2022-11-11T08:29:39-06:00 2021-12-31 131577780 SCHULTHEIS & PANETTIERI LLP 450 WIRELESS BLVD HAUPPAUGE NY 11788 990 2021-01-01 042191579 NORTH ATLANTIC STATES CARPENTERS HEALTH BENEFITS FUND NEWE 9786941000 350 FORDHAM ROAD WILMINGTON MA 01887 THOMAS J FLYNN CHAIRMAN 9786941000 2022-11-11 1 THOMAS FLYNN 999009999 CAROL WESTFALL P00539069 6312734778 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z THOMAS J FLYNN 350 FORDHAM ROAD WILMINGTON MA 01887 573417726 0 X WWW.CARPENTERSFUND.ORG X 1955 MA THE PURPOSE OF THE PLAN IS TO PROVIDE HEALTH AND OTHER BENEFITS TO ELIGIBLE PARTICIPANTS. 26 26 0 0 7772 6690 0 0 161569424 295535065 9291479 23452727 46545 0 170907448 318987792 0 0 169672808 298103121 0 0 0 0 0 13233023 17988746 182905831 316091867 -11998383 2895925 1031423289 922995900 198368098 51145827 833055191 871850073 THE PURPOSE OF THE PLAN IS TO PROVIDE HEALTH AND OTHER BENEFITS TO ELIGIBLE PARTICIPANTS. 0 0 THE PURPOSE OF THE PLAN IS TO PROVIDE HEALTH AND OTHER BENEFITS TO ELIGIBLE PARTICIPANTS. 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 1 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 69 0 1 0 1 1 0 0 0 0 0 0 0 X 26 26 0 0 0 0 0 1 0 1 1 0 0 1 0 0 1 1 1 0 X SUZANNE M SMITH 9786941000 350 FORDHAM ROAD WILMINGTON MA 01887 X THOMAS J FLYNN CHAIRMAN 1.00 39.00 X 0 0 0 THOMAS STEEVES SECRETARY/TREAS 1.00 3.00 X 0 0 0 MICHAEL C SANCHEZ TRUSTEE 1.00 3.00 X 0 0 0 JOSEPH BYRNE - EFF 73021 TRUSTEE 1.00 39.00 X 0 0 0 MICHAEL SHAUGHNESSY TRUSTEE 1.00 3.00 X 0 0 0 WILLIAM SHEA TRUSTEE 1.00 3.00 X 0 0 0 JAMIE NOON - EFF 71621 TRUSTEE 1.00 3.00 X 0 0 0 JACK DONAHUE TRUSTEE 1.00 39.00 X 0 0 0 JOHN MURPHY TRUSTEE 1.00 39.00 X 0 0 0 BRIAN RICHARDSON - THRU 72221 TRUSTEE 1.00 39.00 X 0 0 0 CHRISTOPHER PENNIE-THRU 71621 TRUSTEE 1.00 3.00 X 0 0 0 JOHN BUTTS TRUSTEE 1.00 3.00 X 0 0 0 JOSEPH EPIFANO TRUSTEE 1.00 3.00 X 0 0 0 JAMES CARR - EFF 4721 TRUSTEE 1.00 3.00 X 0 0 0 JEFF WOLCHESKI TRUSTEE 1.00 39.00 X 0 0 0 TOM PURCELL - THRU 4721 TRUSTEE 1.00 3.00 X 0 0 0 RODNEY FRIAS TRUSTEE 1.00 3.00 X 0 0 0 DAVID MINASIAN TRUSTEE 1.00 39.00 X 0 0 0 NOEL XAVIER TRUSTEE 1.00 39.00 X 0 0 0 MICHAEL HOLMES TRUSTEE 1.00 39.00 X 0 0 0 MARC OKUN TRUSTEE 1.00 39.00 X 0 0 0 THOMAS S GUNNING TRUSTEE 1.00 3.00 X 0 0 0 KIM HOKANSON TRUSTEE 1.00 39.00 X 0 0 0 JOHN DELOLLIS TRUSTEE 1.00 2.00 X 0 0 0 EARL HALL ALT. TRUSTEE 1.00 2.00 X 0 0 0 AARON HILGER - THRU 112721 TRUSTEE 1.00 2.00 X 0 0 0 ALAN SEIDMAN TRUSTEE 1.00 2.00 X 0 0 0 TODD HELFRICH TRUSTEE 1.00 2.00 X 0 0 0 CHRISTOPHER AUSTIN TRUSTEE 1.00 39.00 X 0 0 0 WILLIAM BANFIELD TRUSTEE 1.00 39.00 X 0 0 0 JAMES MASON TRUSTEE 1.00 39.00 X 0 0 0 RICHARD S MONARCA EXECUTIVE DIR. 10.00 30.00 X 0 269995 76375 SUZANNE M SMITH CFO 10.00 27.50 X 0 205008 56881 ROBERT R SICA CIO 9.00 28.50 X 0 172922 56881 INGRID BIEREN COO 8.00 29.50 X 0 149470 56881 JOEL CONNER CONTROLLER 12.00 25.50 X 0 142500 54088 ORHAN COSKUNER IT MANAGER 10.50 27.00 X 0 130722 57436 0 1070617 358542 0 0 1 0 BLUE CROSS BLUE SHIELD OF MASSACHUSETTS 401 PARK DR BOSTON MA 02215 CLAIMS PROCESSOR 5244483 INDEPENDENCE ADMINISTRATORS 1900 MARKET ST PHILADELPHIA PA 19103 CLAIMS PROCESSOR 1667381 DELTA DENTAL 465 MEDFORD STREET BOSTON MA 02129 CLAIMS PROCESSOR 689415 EXPRESS SCRIPTS INC 1 EXPRESS WAY SAINT LOUIS MO 63121 CLAIMS PROCESSOR 641154 THE SEGAL COMPANY 116 HUNTINGTON AVENUE BOSTON MA 02116 ACTUARIAL & CONSULT 466288 15 EMPLOYER CONTRIBUTIONS 236200 262930179 262930179 PARTIC CONTRIBS BUY-IN 236200 18568762 18568762 PARTICIPANTS - VACATION 236200 14036124 14036124 295535065 10294752 7772 10286980 267587909 254429934 13157975 13157975 13157975 318987792 295535065 7772 23444955 298103121 261256 137500 946732 583090 391482 376663 375062 12743 708231 221776 ADMINISTRATIVE FEES 10155428 REIMB. P/R, TAXES & BEN 3771227 REPAIRS & MAINTENANCE 29357 AUTO 18199 316091867 2205728 2983984 61309453 68479404 415068709 34975341 74253 28501 7467484 6417260 1754248 1050224 69679744 206647932 474129658 593450120 7201496 15380394 1031423289 922995900 165703991 15337649 32664107 35808178 198368098 51145827 X 0 0 0 0 833055191 871850073 833055191 871850073 1031423289 922995900 2895925 35898957 0 X 0 1 X 1 0 44609 41635 2974 7422875 6375625 1047250 1050224 COMMON/COLLECTIVE TRUSTS 396341907 F PARTNERSHIPS 100817999 F 103-12 INVEST ENTITIES 52283619 F REG INV CO @ EST FMV 44006595 F 593450120 BEN OBLIG CURRENTLY PAYABLE 30568807 PAYABLE UNDER SECURITIES LENDING 5239371 35808178 353940017 35898957 35898957 318041060 946732 946732 318987792 311854344 0 311854344 946732 3290791 4237523 316091867 PART XII, LINE 4B - OTHER ADJUSTMENTS: CHANGE IN BEN OBLIG CURRENTLY PAYABLE 3,290,791. CENTRAL AMERICA & CARIBBEAN 0 0 INVESTMENTS 1154663 0 0 0 0 0 0 1154663 0 1154663 0 0 1 0 0 0 PART III ACCOUNTING METHOD: X X 0 1 0 RICHARD S MONARCA EXECUTIVE DIR. 0 265551 0 0 0 4444 0 59631 0 16744 0 346370 0 0 SUZANNE M SMITH CFO 0 203840 0 0 0 1168 0 37623 0 19258 0 261889 0 0 ROBERT R SICA CIO 0 172700 0 0 0 222 0 37623 0 19258 0 229803 0 0 INGRID BIEREN COO 0 148957 0 0 0 513 0 37623 0 19258 0 206351 0 0 JOEL CONNER CONTROLLER 0 142246 0 0 0 254 0 34830 0 19258 0 196588 0 0 ORHAN COSKUNER IT MANAGER 0 130722 0 0 0 0 0 36602 0 20834 0 188158 0 0 PART I, LINE 4B THE EXECUTIVE DIRECTOR IS A PARTICIPANT IN A DEFERRED COMPENSATION PLAN, PROVIDED BY A RELATED ORGANIZATION, IN HIS CAPACITY AS EXECUTIVE DIRECTOR OF THIS ENTITY AND RELATED ORGANIZATIONS. FORM 990, PART VI, SECTION A, LINE 7A UNION TRUSTEES ARE APPOINTED BY THE UNION REGIONAL COUNCIL. THE EMPLOYER TRUSTEES ARE APPOINTED BY THE EMPLOYER GROUPS. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WAS PREPARED IN COORDINATION WITH MANAGEMENT OF THE ORGANIZATION AND WAS REVIEWED WITH THE BOARD OF TRUSTEES PRIOR TO SUBMISSION. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION'S BOARD OF TRUSTEES REVIEW COMPENSATION OF THE OFFICERS AND KEY EMPLOYEES ON AN ANNUAL BASIS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE TO ALL PARTICIPANTS UPON REQUEST. DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST TO THE EXTENT REQUIRED BY LAW. 990 PART VII, SECTION A AND SCHEDULE J, PART II THE EXECUTIVE DIRECTOR AND HIGHEST COMPENSATED EMPLOYEES RECEIVED COMPENSATION AND BENEFITS IN THEIR CAPACITY AS EXECUTIVE DIRECTOR OR EMPLOYEE OF THIS ENTITY AND RELATED ORGANIZATIONS. TOTAL COMPENSATION, PAID THROUGH A PAYMASTER ARRANGEMENT, IS LISTED ON THE 990 PART VII, SECTION A AND SCHEDULE J, PART II. THIS ENTITY REIMBURSES A PORTION OF THAT COMPENSATION BASED ON THE ESTIMATED TIME SPENT ON THE WORK OF THIS ENTITY. NORTH ATLANTIC STATES CARP PENSION FUND 350 FORDHAM ROAD WILMINGTON MA 01887 042305512 PROVIDE RETIREMENT BENEFITS TO ITS PARTICIPANTS MA 501(A) N/A N/A 0 NORTH ATLANTIC STATES CARP GUARANTEED AN FUND 350 FORDHAM ROAD WILMINGTON MA 01887 042776873 PROVIDE ANNUITY BENEFITS TO ITS PARTICIPANTS MA 501(A) N/A N/A 0 NORTH ATLANTIC STATES CARP VACATION FUND 350 FORDHAM ROAD WILMINGTON MA 01887 043322721 PROVIDE VACATION BENEFITS TO ITS PARTICIPANTS MA 501(C)(9) N/A N/A 0 NORTH ATLANTIC STATES REGIONAL COUNCIL OF CARPENTERS 750 DORCHESTER AVENUE BOSTON MA 02125 043322535 LABOR UNION MA 501(C)(5) N/A NA 0 NORTH ATLANTIC STATES CARP ANNUITY FUND 10 BROADWAY HAMDEN CT 06518 061308364 PROVIDE ANNUITY BENEFITS TO ITS PARTICIPANTS CT 501(A) N/A N/A 0 SEE SUPPLEMENTAL R INFORMATION SEE SCHEDULE R SUPPLEMENTAL INFORMATION 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 0 0 SCHEDULE R, PART II AND IV: CERTAIN TRUSTEES LISTED ON FORM 990 PART VII, SECTION A, SERVE AS VOLUNTEERS AND DO NOT RECEIVE COMPENSATION FROM THIS ORGANIZATION OR ANY RELATED ORGANIZATION FOR SERVICES PROVIDED TO THIS ORGANIZATION. CERTAIN TRUSTEES LISTED ON FORM 990 PART VII, SECTION A, DO NOT RECEIVE COMPENSATION FROM THIS ORGANIZATION, BUT DO RECEIVE COMPENSATION FROM RELATED ORGANIZATIONS IN THEIR CAPACITY AS EMPLOYEES/ TRUSTEES OF THOSE ORGANIZATIONS. ACCORDINGLY, THEIR COMPENSATION IS ALREADY REPORTED ON THE FORM 990 OF THOSE RELATED ORGANIZATIONS. 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