2011-10-13T10:29:39-05:00 2010-12-31 NOVAK FRANCELLA LLC ONE PRESIDENTIAL BLVD SUITE 330 BALA CYNWYD PA 19004 990 2010-01-01 135521921 LAUNDRY DRY CLEANING WORKERS & ALLIED INDUSTRIES HEALTH FUND WORKERS UNITED AMAL 9143675559 333 WESTCHESTER AVENUE WHITE PLAINS NY 106042910 MICHAEL POTACK 9143675559 2011-10-11 LOUIS VERZELLA CPA 6106689400 2011-10-11 2010 2016-03-07 17:11:31Z MICHAEL POTACK 275 7TH AVENUE NEW YORK NY 10001 27547263 0 X N/A X 1946 NY VEBA HEALTH FUND PROVIDING HEALTH BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS. 6 6 6 0 0 0 0 0 16204588 15994950 395705 416477 0 0 16600293 16411427 0 0 19265030 16831404 276480 319854 0 0 0 2085005 2118250 21626515 19269508 -5026222 -2858081 13565268 10743469 1123422 958224 12441846 9785245 TO PROVIDE MEDICAL, HOSPITALIZATION, DENTAL, VISION AND PRESCRITION BENEFITS PAID TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS. 0 0 MEDICAL, HOSPITALIZATION, DENTAL, VISION AND PRESCRITION BENEFITS PAID TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS. 0 0 0 0 0 0 0 0 1 1 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 2262 0 6 1 0 0 0 0 0 0 0 0 X 6 6 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X FUND OFFICE 9143675559 333 WESTCHESTER AVENUE WHITE PLAINS NY 106042910 X ALBERTO ARROYO 1.00 X 0 0 0 MICHAEL POTACK 1.00 X 0 0 0 BRUCE RAYNOR 1.00 X 0 0 0 STANLEY ISRAEL ESQ 1.00 X 0 0 0 BRIAN SANTONNELLO 1.00 X 0 0 0 WILFREDO LARANCUENT 1.00 X 0 0 0 0 0 0 0 0 0 0 AMALGAMTED FUND ADMINISTRATORS INC 333 WESTCHESTER AVENUE WHITE PLAINS NY 10604 ADMINISTRATIVE SERVICES 1466353 ALICARE MEDICAL MANAGEMENT 333 WESTCHESTER AVENUE WHITE PLAINS NY 10604 CLAIMS PROCESSING 293443 GENERAL PRESCRIPTION PROGRAMS INC 222 LAFAYETTE ST NEWARK NJ 07106 CLAIM PROCESSING FEE 213731 SCHULTE ROTH & ZABEL LLP 919 THIRD AVENUE NEW YORK NY 10022 LEGAL 194581 DELTA DENTAL OF NEW YORK 575 MADISON AVE NEW YORK NY 10022 CLAIMS PROCESSING 106234 5 EMPLOYER CONTRIBUTIONS 525100 15712343 15712343 MEMBER CONTRIBUTIONS 525100 204907 204907 SHARED EXPENSE REIMBUR 525100 77700 77700 15994950 101314 101314 11450999 11135836 315163 315163 315163 16411427 15994950 0 416477 16831404 199457 20262 81455 18680 219704 48893 28929 1515031 78976 75663 7951 437 84663 27288 ALLOCATED PAYROLL AND C 25134 TEMPORARY HELP 5581 19269508 250 250 2664045 918537 2567278 2764339 24177 2702 110990 101434 94219 9556 2469700 2134485 5384099 4533307 361500 380293 13565268 10743469 153387 322501 970035 635723 1123422 958224 X 0 0 0 0 12441846 9785245 12441846 9785245 13565268 10743469 X -2858081 201480 X X 0 1 1 X 0 94110 94109 1 16880 7325 9555 9556 COMMINGLED FUND 2019665 F COMMON COLLECTIVE TRUST 2513642 F 4533307 DUE TO RELATED ENTITIES 23000 CASH OVERDRAFT 345268 DUE TO ALICO 40807 OBLIGATION TO DISTRIBUTE CONTRIBUTIONS TO RELATED PARTIES 222609 DUE TO OTHER 4039 635723 16411427 19269508 -2858081 201480 201480 -2656601 16506278 201480 201480 16304798 28929 77700 106629 16411427 19162879 0 19162879 28929 77700 106629 19269508 PART XII, LINE 4B - OTHER ADJUSTMENTS: SHARED REIMBURSED EXPENSES 77,700. PART XIII, LINE 4B - OTHER ADJUSTMENTS: SHARED REIMBURSED EXPENSES 77,700. FORM 990, PART VI, SECTION B, LINE 11 LAUNDRY, DRY CLEANING WORKERS & ALLIED INDUSTRIES HEALTH FUND, WORKERS UNITED'S FORM 990 IS PREPARED BY ITS INDEPENDENT PUBLIC ACCOUNTANT WHO THEN FORWARDS THE COMPLETED RETURN TO THE BOARD OF TRUSTEES FOR REVIEW AND SIGNATURE. FORM 990, PART VI, SECTION B, LINE 12C LAUNDRY, DRY CLEANING WORKERS & ALLIED INDUSTRIES HEALTH FUND, WORKERS UNITED MONITORS ITS CONFLICT OF INTEREST POLICY ON AN ANNUAL BASIS. FORM 990, PART VI, SECTION C, LINE 19 LAUNDRY, DRY CLEANING WORKERS & ALLIED INDUSTRIES HEALTH FUND, WORKERS UNITED'S GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. CONTACT ADDRESSES FOR OFFICERS, DIRECTORS, ETC FORM 990, PART VII ALBERTO ARROYO - 275 7TH AVENUE, NEW YORK, NY 10001. MICHAEL POTACK - 401 SOUTH MACQUESTEN PARKWAY, MOUNT VERNON, NY 10550. BRUCE RAYNOR - 275 7TH AVENUE, NEW YORK, NY 10001. STANLEY ISRAEL, ESQ - 50-35 56TH ROAD, MASPETH, NY 11378. BRIAN SANTONNELLO - 1100 6TH AVENUE, NEPTUNE, NJ 07753. WILFREDO LARANCUENT - 275 7TH AVENUE, NEW YORK, NY 10001. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 201,480. FORM 990, PART XII, LINE 2C: LAUNDRY, DRY CLEANING WORKERS & ALLIED INDUSTRIES HEALTH FUND,WORKERS UNITED BOARD OF TRUSTEES IS RESPONSIBLE FOR OVERSEEING THE FINANCIAL STATEMENT AUDIT AND SELECTION OF THE INDEPENDENT ACCOUNTANT WHO PERFORMED THE AUDIT. LAUNDRY DRY CLEANING WORKERS & ALLIED IND RETIREMENT FUNDWORKERS UNITED 333 WESTCHESTER AVENUE WHITE PLAINS NY 10604 135521921 PENSION FUND NY 401(A)/501(A) 0 LAUNDRY DRY CLEANING WORKERS EDUCATION & LEGAL ASSISTANCE FUND WORKERS UNI 333 WESTCHESTER AVENUE WHITE PLAINS NY 10604 201072118 EDUCATION AND LEGAL ASSISTANCE FUND NY 501(C)(9) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 LAUNDRY DRY CLEANING WORKERS & ALLIED IND RETIREMENT FUNDWORKERS UNITED P 47700 FMV LAUNDRY DRY CLEANING WORKERS & UNITE EDUCATION & LEGAL ASSISTANCE FUND P 30000 FMV