2024-04-12T16:43:58-05:00 2023-06-30 132550103 D'ARCANGELO & CO LLP 120 LOMOND COURT UTICA NY 135025950 990 2022-07-01 141512728 INT'L ASSOC OF BRIDGE STRUCTURAL ORMTL & REINFORCING IRONWORKERS LCL 12 HLTH FD INTL 8004468646 8 FAIRFIELD BOULDVARD 105 WALLINGFORD CT 06492 JOHN BISSAILLON TRUSTEE 8004468646 2024-04-10 1 JOHN BISSAILLON 999009999 0 COURTNEY A PEARSALL CPA P01262321 3157355216 2024-04-10 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z JOHN BISSAILLON 8 FAIRFIELD BOULDVARD 105 WALLINGFORD CT 06492 7764479 0 X N/A X 1950 NY TO ADMINISTER A HEALTHCARE BENEFITS PROGRAM FOR UNION MEMBERS 4 2 0 0 0 0 0 0 1798561 1729656 495938 12704 3786 0 2298285 1742360 0 0 1675927 892049 54584 54573 0 0 0 387914 384172 2118425 1330794 179860 411566 8988711 9748858 111554 98779 8877157 9650079 NONE 0 0 PROVIDE MEDICAL, DENTAL, VISION AND LIFE INSURANCE BENEFITS FOR MEMBERS OF THE INTERNATIONAL ASSOCIATION OF BRIDGE, STRUCTURAL, ORNAMENTAL & REINFORCING IRONWORKERS LOCAL 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 0 0 0 0 0 0 0 0 0 0 0 0 X 4 2 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X ZENITH AMERICAN SOLUTIONS 8004468646 8 FAIRFIELD BOULEVARD SUITE 105 WALLINGFORD CT 06492 HENRY DIGESER TRUSTEE 5.00 X 0 0 0 CHRISTINA AUDI TRUSTEE 5.00 X 0 0 0 JOHN BISSAILLON TRUSTEE 5.00 X 0 90657 78102 MATTHEW RIORDAN TRUSTEE 5.00 X 0 84098 75253 0 174755 153355 0 0 1 0 ZENITH AMERICAN SOLUTIONS 8 FAIRFIELD BOULEVARD WALLINGFORD CT 06492 THIRD PARTY ADMINISTRATOR 100756 1 EMPLOYER CONTRIBUTIONS 525100 1716182 1716182 SELF PAY CONTRIBUTIONS 525100 13474 13474 1729656 186443 40558 145885 5848380 6022119 -173739 -173739 -173739 1742360 1596475 0 145885 X 892049 29120 23089 2364 51141 11800 46052 243564 5705 4556 5256 PAYROLL AUDIT 11874 TELEPHONE 2362 GENERAL EXPENSE 1072 AFFORDABLE CARE ACT FEE 790 1330794 642420 1083689 525457 176812 261252 216792 2341 2340 7557241 8269225 8988711 9748858 52500 81358 59054 17421 111554 98779 X 0 0 0 0 8877157 9650079 8877157 9650079 8988711 9748858 411566 361356 0 X X 0 1 X 1 0 0 59054 19835 61469 17420 1 0 2057664 361356 361356 1696308 46052 46052 1742360 1284742 0 1284742 46052 46052 1330794 0 0 0 JOHN BISSAILLON TRUSTEE 0 90657 0 0 0 0 0 63620 0 14482 0 168759 0 0 MATTHEW RIORDAN TRUSTEE 0 84098 0 0 0 0 0 61284 0 13969 0 159351 0 0 FORM 990, PART VI, SECTION B, LINE 11B A DRAFT COPY OF THE 990 IS EMAILED TO ALL TRUSTEES PRIOR TO ITS FILING. FORM 990, PART VI, SECTION B, LINE 12C ANNUALY THEY HAVE TRUSTEES SIGN FORM THAT THEY ARE IN COMPLIANCE. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST AT THE HEALTH INSURANCE FUND OFFICE. FORM 990, PART IX, LINE 11G MEDICAL REVIEW AND CLAIMS ADMINISTRATION 149,927. ACTUARY FEES 49,637. ZENITH ADMINISTRATION FEES 44,000. FORM 990, PART XII, LINE 2C THE PROCESS HAS NOT CHANGED SINCE THE PRIOR YEAR. IRONWORKERS LOCAL UNION NO 12 & EMPLOYERS COOPERATIVE TRUST 17 HEMLOCK STREET LATHAM NY 12110 261661980 IDENTIFY & EXPAND WORK OPPORTUNITY, WORK PRESERVATION, JOB SECURITY NY 501(C)(5) 0 IRONWORKERS LOCAL UNION NO 12 EDUCATION & TRAINING TRUST FUND 17 HEMLOCK STREET LATHAM NY 12110 237232360 EDUCATION & TRAINING OF IRONWORKERS NY 501(C)(5) 0 INTL ASSOC OF BRIDGE STRUCTURAL ORNAMENTAL & REINF IRONWORKERS NO 12 17 HEMLOCK STREET LATHAM NY 12110 140771904 REPRESENTATION OF MEMBERS NY 501(C)(5) 0 IRONWORKERS LOCAL UNION NO 12 PENSION FUND 8 FAIRFIELD BOULEVARD WALLINGFORD CT 06492 141512731 PENSION BENEFIT FUND OF MEMBERS NY 401(A) 0 AAA REINFORCING ABGNJ ACCESS ANVIL CORP ADIRONDACK MECHANICAL SERVS LLC AMERICAN IRON INC ATLANTIC BRIDGE & ENGINEERING BWD STEEL INC BARBER MARKETING INC BBL CARLTON LLC BURT CRANE & RIGGING CA FIELD IRONWORKERS CENTRAL INDUSTRIAL CHANDLER PRODUCTS CHRISTINA STEEL INC CLIFTON PARK INSTALLATIONS LLC COLLINS DA CONSTRUCTION CO CRYSTAL STEEL FABRICATORS DELLOVADE INC AC ELDERLEE INC ELDY LLC FRANK LILL & SON INC GITZEN COMPANY INC GOULD ERECTORS & RIG IW LOCAL 12 OFFICE IW #12 FRINGES J&J CONSTRUCTION & RIGGING JD MISCELLANEOUS METALS JPW ERECTORS INC LILL FRANK & SON INC LOCAL 67 DM IRON WORKERS LONGHOUSE CONSTRUCTION GRP MAMMOET NORTHERN USA INC MARGUERITE CONCRETE INC MIDWEST STEEL INC MSC STEEL LLC MURNANE CONSTRUCTION SVCS INC NEW YORK STEEL AND PRECAST LLC NIAGARA ERECTING INC NORTHEAST RIGGERS & ERECTOR NORTHERN STUD WELDING LLC REO WELDING CO RIG ALL INC ROZELL EAST INC ROZELL NORTH LLC SECURITY SYSTEMS INSTALLATION SENECA STEEL ERECTORS SOUTHEASTERN IRON WORKERS SOUTHLAND RENDA JV STANDARD STEEL FABRI STRUCTURAL SERVICES INC TD FENCING & IRONWORK LLC THREE D RIGGING & CONSTRUCTION TRI-CITY STEEL ERECTORS WEST WIND REINFORCING WHITACRE ENGINEERING WILTSIE CONSTRUCTION COINC WOODSMITH FENCE CORP 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 LOCAL 12 PENSION FUND O 33038 MARKET VALUE