2012-04-06T11:09:58-05:00 2011-06-30 SACCO MANFRE CPA PLLC 108 CORPORATE PARK DRIVE WHITE PLAINS NY 10604 990 2010-07-01 136209963 DISTRICT COUNCIL 37 HEALTH & SECURITY PLAN TRUST DIST 2128151305 125 BARCLAY STREET NEW YORK NY 10007 OLIVER GRAY 2128151305 2012-04-06 JOSEPH E MANFRE CPA 9142538757 2012-04-06 2010 2016-02-24 21:20:13Z SAME AS C ABOVE 271657467 0 X www.dc37.NET X 1966 NY TO PROVIDE HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS. 8 0 387 0 0 0 0 0 264146551 271657467 0 0 0 0 264146551 271657467 0 0 247594083 255091995 7854955 7736311 0 0 0 8697513 8829161 264146551 271657467 0 0 44818356 50925311 44818356 50925311 0 0 TO PROVIDE HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS. 0 0 CONTRIBUTIONS AND OTHER INCOME ENABLE THE FUND TO PROVIDE WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS. 0 0 0 0 0 0 1 0 1 0 0 1 1 1 1 1 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 0 1 19 0 387 1 0 0 0 0 0 0 0 0 X 8 0 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X GARY DEAN CONTROLLER 2128151294 125 BARCLAY STREET NEW YORK NY 10007 OLIVER GRAY 5.00 X 0 0 0 JAMES TUCCIARELLI 5.00 X 0 0 0 RALPH PALLADINO 5.00 X 0 0 0 MAF MISBAH UDDIN 5.00 X 0 0 0 CARMEN CHARLES 5.00 X 0 0 0 LENORA GATES 5.00 X 0 0 0 JUDITH ARROYO 5.00 X 0 0 0 STUART LEIBOWITZ 5.00 X 0 0 0 SIRRA CRIPPEN 5.00 X 0 0 0 CYNTHIA CHIN MARSHALL 35.00 X X 204339 0 39054 LAURA ALBERGO 35.00 X 160787 0 25621 WILLIE CHANG 35.00 X 159600 0 27835 AUDREY BROWNE 35.00 X 162424 0 25867 JOAN BERANBAUM 35.00 X 170096 0 35043 857246 0 153420 5 0 1 0 DC 37 AFSCME AFL-CIO 125 BARCLAY STREET NEW YORK NY 10007 DATA PROC. PROV. 4803759 INNOVIANT INC 11 SCOTT STREET WAUSAU WI 54403 PRES. BEN. ADM. 3867380 DC 37 AFSCME AFL-CIO 125 BARCLAY STREET NEW YORK NY 10007 OTHER SVS PROV. 723853 PART D ADVISORS 47799 HALYARD DRIVE SUITE B PLYMOUTH MI 48170 PROFESSIONAL SVS 251200 DR ANTAL BORBERLY 675 W END AVENUE NEW YORK NY 10025 PSYCHIATRIC CONSULTANT 109650 5 CONTRIB. - DC 37 BFT 525100 253920685 253920685 MEDICARE PART "D" 525100 16488918 16488918 OTHER - WTC & LITIGATI 525990 1247864 1247864 271657467 271657467 271657467 0 0 255091995 204339 4121777 2995910 414285 191331 65368 144694 950507 14765 415380 102131 ALLOC DATA PROCESSING C 4996064 ALLOC MAIL & DISTRIB. C 349243 POSTAGE AND SHIPPING 314552 SCANNING PROJECT COSTS 292096 ALLOC MICROFILMING COST 285719 707311 271657467 921635 1194348 1700541 1862542 3432063 11087163 8423619 6497297 2052485 1926322 36711632 34854936 44818356 50925311 5924867 7361232 70573 19683 2334795 2357099 36488121 41187297 44818356 50925311 X 0 0 0 0 0 0 0 0 44818356 50925311 0 0 X 0 1 1 X 0 0 1 2176381 1708520 467861 6247238 4788777 1458461 1926322 DUE FROM BENEFITS FUND TRUST 11083910 MEDICARE PART D SUBSIDY 4086460 REFUNDS & REIM. FROM OTHER THIRD PARTIES 19684566 34854936 DUE TO AFFILIATES 911821 CLAIMS PAYABLE 6730488 EST. LIAB. FOR CLAIMS IBNR 9568736 EMPLOYEES' ACCUMULATED SEV, SICK, VACA PAYABLE 9525124 ACCRUED POST RETIREMENT BENEFITS 14451128 41187297 271657467 271657467 0 0 0 271657467 0 271657467 0 271657467 271657467 0 271657467 0 271657467 Part IV, Line 2b: FUNDS HELD FOR PARTICIPANTS WHO ARE PART OF A MAJOR HEALTH INSURANCE PROGRAM. X 0 0 0 CYNTHIA CHIN MARSHALL 204339 0 0 0 0 0 0 0 39054 0 243393 0 229946 0 LAURA ALBERGO 160787 0 0 0 0 0 0 0 25621 0 186408 0 181096 0 WILLIE CHANG 159600 0 0 0 0 0 0 0 27835 0 187435 0 176972 0 AUDREY BROWNE 162424 0 0 0 0 0 0 0 25867 0 188291 0 180408 0 JOAN BERANBAUM 170096 0 0 0 0 0 0 0 35043 0 205139 0 198737 0 Form 990, Part VI, Section B, line 11 The form 990 was reviewed in detail with the key members of the Fund's Management and Board of Trustees by the Fund's Auditor at a special Board meeting. After the detailed review, the return was approved by the Fund's Board of Trustees for filing with the Internal Revenue Service. Form 990, Part VI, Section B, line 12c The process by which the policy is monitored and enforced includes recommended attendance at continuing professional education conferences and seminars that discuss, among many things, sound fiduciary practices and policies, as well as through internal training sessions that are mandated for all new Trustees, and on-going communications at Executive Board and Board of Trustees meetings. Form 990, Part VI, Section B, line 15 As part of the Fund's annual budgetary review and approval process, salaries of all contractual and non-contractual personnel are initially reviewed by the Fund's Management. Final budget recommendations are presented to the Fund's Board of Trustees for discussion and approval. Form 990, Part VI, Section C, line 19 The Fund makes its governing documents and financial statements available to the public upon request. Once a request is made, the Management of the Fund arranges a mutually convenient meeting to review all requested information to the requested parties' satisfaction. DC 37 BENEFITS FUND TRUST 125 BARCLAY STREET NEW YORK NY 10007 132988369 SEE (A) NY 501 (C)(5) N/A 0 DC 37 ANNUITY FUND PLAN 125 BARCLAY STREET NEW YORK NY 10007 134081131 SEE (E) NY 501a N/A 0 JORALEMON DENTAL SERVICES PC 186 JORALEMON STREET BROOKLYN NY 11201 112538770 SEE (B) NY N/A C PODIATRY OPTIONS PC 125 BARCLAY STREET NEW YORK NY 10007 260337259 SEE (C) NY N/A C HEAR & SEE RIGHT INC 125 BARCLAY STREET NEW YORK NY 10007 204082459 SEE (D) NY N/A C 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 1 DC 37 BENEFITS FUND TRUST M 2389494 Allocated Costs DC 37 BENEFITS FUND TRUST N 338112 Allocated Costs DC 37 BENEFITS FUND TRUST O 338112 Allocated Costs DC 37 BENEFITS FUND TRUST P 2995546 Items (1) & (5) DC 37 BENEFITS FUND TRUST R 606052 Payments to the Trust DC 37 BENEFITS FUND TRUST R 253920685 Advances from Trust DC 37 ANNUITY FUND PLAN P 272723 Allocated Costs JORALEMON DENTAL SERVICES PC Q 6036794 Advances from Fund PODIATRY OPTIONS PC Q 641042 Advances from Fund HEAR & SEE RIGHT INC Q 646210 Advances from Fund