2022-11-11T14:25:39-06:00 2021-12-31 470900880 CALIBRE CPA GROUP PLLC 7501 WISCONSIN AVENUE STE 1200W BETHESDA MD 20814 990 2021-01-01 540556299 TEAMSTERS JOINT COUNCIL NO 83 OF VIRGINIA HEALTH & WELFARE FUND TEAM 8042823131 8814 FARGO ROAD 200 RICHMOND VA 232294673 JAMES SMITH TRUSTEE 8042823131 2022-11-04 1 JAMES SMITH 999009999 JOSEPH M HERISHEN CPA P00361968 2023319880 2022-11-11 X 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z JAMES SMITH 8814 FARGO ROAD RICHMOND VA 232294673 82674894 0 X WWW.TJC83FUNDS.ORG X 1952 VA PROVIDE HEALTH & WELFARE BENEFITS TO PARTICIPANTS AND THEIR BENEFICIARIES AS DETERMINED BY THE TRUSTEES, AND SHALL FURTHER PROVIDE THE MEANS FOR DEFRAYING REASONABLE EXPENSES OF THE OPERATION AND ADMINISTRATION OF THE FUND. 6 0 0 0 0 0 0 0 74729370 81101896 1633430 1412115 70861 42779 76433661 82556790 0 0 56414610 69423531 1964971 1974450 0 0 0 4641642 4660205 63021223 76058186 13412438 6498604 118877472 132877433 1409045 1543382 117468427 131334051 PROVIDE HEALTH & WELFARE BENEFITS TO PARTICIPANTS AND THEIR BENEFICIARIES AS DETERMINED BY THE TRUSTEES, AND SHALL FURTHER PROVIDE THE MEANS FOR DEFRAYING REASONABLE EXPENSES OF THE OPERATION AND ADMINISTRATION OF THE FUND. 0 0 76058186 82517392 ADMINISTER AND PROVIDE HEALTH AND WELFARE BENEFITS TO PARTICIPANTS AND ELIGIBLE DEPENDENTS COVERED BY APPLICABLE COLLECTIVE BARGAINING AND PARTICIPATION AGREEMENTS. 76058186 0 0 0 0 0 0 0 0 0 1 1 0 0 0 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 0 0 0 0 0 0 0 0 0 0 0 0 0 X 6 0 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X ROBIN DONOVICK TJC 83 OF VA HEALTH & WELFARE FUND 8042823131 8814 FARGO ROAD STE 200 RICHMOND VA 23229 W ROBERT DAVIDSON EMPLOYER TRUSTEE 1.00 X 0 0 0 WILLIAM A NATIONS EMPLOYER TRUSTEE 1.00 X 0 0 0 JOHN FARRISH UNION TRUSTEE 1.00 X 0 0 0 JAMES R SMITH UNION TRUSTEE 1.00 55.00 X 0 105976 63096 JAY BOWERS EMPLOYER TRUSTEE 1.00 X 0 0 0 JAMES WRIGHT UNION TRUSTEE 1.00 50.00 X 0 124922 53496 ROBIN DONOVICK EXEC DIRECTOR 28.00 12.00 X 154967 0 38298 154967 230898 154890 1 0 1 0 ANTHEM BLUE CROSS BLUE SHIELD 2015 STAPLES MILL RD RICHMOND VA 23230 PPO NETWORK 1986192 AMALGAMATED LIFE INSURANCE CO 333 WESTCHESTER AVE WHITE PLAINS NY 10604 INSURER 632140 BASYS INC 3700 KOPPERS ST STE 400 BALTIMORE MD 21227 SOFTWARE PROGRAMING 439969 EPLAN LLC 22601 NORTH 19TH AVE STE 240 PHOENIX AZ 85027 CLAIMS NEGOTIATOR 217034 MORGAN LEWIS BOCKIUS LLP 1111 PENNSYLVANIA AVE NW WASHINGTON DC 20004 ATTORNEY 173591 5 PARTICIPANT EMPLOYER CONTRIBUTION 525100 79064495 79064495 VOLUNTARY EMPLOYEE CONTRIBUTION 525100 2037401 2037401 81101896 1412115 1412115 157502 118104 39398 39398 39398 OTHER BUILDING INCOME 532000 3381 3381 3381 82556790 82517392 0 39398 69423531 238829 835383 401359 290092 208787 250026 98968 258838 124489 116965 431744 23797 127542 116434 OTHER ADMIN - PPO MEDIC 2924249 DISEASE MANAGEMENT SERV 113009 OTHER EXPENSES 74144 76058186 14530676 16769054 5470592 5977389 38794 37561 3366674 2917601 518772 449073 17386939 17459340 79313511 87867816 1618188 4317200 118877472 132877433 1409045 1543382 1409045 1543382 X 117468427 131334051 0 0 0 0 117468427 131334051 118877472 132877433 6498604 7367020 0 X X 0 0 0 92370 92370 2921061 2618075 302986 353243 299526 53717 449073 CF DV NON-SL STOCK INDEX FUND 31430975 F LOOMIS SAYLES MSFD NHIT 18998294 F CF DV NSL INT CR BOND INDEX FUND 21652179 F TRINITY LP 15783108 F DREYFUS TREASURY SECURITIES CM 3260 F 87867816 X 89783076 7367020 7367020 82416056 258838 -118104 140734 82556790 75917452 118104 118104 75799348 258838 258838 76058186 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 ORGANIZATION HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION. THE PLAN ADMINISTRATOR IS NOT AWARE OF ANY UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE FINANCIAL STATEMENTS. PART XI, LINE 4B - OTHER ADJUSTMENTS: RENTAL EXP RECOGNIZED IN PART VIII -118,104. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXP RECOGNIZED IN PART VIII 118,104. X X 0 0 0 ROBIN DONOVICK EXEC DIRECTOR 154967 0 0 0 0 0 0 0 38298 0 193265 0 0 0 JAMES WRIGHT UNION TRUSTEE 0 124922 0 0 0 0 0 0 0 53496 0 178418 0 0 JAMES R SMITH UNION TRUSTEE 0 105976 0 0 0 0 0 0 0 63096 0 169072 0 0 FORM 990, PART VI, SECTION B, LINE 11B BEFORE THE FILING OF FORM 990, THE ENTIRE DRAFT WAS SENT AS A PDF TO ALL BOARD MEMBERS IN AN EMAIL. COMMENTS AND CORRECTIONS WERE STRONGLY ENCOURAGED. FORM 990, PART VI, SECTION B, LINE 12C ANNUALLY TRUSTEES AND OTHER INDIVIDUALS COMPLETE A QUESTIONNAIRE REGARDING COMPLIANCE WITH CONFLICTS POLICY FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION PROCESS FOR TOP OFFICIALS/OFFICERS BY THE CO-CHARIMAN OF THE BOARD OF TRUSTEES BASED ON COMPARATIVE COMPENSATION STUDIES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AVAILABLE VIA ITS WEBSITE, CONFLICT OF INTEREST POLICY IS NOT AVAILABLE, FINANCIALS ARE AVAILABLE TO PARTICIPANTS UNDER WRITTEN REQUEST. PART XI, LINE 2C THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. TEAMSTERS JOINT COUNCIL NO 83 OF VA PENSION FUND 8814 FARGO ROAD RICHMOND VA 23229 546097996 PENSION FUND VA 401 (A) N/A 1 TEAMSTERS LOCAL 101 105 N MAIN STREET HOPWELL VA 23860 540853998 LOCAL UNION VA 501 (C) (5) N/A 1 TEAMSTERS LOCAL 171 2550 W MAIN STREET SALEM VA 24153 540325986 LOCAL UNION VA 501 (C) (5) N/A 1 TEAMSTERS LOCAL 22 97 BELMONT STREET COLLINSVILLE VA 24078 540719311 LOCAL UNION VA 501 (C) (5) N/A 1 TEAMSTERS LOCAL 29 12 CEDAR PARK LANE VERONA VA 24482 540739139 LOCAL UNION VA 501 (C) (5) N/A 1 TEAMSTERS LOCAL 322 3705 CAROLINA AVE RICHMOND VA 23222 540406217 LOCAL UNION VA 501 (C) (5) N/A 1 TEAMSTERS LOCAL 592 3705 CAROLINA AVE RICHMOND VA 23222 540212118 LOCAL UNION VA 501 (C) (5) N/A 1 TEAMSTERS LOCAL 822 PO BOX 12673 NORFOLK VA 23541 540201728 LOCAL UNION VA 501 (C) (5) N/A 1 TEAMSTERS JT COUNCIL 83 OF VA EXCESS 8814 FARGO ROAD SUITE 200 RICHMOND VA 23229 546459815 EXCESS BENEFITS VA T 1 ABF PO BOX 10048 FORT SMITH AR 72917 710249444 TRUCKING AR C 1 ACME PAPER PO BOX 422 SAVAGE MD 20763 520748849 PACKAGING MD C 1 ALLIED BUILDING 15 E UNION AVE E RUTHORFORD NJ 07073 221729463 BLDG MATERIALS NJ C 1 ARAMARK REFRESHMENTS 1301 OLIVER HILL ROAD RICHMOND VA 23219 231673482 VENDING VA C 0 JACK COOPER TRANSPORT 1100 WALNUT STREET STE 2400 KANSAS CITY MO 64106 730493030 TRUCKING MO C 0 KELLOGG SNACK 67 W MICHIGAN AVE BATTLE CREEK MI 49016 200329186 VENDING MI C 0 NATIONAL FRUIT PO BOX 2040 WINCHESTER VA 22604 540315385 FOOD PROCE VA C 0 VIRGINIA INTERNATIONAL TERMINALS 1431 INTERNATIONAL TERMIAL BLVD NORFOLK VA 23505 541187491 TRUCKING VA C 0 PRAXAIR 175 EAST PARK DRIVE TONAWANDA NY 14150 061259050 TRUCKING CT C 0 SCHWERMAN PO BOX 1601 MILWAUKEE WI 53201 390767397 TRUCKING WI C 0 SENTINEL 1301 BELLWOOD ROAD RICHMOND VA 23237 510392463 TRUCKING VA C 0 PET DAIRY PO BOX 120 MT CRAWFORD VA 23241 742952858 DAIRY VA C 0 UPS 100 EAST CAMPUSVIEW DRIVE COLUMBUS VA 43235 362407381 TRUCKING GA C 0 VALLEY MILK PO BOX 271 STRASBURG VA 22657 541959730 FOOD PROCE VA C 0 VIRGINIA MIRROR PO BOX 5431 MARTINSVILLE VA 24115 540420100 MIRROR VA C 0 WHITE WAVE FOODS 6364 SOUTH VALLEY PIKE MT CRAWFORD VA 22841 722218815 FOOD PROCE CO C 0 YRC 100900 ROE VE OVERLAND PARK KS 66211 340492670 TRUCKING KS C 0 ALLIED SYSTEMS 2302 PARKLAKE DRIVE ATLANTA GA 30345 581710028 TRUCKING GA C 0 LEIGH VALLEY DAIRY 1433 OAKMONT DRIVE HAGERSTOWN MD 21740 581710028 TRUCKING TX C 0 PET DAIRY MULTI 14760 TRINITY BLVD FORT WORTH TX 76155 043742039 FOOD PROCE TN C 0 RIVER CITY LOGO 13501 EAST BOUNDARY RD MIDLOTHIAN VA 23112 545019920 CLOTHING VA C 0 PACKAGING CORPORATION OF AMERICA 930 PLEASANT VALLEY RD HARRISONBURG VA 22801 364277050 PACKAGING VA C 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 1 0 0 TJC NO 83 OF VA PENSION FUND Q CASH TJC NO 83 OF VA PENSION FUND R CASH TJC NO 83 OF VA PENSION FUND O CASH