2011-02-02T08:48:35-06:00 2010-04-30 NOVAK FRANCELLA LLC ONE PRESIDENTIAL BLVD SUITE 330 BALA CYNWYD PA 19004 990 2009-05-01 231599630 GRAPHIC COMMUNICATIONS CONFERENCE IBT LOCAL 14-M HEALTH & WELFARE FUND GRAP 2155334242 1310-28 E SEDGLEY AVENUE PHILADELPHIA PA 191341520 JOHN POTTS 2155334242 2011-02-02 6106689400 2009 2016-02-24 21:20:13Z JOHN POTTS 1310-28 E SEDGLEY AVENUE PHILADELPHIA PA 191341520 7581424 0 X N/A X 1949 PA The Plan provides health and welfare benefits to eligible members and their dependents of the Graphic Communications Conference International Brotherhood of Teamsters Local 14-M which represents graphic communication workers in southeastern Pennsylvania, southern New Jersey and northern Delaware. 7 7 2 0 0 0 0 7835429 6980319 11889 -30735 0 7847318 6949584 0 7986621 7729525 65734 59418 0 0 66849 62391 8119204 7851334 -271886 -901750 2323179 1503309 7817 2275 2315362 1501034 The Plan provides medical, hospital, dental, vision and prescription benefits to active members and their dependents. The Plan provides life insurance, accidental death and dismemberment benefits and disability income to active members. The Plan also provides medical benefits for retired members subject to eligibility requirements. 0 0 THE FUND PROVIDES MEDICAL, HOSPITAL, DENTAL, VISION, PRESCRIPTION, ACCIDENTAL DEATH AND DISMEMBERMENT AND LIFE INSURANCE BENEFITS FOR APPROXIMATELY 702 ACTIVE AND RETIRED PARTICIPANT. 0 0 0 0 0 0 0 0 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 0 0 0 1 1 0 2 1 0 0 0 0 0 0 0 7 7 0 0 0 0 0 0 0 1 1 0 0 1 1 1 0 0 0 0 0 0 X FUND OFFICE 2155334242 1310-28 E SEDGLEY AVENUE PHILADELPHIA PA 19134 X ANDREW DOUGLAS 2.00 X 0 0 0 KURT FREEMAN 2.00 X 0 0 0 JOHN GREER 2.00 X 0 0 0 DAVid THOMSON 2.00 X 0 0 0 DAVID SALTER 2.00 X 0 0 0 JOSEPH SCALISE 2.00 X 0 0 0 JOHN POTTS 2.00 X 0 0 0 0 0 0 0 0 0 0 AETNA LIFE INSURANCE COMPANY 151 Farmington Ave Hartford CT 06156 CLAIMS ADMINISTRATION 282115 1 EMPLOYER CONTRIBUTIONS 900099 4333776 4333776 RETIREE CO-PAYMENTS 900099 1192409 1192409 eMPLOYEE CONTRIBUTIONS 900099 1115970 1115970 MEDICARE PART D SUBSID 900099 211953 211953 COBRA CONTRIBUTIONS 900099 126211 126211 6980319 7667 7667 593438 631840 -38402 -38402 -38402 6949584 6980319 0 -30735 7729525 50811 4584 4023 1049 12481 1931 18000 15962 2626 1115 1727 7500 7851334 39610 153530 1446149 798458 121807 116228 2282 3700 26458 22280 5569 4178 274975 430677 425105 2110 2110 2323179 1503309 7817 2275 7817 2275 X 0 0 0 0 2315362 1501034 2315362 1501034 2323179 1503309 X 0 1 1 X 0 26458 22280 4178 4178 PRIVATE PLACEMENT STOCK 425105 F 425105 6949584 7851334 -901750 87422 87422 -814328 7035075 87422 87422 6947653 1931 1931 6949584 7849403 0 7849403 1931 1931 7851334 Form 990, Part VI, Section B, line 11 GRAPHIC COMMUNICATIONS CONFERENCE IBT LOCAL 14-M HEALTH & WELFARE FUND'S FORM 990 IS PREPARED BY THE FUND'S INDEPENDENT PUBLIC ACCOUNTANT. THE RETURN IS THEN FORWARDED TO THE TRUSTEES FOR REVIEW AND SIGNATURE. Form 990, Part VI, Section C, line 19 GRAPHIC COMMUNICATIONS CONFERENCE IBT LOCAL 14-M HEALTH & WELFARE FUND'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. GRAPHIC COMMUNICATIONS CONFERENCE IBT LOCAL 14-M HEALTH & WELFARE FUND'S BOARD OF TRUSTEES IS RESPONSIBLE FOR OVERSEEING THE FINANCIAL STATEMENT AUDIT AND SELECTION OF THE INDEPENDENT ACCOUNTANT THAT PERFORMS THE AUDIT.