TEAMSTERS LOCAL 251 HEALTH SERVICES & INSURANCE PLAN: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
TEAMSTERS LOCAL 251 HEALTH SERVICES & INSURANCE PLAN (EIN 05-0271216)
Tax period
2010-07-01 to 2011-06-30
Filed
2012-04-02
IRS object ID
201220939349300217
Schema version
2010v3.4
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-04-02T13:12:59-05:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1NOVAK FRANCELLA LLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1ONE PRESIDENTIAL BLVD SUITE 330AddressLine1
CityBALA CYNWYDCity
StatePAState
ZIP Code19004ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN050271216EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1TEAMSTERS LOCAL 251 HEALTH SERVICES ANDBusinessNameLine1
Business Name Line2INSURANCE PLANBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlTEAMNameControl
Phone4014673323Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11201 ELMWOOD AVENUEAddressLine1
CityPROVIDENCECity
StateRIState
ZIP Code029043799ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJOSEPH J BAIROSName
TitleUNION TRUSTEETitle
Phone4014673323Phone
Date Signed2012-04-02DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameLOUIS VERZELLA CPAName
Phone6106689400Phone
Date Prepared2012-03-30DatePrepared
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJOSEPH J BAIROSNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1121 BRIGHTRIDGE AVENUEAddressLine1
CityEAST PROVIDENCECity
StateRIState
ZIP Code02914ZIPCode
FieldValueIRS element (for citing)
Gross Receipts52045008GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteN/AWebSite
Type Of Organization TrustXTypeOfOrganizationTrust
Year Formation1954YearFormation
State Legal DomicileRIStateLegalDomicile
Activity Or Mission DescriptionTHE 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.ActivityOrMissionDescription
Nbr Voting Members Governing Body8NbrVotingMembersGoverningBody
Nbr Independent Voting Members8NbrIndependentVotingMembers
Total Nbr Employees6TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year29729219ProgramServiceRevenuePriorYear
Program Service Revenue CY37480279ProgramServiceRevenueCY
Investment Income Prior Year1106010InvestmentIncomePriorYear
Investment Income Current Year1283194InvestmentIncomeCurrentYear
Other Revenue Prior Year100891OtherRevenuePriorYear
Other Revenue Current Year3547OtherRevenueCurrentYear
Total Revenue Prior Year30936120TotalRevenuePriorYear
Total Revenue Current Year38767020TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year27371974BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY34697248BenefitsPaidToMembersCY
Salaries Etc Prior Year789929SalariesEtcPriorYear
Salaries Etc Current Year794283SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year872132OtherExpensePriorYear
Other Expenses Current Year828413OtherExpensesCurrentYear
Total Expenses Prior Year29034035TotalExpensesPriorYear
Total Expenses Current Year36319944TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1902085RevenuesLessExpensesPriorYear
Revenues Less Expenses CY2447076RevenuesLessExpensesCY
Total Assets BOY38899610TotalAssetsBOY
Total Assets EOY44124877TotalAssetsEOY
Total Liabilities BOY222785TotalLiabilitiesBOY
Total Liabilities EOY249999TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY38676825NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY43874878NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE 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.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
DescriptionTHE 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.Description
Described In501 C30DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109645NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees6NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members8NbrVotingGoverningBodyMembers
Number Independent Voting Members8NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy0ConflictOfInterestPolicy
Whistleblower Policy0WhistleblowerPolicy
Document Retention Policy0DocumentRetentionPolicy
Compensation Process CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1EXECUTIVE DIRECTORBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number4014673323TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11201 ELMWOOD AVENUEAddressLine1
CityPROVIDENCECity
StateRIState
ZIP Code029043799ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (10 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
JOSEPH J BAIROS
CO-CHAIRMAN2.00X000
PAUL M FRADIN
CO-CHAIRMAN2.00X000
ANTONIO B CARDI
EMPLOYER TRUSTEE2.00X000
BRIAN E CARROLL
UNION TRUSTEE (P)2.00X000
KEVIN G REDDY
UNION TRUSTEE2.00X000
STEVEN M LABRIE
UNION TRUSTEE2.00X000
FRANK J MAXWELL
EMPLOYER TRUSTEE (P)2.00X000
LOUIS J SPERLING
EMPLOYER TRUSTEE2.00X000
DANIEL R MANOCCHIO
UNION TRUSTEE2.00X000
WILLIAM F LEANUES
EMPLOYER TRUSTEE2.00X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
BLUE CROSS & BLUE SHIELD OF RI
444 WESTMINISTER MALLPROVIDENCERI02901CLAIMS PROCESSING875718
UNITEDHEALTHCARE INSURANCE COMPANY
475 KILVERT STREETWARWICKRI02886CLAIMS PROCESSING494307
COIA & LEPORE LTD
226 SOUTH MAIN STREETPROVIDENCERI02903LEGAL BENEFITS PROVIDER463404
GURSKY LAW ASSOCIATES
420 SCRABBLETOWN RDN KINGSTONRI02852LEGAL SERVICES136086
MELLON FINANCIAL CORP
1 TURKS HEAD PLACEPROVIDENCERI02903INVESTMENT MANAGER120104
FieldValueIRS element (for citing)
Number Of Contractors GT100 K7NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
EMPLOYER CONTRIBUTIONS5251003447676334476763
RETIREE CONTRIBUTIONS52510012339011233901
STOP LOSS REIMBURSEMEN52510010481831048183
PARTICIPANT CONTRIBUTI525100721432721432
FieldValueIRS element (for citing)
Total Program Service Revenue37480279TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column952861TotalRevenueColumn
Exclusion$952,861ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities13608321Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities13277988Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities330333Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column330333TotalRevenueColumn
Exclusion$330,333ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISCELLANEOUS INCOMEDescription
Business Code900099BusinessCode
Total Revenue Column3547TotalRevenueColumn
Exclusion$3,547ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue3547TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column38767020TotalRevenueColumn
Related Or Exempt Function Income37480279RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$1,286,741ExclusionAmount

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total34697248Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total361321Total

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total145016Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total147879Total

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total140067Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total136086Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total61910Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total144625Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total189345Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total92548Total

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total36508Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total69509Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total54970Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total20005Total

Insurance Insurance

FieldValueIRS element (for citing)
Total22907Total

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total36319944Total

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
EOY1144718EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY3274250BOY
EOY3380751EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY2913069BOY
EOY3356514EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
EOY25125EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis974912LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec632447LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY303787BOY
EOY342465EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY28417679BOY
EOY30469302EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY3990825BOY
EOY5220977EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY0BOY
EOY185025EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY38899610BOY
EOY44124877EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY157393BOY
EOY191464EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY65392BOY
EOY58535EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY222785BOY
EOY249999EOY
FieldValueIRS element (for citing)
Do Not Follow SFAS117XDoNotFollowSFAS117

Cap Stck Trst Prin Current Funds CapStckTrstPrinCurrentFunds

FieldValueIRS element (for citing)
BOY38676825BOY
EOY43874878EOY

Paid In Cap Srpls Land Bldg Eqp Fund PaidInCapSrplsLandBldgEqpFund

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY38676825BOY
EOY43874878EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY38899610BOY
EOY44124877EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses2447076ReconcilationRevenueExpenses
Reconcilation Other Changes2750977ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis33602OtherCostOrOtherBasis
Book Value33602BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis625462OtherCostOrOtherBasis
Depreciation432522Depreciation
Book Value192940BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis226372OtherCostOrOtherBasis
Depreciation110450Depreciation
Book Value115922BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis89476OtherCostOrOtherBasis
Depreciation89475Depreciation
Book Value1BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings342465TotalOfBookValueLandBuildings

Other Securities OtherSecurities

FieldValueIRS element (for citing)
DescriptionCOMMON COLLECTIVE TRUSTDescription
Book Value5220977BookValue
Method Of ValuationFMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities5220977TotalOfBookValueSecurities

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDEFERRRED RETIREE AND COBRA CONTRIBUTIONSDescription
Amount$58,535Amount
FieldValueIRS element (for citing)
Total Of Amounts58535TotalOfAmounts
Total Revenue38767020TotalRevenue
Total Expenses36319944TotalExpenses
Excess Or Deficit For Year2447076ExcessOrDeficitForYear
Net Unrealized GL On Investments2750977NetUnrealizedGLOnInvestments
Total Adjustments2750977TotalAdjustments
Excess Or Deficit Per FS5198053ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt41373372TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments2750977NetUnrealizedGainsInvestments
Revenue Not Rptd F9902750977RevenueNotRptdF990
Revenue Subtotal38622395RevenueSubtotal
Investment Expenses Not Included144625InvestmentExpensesNotIncluded
Revenue Not Rptd On Fin Stmt144625RevenueNotRptdOnFinStmt
Total Revenue Per Form99038767020TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt36175319TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal36175319ExpensesSubtotal
Investment Expenses Not Included2144625InvestmentExpensesNotIncluded2
Expenses Not Rptd On Fin Stmt144625ExpensesNotRptdOnFinStmt
Total Expenses Per Form99036319944TotalExpensesPerForm990

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION B, LINE 11TEAMSTERS 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
TEAMSTERS LOCAL 251 HEALTH SERVICES & INSURANCE PLAN MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.FORM 990, PART VI, SECTION C, LINE 19
CONTACT ADDRESSES FOR OFFICERS, DIRECTORS, ETCPAUL M. FRADIN - P.O. BOX 1427, WEST GREENWICH, RI 02817. ANTONIO B. CARDI - 400 LINCOLN AVENUE, WARWICK, RI 02888. FRANK J. MAXWELL - 643 WEST 43RD STREET, NEW YORK, NY 10036. LOUIS J. SPERLING - 593 EDDY STREET, PROVIDENCE, RI 02903.FORM 990, PART VII
CHANGES IN NET ASSETS OR FUND BALANCES:NET UNREALIZED GAINS ON INVESTMENTS: 2,750,977.FORM 990, PART XI, LINE 5:
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.
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 2,827 FROMS W-2 WERE ISSUED FOR THESE BENEFITS FOR THE CALENDAR YEAR 2010.FORM 990, PART V, LINE 1A:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1TEAMSTERS LOCAL 251 HEALTH SERVICES AND INSURANCE 401(K) PLANBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11201 ELMWOOD AVENUEAddressLine1
CityPROVIDENCECity
StateRIState
ZIP Code02907ZIPCode
FieldValueIRS element (for citing)
EIN050271216EIN
Primary ActivitiesPENSION PLANPrimaryActivities
Legal Domicile StateRILegalDomicileState
Exempt Code Section401(A)/501(A)ExemptCodeSection
Controlled Org0ControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

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