2015-12-15T10:02:34-06:00 2015-02-28 611436956 NOVAK FRANCELLA LLC ONE PRESIDENTIAL BLVD SUITE 330 BALA CYNWYD PA 19004 990 2014-03-01 597097019 PAINTERS DISTRICT COUNCIL 78 HEALTH & WELFARE TRUST FUND IUPA 7709343953 100 CRESCENT CENTRE PARKWAY NO 400 TUCKER GA 300847042 WALTER ILCZYSZYN CHAIRMAN 7709343953 2015-12-15 1 LOUIS VERZELLA CPA P00360279 6106689400 2015-12-08 2014 2016-03-07 17:11:31Z WALTER ILCZYSZYN 100 CRESCENT CENTRE PARKWAY NO 400 TUCKER GA 300847042 13393588 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 8438570 7984515 350270 196438 0 0 8788840 8180953 0 0 5366072 7464970 0 0 0 0 0 815188 925409 6181260 8390379 2607580 -209426 11259122 11340977 275310 215626 10983812 11125351 TO PROVIDE HEALTH AND OTHER BENEFITS TO ELIGIBLE MEMBERS OF IUPAT DISTRICT COUNCIL 78 0 0 8390379 7964895 TO PROVIDE HEALTH AND OTHER BENEFITS TO ELIGIBLE MEMBERS OF IUPAT DISTRICT COUNCIL 78 8390379 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 1363 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 1 1 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 X WALTER ILCZYSZYN TRUSTEE/ CO-CHAIRMAN 2.00 X 0 0 0 NIKITAS MANIAS TRUSTEE/ CO-CHAIRMAN 2.00 X 0 0 0 CHARLES BOWEN JR TRUSTEE (P) 2.00 X 0 0 0 JACK PLETTINCK TRUSTEE 2.00 X 0 0 0 ALAN LITCHMAN TRUSTEE 2.00 X 0 0 0 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 0 0 0 0 0 0 CIGNA 540 WEST MADISON ST CHICAGO IL 60661 CLAIMS PROCESSING 289252 ZENITH AMERICAN SOLUTIONS 2187 NORTH LAKE PARKWAY 106 TUCKER GA 30084 THIRD PARTY ADMINISTRATOR 194350 2 EMPLOYER CONTRIBUTIONS 900099 7585643 7585643 PARTICIPANT CONTRIBUTIONS 900099 398872 398872 7984515 216058 216058 5193015 5212635 -19620 -19620 -19620 8180953 7964895 0 216058 7464970 194350 61000 16684 56778 326636 34466 42037 4534 ACA REINSURANCE FEES 104391 COORDINATOR REIMBURSEME 68459 BANK FEES 16074 8390379 1514885 3502201 1140169 935498 1524935 2587 3190 6818836 7157798 11259122 11340977 93217 71161 182093 144465 275310 215626 X 0 0 0 0 10983812 11125351 10983812 11125351 11259122 11340977 -209426 350965 0 X X 0 1 X 1 0 0 DUE TO RELATED PARTIES 112615 ACA REINSURANCE FEE LIABILITY 31850 144465 X 8475140 350965 350965 8124175 56778 56778 8180953 8333601 0 8333601 56778 56778 8390379 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 A, LINE 6 IUPAT DISTRICT COUNCIL 78 HEALTH & WELFARE FUND MEMBERSHIP TO THE ORGANIZATION IS DESCRIBED IN ITS CONSTITUTION WHICH IS AVAILABLE UPON REQUEST. FORM 990, PART VI, SECTION A, LINE 7A IUPAT DISTRICT COUNCIL 78 HEALTH & WELFARE FUND MEMBERS ELECT THE SECRETARY/TREASURER WHO THEN APPOINTS EMPLOYER TRUSTEES. 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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