2016-02-09T13:33:53-06:00 2015-06-30 061298465 SM ESPOSITO & CO PC 3013 DIXWELL AVENUE HAMDEN CT 06518 990 2014-07-01 060689974 LOCAL 191 HEALTH SERVICE AND INSURANCE PLAN LOCA 2033665849 1139 FAIRFIELD AVENUE BRIDGEPORT CT 06605 ROBERT FLYNN UNION TRUSTEE 2303665849 2016-02-09 1 DANA HARVEY P01452206 2033877771 2016-02-09 2014 2016-08-17 19:52:53Z ROBERT FLYNN 1139 FAIRFIELD AVENUE BRIDGEPORT CT 06605 49762308 0 X N/A X 1954 CT SELF-INSURED HEALTH BENEFIT PLAN 3 3 5 0 0 0 0 0 18843009 20590410 2715204 5499794 113 4673 21558326 26094877 0 0 17748768 17880276 464111 425403 0 0 0 1152206 1203414 19365085 19509093 2193241 6585784 59729178 63305412 2825880 3038637 56903298 60266775 PROVIDE SELF INSURED HEALTH BENEFITS TO MEMBERS COVERED UNDER A COLLECTIVE BARGAINING AGREEMENT NEGOTIATED BY THE TEAMSTERS LOCAL 191 UNION. 0 0 PROVIDES INSURED AND SELF-INSURED MEDICAL, DEATH & LIFEINSURANCE BENEFITS TO 2,260 MEMBERS PLUS THEIR DEPENDENTS. 0 0 0 0 0 0 0 0 0 1 0 0 0 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 8 0 1 5 1 0 0 0 0 0 0 X 3 3 0 0 0 0 0 0 0 1 0 0 0 1 0 1 1 0 0 0 X ROBERT FLYNN 2033665849 1139 FAIRFIELD AVENUE BRIDGEPORT CT 06605 ANTHONY CAPPELLA EMPLOYER TRUSTEE 2.00 X 0 0 0 ED ROONEY UNION TRUSTEE 4.00 55.00 X 0 125350 39796 ROBERT FLYNN UNION TRUSTEE 4.00 55.00 X 0 122575 39677 0 247925 79473 0 0 1 0 UBS FINANCIAL SERVICES 333 EARLE OVINGTON BLVD UNIONDALE NY 11553 INVESTMENT CONSULTING 214623 1 EMPLOYER CONTRIBUTIONS 900099 19795413 19795413 PAYROLL AUDIT 900099 442696 442696 SPECIAL RETIREE CONTRIBUTION 900099 241202 241202 COBRA CONTRIBUTIONS 900099 68686 68686 AFFILIATED RENTAL INCOME 900099 42413 42413 20590410 850681 850681 28305244 11300 23617431 50000 4687813 -38700 4649113 4649113 SECURITY LITIGATION PROCEEDS 900099 4673 4673 4673 26094877 20595083 0 5499794 17880276 245086 79189 80350 20778 664200 80152 263787 26647 71620 11553 16885 36961 REPAIRS & MAINTENANCE 30709 SEVERANCE BENEFIT 900 19509093 28387 161762 11310485 19137258 1624882 1694342 9341 12770 3373553 3155318 230180 218235 46251515 41752228 10000 0 264388 328817 59729178 63305412 19392 28485 2806488 3010152 2825880 3038637 X 0 0 0 0 56903298 60266775 56903298 60266775 59729178 63305412 6585784 -3222307 0 X X 0 1 X 1 0 40000 40000 2999036 2834047 164989 334517 321271 13246 218235 HEALTH CLAIMS PAYABLE; HEALTH CLAIMS INCURRED BUT UNREPORTED 2024700 DUE TO PARTICIPATING HEALTH SERVICE 547980 ACCUMULATED ELIGIBILITY CREDITS 412184 SEVERANCE PAYABLE 25288 3010152 X 22608783 -3222307 -3222307 25831090 263787 263787 26094877 19239278 0 19239278 263787 6028 269815 19509093 PART X, LINE 2: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE THE PLAN TO EVALUATE TAX POSITIONS TAKEN AND TO RECOGNIZE A TAX LIABILITY FOR ANY UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY TAX AUTHORITIES; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS.THE ORGANIZATION FILES ITS FORM 990 IN THE U.S. FEDERAL JURISDICTION. THE PLAN BELIEVES THAT THE INCOME TAX RETURNS FOR YEARS ENDED JUNE 30, 2011 AND PRIOR ARE CLOSED YEARS AND THEREFORE, ARE NOT SUBJECT TO THE AUDIT PROCESS. FORM 990, SCH D, PART XII, LINE 4C CHANGE IN BENEFIT OBLIGATIONS. 0 0 0 ED ROONEY UNION TRUSTEE 0 125350 0 0 0 0 0 0 0 39796 0 165146 0 0 ROBERT FLYNN UNION TRUSTEE 0 122575 0 0 0 0 0 0 0 39677 0 162252 0 0 FORM 990, PART VI, SECTION A, LINE 8B THERE IS NO APPLICABLE COMMITTEE WITH THE AUTHORITY TO ACT ON BEHALF OF THE EXECUTIVE BOARD FOR WHICH MINUTES WOULD NEED TO BE RECORDED. FORM 990, PART VI, SECTION B, LINE 11 FORM 990 IS REVIEWED IN PERSON WITH CERTAIN MEMBERS OF THE BOARD OF TRUSTEES PRIOR TO FILING OF THE RETURN. FORM 990, PART VI, SECTION C, LINE 19 THE HEALTH SERVICE & INSURANCE PLAN DOES NOT MAKE AVAILABLE TO THE GENERAL PUBLIC ANY OF ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY OR FINANCIAL STATEMENTS. FORM 990, PART X11, LINE 2C OVERSIGHT RESPONSIBILITY THERE HAS BEEN NO CHANGE IN THE OVERSIGHT RESPONSIBILITY. THE TRUSTEE'S ASSUME RESPONBILBILITY FOR THE AUDIT PROCESS INCLUDING SELECTION OF THE INDEPENDENT AUDITOR. IBT LOCAL UNION 191 1139 FAIRFIELD AVENUE BRIDGEPORT CT 06605 060453477 REPRESENTATION OF UNION MEMBERS CT 501C-5 N/A 0 TRI STATE JOINT FUND 25 RESEARCH DRIVE MILFORD CT 06460 060850110 3RD PARTY ADMINISTRATOR FOR AFFILIATED ENTITIES CT 501C-9 N/A 0 BURNS CONSTRUCTION 300 SPERRY AVE STRATFORD CT 06615 CT C 0 CITY CARTING PO BOX 17250 STAMFORD CT 06907 CT C 0 DEERING CONSTRUCTION INC 20 SHEEHAN AVE NORWALK CT 06854 CT C 0 FGB CONSTRUCTION 150 BOUTON STREET NORWALK CT 06854 CT C 0 FIRST STUDENT 600 VINE STREET CINCINNATI OH 45202 OH C 0 GROCERY HAULERS 581 MAIN STREET WOODBRIDGE NJ 07095 NJ C 0 HI-HO CONN COKE & FUEL CO 39 SALT STREET BRIDGEPORT CT 06605 CT C 0 SUBURBAN PROPANE LP 240 ROUTE 10 WEST WHIPPANY NJ 07981 NJ C 0 INTERSTATE & LAKELAND LUMBER CORP 247 MILL STREET GREENWICH CT 06830 CT C 0 JULIAN RAILROAD CONSTRUCTION 488 GRAND ST BRIDGEPORT CT 06604 CT C 0 MARK IV CONSTRUCTION 1137 SEAVIEW AVE BRIDGEPORT CT 06607 CT C 0 MARSHALLS EXPRESS INC 80 SOUTHFIELD AVE STAMFORD CT 06902 CT S 0 NATIONWIDE JANITORIAL SERV INC 11624 PAGE SERVICE DRIVE ST LOUIS MO 63146 MO C 0 O&G INDUSTRIES 112 WALL STREET TORRINGTON CT 06790 CT C 0 PETROLEUM HEAT & POWER PO BOX 288 TIVERTON RI 02878 RI C 0 PETRO-HOME OIL 55 DAY STREET SOUTH NORWALK CT 06854 CT C 0 STANDARD WRECKING CO 30 NUTMEG DRIVE TRUMBULL CT 06611 CT C 0 STONY BROOK GARDENS 55 SINGER COURT STRATFORD CT 06614 CT C 0 STUDENT TRANS OF AMERICA 3349 HIGHWAY 138 WALL NJ 07719 NJ C 0 TEAMSTERS LOCAL UNION 1150 150 GARFIELD AVE STRATFORD CT 06615 CT T 0 UNITED PARCEL SERVICE 100 EAST CAMPUS VIEW BLVD COLUMBUS OH 43235 OH C 0 WATERS CONSTRUCTION CO INC 300 BOSTWICK AVE BRIDGEPORT CT 06605 CT C 0 WE TRANSPORT 75 COMMERCIAL STREET PLAINVIEW NY 11803 CT C 0 YRC INC 10990 ROE AVE OVERLAND PARK KS 66211 KS C 0 SPORTECH ENTERPRISES 255 KOSSUTH STREET BRIDGEPORT CT 06608 CT C 0 MEYER RIGGING LONG BEACH BLVD STRATFORD CT 06615 CT C 0 TILCON 301 HARTFORD AVE NEWINGTON CT 06131 CT C 0 DEL-VA CORPORATION 414 NEW BRITIAN AVENEUE PLAINVILLE CT 06062 CT C 0 CJ FUCCI CONSTRUCTION 63 RUSSELL STREET NEW HAVEN CT 06513 CT C 0 MICHAEL INFANTE & SONS 29 VINTAGE ROAD TRUMBULL CT 06611 CT C 0 RONDANDO M 49 EAST AVE NORWALK CT 06851 CT C 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 1 0 0 TRISTATE JOINT FUND M 664200