2015-10-15T14:18:46-05:00 2014-11-30 BOND BEEBE PC 4600 EAST-WEST HIGHWAY SUITE 900 BETHESDA MD 208143423 990 2013-12-01 133467049 AFTRA HEALTH FUND % BD TRUSTEES AFTRA HEALTH FUN AFTR 2124994800 261 MADISON AVE 8TH FL NEW YORK NY 100162312 CHRISTINE DUBOIS CHIEF EXEC. OFFICER 2124994800 2015-10-13 true SCOTT PRICE P00686063 2124994800 2013 2016-03-07 17:11:31Z CHRISTINE DUBOIS 261 MADISON AVENUE NEW YORK NY 10016 178092720 false X WWW.AFTRAHR.COM X 1954 NY THE AFTRA HEALTH FUND IS THE MULTIEMPLOYER TRUST FOR A WELFARE BENEFIT PLAN. 22 9 161 0 0 0 0 108964721 90202640 9572842 5506973 51780 146399 118589343 95856012 0 0 95336088 101070739 8974042 9196810 0 0 0 12451337 13962477 116761467 124230026 1827876 -28374014 243208278 220401777 8055091 8549531 235153187 211852246 THE AFTRA HEALTH FUND IS THE MULTIEMPLOYER TRUST FOR A WELFARE BENEFIT PLAN. false false SERVED AS THE TRUST FOR A MULTIEMPLOYER WELFARE BENEFIT PLAN THAT PROVIDED HEALTH BENEFITS (MAJOR MEDICAL, HOSPITAL, SURGICAL, PRESCRIPTION DRUGS, MENTAL HEALTH, AND DENTAL) AND VARIOUS INSURANCE BENEFITS TO PARTICIPANTS, AND CERTAIN BENEFITS TO THE ELIGIBLE DEPENDENTS AND BENEFICIARIES OF PARTICIPANTS. false false false false false false false false false true true false false true true true false false false false false false false false false false false false true false false false false false false false false false false false true false false true 7700 0 true 161 true false false false false false false X 22 9 false false false false false true false true true false false true true true true true true false false false X BD TRUSTEES AFTRA HEALTH FUN 2124994800 261 MADISON AVE FL 8 NEW YORK NY 10016 MARC SANDMAN PRODUCER TRUSTEE/CO-CHAIR 1.7 41.33 X X 0 0 0 SHELBY SCOTT UNION TRUSTEE/CO-CHAIR 2.41 2.37 X X 0 0 0 HELAYNE ANTLER PRODUCER TRUSTEE 0.0 0.0 X 0 0 0 DAVID BROWDE UNION TRUSTEE 1.08 1.7 X 0 0 82832 ANN CALFAS PRODUCER TRUSTEE 1.04 40.99 X 0 0 0 DENNY DELK UNION TRUSTEE 1.75 2.39 X 0 0 117549 MATHIS L DUNN JR UNION TRUSTEE 1.47 40.91 X 0 244754 165407 ANDREA FINKELSTEIN PRODUCER TRUSTEE 0.72 40.65 X 0 0 0 J KEITH GORHAM PRODUCER TRUSTEE 1.68 41.29 X 0 0 0 DAVID HARTLEY-MARGOLIN UNION TRUSTEE 0.81 1.97 X 0 0 25361 HARRY ISAACS PRODUCER TRUSTEE 1.57 41.44 X 0 0 0 JO ANN KESSLER PRODUCER TRUSTEE 0.47 40.4 X 0 0 0 MATT KIMBROUGH UNION TRUSTEE 0.97 1.88 X 0 0 620 HANK LACHMUND PRODUCER TRUSTEE 1.65 41.18 X 0 0 0 LYNNE LAMBERT UNION TRUSTEE 2.28 1.87 X 0 0 17264 STEPHEN MIRANTE PRODUCER TRUSTEE 1.08 40.5 X 0 0 0 ROBERTA REARDON UNION TRUSTEE 1.67 2.05 X 0 0 2273 JOYCE REEHLING UNION TRUSTEE 1.73 1.71 X 0 0 12 DAVID J SILBERMAN PRODUCER TRUSTEE 2.29 40.91 X 0 0 0 SALLY STEVENS UNION TRUSTEE 1.08 1.97 X 0 0 6153 DAVID WHITE UNION TRUSTEE 0.91 40.85 X 0 548506 161809 RON WILCOX PRODUCER TRUSTEE 1.68 40.54 X 0 0 0 CHRISTINE DUBOIS CHIEF EXECUTIVE OFFICER 28.4 11.16 X 257650 101209 40484 STEWART ADAMS CHIEF FINANCIAL OFFICER 28.4 11.16 X 125584 49301 45061 JOAN ROGUSKI BENEFITS DIRECTOR 28.84 11.16 X 124187 48032 35525 AMIN RAHIM DIRECTOR OF IT OPS 28.84 11.16 X 120423 46576 26444 RICK RUBANO DIRECTOR OF IT OPS 28.84 11.16 X 121605 47033 18157 JUDY PENA HR DIRECTOR 28.84 11.16 X 111881 43272 12687 DONALD E FAUGHNAN BENEFITS 28.84 11.16 X 111830 43253 61057 973160 1171936 818695 9 false true false CIGNA HEALTH CARE ONE LIBERTY PLACE PHILADELPHIA PA 19192 BENEFIT PLAN MGMT 2012550 BDO USA LLP 100 PARK AVENUE NEW YORK NY 10017 COMPLIANCE AUDIT 955187 VALUE OPTIONS 441 9TH AVENUE NEW YORK NY 10001 BENEFIT PLAN MGMT 342011 JP MORGAN CHASE BANK NA 4 NEW YORK PLAZA 12 FL NEW YORK NY 10004 MANAGEMENT SERVICES 312182 SEGAL COMPANY 333 WEST 34TH STREET NEW YORK NY 10001 ACTUARY 303152 13 0 PRODUCERS 525100 66991235 66991235 PARTICIPANTS 525100 23211405 23211405 90202640 787359 787359 0 0 0 0 0 86956322 81946679 290029 5009643 -290029 4719614 4719614 0 0 0 SECURITY LITIGATION 900099 118133 118133 MISCELLANEOUS INCOME 900099 27342 27342 COMMISSION RECAPTURE 900099 924 924 146399 95856012 90202640 5653372 0 0 0 101070739 432913 0 7811967 162011 134541 655378 0 491599 1273533 0 0 548648 3443643 20000 981199 1657817 0 2943009 67238 0 112338 0 0 1244947 228732 ACA EXCISE TAX FEES 877972 RECRUITING EXPENSES 31668 ADMINISTRATIVE COSTS 26078 DUES AND SUBSCRIPTIONS 14056 124230026 X 30326 1800 10738572 4907566 0 0 8613988 12645619 0 0 0 0 0 0 0 0 403271 355541 8876935 2881616 6411925 5995319 61709773 46550727 152800453 146029301 0 0 0 0 2499970 3915904 243208278 220401777 4205795 4820776 0 0 1738086 1827766 0 0 0 0 0 0 0 0 0 0 2111210 1900989 8055091 8549531 X 0 0 0 0 235153187 211852246 235153187 211852246 243208278 220401777 -28374014 5073073 X false true X true false 3254399 1159402 2094997 1915288 984009 931279 3707248 738205 2969043 5995319 SSGA COMMON TRUST INVESTMENTS 146029301 F 146029301 0 DEFERRED RENT 1900989 1900989 X 100670466 5073073 5073073 95597393 548648 -290029 258619 95856012 123971407 290029 290029 123681378 548648 548648 124230026 PART X, LINE 2 - FIN 48 FOOTNOTE: Accounting principles generally accepted in the United States of America require management to evaluate tax positions taken and recognize an income tax liability if the organization has taken an uncertain position that more likely than not would not be sustained upon examination by the Internal Revenue Service. Management has evaluated the tax positions taken by the Plan and concluded that as of November 30, 2014 there are no uncertain positions taken or expected to be taken that would require recognition of a liability or disclosure in the financial statements. The Plan is subject to routine audits by taxing jurisdictions; however, there are currently no audits in progress for any tax periods. PART XI, LINE 4B - REVENUES INCLUDED ON FORM 990, BUT NOT FINANCIALS: $(290,029) LOSS ON DISPOSAL OF FIXED ASSETS REPORTED IN GROSS AMOUNT FROM SALES OF ASSETS OTHER THAN INVENTORY. PART XII, LINE 2D - EXPENSES INCLUDED ON FINANCIALS, BUT NOT FORM 990: $290,029 LOSS ON DISPOSAL OF FIXED ASSETS REPORTED IN GROSS AMOUNT FROM SALES OF ASSETS OTHER THAN INVENTORY. X true true X X false false false MATHIS L DUNN JR UNION TRUSTEE 0 244754 0 112173 0 53234 0 410161 0 0 DAVID WHITE UNION TRUSTEE 0 548506 0 62749 0 99060 0 710315 0 0 CHRISTINE DUBOIS CHIEF EXECUTIVE OFFICER 257650 101209 29066 11418 0 0 286716 112627 0 0 STEWART ADAMS CHIEF FINANCIAL OFFICER 120609 47377 4975 1924 32352 12709 0 0 157936 62010 0 0 JOAN ROGUSKI BENEFITS DIRECTOR 119391 46177 4796 1855 25617 9908 0 0 149804 57940 0 0 AMIN RAHIM DIRECTOR OF IT OPS 115732 44762 4691 1814 19069 7375 0 0 139492 53951 0 0 RICK RUBANO DIRECTOR OF IT OPS 116914 45219 4691 1814 13093 5064 0 0 134698 52097 0 0 JUDY PENA HR DIRECTOR 107475 41568 4406 1704 9149 3538 0 0 121030 46810 0 0 DONALD E FAUGHNAN BENEFITS 107642 41633 4188 1620 44028 17029 0 0 155858 60282 0 0 PART I, LINE 1A - FIRST-CLASS TRAVEL: UNDER A TRAVEL REIMBURSEMENT PLAN, THE ORGANIZATION REIMBURSES THE TRUSTEES FOR FIRST-CLASS TRAVEL EXPENSES INCURRED FOR BUSINESS RELATED TO THE ORGANIZATION. NO PART OF THE REIMBURSEMENT IS TREATED AS TAXABLE COMPENSATION TO THE TRUSTEES. PART II, COLUMN C - DEFERRED COMPENSATION: $318,086 OF THE AMOUNT IN THIS COLUMN REPRESENTS THE ANNUAL INCREASE IN ACTUARIAL VALUE OF A QUALIFIED DEFINED BENEFIT PLAN, AS CALCULATED BY THE PLAN ACTUARY. NONE OF THIS INCREASE REPRESENTS AN ACTUAL OUTLAY. PART VI, SECTION A, LINE 7A - SELECTION OF TRUSTEES: THE GOVERNING BOARD SHALL CONSIST OF ELEVEN (11) EMPLOYER TRUSTEES AND ELEVEN (11) SAG-AFTRA TRUSTEES. IN THE EVENT THAT ANY EMPLOYER TRUSTEE SHALL DIE, BECOME INCAPABLE OF ACTING HEREUNDER, RESIGN, OR BE REMOVED, THE EMPLOYER TRUSTEES THEN IN OFFICE MAY, BY MAJORITY VOTE AND IN A WRITING SIGNED BY A MAJORITY OF THE EMPLOYER TRUSTEES AND DELIVERED TO THE BOARD, DESIGNATE A PERSON TO FILL THE POSITION OF EMPLOYER TRUSTEE THUS MADE AVAILABLE. IT IS THE INTENTION OF THE EMPLOYER TRUSTEES THAT THE COMPOSITION OF THE EMPLOYER TRUSTEES WILL BE GENERALLY REPRESENTATIVE OF THE VARIOUS SEGMENTS OF THE INDUSTRY FOR WHICH CONTRIBUTIONS HAVE HISTORICALLY BEEN REQUIRED TO BE MADE TO THE FUNDS. IN THE EVENT THAT ANY SAG-AFTRA TRUSTEE SHALL DIE, BECOME INCAPABLE OF ACTING HEREUNDER, RESIGN, OR BE REMOVED, SAG-AFTRA SHALL DESIGNATE A SUCCESSOR SAG-AFTRA TRUSTEE BY WRITTEN NOTICE FROM THE NATIONAL BOARD OF SAG-AFTRA DELIVERED TO THE BOARD, SUCH APPOINTMENT SHALL BECOME EFFECTIVE IMMEDIATELY UPON SUCH FILING. PART VI, SECTION A, LINE 11B - REVIEW PROCESS OF FORM 990: THE FORM 990 IS REVIEWED BY THE CHIEF FINANCIAL OFFICER OF THE HEALTH FUND PRIOR TO ITS SUBMISSION FOR FILING. IN ADDITION, A COPY OF THE FORM 990 IS PROVIDED TO THE ENTIRE BOARD OF TRUSTEES PRIOR TO THE FILING OF THE RETURN. PART VI, SECTION B, LINE 12C - CONFLICT OF INTEREST POLICY COMPLIANCE: PROCEDURES ---------- 1. DUTY TO DISCLOSE IN CONNECTION WITH ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST, AN INTERESTED PERSON MUST DISCLOSE THE EXISTENCE OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS TO THE BOARD (OR A DESIGNATED COMMITTEE OF TRUSTEES) FOR CONSIDERATION OF THE PROPOSED TRANSACTION OR ARRANGEMENT. IN ADDITION, TRUSTEES MUST DISCLOSE TO THE BOARD (AND UPDATE ANNUALLY) THEIR INTERESTS THAT ARE REASONABLY LIKELY TO GIVE RISE TO CONFLICTS OF INTEREST, SUCH AS A LIST OF FAMILY MEMBERS, SUBSTANTIAL BUSINESS OR INVESTMENT HOLDINGS, OWNERSHIP OR INVESTMENT INTERESTS AND OTHER TRANSACTIONS WITH BUSINESS AND OTHER ORGANIZATIONS AND THOSE OF FAMILY MEMBERS. 2. DETERMINING WHETHER A CONFLICT OF INTEREST EXISTS AFTER DISCLOSURE OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE INTERESTED PERSON, THE INTERESTED PERSON SHALL LEAVE THE BOARD (OR COMMITTEE) MEETING WHILE THE REMAINING MEMBERS OF THE BOARD (OR COMMITTEE) DETERMINE AND VOTE ON THE ISSUE OF WHETHER A CONFLICT OF INTEREST EXISTS. 3. PROCEDURES FOR ADDRESSING THE CONFLICT OF INTEREST A) IF A CONFLICT OF INTEREST IS FOUND TO EXIST, THE INTERESTED PERSON MAY MAKE A PRESENTATION AT THE BOARD (OR COMMITTEE) MEETING CONCERNING THE PROPOSED TRANSACTION OR ARRANGEMENT. AFTER SUCH PRESENTATION, HE OR SHE SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE TRANSACTION OR ARRANGEMENT. B) THE CHAIRPERSON OF THE BOARD (OR COMMITTEE) SHALL, IF APPROPRIATE, APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT. C) AFTER EXERCISING DUE DILIGENCE, THE BOARD (OR COMMITTEE) SHALL DETERMINE WHETHER THE FUND CAN OBTAIN, WITH REASONABLE EFFORTS, A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. D) IF (I) A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY ATTAINABLE UNDER CIRCUMSTANCES THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST, AND (II) THE TRANSACTION OR ARRANGEMENT DOES NOT VIOLATE THE PROHIBITED TRANSACTION PROVISIONS OF THE EMPLOYEE RETIREMENT INCOME SECURITY ACT OF 1974, AS AMENDED ("ERISA"), THE INTERNAL REVENUE CODE OF 1986, AS AMENDED (THE "CODE"), OR OTHER APPLICABLE LAW, THEN THE BOARD (OR COMMITTEE) SHALL DETERMINE WITH ONLY THE DISINTERESTED TRUSTEES (OR COMMITTEE MEMBERS) VOTING WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE FUND'S BEST INTEREST AND FOR THE FUND'S OWN BENEFIT AND WHETHER THE TRANSACTION IS FAIR AND REASONABLE TO THE FUND, AND SHALL MAKE ITS DECISION AS TO WHETHER TO ENTER INTO THE TRANSACTION OR ARRANGEMENT IN CONFORMITY WITH SUCH DETERMINATION. 4. VIOLATIONS OF THE CONFLICTS OF INTEREST POLICY A) IF THE BOARD (OR COMMITTEE) HAS REASONABLE CAUSE TO BELIEVE THAT A TRUSTEE OR THE CEO HAS FAILED TO DISCLOSE ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, IT SHALL INFORM THE PERSON OF THE BASIS FOR SUCH BELIEF AND AFFORD THE PERSON AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE. B) IF, AFTER HEARING THE RESPONSE OF THE PERSON AND MAKING SUCH FURTHER INVESTIGATION AS MAY BE WARRANTED UNDER THE CIRCUMSTANCES, THE BOARD (OR COMMITTEE) DETERMINES THAT THE PERSON HAS FAILED TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, IT SHALL TAKE ACTIONS THAT IT DEEMS APPROPRIATE. ACKNOWLEDGEMENT OF POLICY ------------------------- EACH TRUSTEE AND ALL EMPLOYEES OF THE FUND SHALL SIGN A STATEMENT WHICH AFFIRMS THAT SUCH PERSON - A. HAS RECEIVED A COPY OF THIS POLICY; B. HAS READ AND UNDERSTANDS THE POLICY; C. HAS AGREED TO COMPLY WITH THE POLICY; AND D. UNDERSTANDS THAT THE FUND IS AN EMPLOYEE BENEFIT PLAN SUBJECT TO THE PROVISIONS OF ERISA, WHICH, IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION, MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX EXEMPT PURPOSES AND THAT HE OR SHE MUST DISCHARGE HIS OR HER DUTIES WITH RESPECT TO THE FUND EXCLUSIVELY FOR THE BENEFIT OF THE FUND'S PARTICIPANTS AND ITS BENEFICIARIES. PART VI, SECTION C, LINE 19 - AVAILABILITY OF GOVERNING DOCUMENTS & F/S: THE HEALTH FUND DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. PART VII, SECTION A, COL F-OTHER COMPENSATION FROM ORGANIZATION & RELATED: $570,150 OF COLUMN F REPRESENTS AMOUNTS CALCULATED BY THE PLAN ACTUARY AS TO THE ANNUAL INCREASE IN ACTUARIAL VALUE OF QUALIFIED DEFINED BENEFITS. THESE AMOUNTS REPORTED ARE NOT ACTUAL OUTLAYS OF COMPENSATION TO THE OFFICERS AND HIGHLY COMPENSATED EMPLOYEES. AFTRA Retirement Plan 261 MADISON AVENUE 8TH FLOOR NEW YORK NY 10016 136414972 PENSION FUND NY NA false SAG-AFTRA N/A CBS CORPORATION NBC (NATIONAL BROADCASTING COMPANY) BONANZA PRODUCTIONS INC false false false false false false false false false false false false false true true false false true true PART IV - CONTRIBUTING EMPLOYERS: BASED ON THE NUMEROUS VOLUME OF CONTRIBUTING EMPLOYERS TO THE FUND, THE FUND IS DISCLOSING THOSE THAT CONTRIBUTE GREATER THAN 5% OR MORE TO THE FUND. THE FUND WILL MAKE AVAILABLE UPON REQUEST, THE LIST OF OTHER CONTRIBUTORS TO THE FUND.