2021-10-21T13:16:11-05:00 2020-12-31 131577780 SCHULTHEIS & PANETTIERI LLP 450 WIRELESS BLVD HAUPPAUGE NY 11788 990 2020-01-01 042214296 MASSACHUSETTS LABORERS' HEALTH & WELFARE FUND MASS 7812721000 1400 DISTRICT AVENUE NO 200 BURLINGTON MA 018035236 LOUIS MANDARINI III CHAIRMAN 7812721000 2021-10-20 1 LOUIS MANDARINI III 999009999 CAROL WESTFALL P00539069 6312734778 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z LOUIS MANDARINI III 1400 DISTRICT AVENUE NO 200 BURLINGTON MA 018035236 207484141 0 X N/A X 1964 MA THE PURPOSE OF THE PLAN IS TO PROVIDE HEALTH AND OTHER BENEFITS TO ELIGIBLE PARTICIPANTS. 8 8 47 0 0 0 0 0 142484647 133488380 5714909 13832812 0 166667 148199556 147487859 0 0 130438254 140630669 4962258 5412072 0 0 0 256052 140437 135656564 146183178 12542992 1304681 509105011 525970540 18088477 14369764 491016534 511600776 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 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 1 0 0 1 158 0 1 47 1 0 0 0 0 0 0 0 0 X 8 8 1 0 0 0 0 1 0 1 1 0 0 1 1 0 0 1 1 1 1 0 X LOUIS MANDARINI III 7812721000 1400 DISTRICT AVENUE NO 200 BURLINGTON MA 018035236 LOUIS MANDARINI JR CHAIRMAN 1.00 0.00 X 0 0 0 JOSEPH BONFIGLIO CO-CHAIRMAN 1.00 0.00 X 0 0 0 THOMAS C TROY JR TRUSTEE 1.00 0.00 X 0 0 0 THOMAS ANDREWS TRUSTEE 1.00 0.00 X 0 0 0 THOMAS J GUNNING CO-SEC/TREAS 1.00 0.00 X 0 0 0 STEVEN GENTILUCCI TRUSTEE 1.00 0.00 X 0 0 0 DONALD C COOK JR TRUSTEE 1.00 0.00 X 0 0 0 MATTHEW MCCOURT TRUSTEE 1.00 0.00 X 0 0 0 LOUIS MANDARINI III EXECUTIVE DIRECTOR 35.00 0.00 X 276296 0 46390 DONNA CARR ASST EXEC DIR 35.00 0.00 X 156456 0 46390 KATE A FOSSEL DIR HEALTH & WELF 35.00 0.00 X 139693 0 46390 JAMES E LUFF DIR ANNUITY & PENSION 35.00 0.00 X 139693 0 46390 CHRISTINA CLEGG MGR HEALTH & WELF 35.00 0.00 X 134105 0 46390 ELIZABETH RAY DIR ACCOUNTING 35.00 0.00 X 111754 0 46390 957997 0 278340 9 0 1 0 BLUE CROSS BLUE SHIELD OF MASSACHUSETTS 101 HUNTINGTON AVENUE BOSTON MA 02199 NETWORK ACCESS/ADMIN 5212318 EXPRESS SCRIPTS 21653 NETWORK PLACE CHICAGO IL 60673 CLAIMS ADMIN 1218368 DELTA DENTAL OF MASSACHUSETTS PO BOX 2907 MILWAUKEE WI 53201 CLAIMS ADMIN 723061 HMC HEALTHWORKS INC 181 COMMODORE DRIVE JUPITER FL 33477 CONSULTING 405460 SEGAL CONSULTING 116 HUNTINGTON AVE 8TH FLR BOSTON MA 02116 BENEFITS CONSULTING 296278 6 EMPLOYER CONTRIBUTIONS 236200 131421070 131421070 PARTICIPANT CONTRIBUTIONS 236200 2067310 2067310 133488380 2326904 2326904 71502190 59996282 11505908 11505908 11505908 OTHER INCOME 236200 166667 166667 166667 147487859 133655047 0 13832812 140630669 322686 3236861 979749 604951 267825 285065 90583 436822 379445 346337 17723 229447 76107 100771 67970 OUTSIDE SERVICES 407568 PHOTO ID PROGRAM 4333 REIMB. FROM RELATED ORG -2301734 146183178 15980408 16895064 19840348 17117804 57094 51684 1697261 1434371 347013 262890 68543258 45813634 404336890 445829464 509105011 525970540 428210 274141 17660267 14095623 18088477 14369764 X 0 0 0 0 491016534 511600776 491016534 511600776 509105011 525970540 1304681 19279561 0 X 0 1 X 1 0 369501 147571 221930 1327760 1286800 40960 262890 REG INV CO @ EST FMV 18950897 F 103-12 INVEST. ENTITIES 35276203 F COMMON COLLECTIVE TRUSTS 300842256 F PARTNERSHIP/JV INTEREST 74097573 F POOLED SEPARATE ACCOUNTS 16662535 F 445829464 BENEFIT OBLIG. CURRENTLY PAYABLE 13517000 DEFERRED COMPENSATION 578623 14095623 166330598 19279561 19279561 147051037 436822 436822 147487859 149311572 3565216 3565216 145746356 436822 436822 146183178 PART XII, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN BEN OBLIG CURRENTLY PAYABLE 3,565,216. X 0 0 0 LOUIS MANDARINI III EXECUTIVE DIRECTOR 262546 0 0 0 13750 0 30759 0 15631 0 322686 0 0 0 DONNA CARR ASST EXEC DIR 156456 0 0 0 0 0 30759 0 15631 0 202846 0 0 0 KATE A FOSSEL DIR HEALTH & WELF 139693 0 0 0 0 0 30759 0 15631 0 186083 0 0 0 JAMES E LUFF DIR ANNUITY & PENSION 139693 0 0 0 0 0 30759 0 15631 0 186083 0 0 0 CHRISTINA CLEGG MGR HEALTH & WELF 134105 0 0 0 0 0 30759 0 15631 0 180495 0 0 0 ELIZABETH RAY DIR ACCOUNTING 111754 0 0 0 0 0 30759 0 15631 0 158144 0 0 0 SCHEDULE J SUPPLEMENTAL INFORMATION: LOUIS MANDARINI III RECEIVES COMPENSATION AND BENEFITS IN HIS CAPACITY AS EXECUTIVE DIRECTOR OF THE ORGANIZATION AND THE RELATED PENSION AND ANNUITY FUNDS. COMPENSATION AND BENEFITS ARE PAID BY THE ORGANIZATION, WITH REIMBURSEMENTS MADE ACCORDINGLY. THE ORGANIZATION'S PORTION OF THESE EXPENSES IS 60% OF THE GROSS AMOUNTS DETAILED ON SCHEDULE J, PART II. MARGUERITE MANDARINI FAMILY MEMBER 140033 EMPLOYMENT 0 FORM 990, PART VI, SECTION A, LINE 2 LOUIS MANDARINI JR, WHO SERVES AS A TRUSTEE, IS THE FATHER OF LOUIS MANDARINI III, WHO SERVES AS AN OFFICER. FORM 990, PART VI, SECTION A, LINE 7A THE ORGANIZATION IS JOINTLY ADMINISTERED BY TRUSTEES WHO ARE APPOINTED BY THE UNIONS AND BY EMPLOYER ASSOCIATIONS. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WAS PREPARED IN COORDINATION WITH MANAGEMENT OF THE ORGANIZATION AND WAS PROVIDED TO AND REVIEWED BY THE BOARD OF TRUSTEES PRIOR TO SUBMISSION. FORM 990, PART VI, SECTION B, LINE 15 THE ADMINISTRATIVE COMMITTEE AND BOARD OF TRUSTEES ANNUALLY REVIEW PERFORMANCE AND DETERMINE COMPENSATION FOR THE EXECUTIVE DIRECTOR AND KEY EMPLOYEES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, POLICIES AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC TO THE EXTENT REQUIRED BY LAW. MASSACHUSETTS LABORERS' ANNUITY FD 1400 DISTRICT AVE SUITE 200 BURLINGTON MA 018035236 046553616 PROVIDE RET BENEFITS TO PARTICIPANTS MA 501(A) N/A N/A 0 MASSACHUSETTS LABORERS' PENSION FD 1400 DISTRICT AVE SUITE 200 BURLINGTON MA 018035236 046128298 PROVIDE RET BENEFITS TO PARTICIPANTS MA 501(A) N/A N/A 0 MASSACHUSETTS LABORERS' LEGAL SVCS FUND 1400 DISTRICT AVE SUITE 100 BURLINGTON MA 018035236 046357603 LEGAL SERVICES MA 501(C)9 N/A N/A 0 LABORERS' PENSION-BURLINGTON INVEST 1400 DISTRICT AVE SUITE 200 BURLINGTON MA 018035236 REAL ESTATE TITLE HOLDING COMPANY MA 501(C)(25) N/A N/A 0 SEE SCHEDULE R SUPPLEMENTAL INFORMATION SEE SCHEDULE R SUPPLEMENTAL INFORMATION 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 1 0 0 2020 FORM 990, SCHEDULE R ATTACHMENT, RELATED ORGANIZATIONS PART II, IDENTIFICATION OF RELATED TAX EXEMPT ORGANIZATIONS (A) NAME BUILDING WRECKERS LOCAL 142 CENTRAL NY LABORERS' FUND CONNECTICUT LABORERS' FUNDS IBEW LOCAL 1249 PENSION & I LABORERS COMBINED FUNDS/W P LABORERS LOCAL 11-LABOR DIS LABORERS LOCAL 1298 LABORERS LOCAL 157 BENEFIT LABORERS LOCAL 17 LABORERS' LOCAL 190 BENEFIT LABORERS LOCAL 235 BENEFIT LABORERS LOCAL 7/589/785 LABORERS N E REGION ORGAN LABORERS' LOCAL 976 LOCAL 1285 LOCAL 133 LOCAL 138 LOCAL 151 LOCAL 175 LOCAL 22 LOCAL 223 LOCAL 243 LOCAL 327 LOCAL 385 LOCAL 39 LOCAL 429 LOCAL 473 LOCAL 560 LOCAL 596 LOCAL 609 LOCAL 610 LOCAL 721 LOCAL 876 LOCAL 88 LOCAL 999 MASS LABORERS DIST COUNCIL MASS LABORERS UNIFIED TRST MICHIGAN LABORERS BENEFIT F N E LABORERS HLTH & SAFTY F RI LABORERS BENEFIT FUND SOUTHWEST LABORERS H&W FUND SUSQUEHANNA LABORERS COMBIN 2020 FORM 990, SCHEDULE R ATTACHMENT, RELATED ORGANIZATIONS PART IV, IDENTIFICATION OF RELATED ORGANIZATIONS TAXABLE AS A CORPORATION OR TRUST (A) NAME A & A WINDOW PRODUCTS INC A & S CORPORATION A A ASBESTOS ABATEMENT CO I A A PENTA CORPORATION A A WILL CORP A F AMORELLO & SONS INC A J VIRGILIO CONSTRUCTION A MARTINS & SON CONSTR INC A PEREIRA CONSTRUCTION CO I A VOZZELLA & SONS INC AAXIOM CONCRETE SAWING LLC ABOVE ALL EPOXY FLOORING LL ACE CONCRETE CUTTING LLC ACE RESTORATION CO INC ACME ABATEMENT CONTRACTOR I ACME CONSTR CORP ACME WATERPROOFING CO INC ACOUSTICAL THERMAL INSULATO ACRANOM MASONRY INC ADAMS & RUXTON CONST ADVANCED POLLUTION CONTROL ADVANCED SCAFFOLD SERVICES, AET PAINTING, INC AETNA BRIDGE COMPANY AGGREGATE IND/ N.AMER BUS S AGI CONSTRUCTION INC AIR QUALITY EXPERTS INC ALBANESE BROS INC ALBANESE D & S INC ALGAR CONST CORP ALL SAFE SCAFFOLD INC ALL TIME SERVICE INC ALLIED PAVING CORP ALLSTATE INTERIORS FLOORING ALTON E GLEASON CO INC AMERICAN ENVIRONMENTAL INC AMERPHIL INC AMEX INC ANGELINI PLASTERING INC APEX PIPELINE SERVICES INC APPALACHIAN PIPELINE CONTRS ARCHITECTURAL BLDG & REST L ARCHITECTURAL PAVING & STON ARMANI RESTORATION INC ARRUDA TRENCHLESS CONSTRUCT ARSENAULT CONSTR SERV CORP ASHFORD COMPANIES LLC ASSOCIATED SCAFFOLD BUILDER ATLANTIC COAST DISMANTLING ATLANTIC COAST DRILLING, LL ATLANTIC LINING INC ATLANTIC POLYMERS GROUP INC ATLAS DRILLING LLC ATLAS INDUSTRIAL SERVICES L ATW LINE PAINTING LLC BACK BAY CONCRETE CORP BACON CONSTRUCTION CO INC BALTAZAR CONTRACTORS INC BARLETTA CONTRACTING SERVIC BARLETTA ENGINEERING CORP BARLETTA HEAVY DIVISION INC BARLETTA-FISCHBACH GREEN LI BARR & BARR INC BATISTA CONTRACTING LLC BAYSTATE BLASTING INC BAYSTATE RECLAMATION LLC BEACON CONSTRUCTION SERVICE BEACON WATERPROOFING & REST BERKSHIRE FENCE AND ACCESSO BHI ENERGY I SPECIALTY SERV BIDGOOD ASSOCIATES INC BILT-RITE CONSTRUCTION INC BLAKESLEE PRE-STRESS INC BLUE CONSTRUCTION CO BLUROC LLC BOND BLDG AND CONSTR INC BOND BROS BOND CIVIL AND UTILITY CONS BORGES CONSTRUCTION INC BORGGAARD CONSTR CORP BOSTON BLDG & BRIDGE CORP BOSTON CHIMNEY & TOWER CO L BOSTON CONSTRUCTION SERVICE BOSTON CONTRACT DRILLING LL BOSTON FLOORING & CONTRACTI BOSTON INSTALL INC BOWLINE CONSTRUCTION BRANDENBURG IND SER WRK BRANDSAFWAY SERVICES LLC BRIGHTVIEW LANDSCAPE DEVELO BROX INDUSTRIES INC BUILD & CONSTR TRADES CNCL BULLDOG INC BUONOPANE INC C & A CONSTRUCTION CO INC C & S CO INC C E CYR CONSTR CO INC C H NICKERSON & CO INC C I P CONCRETE C M CONWAY CONSTR INC CAAN FENCE INC CALHESS REST & WATERPROOFIN CAMPUTARO LEASING LLC CANTARELLA & SON INC CAPASSO ENTERPRISES INC CAPEWAY INTERIORS INC CAPITAL CITY CONST MGMT SER CAPONE BROS INC CARACAS CONSTRUCTION CORP CARDI CORP CARR DEE CORP CASTELLUCCI MARBLE & GRANIT CATALANO CONSTRUCTION INC CAUSEWAY CONTRACTING INC CAVALIERI CONST CO INC CCB INC CECO CONCRETE CONSTRUCTION CENEDELLA MASONRY INC. 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