2023-05-03T13:56:47-05:00 2022-07-31 222951202 MSPC CPAS & ADVISORS PC 340 NORTH AVENUE EAST CRANFORD NJ 070162496 990 2021-08-01 222004832 TEAMSTERS LOCAL 97 BENEFITS FUND TEAM 9088100022 136 CENTRAL AVENUE 1ST FLOOR CLARK NJ 07066 MARIA PEREZ TRUSTEE 9088100022 2023-05-03 1 MARIA PEREZ 999009999 RAYMOND HARGADON CPA P01780635 9082727000 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z MARIA PEREZ 136 CENTRAL AVENUE 1ST FLOOR CLARK NJ 07066 17892237 0 X N/A X 1972 NJ TO PROVIDE HEALTH AND WELFARE BENEFITS TO PARTICIPANTS. 3 0 5 0 0 0 0 0 17363728 17631643 69286 46015 76900 1177 17509914 17678835 0 0 14818825 15400078 441223 492584 0 0 0 1695517 1812579 16955565 17705241 554349 -26406 4130996 3993876 174631 178799 3956365 3815077 TO PROVIDE HEALTH AND WELFARE BENEFITS TO PARTICIPANTS. 0 0 PROVIDE HEALTH AND WELFARE BENEFITS TO PARTICIPANTS. 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 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 73 0 1 5 1 0 0 0 0 0 0 0 0 0 0 0 0 X 3 0 1 0 0 0 0 1 0 1 1 0 0 1 0 0 0 1 0 0 X BOARD OF TRUSTEES 9088100022 136 CENTRAL AVENUE 1ST FLOOR CLARK NJ 07066 DANIEL REIMAN TRUSTEE 1.00 X 0 0 0 JOHN GEROW TRUSTEE 1.00 40.00 X 0 162640 61505 MARIA PEREZ TRUSTEE 1.00 40.00 X 0 148950 58478 ELAINE ALESSIO FUND MANAGER 37.50 X 123202 0 34647 123202 311590 154630 1 0 1 0 HORIZON BLUE CROSS & BLUE SHIELD 3 PENN PLAZA NEWARK NJ 10119 CLAIMS ADMINISTRATION 815559 GLOBAL PHARMACEUTICAL BENEFITS LLC 222 LAFAYETTE ST NEWARK NJ 07105 CLAIMS ADMINISTRATION 312265 FABIAN & BYRN LLC 425 EAGLE ROCK AVE ROSELAND NJ 07068 CLAIMS ADMINISTRATION 183969 MSPC CERTIFIED PUBLIC ACCOUNTANTS 340 NORTH AVE EAST CRANFORD NJ 07016 ACCOUNTING FEES 101700 4 EMPLOYERS' CONTRIBUTIONS 525100 17609249 17609249 COBRA CONTRIBUTIONS 525100 22394 22394 17631643 22771 22771 236646 213402 23244 23244 23244 OTHER INCOME 900099 1177 1177 1177 17678835 17632820 0 46015 15400078 123202 206004 53314 78915 31149 42992 101700 10746 1426796 93820 73822 24062 11842 11117 10012 EQUIPMENT RENTAL AND MA 5670 17705241 2282561 517953 219048 1029049 5930 22958 18178 18663 147572 91614 64793 55958 902313 816025 638173 1533270 4130996 3993876 174464 175748 167 3051 174631 178799 X 0 0 0 0 3956365 3815077 3956365 3815077 4130996 3993876 -26406 -114882 0 X 0 1 X 0 0 147572 91614 55958 55958 ACCRUED INTEREST AND DIVIDENDS 3803 ADVANCE DEPOSITS 471339 STOP LOSS RECEIVABLE 1058128 1533270 DUE TO BROKER FOR SECURITIES PURCHASED 3051 3051 X 17547759 -114882 -114882 17662641 16194 16194 17678835 17689047 0 17689047 16194 16194 17705241 PART X, LINE 2: THE PLAN'S TRUSTEES AND LEGAL COUNSEL BELIEVE THAT THE PLAN IS DESIGNED AND IS CURRENTLY BEING OPERATED IN COMPLIANCE WITH THE APPLICABLE REQUIREMENTS OF THE INTERNAL REVENUE CODE ("IRC"). 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 THE ORGANIZATION HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE TAXING AUTHORITIES. AS OF JULY 31, 2022, THERE WERE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE FINANCIAL STATEMENTS. 0 0 0 JOHN GEROW TRUSTEE 0 162640 0 0 0 0 0 48387 0 13118 0 224145 0 0 MARIA PEREZ TRUSTEE 0 148950 0 0 0 0 0 44870 0 13608 0 207428 0 0 ELAINE ALESSIO FUND MANAGER 123202 0 0 0 0 0 18480 0 16167 0 157849 0 0 0 CHRISTINE KNISPEL FAMILY MEMBER OF JOHN GEROW 75070 EMPLOYMENT 0 FORM 990, PART VI, SECTION A, LINE 2 TRUSTEES GEROW AND PEREZ ARE OFFICERS OF TEAMSTERS LOCAL UNION NO. 97. THE EMPLOYER TRUSTEES ARE EMPLOYED BY EMPLOYERS THAT HAVE COLLECTIVE BARGAINING AGREEMENTS WITH TEAMSTERS LOCAL UNION NO. 97 IN WHICH UNION TRUSTEES GEROW AND PEREZ ARE OFFICERS. MEMBERS OF THE UNION ARE EMPLOYED BY THE EMPLOYER TRUSTEES' EMPLOYERS AND THE TERMS AND CONDITIONS OF THAT EMPLOYMENT ARE NEGOTIATED BY THE EMPLOYERS AND THE UNION IN THE COLLECTIVE BARGAINING PROCESS. FORM 990, PART VI, SECTION A, LINE 7A THE TWO UNION TRUSTEES ARE APPOINTED BY THE EXECUTIVE BOARD OF TEAMSTERS LOCAL UNION NO. 97. THE EMPLOYER TRUSTEES ARE APPOINTED BY VOTE OF THE EMPLOYERS HAVING A CONTRACTUAL RELATIONSHIP WITH THE UNION. FORM 990, PART VI, SECTION B, LINE 11B PRIOR TO ITS FILING, THE FORM 990 WAS REVIEWED BY ALL OF THE ACTIVE TRUSTEES OF THE PLAN. THE BOARD OF TRUSTEES IS THE GOVERNING BODY OF THE ORGANIZATION AND CONSISTS OF ALL THE VOTING MEMBERS. FORM 990, PART VI, SECTION B, LINE 12 THIS ORGANIZATION IS AN EMPLOYEE BENEFIT PLAN COVERED BY THE EMPLOYEE RETIREMENT SECURITY ACT (ERISA). THE TRUSTEES HAVE A STATUTORY DUTY UNDER ERISA TO AVOID CONFLICTS AND REPORT THEM WHEN THEY OCCUR. FORM 990, PART VI, SECTION B, LINE 15A THE COMPENSATION OF THE TOP MANAGEMENT OFFICIAL IS REVIEWED AND APPROVED ANNUALLY BY THE BOARD OF TRUSTEES. THE FUND DOES NOT HAVE A CEO OR EXECUTIVE DIRECTOR. FORM 990, PART VI, SECTION C, LINE 19 THE FUND'S GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC IN ACCORDANCE WITH THE REQUIREMENTS OF ERISA AND OTHER GOVERNING LAW UPON REQUEST. THE FUND HANDLES CONFLICTS OF INTEREST AS REQUIRED BY ERISA. BOROUGH OF CARTERET 20 COOKE AVE CARTERET NJ 07008 226001707 VEBA CONTRIBUTING EMPLOYER NJ N/A 0 JACKSON BOARD OF EDUCATION 151 DON CONNER BLVD JACKSON NJ 08527 216000344 VEBA CONTRIBUTING EMPLOYER NJ N/A 0 LACEY TOWNSHIP 818 W LACEY ROAD FORKED RIVER NJ 08731 216006469 VEBA CONTRIBUTING EMPLOYER NJ N/A 0 LAVALLETTE BOROUGH 1306 GRAND CENTRAL AVE LAVALLETTE NJ 08735 216000788 VEBA CONTRIBUTING EMPLOYER NJ N/A 0 TOWNSHIP OF LITTLE FALLS 225 MAIN STREET LITTLE FALLS NJ 07424 226002036 VEBA CONTRIBUTING EMPLOYER NJ N/A 0 TEAMSTERS LOCAL UNION NO 97 136 CENTRAL AVE CLARK NJ 07066 221633671 VEBA CONTRIBUTING EMPLOYER NJ N/A 0 BOROUGH OF SOUTH TOMS RIVER 144 MILL STREET SOUTH TOMS RIVER NJ 08757 221859596 VEBA CONTRIBUTING EMPLOYER NJ N/A 0 ASHBROOK CARE AND REHABILITATION CENTER 1610 RARITAN ROAD SCOTCH PLAINS NJ 07076 270398833 VEBA CONTRIBUTING EMPLOYER NJ N/A 0 0 LLANFAIR HOUSE CARE AND REHAB CENTER 1140 BLACK OAK RIDGE ROAD WAYNE NJ 07470 270399620 VEBA CONTRIBUTING EMPLOYER NJ N/A 0 0 GREENBROOK MANOR & REHAB CENTER 303 ROCK AVENUE GREENBROOK NJ 08812 270399365 VEBA CONTRIBUTING EMPLOYER NJ N/A 0 0 BP & SC SERVICES INC 491 LYONS AVENUE IRVINGTON NJ 07111 208056539 VEBA CONTRIBUTING EMPLOYER NJ N/A S 0 BROWER TOWN ASSOC INCPROSPECT HEIGHTS CARE CENTER 336 PROSPECT AVE HACKENSACK NJ 07601 222761763 VEBA CONTRIBUTING EMPLOYER NJ N/A S 0 CENTURY DISTRIBUTION SERVICE INC 100 PASSAIC AVE SUITE 160 FAIRFIELD NJ 07004 223444871 VEBA CONTRIBUTING EMPLOYER NJ N/A C 0 DUREX INC 5 STAHUBER AVE UNION NJ 07083 221426696 VEBA CONTRIBUTING EMPLOYER NJ N/A S 0 MILLER & SON 24 BELLEVILLE AVENUE BELLEVILLE NJ 07109 221838356 VEBA CONTRIBUTING EMPLOYER NJ N/A 0 MACY'S LOGISTICS & OPERATIONS PO BOX 8214 MASON OH 45040 133324058 VEBA CONTRIBUTING EMPLOYER OH N/A C 0 REGENT CARE CENTER 50 POLIFLY ROAD HACKENSACK NJ 07601 222495155 VEBA CONTRIBUTING EMPLOYER NJ N/A C 0 SEVERNA OPERATIONS INC 3 EASTMANS ROAD PARSIPPANY NJ 07054 010801089 VEBA CONTRIBUTING EMPLOYER NJ N/A S 0 SILVERLINE BLDG PRODUCTS CORPANDERSEN CORP 100 4TH AVENUE NORTH BAYPORT MN 55003 251910909 VEBA CONTRIBUTING EMPLOYER N/A 0 T&E INDUSTRIES INC 215 WATCHUNG AVE ORANGE NJ 07050 222304064 VEBA CONTRIBUTING EMPLOYER NJ N/A S 0 TECHNICAL BLDG MAINT INC (TEMCO) 417 FIFTH AVENUE NEW YORK NY 10016 221852148 VEBA CONTRIBUTING EMPLOYER NJ N/A C 0 THE VMC GROUP 113 MAIN STREET BLOOMINGDALE NJ 07403 202305737 VEBA CONTRIBUTING EMPLOYER N/A 0 TRYCO TOOL & MFG CO INC 363 SO JEFFERSON STREET ORANGE NJ 07050 221695476 VEBA CONTRIBUTING EMPLOYER NJ N/A S 0 WHITE HOUSE HEALTHCARE & REHAB CENTER INC 560 BERKELEY AVE ORANGE NJ 07050 221996325 VEBA CONTRIBUTING EMPLOYER NJ N/A S 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0