2014-10-07T10:44:34-05:00 2013-12-31 132688836 ROGOFF & COMPANY PC 355 LEXINGTON AVENUE NEW YORK NY 100176603 990 2013-01-01 133029280 VOLUNTARY HOSPITALS HOUSE STAFF BENEFITS PLAN OF CIR VOLU 2123568180 520 EIGHTH AVENUE NEW YORK NY 10018 EARL MATHURIN BENEFIT PLAN MANAGER 2123568180 2014-09-12 1 HARRY WHITE P00646563 2125575666 2013 2015-11-30 17:44:51Z EARL MATHURIN 520 EIGHTH AVENUE NEW YORK NY 10018 49118706 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. 5 5 0 0 0 0 0 0 22064492 28122543 1917096 2356515 0 0 23981588 30479058 0 0 21444177 23181016 0 0 0 0 0 3998087 2752305 25442264 25933321 -1460676 4545737 45543343 51365001 2920603 2767243 42622740 48597758 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 0 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 15 0 1 0 0 0 0 0 0 0 0 0 X 5 5 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 HILARY CORRIGAN 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 0 0 0 0 0 0 0 EMPIRE BLUE CROSS 15 METRO TECH CENTER BROOKLYN NY 11201 BENEFIT ADMINISTRATOR 1954954 HOUSE STAFF BENEFITS PLAN OF CIR 520 EIGTH AVENUE NEW YORK NY 10018 ALLOCATED PR 246519 2 EMPLOYER CONTRIBUTIONS 525120 27353312 27353312 PARTICIPANT CONTRIBUTIONS 525120 769231 769231 28122543 921439 921439 20074724 18639648 1435076 1435076 1435076 30479058 28122543 0 2356515 23181016 17866 32900 227696 60728 15969 2835 2770 27857 25839 EMPIRE BLUE CROSS 1954954 ALLOCATED PAYROLL EXPEN 250827 ALLOCATED COMMON EXPENS 72648 COMPUTER NETWORK EXPENS 31074 28342 25933321 1310071 2782875 556779 3890763 1728935 2508459 224234 15000 212794 104680 126591 108114 41336006 41846934 260727 212856 45543343 51365001 105475 68078 2815128 2699165 2920603 2767243 X 0 0 0 0 42622740 48597758 42622740 48597758 45543343 51365001 4545737 1429281 0 X 0 1 X 1 0 80474 15413 65061 132320 89267 43053 108114 DUE TO AFILLIATES 76065 CLAIMS INCURRED BUT NOT REPORTED 2623100 2699165 31680643 1429281 1429281 30251362 227696 227696 30479058 25705626 0 25705626 227696 227696 25933322 FORM 990, PART III, LINE 2 TRAINING SND EDUCATIONAL BENEFITS 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