2024-11-08T09:42:27-06:00 2023-12-31 611436956 NOVAK FRANCELLA LLC 40 MONUMENT RD 5TH FLR BALA CYNWYD PA 19004 990 2023-01-01 061013879 SHEET METAL WORKERS' LOCAL NO 40 HEALTH FUND SHEE 2125055050 1040 AVE OF THE AMERICAS 24TH FLR NEW YORK NY 100183726 JOHN NIMMONS TRUSTEE 8004468646 2024-11-08 1 0 LOUIS VERZELLA CPA P00360279 6106689400 2024-11-01 2023 2024-10-15 13:58:12Z X JOHN NIMMONS 1040 AVE OF THE AMERICAS 24TH FLR NEW YORK NY 100183726 8345764 0 X N/A X 1949 CT TO PROVIDE HEALTH, LIFE, ACCIDENTAL DEATH & DISMEMBERMENT COVERAGE AND DISABILITY BENEFITS TO PARTICIPANTS AND THEIR ELIGIBLE DEPENDENTS WHO WORK, OR WORKED, IN THE SHEET METAL INDUSTRY AS MEMBERS OF LOCAL 40, OR WHO WORKED IN SUPPORT OF THE INDUSTRY. 8 0 0 0 0 0 0 0 7149974 7858621 7238 59242 604859 427901 7762071 8345764 0 0 6663894 6550858 0 0 0 0 0 781510 870995 7445404 7421853 316667 923911 3441105 4404573 437304 476861 3003801 3927712 X TO PROVIDE HEALTH (MEDICAL, DENTAL, VISION, AND PRESCRIPTION), LIFE, ACCIDENTAL DEATH & DISMEMBERMENT COVERAGE AND DISABILITY BENEFITS TO PARTICIPANTS AND THEIR ELIGIBLE DEPENDENTS WHO WORK, OR WORKED, IN THE SHEET METAL INDUSTRY AS MEMBERS OF LOCAL 40, OR WHO WORKED IN SUPPORT OF THE INDUSTRY. 0 0 TO PROVIDE MAJOR MEDICAL, HOSPITALIZATION, DISABILITY, LIFE INSURANCE, AND OTHER HEALTH BENEFITS TO ELIGIBLE PARTICIPANTS OF THIS FUND AND THEIR BENEFICIARIES. 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 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 8 0 1 0 0 0 0 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X DANIEL COOK ASSOCIATES INC 2125055050 1040 AVENUE OF THE AMERICAS 24TH NEW YORK NY 100183726 JASON SHERMAN LABOR TRUSTEE 0.30 1.00 X 0 0 0 JOHN NIMMONS LABOR TRUSTEE 0.30 1.00 X 0 133512 107582 FRED DESCY LABOR TRUSTEE 0.30 1.00 X 0 117121 104795 JOHN M BEAL LABOR TRUSTEE 0.30 1.00 X 0 0 0 MICHAEL THOMPSON MANAGEMENT TRUSTEE 0.30 X 0 0 0 LYNNE A KLEEBERG MANAGEMENT TRUSTEE 0.30 X 0 0 0 KENNETH R KLEEBERG MANAGEMENT TRUSTEE 0.30 X 0 0 0 JOHN LUCCHESSI MANAGEMENT TRUSTEE 0.30 X 0 0 0 0 250633 212377 0 0 1 0 ZENITH AMERICAN SOLUTIONS 8 FAIRFIELD BLVD STE 105 WALLINGFORD CT 06492 THIRD PARTY ADMINISTRATOR 219448 PAYER MATRIX 1400 N PROVIDENCE RD BLDG 2 ST MEDIA PA 19063 RX BENEFITS MANAGER 213501 ANTHEM HEALTH PLANS 108 LEIGUS ROAD WALLINGFORD CT 06492 PPO, CLAIMS REPRICING 182832 3 EMPLOYER CONTRIBUTIONS 900099 6996431 6996431 RETIREE CONTRIBUTIONS 900099 608888 608888 RECIPROCAL AGREEMENTS, 900099 201774 201774 EMPLOYEE CONTRIBUTIONS 900099 51528 51528 7858621 59242 59242 PRESCRIPTION REBATE 900099 165175 165175 COBRA SUBSIDY REIMBURS 900009 165058 165058 STOP LOSS REIMBURSEMEN 900099 97388 97388 280 280 427901 8345764 8286522 0 59242 X 6550858 48649 30938 1950 751758 8018 16820 7313 DUES ASSESSMENT 5549 7421853 1862963 2686694 778542 877843 11804 11804 787796 828232 3441105 4404573 37148 17205 33422 33422 366734 426234 437304 476861 X 0 0 0 0 3003801 3927712 3003801 3927712 3441105 4404573 923911 0 X X 0 1 X 1 0 0 EMPLOYER BOND DEPOSIT 55234 BENEFIT OBLIGATIONS 371000 426234 X 8246426 0 8246426 1950 97388 99338 8345764 7263015 -97388 -97388 7360403 1950 59500 61450 7421853 PART X, LINE 2: ACCOUNTING 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 IT HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. PART XI, LINE 4B - OTHER ADJUSTMENTS: STOP LOSS REIMBURSEMENTS PART XII, LINE 2D - OTHER ADJUSTMENTS: STOP LOSS REIMBURSEMENTS PART XII, LINE 4B - OTHER ADJUSTMENTS: CHANGES IN BENEFIT OBLIGATIONS 0 0 0 JOHN NIMMONS LABOR TRUSTEE 0 133512 0 0 0 0 0 71036 0 36546 0 241094 0 0 FRED DESCY LABOR TRUSTEE 0 117121 0 0 0 0 0 68249 0 36546 0 221916 0 0 FORM 990, PART VI, SECTION A, LINE 2 TRUSTEES LYNNE A. KLEEBERG AND KENNETH KLEEBERG ARE RELATED. FORM 990, PART VI, SECTION A, LINE 7A IF THERE IS A VACANCY OF A UNION (LABOR) TRUSTEE, A SUCCESSOR TRUSTEE SHALL BE APPOINTED BY THE UNION TO SERVE ON AN INTERIM BASIS. IF THERE IS A VACANCY OF AN ASSOCIATION (MANAGEMENT) TRUSTEE, A SUCCESSOR TRUSTEE SHALL BE APPOINTED BY THE ASSOCIATION. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 WAS PROVIDED TO THE ORGANIZATION'S GOVERNING BODY VIA PAPER COPY OR EMAIL. THE FORM 990 WAS REVIEWED BY THE TRUSTEE SIGNING THE RETURN. FORM 990, PART VI, SECTION B, LINE 12C AFTER DISCLOSURE OF THE CONFLICT, AND AFTER DISCUSSION WITH THE PERSON, THE TRUSTEES SHALL DECIDE IF A CONFLICT EXISTS. IF A MORE ADVANTAGEOUS TRANSACTION OF ARRANGEMENT IS NOT REASONABLY POSSIBLE, THE DISINTERESTED PARTIES WILL DETERMINE WHETHER THE TRANSACTION OR ARRAGEMENT IS IN THE BEST INTEREST OF THE FUND. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF TRUSTEES ANNUALLY REVIEW ALL COMPENSATION AND DOCUMENT THE PROCESS IN MINUTES. FORM 990, PART VI, SECTION C, LINE 18 GOVERMENT DOCUMENTS AND THE CONFLICT OF INTEREST POLICY IS AVAILABLE AT THE FUND OFFICE UPON REQUEST. THE FINANCIAL STATMENTS ARE AVAILABLE FOR PULBIC INSPECTION AT THE FUND OFFICE, FREE OF CHARGE. COPIES OF THE FINANCIAL STATEMENTS AND GOVERNING DOCUMENTS WILL ALSO BE PROVIDED TO EACH MEMBER OR PARTICIPANT. FORM 990, PART VI, SECTION C, LINE 19 GOVERMENT DOCUMENTS AND THE CONFLICT OF INTEREST POLICY IS AVAILABLE AT THE FUND OFFICE UPON REQUEST. THE FINANCIAL STATMENTS ARE AVAILABLE FOR PULBIC INSPECTION AT THE FUND OFFICE, FREE OF CHARGE. COPIES OF THE FINANCIAL STATEMENTS AND GOVERNING DOCUMENTS WILL ALSO BE PROVIDED TO EACH MEMBER OR PARTICIPANT. FORM 990, PART IX, LINE 11G ACTUARIAL AND CONSULTING 44,000. PERSONNEL TRANSITION FEE 9,712. CONTRACT ADMIN FEES 698,046. FORM 990. PART XII, LINE 2C MANAGEMENT IS RESPONSIBLE FOR THE OVERSIGHT OF THE AUDIT, SELECTION OF THE INDEPENDENT AUDITORS AND THE FINANCIAL STATEMENTS. SHEET METAL INDUSTRY APPRENTICE & TRAINING FUND 114 OLD FORGE RD ROCKY HILL CT 06067 237412739 EMPLOYEE BENEFIT FUND CT 501(C)(3) 0 SHEET METAL WORKERS' LOCAL NO 40 PENSION 100 OLD FORGE RD ROCKY HILL CT 06067 066157817 EMPLOYEE BENEFIT FUND CT 501(D) 0 SHEET METAL WORKERS' LOCAL NO 40 SUPP RETIREMENT FUND 100 OLD FORGE RD ROCKY HILL CT 06067 061074075 EMPLOYEE BENEFIT FUND CT 501(D) 0 NORTHEAST REGIONAL COUNCIL OF SMART 1157 ADAMS STREET DORCHESTER MA 02124 862091145 LABOR UNION CT 501(C)(5) 0 ASSOCIATED SHEET METAL & ROOFING CONTRACTORS OF CT INC PO BOX 168 GRANBY CT 06035 060618146 ASSOCIATION OF SHEET METAL WORKERS CT 501(C)(6) 0 A&T FUND AIR BALANCING SERVICE CO ARCHITECTURAL SHEET METAL BHI ENERGY SPECIALTY SERVICES COMMERCIAL ROOFING & CONTRACTING INC EAGLE RIVET ROOF SERVICES CORP ENVIRONMENTAL TESTING & BALANCING INC ERNEST PETERSON INC F & F MECHANICAL ENTERPRISES INC FFFC OF CT GOLD SEAL ROOFING LLC GREENWOOD INDUSTRIES INC COMPANIES HEALTH FUND BUY-IN JAMES E BRENNAN CO INC JHS RESTORATION INC KLEEBERG SHEET METAL INC LK SHEET METAL INC LABCO AIR & WATER BALANCING LLC MASSEY'S PLATE GLASS AND ALUMINUM INC OFFSHORE CONSTRUCTION INC PALMER SHEET METAL CO INC SASMI SOUTHERN NEW ENGLAND INSTALLERS LLC THE HILLERY COMPANY THE IMPERIAL COMPANY INC TITAN ROOFING INC TRUEFLOW TESTING & BAL LLC WING'S TESTING & BALANCE CO YANKEE SHEET METAL COMPANY INC YOUNG DEVELOPERS LLC 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1