2014-04-09T13:36:07-05:00 2013-06-30 611436956 NOVAK FRANCELLA LLC ONE PRESIDENTIAL BLVD SUITE 330 BALA CYNWYD PA 19004 990 2012-07-01 042150983 PAINTERS DISTRICT COUNCIL NO 35 HEALTH BENEFITS FUND PAIN 6175241240 25 COLGATE ROAD ROSLINDALE MA 02131 JEFFREY P SULLIVAN 6175241240 2014-04-09 1 LOUIS VERZELLA CPA P00360279 6106689400 2014-04-09 2012 2015-11-30 17:44:51Z WILLIAM MCDEVITT 25 COLGATE ROAD ROSLINDALE MA 02131 87340154 0 X WWW.IUPATDC35.ORG X 1970 MA TO PROVIDE HEALTH AND OTHER BENEFITS TO ELIGIBLE MEMBERS OF THE INTERNATIONAL UNION OF PAINTERS AND ALLIED TRADES DISTRICT COUNCIL NO. 35. 12 12 0 0 0 0 0 0 17758086 19991595 3343283 4326386 53166 62092 21154535 24380073 0 0 16661078 17595137 470779 515239 0 0 0 1305138 1307536 18436995 19417912 2717540 4962161 90752634 93493041 190427 126277 90562207 93366764 TO PROVIDE HEALTH AND OTHER BENEFITS TO ELIGIBLE MEMBERS OF THE INTERNATIONAL UNION OF PAINTERS AND ALLIED TRADES DISTRICT COUNCIL NO. 35. 0 0 19417412 22036580 TO PROVIDE HEALTH AND OTHER BENEFITS TO ELIGIBLE MEMBERS OF THE INTERNATIONAL UNION OF PAINTERS AND ALLIED TRADES DISTRICT COUNCIL NO. 35. 19417412 0 0 0 0 0 0 0 0 0 1 0 0 0 0 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 1202 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 1 1 0 1 1 0 0 1 0 0 1 0 1 0 X WILLIAM MCDEVITT 6175241240 25 COLGATE ROAD ROSLINDALE MA 02131 JEFFREY SULLIVAN 2.00 X 0 0 0 PAUL CANNING 2.00 X 0 0 0 JOSEPH GUARINO 2.00 X 0 0 0 WILLIAM DOHERTY 2.00 X 0 0 0 CHARLES FOGELL 2.00 X 0 0 0 JOSEPH ITRI 2.00 X 0 0 0 THOMAS GUNNING 2.00 X 0 0 0 MARK KENNEDY 2.00 X 0 0 0 RICHARD MAURO 2.00 X 0 0 0 PETER PATCH 2.00 X 0 0 0 MATTHEW SOEP 2.00 X 0 0 0 THOMAS STEEVES 2.00 X 0 0 0 SHARON SAGANEY 40.00 X 77891 45354 46881 WILLIAM MCDEVITT 40.00 X 21695 12632 21637 99586 57986 68518 0 0 1 0 CARELINK INC 225 CHAPMAN STREET SUITE 301 PROVIDENCE RI 02905 BENEFITS ADMINISTRATION 546552 THE SEGAL COMPANY 116 HUNTINGTON AVENUE BOSTON MA 02116 ACTUARY 119099 MCDONNELL INVESTMENT MANAGEMENT 1515 WEST 22ND ST OAKBROOK IL 60532 INVESTMENT MANAGER 114644 DELTA DENTAL 465 MEDFORD STREET BOSTON MA 02129 CLAIMS PROCESSING 104220 4 EMPLOYER CONTRIBUTIONS 900099 19719259 19719259 PARTICIPANT CONTRIBUTIONS 900099 272336 272336 19991595 2281401 2281401 65005066 62960081 2044985 2044985 2044985 INTEREST ON EMPLOYER CONTRIBUTION 900099 57362 57362 OTHER INCOME 900099 4730 4730 62092 24380073 22036580 0 2343493 17595137 142891 200925 95968 52179 23276 66307 52663 207808 126803 110486 6940 27374 4141 18473 17179 3214 UTILIZATION REVIEW 574897 MASS SURCHARGE 91251 19417912 3237222 4760753 2135603 4091949 139872 136902 4900 2970 85233694 84485134 141215 152235 90752634 93493041 141586 126277 48841 0 190427 126277 X 0 0 0 0 90562207 93366764 90562207 93366764 90752634 93493041 4962161 -2157604 0 X X 0 1 X 1 0 139872 136902 2970 2970 X 22009931 -2157604 -2157604 24167535 207808 4730 212538 24380073 19205374 0 19205374 207808 4730 212538 19417912 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. PART XI, LINE 4B - OTHER ADJUSTMENTS: OTHER INCOME 4,730. PART XII, LINE 4B - OTHER ADJUSTMENTS: OTHER INCOME 4,730. 0 0 0 SHARON SAGANEY 77891 45354 0 0 0 0 19194 11176 10435 6076 107520 62606 0 0 FORM 990, PART VI, SECTION A, LINE 6 THE INTERNATIONAL UNION OF PAINTERS AND ALLIED TRADES DISTRICT COUNCIL NO. 35 HEALTH BENEFITS FUND HAS MEMBERS. MEMBERSHIP TO THE ORGANIZATION IS DESCRIBED IN ITS CONSTITUTION WHICH IS AVAILABLE UPON REQUEST. FORM 990, PART VI, SECTION A, LINE 7A THE INTERNATIONAL UNION OF PAINTERS AND ALLIED TRADES DISTRICT COUNCIL NO. 35 HEALTH BENEFITS FUND MEMBERS ELECT THE SECRETARY TREASURER WHO THEN APPOINTS THE EMPLOYEE TRUSTEES. FORM 990, PART VI, SECTION B, LINE 11 THE INTERNATIONAL UNION OF PAINTERS AND ALLIED TRADES DISTRICT COUNCIL NO. 35 HEALTH BENEFITS FUND'S FORM 990 IS PREPARED BY ITS INDEPENDENT PUBLIC ACCOUNTANT. THE RETURN IS THEN FORWARDED TO THE ADMINISTRATOR FOR REVEIW AND SIGNATURE. FORM 990, PART VI, SECTION B, LINE 15B WITH APPROVAL OF BOARD OF DIRECTORS FORM 990, PART VI, SECTION C, LINE 19 THE INTERNATIONAL UNION OF PAINTERS AND ALLIED TRADES DISTRICT COUNCIL NO. 35 HEALTH BENEFITS FUND MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XII, LINE 2C THE INTERNATIONAL UNION OF PAINTERS AND ALLIED TRADES DISTRICT COUNCIL NO. 35 HEALTH BENEFITS FUND'S GOVERNING BODY IS RESPONSIBLE FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTING THE INDEPENDENT ACCOUNTANT WHO CONDUCTS THE AUDIT. 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