2015-02-12T15:38:05-06:00 2014-04-30 611436956 NOVAK FRANCELLA LLC ONE PRESIDENTIAL BLVD SUITE 330 BALA CYNWYD PA 19004 990 2013-05-01 912036994 IUPAT DISTRICT COUNCIL NO 21 WELFARE FUND IUPA 2159345130 2980 SOUTHAMPTON-BYBERRY ROAD PHILADELPHIA PA 19154 JOSEPH ASHDALE TRUSTEE 2159345130 2015-02-12 LOUIS VERZELLA CPA P00360279 6106689400 2015-02-11 2013 2016-03-07 17:11:31Z JOSEPH ASHDALE 2980 SOUTHAMPTON-BYBERRY ROAD PHILADELPHIA PA 19154 89040455 0 X N/A X 1950 PA THE PURPOSE OF THE FUND IS TO PAY HEALTH BENEFITS FOR ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS. 8 8 13 0 0 0 0 0 31961693 34522040 1292028 1099666 413387 432726 33667108 36054432 0 0 32271881 33809354 1071685 1113112 0 0 0 887217 862802 34230783 35785268 -563675 269164 48989609 49111989 444244 397741 48545365 48714248 THE PURPOSE OF THE FUND IS TO PAY THE HEALTH BENEFITS FOR ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS. 0 0 THE PURPOSE OF THE FUND IS TO PAY THE HEALTH BENEFITS FOR ELIGIBLE PARTICIPANTS AND 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 37 0 13 1 0 0 0 0 0 0 X 8 8 0 1 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 X TRUSTEES 2159345130 2980 SOUTHAMPTON ROAD PHILADELPHIA PA 19154 SAM ANDRA EMPLOYER CO-CHAIRMAN 2.00 X 0 0 0 JOSEPH T ASHDALE UNION CO-CHAIRMAN 2.00 38.00 X 0 146501 97874 THOMAS BOETEFUER UNION TRUSTEE 2.00 38.00 X 0 100281 70777 MATT TRZASKA UNION TRUSTEE 2.00 38.00 X 0 120168 77648 EVAN LAMBROS EMPLOYER TRUSTEE 2.00 X 0 0 0 CHUCK MURTHA UNION TRUSTEE 2.00 38.00 X 0 118909 76350 MICHAEL THURMAN EMPLOYER TRUSTEE 2.00 X 0 0 0 ANGELA TILOTTA EMPLOYER TRUSTEE 2.00 X 0 0 0 PAUL TSOUROUS EMPLOYER TRUSTEE 2.00 X 0 0 0 FRANCIS MCLAUGHLIN UNION TRUSTEE 2.00 38.00 X 0 128502 82398 MICHAEL LAUGHLIN UNION TRUSTEE 2.00 38.00 X 0 100223 69816 MARK S RABINOWITZ EMPLOYER TRUSTEE 2.00 X 0 0 0 0 714584 474863 0 0 1 0 INDECS CORPORATION 1099 WALL ST W317 LYNDHURST NJ 07071 ADMIN SVCS. 1866935 INDEPENDENCE BLUE CROSS 1901 MARKET STREET PHILADELPHIA PA 19103 CLAIMS PROCESSING 887501 SPEAR WILDERMAN 230 SOUTH BROAD STREET PHILADELPHIA PA 19102 LEGAL 176268 INOVATIVE SOFTWARE SOLUTIONS INC 2 EXECUTIVE CAMPUS STE 400 PHILADELPHIA PA 08002 COMPUTER CONSULTING 111774 NOVAK FRANCELLA LLC ONE PRESIDENTIAL BLVD STE 330 BALA CYWYND PA 19004 ACCOUNTING 109633 5 EMPLOYER CONTRIBUTIONS 525100 30869739 30869739 PARTICIPANT CONTRIBUTIONS 525100 3652301 3652301 34522040 1315025 1315025 52770664 52986023 -215359 -215359 -215359 REIMBURSEMENT FOR ADMINISTRATIVE 525100 431306 431306 OTHER INCOME 900999 1420 1420 432726 36054432 34953346 0 1101086 33809354 684973 177045 194306 56788 220479 109633 116719 58000 121858 120280 44625 14846 10603 17728 28031 35785268 4195424 4844118 1400835 5337641 4955898 405600 163208 26893 358428 339753 36403 18675 29651799 37569372 8272001 278839 944892 48989609 49111989 211608 165105 232636 232636 444244 397741 X 0 0 0 0 48545365 48714248 48545365 48714248 48989609 49111989 269164 -100281 0 X X 0 1 X 1 0 15212 12950 2262 274922 264618 10304 68294 62185 6109 18675 EMPLOYER DEPOSIT 232636 232636 X 35406126 -100281 -100281 35506407 116719 431306 548025 36054432 35237243 0 35237243 116719 431306 548025 35785268 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. PART XI, LINE 4B - OTHER ADJUSTMENTS: REIMBURSEMENT FOR ADMINISTRATIVE EXPENSES 431,306. PART XII, LINE 4B - OTHER ADJUSTMENTS: REIMBURSEMENT FOR ADMINISTRATIVE EXPENSES 431,306. 0 0 0 JOSEPH T ASHDALE UNION CO-CHAIRMAN 0 146501 0 0 0 0 0 75082 0 22792 0 244375 0 0 THOMAS BOETEFUER UNION TRUSTEE 0 100281 0 0 0 0 0 47961 0 22816 0 171058 0 0 MATT TRZASKA UNION TRUSTEE 0 120168 0 0 0 0 0 54770 0 22878 0 197816 0 0 CHUCK MURTHA UNION TRUSTEE 0 118909 0 0 0 0 0 53742 0 22608 0 195259 0 0 FRANCIS MCLAUGHLIN UNION TRUSTEE 0 128502 0 0 0 0 0 59582 0 22816 0 210900 0 0 MICHAEL LAUGHLIN UNION TRUSTEE 0 100223 0 0 0 0 0 46938 0 22878 0 170039 0 0 FORM 990, PART VI, SECTION A, LINE 3 THE TRUSTEES HAVE DELEGATED THE MANAGEMENT OF FUND TO AN ADMINISTRATOR. FORM 990, PART VI, SECTION B, LINE 11 A COPY OF FORM 990 WAS PROVIDED TO FUND ADMINISTRATOR AND TRUSTEE FOR THEIR REVIEW. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS,CONFLICTS OF INTEREST AND FINANCIAL STATMENTS ARE AVAILABLE UPON REQUEST. FORM 990 PART XII, LINE 2C: THE FUND'S TRUSTEES ARE RESPONSIBLE FOR THE OVERSIGHT OF THE AUDIT OF FINANCIAL STATEMENTS AND THE SELECTION OF THE INDEPENDENT AUDIT. 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