2024-01-26T10:08:10-06:00 2023-03-31 131577780 SCHULTHEIS & PANETTIERI LLP 450 WIRELESS BLVD HAUPPAUGE NY 11788 990 2022-04-01 150582931 UPSTATE NEW YORK ENGINEERS HEALTH FUND UPST 3154921796 101 INTREPID LA PO BOX 100 COLVIN SYRACUSE NY 132050100 EARL R HALL CHAIRMAN 3154921796 2024-01-26 1 EARL HALL 999009999 1 CAROL WESTFALL P00539069 6312734778 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z DEBORAH SPAULDING 101 INTREPID LA PO BOX 100 COLVIN SYRACUSE NY 132050100 86985705 0 X N/A X 1957 NY TO PROVIDE HEALTH CARE AND OTHER BENEFITS TO ELIGIBLE PARTICIPANTS. 10 10 17 0 0 0 340998 0 40050768 43257247 5786541 1836699 139332 98679 46317639 45192625 0 0 35592588 38758392 1701005 1786485 0 0 0 824005 653576 38117598 41198453 8200041 3994172 111992521 111584065 5892272 6773426 106100249 104810639 TO PROVIDE HEALTH CARE AND OTHER BENEFITS TO ELIGIBLE PARTICIPANTS. 0 0 TO PROVIDE HEALTH CARE AND OTHER BENEFITS TO ELIGIBLE PARTICIPANTS. 0 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 1 0 0 0 0 1 0 0 0 0 0 0 1 0 0 1 6 0 1 17 1 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X DEBORAH SPAULDING 3154921796 101 INTREPID LANE SYRACUSE NY 132050100 DEBORAH SPAULDING FUND ADMINISTRATOR 33.00 2.00 X 134654 0 40934 WILLIAM FEKETE UNION TRUSTEE 1.00 0.00 X 0 0 0 THERON H HOGLE UNION TRUSTEE 1.00 0.00 X 0 0 0 JONATHAN LANSE - EFF 922 UNION TRUSTEE 1.00 0.00 X 0 0 0 MICHAEL LYONS UNION TRUSTEE 1.00 0.00 X 0 0 0 GARY SWAIN UNION TRUSTEE 1.00 0.00 X 0 0 0 DANIEL J MCGRAW - THRU 922 CHAIRMAN/UNION TRUSTEE 1.00 0.00 X 0 0 0 EARL R HALL - EMPLOYER TRUSTEE CHAIRMAN - EFF 10/22 1.00 0.00 X 0 0 0 EUGENE D HALLOCK III EMPLOYER TRUSTEE 1.00 0.00 X 0 0 0 JAMES LOGAN EMPLOYER TRUSTEE 1.00 0.00 X 0 0 0 DOUGLAS MAY EMPLOYER TRUSTEE 1.00 0.00 X 0 0 0 NICKOLAUS OSINSKI EMPLOYER TRUSTEE 1.00 0.00 X 0 0 0 134654 0 40934 1 0 1 0 AETNA 151 FARMINGTON AVENUE HARTFORD CT 06156 CLAIMS PROCESSOR 667877 SEI INV MGMT CORP 1 FREEDOM VALLEY DR OAKS PA 19456 INVESTMENT MANAGER 316783 NOVA HEALTHCARE ADMINISTRATORS PO BOX 1534 BUFFALO NY 14231 CLAIMS PROCESSOR 277801 JOSEPH W MCCARTHY & ASSOCIATES 7644 ROUTE 31 WEST BALDWINSVILLE NY 13027 PAYROLL AUDITS 204975 BLITMAN & KING LLP 433 NORTH FRANKLIN ST FRANKLIN SQUARE SYRAC NY 12304 COLLECTION FEES 171586 5 EMPLOYERS CONTRIBUTIONS 237310 39658532 39658532 PARTICIPANTS CONTRIBUTION 237310 3598715 3598715 43257247 3610101 3610101 40019678 41793080 -1773402 -1773402 -1773402 DELINQ CONTRIB INT / FEES 237310 98679 98679 98679 45192625 43355926 0 1836699 38758392 175588 971868 330054 218645 90330 169128 59100 337013 174501 162572 74790 142932 6362 86140 REIMB PR, PR TAXES & BE -558962 41198453 1350021 2039252 952681 925278 4540974 4109795 105148407 104140168 438 369572 111992521 111584065 475877 455727 5416395 6317699 5892272 6773426 X 0 0 0 0 106100249 104810639 106100249 104810639 111992521 111584065 3994172 -5283782 0 X 0 1 X 1 0 0 DUE TO RELATED ORGANIZATIONS 489299 CLAIMS PAYABLE AND CLAIMS IBNR 5828400 6317699 39571830 -5283782 -5283782 44855612 337013 337013 45192625 39940640 0 39940640 337013 920800 1257813 41198453 PART XII, LINE 4B - OTHER ADJUSTMENTS: CHANGE IN CLAIMS PAYABLE & IBNR 920,800. X 0 0 0 DEBORAH SPAULDING FUND ADMINISTRATOR 134654 0 0 0 0 0 24918 0 16016 0 175588 0 0 0 PART III - ADDITIONAL INFORMATION DEBORAH SPAULDING RECEIVES COMPENSATION AND BENEFITS IN HER CAPACITY AS FUND ADMINISTRATOR OF THIS ENTITY AND THE RELATED PENSION AND SUB FUNDS. COMPENSATION AND BENEFITS ARE PAID BY THIS ENTITY WITH REIMBURSEMENTS MADE ACCORDINGLY, BASED ON THE ALLOCATION PERCENTAGES IN THE CURRENT EXPENSE STUDY. THE ENTITY'S PORTION OF THE EXPENSES ARE 53% OF THE GROSS AMOUNT DETAILED ON SCHEDULE J, PART II - LINE (I). KELLEY HARRIGAN FAMILY MEMBER 98569 EMPLOYMENT 0 CHRIS SPAULDING FAMILY MEMBER 74994 EMPLOYMENT 0 FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WAS PREPARED IN COORDINATION WITH THE FUND ADMINISTRATOR WHO WORKS FULL TIME FOR THE ORGANIZATION. ONCE COMPLETE, THE FORM WAS PROVIDED TO AND REVIEWED BY THE BOARD OF TRUSTEES PRIOR TO SUBMISSION. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION IS AN EMPLOYEE BENEFIT FUND COVERED BY ERISA. THE TRUSTEES HAVE A STATUTORY DUTY UNDER ERISA TO AVOID CONFLICTS AND REPORT THEM AS THEY OCCUR. IN ADDITION, THE FUND'S WRITTEN CONFLICT OF INTEREST POLICY REQUIRES FUND EMPLOYEES TO FULLY AND PROMPTLY DISCLOSE ANY FINANCIAL OR PERSONAL INTEREST THEY HAVE WITH OTHER PARTIES THAT DEAL WITH THE FUND, IN WRITING. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO ALL PARTICIPANTS UPON REQUEST. DOCUMENTS ARE AVAILABLE TO THE PUBLIC TO THE EXTENT REQUIRED BY LAW. UPSTATE NY ENGINEERS PENSION FUND 101 INTREPID LANE SYRACUSE NY 132050100 150614642 RETIREMENT BENEFITS TO PARTICIPANTS & BENEFIC NY 501(A) N/A 0 IUOE LOCAL 158 TRAINING FUND 5612 BUSINESS AVE CICERO NY 130399532 160954711 EDUCATION TO PARTICIPANTS NY 501(C)3 LINE_10_ORGANIZATION 0 SEE SCHEDULE R - SUPPLEMENTAL INFORMATION SEE SCHEDULE R - SUPPLEMENTAL INFORMATION SEE SCHEDULE R - SUPPLEMENTAL INFORMATION 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 0 0 FORM 990, PART VII, SECTION A CERTAIN TRUSTEES LISTED ON FORM 990, PART VII, SECTION A, SERVE AS VOLUNTEERS AND DO NOT RECEIVE COMPENSATION FROM THIS ORGANIZATION OR ANY RELATED ORGANIZATION IN THEIR CAPACITY AS TRUSTEES OF THIS ORGANIZATION. CERTAIN TRUSTEES LISTED ON FORM 990, PART VII, SECTION A DO NOT RECEIVE COMPENSATION FROM THIS ORGANIZATION, BUT DO RECEIVE COMPENSATION FROM A RELATED ORGANIZATION IN THEIR CAPACITY AS EMPLOYEES/OFFICERS OF THAT ORGANIZATION. ACCORDINGLY, THEIR COMPENSATION IS ALREADY REPORTED ON THE FORM 990 OF THE RELATED ORGANIZATION. THE INFORMATION DISCLOSED ON THE ATTACHED SCHEDULE OF RELATED PARTIES IS THAT WHICH WAS AVAILABLE TO THIS ORGANIZATION AT THE TIME OF THIS FILING. PART II, IDENTIFICATION OF RELATED TAX-EXEMPT ORGANIZATIONS (A) NAME I U O E LOCAL # 17 OPER. ENG. LOCAL 17 TRAINING.FUND UPSTATE NY OPERATING ENGINEERS LOCAL 158 I U O E LOCAL # 158 TRAINING FUND PART III & IV, IDENTIFICATION OF RELATED ORGANIZATIONS TAXABLE AS A PARTNERSHIP OR CORPORATION OR TRUST (A) NAME 22ND CENTURY TECHNOLOGIES INC 4TH GENERATION CONSTRUCTION A & K SLIP FORMING, INC. A CRANE RENTAL LLC A G I CONSTRUCTION, INC. A&J CONSTRUCTION A-1 LAND CARE INC. AA FENCING LLC ABLE RIGGING CONTRACTORS, INC. ACCADIA SITE CONTRACTING, INC. ACCESS ANVIL CORPORATION ACCUBRACE, INC BY DAYTON SUP. AJAY GLASS & MIRROR CO., INC. ALEXSCOE, LLC DBA ATLAS FENCE ALL CRANE RENTAL OF PA., LLC ALLIED POWER SERVICES, LLC ALLMARK SERVICES INC. 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ROZELL NORTH LLC SABRE DEMOLITION CORPORATION SAM & SON COMPANY SCHMID PIPELINE CONST., INC. SCOTT LAWN YARD, INC. SCRUFARI CONST. CO. SEALAND CONTRACTORS CORP SEAWAY TIMBER HARVESTING, INC. SERVIDONE(J.,JR.)EQUIP & SALES SESSLER BRIDGE, LLC SESSLER WRECKING SEVENSON ENVIRONMNTAL SVCS INC PART III & IV, IDENTIFICATION OF RELATED ORGANIZATIONS TAXABLE AS A PARTNERSHIP OR CORPORATION OR TRUST (A) NAME SHAWMUT EQUIPMENT CO., INC SHEEHAN (J.E.) CONTRACT'G CORP SIMPSON & BROWN SKYWORKS, LLC SMUCKER'S SOLAR FOUNDATIONS LLC SOUTHERN OPERATORS HEALTH FUND SOUTHLAND RENDA JV SOUTHPAW FENCING LLC SPAEDER (WM.T.) CO.,INC. SPOTH ENTERPRISES, INC. STATE GROUP INDUSTRIAL (THE) STRUCTURAL SERVICES OF NY, INC SUBSURFACE CONSTRUCTORS, INC. SULLIVAN (M.) CONSTR., INC. SUNBELT RENTALS, INC SUPOR CRANE & RIGGING, LLC SUPREME INDUSTRIES, INC. SURIANELLO GEN'L. CONCRETE SWANSON (J.R.)PLUMBING CO, INC SYRSTONE, INC. TENNESSEE VALLEY OPER ENG TITAN ROOFING, INC. 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