2015-02-11T10:29:47-06:00 2014-06-30 061298465 SM ESPOSITO & CO PC 3013 DIXWELL AVENUE HAMDEN CT 06518 990 2013-07-01 060689974 LOCAL 191 HEALTH SERVICE AND INSURANCE PLAN LOCA 2033665849 1139 FAIRFIELD AVENUE BRIDGEPORT CT 06605 ROBERT FLYNN UNION TRUSTEE 2303665849 2015-02-06 1 DANA HARVEY P01452206 2033877771 2015-02-05 2013 2016-02-25 16:41:14Z ROBERT FLYNN 1139 FAIRFIELD AVENUE BRIDGEPORT CT 06605 35503646 0 X N/A X 1954 CT SELF-INSURED HEALTH BENEFIT PLAN 4 4 5 0 0 0 0 0 18070326 18843009 2418433 2715204 1132 113 20489891 21558326 0 0 15957098 17748768 486898 464111 0 0 0 1045548 1152206 17489544 19365085 3000347 2193241 52867966 59729178 2469828 2825880 50398138 56903298 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 2,232 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 4 4 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 RAYMOND ONEGLIA EMPLOYER TRUSTEE 2.00 X 0 0 0 ED ROONEY UNION TRUSTEE 4.00 55.00 X 0 119900 40702 ROBERT FLYNN UNION TRUSTEE 4.00 55.00 X 0 117625 36484 JOSEPH ESPOSITO UNION TRUSTEE (FORMER) 4.00 55.00 X 0 163557 36525 RONALD DEFILIPPO UNION TRUSTEE (FORMER) 4.00 55.00 X 0 77360 35943 0 478442 149654 0 1 1 0 UBS FINANCIAL SERVICES 333 EARLE OVINGTON BLVD UNIONDALE NY 11553 INVESTMENT CONSULTING 237119 1 EMPLOYER CONTRIBUTIONS 900099 18473850 18473850 SPECIAL RETIREE CONTRIBUTION 900099 260288 260288 COBRA CONTRIBUTIONS 900099 66458 66458 AFFILIATED RENTAL INCOME 900099 42413 42413 18843009 812265 812265 15848259 13945320 1902939 1902939 1902939 SECURITY LITIGATION PROCEEDS 900099 113 113 113 21558326 18843122 0 2715204 17748768 268947 84032 87950 23182 656720 23098 279382 22176 70361 10177 17063 36303 REPAIRS & MAINTENANCE 33698 SEVERANCE BENEFIT 3228 19365085 28387 14854020 11310485 1526976 1624882 9341 3368613 3138433 241679 230180 36013944 46251515 10000 10000 221347 264388 52867966 59729178 23202 19392 2446626 2806488 2469828 2825880 X 0 0 0 0 50398138 56903298 50398138 56903298 52867966 59729178 2193241 4311919 0 X X 0 1 X 1 0 40000 40000 2999036 2818836 180200 329577 319597 9980 230180 HEALTH CLAIMS PAYABLE; HEALTH CLAIMS INCURRED BUT UNREPORTED 2037100 DUE TO PARTICIPATING HEALTH SERVICE 351241 ACCUMULATED ELIGIBILITY CREDITS 393759 SEVERANCE PAYABLE 24388 2806488 X 25590863 4311919 4311919 21278944 279382 279382 21558326 18773049 0 18773049 279382 312654 592036 19365085 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, 2010 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. 1 0 0 ED ROONEY UNION TRUSTEE 0 119900 0 0 0 0 0 2100 0 38602 0 160602 0 0 ROBERT FLYNN UNION TRUSTEE 0 117625 0 0 0 0 0 0 0 36484 0 154109 0 0 JOSEPH ESPOSITO UNION TRUSTEE (FORMER) 0 163557 0 0 0 0 0 0 0 36525 0 200082 0 0 RONALD DEFILIPPO UNION TRUSTEE (FORMER) 0 77360 0 0 0 0 0 0 0 35943 0 113303 0 0 PART I, LINE 4A JOSEPH ESPOSITO WAS PAID 24,250 IN SEVERANCE INCLUDED IN GROSS WAGES FROM RELATED ORANGIZATION RON DEFILIPO WAS PAID 7,200 IN SERVERANCE INCLUDED IN GROSS WAGES FROM RELATED ORGANIZATION 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 656720