2023-03-22T08:29:17-05:00 2022-08-31 131577780 SCHULTHEIS & PANETTIERI LLP 450 WIRELESS BLVD HAUPPAUGE NY 11788 990 2021-09-01 135548780 LOCAL 807 LABOR-MANAGEMENT HEALTH FUND LOCA 7187262525 32-43 49TH STREET LONG ISLAND CITY NY 11103 TERESA CASANOVA FUND ADMINISTRATOR 7187262525 2023-03-22 1 TERESA CASANOVA 999009999 CAROL WESTFALL P00539069 6312734778 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z TERESA CASANOVA 32-43 49TH STREET LONG ISLAND CITY NY 11103 30958981 0 X N/A X 1948 NY TO PROVIDE HEALTH & MEDICAL BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS. 6 6 11 0 0 0 0 0 9357588 10381332 3474925 1127018 167186 172971 12999699 11681321 0 0 10284160 9732225 1353254 1263335 0 0 0 167191 187167 11804605 11182727 1195094 498594 75545076 71137146 1442944 1493376 74102132 69643770 TO PROVIDE HEALTH & MEDICAL BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS. 0 0 TO PROVIDE HEALTH & MEDICAL BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS. 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 0 0 0 0 0 0 0 1 0 0 1 425 0 1 11 1 0 0 0 0 0 0 0 0 X 6 6 0 0 0 0 0 0 0 1 1 0 0 1 0 0 1 0 0 0 X TERESA CASANOVA 7187262525 32-43 49TH STREET LONG ISLAND CITY NY 11103 ANTHONY STORZ UNION TRUSTEE 1.00 0.00 X 0 0 0 LUIS HERRERA - THRU 052022 UNION TRUSTEE 1.00 0.00 X 0 0 0 DEMOS DEMOPOULOS - EFF 092021 UNION TRUSTEE 1.00 0.00 X 0 0 0 STEPHEN MALONE - EFF 052022 UNION TRUSTEE 1.00 0.00 X 0 0 0 MARTY MEYERS - THRU 092021 UNION TRUSTEE 1.00 0.00 X 0 0 0 SCOTT LITTLE MGT TRUSTEE 1.00 0.00 X 0 0 0 ROBERT HOLDEN MGT TRUSTEE 1.00 0.00 X 0 0 0 PETER INGRAM MGT TRUSTEE 1.00 0.00 X 0 0 0 TERESA CASANOVA FUND ADMIN. 40.00 0.00 X 179037 0 45094 179037 0 45094 1 0 1 0 MAGNACARE ADMIN SERVICES ONE PENN PLAZA NEW YORK NY 10119 NETWORK ACCESS 222143 BLUE CROSS BLUE SHIELD 15 METROTECH CENTER BROOKLYN NY 11201 MED CLAIM ADMIN 197572 2 EMPLOYER CONTRIBUTIONS 484110 10159828 10159828 PARTICIPANTS CONTRIBUTIONS 484110 221504 221504 10381332 1401971 1401971 172971 0 172971 172971 172971 19002707 19277660 -274953 -274953 -274953 11681321 10381332 0 1299989 9732225 221863 560887 243871 180455 56259 179851 128947 68470 123207 67995 30260 109278 627 40726 REIMB PR, TAXES AND BEN -562194 11182727 1124079 919639 1100450 1800598 1564410 1876198 87200 91713 7191418 791418 5800000 6400000 56079558 50752773 9789379 9296225 75545076 71137146 245344 287876 1197600 1205500 1442944 1493376 X 0 0 0 0 74102132 69643770 74102132 69643770 75545076 71137146 498594 -4956956 0 X 0 1 X 1 0 6400000 6400000 173693 173693 0 617725 617725 0 6400000 SSGA S&P 500 NL QP CTF 1643886 F SSGA S&P 500 SL QP CTF 4152090 F BOYD WATTERSON STATE GOVT FUND LP 3500249 F 9296225 BENEFIT CLAIMS& PREM CURRENTLY PAY 1205500 1205500 6655895 -4956956 -4956956 11612851 68470 68470 11681321 11106357 0 11106357 68470 7900 76370 11182727 PART XII, LINE 4B - OTHER ADJUSTMENTS: CHANGE IN BENEFITS PAYABLE 7,900. X 0 0 0 TERESA CASANOVA FUND ADMIN. 179037 0 0 0 0 0 25836 0 19258 0 224131 0 0 0 SCHEDULE J PART II TERESA CASANOVA RECEIVED COMPENSATION AND BENEFITS IN HER CAPACITY AS FUND ADMINISTRATOR OF THIS ENTITY AND THE RELATED ANNUITY AND PENSION FUNDS. COMPENSATION AND BENEFITS ARE PAID BY THE HEALTH FUND WITH REIMBURSEMENTS MADE ACCORDINGLY. THE HEALTH FUND PORTION OF THESE EXPENSES IS 53% OF THE GROSS AMOUNT DETAILED ON THE FORM 990, PART VII, SECTION A. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WAS PREPARED IN COORDINATION WITH MANAGEMENT OF THE ORGANIZATION AND WAS REVIEWED BY THE BOARD PRIOR TO SUBMISSION. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, POLICIES AND FINANCIAL STATEMENTS ARE AVAILABLE TO PARTICIPANTS UPON REQUEST. THE ORGANIZATION DOES NOT MAKE DOCUMENTS AVAILABLE TO THE PUBLIC. LOCAL 807 LABOR-MANAGEMENT PENSION FUND 32-43 49TH STREET LONG ISLAND CITY NY 11103 516099111 PROVIDE RET BENEFITS TO PARTICIPANTS NY 501(A) N/A N/A 0 LOCAL 807 PROFIT-SHARING PLAN 32-43 49TH STREET LONG ISLAND CITY NY 11103 112532544 PROVIDE RET BENEFITS TO PARTICIPANTS NY 501(A) N/A N/A 0 NYC TRUCKING AUTHORITY (NYCTA) 32-43 49TH STREET LONG ISLAND CITY NY 11103 135614411 LABOR UNION NY 501(C)(5) N/A N/A 0 SEE SCHEDULE R SUPPLEMENTAL INFORMATION 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 0 0 FORM 990, PART VII, SECTION A CERTAIN TRUSTEES LISTED ON FORM 990, PART VII, SECTION A, SERVE AS VOLUNTEERS AND DO NOT RECEIVE COMPENSATION FROM THIS ORGANIZATION OR ANY RELATED ORGANIZATION IN THEIR CAPACITY AS TRUSTEES OF THIS ORGANIZATION. THE FILING ORGANIZATION IS NOT REQUIRED TO LIST THE COMPENSATION FOR THESE TRUSTEES BECAUSE THE RELATED ORGANIZATION (I) WAS "FOR PROFIT", (II) WAS NOT OWNED OR CONTROLLED DIRECTLY OR INDIRECTLY BY THE FILING ORGANIZATION OR ONE OR MORE RELATED TAX EXEMPT ORGANIZATIONS, AND (III) DID NOT PROVIDE MANAGEMENT SERVICES FOR A FEE TO THE FILING ORGANIZATION. CERTAIN TRUSTEES LISTED ON FORM 990, PART VII, SECTION A, DO NOT RECEIVE COMPENSATION FROM THIS ORGANIZATION, BUT DO RECEIVE COMPENSATION FROM LOCAL 553 IN THEIR CAPACITY AS EMPLOYEES/OFFICERS OF THE UNION. THE INFORMATION DISCLOSED ON THE ATTACHED SCHEDULE OF RELATED PARTIES IS THAT WHICH WAS AVAILABLE TO THIS ORGANIZATION AT THE TIME OF THIS FILING. PART IV IDENTIFICATION OF RELATED ORGANIZATIONS TAXABLE AS CORP OR TRUST ABC SUPPLY CO INC ACCORD SUPPLY CO, INC. AIRWELD INC ALUMA SYSTEMS CONCRETE CONSTRUCTION AMAGANSETT BLDG.MAT./C/O FLORENCE CO AMERICAN CONVENTION EXHIBITOR SERVIC ATLANTIC EXPOSITION SERVICES INC ATLANTIC WELDING SUPPLY CORP. BFS GROUP, LLC BRENNTAG NORTHEAST, INC. BRONX WELDING SUPP CO INC CARTER MILCHMAN & FRANK CENTER SHEET METAL, INC COMPLETE SPIRAL METAL INC CSI-NEW YORK INC. DELEET MERCHANDISING CORP DRAPERY MAINTENANCE CORP DRY ICE CORPORATION DYNAMIC EVENT GROUP INC EAGLE MANAGEMENT GROUP EX-TECH INC. FARMER BROTHERS COFFEE FLORENCE CORP FREEMAN EXPOSITIONS, INC GENTLEMEN'S SHEET METAL GES EXPOSITION SERVICES INC I JANVEY & SONS INC INDIA WAREHOUSE J&S SUPPLY CORP JDP MECHANICAL, LLC. KAMCO SUPPLY CORP. KAMCO SUPPLY OF N.J., INC. KARO SHEET METAL LINDENMEYR MUNROE DIV OF LOCAL 807 L&M HLTH FUND LONG ISLAND TINSMITH CORP MASSIMO ZANETTI BEVERAGE USA MAXUM EXPO SERVICES MCDONALD MTL&ROOF SUPP CO MCKINNEY WELD SUPPLY CO MEADOW BURKE PRODUCTS MONDELEZ GLOBAL LLC N Y RACING ASSOC INC NATIONAL CONVENTION SERVICES NICHOLSON & GALLOWAY INC NTH DEGREE NY CONVENT CTR OPER CORP ON LOCATION INC P. B. VENTILATING SYSTEMS, INC. PERSONNEL COORDINATOR INC RIBON INDUSTRIES INC RIVEREDGE TRANS INC SELECT CONTRACTING INC SPECTRUM SHOW SERVICES STAND TNSMTH & ROOF SUPP T W SMITH WELD SUPP CORP T3 EXPO TATTOOED KINGPIND DBA ANCHOR EXPO TEAMSTERS LOCAL 553 UNITED ENVELOPE INC WAYLAND INDUSTRIES INC WILLWORK INC. WOLKOW-BRAKER ROOF CORP YORK LADDER, INC YORK SCAFFOLD EQUIP CORP