2021-10-29T14:17:05-05:00 2020-12-31 131577780 SCHULTHEIS & PANETTIERI LLP 450 WIRELESS BLVD HAUPPAUGE NY 11788 990 2020-01-01 042191579 NORTH ATLANTIC STATES CARPENTERS HEALTH BENEFITS FUND NEWE 9786941000 350 FORDHAM ROAD WILMINGTON MA 01887 RICHARD S MONARCA EXECUTIVE DIRECTOR 9786941000 2021-10-29 1 RICHARD MONARCA 999009999 CAROL WESTFALL P00539069 6312734778 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z X RICHARD S MONARCA 350 FORDHAM ROAD WILMINGTON MA 01887 252701540 0 X WWW.CARPENTERSFUND.ORG X 1955 MA THE PURPOSE OF THE PLAN IS TO PROVIDE HEALTH AND OTHER BENEFITS TO ELIGIBLE PARTICIPANTS. 20 20 0 0 0 0 0 0 198592989 161569424 5256070 9291479 48891 46545 203897950 170907448 0 0 179174564 180665808 0 0 0 0 0 13496925 13233023 192671489 193898831 11226461 -22991383 403806467 1031423289 22161818 198368098 381644649 833055191 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 0 0 0 0 0 0 0 1 0 0 1 73 0 1 0 0 0 0 0 0 0 0 0 X 20 20 0 0 0 0 0 1 0 1 1 0 0 1 0 0 1 1 1 0 X RICHARD S MONARCA 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 THOMAS J GUNNING - THRU 22020 TRUSTEE 1.00 3.00 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 GARY DECOSTA - THRU 32020 TRUSTEE 1.00 39.00 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 TRUSTEE 1.00 39.00 X 0 0 0 CHRISTOPHER PENNIE 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 MARTIN ALVARENGA - THRU 42020 TRUSTEE 1.00 39.00 X 0 0 0 W PAUL LANDER - THRU 72020 TRUSTEE 1.00 39.00 X 0 0 0 JEFF WOLCHESKI TRUSTEE 1.00 39.00 X 0 0 0 TOM PURCELL 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 - EFF 32020 TRUSTEE 1.00 39.00 X 0 0 0 MICHAEL HOLMES - EFF 82020 TRUSTEE 1.00 39.00 X 0 0 0 MARC OKUN - EFF 52020 TRUSTEE 1.00 39.00 X 0 0 0 THOMAS S GUNNING - EFF 22020 TRUSTEE 1.00 3.00 X 0 0 0 KIM HOKANSON - EFF 12020 TRUSTEE 1.00 39.00 X 0 0 0 RICHARD S MONARCA EXECUTIVE DIR. 13.00 27.00 X 0 272234 53806 SUZANNE M SMITH CFO 7.50 30.00 X 0 213120 51501 ROBERT R SICA CIO 10.00 27.50 X 0 174173 51501 JOEL CONNER CONTROLLER 9.50 28.00 X 0 153631 51501 INGRID BIEREN COO 10.00 27.50 X 0 149576 51501 PAUL GREELEY CAP DIRECTOR 40.00 0.00 X 0 128525 57767 0 1091259 317577 0 0 1 0 BLUE CROSS BLUE SHIELD OF MASSACHUSETTS 401 PARK DR BOSTON MA 02215 CLAIMS PROCESSOR 5351129 DELTA DENTAL 465 MEDFORD STREET BOSTON MA 02129 CLAIMS PROCESSOR 735156 THE SEGAL COMPANY 116 HUNTINGTON AVENUE BOSTON MA 02116 ACTUARIAL & CONSULT 378951 EXPRESS SCRIPTS INC 1 EXPRESS WAY SAINT LOUIS MO 63121 CLAIMS PROCESSOR 229163 KGA INC 161 WORCESTER RD FRAMINGHAM MA 01701 MEMBER CONSULTING 156500 7 EMPLOYER CONTRIBUTIONS 236200 155312908 155312908 PARTIC CONTRIBS BUY-IN 236200 6256516 6256516 161569424 3390635 3390635 87694936 81794092 5900844 5900844 5900844 REBATES, FEES, CHARGES 236200 46545 46545 46545 170907448 161615969 0 9291479 180665808 197007 87000 460311 460570 298214 332020 374911 1836 571207 203218 ADMINISTRATIVE FEES 7182273 REIMB. P/R, TAXES & BEN 3025862 REPAIRS & MAINTENANCE 29540 AUTO 9054 193898831 11749957 2205728 29150136 61309453 20611420 415068709 121534 74253 8361955 6607707 1838409 1754248 69520057 69679744 267993186 474129658 2821768 7201496 403806467 1031423289 1469888 165703991 20691930 32664107 22161818 198368098 X 0 0 0 0 381644649 833055191 381644649 833055191 403806467 1031423289 X -22991383 19539951 454861974 X 0 1 X 1 0 390184 249672 140512 7971771 6358035 1613736 1754248 COMMON/COLLECTIVE TRUSTS 316971688 F PARTNERSHIPS 65884184 F 103-12 INVESTMENT ENTITIES 46803776 F REG INV CO @ EST FMV 44470010 F 474129658 BEN OBLIG CURRENTLY PAYABLE 27278016 PAYABLE UNDER SECURITIES LENDING 5386091 32664107 189987088 19539951 19539951 170447137 460311 460311 170907448 184904187 0 184904187 460311 8534333 8994644 193898831 PART XII, LINE 4B - OTHER ADJUSTMENTS: CHANGE IN BEN OBLIG CURRENTLY PAYABLE 8,534,333. X X 0 1 0 RICHARD S MONARCA EXECUTIVE DIR. 0 257193 0 9038 0 6003 0 35758 0 18048 0 326040 0 0 SUZANNE M SMITH CFO 0 205099 0 7300 0 721 0 33523 0 17978 0 264621 0 0 ROBERT R SICA CIO 0 167556 0 6406 0 211 0 33523 0 17978 0 225674 0 0 JOEL CONNER CONTROLLER 0 148033 0 5352 0 246 0 33523 0 17978 0 205132 0 0 INGRID BIEREN COO 0 143972 0 5360 0 244 0 33523 0 17978 0 201077 0 0 PAUL GREELEY CAP DIRECTOR 0 125699 0 0 0 2826 0 39719 0 18048 0 186292 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. FORM 990, PART XI, LINE 9: MERGER 454,861,974. 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 SAV 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 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 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 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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