2023-10-19T11:56:10-05:00 2022-12-31 131577780 SCHULTHEIS & PANETTIERI LLP 450 WIRELESS BLVD HAUPPAUGE NY 11788 990 2022-01-01 042214296 MASSACHUSETTS LABORERS' HEALTH & WELFARE FUND MASS 7812721000 1400 DISTRICT AVENUE NO 200 BURLINGTON MA 018035236 NATHAN GOLDSTEIN EXECUTIVE DIRECTOR 7812721000 2023-10-19 1 NATHAN GOLDSTEIN 999009999 1 CAROL WESTFALL P00539069 6312734778 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z NATHAN GOLDSTEIN 1400 DISTRICT AVENUE NO 200 BURLINGTON MA 018035236 190265696 0 X N/A X 1964 MA THE PURPOSE OF THE PLAN IS TO PROVIDE HEALTH AND OTHER BENEFITS TO ELIGIBLE PARTICIPANTS. 8 8 56 0 0 0 0 0 155601618 164478573 13877463 6042009 0 0 169479081 170520582 0 0 137722915 137314915 5919761 6549978 0 0 0 -472708 -594042 143169968 143270851 26309113 27249731 563573344 545550200 12566403 19814338 551006941 525735862 THE PURPOSE OF THE PLAN IS TO PROVIDE HEALTH AND OTHER BENEFITS TO ELIGIBLE PARTICIPANTS. 0 0 THE PURPOSE OF THE PLAN IS 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 1834 0 1 56 1 0 0 0 0 0 0 0 0 X 8 8 1 0 0 0 0 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X NATHAN GOLDSTEIN 7812721000 1400 DISTRICT AVENUE NO 200 BURLINGTON MA 018035236 LOUIS MANDARINI JR CHAIRMAN 1.00 0.00 X 0 0 0 JOSEPH BONFIGLIO CO-CHAIRMAN 1.00 0.00 X 0 0 0 DAVID ARAUJO TRUSTEE 1.00 0.00 X 0 0 0 THOMAS ANDREWS TRUSTEE 1.00 0.00 X 0 0 0 THOMAS J GUNNING CO-SEC/TREAS 1.00 0.00 X 0 0 0 STEVEN GENTILUCCI TRUSTEE 1.00 0.00 X 0 0 0 DONALD C COOK JR TRUSTEE 1.00 0.00 X 0 0 0 MATTHEW MCCOURT TRUSTEE 1.00 0.00 X 0 0 0 LOUIS MANDARINI III EXECUTIVE DIRECTOR - THRU 3/22 18.00 17.00 X 104151 0 18271 NATHAN GOLDSTEIN EXECUTIVE DIRECTOR - EFF 6/22 18.00 17.00 X 197260 0 29120 DONNA A CARR ASST EXEC DIR 18.00 17.00 X 186298 0 55990 JAMES E LUFF DIR ANNUITY & PENSION 1.00 34.00 X 166001 0 48991 KATE A FOSSEL DIR HEALTH & WELF 33.00 2.00 X 185657 0 48991 CHRISTINA CLEGG MGR HEALTH & WELF 33.00 2.00 X 181353 0 48991 INGRID E ROSALES DIR OF IT 17.00 18.00 X 152500 0 48991 1173220 0 299345 15 0 1 0 BLUE CROSS BLUE SHIELD OF MASSACHUSETTS 101 HUNTINGTON AVENUE BOSTON MA 02199 NETWORK ACCESS/ADMIN 2953395 EXPRESS SCRIPTS 21653 NETWORK PLACE CHICAGO IL 60673 CLAIMS ADMIN 1452880 DELTA DENTAL OF MASSACHUSETTS PO BOX 2907 MILWAUKEE WI 53201 CLAIMS ADMIN 713768 SEGAL CONSULTING 116 HUNTINGTON AVE8TH FL BOSTON MA 02116 BENEFIT CONSULTING 304580 CMIT SOLUTIONS 42 HIGH STREET SUITE 2 MEDFORD MA 02155 IT SERVICES 200440 9 EMPLOYER CONTRIBUTIONS 236200 162511836 162511836 PARTICIPANT CONTRIBUTIONS 236200 1966737 1966737 164478573 2711529 2711529 23075594 19745114 3330480 3330480 3330480 170520582 164478573 0 6042009 137314915 348802 4063246 1097471 691373 349086 276113 88650 467289 304580 270678 72146 313374 108715 35581 110188 OUTSIDE SERVICES 514791 PHOTO ID PROGRAM 4006 REIMB. FROM RELATED ORG -3160153 143270851 30339079 36605597 22611884 31716398 61339 112584 1987325 1523025 209818 464300 42087300 35542697 468263924 441108624 563573344 545550200 497522 550266 12068881 19264072 12566403 19814338 X 0 0 0 0 551006941 525735862 551006941 525735862 563573344 545550200 27249731 -52520810 0 X 0 1 X 1 0 374666 174562 200104 1612659 1348463 264196 464300 REG INV CO @ EST FMV 16212337 F 103-12 INVEST. ENTITIES 37718960 F COMMON COLLECTIVE TRUSTS 296287549 F PARTNERSHIP/JV INTEREST 73041385 F POOLED SEPARATE ACCOUNTS 17114751 F CORPORATE STOCK 733642 F 441108624 BENEFIT OBLIG. CURRENTLY PAYABLE 18838000 DEFERRED COMPENSATION 426072 19264072 117532483 -52520810 -52520810 170053293 467289 467289 170520582 135459562 -7344000 -7344000 142803562 467289 467289 143270851 PART XII, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN BEN OBLIG CURRENTLY PAYABLE -7,344,000. X 0 0 0 NATHAN GOLDSTEIN EXECUTIVE DIRECTOR - EFF 6/22 188269 0 0 0 8991 0 19026 0 10094 0 226380 0 0 0 DONNA A CARR ASST EXEC DIR 186298 0 0 0 0 0 36595 0 19395 0 242288 0 0 0 JAMES E LUFF DIR ANNUITY & PENSION 166001 0 0 0 0 0 32021 0 16970 0 214992 0 0 0 KATE A FOSSEL DIR HEALTH & WELF 185657 0 0 0 0 0 32021 0 16970 0 234648 0 0 0 CHRISTINA CLEGG MGR HEALTH & WELF 181353 0 0 0 0 0 32021 0 16970 0 230344 0 0 0 INGRID E ROSALES DIR OF IT 152500 0 0 0 0 0 32021 0 16970 0 201491 0 0 0 SCHEDULE J SUPPLEMENTAL INFORMATION: NATHAN GOLDSTEIN RECEIVES COMPENSATION AND BENEFITS IN HIS CAPACITY AS EXECUTIVE DIRECTOR OF THE ORGANIZATION AND THE RELATED PENSION AND ANNUITY FUNDS. COMPENSATION AND BENEFITS ARE PAID BY THE ORGANIZATION, WITH REIMBURSEMENTS MADE ACCORDINGLY. THE ORGANIZATION'S PORTION OF THESE EXPENSES IS 52% OF THE GROSS AMOUNTS DETAILED ON SCHEDULE J, PART II. MARGUERITE MANDARINI FAMILY MEMBER 150680 EMPLOYMENT 0 FORM 990, PART VI, SECTION A, LINE 2 LOUIS MANDARINI JR, WHO SERVES AS A TRUSTEE, IS THE FATHER OF LOUIS MANDARINI III, WHO SERVED AS AN OFFICER THROUGH MARCH 2022. FORM 990, PART VI, SECTION A, LINE 7A THE ORGANIZATION IS JOINTLY ADMINISTERED BY TRUSTEES WHO ARE APPOINTED BY THE UNIONS AND BY EMPLOYER ASSOCIATIONS. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WAS PREPARED IN COORDINATION WITH MANAGEMENT OF THE ORGANIZATION AND WAS PROVIDED TO AND REVIEWED BY THE BOARD OF TRUSTEES PRIOR TO SUBMISSION. FORM 990, PART VI, SECTION B, LINE 12C REVIEW OF THE CONFLICT OF INTEREST POLICY IS DONE ANNUALLY AT A TRUSTEES MEETING AND WITH THE EMPLOYEES. FORM 990, PART VI, SECTION B, LINE 15 THE ADMINISTRATIVE COMMITTEE AND BOARD OF TRUSTEES ANNUALLY REVIEW PERFORMANCE AND DETERMINE COMPENSATION FOR THE EXECUTIVE DIRECTOR AND KEY EMPLOYEES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, POLICIES AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC TO THE EXTENT REQUIRED BY LAW. MASSACHUSETTS LABORERS' ANNUITY FD 1400 DISTRICT AVE SUITE 200 BURLINGTON MA 018035236 046553616 PROVIDE RET BENEFITS TO PARTICIPANTS MA 501(A) N/A N/A 0 MASSACHUSETTS LABORERS' PENSION FD 1400 DISTRICT AVE SUITE 200 BURLINGTON MA 018035236 046128298 PROVIDE RET BENEFITS TO PARTICIPANTS MA 501(A) N/A N/A 0 MASSACHUSETTS LABORERS' LEGAL SVCS FUND 1400 DISTRICT AVE SUITE 100 BURLINGTON MA 018035236 046357603 LEGAL SERVICES MA 501(C)9 N/A N/A 0 LABORERS' PENSION-BURLINGTON INVEST 1400 DISTRICT AVE SUITE 200 BURLINGTON MA 018035236 REAL ESTATE TITLE HOLDING COMPANY MA 501(C)(25) N/A N/A 0 SEE SCHEDULE R SUPPLEMENTAL INFORMATION SEE SCHEDULE R SUPPLEMENTAL INFORMATION 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 1 0 0 2022 FORM 990, SCHEDULE R ATTACHMENT, RELATED ORGANIZATIONS PART II, IDENTIFICATION OF RELATED TAX EXEMPT ORGANIZATIONS (A) NAME BUILD & CONSTR TRADES CNCL BUILDING WRECKERS LOCAL 142 CENTRAL NY LABORERS' FUND H & GL FUNDS OF NEW JERSEY IBEW LOCAL 1249 PENSION & I INDIANA STATE DISTRICT COUN LABORERS DIST COUNCIL BENEF LABORERS LOCAL 91 BENEFIT FUND LABORERS N E REGION ORGAN FUND LOCAL 133 LOCAL 138 LOCAL 151 LOCAL 175 LOCAL 22 LOCAL 223 LOCAL 243 LOCAL 327 LOCAL 385 LOCAL 39 LOCAL 429 LOCAL 473 LOCAL 560 LOCAL 596 LOCAL 609 LOCAL 610 LOCAL 721 LOCAL 876 LOCAL 88 LOCAL 976 LOCAL 999 LOUISIANA LABORERS HEALTH & LOUREIRO CONTRACTORS INC MASS LABORERS DIST COUNCIL MASS LABORERS UNIFIED TRST MINNESOTA LABORERS FRINGE B N E LABORERS HLTH & SAFTY F N E LABRERS LABR MGT COR TR NEW ENG LAB TRAIN ACADEMY NEW ENG LAB TRAIN TRUST FUN OHIO LABORERS DISTRICT COUN ROCHESTER LABORERS FUNDS LO WISCONSIN LABORERS H&W/PEN/ 2022 FORM 990, SCHEDULE R ATTACHMENT, RELATED ORGANIZATIONS PART IV, IDENTIFICATION OF RELATED ORGANIZATIONS TAXABLE AS A CORPORATION OR TRUST (A) NAME A & S CORPORATION A A PENTA CORPORATION A F AMORELLO & SONS INC A J VIRGILIO CONSTRUCTION A VOZZELLA & SONS INC A. 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