the fund's third party administrator for review. The administrator then presents the return to the board of trustees for signature. Form 990, Part VI, Section C, line 19 Painters District Council 78 Health and Welfare Fund makes its governing documents and financial statements available to the public upon request. Form 990, Part XI, line 9: TRANSFER OF NET ASSETS TO SOUTHERN PAINTERS WELFARE FUND -10,012,964. Form 990, Part XII, Line 2c: Painters District Council 78 Health and Welfare Trust Fund's board of trustees is responsible for overseeing the financial statement audit and selection of the independent accountant who performs the audit. 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