2015-11-09T15:48:09-06:00 2014-12-31 132688836 ROGOFF & COMPANY PC 355 LEXINGTON AVENUE NEW YORK NY 100176603 990 2014-01-01 133029280 VOLUNTARY HOSPITALS HOUSE STAFF BENEFITS PLAN OF CIR VOLU 2123568180 520 EIGHTH AVENUE NEW YORK NY 10018 EARL MATHURIN BENEFIT PLAN MANAGER 2123568180 2015-11-05 1 HARRY WHITE P00646563 2125575666 2014 2016-03-07 17:11:31Z EARL MATHURIN 520 EIGHTH AVENUE NEW YORK NY 10018 42984244 0 X WWW.CIRSEIU.ORG/BENEFITS X 1980 NY TO PROVIDE 501(C)(9) BENEFITS TO VOLUNTARY HOSPITALS HOUSE STAFF BENEFITS PLAN PARTICIPANTS. BENEFITS INCLUDE MEDICAL, DENTAL, LEGAL, SHORT AND LONG-TERM DISABILITY, LIFE INSURANCE, TRAINING, EDUCATION AND OTHERS. 6 6 0 0 0 0 0 0 28122543 23822317 2356515 3414038 0 0 30479058 27236355 0 0 23181016 25339168 0 0 0 0 0 2752305 3362774 25933321 28701942 4545737 -1465587 51365001 51090318 2767243 3893297 48597758 47197021 X TO PROVIDE 501(C)(9) BENEFITS TO VOLUNTARY HOSPITALS HOUSE STAFF BENEFITS PLAN PARTICIPANTS. BENEFITS INCLUDE MEDICAL, DENTAL, LEGAL,SHORT AND LONG-TERM DISABILITY, LIFE INSURANCE, TRAINING, EDUCATION AND OTHERS. 1 0 TO PROVIDE 501(C)(9) BENEFITS TO VOLUNTARY HOSPITALS HOUSE STAFF BENEFITS PLAN PARTICIPANTS. BENEFITS INCLUDE MEDICAL, DENTAL, LEGAL, SHORT AND LONG-TERM DISABILITY, LIFE INSURANCE, TRAINING, EDUCATION AND OTHERS. 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 13 0 1 0 0 0 0 0 0 0 0 0 X 6 6 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X VOLUNTARY HOSPITALS HOUSE STAFF BENEFIT PLAN 2123568180 520 EIGHTH AVENUE NEW YORK NY 10018 X ERIC SCHERZER TRUSTEE 1.00 X 0 0 0 LAURA MCSPEDON TRUSTEE 1.00 X 0 0 0 DENNIS BUCHANAN TRUSTEE 1.00 X 0 0 0 SELENA GRIFFIN-MAHON TRUSTEE 1.00 X 0 0 0 THOMAS DOHERTY TRUSTEE 1.00 X 0 0 0 TAMARA ROBINSON TRUSTEE 1.00 X 0 0 0 0 0 0 0 0 0 0 EMPIRE BLUE CROSS 15 METRO TECH CENTER BROOKLYN NY 11201 BENEFIT ADMINISTRATOR 2070432 HOUSE STAFF BENEFITS PLAN OF CIR 520 EIGTH AVENUE NEW YORK NY 10018 ALLOCATED PAYROLL 319219 2 EMPLOYER CONTRIBUTIONS 525120 22988072 22988072 PARTICIPANT CONTRIBUTIONS 525120 834245 834245 23822317 1280964 1280964 17880963 15747889 2133074 2133074 2133074 27236355 23822317 0 3414038 25339168 43154 31900 225930 465902 22707 2838 1903 27858 27600 EMPIRE BLUE CROSS 2070432 ALLOCATED PAYROLL EXPEN 322272 ALLOCATED COMMON EXPENS 69818 COMPUTER NETWORK EXPENS 22492 27968 28701942 2782875 622114 3890763 639766 2508459 1784270 15000 212794 132538 108114 80256 41846934 47696992 212856 266920 51365001 51090318 68078 505161 2699165 3388136 2767243 3893297 X 0 0 0 0 48597758 47197021 48597758 47197021 51365001 51090318 -1465587 64850 0 X 0 1 X 1 0 80474 23460 57014 132320 109078 23242 80256 DUE TO AFILLIATES 73936 CLAIMS INCURRED BUT NOT REPORTED 2790900 PREPAID CONTRIBUTIONS 523300 3388136 X 27075275 64850 64850 27010425 225930 225930 27236355 28476012 0 28476012 225930 225930 28701942 PART X, LINE 2: ASC TOPIC 740, INCOME TAXES, PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN, AND PROVIDES GUIDANCE ON DERECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES, DISCLOSURE AND TRANSITION. MANAGEMENT BELIEVES THAT NO SUCH UNCERTAIN TAX POSITIONS EXIST FOR THE VOLUNTARY HOUSE STAFF BENEFIT PLAN AT DECEMBER 31, 2014. FORM 990, PART III, LINE 2 TRAINING AND EDUCATION BENEFITS WERE ADDED FORM 990, PART VI, SECTION B, LINE 11 FORM 990 EMAILED AND PRESENTED TO TRUSTEES PRIOR TO FILING FORM 990, PART VI, SECTION B, LINE 12C WRITTEN STATEMENT FROM OFFICERS, TRUSTEES, AND KEY EMPLOYEES REQUIRED ANNUALLY. FORM 990, PART VI, SECTION B, LINE 15 THERE ARE NO EMPLOYEES FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS ARE DISCLOSED UPON REQUEST