2013-11-15T13:26:29-06:00 2012-12-31 990 2012-01-01 221461069 TRUCKING EMPLOYEES OF NORTH JERSEY WELFARE FUND TRUC 2018673553 707 SUMMIT AVE UNION CITY NJ 07087 ROBERT BLUMENFELD 2018673553 2013-11-15 2012 2016-02-25 16:41:14Z ROBERT BLUMENFELD 707 SUMMIT AVENUE UNION CITY NJ 07087 17643201 0 X WWW.560BENEFITFUNDS.COM X 1948 NJ TO PROVIDE HEALTH BENEFITS TO ELIGIBLE PARTICIPANTS. 6 5 30 0 0 0 0 0 17224803 16938615 1255254 471625 294883 232961 18774940 17643201 0 0 15300458 14877927 1031705 1026823 0 0 0 389493 379306 16721656 16284056 2053284 1359145 37588362 41284053 2262139 2231682 35326223 39052371 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 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 467 0 1 30 1 0 0 0 0 0 0 X 6 5 0 0 0 0 1 0 0 1 0 0 0 1 1 1 1 0 1 1 1 0 X ROBERT BLUMENFELD 2018671447 707 SUMMIT AVENUE UNION CITY NJ 07087 ANTHONY VALDNER 2.00 X 0 99898 38386 MICHAEL GENTOSO 1.00 X 0 0 0 LAMAR E BEINHOWER 1.00 X 0 0 0 EDWIN H STIER 1.00 X 2772 2772 0 NICK PICARELLO 1.00 X 0 0 0 KEVIN BIGLEY 1.00 X 0 91349 38386 CHARLES D'ANGELO 1.00 X 0 91642 38386 GEORGE KREIS 1.00 X 0 0 0 ROBERT BLUMENFELD 15.00 X 170124 0 47642 JOHN HEIM 13.00 X 165922 0 39891 338818 285661 202691 2 0 1 0 HORIZON BLUE CROSS BLUE SHEILD PO BOX 15306 NEWARK NJ 07105 HEALTH CARE PROVIDER 338540 TC3 HEALTH INC 19732 MACARTHUR BLVD SUITE 100 IRVINE CA 92612 CLAIMS REPRICING AGENT 133606 SEGAL COMPANY 333 WEST 3TH STREET NEW YORK NY 10001 ACTUARY 105190 3 EMPLOYER CONTRIBUTIONS 525100 12457810 12457810 PARTICIPANT CONTRIBUTIONS 525100 3074471 3074471 PARTICIPANT RX REVENUE 525100 1254816 1254816 COBRA CONTRIBUTIONS 525100 151518 151518 16938615 471625 471625 PRESCRIPTION REBATE INCOME 525100 230535 230535 OTHER REVENUE 525100 2426 2426 232961 17643201 17171576 0 471625 14877927 426352 374175 77892 108522 39882 90475 31000 60788 117455 116524 73612 81666 762 13535 24474 DUES AND SUBSCRIPTIONS 397 REIMBURSED ADMINISTRATI -231382 16284056 1268014 2196271 1213189 1174877 46564 92280 415869 381708 46223 34161 34527562 37365071 486810 421393 37588362 41284053 185134 116171 2077005 2115511 2262139 2231682 X 0 0 0 0 35326223 39052371 35326223 39052371 37588362 41284053 1359145 2367003 0 X X 0 1 X 1 0 31716 31716 0 367370 333209 34161 16783 16783 0 34161 COMMON COLLECTIVE TRUSTS 31696534 F LIMITED PARTNERSHIPS 5668537 F 37365071 CLAIMS PAYABLE AND CLAIMS INCURRED BUT NOT REPORTED 2023600 OTHER LIABILITIES 91911 2115511 X 19949416 2367003 2367003 17582413 60788 60788 17643201 16175268 -48000 -48000 16223268 60788 60788 16284056 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: 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 BE SUSTAINED UPON EXAMINATION BY THE IRS. THE PLAN ADMINISTRATOR HAS ANALYZED THE TAX POSITION TAKEN BY THE PLAN, AND HAS CALULATED THAT AS OF DECEMBER 31, 2012, 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. PART XII, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN BENEFIT OBLICGATION SCHEDULE D, PART XIII, LINE 2D - CHANGE IN BENEFIT OBLIGATIONS $48,000. X 0 0 0 ROBERT BLUMENFELD 170124 0 0 0 0 0 29762 0 17880 0 217766 0 0 0 JOHN HEIM 165922 0 0 0 0 0 22011 0 17880 0 205813 0 0 0 SUPPLEMENTAL INFORMATION PART III SCHEDULE J, PART I, LINE 3-1. THE BOARD OF TRUSTEES REVIEWS THE SALARY INCREASE ANNUALLY FOR ALL MANAGERS BASED ON PERFORMANCE, MARKET FORCES AND INDUSTRY PERFORMANCE. LAST REVIEW WAS DONE IN THE YEAR 2012. FORM 990, PART VI, SECTION A, LINE 6 THE FUND HAS PARTICIPANTS. FORM 990, PART VI, SECTION A, LINE 8B THE ORGANIZATION DOES NOT HAVE ANY COMMITTEES WITH THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BOARD DURING 2012. FORM 990, PART VI, SECTION B, LINE 11 THE ORGANIZATION PREPARES THE FORM 990. THE INDEPENDENT AUDITOR REVIEWS THE FORM 990. 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 B, LINE 15 THE BOARD OF TRUSTEES REVIEWS THE SALARY INCREASES ANNUALLY FOR ALL MANAGERS BASED ON PERFORMANCE, MARKET FORCES AND INDUSTRY PERFORMANCE. LAST REVIEW WAS DONE IN 2012. 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. 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