2016-12-15T08:12:35-06:00 2016-02-29 611436956 NOVAK FRANCELLA LLC ONE PRESIDENTIAL BLVD SUITE 330 BALA CYNWYD PA 19004 990 2015-03-01 597097019 BOARD OF TRUSTEES OF PAINTERS DC78 HEALTH & welfare IUPA 7709343953 100 crescent centre parkway No 400 tucker GA 300847042 WALTER iLCZYSZYN chairman 7709343953 2016-12-15 1 Louis Verzella CPA P00360279 6106689400 2016-12-08 2015 2017-02-10 21:41:12Z WALTER iLCZYSZYN 100 crescent centre parkway No 400 tucker GA 300847042 11246222 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. 11 11 0 0 0 0 0 0 7984515 8615283 196438 162650 0 53980 8180953 8831913 0 0 7464970 8183082 0 0 0 0 0 925409 797640 8390379 8980722 -209426 -148809 11340977 10859966 215626 140624 11125351 10719342 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 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1687 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 0 1 1 0 0 0 X teresa warren 7709343953 2187 northlake parkway bldg 9 106 tucker GA 30084 Walter ILczyszyn Trustee/ Co-Chairman 2.00 X 0 104670 35497 NiKITas Manias Trustee/ Co-Chairman 2.00 X 0 0 0 Jack Plettinck trustee 2.00 X 0 0 0 Alan Litchman trustee 2.00 X 0 86077 39499 Scott Kilpatrick trustee 2.00 X 0 0 0 Bruce Wohl trustee 2.00 X 0 0 0 Frank Whitaker trustee 2.00 X 0 0 0 John Albert trustee 2.00 X 0 0 0 Tom Troffer trustee 2.00 X 0 0 0 ALEX VARGAS TRustee 2.00 X 0 0 0 STEVE HALL Trustee 2.00 X 0 0 0 0 190747 74996 0 0 0 0 CIGNA 540 WEST MADISON ST CHICAGO IL 60661 CLAIMS PROCESSING 260000 ZENITH AMERICAN SOLUTIONS 2187 NORTH LAKE PARKWAY 106 TUCKER GA 30084 THIRD PARTY ADMINISTRATOR 175889 2 Employer contributions 900099 8255617 8255617 Participant contributions 900099 359666 359666 8615283 240129 240129 2336830 2414309 -77479 -77479 -77479 PRESCRIPTION FEES REFUND 900099 53980 53980 53980 8831913 8615283 0 216630 8183082 175889 60070 27466 54763 346295 31067 4351 23268 5006 ACA REINSURANCE FEES 50018 Bank fees 19447 8980722 1514885 1741480 1140169 1072109 1524935 960795 3190 7938 7157798 7077644 11340977 10859966 71161 5052 144465 135572 215626 140624 X 0 0 0 0 11125351 10719342 11125351 10719342 11340977 10859966 -148809 -257200 0 X X 0 1 X 1 0 0 Due to related parties 117783 ACA reinsurance fee liability 10393 DUE TO BROKER - INVESTMENTS PURCHASED 7396 135572 X 8519950 -257200 -257200 8777150 54763 54763 8831913 8925959 0 8925959 54763 54763 8980722 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. Form 990, Part VI, Section B, line 11 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 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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