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TEAMSTERS LOCAL 469 WELFARE FUND: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
TEAMSTERS LOCAL 469 WELFARE FUND (EIN 22-1552880)
Tax period
2022-01-01 to 2022-12-31
Filed
2023-11-07
IRS object ID
202333119349303008
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)
Return2023-11-07T12:48:28-06:00ReturnTs
Tax Period End2022-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN222951202PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1MSPC CPAS & ADVISORS PCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1340 NORTH AVENUE EASTAddressLine1Txt
CityCRANFORDCityNm
State AbbreviationNJStateAbbreviationCd
ZIP070162496ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN221552880EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1TEAMSTERS LOCAL 469 WELFARE FUNDBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlTEAMBusinessNameControlTxt
Phone7322649000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13400 ROUTE 35AddressLine1Txt
CityHAZLETCityNm
State AbbreviationNJStateAbbreviationCd
ZIP07730ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMICHAEL BRODERICKPersonNm
Person TitleTRUSTEEPersonTitleTxt
Phone7322649000PhoneNum
Signature2023-11-07SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstMICHAELPersonFirstNm
Person LastBRODERICKPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonRAYMOND HARGADON CPAPreparerPersonNm
PTINP01780635PTIN
Phone9082727000PhoneNum

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 OfficerMICHAEL BRODERICKPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line13400 ROUTE 35AddressLine1Txt
CityHAZLETCityNm
State AbbreviationNJStateAbbreviationCd
ZIP07730ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$19,474,721GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501cYes (X)Organization501cInd
Website AddressN/AWebsiteAddressTxt
Type Of Organization TrustYes (X)TypeOfOrganizationTrustInd
Formation1955FormationYr
Legal Domicile StateNJLegalDomicileStateCd
Activity Or MissionTO PROVIDE HEALTH AND WELFARE BENEFITS TO MEMBERS AND DEPENDENTS.ActivityOrMissionDesc
Voting Members Governing Body6VotingMembersGoverningBodyCnt
Voting Members Independent0VotingMembersIndependentCnt
Total Employee2TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$13,424,627PYProgramServiceRevenueAmt
CY Program Service Revenue$13,339,762CYProgramServiceRevenueAmt
PY Investment Income$251,066PYInvestmentIncomeAmt
CY Investment Income$271,830CYInvestmentIncomeAmt
PY Other Revenue$36,661PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$13,712,354PYTotalRevenueAmt
CY Total Revenue$13,611,592CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$12,660,931PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$13,340,180CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$154,318PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$134,651CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$814,029PYOtherExpensesAmt
CY Other Expenses$800,779CYOtherExpensesAmt
PY Total Expenses$13,629,278PYTotalExpensesAmt
CY Total Expenses$14,275,610CYTotalExpensesAmt
PY Revenues Less Expenses$83,076PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$664,018CYRevenuesLessExpensesAmt
Total Assets BOY$17,498,095TotalAssetsBOYAmt
Total Assets EOY$16,374,061TotalAssetsEOYAmt
Total Liabilities BOY$100,439TotalLiabilitiesBOYAmt
Total Liabilities EOY$142,107TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$17,397,656NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$16,231,954NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE HEALTH AND WELFARE BENEFITS TO ALL ELIGIBLE MEMBERS AND THEIR DEPENDENTS.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
DescTHE TEAMSTERS 469 WELFARE FUND PROVIDES HEALTH AND WELFARE BENEFITS FOR ALL ELIGIBLE MEMBERS AND THEIR DEPENDENTS.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 AssetsYes (1)ReportOtherAssetsInd
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 Document7IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee2EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
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
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
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 Member0IndependentVotingMemberCnt
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 CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
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 Line1BOARD OF TRUSTEESBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7322649000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13400 ROUTE 35AddressLine1Txt
CityHAZLETCityNm
State AbbreviationNJStateAbbreviationCd
ZIP07730ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (7 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
FREDRICK POTTER JR RESIGNED
TRUSTEE1.0040.00Yes (X)$0$0$0
MICHAEL BRODERICK
TRUSTEE1.0040.00Yes (X)$0$125,295$74,180
RICK WORKMAN
TRUSTEE1.00Yes (X)$0$0$0
MICHAEL TKATCH
TRUSTEE1.0040.00Yes (X)$0$122,992$73,214
MARCELO AFONSO
TRUSTEE1.00Yes (X)$0$0$0
DANIEL NEVILLE
TRUSTEE1.00Yes (X)$0$0$0
CHRISTINA MONTORIO
TRUSTEE1.0040.00Yes (X)$0$109,995$70,261
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$358,282TotReportableCompRltdOrgAmt
Total Other Compensation$217,655TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (2 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
HORIZON HEALTH CARE SERVICES
3 PENN PLAZANEWARKNJ07105CLAIMS ADMINISTRATION$230,533
ZENITH AMERICAN SOLUTIONS
33 EASTLAND STREETSPRINGFIELDMA01109THIRD PARTY ADMINISTRATOR$198,082
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K2CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
EMPLOYERS' CONTRIBUTIONS525100$13,228,841$13,228,841
PARTICIPANTS' CONTRIBUTIONS525100$110,921$110,921
FieldValueIRS element (for citing)
Total Program Service Revenue$13,339,762TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$336,989TotalRevenueColumnAmt
Exclusion$336,989ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$5,797,970SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$5,863,129SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$65,159SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$65,159TotalRevenueColumnAmt
Exclusion-$65,159ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$13,611,592TotalRevenueColumnAmt
Related Or Exempt Func Income$13,339,762RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$271,830ExclusionAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$13,340,180TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$71,572TotalAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$25,283TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$37,569TotalAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$227TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$34,643TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$38,270TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$45,356TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$556,065TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$41,709TotalAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$44,936TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$25,477TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$1,804TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,546TotalAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$7,843TotalAmt

Other Expenses OtherExpensesGrp

FieldValueIRS element (for citing)
DescOTHER BENEFIT FEESDesc
Total$3,130TotalAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$14,275,610TotalAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$2,527,348BOYAmt
EOY$671,194EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$440,494BOYAmt
EOY$423,546EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$854,267BOYAmt
EOY$472,124EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$80,781LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$76,844LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$5,483BOYAmt
EOY$3,937EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$10,384,923BOYAmt
EOY$10,083,248EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$1,980,179BOYAmt
EOY$2,764,267EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,305,401BOYAmt
EOY$1,955,745EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$17,498,095BOYAmt
EOY$16,374,061EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$60,233BOYAmt
EOY$45,457EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$40,206BOYAmt
EOY$96,650EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$100,439BOYAmt
EOY$142,107EOYAmt
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$17,397,656BOYAmt
EOY$16,231,954EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$17,397,656BOYAmt
EOY$16,231,954EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$17,498,095BOYAmt
EOY$16,374,061EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$664,018ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$501,684NetUnrlzdGainsLossesInvstAmt
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

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$80,781OtherCostOrOtherBasisAmt
Depreciation$76,844DepreciationAmt
Book Value$3,937BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$3,937TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescBOYD WATTERSON GSA FUND, LPDesc
Book Value$2,764,267BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$2,764,267TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (7 entries)

DescDescBook ValueBookValueAmt
ACCRUED INTEREST$92,835
PRESCRIPTION PROGRAM REBATES$341,365
STOP LOSS REIMBURSEMENTS$295,538
ADVANCE DEPOSIT$214,395
DUE FROM LOCAL 469 ANNUITY FUND 0$17,050
MEDICAL CLAIMS RECEIVABLE$937,657
RIGHT OF USE ASSET-OPERATING LEASE$56,905
FieldValueIRS element (for citing)
Total Book Value Other Assets$1,955,745TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
DUE TO BROKER$39,745
OPERATING LEASE LIABILITIES$56,905
FieldValueIRS element (for citing)
Total Liability$96,650TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$13,064,552TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$501,684NetUnrealizedGainsInvstAmt
Revenue Not Reported-$501,684RevenueNotReportedAmt
Revenue Subtotal$13,566,236RevenueSubtotalAmt
Investment Expenses Not Incld$45,356InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt$45,356RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$13,611,592TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$14,230,254TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$14,230,254ExpensesSubtotalAmt
Investment Expenses Not Incld2$45,356InvestmentExpensesNotIncld2Amt
Expenses Not Rpt Fincl Stmt$45,356ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$14,275,610TotalExpensesPerForm990Amt

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. PLAN MANAGEMENT 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.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 (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
MICHAEL BRODERICK
TRUSTEE$0$125,295$0$0$0$0$0$45,074$0$29,106$0$199,475$0$0
MICHAEL TKATCH
TRUSTEE$0$122,992$0$0$0$0$0$44,108$0$29,106$0$196,206$0$0
CHRISTINA MONTORIO
TRUSTEE$0$109,995$0$0$0$0$0$41,155$0$29,106$0$180,256$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 2UNION TRUSTEES MICHAEL BRODERICK, MICHAEL TKATCH, AND CHRISTINA MONTORIO ARE OFFICERS OF TEAMSTERS LOCAL UNION NO. 469. EACH OF THE EMPLOYER TRUSTEES ARE EMPLOYED BY COMPANIES THAT HAVE COLLECTIVE BARGAINING AGREEMENTS WITH TEAMSTERS LOCAL UNION NO. 469 IN WHICH UNION TRUSTEES BRODERICK, TKATCH, AND MONTORIO ARE OFFICERS. MEMBERS OF THE LOCAL UNION ARE EMPLOYED BY THE EMPLOYER TRUSTEES' COMPANIES AND THE TERMS AND CONDITIONS OF THAT EMPLOYMENT ARE NEGOTIATED BY THE EMPLOYERS AND THE LOCAL UNION IN THE COLLECTIVE BARGAINING PROCESS.
FORM 990, PART VI, SECTION A, LINE 7AUNION TRUSTEES ARE APPOINTED BY THE EXECUTIVE BOARD OF TEAMSTERS LOCAL UNION NO. 469. EMPLOYER TRUSTEES ARE APPOINTED BY THE EMPLOYERS HAVING COLLECTIVE BARGAINING AGREEMENTS WITH TEAMSTERS LOCAL UNION NO. 469.
FORM 990, PART VI, SECTION B, LINE 11BPRIOR TO ITS FILING, THE FORM 990 WAS REVIEWED BY EACH OF THE TRUSTEES OF THE PLAN. THE BOARD OF TRUSTEES IS THE GOVERNING BODY OF THE FUND AND CONSISTS OF ALL OF THE VOTING MEMBERS.
FORM 990, PART VI, SECTION B, LINE 12CTHIS ORGANIZATION IS AN EMPLOYEE BENEFIT PLAN COVERED BY THE EMPLOYEE RETIREMENT INCOME SECURITY ACT. SECTIONS 404 AND 406 OF THAT ACT PROVIDE THE LEGAL STANDARD AND PROCEDURES WITH REGARD TO CONFLICTS OF INTEREST FOR THE BOARD OF TRUSTEES. THE TRUSTEES HAVE A STATUTORY DUTY UNDER ERISA TO AVOID CONFLICTS AND TO REPORT THEM WHEN THEY OCCUR.
FORM 990, PART VI, SECTION C, LINE 19ALL DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST AND AT THE FUND'S OFFICE.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (10 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationInd
TEAMSTERS LOCAL 469 WELFARE FUND
3400 HIGHWAY 35HAZLETNJ07730226172237VEBA EMPLOYERNJ501(C)(9)N/AN/A0
TEAMSTERS LOCAL 469 UNION
3400 HIGHWAY 35HAZLETNJ07730221010250VEBA EMPLOYERNJ501(C)(5)N/AN/A0
TEAMSTERS LOCAL 469 ANNUITY FUND
3400 HIGHWAY 35HAZLETNJ07730222980666VEBA EMPLOYERNJ501(A)N/AN/A0
TEAMSTERS LOCAL 469 PENSION FUND
3400 HIGHWAY 35HAZLETNJ07730226172237VEBA EMPLOYERNJ501(A)N/AN/A0
BORO OF LAVALLETTE
1306 GRAND CENTRAL AVELAVALLETTENJ08735216000788VEBA EMPLOYERNJN/AN/A0
BOROUGH OF MANVILLE
325 NORTH MAIN STREETMANVILLENJ08835226002063VEBA EMPLOYERNJN/AN/A0
BOROUGH OF POINT PLEASANT
2233 BRIDGE AVENUEPOINT PLEASANTNJ08742216001021VEBA EMPLOYERNJN/AN/A0
TOWNSHIP OF BRICK
401 CHAMBERSBRIDGE RDBRICKNJ08723216000379VEBA EMPLOYERNJN/AN/A0
TOWNSHIP OF WOODBRIDGE
1 MAIN STREETWOODBRIDGENJ07095226002416VEBA EMPLOYERNJN/AN/A0
WASHINGTON TOWNSHIP
43 SCHOOLEYS MOUNTAIN ROADLONG VALLEYNJ07853226002377VEBA EMPLOYERNJN/AN/A0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdPrimary ActivitiesPrimaryActivitiesTxtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndEINEIN
DARBY DEVELOPMENT LLC
175 OCEANPORT AVEOCEANPORTNJ07757VEBA EMPLOYER00
GULF OIL LP
100 CROSSING BLVDFRAMINGHAMMA01702VEBA EMPLOYER00043024830
MEENAN OIL CO LP
15 RICHBOYTON ROADDOVERNJ07801VEBA EMPLOYER00113083408
QUALAWASH HOLDINGS LLC
101 S FRANKLIN STREETTAMPAFL33602VEBA EMPLOYER00270683851
RALPH CLAYTON & SONS LLC
PO BOX 3015LAKEWOODNJ08701VEBA EMPLOYER00210699747

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (44 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdPrimary ActivitiesPrimaryActivitiesTxtControlled OrganizationControlledOrganizationIndEINEINLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxt
ACME OIL
1000 WOODBURY ROAD SUITE 110WOODBURYNY11797VEBA EMPLOYER0
C ABBONIZIO CONTRACTORS INC
PO BOX 315SEWELLNJ08080VEBA EMPLOYER0222007293NJN/AS
CARBO CONSTRUCTION
605 OMNI DRHILLSBOROUGHNJ08844VEBA EMPLOYER0
CDJ CONTRACTING CORP
2000 HIGHWAY 35MORGANNJ08879VEBA EMPLOYER0223368707NJN/A
CENTRAL CONCRETE
475 MARKET STREETELMWOOD PARKNJ07407VEBA EMPLOYER0
CHARLES J HESSE INC
PO BOX 207BELFORDNJ07718VEBA EMPLOYER0210475060NJN/A
CJ HESSE INC
PO BOX 207BELFORDNJ07718VEBA EMPLOYER0221734209NJN/A
CONTICO (CONTI CONST)
2045 LINCOLN HIGHWAYEDISONNJ08817VEBA EMPLOYER0222461848NJN/A
CRISDEL GROUP INC
240 RYAN STREETS PLAINFIELDNJ07080VEBA EMPLOYER0222382970NJN/AC
DELISA PALLET CORP
91-97 BLANCHARD STREETNEWARKNJ07105VEBA EMPLOYER0221712199NJN/A
EASTERN CONCRETE MATERIALS INC
475 MARKET STREETELMWOOD PARKNJ07407VEBA EMPLOYER0221521165NJN/AC
FERREIRA CONSTRUCTION
31 TANNERY RDBRANCHBURGNJ08876VEBA EMPLOYER0223334957
FERRELLGAS INC
ONE LIBERTY PLAZALIBERTYMO64068VEBA EMPLOYER0731285864MON/A
FIRST STUDENT MONMOUTHJUNCTION
600 VINE STREETCINCINNATIOH45202VEBA EMPLOYER0592364035OHN/A
FREEHOLD RACING
PO BOX 6669 SUITE 3-200FREEHOLDNJ07728VEBA EMPLOYER0232988269NJN/A
GLEI
2122 YORK RDOAK BROOKIL60523VEBA EMPLOYER0205336063
J FLETCHER CREAMER & SON INC
101 E BROADWAYHACKENSACKNJ07601VEBA EMPLOYER0210665029NJN/A
JW PIERSON CO
PO BOX 1101GLEN RIDGENJ07028VEBA EMPLOYER0221200060NJN/A
KARNAK CORP
330 CENTRAL AVENUECLARKNJ07066VEBA EMPLOYER0135207035NJN/A
LDL ENTERPRIZES NORTH INC
99 AGRESS ROADCLARKSBURGNJ08510VEBA EMPLOYER0223665728NJN/A
MICHELS CORPORATION
PO BOX 128BROWNSVILLEWI53006VEBA EMPLOYER0390970311WIN/A
MITCHELL SUPREME FUEL CO
532 FREEMAN STREETORANGENJ07050VEBA EMPLOYER0221688446NJN/A
NEW YORK TERMINALS II LLC
534 SOUTH FRONT STREETELIZABETHNJ07202VEBA EMPLOYER0203711316NJN/A
NORTHEAST REMSCO CONST INC
1433 HIGHWAY 34 SOUTHFARMINGDALENJ07727VEBA EMPLOYER0223131714NJN/A
PETILLO INC
167 FLANDERS-NETCONG RDFLANDERSNJ07836VEBA EMPLOYER0
PETRO FUEL
1000 WOODBURY RDWOODBURYNY11747VEBA EMPLOYER0
PRIME LUBE INC
800 ROOSEVELT AVECARTERETNJ07008VEBA EMPLOYER0223036992NJN/A
SIL CRETE INC
355 NEWBOLD ROADFAIRLESS HILLSPA19020VEBA EMPLOYER0231707627NJN/AC
SIL KEMP CONCRETE
355 NEWBOLD ROADFAIRLESS HILLSPA19020VEBA EMPLOYER0231607518NJN/AC
SIX FLAGS GREAT ADVENTURE
PO BOX 120JACKSONNJ08527VEBA EMPLOYER0208398235NJN/A
STAVOLA ASPHALT CO INC
PO BOX 482RED BANKNJ07701VEBA EMPLOYER0223016299NJN/A
TAYLOR OIL CO INC
PO BOX 974SOMERVILLENJ08876VEBA EMPLOYER0221739466NJN/A
TRUMBULL CORPORATION
PO BOX 6774PITTSBURGHPA15212VEBA EMPLOYER0251021993PAN/A
US PIPELINE INC
8100 WASHINGTON AVE SUITE 200HOUSTONTX77007VEBA EMPLOYER0522129576TXN/A
YARDVILLE SUPPLY CO
PO BOX 8427HAMILTONNJ08650VEBA EMPLOYER0210626198NJN/A
ML RUBERTON CONSTRUCTION CO INC
1512 MAYS LANDING RDHAMMONTONNJ08037VEBA EMPLOYER0NJN/A
AMERICAN PILE AND FOUNDATION LLC
61 COUNTY LINE RDSOMERVILLENJ08876VEBA EMPLOYER0320400145NJN/A
APPLIED LANDSCAPE TECHNOLOGIES
PO BOX 608MONTVILLENJ07045VEBA EMPLOYER0223144785NJN/A
BERTO CONSTRUCTIONS
625 LEESVILLE AVERAHWAYNJ07065VEBA EMPLOYER0221863748NJN/A
CARSON CORP
171 NJ-94LAFAYETTENJ07848VEBA EMPLOYER0222852356NJN/A
DELAWARE TOWNSHIP
570 ROSEMONT-RINGOES RDSERGEANTSVILLENJ08557VEBA EMPLOYER0226001744NJN/A
HOP ENERGY
36 BROWNSTONE AVEPORTLANDCT06480VEBA EMPLOYER0061434797CTN/A
SEVENSON ENVIRONMENTAL SERV
2749 LOCKPORT RDNIAGARA FALLSNY14305VEBA EMPLOYER0160997941NYN/A
STERLING PIPELINE SOLUTIONS INC
501 E 151ST STREETPHOENIXIL60426VEBA EMPLOYER0814474612ILN/A
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 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 (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
TEAMSTERS 469 PENSION FUND
O$25,903CASH
TEAMSTERS 469 ANNUITY FUND
O$16,893CASH