2014-04-01T08:49:39-05:00 2013-06-30 611436956 NOVAK FRANCELLA LLC ONE PRESIDENTIAL BLVD SUITE 330 BALA CYNWYD PA 19004 990 2012-07-01 050271216 TEAMSTERS LOCAL 251 HEALTH SERVICES AND INSURANCE PLAN TEAM 4014673323 1201 ELMWOOD AVENUE PROVIDENCE RI 029043799 MATTHEW G TAIBI 4014673323 2014-03-31 1 LOUIS VERZELLA CPA P00360279 6106689400 2014-03-31 2012 2015-11-30 17:44:51Z MATTHEW G TAIBI 121 BRIGHTRIDGE AVENUE EAST PROVIDENCE RI 02914 59045224 0 X NA X 1954 RI THE PLAN PROVIDES MEDICAL, HOSPITALIZATION, DENTAL, VISION, HEARING, LIFE INSURANCE, WEEKLY ACCIDENT AND SICKNESS, PREPAID LEGAL, EMPLOYEES ASSISTANCE PROGRAM, INCOME TAX PREPARATION, AND PRESCRIPTION DRUG BENEFITS FOR ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS. THE PLAN ALSO PROVIDES A PROGRAM OF BENEFITS FOR ELIGIBLE RETIREES. 8 8 2748 0 0 0 0 0 36697823 38130773 1142795 2275345 45130 15124 37885748 40421242 0 0 36897700 36986284 754976 723157 0 0 0 806989 769764 38459665 38479205 -573917 1942037 43319805 45452148 294498 300317 43025307 45151831 X THE PLAN PROVIDES MEDICAL, HOSPITALIZATION, DENTAL, VISION, HEARING, LIFE INSURANCE, WEEKLY ACCIDENT AND SICKNESS, PREPAID LEGAL, EMPLOYEES ASSISTANCE PROGRAM, INCOME TAX PREPARATION, AND PRESCRIPTION DRUG BENEFITS FOR ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS. THE PLAN ALSO PROVIDES A PROGRAM OF BENEFITS FOR ELIGIBLE RETIREES. 0 0 THE FUND PROVIDED MEDICAL, HOSPITAL, ACCIDENT, SICKNESS, DENTAL, VISION, HEARING, LIFE INSURANCE BENEFITS, DEATH, AND PREPAID LEGAL BENEFITS FOR APPROXIMATELY 2,382 MEMBERS AND THEIR DEPENDENTS. 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 7 0 2748 1 0 0 0 0 0 0 X 8 8 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 X FUND OFFICE 4014673323 1201 ELMWOOD AVENUE PROVIDENCE RI 029043799 X JOSEPH J BAIROS 2.00 X 0 0 0 PAUL M FRADIN 2.00 X 0 0 0 ANTONIO B CARDI 2.00 X 0 0 0 KEVIN G REDDY 2.00 X 0 0 0 STEVEN M LABRIE 2.00 X 0 0 0 LOUIS J SPERLING 2.00 X 0 0 0 DANIEL R MANOCCHIO 2.00 X 0 0 0 WILLIAM F LEANUES 2.00 X 0 0 0 0 0 0 0 0 0 0 UNITEDHEALTHCARE INSURANCE COMPANY 475 KILVERT STREET WARWICK RI 02886 CLAIMS PROCESSING 1291316 COIA & LEPORE LTD 226 SOUTH MAIN STREET PROVIDENCE RI 02903 LEGAL BENEFIT PROVIDER 493962 GURSKY LAW ASSOCIATES 420 SCRABBLETOWN RD N KINGSTON RI 02852 LEGAL SERVICES 149243 MELLON FINANCIAL CORP 1 TURKS HEAD PLACE PROVIDENCE RI 02903 INVESTMENT MANAGER 130039 SEGAL COMPANY 116 HUNTINGTON AVENUE BOSTON MA 02116 ACTUARY 126275 5 EMPLOYER CONTRIBUTIONS 525100 36888974 36888974 PARTICIPANT CONTRIBUTION 525100 894457 894457 STOP LOSS REIMBURSEMENT 525100 203520 203520 RETIREE CONTRIBUTIONS 525100 143822 143822 38130773 866999 866999 20032328 18623982 1408346 1408346 1408346 MISCELLANEOUS INCOME 900099 15124 15124 15124 40421242 39539119 0 882123 36986284 391441 182564 115301 33851 149243 56591 161077 155435 50583 25792 75367 48135 34386 13155 38479205 1195457 3070639 1315822 402757 2784546 2537965 39448 39350 1058004 699567 372997 358437 31651793 31730899 5432858 6729442 526884 582659 43319805 45452148 205682 223145 88816 77172 294498 300317 X 43025307 45151831 0 0 0 0 43025307 45151831 43319805 45452148 1942037 184487 0 X X 0 1 X 1 0 33602 33602 625462 459498 165964 309464 150593 158871 89476 89476 0 358437 COMMON COLLECTIVE TRUST 6729442 F 6729442 DEFERRRED RETIREE AND COBRA CONTRIBUTIONS 77172 77172 X 40444652 184487 184487 40260165 161077 161077 40421242 38318128 0 38318128 161077 161077 38479205 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: MANAGEMENT EVALUATED THE PLAN'S TAX POSITIONS AND CONCLUDED THAT THE PLAN HAD MAINTAINED ITS TAX EXEMPT STATUS AND HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO THE FINANCIAL STATEMENTS. THEREFORE, NO PROVISION OR LIABILITY FOR INCOME TAXES HAS BEEN INCLUDED IN THE FINANCIAL STATEMENTS. AT THE PRESENT TIME, THE PLAN IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS BY U.S. FEDERAL, STATE, OR LOCAL TAX AUTHORITIES FOR YEARS BEFORE 2010. FORM 990, PART VI, SECTION B, LINE 11 TEAMSTERS LOCAL 251 HEALTH SERVICES AND INSURANCE PLAN'S FORM 990 IS PREAPARED BY ITS INDEPENDENT PUBLIC ACCOUNTANT. THE RETURN IS FORWARDED TO THE FUND'S EXECUTIVE DIRECTOR FOR INTITIAL REVIEW. THE RETURN IS THEN PRESENTED TO THE TRUSTEES FOR REVIEW AND SIGNATURE FORM 990, PART VI, SECTION C, LINE 19 TEAMSTERS LOCAL 251 HEALTH SERVICES & INSURANCE PLAN MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. CONTACT ADDRESSES FOR OFFICERS, DIRECTORS, ETC FORM 990, PART VII PAUL M. FRADIN - P.O. BOX 1427, WEST GREENWICH, RI 02817. ANTONIO B. CARDI - 400 LINCOLN AVENUE, WARWICK, RI 02888. LOUIS J. SPERLING - 593 EDDY STREET, PROVIDENCE, RI 02903. TEAMSTERS LOCAL 251 HEALTH SERVICES AND INSURANCE PLAN'S BOARD OF TRUSTEES IS RESPOSIBLE FOR OVERSEEING THE FINANCIAL STATEMENT AUDIT AND SELECTION OF THE INDEPENDENT ACCOUNTANT THAT PERFORMS THE AUDIT. FORM 990, PART V, LINE 1A: TEAMSTERS LOCAL 251 HEALTH SERVICES AND INSURANCE PLAN ALSO PREPARE FORMS W-2 FOR ALL PARTICIPANTS THAT RECEIVE THE TAXABLE LEGAL, DEPENDENT LIFE INSURANCE AND TAX PREPARATION BENEFITS UNDER THE PLAN. A TOTAL OF 2,792 FROMS W-2 WERE ISSUED FOR THESE BENEFITS FOR THE CALENDAR YEAR 2011. TEAMSTERS LOCAL 251 HEALTH SERVICES AND INSURANCE 401(K) PLAN 1201 ELMWOOD AVENUE PROVIDENCE RI 02907 050271216 PENSION PLAN RI 401(A)/501(A) 0 ABCO ENTERPRISES RI ABF FREIGHT SYSTEMS INC RI ADAMSDALE CONCRETE & PRODS RI ALMONTE & SONS CORP RI AMERIGAS PROPANE LP RI BACCALA CONCRETE CORPORATION RI BAKER COMMODITIES INC RI BFH TRUCKING RI BOYLE & FOGARTY RI BRITO C CONSTRUCTION RI BUCKLEY AND SCOTT RI BUILDING MATERIALS RI BURRILLVILLE RACING ASSOC (TWIN RIVER) RI CAP INC RI CAPCO STEEL CORPORATION RI CARDI CORP READY MIX CONCRETE RI CARDI CORPORATION RI CARDI LEASING CORPORATION RI CAST AND CREW RI CATALANO CONSTRUCTION INC RI CENTREX DISTRIBUTORS INC RI CONSOLIDATED FREIGHTWAYS RI CONSOLIDATED FREIGHTWAYS - OFFICE RI CONSTANTINI BROS TRANSPORT INC RI CROSSON OIL COMPANY RI D'AMBRA CONSTRUCTION RI D'AMBRA EQUIPMENT LLC RI DATTCO RI DCT INC RI DEL-VA CORPORATION RI DICENZO CONSTRUCTION CO RI DIGREGORIO CONSTRUCTION RI DIGREGORIO CORPORATION RI ENTERTAINMENT PARTNERS RI EQUALITY CONSTRUCTION RI GPL CONSTRUCTION RI GREENVILLE WATER DISTRICT RI HALLAMORE MOTOR TRANS INC RI HENKELS & MCCOY RI HESS JOHN R & SONS INC RI HUDSON JOHN J INC RI IANNUCCILLO R P & SONS RI ID'S HIGHWAY SAFETY RI IEG RI INDIEPAY LLC RI INERGY PROPANE RI INERGY PROPANE CSR RI JOHN ROCCHIO CORP RI LAPHAM-HICKEY STEEL CORP RI LYNCH JH & SONS INC RI MARR SCAFFOLDING COMPANY RI MARSHALL JL & SONS INC RI MCLAUGHLIN & MORAN INC RI METALS RECYCLING RI MIOZZI T TRUCKING CO RI NABISCO RI NARRAGANSETT IMPROVEMENT CO RI NATIONAL GRID RI NEW ENGLAND LINEN SUPPLY CO RI NEW PENN MOTOR EXPRESS RI NEWPORT HOUSING RI NORTHSTAR EQUIPMENT & SUPPLY LLC RI PJ KEATING RI PJ KEATING MA RI PARK AVENUE CEMENT BLOCK CO RI PARKSIDE SITE & UTILITY CO RI PASQUAZZI BROTHERS RI PETRO DRIVERS & MECHANICS RI PETROLEUM HEAT & POWER RI PRAXAIR DISTRIBUTION INC RI REICHERT AND SONS RI REZENDES KR RI RIVER HEAD BLDG SUPPLY RI ROSCITI CONSTRUCTION RI SMITH'S GENERAL TRUCKING CO RI SUNBELT RENTALS RI TEAMSTERS LOCAL 251 RI TEAMSTERS LOCAL 251 HSIP RI TEKNOR APEX RI TOWN OF TIVERTON RI UNITED PARCEL SERVICE RI UNIVERSAL CONSTRUCTION CO RI VEOLIA WATER RI WALSH CONTRACTING CORP RI WOODS HEATING RI YRC RI YRC CLERICAL RI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0