2021-11-15T14:42:29-06:00 2020-12-31 611436956 NOVAK FRANCELLA LLC 40 MONUMENT RD 5TH FLR BALA CYNWYD PA 19004 990 2020-01-01 111896894 AMALGAMATED MEAT CUTTER & RETAIL FOOD AMAL 5167475980 166 E JERICHO TPKE MINEOLA NY 115012098 DEBRA DUNN UNION TRUSTEE 5167475980 2021-11-15 1 DEBRA DUNN 999009999 LOUIS VERZELLA CPA P00360279 6106689400 2021-11-11 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z DEBRA DUNN 166 E JERICHO TPKE MINEOLA NY 115012098 18238592 0 X N/A X 1957 NY TO PROVIDE HEALTH BENEFITS FOR ELIGIBLE MEMBERS AND THEIR DEPENDENTS. 4 2 0 0 0 0 0 0 20596814 18169200 35499 13513 52718 55879 20685031 18238592 0 0 17818727 14862682 2003542 1997000 0 0 0 975843 675590 20798112 17535272 -113081 703320 7031428 7710607 2162191 2138050 4869237 5572557 TO PROVIDE HEALTH BENEFITS FOR ELIGIBLE MEMBERS AND THEIR DEPENDENTS. 0 0 TO PROVIDE HEALTH BENEFITS FOR ELIGIBLE MEMBERS AND THEIR DEPENDENTS. 0 0 0 0 0 0 0 0 0 1 0 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 9 0 0 0 0 0 0 0 0 0 0 X 4 2 0 0 0 0 0 0 0 1 1 0 0 1 0 0 1 0 0 0 X FUND ADMINISTRATOR 5167475980 166 E JERICHO TURNPIKE MINEOLA NY 11501 DEANA TELMANY ALTERNATE LABOR TRUSTEE 1.00 40.00 X 0 159458 13445 ROBERT JANDOVITZ EMPLOYER TRUSTEE 1.00 X 0 0 0 LISA O'LEARY LABOR TRUSTEE (P) 1.00 40.00 X 0 192860 29373 GENAROSO DEL ROSARIO EMPLOYER TRUSTEE 1.00 X 0 0 0 DEBRA DUNN LABOR TRUSTEE 1.00 40.00 X 0 76956 15841 0 429274 58659 0 0 1 0 MERITAIN HEALTH PO BOX 223881 PITTSBURGH PA 15250 CLAIMS ADMINISTRATION 344156 PROSKAUER ROSE LLP ELEVEN TIMES SQUARE NEW YORK NY 10036 LEGAL 305806 2 EMPLOYER CONTRIBUTIONS 525100 18031222 18031222 PRESCRIPTION REBATES 525100 86634 86634 COBRA CONTRIBUTIONS 525100 35717 35717 REFUND - CLAIMS 525100 14719 14719 REFUND - PREMIUMS 525100 908 908 18169200 13513 13513 MISCELLANEOUS INCOME 900099 55879 55879 55879 18238592 18225079 0 13513 14862682 1516702 132472 220386 127440 229749 22537 54000 149429 20012 168699 763 26334 AFFORDABLE CARE ACT FE 4067 17535272 1629697 4118777 4503875 2639998 826652 823688 154523 154523 0 0 71204 128144 7031428 7710607 566722 443148 1595469 1694902 2162191 2138050 X 0 0 0 0 4869237 5572557 4869237 5572557 7031428 7710607 703320 0 X X 0 1 X 1 0 47393 47393 0 63157 63157 0 43973 43973 0 0 DUE TO RELATED ENTITIES 139370 DEPOSIT PAYABLE 1555532 1694902 X 18238592 0 18238592 0 18238592 17535272 0 17535272 0 17535272 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 IF THE PLAN HAS TAKEN AN UNCERTAIN POSITION THAT, MORE LIKELY THAN NOT, WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE U.S. FEDERAL, STATE, OR LOCAL TAXING AUTHORITIES. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. TYPICALLY, PLAN TAX YEARS WILL REMAIN OPEN FOR THREE YEARS; HOWEVER, THIS MAY DIFFER DEPENDING UPON THE CIRCUMSTANCES OF THE PLAN. 0 0 0 LISA O'LEARY LABOR TRUSTEE (P) 0 192860 0 0 0 0 0 13009 0 16364 0 222233 0 0 DEANA TELMANY ALTERNATE LABOR TRUSTEE 0 159458 0 0 0 0 0 13009 0 436 0 172903 0 0 FORM 990, PART VI, SECTION B, LINE 11B AMCU LOCAL 342 WELFARE FUND'S FORM 990 IS PREPARED BY ITS INDEPENDENT PUBLIC ACCOUNTANT WHO THEN FORWARDS THE COMPLETED RETURN TO THE FUND'S ADMINISTRATOR FOR REVIEW. THE FUND ADMINISTRATOR THEN PRESENTS THE RETURN TO AT LEAST ONE MEMBER OF THE BOARD OF TRUSTEES FOR REVIEW AND SIGNATURE. FORM 990, PART VI, SECTION C, LINE 19 AMCU LOCAL 342 WELFARE FUND MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE FOR INSPECTION BY PARTICIPANTS AND BENEFICIARIES AT THE FUND'S OFFICE. FORM 990, PART VII CONTACT ADDRESSES FOR OFFICERS, DIRECTORS, ETC ROBERT JANDOVITZ - 8301 PROFESSIONAL PLACE, SUITE 110, LANDOVER, MD 20785. FORM 990, PART XII, LINE 2C: AMCU LOCAL 342 WELFARE FUND'S BOARD OF TRUSTEES IS RESPONSIBLE FOR OVERSEEING THE FINANCIAL STATEMENT AUDIT AND SELECTION OF THE INDEPENDENT ACCOUNTANT THAT PERFORMS THE AUDIT. UFCW LOCAL 174 PENSION FUND 8751 18TH AVENUE BROOKLYN NY 11214 136219542 PENSION FUND NY 401 (A) 0 UFCW LOCAL 174 RETAIL PENSION FUND 166 E JERICHO TURNPIKE MINEOLA NY 11501 131845497 PENSION FUND NY 401 (A) 0 UFCW LOCAL 174 COMMERCIAL PENSION FUND 166 E JERICHO TURNPIKE MINEOLA NY 11501 133563111 PENSION FUND NY 401 (A) 0 FUR WORKERS LOCAL 3F PENSION FUND 166 E JERICHO TURNPIKE MINEOLA NY 11501 516099349 PENSION FUND NY 401 (A) 0 JT RETIREMENT FUND LEATHER GOODS PLASTICS HANDBAGS AND NOVELTY WORKERS 166 E JERICHO TURNPIKE MINEOLA NY 11501 112208237 PENSION FUND NY 401 (A) 0 AMCU LOCAL 342 A&P HEALTH AND WELFARE 166 E JERICHO TURNPIKE MINEOLA NY 11501 112208237 VEBA PLAN NY 501 (C)(9) 0 AMCU LOCAL 342 RFSEU GROUP LEGAL SERVICES FUND 166 E JERICHO TURNPIKE MINEOLA NY 11501 112547525 VEBA PLAN, LEGAL SERVICES NY 501 (C)(9) 0 AMCU LOCAL 342 PENSION FUND 166 E JERICHO TURNPIKE MINEOLA NY 11501 111896845 PENSION FUND NY 401 (A) 0 AMCU & RFSEU LOCAL 342 SAFETY EDUCATIONAL & CULTURAL FUND 166 E JERICHO TURNPIKE MINEOLA NY 11501 112447683 VEBA PLAN NY 501 (C)(9) 0 UFCW LOCAL 50 PENSION FUND 166 E JERICHO TURNPIKE MINEOLA NY 11501 136696824 PENSION FUND NY 401 (A) 0 UFCW LOCAL 342 HEALTH CARE FUND 166 E JERICHO TURNPIKE MINEOLA NY 11501 135626340 VEBA PLAN NY 501 (C)(9) 0 UFCW LOCAL 342 INDEPENDENT WELFARE FUND 166 E JERICHO TURNPIKE MINEOLA NY 11501 135328510 VEBA PLAN NY 501 (C)(9) 0 UFCW LOCAL 342 SAVINGS AND 401(K) PLAN 166 E JERICHO TURNPIKE MINEOLA NY 11501 562364474 PENSION FUND NY 401 (A) 0 UFCW LOCAL 50-627 SEVERANCE PAY FUND 166 E JERICHO TURNPIKE MINEOLA NY 11501 136415226 VEBA PLAN NY 501 (C)(9) 0 THE STOP & SHOP SUPERMARKET 1385 HANCOCK ST QUINCY MA 02169 043061447 SUPERMARKET MA C 0 KING KULLEN GROCERY COMPANY INC 185 CENTRAL AVE BETHPAGE NY 11714 110954404 SUPERMARKET NY C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 AMCU LOCAL 342 RFSEU GROUP LEGAL SERVICES FUND P 757141 UFCW UNION LOCAL 342 P 636000 AMCU LOCAL 342 RFSEU GROUP LEGAL SERVICES FUND Q 39800 UFCW UNION LOCAL 342 Q 675000 UFCW LOCAL 174 COMMERCIAL PENSION FUND Q 126636 JT RETIREMENT FUND LEATHER GOODS PLASTICS HANDBAGS AND NOVELTY WORKERS Q 472935 AMCU LOCAL 342 HEALTHCARE FUND Q 895000 AMCU LOCAL 342 PENSION FUND Q 360000 AMCU LOCAL 342 SEC FUND Q 735000 UFCW LOCAL 342 SAVINGS AND 401K FUND Q 57900