2022-10-13T11:11:45-05:00 2021-12-31 611436956 NOVAK FRANCELLA LLC 40 MONUMENT RD 5TH FLR BALA CYNWYD PA 19004 990 2021-01-01 366562520 NATIONAL IAM BENEFIT TRUST FUND NATI 2027858148 99 M STREET SE 600 WASHINGTON DC 200034595 JAMES PATRICK TIERNEY III FUND DIRECTOR 2027858148 2022-10-13 1 JAMES PATRICK TIERNEY III 999009999 LOUIS VERZELLA CPA P00360279 6106689400 2022-10-13 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z JAMES PATRICK TIERNEY III 99 M STREET SE 600 WASHINGTON DC 200034595 413226491 0 X WWW.IAMBTF.ORG X 1973 DC TO PROVIDE HEALTH, WELFARE, VISION AND DENTAL BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS ESTABLISHED UNDER A COLLECTIVE BARGAINING AGREEMENT BEWTEEEN VARIOUS EMPLOYERS AND THE INTERANTIONAL ASSOCIATION OF MACHINISTS AND AEROSPACE WORKERS, AFL-CIO AND AFFILIATED IAM LOCAL AND IAM DISTRICT LODGES. 6 0 22 0 0 0 0 0 102771085 106465100 2392497 3343700 0 0 105163582 109808800 0 0 97382235 105869079 2078514 2616529 0 0 0 5991285 5905855 105452034 114391463 -288452 -4582663 105862477 108324998 1409246 2118412 104453231 106206586 X TO PROVIDE HEALTH, WELFARE, VISION AND DENTAL BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS ESTABLSIHED UNDER A COLLECTIVE BARGAINING AGREEMENT BETWEEN VARIOUS EMPLOYERS AND THE INTERNATIONAL ASSOCIATION OF MACHINISTS AND AEROSPACE WORKERS, AFL-CIO AND AFFILIATED IAM LOCAL AND IAM DISTRICT LODGES. 0 0 TO PROVIDE HEALTH, WELFARE, VISION AND DENTAL BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS. 0 0 0 0 0 0 0 0 0 1 1 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 4 0 1 22 1 0 0 0 0 0 0 0 0 X 6 0 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X THE FUND 2027858148 99 M STREET SE 600 WASHINGTON DC 200034595 DORA CERVANTES UNION TRUSTEE/CO-CHAIR 1.00 40.00 X X 0 265109 110499 JAMES CONIGLIARO UNION TRUSTEE/CO-CHAIR (P) 1.00 40.00 X 0 306756 49488 STEVEN M GALLOWAY UNION TRUSTEE 1.00 40.00 X 0 239766 98785 AMY KEHOE EMPLOYER TRUSTEE 1.00 X 0 0 0 THOMAS MITCHELL EMPLOYER TRUSTEE/CO-CHAIR 1.00 X 0 0 0 MARIE UNDERWOOD EMPLOYER TRUSTEE 1.00 X 0 0 0 RICKEY WALLACE UNION TRUSTEE 1.00 X 0 120187 43596 JAMES TIERNEY EXECUTIVE DIRECTOR 9.80 32.20 X 110000 401741 33968 KAREN BROWN DIRECTOR OF OPERATIONS 40.00 X 153107 0 11436 CATHERINE GRAY EMPLOYEE 40.00 X 100615 0 15222 DIANA LOTT EMPLOYEE 40.00 X 101383 0 21977 465105 1333559 384971 4 0 1 0 CIGNA 900 COTTAGE GROVE RD BLOOMFIELD CT 06002 CLAIMS PROCESSING 3701350 VITCEH SYSTEMS GROUP 401 PARK AVE SOUTH NEW YORK NY 10016 BENEFIT & ADMIN SOFTWARE 2065013 LINEA SOLUTIONS 4551 GLENCOE AVE STE 140 MARINA DEL REY CA 90292 CONSULTING 479193 DELTA DENTAL ONE DELTA DRIVE MECHANICSBURG PA 17055 CLAIMS PROCESSING 331634 MANAGED BUSINESS SOLUTIONS LLC 6547 N ACADEMY BLVD 2490 COLORADO SPRINGS CO 80918 IT SERVICES 297898 10 EMPLOYER CONTRIBUTIONS 525100 105784776 105784776 PARTICIPANT CONTRIBUTIONS 525100 680324 680324 106465100 214385 214385 306547006 303417691 3129315 3129315 3129315 109808800 106465100 0 3343700 105869079 110000 1777368 207436 366887 154838 51345 68883 273122 4503250 367561 309793 128757 2702 3879 96270 56716 ACA FEES 30007 PERSONAL PROPERTY TAXES 7915 RECRUITING 5243 BACKGROUND SCREENINGS 412 114391463 954251 111863 2171671 5622236 2307725 1293289 36593 49194 5751845 948667 1957093 4803178 98435144 96445238 105862477 108324998 461383 407449 213288 376991 734575 1333972 1409246 2118412 X 104453231 106206586 0 0 0 0 104453231 106206586 105862477 108324998 -4582663 6336018 0 X X 0 1 X 1 0 5751845 948667 4803178 4803178 COMMON COLLECTIVE TRUST 28319131 F 103-12 INVESTMENT ENTITIES 68126107 F 96445238 SELF PAY PREPAID CONTRIBUTIONS 31240 DUE TO IAM NATIONAL PENSION FUND 1302732 1333972 X 115871696 6336018 6336018 109535678 273122 273122 109808800 114118341 0 114118341 273122 273122 114391463 PART X, LINE 2: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE FUND AND RECOGNIZE A TAX LIABILITY IF THE FUND HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE. MANAGEMENT HAS EVALUATED THE TAX POSITIONS TAKEN BY THE FUND AND CONCLUDED THAT AS OF DECEMBER 31, 2021 AND 2020, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION IN THE FINANCIAL STATEMENTS. THE FUND IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS IN PROGRESS FOR ANY TAX PERIODS. TYPICALLY, FUND TAX YEARS WILL REMAIN OPEN FOR THREE YEARS; HOWEVER, THIS MAY DIFFER DEPENDING UPON THE CIRCUMSTANCES OF THE FUND. X 0 0 0 JAMES TIERNEY EXECUTIVE DIRECTOR 110000 401741 0 0 0 0 0 12000 0 21968 110000 435709 0 0 DORA CERVANTES UNION TRUSTEE/CO-CHAIR 0 247507 0 0 0 17602 0 81737 0 28762 0 375608 0 0 JAMES CONIGLIARO UNION TRUSTEE/CO-CHAIR (P) 0 208765 0 0 0 97991 0 37262 0 12226 0 356244 0 0 STEVEN M GALLOWAY UNION TRUSTEE 0 222415 0 0 0 17351 0 74525 0 24260 0 338551 0 0 KAREN BROWN DIRECTOR OF OPERATIONS 153107 0 0 0 0 0 4566 0 6870 0 164543 0 0 0 RICKEY WALLACE UNION TRUSTEE 0 111207 0 0 0 8980 0 37262 0 6334 0 163783 0 0 FORM 990, PART VI, SECTION A, LINE 2 TRUSTEES DORA CERVANTES, JAMES CONIGLIARO, AND STEVEN M. GALLOWAY HAVE A BUSINESS RELATIONSHIP THROUGH GRAND LODGE INTERNATIONAL ASSOCIATION OF MACHINISTS AND AEROSPACE WORKERS, RESPECTIVELY. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY AN INDEPENDENT CERTIFIED PUBLIC ACCOUNTING FIRM, ENGAGED BY THE FUND, WHO PROVIDES A DRAFT COPY OF THE RETURN TO THE FUND OFFICE FOR THEIR INTERNAL REVIEW AND COMMENT. A FINAL DRAFT IS THEN FORWARDED TO THE FUND OFFICE WHICH IS THEN PROVIDED TO THE BOARD OF TRUSTEES FOR THEIR REVIEW PRIOR TO ITS FILING. FORM 990, PART VI, SECTION B, LINE 12C ALL COVERED PERSONS, TRUSTEES AND FUND EMPLOYEES, ARE REQUIRED ON AN ANNUAL BASIS TO AFFIRM IN WRITING THAT THEY HAVE RECEIVED, UNDERSTOOD, AND WILL COMPLY WITH THE FUND'S CODE OF CONDUCT. FORM 990, PART VI, SECTION B, LINE 15 THE SALARY FOR THE FUND DIRECTOR IS DETERMINED BY THE BOARD OF TRUSTEES. ALL OTHER COMPENSATION OF THE NON-BARGAINING UNIT STAFF IS DETERMINED BY THE FUND DIRECTOR. ALL OTHER COMPENSATION OF THE BARGAINING UNIT STAFF IS DETERMINED BY THE COLLECTIVE BARGAINING AGREEMENT. FORM 990, PART VI, SECTION C, LINE 19 PARTICIPANTS CAN REQUEST COPIES OF DOCUMENTS OR REVIEW DOCUMENTS AT THE FUND OFFICE. FORM 990. PART XII, LINE 2C: THE REVIEW PROCESS IS UNCHANGED FROM THE PRIOR YEAR. 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