2014-11-12T14:29:11-06:00 2013-12-31 131578842 BUCHBINDER TUNICK & CO LLP ONE PENN PLAZA - SUITE 5335 NEW YORK NY 101190219 990 2013-01-01 226058341 TEAMSTERS INDUSTRIAL EMPLOYEES WELFARE FUND TEAM 2018673553 707 SUMMIT AVENUE UNION CITY NJ 07087 ROBERT BLUMENFELD FUND ADMINISTRATOR 2018671477 2014-11-07 1 P01366109 2126955003 2013 2015-11-30 17:44:51Z ROBERT BLUMENFELD 707 SUMMIT AVENUE UNION CITY NJ 07087 16877253 0 X WWW.560BENEFITFUNDS.COM X 1948 NJ TO PROVIDE HEALTH BENEFITS TO ELIGIBLE PARTICIPANTS. 4 3 0 0 0 0 0 0 13471365 15000292 423965 312569 98142 112540 13993472 15425401 0 0 16030992 14888071 1886 968 0 0 0 822591 880844 16855469 15769883 -2861997 -344482 8877467 8081157 2667753 2577665 6209714 5503492 TO PROVIDE HEALTH BENEFITS TO ELIGIBLE PARTICIPANTS. 0 0 TO PROVIDE HEALTH BENEFITS TO ELIGIBLE PARTICIPANTS. 0 0 0 0 0 0 0 0 0 1 1 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 1 0 0 1 247 0 1 0 0 0 0 0 0 0 X 4 3 0 0 0 0 1 0 0 1 0 0 0 1 1 1 1 0 1 0 0 0 X ROBERT BLUMENFELD 2018671447 707 SUMMIT AVENUE UNION CITY NJ 07087 EDWIN H STIER UNION TRUSTEE 1.00 X 968 0 0 ANTHONY VALDNER UNION TRUSTEE 2.00 X 0 0 0 CHARLES T CONNORS EMPLOYER TRUSTEE 1.00 X 0 0 0 CHARLES D'ANGELO UNION TRUSTEE ALTERNATE 1.00 X 0 0 0 LOUIS RODRIGUEZ UNION TRUSTEE 1.00 X 0 0 0 JEFFREY BRUNNER FORMER EMPLOYER TRUSTEE 1.00 X 0 0 0 ROBERT BLUMENFELD FUND ADMINISTRATOR 10.00 X 0 0 0 968 0 0 0 0 0 0 HORIZON BLUE CROSS BLUE SHIELD THREE PENN PLAZA EAST NEWARK NJ 07105 HEALTH CARE PROVIDER 381700 TC3 HEALTH INC 19732 MACARTHUR BLVD SUITE 100 IRVINE CA 92612 CLAIMS REPRICING AGENT 145063 2 EMPLOYER CONTRIBUTIONS 525100 14917505 14917505 COBRA 525100 82787 82787 15000292 70135 70135 1694286 1451852 242434 242434 242434 PRESCRIPTION REBATE INCOME 525100 103338 103338 OTHER INCOME 525100 9202 9202 112540 15425401 15112832 0 312569 14888071 968 71591 76708 40366 75992 8588 21214 5342 6760 ALLOCATED SALARIES AND 573753 DUES AND SUBSCRIPTIONS 530 15769883 405575 398762 1480934 1463248 8614 18500 55507 43384 16642 12123 6456779 5811808 508923 376716 8877467 8081157 66543 150190 2601210 2427475 2667753 2577665 X 0 0 0 0 6209714 5503492 6209714 5503492 8877467 8081157 -344482 -361740 0 X X 0 1 X 1 0 4019 4019 0 50456 38551 11905 1032 814 218 12123 COMMON COLLECTIVE TRUSTS 4749625 F LIMITED PARTNERSHIPS 1062183 F 5811808 CLAIMS PAYABLE AND CLAIMS INCURRED BUT NOT REPORTED 2363700 OTHER LIABILITIES 54068 DUE TO AFFILIATES, NET 3789 DUE TO BROKER FOR SECURITIES PURCHASED 5918 2427475 X 15023295 -361740 -361740 15385035 40366 40366 15425401 15793617 0 15793617 40366 -64100 -23734 15769883 PART X, LINE 2: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE PLAN MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE PLAN AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF THE PLAN HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS. THE PLAN ADMINISTRATOR HAS ANALYZED THE TAX POSITIONS TAKEN BY THE PLAN, AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2013, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE FINANCIAL STATEMENTS. EMPLOYEE BENEFIT PLANS ARE SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS FOR THE PLAN. THE PLAN ADMINISTRATOR BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO 2010. PART XII, LINE 4B - OTHER ADJUSTMENTS: CHANGES IN BENEFIT OBLIGATION -64,100. FORM 990, PART VI, SECTION A, LINE 6 THE PLAN HAS PARTICIPANTS. FORM 990, PART VI, SECTION A, LINE 8B THE ORGANIZATION DOES NOT HAVE ANY COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BOARD. FORM 990, PART VI, SECTION B, LINE 11 A COPY OF THE FORM 990 WAS PROVIDED TO THE TRUSTEES OF THE ORGANIZATION BEFORE IT WAS FILED. FORM 990, PART VI, SECTION B, LINE 12C THE PLAN IS BOUND BY ERISA PROHIBITED TRANSACTION RULES WHICH PRECLUDE THE PLAN FROM ENGAGING IN ANY NON-EXEMPT PARTY IN INTEREST TRANSACTIONS. FORM 990, PART VI, SECTION C, LINE 19 THE FINANCIAL STATEMENTS ARE PROVIDED TO PARTICIPANTS AND OTHER INTERESTED PARTIES UPON REQUEST. FORM 990, PART XII, LINE 2C: THE BOARD OF TRUSTEES ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND THE SELECTION OF THE INDEPENDENT AUDITOR. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. 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