2016-10-21T14:19:28-05:00 2015-12-31 812950760 SAX LLP 28 WEST 44TH STREET NEW YORK NY 10036 990 2015-01-01 136701607 INTERNATIONAL BROTHERHOOD OF TEAMSTER LOCAL 237 RETIREES' BENEFIT FUND INTE 2129242000 216 WEST 14TH ST NEW YORK NY 10011 GREG FLOYD TRUSTEE 2129242000 2016-10-21 1 DAVID C LEE P00178190 2126618640 2015 2017-02-10 21:41:12Z GREG FLOYD 216 WEST 14TH ST NEW YORK NY 10011 46538786 0 X WWW.LOCAL237.ORG X 1975 NY TO PROVIDE VARIOUS WELFARE BENEFITS TO ELIGIBLE MEMBERS AND THEIR DEPENDENTS. 7 0 10 0 0 0 0 0 20244239 23743209 1262319 1391489 0 0 21506558 25134698 0 0 18336621 19505111 1219007 1172621 0 0 0 595058 618861 20150686 21296593 1355872 3838105 39285605 42848566 2870453 2749242 36415152 40099324 TO PROVIDE VARIOUS WELFARE BENEFITS TO ELIGIBLE MEMBERS AND THEIR DEPENDENTS COVERED UNDER COLLECTIVELY BARGAINED LABOR CONTRACTS NEGOTIATED BY CITY EMPLOYEES LOCAL UNION 237 I.B.T. 0 0 THE RETIREES BENEFIT FUND PROVIDED PRESCRIPTION DRUG, DENTAL, OPTICAL, HEARING AID, DEATH, LEGAL SERVICES, SUPPLEMENTAL MEDICAL, RETIREMENT PLANNING, PENSION COUNSELING AND EDUCATION BENEFTIS TO APPROXIMATELY 10,051 MEMBERS AND THEIR DEPENDENTS COVERED UNDER COLLECTIVELY BARGAINED LABOR CONTRACTS NEGOTIATED BY CITY EMPLOYEES LOCAL UNION 237 I.B.T. 0 0 0 0 0 0 0 0 0 1 0 0 1 1 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 17 0 1 10 1 0 0 0 0 0 0 0 0 X 7 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 X GREGORY FLOYD TRUSTEE CHAIRMAN 2129242000 216 WEST 14TH STREET NEW YORK NY 10011 EDMUND KANE TRUSTEE 0.50 40.00 X 0 183793 2114 GREGORY FLOYD TRUSTEE 0.50 40.00 X 0 223645 12884 PATRICIA STRYKER TRUSTEE 0.50 40.00 X 0 198461 2114 RICHARD HENDERSHOT TRUSTEE 0.50 40.00 X 0 206002 27334 RUBEN TORRES TRUSTEE 0.50 40.00 X 0 106220 8130 DEREK JACKSON TRUSTEE 0.50 40.00 X 0 159461 15418 RANDY KLEIN TRUSTEE 0.50 40.00 X 0 120013 14465 MITCHELL GOLDBERG ADMIN DIRECTOR 14.00 26.00 X 0 163055 33634 RONALD GERMANA CONTROLLER 0.50 40.00 X 0 170971 15469 WINSTON GEORGE DEPUTY DIRECTOR 21.00 19.00 X 102370 0 15469 NANCY TRUE PROGRAM DIRECTOR 29.00 11.00 X 150035 0 105292 REMILDA FERGUSON TRUSTEE (FORMER) 0.50 40.00 X 0 24404 27064 252405 1556025 279387 2 1 1 0 HEALTHPLEX 333 EARL OVINGTON BLVD SUITE 300 UNIONDALE NY 11533 DENTAL CLAIMS ADMINISTRATOR 219727 1 EMPLOYER CONTRIBUTIONS 900099 20558398 20558398 MEDICARE REFUNDS 900099 3106157 3106157 COBRA CONTRIBUTIONS 900099 78654 78654 23743209 689076 689076 22106501 21404088 702413 702413 702413 25134698 23743209 0 1391489 19505111 781223 339467 51931 59275 34132 103724 189325 104136 42833 48233 14292 ELECTRIC 13010 TELEPHONE 9901 21296593 2408742 2957937 1037934 544110 2553623 4978518 18077 15828 678162 541610 166048 136552 31551947 32062213 1549234 2153408 39285605 42848566 212836 202120 2657617 2547122 2870453 2749242 X 0 0 0 0 36415152 40099324 36415152 40099324 39285605 42848566 X 3838105 -349478 195545 X X 0 1 X 1 0 224253 141915 82338 453909 399695 54214 136552 PRESCRIPTION REBATES 1441524 ACCRUED INTEREST AND DIVIDENDS 90017 MEDICARE SUBSIDY RECEIVABLE 621867 2153408 DUE TO AFFILIATES 645575 CONTRIBUTION OVERPAYMENT PAYABLE 268908 ACCUMULATED POST RETIREMENT PENSION BENEFITS 372010 ACCUMULATED POST RETIREMENT BENEFITS OTHER THAN PENSION 737253 POST RETIREMENT BENEFIT ADJUSTMENT 523376 2547122 X 24681496 -349478 -349478 25030974 103724 103724 25134698 21192869 0 21192869 103724 103724 21296593 PART X, LINE 2: THE PLAN IS EXEMPT FROM FEDERAL INCOME TAX UNDER THE PROVISIONS OF SECTION 501(C)(9) OF THE INTERNAL REVENUE CODE (IRC) AND HAS OBTAINED A FAVORABLE DETERMINATION LETTER FROM THE INTERNAL REVENUE SERVICE (IRS). THE PLAN OBTAINED ITS LATEST DETERMINATION LETTER ON OCTOBER 29, 1975, IN WHICH THE IRS STATED THAT THE PLAN WAS IN COMPLIANCE WITH THE APPLICABLE REQUIREMENTS OF THE IRC. THE PLAN HAS BEEN AMENDED SINCE RECEIVING THE DETERMINATION LETTER. HOWEVER, THE PLAN'S ADMINISTRATOR AND THE PLAN'S COUNSEL BELIEVE THAT THE PLAN IS CURRENTLY DESIGNED AND BEING OPERATED IN COMPLIANCE WITH THE APPLICABLE REQUIREMENTS OF THE IRC. THEREFORE, THEY BELIEVE THAT THE PLAN WAS QUALIFIED AND THE RELATED TRUST WAS TAX-EXEMPT AS OF THE FINANCIAL STATEMENT DATE. THE PLAN'S MANAGEMENT EVALUATES TAX POSITIONS TAKEN BY THE PLAN AND RECOGNIZES A TAX LIABILITY OR ASSET IF AN UNCERTAIN TAX POSITION WAS TAKEN AND IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WOULD NOT BE SUSTAINED UPON EXAMINATION BY TAXING AUTHORITIES. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS. X 0 0 0 EDMUND KANE TRUSTEE 0 158312 0 3000 0 22481 0 0 0 2114 0 185907 0 0 GREGORY FLOYD TRUSTEE 0 201192 0 6000 0 16453 0 12884 0 0 0 236529 0 0 PATRICIA STRYKER TRUSTEE 0 171500 0 4000 0 22961 0 0 0 2114 0 200575 0 0 RICHARD HENDERSHOT TRUSTEE 0 185919 0 5000 0 15083 0 25220 0 2114 0 233336 0 0 DEREK JACKSON TRUSTEE 0 142744 0 750 0 15967 0 13304 0 2114 0 174879 0 0 MITCHELL GOLDBERG ADMIN DIRECTOR 0 142192 0 750 0 20113 0 22402 0 11232 0 196689 0 0 RONALD GERMANA CONTROLLER 0 148388 0 750 0 21833 0 0 0 15469 0 186440 0 0 NANCY TRUE PROGRAM DIRECTOR 129777 0 750 0 19508 0 92031 0 13261 0 255327 0 0 0 REMILDA FERGUSON TRUSTEE (FORMER) 0 15946 0 0 0 8458 0 27064 0 0 0 51468 0 0 FORM 990, PART VI, SECTION A, LINE 8B THE FUND HAS NO COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE BOARD OF TRUSTEES. FORM 990, PART VI, SECTION B, LINE 11 THE FUND'S 990 IS PREPARED BY ITS OUTSIDE AUDITOR AND IS SUBMITTED AND REVIEWED WITH THE CONTROLLER. THE CONTROLLER THEN REVIEWS THE TAX RETURN WITH THE CHARIPERSON OF THE BOARD OF TRUSTEES. A COPY OF THE 990 IS PROVIDED TO THE BOARD OF TRUSTEES PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 15 FORM 990, PART VI, SECTION B, LINE 15: OFFICERS AND STAFF SALARIES ARE SET BY DEPARTMENT DIRECTORS AND APPROVED BY THE BOARD OF TRUSTEES APPOINTED BY THE UNION. INCREASES ARE EQUIVALENT TO UNION SALARY INCREASES PURSUANT TO THE COLLECTIVE BARGAINING CONTRACT IN FORCE. FORM 990, PART VI, SECTION C, LINE 19 THE DOCUMENTS ARE MADE AVAILABLE UPON REQUEST AND CAN BE EXAMINED AT THE FUND OFFICE. FORM 990, PART XI, LINE 9: POSTRETIREMENT BENEFIT ADJUSTMENTS 173,905. POSTRETIREMENT BENEFIT ADJUSTMENTS 21,640. FORM 990, PART XII, LINE 2C THE EXECUTIVE BOARD ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND THE SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED SINCE THE PRIOR YEAR. CITY EMPLOYEES UNION LOCAL 237 IBT 216 WEST 14TH STREET NEW YORK NY 10011 135616651 PROVIDE ASSISTANCE TO MEMBERS IN LABOR RELATED MATTERS. NY 501(C)(5) 0 TEAMSTERS LOCAL 237 TRAINING AND EDUCATION FUND 216 WEST 14TH STREET NEW YORK NY 10011 133017119 PROVIDE TRAINING AND EDUCATIONAL BENEFITS TO ELIGIBLE MEMBERS NY 501(C)(3) 0 TEAMSTERS LOCAL 237 WELFARE FUND 216 WEST 14TH STREET NEW YORK NY 10011 132575626 PROVIDE WELFARE BENEFITS TO ELIGIBLE MEMBERS AND THEIR DEPENDENTS. NY 501(C)(9) 0 NEW YORK CITY (OLR) NY NEW YORK CITY HOUSING AUTHORITY NY BOARD OF EDUCATION NY NEW YORK CITY TRANSIT AUTHORITY NY HEALTH AND HOSPITAL CORP NY LOCAL 621 UNION NY 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 TEAMSTERS LOCAL 237 WELFARE FUND N 74803 ACCRUAL BASIS TEAMSTERS LOCAL 237 WELFARE FUND Q 112348 ACCRUAL BASIS TEAMSTERS LOCAL 237 WELFARE FUND P 764706 ACCRUAL BASIS CITY EMPLOYEES UNION LOCAL 237 IBT P 175705 ACCRUAL BASIS