2026-09-16T11:45:41-05:00 2025-11-30 043508036 MANZI & ASSOCIATES LLC 855 TURNPIKE STREET NORTH ANDOVER MA 01845 990 2024-12-01 042088633 SHEET METAL WORKERS LOCAL UNION NO 17 INSURANCE FUND SHEE 6174265646 1157 ADAMS STREET 1ST FLOOR DORCHESTER MA 02124 RICHARD KEOGH FUND ADMINISTRATOR 6174265646 2026-09-15 1 0 JEANNIE MICKEL P01058630 9789751099 2024 RICHARD KEOGH 1157 ADAMS STREET 1ST FLOOR DORCHESTER MA 02124 65506602 0 X N/A X 1950 MA TO PROVIDE HEALTH BENEFITS FOR ELIGIBLE PARTICIPANTS 6 6 42 0 0 0 0 0 51485928 58406438 2616447 5426091 623991 966347 54726366 64798876 0 0 44896027 52133511 880854 1085527 0 0 0 823494 1062864 46600375 54281902 8125991 10516974 117678714 137450531 3690773 2234048 113987941 135216483 TO PROVIDE HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS 0 0 TO PROVIDE HEALTH AND OTHER SPECIFIED BENEFITS TO ELIGIBLE MEMBERS/DEPENDENTS THROUGH A COLLECTIVELY BARGAINED MULTIEMPLOYER PLAN. 0 0 0 0 0 0 0 0 0 1 1 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 4 0 1 42 1 0 0 0 0 0 0 0 0 0 0 X 6 6 0 0 0 0 1 0 0 1 1 0 0 1 0 0 1 0 1 0 X RICHARD KEOGH 6174265646 1157 ADAMS STREET 1ST FLOOR DORCHESTER MA 02124 X JAMES WOOL TRUSTEE 10.00 X X 0 0 0 KEVIN GILL TRUSTEE 10.00 X X 0 0 0 JOSEPH CULLEN TRUSTEE 10.00 X X 0 0 0 JACK DESMOND TRUSTEE 10.00 X X 0 0 0 RICHARD KEOGH TRUSTEE 10.00 X 0 0 0 ROBERT BUTLER TRUSTEE 10.00 X 0 0 0 RICHARD B KEOGH ADMINISTRATOR 40.00 X 193510 0 101882 193510 0 101882 1 0 1 0 BLUE CROSS BLUE SHIELD 401 PARK DRIVE BOSTON MA 02215 HEALTH CLAIMS ADMINISTRATION 1813284 MODERN ASSISTANCE 300 CONGRESS ST QUINCY MA 02169 EAP PROGRAMS 1304041 EMPIRIX 155 CHESTNUT RIDGE MONTVALE NJ 07645 PRESCRIPTION CLAIMS ADMINSTRATION 473019 PAYD HEALTH 4100 ALPHA ROAD DALLAS TX 75244 CLAIMS CONSULTANT 180433 BRIDGEWAY 3000 S LENOLA RD MAPLE SHADE NJ 08052 IT CONSULTANTS 161297 5 EMPLOYER CONTRIBUTIONS 561000 55615358 55615358 MEMBER CONTRIBUTIONS 561000 2354980 2354980 SASMI CONTRIBUTIONS 561000 436100 436100 58406438 3076306 3076306 3057511 707726 2349785 2349785 2349785 ADMIN ASSESSMENTS 900099 746422 746422 NPF SUBSIDY 900099 209622 209622 DELINQUENT CONTRACTOR INTEREST 900099 10268 10268 35 35 966347 64798876 59372785 0 5426091 52133511 188967 379349 280421 186466 50324 30955 31338 179188 160861 33843 180636 46868 26352 60915 72944 STOP LOSS PREMIUMS 193132 ACA FEES 20280 POSTAGE 16069 PRINTING 9483 54281902 6347861 3612911 7651503 8179121 36962 104054 1418442 836021 643337 582421 100106151 121513924 2892900 3458100 117678714 137450531 144605 177485 3546168 2056563 3690773 2234048 X 0 0 0 0 113987941 135216483 113987941 135216483 117678714 137450531 X 10516974 6929703 3781865 X X 0 1 X 1 0 899382 388022 511360 519060 447999 71061 582421 BAIRD INTERMEDIATE BOND 32008678 F NHIT CORE PLUS DISCRETION TRUST 25036185 F US REAL ESTATE INVEST FUND 5445881 F BNY MELLON AFL CIO 42406724 F BAIRD SHORT TERM BOND FUND 16616456 F 121513924 INCURRED BUT NOT REPORTED CLAIMS 2372552 BENEFITS PAYABLE -315989 2056563 X 71549391 6929703 6929703 64619688 179188 179188 64798876 55592319 0 55592319 179188 -1489605 -1310417 54281902 PART X, LINE 2: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE PLAN 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 THE DEPARTMENT OF LABOR AND INTERNAL REVENUE SERVICE. THE PLAN ADMINISTRATOR HAS ANALYZED THE TAX POSITIONS TAKEN BY THE PLAN, AND HAS CONCLUDED THAT AS OF NOVEMBER 30, 2025, 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. PART XII, LINE 4B - OTHER ADJUSTMENTS: NET CHANGE IN BENEFIT OBLIGATIONS -1,489,605. X 0 0 0 RICHARD B KEOGH ADMINISTRATOR 193510 0 0 0 0 0 70804 0 31078 0 295392 0 0 0 FORM 990, PART VI, SECTION A, LINE 6 COLLECTIVELY BARGAINED MULTIEMPLOYER PLAN FOR MEMBERS AND RETIREES OF LOCAL 17 SMW FORM 990, PART VI, SECTION B, LINE 11B BOARD OF TRUSTEES HAS GIVEN AUTHORITY TO THE FUND ADMINISTRATOR TO REVIEW ALL TAX DOCUMENTATION BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12 AS AN EMPLOYEE BENEFIT PLAN WE ARE SUBJECT TO THE CONFLICTS OF INTEREST REQUIREMENTS OF ERISA. FORM 990, PART VI, SECTION B, LINE 15B COMPENSATION IS REVIEWED ANNUALLY BY THE BOARD OF TRUSTEES. FORM 990, PART VI, SECTION C, LINE 19 AVAILABLE UPON REQUEST FORM 990, PART XI, LINE 9: ASSETS TRANSFERED IN DUE TO MERGER 3,781,865. FORM 990, PART XII, LINE 2C: NO CHANGE IN OVERSIGHT PROCESS OR SELECTION OF INDEPENDENT ACCOUNTANT. 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