2013-10-01T14:16:46-05:00 2012-12-31 043508036 MANZI & ASSOCIATES LLC 855 TURNPIKE STREET STE 140 NORTH ANDOVER MA 01845 990 2012-01-01 042219623 TEAMSTERS LOCAL 170 HEALTH AND WELFARE FUND TEAM 5087913416 330 SOUTHWEST CUTOFF WORCESTER MA 01607 MICHAEL HOGAN 5087913416 2013-10-01 1 JEANNIE MICKEL P01058630 9789751099 2012 2016-02-25 16:41:14Z MICHAEL HOGAN 330 SOUTHWEST CUSTOFF WORCESTER MA 01607 45712666 0 X N/A X H&W FUND 1954 MA TO PROVIDE MEDICAL, DENTAL, VISION, LIFE, ACCIDENT & SICKNESS BENEFITS TO ELIGIBLE PARTICIPANTS 6 6 7 0 0 0 0 0 24271448 24496323 635902 904448 -63631 226162 24843719 25626933 0 0 22889727 24058893 381918 425747 0 0 0 877739 1014361 24149384 25499001 694335 127932 33601233 33244996 7821048 7434453 25780185 25810543 TO PROVIDE MEDICAL, DENTAL, VISION, LIFE, ACCIDENT & SICKNESS BENEFITS TO ELIGIBLE PARTICIPANTS 0 0 PROVIDE WELFARE BENEFITS TO EMPLOYEES UNDER COLLECTIVE BARGAINING AGREEMENT 0 0 0 0 0 0 0 0 0 1 0 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 8 0 1 7 0 0 0 0 0 0 0 0 0 X 6 6 0 0 0 0 1 0 0 1 1 0 0 1 0 1 1 0 1 0 X MR MICHAEL HOGAN CO-CHAIRMAN 5087913416 330 SOUTHWEST CUTOFF WORCESTER MA 01607 X MICHAEL P HOGAN 0.00 X 0 0 0 CHARLES H AUBUCHON 0.00 X 0 0 0 LINDA L VARNEY 0.00 X 0 0 0 JAMES R PETERS 0.00 X 0 0 0 JAMES R FIORI 0.00 X 0 0 0 WILLIAM F HOFF 0.00 X 0 0 0 0 0 0 0 0 0 0 BLUE CROSS BLUE SHIELD 25 TECHNOLOGY PLACE HINGHAM MA 02043 CLAIMS ADMIN 948065 1 EMPLOYER CONTRIBUTIONS 900099 23173276 23173276 EMPLOYEE CONTRIBUTIONS 900099 1323047 1323047 24496323 860859 860859 211679 0 211679 211679 211679 20129322 20085733 43589 43589 43589 OTHER INCOME 900099 14483 14483 14483 25626933 24766074 0 860859 24058893 300461 86894 38392 69120 35448 86961 100741 74312 309685 47402 265358 25334 25499001 20333 2392991 8801655 1457873 1872491 1886220 25851 40575 7311980 2834335 4665662 4477645 18007017 22807468 208224 182224 33601233 33244996 121397 128522 7699651 7305931 7821048 7434453 X 0 0 0 0 25780185 25810543 25780185 25810543 33601233 33244996 127932 -98927 1353 0 X X 0 1 X 0 0 534151 534151 5875600 2834335 3041265 570255 570255 233054 233054 98920 98920 4477645 EST. INCURRED BUT UNREPORTED CLAIMS 7294179 CONTRACTOR DEPOSITS 11752 7305931 X 25441045 -98927 -98927 25539972 86961 86961 25626933 25810487 0 25810487 86961 -398447 -311486 25499001 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 NOT BE SUSTAINED UPON EXAMINATION BY THE DEPARTMENT OF LABOR AND INTERNAL REVENUE SERVICE. THE PLAN ADMINISTRATOR HAS ANALYZED THE TAX POSITIONS TAKEN BY THE PLAN, AND HAS CONCLUDED 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 4B - OTHER ADJUSTMENTS: CHANGE IN BENEFITS PAYABLE FORM 990, PART VI, SECTION A, LINE 6 COLLECTIVELY BARGAINED MULTIEMPLOYER PLAN FOR MEMBERS OF TEAMSTERS LOCAL 170 FORM 990, PART VI, SECTION B, LINE 11 THE BOARD OF TRUSTEES HAS GRANTED THE FUND ADMINSTRATOR AUTHORITY TO REVIEW AND FILE ALL TAX DOCUMENTS. FORM 990, PART VI, LINE 15A: BOARD OF TRUSTEES DO NOT RECEIVE COMPENSATION. FORM 990, PART VI, SECTION B, LINE 12 AS AN EMPLOYEE BENEFIT PLAN, THE ORGANIZATION IS SUBJECT TO THE CONFLICTS OF INTEREST REQUIREMENTS OF ERISA FORM 990, PART VI, SECTION B, LINE 15B BOARD OF TRUSTEES REVIEWS KEY EMPLOYEES COMPENSATION WITH COMPARABILITY DATA ANNUALLY. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS AND AUDITED FINANCIAL STATEMENTS OF THE ORGANIZATION ARE AVAILABLE UPON REQUEST FORM 990, PART XII, LINE 2C: NO CHANGE IN OVERSIGHT PROCESS OR SELECTION OF INDEPENDANT ACCOUNTANT. TEAMSTERS LOCAL 170 MA 0 ABF FREIGHT SYSTEMS INC MA 0 AGGREGATE INDUSTRIES-GRAFTON MA 0 AGGREGATE SHREWSBURY MA 0 AGGREGATEASHLAND MA 0 AGGREGATELITTLETON MA 0 AUBUCHON DISTRIBUTION INC MA 0 BORGGAARD CONSTRUCTION MA 0 CAMOSSE & SONS MA 0 DURHAM SCHOOL SERVICES MA 0 ET AND L CONSTRUCTION MA 0 FIRST STUDENT MA 0 GRANGER-LYNCH INC MA 0 KELLOGG COMPANY MA 0 HEALTH & WELFARE FUND MA 0 MARIOS BROTHERS INC MA 0 UNITED NATURAL FOODS (UNFI) MA 0 MVATC MA 0 PJ KEATINGMECHANICS MA 0 PJ KEATING DRIVERS MA 0 CPC HOME PRODUCTS LLC MA 0 RAND WHITNEY GROUP LLC MA 0 RECIPORCAL AGREEMENT WLOCAL25 MA 0 ROSENFELD CONCRETE CORP MA 0 RYDER TRUCK RENTAL MA 0 TEAMSTER'S CREDIT UNION MA 0 TOWN OF MERRIMAC MA 0 AGGREGATEKEATING MA 0 TRUCK DRIVERS UNION LOCAL 170 MA 0 UNITED PARCEL SERVICE MA 0 VARNEY BROTHERS S&G MA 0 WORCESTER CHEMICAL DIST INC MA 0 YELLOW FREIGHT SYSTEMS INC MA 0 BAKER COMMODITIES MA 0 ROY BROTHERS MA 0 KC WILLIAMS IND MA 0 J G MACLELLAN CONCRETE CO MA 0 MERRIMACK VALLEY DISTRIB CO MA 0 TRANSGAS CO MA 0 UNISOURCE MA 0 AGGREGATE INDUSTRIES49 MA 0 H & M INTERNATIONAL TRANS MA 0 LAWRENCE HOUSING AUTHORITY MA 0 FIRST STUDENT (FITCHBURG MECH) MA 0 ROLLSTONE FULFILLMENT INC MA 0 WE AUBUCHON CO INC MA 0 SPINCRAFT MA 0 SUBURBAN PROPANE LP MA 0 RECIPORAL AGREEMENT WITH NNBT MA 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 TEAMSTERS LOCAL 170 J 87263 CASH