2011-11-15T09:55:13-06:00 2010-12-31 GRASSI & CO CPA'S PC 50 JERICHO QUADRANGLE JERICHO NY 11753 990 2010-01-01 116036373 LOCAL 365 UAW WELFARE FUND LOCA 2019478000 140 SYLVAN AVENUE SUITE 303 ENGLEWOOD CLIFFS NJ 07652 PETER FULLERTON 2019478000 2011-11-10 1 STEVEN GOLDSTEIN 5162563500 2011-11-07 2010 2016-02-24 21:20:13Z PETER FULLERTON 140 SYLVAN AVENUE SUITE 303 ENGLEWOOD CLIFFS NJ 07652 7336380 0 X N/A X 1949 NY TO PROVIDE HEALTH BENEFITS TO MEMBERS 3 3 0 0 0 0 0 0 4527009 3834425 131127 325532 41463 55614 4699599 4215571 0 0 4013806 4169979 32431 4 0 0 0 225303 201180 4271540 4371163 428059 -155592 6803186 6542018 688641 376661 6114545 6165357 TO PROVIDE ACCIDENT AND SICKNESS, DENTAL, OPTICAL AND MEDICAL BENEFITS TO MEMBERS EMPLOYED BY CONTRIBUTING EMPLOYERS 0 0 TO PROVIDE ACCIDENT AND SICKNESS, DENTAL, OPTICAL AND MEDICAL BENEFITS TO MEMBERS EMPLOYED BY CONTRIBUTING EMPLOYERS 0 0 0 0 0 0 0 0 0 0 0 0 1 0 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 6 0 0 0 0 0 0 0 0 0 0 0 0 X 3 3 0 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X LOCAL 365 UAW WELFARE FUND 2019478000 140 SYLVAN AVENUE SUITE 303 ENGLEWOOD CLIFFS NJ 07652 X PETER FULLERTON 1.00 X 0 0 0 ALFRED SCHNEIDER 1.00 X 0 0 0 JEFFREY ISAACS 1.00 X 0 0 0 0 0 0 0 0 0 0 EXPRESS SCRIPTS INC 21653 NETWORK PLACE CHICAGO IL 60673 PROVIDE PRESCRIPTION DRUG BENEFITS FOR M 684903 1 EMPLOYERS CONTRIBUTION 900099 3497205 3497205 EMPLOYEES COBRA CONTRI 900099 337220 337220 3834425 214507 214507 3231834 3120809 111025 111025 111025 MISCELLANEOUS REVENUE 900099 55614 55614 55614 4215571 3890039 0 325532 4169979 4 83200 33242 14000 56959 2570 341 5160 65 3355 REPAIRS & MAINTENANCE 2288 4371163 509 1082068 551846 312084 139716 309 277 37341 37341 65 0 5374103 5824908 34048 25271 6803186 6542018 127554 561087 376661 688641 376661 X 6114545 6165357 6114545 6165357 6803186 6542018 X -155592 206404 X X 0 1 1 X 0 16192 16192 0 21149 21149 0 0 CLAIMS PAYABLE 369319 ACCRUED EXPENSES 7342 376661 4215571 4371163 -155592 206404 -161981 44423 -111169 4421975 206404 206404 4215571 0 4215571 4533144 0 4533144 -161981 -161981 4371163 PART XI, LINE 8 - OTHER ADJUSTMENTS: CLAIMS PAYABLE -161,981. PART XIII, LINE 4B - OTHER ADJUSTMENTS: CLAIMS PAYABLE -161,981. CLAIMS PAYABLE IS THE DIFFERENCE IN THE CHANGE IN PLANS TOTAL BENEFIT OBLIGATION AT THE END OF THE YEAR. FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION DELEGATED CONTROL OVER MANAGEMENT DUTIES TO THIRD PARTY ADMINISTRATOR - BENEFIT SERVICES,INC. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS 3 VOTING MEMBERS OF THE GOVERNING BOARD AND THE MEMBERS ARE INDEPENDENT. FORM 990, PART VI, SECTION A, LINE 7A THE ORGANIZATION HAS MEMBERS WHO MAY ELECT ONE OR MORE MEMBERS OF THE GOVERNING BODY. FORM 990, PART VI, SECTION A, LINE 7B THE BOARD HAS THE RIGHT TO MAKE DECISIONS ON BEHALF OF THE MEMBERS WITHOUT APPROVAL. FORM 990, PART VI, SECTION B, LINE 11 THE ORGANIZATION REVIEWS THE 990 AT BOARD MEETINGS BEFORE IT IS FILED. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THIS POLICY. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS AT THE FUND OFFICE ARE MADE AVAILABLE UPON REQUEST. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 206,404. FORM 990, PART XII, LINE 2C ( PAGE 12 ) THE PROCESS HAS NOT CHANGED FROM PRIOR YEAR. LOCAL 365 UAW PENSION FUND 140 SYLVAN AVENUE SUITE 303 ENGLEWOOD CLIFFS NJ 07652 116045281 TO PROVIDE PENSION BENEFITS TO PARTICIPANTS NY 401(A) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0