2021-11-16T15:50:29-06:00 2020-12-31 812950760 SAX LLP 389 INTERPACE PARKWAY STE 3 PARSIPPANY NJ 07054 990 2020-01-01 300217152 LOCAL 99 HEALTH AND WELFARE FUND LOCA 9737356464 703 MCCARTER HIGHWAY NEWARK NJ 07102 KEVIN MCCANN TRUSTEE 9737356464 2021-11-02 1 KEVIN MCCANN 999009999 TOD CHRISTIANSON P00088252 9734726250 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z KEVIN MCCANN 703 MCCARTER HIGHWAY NEWARK NJ 07102 53626569 0 X N/A X 1946 NJ TO PROVIDE HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS 7 5 0 0 0 0 0 0 23957065 26991441 1421577 2429045 0 0 25378642 29420486 0 0 23547522 27356594 0 0 0 0 0 3360454 3280021 26907976 30636615 -1529334 -1216129 35575817 33745320 793927 210852 34781890 33534468 TO PROVIDE HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS WHO ARE EMPLOYED IN COVERED CRAFTS BY EMPLOYERS WHO CONTRIBUTE TO THE FUND 0 0 HEALTH AND WELFARE BENEFITS PAID TO OR FOR PARTICIPANTS AND BENEFICIARIES, OVER 2,500 PARTICIPANTS WERE INVOLVED. 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 7 5 0 0 0 0 0 0 0 1 1 0 0 1 0 0 1 0 0 0 X FUND'S BOARD OF TRUSTEES 9737356464 703 MCCARTER HIGHWAY NEWARK NJ 07102 X ALBERTO ARROYO TRUSTEE 10.00 X 0 0 0 KEVIN MCCANN TRUSTEE 30.00 X 0 0 0 MARICARMEN MOLINA TRUSTEE 2.00 X 0 0 0 ANGELA BIALORUCKI TRUSTEE 2.00 X 0 0 0 CECILIA GOMEZ TRUSTEE 2.00 X 0 0 0 CLEVELAND JENKINS TRUSTEE 2.00 X 0 0 0 MARTIN CANTURIANO TRUSTEE 2.00 X 0 0 0 DEBRA RICH EXECUTIVE DIRECTOR 35.00 X 0 0 0 0 0 0 0 0 0 0 0 EMPLOYER CONTRIBUTIONS 900099 24009715 24009715 PARTICIPANT COPAYMENTS 900099 2908909 2908909 COBRA CONTRIBUTIONS 900099 72817 72817 26991441 666173 666173 25968955 24206083 1762872 1762872 1762872 29420486 26991441 0 2429045 27356594 18000 88880 97069 3238 1065 12896 BENEFITS ADMINISTRATORS 1696601 CONTRACT ADMINISTRATOR 1358727 PRINTING 2192 BANK CHARGES 1353 30636615 44964 60470 900524 2580335 33319069 29786449 1300000 1300000 11260 18066 35575817 33745320 793927 210852 793927 210852 X 0 0 0 0 34781890 33534468 34781890 33534468 35575817 33745320 -1216129 -31293 0 X 0 1 X 1 0 0 PROFESSIONAL FEES DUE 88500 DUE TO CLAIMS ADMIN. FOR BENEFIT PYMTS 84314 DUE TO UNITE HEALTH CENTER 2645 DUE TO LIVONGO MANAGEMENT 5518 DUE TO LOCAL 99 11302 DUE TO SELEDENT 13788 DUE TO EYEGLASS SUPPLIER 4785 210852 X 29292124 -31293 -31293 29323417 97069 97069 29420486 31020141 586127 586127 30434014 97069 105532 202601 30636615 PART X, LINE 2: PART IV, LINE 11F: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRES MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE FUND AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF THE FUND HAS TAKEN AN UNCERTAIN POSITION THAT WILL NOT BE REALIZED. THE PLAN ADMINISTRATOR HAS ANALYZED THE TAX POSITIONS TAKEN BY THE FUND, AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2019, THERE ARE NO UNCERTAIN POSITIONS TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE FUND IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. THE PLAN ADMINISTRATOR BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO 2017. PART XII, LINE 2D - OTHER ADJUSTMENTS: BENEFITS RECORDED IN PRIOR YEAR PER SOP 92-6 PART XII, LINE 4B - OTHER ADJUSTMENTS: BENEFITS RECORDED IN CURRENT YEAR PER SOP 92-6 SCHEDULE D PART XII - LINE 2D AND 4B PART XIII LINE 2D OTHER - BENEFITS RECORDED IN PRIOR YEAR PER SOP 92-6: $586,127 PART XIII LINE 4B OTHER - BENEFITS RECORDED IN CURRENT YEAR PER SOP 92-6: $105,532 ALBERTO ARROYO INDIVIDUAL IS FUND CHAIRMAN AND CO-MANAGER OF THE CONTRACT ADMINISTRATOR TRANSACTION IS FOR PAYMENT OF $1,357,849 FOR NECESSARY ADMINISTRATIVE SERVICES AND IS BETWEEN THE ORGANIZATION AND A CONTRACT ADMINISTRATOR (LAUNDRY DISTRIBUTION & FOOD SERVICE JOINT BOARD, WORKERS UNITED, SEIU) WHERE THE INDIVIDUAL IS AN OFFICER OF BOTH NON PROFIT ORGANIZATIONS. 0 KEVIN MCCANN INDIVIDUAL IS A FUND TRUSTEE AND CONTROLLER OF THE CONTRACT ADMINISTRATOR TRANSACTION IS FOR PAYMENT OF $1,357,849 FOR NECESSARY ADMINISTRATIVE SERVICES AND IS BETWEEN THE ORGANIZATION AND A CONTRACT ADMINISTRATOR (LAUNDRY DISTRIBUTION & FOOD SERVICE JOINT BOARD, WORKERS UNITED, SEIU) WHERE THE INDIVIDUAL IS AN OFFICER OF BOTH NON PROFIT ORGANIZATIONS. 0 FORM 990, PART VI, SECTION B, LINE 11B AFTER THE INTERNAL REVIEW ANY QUESTIONS OR CONCERNS ARE DISCUSSED WITH THE EXTERNAL AUDITOR AND ALL NECESSARY CHANGES IF ANY ARE MADE. THE RETURN IS THEN FILED. THE COMPLETED FORM 990 IS THEN LATER DISTRIBUTED TO THE TRUSTEES OF THE FUND AT THEIR NEXT MEETING AND REVIEWED. IN THE UNLIKELIHOOD OF A MATERIAL ERROR OR OMISSION AN AMENDED FORM 990 IS PREPARED. FORM 990, PART VI, SECTION B, LINE 15 FORM 990, PART VI, SECTION B: QUESTIONS 15A AND 15B HAVE BEEN ANSWERED NO BECAUSE THE FUND DOES NOT HAVE ANY EMPLOYEES OR COMMITTEE MEMBERS WHO RECEIVE COMPENSATION. THEREFORE, A PROCESS FOR DETERMINING COMPENSATION IS NOT NEEDED. FORM 990, PART VI, SECTION C, LINE 19 COPIES ARE PROVIDED UPON REQUEST BY CALLING OR WRITING THE FUND OFFICE. INSPECTION AT THE FUND OFFICE IS AVAILABLE DURING NORMAL WORKING HOURS. THE FORM IS ALSO AVAILABLE FOR FREE ON VARIOUS INTERNET SITES.