2016-10-14T13:04:49-05:00 2015-12-31 611436956 NOVAK FRANCELLA LLC ONE PRESIDENTIAL BLVD SUITE 330 BALA CYNWYD PA 19004 990 2015-01-01 581910292 Southern painters welfare fund SOUT 4124321125 5 HOT METAL STREET No 200 PITTSBURGH PA 15203 HERBERT SANTOS JR trustee 4124321125 2016-10-11 1 Louis Verzella CPA P00360279 6106689400 2016-10-11 2015 2017-02-10 21:41:12Z herbert santos jr 5 HOT METAL STREET No 200 PITTSBURGH PA 15203 17112158 0 X N/A X 1990 GA THIS IS A MULTIEMPLOYER HEALTH AND WELFARE PLAN WHICH HAS BEEN ESTABLISHED TO PROVIDE HEALTH AND WELFARE BENEFITS FOR ELIGIBLE PARTICIPANTS. 6 3 17 0 0 0 0 0 11920828 12384879 363253 225727 0 0 12284081 12610606 0 0 11225316 10553092 0 0 0 0 0 1371015 1374488 12596331 11927580 -312250 683026 9740576 11705209 268835 1744400 9471741 9960809 THIS IS A MULTIEMPLOYER HEALTH AND WELFARE PLAN WHICH HAS BEEN ESTABLISHED TO PROVIDE HEALTH AND WELFARE BENEFITS FOR ELIGIBLE PARTICIPANTS 0 0 THE PLAN PROVIDES DEATH, LIFE, AND HEALTH BENEFITS (MEDICAL, SURGICAL, MAJOR MEDICAL, SHORT-TERM DISABILITY, DENTAL, PRESCRIPTION, AND VISION) FOR ELIGIBLE PARTICIPANTS 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 X 112 0 17 1 0 0 0 0 0 0 X 6 3 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X CDS ADMINISTRATORS 4124321125 5 HOT METAL STREET NO 200 PITTSBURGH PA 15203 HERBERT SANTOS jr TRUSTEE 2.00 X 0 91013 0 DAVID WENNINGER TRUSTEE 2.00 X 0 99986 0 CHUCK HILL TRUSTEE 2.00 X 0 100490 0 GAROLD MAY TRUSTEE 2.00 X 0 0 0 DARRYL TRAYLOR TRUSTEE 2.00 X 0 0 0 WALDO EMERSON TRUSTEE 2.00 X 0 0 0 0 291489 0 0 0 0 0 CIGNA 540 WEST MADISON STREET CHICAGO IL 60661 CLAIMS PROCESSOR 625152 Central Data Services Inc 5 Hot Metal St Ste 200 Pittsburgh PA 15203 BENEFIT ADMINISTRATION 216000 2 EMPLOYER CONTRIBUTIONS 525100 12276182 12276182 EMPLOYEE CONTRIBUTIONS 525100 97940 97940 RETIREE CONTRIBUTIONS 525100 10757 10757 12384879 127778 127778 4599501 4501552 97949 97949 97949 12610606 12482828 0 127778 10553092 216000 52447 26414 18516 862471 36501 29981 960 4622 FEES MANDATED BY ACA 126576 11927580 721208 1823107 2935093 4245640 1420547 1116087 1451 1221 4662277 4519154 9740576 11705209 129187 60012 139648 1684388 268835 1744400 X 0 0 0 0 9471741 9960809 9471741 9960809 9740576 11705209 683026 -193958 0 X X 0 1 X 1 0 0 THE AFFORDABLE CARE ACT FEE LIABILITY 34681 Due to related party 1649707 1684388 X 12398132 -193958 -193958 12592090 18516 18516 12610606 11909064 0 11909064 18516 18516 11927580 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 V, LINE 2A AND 2B: SOME WELFARE BENEFITS PAID BY SOUTHERN PAINTERS WELFARE FUND ARE TAXABLE TO PARTICIPANTS AND MUST BE REPORTED ON FORM W-2. 17 FORMS WERE ISSUED FOR THE 2015 PLAN YEAR. Form 990, Part VI, Section B, line 11 SOUTHERN PAINTERS' WELFARE FUND'S FORM 990 IS PREPARED BY ITS INDEPENDENT PUBLIC ACCOUNTANT WHO THEN FORWARDS THE COMPLETED RETURN TO THE FUND'S GOVERNING BODY FOR REVIEW AND SIGNATURE. Form 990, Part VI, Section B, line 12c THE ORGANIZATION MONITORS IT'S CONFLICT OF INTEREST POLICY ANNUALLY. Form 990, Part VI, Section C, line 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XII, LINE 2C THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. DIST CON 80 JATC L424 AR DISTRICT CO 77 L226 TN DISTRICT CO 77 L1169 GA DISTRICT CO 77 L1756 SC DISTRICT CO 77 L193 GA DISTRICT CO 77 L1940 GA DISTRICT COUNCIL 80 L779 AL FINISHING TRADES 130 TX FINISHING TRADES 1756DC77 GA FINISHING TRADES 193 GA FINISHING TRADES L424 AR IUPAT 88 L130 TX JAC PAINTERS APP TR FD LA L823 NEW MEXICO DIST COUN NM LOCAL UNION 1244 LA IUPAT DISTRICT COUNCIL 80 LA IUPAT DISTRICT COUNCIL 77 GA IUPAT DISTRICT COUNCIL 88 TX ACTION ELEC L193 ACTION USA L437 ADL TRAINING L1169 AERIE AERO L1293 AETNA COATINGS INC L130 AETNA COATINGS L 437 ALABAMA PAINTING 1293 ALLIANCE GLZG TECH L1778 ANNING JOHNSON CO L193 APOLLON PAINTING L1169 ARANI CONSULT DTX 1778 ARCHITECT GLZNG SPECL1244 ARCHITECTURAL GLZ NB ARROWALL (G33H) L1778 ATL & NO GA BLDG TRADE193 ATLANTA CONTRACT GL L1940 ATLAS STEEL COATINGS 193 ATSALIS BROS PNTG L193 AUGUSTA SPECIALTY CT1756 AVALOTIS 226 AVALOTIS 437 AVALOTIS CORP L1244 AVALOTIS CORP 779 AVALOTIS LOCAL 1293 AVALOTIS PAINT L1169 AVALOTIS PAINT L193 AVALOTIS PAINTING L1756 BABCOCK & WILCOX L424 BAZAN PAINTING CO L193 BECK HC L53 BELL GLASS L1778 BENNETT PTG L193 BERG DRYWALL LLC L1756 BILL THOMPSON L807 BINSWNGER GLASS CO L1778 BORAL BRICKS INC BRAND ENERGY SVCS L779 BRIDGES R US PGT #1244 CWA - AFL-CIO L6215 CANNON SLINE 1756 CANNON SLINE 193 CANNON SLINE 226 CANNON SLINE 779 CANNON SLINE L437 CANNON SLINE L49 CARBOLINE CB&I PROJECT SVCS L1756 CHAMPION PNTG SPEC L1169 CHAMPION PTG SPEC L1244 CL COATINGS 1293 CL COATINGS INC L1169 CL COATINGS LLC 1244 CLESTRA HAUSERMAN 1778 CLIFTON ARCHT GLASS L1940 CLIFTON GLASS L1244 COATINGS UNLI L424 COATINGS UNLIM 779 COMMERCIAL GLS&MIRR L1940 COMMONWEALTH CONSTR L53 CONSOLIDATED NUCLEAR 437 CONSOLIDATED NUCLEAR 53 CONTRACT MGMT # 1756 CORRECT CONSTR L437 CRASTOGLASS 1244 CROWN CORR INC L1940 CWD PAINTING L 1244 D & D GLASS L1940 D2 IND SRV L193 D2 INDUST SVCS L226 D2 INDUSTRIAL SERVICE 437 D2 INDUSTRIAL SVCS L1293 DAN MAR INC L807 DAY & ZIMMERMAN 57 DAY & ZIMMERMAN L 1293 DAY & ZIMMERMAN L1169 DAY & ZIMMERMAN L1244 DAY & ZIMMERMAN L130 NPS DAY & ZIMMERMAN L1756 DAY & ZIMMERMAN L193 DAY & ZIMMERMAN L226 DAY & ZIMMERMAN L779 DE GEORGE GLASSGO1244 DEJEAN CONTR L130 DESCO SYSTEMS INC L424 DFW GLAZING INC 1778 DISABILITY CREDIT HOURS DISTRICT 78 RECIP DISTRICT CO #4 RECIP DISTRICT CO 77 L1756 DISTRICT COUNCIL #3 DISTRICT COUNCIL #35 DISTRICT COUNCIL #82 DISTRICT COUNCIL 30 DISTRICT COUNCIL 53 RECIP DISTRICT COUNCIL 57 RECIP DISTRICT COUNCIL 80 JATC DIVERSIFIED CONST L1756 DM GLASS L1778 DON MICKEY DESIGNS DPS EVANS INC L1756 EAGLE IND PTG L1244 EAST MOLINE GLASS L1778 EDWARDS GLASS COL1940 EGM L1940 ENCLOS CORP L1778 ENVIRO TECH SERV1169 ERC INCORPORATED 1293 ETMC INC EURO PAINT L1244 EVCO NATIONAL 424 EVCO NATIONAL L130 FD THOMAS INC L130 FINISHING TRADES 130 FINISHING TRADES 1756DC77 FINISHING TRADES 1778 FLAGG CLEANING SYST L1756 FLORIDA GLASSTAMPA L1244 FLORIDA GLASSTAMPA L1940 FLUOR MAINT L728 FUEL TANK MAINT L1756 FUTURE COATING L1169 G C ZARNAS 1756 G C ZARNAS L1169 G C ZARNAS L193 G C ZARNAS L226 G C ZARNAS L424 G HYATT CONSTR L1778 G HYATT CONSTR L653 G UB MK L49 G UB MK LU226 GEM TECHNOLOGIES L437 GENDUSA ENTERPRISES L1244 GENDUSA GLASSWORKS L1244 GENERAL ACOUSTICS INCL807 GENERAL GLASS (NBU)L1244 GENERAL GLASS WORKS L1244 GHEENS PNTG L53 GLASSMAN OF LA L1244 GOMEZ FLOOR COVERING 1778 GRANADA HOMES L 653 GREEN GLASS L1940 GUBMK 1293 GUBMK 437 GUBMK CONSTR L779 HARMON INC L1778 HARMON INC LU # 1244 HARMON L1940 HARTMAN WALSH L1244 HARTMAN WALSH L130 HARTMAN WALSH L1756 HARTMAN WALSH L193 HARTMAN WALSH L424 HARTMAN WALSH L807 HARTMAN WALSH PNTG 1756 HC BECK LTD L53 HC BECK LTD L130 HERCULES PAINTING L1244 HOU-TEX NEWNOM INC 1778 HYP INC L1244 ILLINOIS ST PAINTERS IMMS IND COAT L779 IMMS INDUSTRIAL L57 INDUSTRIAL TECH CTNGS1169 INTERIOR INSTALL L193 INTERIOR INSTALL L1940 IOWA LABORERS L447 IUPAT DC 88 L130 J & K INC L1244 J I HASS L1756 J T THORPE COMPANY L130 JE TITUS CO L130 JACOBS TECHNOLOGY L1244 JAZZ CASINO 1244 JMM CONSTRUCTION L193 JOHNSON CONTRACTORS L1293 JRT INC L807 KA-TEX CONSTRUCTORS 1778 KIEWIT POWER NUC L1293 KREIHS BUCK CO L1244 L H LAND PAINT CO L53 LPI INC L1244 L1010 RECIP LANIER-JONES CONTR L193 LAW OFFICE GIRAUD NB LIBERTY MAIN L1244 LIPS DOOR GLASS L1244 LOCAL UNION 1244 LOCAL UNION 1805 LOUIS HOFFMAN CO L1940 MARLEY IND SVC L193 MARTIN JC & BARRY L53 MASTERPIECE PAINTING L807 MAXCOR INC MCABEE CONSTR L779 MCCORMICK IND ABATE 424 MCCORMICK PAINTING L424 M-CO INC LU # 1244 MCS STRUCTURES L1778 MERCEDES BENZ DOME 1244 MICHIGAN PAINTER SP RECIP MIDWEST PRO PAINTING 1293 MIK INDUSTRIAL L1244 MILLER PAINTING CO L1169 MISSOURI VALLEY L53 MOBILE HOUSING BOARD MONDELEZ INT L193 MON-X INTERNATIONAL L1940 MOORE PAINTING L226 NABORS GLASS DALLAS L1778 NAT'L RESOURCE MGMT L437 NILES INDUSTRIAL L193 NORMENT INDUSTRIES L1940 NORTEX GLASS MIRROR L1778 NORTH STAR PNTG CO L1244 OASIS INTERIORS INC L53 ODOM CONSTRUCTION 437 OLDCASTLE BLDG ENVL L1778 PACE PAINTING CO L653 PAE APPLIED TECH L130 PAINTERS LOCAL 109 RECIP PAINTING IND FUNDS PALACIOS MARINE L130 PALACIOS MARINE L779 PARAMO MECHANICAL LLC 193 PARSONS SAVANNAH CON1940 PARSONS SAVANNAH CONL1756 PENINGTON PTG L193 PERFORMANCE ABATE L437 PERFORMANCE ABATEMENT L57 PERFORMANCE CON L57 PERFORMANCE CONTR L424 PERFORMANCE CONTR L437 PERMASTEELISA L1778 PERMASTEELISA NOAMER1940 PIONEER CLADDINGGLZL1940 PLANT IND SERV L130 PPG INDUSTRIES L1961 PRECISION CONSTR L130 PRECISION CONSTR L653 PRECISION SURVEL L424 PREFERRED FLOOR NBU 130 PREFERRED FLOORING 130 PRO COAT INC L226 PRO COAT INC (NB) PROGRESSIVE INSULATION 57 RAM CONSTR SERV L1244 RAYCO MANAGEMENT INC RETAIL STORE FR L1940 RICK'S REEF L1244 RIDGECREST APTS L653 RP COATINGS INC L53 RW GLAZING LLC L1778 S&D GLASSWORKS L1778 SAMUELS GLASS CO L1778 SAVANNAH RIVER NUC 1756 SAVANNAH RVR REMEDIATION SERVICE GLASS CO L1244 SHARP GLASS L1778 SHERWIN WILLIAMS L1961 SHUGART GLASS OF TX 1778 SIGALA CONTRACTING 130 SKYLIGHT CONSUL 1940 SKYLIGHT CONSULTANTS 1244 SKYLIGHT TECH L1778 SKYLINE PNTG L53 SMG LOUISIANA SUPER L1244 SOUTH GEORGIA TOWER L1169 SOUTHERN GLASS CO L 437 SOUTHWEST GLSHOUSTON1778 SPRING GLASS L1778 STAK DESIGNINCL53 STONE & WEBSTER 1756 STONE & WEBSTER L1192 STONE & WEBSTER L1244 STONE & WEBSTER L424 STONE & WEBSTER L728 STREET LEGAL IND L437 STRONG TOWER BLDG L1940 TECHNO COATINGS L779 TENN SKYLINE GLASS L437 TENNESSEE VALLEY RECIP TEXAS EXPO SVCS L550 THOMARIOS L1756 THOMAS IND COAT L1169 THOMAS IND COAT L1244 THOMAS IND COAT L226 THOMAS IND COAT L424 THOMAS INDUSTRIAL L1756 THOMAS INDUSTRIAL L53 THOMPSON CONST 1756 TITAN IND SVCS L1244 TOMAHAWK GLASS L1940 TRI STATE PNTNG L1169 TURNER INDUS MAINT L728 TURNER INDUSTRIAL 1244 TUXEDO GLS & MIRR L1940 TWIN CITY GLZ L1940 ULTIMATE CORR CONTR L130 UNION TEMP SERV L1778 UNITED FACILITIES L1244 UNITY ELECTRIC L193 UNIVERSAL DC77 L1756 UNIVERSAL DC77 L437 UNIVERSAL DC77 L57 UNIVERSAL DC80 L1244 UNIVERSAL DC88 L130 UNIVERSAL DC88 L53 UNIVERSAL NBU DC77 L1756 URS FEDERAL SVCS L1293 VETRO INC L1778 VIKING AEGEAN LTD VIMAS PAINTING CO 1244 VIMAS PTG L437 VULCAN ENVIRONMENTAL L193 VULCAN ENVIRONMENTAL L57 VULCAN ENVIRONMENTAL L779 VULCAN INDUSTRIAL L 193A VULCAN INDUSTRIAL L193B VULCAN INDUSTRIAL L57 VULCAN INDUSTRIAL L779 VULCAN PAINTERS L 1293 VULCAN PAINTERS L 193 VULCAN PAINTERS L57 VULCAN PAINTERS L779 VULCAN PIPE STEEL LU57 WAY-TECH (NB) L130 WAY-TECH INC L130 WELCH FLOORS INC L807 WHITEHEAD BROS 779 PTNG WHITEHEAD BROS L653 WILLIAMS IND SERV L1169 WILLIAMS PLANT L779 WILLIAMS PLANT SVCS L1169 WILLIAMS PLANT SVCS L1293 WILLIAMS PLANT SVCS L1756 WILLIAMS PLANT SVCS L193 WILLIAMS PLANT SVCS L452 WILLIAMS POWER CORP L193 WILLIAMS POWER L1756 WILLIAMS SERVICE 226 WILLIAMS SPEC L136 ROOFER WILLIAMS SPECIALTY L1169 WILLIAMS SPECIALTY L1756 WILLIAMS SPECIALTY L193 WILLIAMS SPECIALTY L226 WILLIAMS SPECIALTY L312 WILLIAMS SPECIALTY L38 WILLIAMS SPECIALTY L41 WILLIAMS SPECIALTY L452 WRAP IT UP CONST 437 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0