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LOCAL 807 LABOR & MGMT HEALTH FUND: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
LOCAL 807 LABOR & MGMT HEALTH FUND (EIN 13-5548780)
Tax period
2020-09-01 to 2021-08-31
Filed
2022-03-23
IRS object ID
202210829349300311
Schema version
2020v4.2
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)
Return2022-03-23T08:15:55-05:00ReturnTs
Tax Period End2021-08-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN131577780PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1SCHULTHEIS & PANETTIERI LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1450 WIRELESS BLVDAddressLine1Txt
CityHAUPPAUGECityNm
State AbbreviationNYStateAbbreviationCd
ZIP11788ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-09-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN135548780EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1LOCAL 807 LABOR-MANAGEMENTBusinessNameLine1Txt
Business Name Line2HEALTH FUNDBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlLOCABusinessNameControlTxt
Phone7187262525PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line132-43 49TH STREETAddressLine1Txt
CityLONG ISLAND CITYCityNm
State AbbreviationNYStateAbbreviationCd
ZIP11103ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDEMOS P DEMOPOULOSPersonNm
Person TitleUNION TRUSTEEPersonTitleTxt
Phone7187262525PhoneNum
Signature2022-03-23SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstDEMOSPersonFirstNm
Person LastDEMOPOULOSPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonCAROL WESTFALLPreparerPersonNm
PTINP00539069PTIN
Phone6312734778PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerTERESA CASANOVAPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line132-43 49TH STREETAddressLine1Txt
CityLONG ISLAND CITYCityNm
State AbbreviationNYStateAbbreviationCd
ZIP11103ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$48,796,228GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501cYes (X)Organization501cInd
Website AddressN/AWebsiteAddressTxt
Type Of Organization TrustYes (X)TypeOfOrganizationTrustInd
Formation1948FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionTO PROVIDE HEALTH & MEDICAL BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS.ActivityOrMissionDesc
Voting Members Governing Body6VotingMembersGoverningBodyCnt
Voting Members Independent6VotingMembersIndependentCnt
Total Employee14TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$10,456,077PYProgramServiceRevenueAmt
CY Program Service Revenue$9,357,588CYProgramServiceRevenueAmt
PY Investment Income$1,819,816PYInvestmentIncomeAmt
CY Investment Income$3,474,925CYInvestmentIncomeAmt
PY Other Revenue$165,684PYOtherRevenueAmt
CY Other Revenue$167,186CYOtherRevenueAmt
PY Total Revenue$12,441,577PYTotalRevenueAmt
CY Total Revenue$12,999,699CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$10,320,396PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$10,284,160CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$1,336,420PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$1,353,254CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$141,748PYOtherExpensesAmt
CY Other Expenses$167,191CYOtherExpensesAmt
PY Total Expenses$11,798,564PYTotalExpensesAmt
CY Total Expenses$11,804,605CYTotalExpensesAmt
PY Revenues Less Expenses$643,013PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,195,094CYRevenuesLessExpensesAmt
Total Assets BOY$73,465,201TotalAssetsBOYAmt
Total Assets EOY$75,545,076TotalAssetsEOYAmt
Total Liabilities BOY$1,973,767TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,442,944TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$71,491,434NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$74,102,132NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE HEALTH & MEDICAL BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
DescTO PROVIDE HEALTH & MEDICAL BENEFITS TO ELIGIBLE PARTICIPANTS 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 Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
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 Document585IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee14EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
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 Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
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 Policy0ConflictOfInterestPolicyInd
Whistleblower Policy0WhistleblowerPolicyInd
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 Line1TERESA CASANOVABusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7187262525PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line132-43 49TH STREETAddressLine1Txt
CityLONG ISLAND CITYCityNm
State AbbreviationNYStateAbbreviationCd
ZIP11103ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (8 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
ANTHONY STORZ
UNION TRUSTEE1.000.00Yes (X)$0$0$0
JOHN SULLIVAN - THRU 032021
UNION TRUSTEE1.000.00Yes (X)$0$0$0
MARTY MEYERS - EFF 042021
UNION TRUSTEE1.000.00Yes (X)$0$0$0
LUIS HERRERA
UNION TRUSTEE1.000.00Yes (X)$0$0$0
SCOTT LITTLE
MGT TRUSTEE1.000.00Yes (X)$0$0$0
JOHN ZAK
MGT TRUSTEE1.000.00Yes (X)$0$0$0
ROBERT HOLDEN
MGT TRUSTEE1.000.00Yes (X)$0$0$0
TERESA CASANOVA
FUND ADMIN.40.000.00$167,954$0$44,937Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$167,954TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$44,937TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
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
MAGNACARE ADMIN SERVICES
ONE PENN PLAZANEW YORKNY10119NETWORK ACCESS$237,540
BLUE CROSS BLUE SHIELD
15 METROTECH CENTERBROOKLYNNY11201MED CLAIM ADMIN$232,660
THE SEGAL COMPANY (EASTERN STATES) INC
333 WEST 34TH STREETNEW YORKNY10001ACTUARIAL CONSULTING$114,799
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K3CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
EMPLOYER CONTRIBUTIONS484110$8,992,631$8,992,631
PARTICIPANTS CONTRIBUTIONS484110$364,957$364,957
FieldValueIRS element (for citing)
Total Program Service Revenue$9,357,588TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,562,677TotalRevenueColumnAmt
Exclusion$1,562,677ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$167,186RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$167,186RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$167,186TotalRevenueColumnAmt
Exclusion$167,186ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$37,708,777SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$35,796,529SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$1,912,248SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,912,248TotalRevenueColumnAmt
Exclusion$1,912,248ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$12,999,699TotalRevenueColumnAmt
Related Or Exempt Func Income$9,357,588RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$3,642,111ExclusionAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$10,284,160TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$220,896TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$607,398TotalAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$263,303TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$196,041TotalAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$65,616TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$124,414TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$96,014TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$74,788TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$136,598TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$76,771TotalAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$34,171TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$117,376TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$721TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$3,633TotalAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$41,886TotalAmt

Other Expenses OtherExpensesGrp

FieldValueIRS element (for citing)
DescREIMB PR, TAXES AND BENDesc
Total-$539,181TotalAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$11,804,605TotalAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$766,078BOYAmt
EOY$1,124,079EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$3,085,928BOYAmt
EOY$1,100,450EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,041,222BOYAmt
EOY$1,564,410EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$104,602BOYAmt
EOY$87,200EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$6,591,418LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$791,418LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$5,803,633BOYAmt
EOY$5,800,000EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$55,231,037BOYAmt
EOY$56,079,558EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$6,432,701BOYAmt
EOY$9,789,379EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$73,465,201BOYAmt
EOY$75,545,076EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$275,000BOYAmt
EOY$245,344EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,698,767BOYAmt
EOY$1,197,600EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,973,767BOYAmt
EOY$1,442,944EOYAmt
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$71,491,434BOYAmt
EOY$74,102,132EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$71,491,434BOYAmt
EOY$74,102,132EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$73,465,201BOYAmt
EOY$75,545,076EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$1,195,094ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$1,415,604NetUnrlzdGainsLossesInvstAmt
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 CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$5,800,000InvestmentCostOrOtherBasisAmt
Book Value$5,800,000BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$173,693OtherCostOrOtherBasisAmt
Depreciation$173,693DepreciationAmt
Book Value$0BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$617,725OtherCostOrOtherBasisAmt
Depreciation$617,725DepreciationAmt
Book Value$0BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$5,800,000TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (3 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
SSGA S&P 500 NL QP CTF$1,852,597F
SSGA S&P 500 SL QP CTF$4,679,207F
BOYD WATTERSON STATE GOVT FUND LP$3,257,575F
FieldValueIRS element (for citing)
Total Book Value Securities$9,789,379TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescBENEFIT CLAIMS& PREM CURRENTLY PAYDesc
Amt$1,197,600Amt
FieldValueIRS element (for citing)
Total Liability$1,197,600TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$14,340,515TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$1,415,604NetUnrealizedGainsInvstAmt
Revenue Not Reported$1,415,604RevenueNotReportedAmt
Revenue Subtotal$12,924,911RevenueSubtotalAmt
Investment Expenses Not Incld$74,788InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt$74,788RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$12,999,699TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$11,793,417TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$11,793,417ExpensesSubtotalAmt
Investment Expenses Not Incld2$74,788InvestmentExpensesNotIncld2Amt
Other Expenses Not Included-$63,600OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$11,188ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$11,804,605TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART XII, LINE 4B - OTHER ADJUSTMENTS:FormAndLineReferenceDesc
ExplanationCHANGE IN BENEFITS PAYABLE -63,600.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp

FieldValueIRS element (for citing)
PersonTERESA CASANOVAPersonNm
TitleFUND ADMIN.TitleTxt
Base Compensation Filing Org$167,954BaseCompensationFilingOrgAmt
Compensation Based On Rltd Orgs$0CompensationBasedOnRltdOrgsAmt
Bonus Filing Organization$0BonusFilingOrganizationAmount
Bonus Related Organizations$0BonusRelatedOrganizationsAmt
Other Compensation Filing Org$0OtherCompensationFilingOrgAmt
Other Compensation Rltd Orgs$0OtherCompensationRltdOrgsAmt
Deferred Compensation Flng Org$25,782DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs$0DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org$19,155NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs$0NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org$212,891TotalCompensationFilingOrgAmt
Total Compensation Rltd Orgs$0TotalCompensationRltdOrgsAmt
Comp Report Prior990 Filing Org$0CompReportPrior990FilingOrgAmt
Comp Report Prior990 Rltd Orgs$0CompReportPrior990RltdOrgsAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE J PART IIFormAndLineReferenceDesc
ExplanationTERESA 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 51% OF THE GROSS AMOUNT DETAILED ON THE FORM 990, PART VII, SECTION A.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BTHE 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 19THE ORGANIZATION'S GOVERNING DOCUMENTS, POLICIES AND FINANCIAL STATEMENTS ARE AVAILABLE TO PARTICIPANTS UPON REQUEST. THE ORGANIZATION DOES NOT MAKE DOCUMENTS AVAILABLE TO THE PUBLIC.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationInd
LOCAL 807 LABOR-MANAGEMENT PENSION FUND
32-43 49TH STREETLONG ISLAND CITYNY11103516099111PROVIDE RET BENEFITS TO PARTICIPANTSNY501(A)N/AN/A0
LOCAL 807 PROFIT-SHARING PLAN
32-43 49TH STREETLONG ISLAND CITYNY11103112532544PROVIDE RET BENEFITS TO PARTICIPANTSNY501(A)N/AN/A0
INTL BROTHERHOOD OF TEAMSTERS L807
32-43 49TH STREETLONG ISLAND CITYNY11103135157850LABOR UNIONNY501(C)(5)N/AN/A0
NYC TRUCKING AUTHORITY (NYCTA)
32-43 49TH STREETLONG ISLAND CITYNY11103135614411LABOR UNIONNY501(C)(5)N/AN/A0

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1SEE SCHEDULE R SUPPLEMENTAL INFORMATIONBusinessNameLine1Txt
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

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VII, SECTION ACERTAIN 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 807 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(A) NAME ABC SUPPLY CO INC ACCORD SUPPLY CO, INC. AIR LOUVER & DAMPER INC AIRWELD INC ALUMA SYSTEMS CONCRETE CONSTRUCTION AMAGANSETT BLDG.MAT./C/O FLORENCE CO AMERICAN CONVENTION EXHIBITOR SERVIC APEX XPRESS ATLANTIC EXPOSITION SERVICES INC ATLANTIC WELDING SUPPLY CORP. 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 EAGLE MANAGEMENT GROUP EXPO ADVANTAGE USA INC FARMER BROTHERS COFFEE FLORENCE CORP FREEMAN EXPOSITIONS, INC GENTLEMEN'S SHEET METAL GES EXPOSITION SERVICES INC GOULD PAPER CORP GREEN BALL LEASING CORP 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 LEVIAT LINDENMEYR MUNROE DIV OF LONG ISLAND TINSMITH CORP MASSIMO ZANETTI BEVERAGE USA MAXUM EXPO SERVICES MCDONALD MTL & ROOF SUPP CO MCKINNEY WELD SUPPLY CO MONDELEZ GLOBAL LLC N Y RACING ASSOC INC NATIONAL CONVENTION SERVICES NICHOLSON & GALLOWAY INC NTH DEGREE NY CONVENT CTR OPER CORP NYC TRUCKING AUTHORITY (NYCTA) ON LOCATION INC P. B. VENTILATING SYSTEMS, INC. PARAMOUNT CONVENTION SERVICES PERSONNEL COORDINATOR INC PKM LOGISTICS INC. PRO-BUILD EAST, LLC RENAISSANCE MANAGEMNT INC RIBON INDUSTRIES INC RIVEREDGE TRANS INC SCOPE ART SHOW SELECT CONTRACTING INC SHOWTIME ON THE PIERS LLC SPECTRUM SHOW SERVICES STAND TNSMTH & ROOF SUPP T W SMITH WELD SUPP CORP T3 EXPO TATTOOED KINGPIND DBA ANCHOR EXPO THEATRICAL RESOURCES TRUCK DRIVERS LOCAL 807 UNITED ENVELOPE INC WAYLAND INDUSTRIES INC WILLWORK INC. WOLKOW-BRAKER ROOF CORP YORK LADDER, INC YORK SCAFFOLD EQUIP CORP