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WELFARE TRUST FUND LOCAL 804: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
WELFARE TRUST FUND LOCAL 804 (EIN 11-1637886)
Tax period
2021-06-01 to 2022-05-31
Filed
2023-03-22
IRS object ID
202310819349301511
Schema version
2021v4.2
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)
Return2023-03-22T11:02:17-05:00ReturnTs
Tax Period End2022-05-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN131578842PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BUCHBINDER TUNICK & COMPANY 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 Begin2021-06-01TaxPeriodBeginDt

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 Line134-21 REVIEW AVENUEAddressLine1Txt
CityLONG ISLAND CITYCityNm
State AbbreviationNYStateAbbreviationCd
ZIP111013241ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonVINCENT PERRONEPersonNm
Person TitleTRUSTEEPersonTitleTxt
Phone7187865410PhoneNum
Signature2023-03-18SignatureDt
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

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonGREG AUTERIPreparerPersonNm
PTINP01366109PTIN
Phone2126955003PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
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 Line134-21 REVIEW AVENUEAddressLine1Txt
CityLONG ISLAND CITYCityNm
State AbbreviationNYStateAbbreviationCd
ZIP111013241ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$147,614,756GrossReceiptsAmt
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$119,663,197PYProgramServiceRevenueAmt
CY Program Service Revenue$129,167,513CYProgramServiceRevenueAmt
PY Investment Income$6,471,449PYInvestmentIncomeAmt
CY Investment Income$2,932,472CYInvestmentIncomeAmt
PY Other Revenue$23,456PYOtherRevenueAmt
CY Other Revenue$147,358CYOtherRevenueAmt
PY Total Revenue$126,158,102PYTotalRevenueAmt
CY Total Revenue$132,247,343CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$96,970,497PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$115,650,464CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$2,535,632PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$2,501,875CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$1,917,760PYOtherExpensesAmt
CY Other Expenses$2,025,238CYOtherExpensesAmt
PY Total Expenses$101,423,889PYTotalExpensesAmt
CY Total Expenses$120,177,577CYTotalExpensesAmt
PY Revenues Less Expenses$24,734,213PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$12,069,766CYRevenuesLessExpensesAmt
Total Assets BOY$147,164,982TotalAssetsBOYAmt
Total Assets EOY$153,577,922TotalAssetsEOYAmt
Total Liabilities BOY$957,923TotalLiabilitiesBOYAmt
Total Liabilities EOY$5,831,716TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$146,207,059NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$147,746,206NetAssetsOrFundBalancesEOYAmt
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 5914.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 Document962IRPDocumentCnt
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 Line134-21 REVIEW AVENUEAddressLine1Txt
CityLONG ISLAND CITYCityNm
State AbbreviationNYStateAbbreviationCd
ZIP11101ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (13 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$135,139$55,82340.00
ANTONINO ROSCIGLIONE
UNION TRUSTEE1.00Yes (X)$0$135,039$55,82340.00
CHRISTOPHER WILLIAMSON
UNION TRUSTEE1.00Yes (X)$0$135,139$55,82340.00
ANTHONY CERULLI
UNION TRUSTEE1.00Yes (X)$0$135,039$55,82340.00
MARC PANTELEONE
FUND MANAGER27.00$207,692$0$58,0848.00Yes (X)
JAMES PANTELEONE
IT AND BENEFIT CLAIMS ASSI54.00$134,966$0$31,7561.00Yes (X)
MAGGIE WU
ACCOUNTANT34.00$183,815$0$31,98719.00Yes (X)
CELIA LIAW
BENEFIT CLAIMS ASSISTANT45.00$110,864$0$31,7801.00Yes (X)
CHRISTINE NICOLETTI
OFFICE MANAGER35.00$102,965$0$58,0841.00Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$740,302TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$540,356TotReportableCompRltdOrgAmt
Total Other Compensation$434,983TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K5IndivRcvdGreaterThan100KCnt
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$2,144,845
NEW YORK MEDICAL MANAGEMENT
2025 LINCOLN HIGHWAY ROUTE 21EDISONNJ08817BENEFIT CONSULTING SERVICES$429,353
THE SEGAL COMPANY (EASTERN STATES) INC
333 WEST 34TH STREETNEW YORKNY10001ACTUARIAL AND CONSULTING SERVICES$426,302
HEALTH PLAN SYSTEM
2025 LINCOLN HIGHWAY ROUTE 21EDISONNJ08817BENEFIT INFORMATION TECHNOLOGY$368,428
PROSKAUER ROSE LLP
ELEVEN TIMES SQUARENEW YORKNY10036LEGAL SERVICES$356,131
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CONTRIBUTIONS - EMPLOYERS900099$126,186,164$126,186,164
CONTRIBUTIONS - RETIRED PARTICIPA900099$2,846,051$2,846,051
CONTRIBUTIONS - COBRA PARTICIPANT900099$135,298$135,298
FieldValueIRS element (for citing)
Total Program Service Revenue$129,167,513TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,974,241TotalRevenueColumnAmt
Exclusion$2,974,241ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$15,325,644SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$15,367,413SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$41,769SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$41,769TotalRevenueColumnAmt
Exclusion-$41,769ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUS INCOMEDesc
Business900099BusinessCd
Total Revenue Column$147,358TotalRevenueColumnAmt
Related Or Exempt Func Income$147,358RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$147,358OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$132,247,343TotalRevenueColumnAmt
Related Or Exempt Func Income$129,314,871RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$2,932,472ExclusionAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$115,650,464TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$268,684TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$1,548,416TotalAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$134,175TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$414,017TotalAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$136,583TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$521,088TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

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

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$201,683TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$421,521TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$219,599TotalAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$566,001TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$101,906TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$37,790TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$73,825TotalAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$57,328TotalAmt

Other Expenses OtherExpensesGrp

FieldValueIRS element (for citing)
DescADM.EXPENSES REIMBURSEDDesc
Total-$225,027TotalAmt

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$524TotalAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$120,177,577TotalAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$2,783,508BOYAmt
EOY$2,525,890EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$14,671,527BOYAmt
EOY$20,377,728EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$15,026,658BOYAmt
EOY$12,761,328EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$56,481BOYAmt
EOY$72,944EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$3,612,622LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$3,411,078LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$267,600BOYAmt
EOY$201,544EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$85,715,652BOYAmt
EOY$86,471,910EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$28,643,556BOYAmt
EOY$31,166,578EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$147,164,982BOYAmt
EOY$153,577,922EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$111,262BOYAmt
EOY$435,181EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$262,251BOYAmt
EOY$269,998EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$584,410BOYAmt
EOY$5,126,537EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$957,923BOYAmt
EOY$5,831,716EOYAmt
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$146,207,059BOYAmt
EOY$147,746,206EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$146,207,059BOYAmt
EOY$147,746,206EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$147,164,982BOYAmt
EOY$153,577,922EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$12,069,766ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$10,530,619NetUnrlzdGainsLossesInvstAmt
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$339,467OtherCostOrOtherBasisAmt
Depreciation$336,286DepreciationAmt
Book Value$3,181BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$869,632OtherCostOrOtherBasisAmt
Depreciation$800,644DepreciationAmt
Book Value$68,988BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,403,523OtherCostOrOtherBasisAmt
Depreciation$2,274,148DepreciationAmt
Book Value$129,375BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$201,544TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (3 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
COMMON COLLECTIVE TRUST$12,223,381F
LIMITED PARTNERSHIP$14,505,083F
ETF$4,438,114F
FieldValueIRS element (for citing)
Total Book Value Securities$31,166,578TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
EST'D FUTURE RETIREMENT BENEFIT$103,644
DUE TO LOCAL 804 ANNUITY FUND$32,705
DUE TO BROKER$4,972,875
DUE TO LOCAL 804 PENSION FUND$17,313
FieldValueIRS element (for citing)
Total Liability$5,126,537TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$121,515,041TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$10,530,619NetUnrealizedGainsInvstAmt
Revenue Not Reported-$10,530,619RevenueNotReportedAmt
Revenue Subtotal$132,045,660RevenueSubtotalAmt
Investment Expenses Not Incld$201,683InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt$201,683RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$132,247,343TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$119,975,894TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$119,975,894ExpensesSubtotalAmt
Investment Expenses Not Incld2$201,683InvestmentExpensesNotIncld2Amt
Expenses Not Rpt Fincl Stmt$201,683ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$120,177,577TotalExpensesPerForm990Amt

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, 2022, 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, 2019.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 (8 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$207,692$0$0$0$0$0$33,184$0$24,900$0$265,776$0$0$0
MAGGIE WU
ACCOUNTANT$183,815$0$0$0$0$0$6,325$0$25,662$0$215,802$0$0$0
VINCENT PERRONE
UNION TRUSTEE$0$135,139$0$0$0$0$0$30,923$0$24,900$0$190,962$0$0
CHRISTOPHER WILLIAMSON
UNION TRUSTEE$0$135,139$0$0$0$0$0$30,923$0$24,900$0$190,962$0$0
ANTONINO ROSCIGLIONE
UNION TRUSTEE$0$135,039$0$0$0$0$0$30,923$0$24,900$0$190,862$0$0
ANTHONY CERULLI
UNION TRUSTEE$0$135,039$0$0$0$0$0$30,923$0$24,900$0$190,862$0$0
JAMES PANTELEONE
IT AND BENEFIT CLAIMS ASSI$134,966$0$0$0$0$0$6,325$0$25,431$0$166,722$0$0$0
CHRISTINE NICOLETTI
OFFICE MANAGER$102,965$0$0$0$0$0$33,184$0$24,900$0$161,049$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
34-21 REVIEW AVENUELONG ISLAND CITYNY111013241112506358SHARED ADMINISTRATIVE COSTNY1.401-1(B)(3)0
LOCAL 804 IBT
34-21 REVIEW AVENUELONG ISLAND CITYNY111013241111603598CONTRIBUTING EMPLOYER & RENTAL EXPENSENY501(C)(5)0
LOCAL 804 FEDERAL CREDIT UNION
34-21 REVIEW AVENUELONG ISLAND CITYNY111013241112491081CONTRIBUTING EMPLOYERNY501(C)(1)0
LOCAL 804 PENSION FUND
34-21 REVIEW AVENUELONG ISLAND CITYNY111013241116077200SHARED ADMINISTRATIVE COSTNY1.401-1(B)(3)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$99,680SHARED ADM. COST AGREEMENT
LOCAL 804 ANNUITY FUND
N$75,805SHARED ADM. COST AGREEMENT
LOCAL 804 IBT
K$61,560OFFICE RENTAL EXPENSE
LOCAL 804 PENSION FUND
O$31,218SHARED ADM. COST AGREEMENT
LOCAL 804 PENSION FUND
N$18,324SHARED ADM. COST AGREEMENT
LOCAL 804 PENSION FUND
Q$44,391SHARED ADM. COST AGREEMENT
LOCAL 804 ANNUITY FUND
Q$131,692SHARED 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 Income492527PredominateIncomeDesc
All Partners C3 S0AllPartnersC3SInd
Share Of EOY Assets$13,407,582ShareOfEOYAssetsAmt
Disproportionate Allocations0DisproportionateAllocationsInd
UBI Code V$0UBICodeVAmt
General Or Managing Partner0GeneralOrManagingPartnerInd
Ownership0.00950OwnershipPct