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 060689500 LOCAL 493 HEALTH SERVICE AND INSURANCE PLAN LOCA 8608481459 P O BOX 485 UNCASVILLE CT 06382 THOMAS SCHLINK UNION TRUSTEE 8608481259 2015-02-06 1 DANA HARVEY CPA P01452206 2033877771 2015-02-05 2013 2016-02-25 16:41:14Z THOMAS SCHLINK 18 CRESENT STREET UNCASVILLE CT 06382 19380933 0 X N/A X 1954 CT SELF-INSURED HEALTH BENEFIT PLAN 4 4 3 0 0 0 0 0 8230439 8467645 1384949 1902698 260 1630 9615648 10371973 0 0 8258417 6809435 212957 234232 0 0 0 473662 548406 8945036 7592073 670612 2779900 32052855 36530533 1182510 1004779 30870345 35525754 PROVIDE SELF INSURED HEALTH BENEFITS TO MEMBERS COVERED UNDER A COLLECTIVE BARGAINING AGREEMENT NEGOTIATED BY THE TEAMSTER LOCAL 493 UNION. 0 0 PROVIDES INSURED AND SELF-INSURED MEDICAL, DEATH & LIFE INSURANCE BENEFITS TO 1,023 MEMBERS 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 0 0 3 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 THOMAS SCHLINK 8608481259 18 CRESENT STREET UNCASVILLE CT 06382 THOMAS SCHLINK UNION TRUSTEE 4.00 55.00 X 0 125654 36980 BEVAN SWEET UNION TRUSTEE 4.00 55.00 X 0 119670 36939 NICHOLAS REUT EMPLOYER TRUSTEE 2.00 X 0 0 0 KENNETH PAUZE EMPLOYER TRUSTEE 2.00 X 0 0 0 0 245324 73919 0 0 1 0 UBS FINANCIAL SERVICES 333 EARLE OVINGTON BLVD UNIONDALE NY 11553 INVESTMENT CONSULTING 150629 1 EMPLOYER CONTRIBUTIONS 900099 8245209 8245209 SPECIAL RETIREE CONTRIBUTIONS 900099 129981 129981 COBRA CONTRIBUTIONS 900099 92455 92455 8467645 367506 367506 10544152 9008960 1535192 1535192 1535192 SECURITIES LITIGATION PROCEEDS 900099 1630 1630 1630 10371973 8469275 0 1902698 6809435 113820 50897 58632 10883 265040 50634 147227 1713 20058 29317 16518 3553 1057 11772 SEVERANCE BENEFITS 1170 REPAIRS & MAINTENANCE 347 7592073 1027032 9856370 10390621 724484 870775 1957 12364 9184 4836 2779 4348 21448352 24072258 18913 153135 32052855 36530533 35903 37442 1146607 967337 1182510 1004779 X 0 0 0 0 30870345 35525754 30870345 35525754 32052855 36530533 2779900 1875509 0 X X 0 1 X 1 0 9184 4836 4348 4348 HEALTH CLAIMS PAYABLE; INCURRED BUT NOT REPORTED 807400 ACCUMULATED ELIGIBILITY CREDITS 152087 SEVERANCE PAYABLE 7850 967337 X 12100255 1875509 1875509 10224746 147227 147227 10371973 7483022 38176 38176 7444846 147227 147227 7592073 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 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 2D CHANGE IN BENEFIT OBLIGATIONS. 0 0 0 THOMAS SCHLINK UNION TRUSTEE 0 125654 0 0 0 0 0 140 0 36840 0 162634 0 0 BEVAN SWEET UNION TRUSTEE 0 119670 0 0 0 0 0 133 0 36806 0 156609 0 0 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 XII, LINE 2C THERE HAS BEEN NO CHANGE IN THE BOARD OVERSIGHT RESPONSIBILITY AND APPROVAL PROCESS. THE TRUSTEE'S ASSUME RESPONSIBILITY FOR THE AUDIT PROCESS INCLUDING SELECTION OF THE INDEPENDENT AUDITOR. TEAMSTERS LOCAL 493 UNION 18 CRESENT STREET UNCASVILLE CT 06382 060601240 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 COSTELLO INDUSTRIES INC 123 COSTELLO ROAD NEWINGTON CT 06111 CT C 0 HENDELS INC PO BOX 201 WATERFORD CT 06385 CT C 0 HESS CORPORATION ONE HESS PLAZA WOODBRIDGE NJ 07095 NJ C 0 YRC WORLDWIDE INC 10990 ROE AVENUE OVERLAND KS 66211 KS C 0 TOWN OF WOODSTOCK HGHWY DEPT 415 ROUTE 169 WOODSTOCK CT 06281 CT C 0 WESCON CORP OF CONN PO BOX 296 WESTERLY RI 02891 RI C 0 EGG EXPRESS 28 UNDER THE MTN ROAD FRANKLIN CT 06254 CT C 0 ARBORIO CORPORATION 231 SHUNPIKE ROAD CROMWELL CT 06416 CT C 0 DAY & ZIMMERMAN NPS INC 1827 FREEDOM ROAD LANCASTER PA 17601 PA C 0 TILCON-RYAN PO BOX 310903 NEWINGTON CT 06131 CT C 0 MONTVILLE BOARD OF ED BUS DRIVERS 800 OLD COLCHESTER RD OAKDALE CT 06370 CT C 0 TOWN OF LEDYARD HWY 741 COLONEL LEDYARD HWY LEDYARD CT 06339 CT C 0 BAY CRANE 11-02 43 AVENUE LONG ISLAND NY 11101 NY C 0 O'CONNOR CORPORATION 45 INDUSTRIAL CANTON MA 02021 MA C 0 TOWN OF WINDHAM HWY DEPT 322 PROSPECT STREET WILLIMANTIC CT 06226 CT C 0 UNITED PARCEL SERVICE 100 EAST CAMPUS VIEW BLVD COLUMBUS OH 43235 OH C 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 1 0 0 TRISTATE JOINT FUND M 265040