2012-12-05T14:13:58-06:00 2011-12-31 135381590 BDO USA LLP 100 PARK AVENUE 9TH FLOOR NEW YORK NY 10017 990 2011-01-01 131699839 SERVICE EMPLOYEES 32BJ NORTH HEALTH BENEFIT FUND SERV 9146377000 140 HUGUENOT STREET NEW ROCHELLE NY 10801 KYLE BRAGGWILLIAM SCHUR 9146377000 2012-12-04 1 I PETER DIMSUYU P00321193 2128858000 2011 2016-02-24 21:20:13Z KYLE BRAGGWILLIAM SCHUR 140 HUGUENOT STREET NEW ROCHELLE NY 10801 34557425 0 X WWW.32BJNORTHFUNDS.COM X 1948 NY ESTABLISHED TO PROVIDE HEALTH & WELFARE BENEFITS TO COVERED MEMBERS OF LOCAL 32BJ, RETIREES, SERVICE EMPLOYEES 32BJ NORTH BENEFIT FUND EMPLOYEES AND ELIGIBLE DEPENDENTS. 4 4 0 0 0 0 0 0 31736975 31619762 677259 735606 1724 141287 32415958 32496655 0 0 28799653 30373175 759225 758451 0 0 0 1157524 1150687 30716402 32282313 1699556 214342 28393936 28910455 4837491 4618052 23556445 24292403 ESTABLISHED TO PROVIDE HEALTH & WELFARE BENEFITS TO COVERED MEMBERS OF LOCAL 32BJ, RETIREES, SERVICE EMPLOYEES 32BJ NORTH BENEFIT FUND EMPLOYEES AND ELIGIBLE DEPENDENTS. 0 0 HEALTH AND WELFARE BENEFITS - THE FUND PROVIDES HEALTH AND WELFARE BENEFITS TO APPROXIMATELY 3,338 MEMBERS. 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 0 1 12 0 1 0 0 0 0 0 0 0 0 0 X 4 4 0 0 0 0 0 1 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X STUART B SANDERS CONTROLLER 2123883559 25 WEST 18TH STREET NEW YORK NY 10011 KYLE BRAGG 1.00 X X 0 0 0 WILLIAM SCHUR 1.00 X X 0 0 0 JUDITH I PADOW 1.00 X 0 0 0 RICHARD W BERGER 1.00 X 0 0 0 STUART SANDERS 19.00 X 68743 58096 38116 68743 58096 38116 0 0 0 0 EMPIRE HEALTHCHOICE ASSURANCE INC 15 METRO TECH CENTER SOUTH BROOKLYN NY 11201 HEALTH ADMINISTRATOR 1087764 THE SEGAL COMPANY 333 WEST 34TH STREET NEW YORK NY 100012402 ACTUARIAL 120029 2 EMPLOYERS CONTRIBUTION 900099 31586622 31586622 PARTICIPANTS CONTRIB. 900099 33140 33140 31619762 796376 796376 2000000 2060770 -60770 -60770 -60770 INTEREST & ASSESS - P/ 900099 140732 140732 MISCELLANEOUS INCOME 900099 555 555 141287 32496655 31619762 0 876893 30373175 540032 80311 138108 113833 56831 33531 111062 77166 106947 4557 17795 ALLOCATED ADMINISTRATIV 479033 ACTUARY FEES 120029 COMMUNICATIONS 11198 CONSULTING 9600 9105 32282313 2555449 1577541 2249176 1919914 253591 177653 253591 22969608 24226818 442050 932591 28393936 28910455 192749 200352 4644742 4417700 4837491 4618052 X 0 0 0 0 23556445 24292403 23556445 24292403 28393936 28910455 X 214342 521616 X X 0 1 1 X 0 253591 253591 253591 CLAIMS PAYABLE 1907640 DUE TO AFFILIATES 178500 CLAIMS INCURRED BUT NOT REPORTED 2331560 4417700 32496655 32282313 214342 521616 521616 735958 32984740 521616 521616 32463124 33531 33531 32496655 32266782 0 32266782 33531 -18000 15531 32282313 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: U.S. GAAP REQUIRES FUND 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 FEDERAL, STATE AND/OR LOCAL TAXING AUTHORITIES. THE ADMINISTRATOR HAS ANALYZED THE TAX POSITIONS TAKEN BY THE PLAN, AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2011, 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. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. THE ADMINISTRATOR BELIEVES THAT THE PLAN IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO 2008. PART XIII, LINE 4B - OTHER ADJUSTMENTS: CHANGE IN BENEFIT CLAIMS PAYABLE FORM 990, PART VI, SECTION A, LINE 7A IF A UNION TRUSTEE VACANCY ARISES, THE FUND'S TRUST AGREEMENT PROVIDES THAT SERVICE EMPLOYEES INTERNATIONAL UNION LOCAL 32BJ HAS THE POWER TO APPOINT A SUCCESSOR UNION TRUSTEE FOR THE FUND. IF AN EMPLOYER TRUSTEE VACANCY ARISES, THE ASSOCIATION THAT APPOINTED THE PREDECESSOR TRUSTEE HAS THE POWER TO APPOINT A SUCCESSOR EMPLOYER TRUSTEE FOR THE FUND. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS PROVIDED TO THE FUND'S BOARD OF TRUSTEES PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE FUND IS SUBJECT TO THE REQUIREMENTS OF THE EMPLOYEE RETIREMENT INCOME SECURITY ACT, AS AMENDED ("ERISA") AND THE FIDUCIARY STANDARDS OF ERISA, INCLUDING THE PROHIBITED TRANSACTIONS PROVISIONS, CONSTITUTE THE FUND'S CONFLICT OF INTEREST POLICY AND THE BOARD OF TRUSTEES MONITORS AND ENFORCES COMPLIANCE WITH THOSE PROVISIONS AS REQUIRED BY ERISA AND WITH THE ASSISTANCE OF THE FUND'S PROFESSIONALS. FORM 990, PART VI, SECTION C, LINE 19 THE FUND MAKES ITS GOVERNING DOCUMENTS, POLICIES, AND FINANCIAL STATEMENTS AVAILABLE TO PARTICIPANTS, BENEFICIARIES, THE SPONSORING UNION, AND CONTRIBUTING EMPLOYERS AS REQUIRED BY ERISA. ERISA DOES NOT REQUIRE THAT THE FUND MAKE THESE DOCUMENTS AVAILABLE TO THE PUBLIC AND THE FUND DOES NOT DO SO. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 521,616. FORM 990, PART XI, LINE 2C THE BOARD OF TRUSTEES IS RESPONSIBLE FOR THE SELECTION OF AN INDEPENDENT ACCOUNTANT AND OVERSIGHT OF THE AUDIT OF THE FUND'S FINANCIAL STATEMENTS. THE INDEPENDENT ACCOUNTANT REPORTS ON THE AUDIT OF THE FINANCIAL STATEMENTS AT THE QUATERLY MEETINGS OF THE BOARD OF TRUSTEES. SERVICE EMPLOYEES 32BJ NORTH PENSION FUND 140 HUGUENOT STREET NEW ROCHELLE NY 10801 131819138 PROVIDE PENSION BENEFITS TO MEMBERS NY 501(A) 0 SERVICE EMPLOYEES 32BJ NORTH LEGAL SERVICES FUND 140 HUGUENOT STREET NEW ROCHELLE NY 10801 133122838 PROVIDE LEGAL SERVICES TO MEMBERS NY 501(C)(9) 0 THIRTY TWO BJ NORTH PENSION HOLDING CORP 140 HUGUENOT STREET NEW ROCHELLE NY 10801 134040124 PROPERTY MANAGEMENT NY 501(C)(25) 0 SERVICE EMPLOYEES INTERNATIONAL UNION LOCAL 32BJ 25 WEST 18TH STREET NEW YORK NY 10011 130535740 LABOR UNION NY 501(C)(5) 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 0 0 SERVICE EMPLOYEES 32BJ NORTH PENSION FUND M 133579 FAIR MARKET VALUE SERVICE EMPLOYEES 32BJ NORTH PENSION FUND N 138108 FAIR MARKET VALUE SERVICE EMPLOYEES 32BJ NORTH PENSION FUND O 182722 FAIR MARKET VALUE