STRATEGY STUDIO / PUBLIC DATA EXPLORER

TRI STATE JOINT FUND: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
TRI STATE JOINT FUND (EIN 06-0850110)
Tax period
2022-07-01 to 2023-06-30
Filed
2024-05-14
IRS object ID
202441359349304694
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)
Return2024-05-14T11:03:04-05:00ReturnTs
Tax Period End2023-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN061298465PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1SM ESPOSITO & CO PCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line13013 DIXWELL AVENUEAddressLine1Txt
CityHAMDENCityNm
State AbbreviationCTStateAbbreviationCd
ZIP06518ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN060850110EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1TRI-STATE JOINT FUNDBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlTRI-BusinessNameControlTxt
Phone2032502601PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1609 WEST JOHNSON AVENUE 2ND FLAddressLine1Txt
CityCHESHIRECityNm
State AbbreviationCTStateAbbreviationCd
ZIP06410ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonBEVAN SWEETPersonNm
Person TitleUNION CO-CHAIRMANPersonTitleTxt
Phone2032502601PhoneNum
Signature2024-05-14SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstBEVANPersonFirstNm
Person LastSWEETPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info Curr0IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDANA HARVEY CPAPreparerPersonNm
PTINP01452206PTIN
Phone2033877771PhoneNum
Preparation2024-05-14PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
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 OfficerBEVAN SWEETPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1609 WEST JOHNSON AVENUE 2ND FLAddressLine1Txt
CityCHESHIRECityNm
State AbbreviationCTStateAbbreviationCd
ZIP06410ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$141,074,542GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501cYes (X)Organization501cInd
Website AddressN/AWebsiteAddressTxt
Type Of Organization TrustYes (X)TypeOfOrganizationTrustInd
Formation1968FormationYr
Legal Domicile StateCTLegalDomicileStateCd
Activity Or MissionSELF-INSURED HEALTH BENEFIT PLANActivityOrMissionDesc
Voting Members Governing Body23VotingMembersGoverningBodyCnt
Voting Members Independent23VotingMembersIndependentCnt
Total Employee11TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$121,373,559PYProgramServiceRevenueAmt
CY Program Service Revenue$125,171,732CYProgramServiceRevenueAmt
PY Investment Income$427,479PYInvestmentIncomeAmt
CY Investment Income-$953,275CYInvestmentIncomeAmt
PY Other Revenue$1,360PYOtherRevenueAmt
CY Other Revenue$35,770CYOtherRevenueAmt
PY Total Revenue$121,802,398PYTotalRevenueAmt
CY Total Revenue$124,254,227CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$118,264,355PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$121,338,642CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$1,433,393PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$1,484,970CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$1,995,181PYOtherExpensesAmt
CY Other Expenses$2,503,759CYOtherExpensesAmt
PY Total Expenses$121,692,929PYTotalExpensesAmt
CY Total Expenses$125,327,371CYTotalExpensesAmt
PY Revenues Less Expenses$109,469PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$1,073,144CYRevenuesLessExpensesAmt
Total Assets BOY$32,402,096TotalAssetsBOYAmt
Total Assets EOY$32,248,972TotalAssetsEOYAmt
Total Liabilities BOY$12,283,855TotalLiabilitiesBOYAmt
Total Liabilities EOY$11,145,732TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$20,118,241NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$21,103,240NetAssetsOrFundBalancesEOYAmt
MissionPROVIDE SELF-INSURED HEALTH AND WELFARE BENEFITS TO MEMBERS COVERED UNDER COLLECTIVE BARGAINING AGREEMENTS NEGOTIATED BY TEAMSTER LOCALS.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
DescTHE FUND OPERATES UNDER A TRUST AGREEMENT FOR THE PURPOSEOF MAKING BENEFIT PAYMENTS TO MEMBERS OF THE TRI-STATETEAMSTERS HEALTH SERVICES & INSURANCE PLAN, THESE BENEFITS COVER HOSPITAL,SURGICAL, PRESCRIPTION DRUG, HOME HEALTH CARE AND DEATH BENEFITS FOR 11,499 ACTIVE AND RETIRED MEMBERS PLUS THEIR DEPENDENTS.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 Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
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 MemYes (1)BusinessRlnWithFamMemInd
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 Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document151IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee11EmployeeCnt
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 Members23GoverningBodyVotingMembersCnt
Independent Voting Member23IndependentVotingMemberCnt
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 CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy0ConflictOfInterestPolicyInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SHARON AGNELLOBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone2032502604PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1609 WEST JOHNSON AVENUE 2ND FLAddressLine1Txt
CityCHESHIRECityNm
State AbbreviationCTStateAbbreviationCd
ZIP06410ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
DENNIS MCGUIRE
EMPLOYER CO-CHAIRMAN & TRU4.002.00Yes (X)$20,000$0$0
THOMAS BAYUSIK
UNION TRUSTEE1.004.00Yes (X)$0$0$0
SALVATORE ABATE
UNION TRUSTEE1.004.00Yes (X)$0$0$0
TIMOTHY CASEY
EMPLOYER TRUSTEE1.002.00Yes (X)$0$0$0
FORREST HARVEY
EMPLOYER TRUSTEE1.002.00Yes (X)$0$0$0
EDWIN ROONEY
UNION TRUSTEE1.004.00Yes (X)$0$0$0
ROBERT DIGIROLAMO
UNION TRUSTEE1.004.00Yes (X)$0$0$0
GEORGE WIESENDANGER
EMPLOYER TRUSTEE1.004.00Yes (X)$0$0$0
FRANK ROSSI
UNION TRUSTEE1.004.00Yes (X)$0$0$0
BRYAN DONOVAN JR
UNION TRUSTEE1.004.00Yes (X)$0$0$0
ROBERT SULLIVAN JR
EMPLOYER TRUSTEE1.002.00Yes (X)$0$0$0
LAWRENCE KEEFE
EMPLOYER TRUSTEE1.002.00Yes (X)$0$0$0
BEVAN SWEET
UNION CO-CHAIRMAN1.004.00Yes (X)$0$0$0
CRAIG MITCHELL
UNION TRUSTEE1.004.00Yes (X)$0$0$0
NICHOLAS REUT
EMPLOYER TRUSTEE1.002.00Yes (X)$0$0$0
ROARK LEVINE
EMPLOYER TRUSTEE1.002.00Yes (X)$0$0$0
SCOTT BLAIS
EMPLOYER TRUSTEE1.002.00Yes (X)$0$0$0
ANTHONY LEPORE
UNION TRUSTEE1.004.00Yes (X)$0$0$0
MICHAEL RINALDI
(FORMER) UNION TRUSTEE1.004.00Yes (X)$0$0$0
HELGA SCHMIDT
(FORMER) EMPLOYER TRUSTEE1.002.00Yes (X)$0$0$0
PAUL AYOUB
EMPLOYER TRUSTEE1.002.00Yes (X)$0$0$0
GLENN BARKSDALE
UNION TRUSTEE1.004.00Yes (X)$0$0$0
PAUL NOVAK
(FORMER) EMPLOYER TRUSTEE1.002.00Yes (X)$0$0$0
JAMES STACK
EMPLOYER TRUSTEE1.002.00Yes (X)$0$0$0
ROBERT ZIOBROWSKI
UNION TRUSTEE1.004.00Yes (X)$0$0$0
ARTHUR BELL
UNION TRUSTEE1.004.00Yes (X)$0$0$0
SHARON AGNELLO
EXECUTIVE DIRECTOR40.00$153,813$0$50,553Yes (X)
SUSAN KOSTEK
IT DIRECTOR40.00$116,089$0$50,553Yes (X)
ERIN FLAVIN
CLAIMS ADMINISTRATOR40.00$114,248$0$50,553Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$404,150TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$151,659TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K3IndivRcvdGreaterThan100KCnt
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
THE SEGAL COMPANY
CHURCH STREET STATION P O BOX 4059NEW YORKNY102614059ACTUARIAL$412,889
SOFTWARE SYSTEM SOLUTIONS LLC
270 FRAMINGTON AVEFARMINGTONCT06032COMPUTER & TECHNOLOGY SUPPORT$338,308
ROBERT M CHEVERIE & ASSOC
333 EAST RIVER DRIVEEAST HARTFORDCT06108LEGAL$322,230
SM ESPOSITO & COMPANY PC
3013 DIXWELL AVEHAMDENCT06518ACCOUNTING/AUDITING$305,747
CHANGE HEALTHCARE PAYMENT MGMT
3055 LEBANON PIKENASHVILLETN37214PRINTING/MAILING$155,777
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CONTRIBUTIONS - HEALTH FUNDS900099$125,170,162$125,170,162
RENTAL INCOME - AFFILIATE900099$1,570$1,570
FieldValueIRS element (for citing)
Total Program Service Revenue$125,171,732TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$449,159TotalRevenueColumnAmt
Exclusion$449,159ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$15,386,381SecuritiesAmt
Other$31,500OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$16,796,232SecuritiesAmt
Other$24,083OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$1,409,851SecuritiesAmt
Other$7,417OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$1,402,434TotalRevenueColumnAmt
Related Or Exempt Func Income$7,417RelatedOrExemptFuncIncomeAmt
Exclusion-$1,409,851ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescREFUNDS & REIMBURSEMENTSDesc
Business900099BusinessCd
Total Revenue Column$35,770TotalRevenueColumnAmt
Related Or Exempt Func Income$35,770RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$35,770OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$124,254,227TotalRevenueColumnAmt
Related Or Exempt Func Income$125,214,919RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion-$960,692ExclusionAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$121,338,642TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$186,040TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$711,532TotalAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$241,511TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$275,868TotalAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$70,019TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$322,230TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$197,747TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$48,644TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$532,189TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$375,881TotalAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$465,391TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$172,542TotalAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$34,553TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$118,639TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$23,353TotalAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$52,377TotalAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmt
OUTSIDE SERVICES - PAYM$155,777
MEDICAL EQUIPMENT$4,436

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$125,327,371TotalAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$97,532BOYAmt
EOY$161,953EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$3,384,101BOYAmt
EOY$2,371,837EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$50,784BOYAmt
EOY$80,785EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$494,381LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$392,309LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$139,724BOYAmt
EOY$102,072EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$18,146,779BOYAmt
EOY$19,369,335EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$10,583,176BOYAmt
EOY$10,162,990EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$32,402,096BOYAmt
EOY$32,248,972EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,521,288BOYAmt
EOY$1,565,690EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$10,762,567BOYAmt
EOY$9,580,042EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$12,283,855BOYAmt
EOY$11,145,732EOYAmt
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$20,118,241BOYAmt
EOY$21,103,240EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$20,118,241BOYAmt
EOY$21,103,240EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$32,402,096BOYAmt
EOY$32,248,972EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$1,073,144ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$2,058,143NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
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 CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$10,148OtherCostOrOtherBasisAmt
Depreciation$3,046DepreciationAmt
Book Value$7,102BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$122,110OtherCostOrOtherBasisAmt
Depreciation$72,576DepreciationAmt
Book Value$49,534BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$362,123OtherCostOrOtherBasisAmt
Depreciation$316,687DepreciationAmt
Book Value$45,436BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$102,072TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDescBook ValueBookValueAmt
MISCELLANEOUS RECEIVABLE$3,060,282
DUE FROM AFFILIATES$6,293,260
SECURITY DEPOSIT$7,583
RIGHT OF USE ASSET - OPERATING LEASES$801,865
FieldValueIRS element (for citing)
Total Book Value Other Assets$10,162,990TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDescAmtAmt
DUE TO ANTHEM$2,985,328
DUE TO AFFILIATES$4,966,764
CLAIMS INCURRED BUT NOT RECEIVED$47,500
HEALTH BENEFITS RECONCILIATION$764,560
RIGHT OF USE LIABILITY - OPERATING LEASES$815,890
FieldValueIRS element (for citing)
Total Liability$9,580,042TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$126,312,369TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$2,058,143NetUnrealizedGainsInvstAmt
Revenue Not Reported$2,058,143RevenueNotReportedAmt
Revenue Subtotal$124,254,226RevenueSubtotalAmt
Other Revenues Not Included$1OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$1RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$124,254,227TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$125,307,672TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$125,307,672ExpensesSubtotalAmt
Other Expenses Not Included$19,699OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$19,699ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$125,327,371TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART X, LINE 2:ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE THE PLAN TO EVALUATE TAX POSITIONS TAKEN AND TO RECOGNIZE A TAX LIABILITY FOR ANY UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY TAX AUTHORITIES; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. THE PLAN FILES ITS FORM 990 IN THE U.S. FEDERAL JURISDICTION. THE PLAN BELIEVES THAT THE INCOME TAX RETURNS FOR YEARS ENDED JUNE 30, 2019 AND PRIOR ARE CLOSED YEARS AND THEREFORE, ARE NOT SUBJECT TO THE AUDIT PROCESS.
PART XI, LINE 4B - OTHER ADJUSTMENTS:ROUNDING ADJUSTMENT 1.
PART XII, LINE 4B - OTHER ADJUSTMENTS:CHANGE IN BENEFIT OBLIGATION 19,700. ROUNDING ADJUSTMENT -1.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 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
SHARON AGNELLO
EXECUTIVE DIRECTOR$153,813$0$0$0$0$0$24,684$0$25,869$0$204,366$0$0$0
SUSAN KOSTEK
IT DIRECTOR$116,089$0$0$0$0$0$24,684$0$25,869$0$166,642$0$0$0
ERIN FLAVIN
CLAIMS ADMINISTRATOR$114,248$0$0$0$0$0$24,684$0$25,869$0$164,801$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 3FormAndLineReferenceDesc
ExplanationTHE CO-CHAIRMEN REVIEW AND ADJUST THE COMPENSATION OF THE EXECUTIVE DIRECTOR ON AN ANNUAL BASIS.ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonABRINA CAPOBIANCOPersonNm
FieldValueIRS element (for citing)
Relationship DescriptionDAUGHTER IN LAW OF (FORMER) CO-CHAIR JOHN CAPOBIANCORelationshipDescriptionTxt
Transaction$129,582TransactionAmt
TransactionPAYMENT OF WAGES AND BENEFITS AS A RESULT OF EMPLOYMENT WITH THE ORGANIZATION.TransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BFORM 990 IS REVIEWED WITH THE CO-CHAIRMEN AND THE EXECUTIVE DIRECTOR PRIOR TO FILING OF THE RETURN.
FORM 990, PART VI, SECTION B, LINE 15ATHE CO-CHAIRMEN REVIEW AND ADJUST THE COMPENSATION OF THE EXECUTIVE DIRECTOR ON AN ANNUAL BASIS.
FORM 990, PART VI, SECTION C, LINE 19TRI-STATE JOINT FUND DOES NOT MAKE AVAILABLE TO THE GENERAL PUBLIC ANY OF ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY OR FINANCIAL STATEMENTS.
FORM 990, PART X11, LINE 2COVERSIGHT RESPONSIBILITY THERE HAS BEEN NO CHANGE IN THE OVERSIGHT RESPONSIBILITY. THE TRUSTEE'S ASSUME RESPONSIBILITY FOR THE AUDIT PROCESS INCLUDING SELECTION OF THE INDEPENDENT AUDITOR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationInd
IBT TEAMSTERS LOCAL 191 HEALTH SERVICE & INSURANCE PLAN
1139 FAIRFIELD AVENUEBRIDGEPORTCT06605060689974AFFILIATED SELF INSURED HEALTH PLANCT501C-9N/A0
TEAMSTERS LOCAL 404 HEALTH SERVICE & INSURANCE PLAN
115 PROGRESS AVENUESPRINGFIELDMA01104042174518AFFILIATED SELF INSURED HEALTH PLANMA501C-9N/A0
TRANSPORTATION LOCAL 443 HEALTH SERVICE & INSURANCE PLAN
200 WALLACE STREETNEW HAVENCT06511060690083AFFILIATED SELF INSURED HEALTH PLANCT501C-9N/A0
GENERAL TEAMSTERS LOCAL 493 HEALTH SERVICE & INSURANCE PLAN
18 CRESCENT STREETUNCASVILLECT06382060689500AFFILIATED SELF INSURED HEALTH PLANCT501C-9N/A0
TEAMSTERS LOCAL 671A HEALTH SERVICE & INSURANCE PLAN
22 BRITTON DRIVEBLOOMFIELDCT06002060683663AFFILIATED SELF INSURED HEALTH PLANCT501C-9N/A0
TEAMSTERS LOCAL 677 HEALTH SERVICE & INSURANCE PLAN
1871 BALDWIN STREETWATERBURYCT06706060691862AFFILIATED SELF INSURED HEALTH PLANCT501C-9N/A0
TEAMSTERS LOCAL 1035 HEALTH SERVICE & INSURANCE PLAN
400 CHAPEL ROAD UNIT 2-ASOUTH WINDSORCT06074060997832AFFILIATED SELF INSURED HEALTH PLANCT501C-9N/A0
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 Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (7 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
IBT TEAMSTERS LOCAL 191 HEALTH SERVICE & INSURANCE PLAN
L$939,951CASH VALUE
TEAMSTERS LOCAL 404 HEALTH SERVICE & INSURANCE PLAN
L$393,532CASH VALUE
TRANSPORTATION LOCAL 443 HEALTH SERVICE & INSURANCE PLAN
L$730,408CASH VALUE
GENERAL TEAMSTERS LOCAL 493 HEALTH SERVICE & INSURANCE PLAN
L$337,741CASH VALUE
TEAMSTERS LOCAL 671A HEALTH SERVICE & INSURANCE PLAN
L$213,670CASH VALUE
TEAMSTERS LOCAL 677 HEALTH SERVICE & INSURANCE PLAN
L$519,675CASH VALUE
TEAMSTERS LOCAL 1035 HEALTH SERVICE & INSURANCE PLAN
L$344,722CASH VALUE