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WELFARE TRUST FUND LOCAL 804: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
WELFARE TRUST FUND LOCAL 804 (EIN 11-1637886)
Tax period
2022-06-01 to 2023-05-31
Filed
2024-04-05
IRS object ID
202400969349301400
Schema version
2022v5.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2024-04-05T10:41:55-05:00ReturnTs
Tax Period End2023-05-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN750786316PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1WEAVER AND TIDWELL LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1ONE PENNSYLVANIA PLAZA SUITE 3200AddressLine1Txt
CityNEW YORKCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10119ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-06-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN111637886EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1LOCAL 804 WELFARE TRUST FUNDBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlLOCABusinessNameControlTxt
Phone7187865410PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line144 S BAYLES AVENUE SUITE 302AddressLine1Txt
CityPORT WASHINGTONCityNm
State AbbreviationNYStateAbbreviationCd
ZIP110503765ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonVINCENT PERRONEPersonNm
Person TitleTRUSTEEPersonTitleTxt
Phone7187865410PhoneNum
Signature2024-03-30SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstVINCENTPersonFirstNm
Person LastPERRONEPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info Curr0IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonXIAOMU DENGPreparerPersonNm
PTINP01718982PTIN
Phone2126955003PhoneNum
Preparation2024-03-29PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerVINCENT PERRONEPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line144 S BAYLES AVENUE SUITE 302AddressLine1Txt
CityPORT WASHINGTONCityNm
State AbbreviationNYStateAbbreviationCd
ZIP110503765ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$172,103,502GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501cYes (X)Organization501cInd
Website AddressHTTP://WWW.LOCAL804FUND.COMWebsiteAddressTxt
Type Of Organization TrustYes (X)TypeOfOrganizationTrustInd
Formation1950FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionTO PROVIDE HEALTH CARE BENEFITSActivityOrMissionDesc
Voting Members Governing Body8VotingMembersGoverningBodyCnt
Voting Members Independent4VotingMembersIndependentCnt
Total Employee23TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$129,167,513PYProgramServiceRevenueAmt
CY Program Service Revenue$134,663,676CYProgramServiceRevenueAmt
PY Investment Income$2,932,472PYInvestmentIncomeAmt
CY Investment Income$1,660,691CYInvestmentIncomeAmt
PY Other Revenue$147,358PYOtherRevenueAmt
CY Other Revenue$256,517CYOtherRevenueAmt
PY Total Revenue$132,247,343PYTotalRevenueAmt
CY Total Revenue$136,580,884CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$115,650,464PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$123,379,853CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$2,501,875PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$2,638,936CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$2,025,238PYOtherExpensesAmt
CY Other Expenses$2,298,293CYOtherExpensesAmt
PY Total Expenses$120,177,577PYTotalExpensesAmt
CY Total Expenses$128,317,082CYTotalExpensesAmt
PY Revenues Less Expenses$12,069,766PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$8,263,802CYRevenuesLessExpensesAmt
Total Assets BOY$153,577,922TotalAssetsBOYAmt
Total Assets EOY$154,905,188TotalAssetsEOYAmt
Total Liabilities BOY$5,831,716TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,775,280TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$147,746,206NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$153,129,908NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE LOCAL 804 WELFARE TRUST FUND WAS CREATED IN 1950, UNDER AN AGREEMENT AND DECLARATION OF TRUST, AS AMENDED, BETWEEN DELIVERY AND WAREHOUSE EMPLOYEES UNION, LOCAL 804 IBT (THE UNION") AND VARIOUS EMPLOYERS. THE UNION AND THE EMPLOYERS HAVE ENTERED INTO COLLECTIVE BARGAINING AGREEMENTS REQUIRING PAYMENTS BY THE EMPLOYERS FOR THE PURPOSE OF ESTABLISHING A WELFARE PROGRAM FOR THE EMPLOYERS TO PROVIDE WELFARE BENEFITS FOR THEIR EMPLOYEES AND THE EMPLOYEES OF THE UNION, AND THE EMPLOYEES OF THE LOCAL 804 WELFARE TRUST FUND.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
DescPROVIDED HEALTH CARE BENEFITS FOR ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS. ESTIMATED NUMBER OF PARTICIPANTS BENEFITED DURING THE PAST YEAR WAS 5984.Desc
Described In Section501c30DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Activities Conducted PrtshpYes (1)ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document978IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee23EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members8GoverningBodyVotingMembersCnt
Independent Voting Member4IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of Committees0MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy0ConflictOfInterestPolicyInd
Whistleblower Policy0WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MARC PANTELEONE FUND MANAGERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7187865410PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line144 S BAYLES AVENUE SUITE 302AddressLine1Txt
CityPORT WASHINGTONCityNm
State AbbreviationNYStateAbbreviationCd
ZIP110503765ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (14 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
CHRIS LANGAN
EMPLOYER TRUSTEE1.00Yes (X)$0$0$0
MARK MCELREATH
EMPLOYER TRUSTEE1.00Yes (X)$0$0$0
MATTHEW LOUGHLIN
EMPLOYER TRUSTEE1.00Yes (X)$0$0$0
MICHAEL CLAYTON
EMPLOYER TRUSTEE1.00Yes (X)$0$0$0
VINCENT PERRONE
UNION TRUSTEE1.00Yes (X)$0$142,823$57,45240.00
ANTONINO ROSCIGLIONE
UNION TRUSTEE1.00Yes (X)$0$142,523$57,45240.00
CHRISTOPHER WILLIAMSON
UNION TRUSTEE1.00Yes (X)$0$143,223$57,45240.00
ANTHONY CERULLI
UNION TRUSTEE1.00Yes (X)$0$143,123$57,45240.00
MARC PANTELEONE
FUND MANAGER27.00$216,720$0$59,7528.00Yes (X)
JAMES PANTELEONE
IT AND BENEFIT CLAIMS ASSI54.00$138,823$0$32,8171.00Yes (X)
MAGGIE WU
ACCOUNTANT34.00$193,088$0$33,05419.00Yes (X)
CELIA LIAW
BENEFIT CLAIMS ASSISTANT45.00$118,193$0$32,8411.00Yes (X)
CHRISTINE NICOLETTI
OFFICE MANAGER35.00$112,860$0$59,7521.00Yes (X)
JAMES SOLIWODA
ADMIN CLERK43.00$112,712$0$32,8451.00Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$892,396TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$571,692TotReportableCompRltdOrgAmt
Total Other Compensation$480,869TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K6IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
EMPIRE HEALTHCHOICE ASSURANCE INC
165 BROADWAYNEW YORKNY10006BENEFIT ADMINISTRATIVE SERVICE$2,211,850
HEALTH PLAN SYSTEM
2025 LINCOLN HIGHWAY ROUTE 21EDISONNJ08817BENEFIT INFORMATION TECHNOLOGY$484,656
THE SEGAL COMPANY (EASTERN STATES) INC
333 WEST 34TH STREETNEW YORKNY10001ACTUARIAL AND CONSULTING SERVICES$478,144
NEW YORK MEDICAL MANAGEMENT
2025 LINCOLN HIGHWAY ROUTE 21EDISONNJ08817BENEFIT CONSULTING SERVICES$421,665
PROSKAUER ROSE LLP
ELEVEN TIMES SQUARENEW YORKNY10036LEGAL SERVICES$370,769
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CONTRIBUTIONS - EMPLOYERS900099$131,614,798$131,614,798
CONTRIBUTIONS - RETIRED PARTICIPA900099$2,845,403$2,845,403
CONTRIBUTIONS - COBRA PARTICIPANT900099$203,475$203,475
FieldValueIRS element (for citing)
Total Program Service Revenue$134,663,676TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,056,606TotalRevenueColumnAmt
Exclusion$4,056,606ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$33,126,703SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$35,522,618SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$2,395,915SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$2,395,915TotalRevenueColumnAmt
Exclusion-$2,395,915ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUS INCOMEDesc
Business900099BusinessCd
Total Revenue Column$256,517TotalRevenueColumnAmt
Related Or Exempt Func Income$256,517RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$256,517OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$136,580,884TotalRevenueColumnAmt
Related Or Exempt Func Income$134,920,193RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$1,660,691ExclusionAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$123,379,853TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$280,252TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$1,681,119TotalAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$54,521TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$474,009TotalAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$149,035TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$436,555TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$49,000TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$207,202TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$554,403TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$379,031TotalAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$621,828TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$107,262TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$27,593TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$87,272TotalAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$72,430TotalAmt

Other Expenses OtherExpensesGrp

FieldValueIRS element (for citing)
DescADM.EXPENSES REIMBURSEDDesc
Total-$244,980TotalAmt

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$697TotalAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$128,317,082TotalAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$2,525,890BOYAmt
EOY$947,100EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$20,377,728BOYAmt
EOY$10,937,378EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$12,761,328BOYAmt
EOY$13,187,867EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$72,944BOYAmt
EOY$106,058EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$3,828,154LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$3,498,350LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$201,544BOYAmt
EOY$329,804EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$86,471,910BOYAmt
EOY$96,842,674EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$31,166,578BOYAmt
EOY$31,577,067EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$977,240EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$153,577,922BOYAmt
EOY$154,905,188EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$435,181BOYAmt
EOY$25,864EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$269,998BOYAmt
EOY$331,824EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$5,126,537BOYAmt
EOY$1,417,592EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$5,831,716BOYAmt
EOY$1,775,280EOYAmt
FieldValueIRS element (for citing)
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

FieldValueIRS element (for citing)
BOY$147,746,206BOYAmt
EOY$153,129,908EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$147,746,206BOYAmt
EOY$153,129,908EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$153,577,922BOYAmt
EOY$154,905,188EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$8,263,802ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$2,880,100NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit Committee0AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$343,540OtherCostOrOtherBasisAmt
Depreciation$337,117DepreciationAmt
Book Value$6,423BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,076,716OtherCostOrOtherBasisAmt
Depreciation$834,460DepreciationAmt
Book Value$242,256BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,407,898OtherCostOrOtherBasisAmt
Depreciation$2,326,773DepreciationAmt
Book Value$81,125BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$329,804TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (3 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
COMMON COLLECTIVE TRUST$12,539,072F
LIMITED PARTNERSHIP$14,877,617F
ETF$4,160,378F
FieldValueIRS element (for citing)
Total Book Value Securities$31,577,067TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
DUE TO BROKER$433,413
DUE TO LOCAL 804 PENSION FUND$4,417
LEASE LIABILITY - OPERATING LEASE$979,762
FieldValueIRS element (for citing)
Total Liability$1,417,592TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$133,493,582TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$2,880,100NetUnrealizedGainsInvstAmt
Revenue Not Reported-$2,880,100RevenueNotReportedAmt
Revenue Subtotal$136,373,682RevenueSubtotalAmt
Investment Expenses Not Incld$207,202InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt$207,202RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$136,580,884TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$128,109,880TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$128,109,880ExpensesSubtotalAmt
Investment Expenses Not Incld2$207,202InvestmentExpensesNotIncld2Amt
Expenses Not Rpt Fincl Stmt$207,202ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$128,317,082TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationACCOUNTING 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 INTERNAL REVENUE SERVICE. THE PLAN ADMINISTRATOR HAS ANALYZED THE TAX POSITIONS TAKEN BY THE PLAN, AND HAS CONCLUDED THAT AS OF MAY 31, 2023, 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. EMPLOYEE BENEFIT PLANS ARE SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS FOR THE PLAN. THE PLAN ADMINISTRATOR BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO MAY 31, 2020.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
MARC PANTELEONE
FUND MANAGER$216,720$0$0$0$0$0$33,847$0$25,905$0$276,472$0$0$0
MAGGIE WU
ACCOUNTANT$193,088$0$0$0$0$0$6,364$0$26,690$0$226,142$0$0$0
CHRISTOPHER WILLIAMSON
UNION TRUSTEE$0$143,223$0$0$0$0$0$31,547$0$25,905$0$200,675$0$0
ANTHONY CERULLI
UNION TRUSTEE$0$143,123$0$0$0$0$0$31,547$0$25,905$0$200,575$0$0
VINCENT PERRONE
UNION TRUSTEE$0$142,823$0$0$0$0$0$31,547$0$25,905$0$200,275$0$0
ANTONINO ROSCIGLIONE
UNION TRUSTEE$0$142,523$0$0$0$0$0$31,547$0$25,905$0$199,975$0$0
CHRISTINE NICOLETTI
OFFICE MANAGER$112,860$0$0$0$0$0$33,847$0$25,905$0$172,612$0$0$0
JAMES PANTELEONE
IT AND BENEFIT CLAIMS ASSI$138,823$0$0$0$0$0$6,364$0$26,453$0$171,640$0$0$0
CELIA LIAW
BENEFIT CLAIMS ASSISTANT$118,193$0$0$0$0$0$6,364$0$26,477$0$151,034$0$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 8BTHE FUND DOES NOT HAVE ANY COMMITTEE WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY.
FORM 990, PART VI, SECTION B, LINE 11BTHE FUND'S BOARD OF TRUSTEES REVIEWS THE FORM 990 PRIOR TO ITS FILING.
FORM 990, PART VI, SECTION B, LINE 15THE FUND'S BOARD OF TRUSTEES REVIEWS AND AUTHORIZES COMPENSATION FOR ALL EMPLOYEES, INCLUDING FOR THE TOP MANAGEMENT OFFICIAL. THE REVIEW PROCESS IS CONDUCTED AT THE BOARD MEETING AND DOCUMENTED ACCORDINGLY.
FORM 990, PART VI, SECTION C, LINE 19THE FUND MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON RECEIPT OF A PARTICIPANT'S WRITTEN REQUEST.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtControlled OrganizationControlledOrganizationInd
LOCAL 804 ANNUITY FUND
44 S BAYLES AVEPORT WASHINGTONNY110503765112506358SHARED ADMINISTRATIVE COSTNY1.401-1(B)(3)0
LOCAL 804 IBT
44 S BAYLES AVEPORT WASHINGTONNY110503765111603598CONTRIBUTING EMPLOYER & RENTAL EXPENSENY501(C)(5)0
LOCAL 804 PENSION FUND
44 S BAYLES AVEPORT WASHINGTONNY110503765116077200SHARED ADMINISTRATIVE COSTNY1.401-1(B)(3)0
LOCAL 804 FEDERAL CREDIT UNION
44 S BAYLES AVEPORT WASHINGTONNY110503765112491081RELATED TO LOCAL 804 IBT, THE UNIONNY501(C)(1)0

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Primary ActivitiesPrimaryActivitiesTxtControlled OrganizationControlledOrganizationInd
UNITED PARCEL SERVICE
CONTRIBUTING EMPLOYER0
TRUMP VILLAGE INC
CONTRIBUTING EMPLOYER0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (7 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
LOCAL 804 ANNUITY FUND
O$160,023SHARED ADM. COST AGREEMENT
LOCAL 804 ANNUITY FUND
N$36,808SHARED ADM. COST AGREEMENT
LOCAL 804 IBT
K$71,052OFFICE RENTAL EXPENSE
LOCAL 804 PENSION FUND
O$41,936SHARED ADM. COST AGREEMENT
LOCAL 804 PENSION FUND
N$6,213SHARED ADM. COST AGREEMENT
LOCAL 804 PENSION FUND
Q$36,728SHARED ADM. COST AGREEMENT
LOCAL 804 ANNUITY FUND
Q$135,245SHARED ADM. COST AGREEMENT

Unrelated Org Txbl Partnership UnrelatedOrgTxblPartnershipGrp

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BOYD WATTERSON STATE GOVERNMENT FUND LPBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1ONE NORTH WACKER DRIVE SUITE 4025AddressLine1Txt
CityCHICAGOCityNm
State AbbreviationILStateAbbreviationCd
ZIP60606ZIPCd
FieldValueIRS element (for citing)
EIN320538379EIN
Primary ActivitiesINVESTMENTPrimaryActivitiesTxt
Legal Domicile StateILLegalDomicileStateCd
Predominate Income483009PredominateIncomeDesc
All Partners C3 S0AllPartnersC3SInd
Share Of EOY Assets$13,703,415ShareOfEOYAssetsAmt
Disproportionate Allocations0DisproportionateAllocationsInd
General Or Managing Partner0GeneralOrManagingPartnerInd
Ownership0.00730OwnershipPct