2024-10-08T11:52:41-05:00 2023-12-31 131577780 SCHULTHEIS & PANETTIERI LLP 450 WIRELESS BLVD HAUPPAUGE NY 11788 990 2023-01-01 135542693 CEMENT AND CONCRETE WORKERS DC WELFARE FUND CEME 7187626133 214-38 42ND AVENUE 2ND FLOOR BAYSIDE NY 11361 ANGELO ANGELONE UNION TRUSTEE 7187626133 2024-10-08 1 1 CAROL WESTFALL P00539069 6312734778 2023 2024-10-15 13:58:12Z CHRISTINA MADERICH 214-38 42ND AVENUE 2ND FLOOR BAYSIDE NY 11361 52538057 0 X WWW.CCWBF.ORG X 1949 NY TO PROVIDE HEALTH AND OTHER BENEFITS TO ELIGIBLE PARTICIPANTS. 8 8 11 0 0 0 0 0 20013503 20602604 2918554 4914020 352210 389309 23284267 25905933 0 0 32681390 35725322 1641707 1379409 0 0 0 230638 431470 34553735 37536201 -11269468 -11630268 89661297 80647433 6447117 5346539 83214180 75300894 TO PROVIDE HEALTH AND OTHER BENEFITS TO ELIGIBLE PARTICIPANTS. 0 0 TO PROVIDE HEALTH AND OTHER BENEFITS TO ELIGIBLE PARTICIPANTS. 0 0 0 0 0 0 0 0 0 1 1 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 31 0 1 11 1 0 0 0 0 0 0 0 0 X 8 8 0 0 0 0 0 1 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X CHRISTINA MADERICH 7187626133 214-38 42ND AVENUE 2ND FLOOR BAYSIDE NY 11361 ANGELO ANGELONE UNION TRUSTEE 1.00 5.00 X 0 0 0 MICHAEL SALGO EMPLOYER TRUSTEE 1.00 5.00 X 0 0 0 ERIC LEE EMPLOYER TRUSTEE 1.00 4.00 X 0 0 0 ANTHONY AMELLA UNION TRUSTEE 1.00 3.00 X 0 0 0 KIERAN O'SULLIVAN UNION TRUSTEE 1.00 5.00 X 0 0 0 JOHN PETERS UNION TRUSTEE 1.00 5.00 X 0 0 0 KEVIN O'BRIEN EMPLOYER TRUSTEE 1.00 5.00 X 0 0 0 JOSEPH MITRIONE EMPLOYER TRUSTEE 1.00 5.00 X 0 0 0 ABBY KAPLAN INTERIM FUND ADMINISTRATOR 7.00 33.00 X 218169 0 74367 JESSICA SCHIPPELL PEN FD MGR 0.00 40.00 X 100440 0 40874 ALEXA ANGELONE EMPLOYEE 13.00 27.00 X 132476 0 47679 451085 0 162920 3 0 1 0 EMPIRE HEALTHCHOICE ASSURANCE INC ONE LIBERTY PLAZA STE 200 NEW YORK NY 10006 HEALTH CLAIMS PROCES 545356 GORLICK KRAVITZ & LISTHAUS PC 17 STATE STREET 4TH FLR NEW YORK NY 100041501 LEGAL 519441 FITZSIMMONS ABRAMS LLP 7600 JERICHO TURNPIKE 403 WOODBURY NY 11797 PAYROLL AUDIT 251602 PROSKAUER ROSE LLP 11 TIMES SQUARE NEW YORK NY 10036 LEGAL 185298 BASYS 15300 W 105TH TERRACE LENEXA KS 66219 COMPUTER 176070 5 EMPLOYER CONTRIBUTIONS 238900 15962855 15962855 PARTICIPANT CONTRIBUTIONS 238900 4639749 4639749 20602604 1409860 1409860 30136284 26632124 3504160 3504160 3504160 MEDICARE PART D 238900 371377 371377 OTHER INCOME 238900 17932 17932 389309 25905933 20991913 0 4914020 35725322 54474 894219 258442 97731 74543 704739 322332 108397 140653 183887 275012 149357 75382 119548 REIMBURSED EXPENSES -1647837 37536201 3502729 3443797 1827301 1514054 5376712 5139247 798488 201666 343100 596822 20946670 26052086 57664785 43901427 89661297 80647433 91900 64382 6355217 5282157 6447117 5346539 X 0 0 0 0 83214180 75300894 83214180 75300894 89661297 80647433 -11630268 3716982 0 X 0 1 X 1 0 275686 18379 257307 522802 183287 339515 596822 COMMON/COLLECTIVE TRUST FUNDS 13553579 F PARTNERSHIP/JOINT VENTURE INTERESTS 17668982 F UNALLOCATED INSURANCE CONTRACTS 1361367 F 103-12 INVESTMENT ENTITIES 11317499 F 43901427 DUE TO AFFILIATES 294746 PLANS CURRENT BENEFIT OBLIGATIONS 4987411 5282157 29514518 3716982 3716982 25797536 108397 108397 25905933 38211442 0 38211442 108397 -783638 -675241 37536201 PART XII, LINE 4B - OTHER ADJUSTMENTS: CHANGE IN IBNR -783,638. X 0 0 0 ABBY KAPLAN INTERIM FUND ADMINISTRATOR 218169 0 0 0 0 0 63319 0 11048 0 292536 0 0 0 ALEXA ANGELONE EMPLOYEE 132476 0 0 0 0 0 36652 0 11027 0 180155 0 0 0 ALEXA ANGELONE FAMILY MEMBER 180155 EMPLOYMENT 0 FORM 990, PART VI, SECTION A, LINE 7A THE PLAN IS JOINTLY ADMINISTERED BY TRUSTEES WHO ARE APPOINTED BY THE DISTRICT COUNCIL AND BY EMPLOYER ASSOCIATIONS. FORM 990, PART VI, SECTION B, LINE 11B A COPY OF FORM 990 IS PROVIDED TO ALL VOTING MEMBERS OF THE GOVERNING BODY AND REVIEWED AT A REGULARLY SCHEDULED BOARD MEETING PRIOR TO SUBMISSION. FORM 990, PART VI, SECTION B, LINE 12C AS REQUIRED BY THE FUND'S POLICY AND BY ERISA, OFFICERS, DIRECTORS, AND KEY EMPLOYEES HAVE A CONTINUOUS OBLIGATION TO REPORT POTENTIAL CONFLICTS OF INTEREST. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS ARE AVAILABLE TO THE PUBLIC TO THE EXTENT REQUIRED BY LAW. PARTICIPANTS MAY VIEW DOCUMENTS AT THE FUND OFFICE UPON REQUEST. CCW ANNUITY FUND 214-38 42ND AVE 2ND FLR BAYSIDE NY 11361 112942389 EMPLOYEE BENEFIT FUND NY 501(A) N/A N/A 0 CCW PENSION FUND 214-38 42ND AVE 2ND FLR BAYSIDE NY 11361 135629824 EMPLOYEE BENEFIT FUND NY 501(A) N/A N/A 0 CCW SCHOLARSHIP FUND 214-38 42ND AVE 2ND FLR BAYSIDE NY 11361 306082178 SCHOLARSHIP FUND NY 501(C)3 10 N/A 0 CCW LABOR MGMT FUND 30-56 WHITESTONE EXWY STE 320 FLUSHING NY 11354 616337806 LABOR ORGANIZATION NY 501(C)5 N/A N/A 0 CCW TRAINING AND EDUC FUND 29-18 35TH AVENUE ASTORIA NY 11106 113443290 EMPLOYEE BENEFIT FUND NY 501(C)3 N/A N/A 0 CEMENT AND CONCRETE WORKERS UNION LOCAL 18A 5772 MOSHOLU AVE BRONX NY 10741 130558180 LABOR ORGANIZATION NY 501(C)5 N/A N/A 0 LIUNA CEMENT & CONCRETE LOCAL 20 214-38 42ND AVE 3RD FLR BAYSIDE NY 11361 130872405 LABOR ORGANIZATION NY 501(C)5 N/A N/A 0 CONCRETE WORKERS LOCAL 6A 214-38 42ND AVE 3RD FLR BAYSIDE NY 11361 134988576 LABOR ORGANIZATION NY 501(C)5 N/A N/A 0 CONCRETE WORKERS DISTRICT COUNCIL 214-38 42ND AVE 4TH FLR BAYSIDE NY 11361 135541522 LABOR ORGANIZATION NY 501(C)5 N/A N/A 0 GBLL 66 WELFARE FUND 1600 WALT WHITMAN RD MELVILLE NY 11747 111627279 WELFARE FUND NY 501A N/A N/A 0 LABORERS LOCAL 235 WELFARE FUND 41 KNOLLWOOD RD ELMSFORD NY 10523 131777458 WELFARE FUND NY 501A N/A N/A 0 NEW YORK STATE LABORERS ORG FUND 35-11 35TH AVE ASTORIA NY 11106 208063145 LABOR ORGANIZATION NY 501(C)5 N/A N/A 0 CCW ORGANIZING FUND 29-18 35TH AVENUE ASTORIA NY 11106 830561890 LABOR ORGANIZATION NY 501(C)5 N/A N/A 0 CCW PENSION HOLDING CORP 214-38 42ND AVE 2ND FLR BAYSIDE NY 11361 862730214 TO HOLD TITLE TO REAL ESTATE NY 501(C)2 N/A N/A 0 CCW DC LECET 214-38 42ND AVE 4TH FLR BAYSIDE NY 11361 LABOR ORGANIZATION NY 501(C)5 N/A N/A 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 0 0 SCHEDULE R, PART II AND IV: CERTAIN TRUSTEES LISTED ON PART VII, SECTION A, SERVE AS VOLUNTEERS AND DO NOT RECEIVE COMPENSATION FROM THIS ORGANIZATION OR ANY RELATED ORGANIZATION. 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