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IBEW LOCAL UNION 269 WELFARE AND SUPPLEMENTAL BENEFIT FUND: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
IBEW LOCAL UNION 269 WELFARE AND SUPPLEMENTAL BENEFIT FUND (EIN 22-3693537)
Tax period
2022-01-01 to 2022-12-31
Filed
2023-11-13
IRS object ID
202313179349307211
Schema version
2022v5.0
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)
Return2023-11-13T13:46:56-06:00ReturnTs
Tax Period End2022-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN221750854PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1I E Shaffer & CoBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1830 Bear Tavern RoadAddressLine1Txt
CityWest TrentonCityNm
State AbbreviationNJStateAbbreviationCd
ZIP08628ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN223693537EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1IBEW LOCAL 269 WELFARE FUNDBusinessNameLine1Txt
Business Name Line2C/O I E SHAFFER & COBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlIBEWBusinessNameControlTxt
Phone6097181323PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1830 BEAR TAVERN ROADAddressLine1Txt
CityWEST TRENTONCityNm
State AbbreviationNJStateAbbreviationCd
ZIP08628ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJONATHAN D LEVINEPersonNm
Person TitleADMINISTRATORPersonTitleTxt
Phone6097181323PhoneNum
Signature2023-11-13SignatureDt

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstJONATHANPersonFirstNm
Person LastLEVINEPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info Curr0IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
PTINP01068910PTIN
Phone6097181323PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerSTEPHEN ALDRICHPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1830 BEAR TAVERN ROAD PO BOX 1028AddressLine1Txt
CityWEST TRENTONCityNm
State AbbreviationNJStateAbbreviationCd
ZIP08628ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$25,145,719GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501cYes (X)Organization501cInd
Website AddressN/AWebsiteAddressTxt
Type Of Organization TrustYes (X)TypeOfOrganizationTrustInd
Formation2000FormationYr
Legal Domicile StateNJLegalDomicileStateCd
Activity Or MissionPROVIDE GROUP HEALTH BENEFITS FOR ELIGIBLE PARTICIPANTSActivityOrMissionDesc
Voting Members Governing Body6VotingMembersGoverningBodyCnt
Voting Members Independent6VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$22,309,242PYProgramServiceRevenueAmt
CY Program Service Revenue$24,540,954CYProgramServiceRevenueAmt
PY Investment Income$430,991PYInvestmentIncomeAmt
CY Investment Income$604,765CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$22,740,233PYTotalRevenueAmt
CY Total Revenue$25,145,719CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$23,294,561PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$23,417,736CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$451,833PYOtherExpensesAmt
CY Other Expenses$551,690CYOtherExpensesAmt
PY Total Expenses$23,746,394PYTotalExpensesAmt
CY Total Expenses$23,969,426CYTotalExpensesAmt
PY Revenues Less Expenses-$1,006,161PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,176,293CYRevenuesLessExpensesAmt
Total Assets BOY$38,784,916TotalAssetsBOYAmt
Total Assets EOY$35,068,547TotalAssetsEOYAmt
Total Liabilities BOY$2,690,436TotalLiabilitiesBOYAmt
Total Liabilities EOY$2,710,493TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$36,094,480NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$32,358,054NetAssetsOrFundBalancesEOYAmt
MissionPROVIDE GROUP HEALTH BENEFITS FOR ELIGIBLE PARTICIPANTSMissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$23,417,736ExpenseAmt
Revenue$25,145,719RevenueAmt
DescPROVIDE GROUP HEALTH BENEFITS FOR ELIGIBLE PARTICIPANTSDesc
Total Program Service Expenses$23,417,736TotalProgramServiceExpensesAmt
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 Equipment0ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
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 Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
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 Members6GoverningBodyVotingMembersCnt
Independent Voting Member6IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
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 CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1IE SHAFFER & COBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone6097181323PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1830 BEAR TAVERN ROADAddressLine1Txt
CityWEST TRENTONCityNm
State AbbreviationNJStateAbbreviationCd
ZIP08628ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (6 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
STEPHEN ALDRICH
TRUSTEE1.00Yes (X)$0$250,246$107,099
WAYNE DEANGELO
TRUSTEE1.00Yes (X)$0$221,372$97,764
GINO A PASQUALONE
TRUSTEE1.00Yes (X)$0$221,372$97,764
MICHAEL NIELSEN
TRUSTEE1.00Yes (X)$0$0$0
JOSEPH KNECHT JR
TRUSTEE1.00Yes (X)$0$0$0
RONALD WARR
TRUSTEE1.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$692,990TotReportableCompRltdOrgAmt
Total Other Compensation$302,627TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (3 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
IE SHAFFER & CO
830 Bear Tavern Rd PO Box 1028WEST TRENTONNJ08628THIRD PARTY ADMINISTRATOR$380,082
AETNA LIFE INSURANCE CO
151 FARMINGTON AVENUEHARTFORDCT06103ADMINISTRATIVE FEES$343,182
CAPITAL RX INC
228 PARK AVENUE SOUTH SUITE 87234NEW YORKNY10003ADMINISTRATIVE FEES$193,760
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K3CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
EMPLOYER CONTRIBUTIONS525100$20,985,627$20,985,627
COBRA AND RETIREE CONT525100$2,001,886$2,001,886
PRESCRIPTION DRUG REBA525100$913,840$913,840
STOP LOSS REIMBURSEMEN525100$639,601$639,601
FieldValueIRS element (for citing)
Total Program Service Revenue$24,540,954TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$604,765TotalRevenueColumnAmt
Related Or Exempt Func Income$604,765RelatedOrExemptFuncIncomeAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$25,145,719TotalRevenueColumnAmt
Related Or Exempt Func Income$25,145,719RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$23,417,736TotalAmt
Program Services$23,417,736ProgramServicesAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$380,082TotalAmt
Management And General$380,082ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$47,332TotalAmt
Management And General$47,332ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$62,175TotalAmt
Management And General$62,175ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$26,951TotalAmt
Management And General$26,951ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$8,500TotalAmt
Management And General$8,500ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$14,820TotalAmt
Management And General$14,820ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$3,329TotalAmt
Management And General$3,329ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmt
PCORI FEE$6,168$6,168
OTHER$2,333$2,333

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$23,969,426TotalAmt
Program Services$23,417,736ProgramServicesAmt
Management And General$551,690ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$459,124BOYAmt
EOY$1,599,216EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$34,399BOYAmt
EOY$24,779EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,987,059BOYAmt
EOY$2,863,797EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$35,304,334BOYAmt
EOY$29,783,961EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
EOY$796,794EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$38,784,916BOYAmt
EOY$35,068,547EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$500,789BOYAmt
EOY$405,318EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,189,647BOYAmt
EOY$2,305,175EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,690,436BOYAmt
EOY$2,710,493EOYAmt
FieldValueIRS element (for citing)
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

FieldValueIRS element (for citing)
BOY$36,094,480BOYAmt
EOY$32,358,054EOYAmt

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$0BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$36,094,480BOYAmt
EOY$32,358,054EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$38,784,916BOYAmt
EOY$35,068,547EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$1,176,293ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$4,912,719NetUnrlzdGainsLossesInvstAmt
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

FieldValueIRS element (for citing)
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescCLAIMS PAYABLEDesc
Amt$2,305,175Amt
FieldValueIRS element (for citing)
Total Liability$2,305,175TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$18,662,108TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$4,912,719NetUnrealizedGainsInvstAmt
Revenue Not Reported-$4,912,719RevenueNotReportedAmt
Revenue Subtotal$23,574,827RevenueSubtotalAmt
Investment Expenses Not Incld$17,451InvestmentExpensesNotIncldAmt
Other Revenues Not Included$1,553,441OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$1,570,892RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$25,145,719TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$22,283,006TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included-$1,553,441OtherExpensesIncludedAmt
Expenses Not Reported-$1,553,441ExpensesNotReportedAmt
Expenses Subtotal$23,836,447ExpensesSubtotalAmt
Investment Expenses Not Incld2$17,451InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$115,528OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$132,979ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$23,969,426TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 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 December 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. 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 REIMBURSEMENT PRESCRIPTION DRUG REBATES
Part XII, Line 2d - Other Adjustments:STOP LOSS REIMBURSEMENT PRESCRIPTION DRUG REBATES
Part XII, Line 4b - Other Adjustments:CHANGE IN CLAIMS PAYABLE

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 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
STEPHEN ALDRICH
TRUSTEE$0$250,246$0$0$0$0$0$74,394$0$32,705$0$357,345$0$0
WAYNE DEANGELO
TRUSTEE$0$221,372$0$0$0$0$0$66,191$0$31,573$0$319,136$0$0
GINO A PASQUALONE
TRUSTEE$0$221,372$0$0$0$0$0$66,191$0$31,573$0$319,136$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 2STEPHEN ALDRICH, GINO A PASQUALONE, AND WAYNE DEANGELO ARE EMPLOYEES AND OFFICERS OF IBEW LOCAL UNION 269
Form 990, Part VI, Section A, line 7aUNION TRUSTEES ARE APPOINTED BY IBEW LOCAL UNION 269 AND EMPLOYER TRUSTEES ARE APPOINTED BY THE SOUTHERN NEW JERSEY CHAPTER, INC. NATIONAL ELECTRIC CONTRACTORS ASSOCIATION WHO REPRESENTS THE EMPLOYERS HAVING A CONTRACTUAL RELATIONSHIP WITH THE UNION
Form 990, Part VI, Section A, line 8bNO SUCH COMMITTEES EXISTED
Form 990, Part VI, Section B, line 11bA COPY OF THE RETURN HAS BEEN PROVIDED TO THE TRUSTEES FOR THEIR REVIEW AND COMMENT PRIOR TO ITS SUBMISSION
Form 990, Part VI, Section C, line 19GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST OR MAY BE EXAMINED AT THE ADDRESS OF THE PLAN

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndPublic Charity StatusPublicCharityStatusTxt
INTERNATIONAL BROTHERHOOD OF ELECTRICAL WORKERS LOCAL UNION NO 269
670 WHITEHEAD ROADTRENTONNJ08648210482996LABOR UNION ORGANIZED TO REPRESENT ELECTRICAL WORKERSNJ501(C)(5)N/A0
IBEW LOCAL 269 JOINT APPRENTICESHIP TRAINING AND TRUST FUND
676 WHITEHEAD ROADTRENTONNJ08648221839567TO PROVIDE TRANNING TO APPRENTICE PARTICIPANTSNJ501(C)(3)N/A0SCHOOL
IBEW LOCAL 269 PENSION FUND
830 BEAR TAVERN ROADWEST TRENTONNJ08628237301491TO PROVIDE PENSION BENEFITS TO PARTICIPANTSNJ401(A)N/A0
IBEW LOCAL UNION 269 ANNUITY FUND
830 BEAR TAVERN ROADWEST TRENTONNJ08628222393763TO PROVIDE ANNUITY BENEFITS TO PARTICIPANTSNJ401(A)N/A0
IBEW LOCAL 269 SICK FUND
670 WHITEHEAD ROADTRENTONNJ08648237178797TO PROVIDE SICK BENEFITS TO PARTICIPANTSNJ501(C)(9)N/A0
IBEW LOCAL 269 WELFARE AND SUPPLEMENTAL FUND
830 BEAR TAVERN ROADWEST TRENTONNJ08628223611027PROVIDES SUPPLEMENTAL HEALTH & WELFARE BENEFITS TO PARTICIPANTSNJ501(C)(17)N/A0
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 Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd