2016-09-19T12:40:30-05:00 2015-12-31 611436956 NOVAK FRANCELLA LLC ONE PRESIDENTIAL BLVD SUITE 330 BALA CYNWYD PA 19004 990 2015-01-01 223789539 UAW group HEALTH and WELFARE Plan UAWG 8007923666 830 bear tavern road west trenton NJ 08628 john m fowler TRUSTEE 8007923666 2016-09-19 1 Louis Verzella CPA P00360279 6106689400 2016-09-01 2015 2017-02-10 21:41:12Z john m fowler 830 bear tavern road west trenton NJ 08628 18862862 0 X NA X 2002 NJ TO PROVIDE HEALTH & WELFARE BENEFITS TO PARTICIPANTS. 2 1 0 0 0 0 0 0 19560934 18329224 2798 20656 0 12930 19563732 18362810 0 0 17012552 16053020 76960 59183 0 0 0 962867 652553 18052379 16764756 1511353 1598054 5849300 7453293 1123641 1121734 4725659 6331559 TO PROVIDE HEALTH & WELFARE BENEFITS TO PARTICIPANTS. 0 0 TO PROVIDE HEALTH & WELFARE BENEFITS TO PARTICIPANTS. 0 0 0 0 0 0 0 0 0 0 0 0 1 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 6 0 0 0 0 0 0 0 0 X 2 1 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 1 0 0 0 X plan administrator 8007923666 830 bear tavern road west trenton NJ 08628 CHARLES M GAYNEY UNION TRUSTEE (P) 1.00 X 3933 0 0 JOHN M FOWLER EMPLOYER TRUSTEE 1.00 X 20000 0 0 BOB AMBROSINI UNION TRUSTEE 1.00 X 0 0 0 23933 0 0 0 0 0 0 horizon blue cross and blue shield 949 raymond blvd newark NJ 08260 claims processing 471698 ie shaffer 830 bear tavern road west trenton NJ 08628 contract administrator 191868 SUSANIN WIDMAN & BRENNAN PC 656 E SWEDESFORD RD 330 WAYNE PA 19087 LEGAL COUNSEL 113116 3 Employer contributions 900099 15914938 15914938 Employee and COBRA contributions 900099 2414286 2414286 18329224 20708 20708 500000 500052 -52 -52 -52 INTEREST INCOME ON DELINQUENCIES 900099 12930 12930 12930 18362810 18342154 0 20656 16053020 25000 31200 2983 191868 144509 26836 1378 4351 8686 WRITE OFF OF BANKRUPTCY 149400 FEES MANDATED BY ACA - 123174 TRUSTEE EXPENSE REIMBUR 2351 16764756 1326593 3419198 1989853 2018746 1782854 1257549 7800 750000 750000 5849300 7453293 73641 71734 1050000 1050000 1123641 1121734 X 0 0 0 0 4725659 6331559 4725659 6331559 5849300 7453293 1598054 7846 0 X X 0 1 X 1 0 0 Deposit 750000 750000 due to uaw international union 1050000 1050000 X 18370656 7846 7846 18362810 0 18362810 16764756 0 16764756 0 16764756 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 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. Form 990, Part VI, Section B, line 11 THE FORM 990 IS PROVIDED TO THE ORGANIZATION BY THE FORM'S PREPARER, AND INDEPENDENT PUBLIC ACCOUNTANT, AT ONE OF THE TRUSTEE MEETINGS WHERE ITS IS REVIEWED AND SIGNED. Form 990, Part VI, Section B, line 12c THE ORGANIZATION MONITORS THEIR CONFLICT OF INTEREST POLICY ON AN ANNUAL BASIS. Form 990, Part VI, Section C, line 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XII, LINE 2C: THE ORGANIZATION'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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