2021-12-08T13:32:15-06:00 2021-04-30 611436956 NOVAK FRANCELLA LLC 40 MONUMENT RD 5TH FLR BALA CYNWYD PA 19004 990 2020-05-01 231574984 BOARD OF TRUSTEES CARPENTERS' HEALTH & WELFARE FUND OF PHILADELPHIA & VICINITY CARP 2155680430 1811 SPRING GARDEN STREET PHILADELPHIA PA 19130 WILLIAM SPROULE LABOR TRUSTEE 2155680430 2021-12-08 1 WILLIAM SPROULE 999009999 LOUIS VERZELLA CPA P00360279 6106689400 2021-12-08 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z WILLIAM SPROULE 1803 SPRING GARDEN STREET PHILADELPHIA PA 19130 1044859338 0 X N/A X 1960 PA THE CARPENTERS' HEALTH AND WELFARE FUND OF PHILADELPHIA AND VICINITY (THE PLAN) PROVIDES HEALTH AND OTHER BENEFITS TO ELIGIBLE MEMBERS OF METROPOLITAN REGIONAL COUNCIL OF PHILADELPHIA AND VICINITY OF THE UNITED BROTHERHOOD OF CARPENTERS AND JOINERS OF AMERICA WHICH REPRESENTS CARPENTERS EMPLOYED PRIMARILY IN SOUTHEASTERN PENNSYLVANIA. 11 6 0 0 0 0 0 0 123361798 116170963 16405267 17209340 68300 340419 139835365 133720722 0 0 116361950 106775502 1769020 2582898 0 0 0 2851447 2868587 120982417 112226987 18852948 21493735 458301832 507387795 9016880 1854007 449284952 505533788 X THE CARPENTERS' HEALTH AND WELFARE FUND OF PHILADELPHIA AND VICINITY (THE PLAN) PROVIDES HEALTH AND OTHER BENEFITS TO ELIGIBLE MEMBERS OF METROPOLITAN REGIONAL COUNCIL OF PHILADELPHIA AND VICINITY OF THE UNITED BROTHERHOOD OF CARPENTERS AND JOINERS OF AMERICA WHICH REPRESENTS CARPENTERS EMPLOYED PRIMARILY IN SOUTHEASTERN PENNSYLVANIA. 0 0 THE PLAN PROVIDES MEDICAL, HOSPITAL, DENTAL, PRESCRIPTION, VISION, WEEKLY DISABILITY INCOME AND WORKERS' COMPENSATION, DEATH AND ACCIDENTAL DEATH AND DISMEMBERMENT, AND VACATION BENEFITS. REFERENCE SHOULD BE MADE TO THE SUMMARY PLAN DESCRIPTION FOR SPECIFIC DETAILS ON ELIGIBILITY AND BENEFITS. 0 0 0 0 0 0 0 0 0 0 1 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 1372 0 0 0 0 0 0 0 0 0 0 X 11 6 0 0 0 0 0 0 0 1 1 0 0 1 0 0 1 0 0 0 X THE BOARD OF TRUSTEES 2155680430 1811 SPRING GARDEN STREET PHILADELPHIA PA 19130 FRANK T LUTTER MGMT TRUSTEE 2.00 X 0 0 0 JAMES R DAVIS MGMT TRUSTEE 2.00 X 0 0 0 PHILIP RADOMSKI MGMT TRUSTEE CO-CHAIR 2.00 X 0 0 0 JOSEPH CLEARKIN MGMT TRUSTEE 2.00 X 0 0 0 JACK HEALY MGMT TRUSTEE 2.00 X 0 0 0 MICHAEL MORROW LABOR TRUSTEE 2.00 60.00 X 0 147411 0 MICHAEL HAND LABOR TRUSTEE (P) 2.00 60.00 X 0 174962 115544 THOMAS BRESLIN LABOR TRUSTEE 2.00 60.00 X 0 107593 0 BENJAMIN J CONNORS MGMT TRUSTEE 2.00 X 0 0 0 WILLIAM SPROULE LABOR TRUSTEE CO-CHAIR 2.00 60.00 X 0 344616 226354 RICHARD KELLY LABOR TRUSTEE 2.00 60.00 X 0 154935 88049 JAMES HOCKER LABOR TRUSTEE 2.00 X 0 166154 0 PETE TONIA EXECUTIVE FUND DIRECTOR 18.00 22.00 X 130852 159930 145015 JOSEPH OBUCHOWICZ FUND DIRECTOR 18.00 22.00 X 95036 116156 110785 RYAN SICA CONTOLLER 16.00 24.00 X 57340 86009 80935 MICHAEL WAGNER FUND EMPLOYEE 36.00 4.00 X 91369 10152 65284 374597 1467918 831966 1 0 1 0 INDEPENDENCE BLUE CROSS 1901 MARKET STREET PHILADELPHIA PA 19103 BENEFIT CLAIMS ADMINISTRATION 3213363 HEALTH CARE SOLUTIONS CORP 14 MYSTIC LANE MALVERN PA 19355 BENEFIT CLAIMS AND ADMINISTRATION 784052 BNY MELLON 500 GRANT STREET SUITE 151-0625 PITTSBURGH PA 15258 INVESTMENT MANAGEMENT 448219 FOUNDRY PARTNERS 323 WASHINGTON AVE NORTH SUITE 36 MINNEAPOLIS MN 55401 INVESTMENT MANAGEMENT 419448 EXPRESS SCRIPTS INCMEDCO HEALTH 100 PARSONS POND DRIVE FRANKLIN LAKES NJ 07417 BENEFIT CLAIMS ADMINISTRATION 399458 12 EMPLOYER CONTRIBUTIONS 525100 110340795 110340795 PARTICIPANT COBRA CONTRIBUTIONS 525100 5830168 5830168 116170963 10901015 10901015 917446941 911138616 6308325 6308325 6308325 OTHER INCOME 900099 340419 340419 340419 133720722 116170963 0 17549759 106775502 959955 1154779 375849 92315 105773 30925 1402430 222651 520585 309338 151060 1419 67169 REGULATORY FEES AND TAX 43711 ADMIN EXPENSE REIMB. 13526 112226987 19609970 11840952 11972910 13684383 1180667 1855901 307250988 315093430 117004449 164913129 1282848 0 458301832 507387795 870355 1099579 8146525 754428 9016880 1854007 X 0 0 0 0 449284952 505533788 449284952 505533788 458301832 507387795 X 21493735 36654709 -1899608 X X 0 1 X 1 0 0 LIMITED PARTNERSHIPS 164913129 F 164913129 DUE TO BROKER 754428 754428 X 168973001 36654709 36654709 132318292 1402430 1402430 133720722 110824557 0 110824557 1402430 1402430 112226987 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 WILLIAM SPROULE LABOR TRUSTEE CO-CHAIR 0 344616 0 0 0 0 0 0 0 226354 0 570970 0 0 PETE TONIA EXECUTIVE FUND DIRECTOR 130852 159930 0 0 0 0 55604 67960 9653 11798 196109 239688 0 0 JOSEPH OBUCHOWICZ FUND DIRECTOR 95036 116156 0 0 0 0 40200 49134 9653 11798 144889 177088 0 0 MICHAEL HAND LABOR TRUSTEE (P) 0 174962 0 0 0 0 0 0 0 115544 0 290506 0 0 RICHARD KELLY LABOR TRUSTEE 0 154935 0 0 0 0 0 66659 0 21390 0 242984 0 0 RYAN SICA CONTOLLER 57340 86009 0 0 0 0 23794 35691 8580 12870 89714 134570 0 0 MICHAEL WAGNER FUND EMPLOYEE 91369 10152 0 0 0 0 39451 4383 19305 2145 150125 16680 0 0 JAMES HOCKER LABOR TRUSTEE 0 166154 0 0 0 0 0 0 0 0 0 166154 0 0 FORM 990, PART VI, SECTION B, LINE 11B CARPENTERS' HEALTH AND WELFARE FUND OF PHILADELPHIA AND VICINITY'S FORM 990 IS PREPARED BY ITS INDEPENDENT PUBLIC ACCOUNTANT WHO THEN FORWARDS THE RETURN TO THE ASSISTANT COORDINATOR OF BENEFITS FOR INITIAL REVIEW. THE ASSISTANT COORDINATOR OF BENEFITS THEN PRESENTS THE FORM 990 TO THE BOARD OF TRUSTEES FOR SIGNATURE AND FILING. FORM 990, PART VI, SECTION C, LINE 19 CARPENTERS' HEALTH AND WELFARE FUND OF PHILADELPHIA AND VICINITY'S GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: NET ASSET TRANSFER FORM CARPENTERS H&W FUND OF PHILADEPHIA & VICINITY -1,899,608. FORM 990, PART XII, LINE 2C: CARPENTERS' HEALTH AND WELFARE FUND OF PHILADELPHIA AND VICINITY'S BOARD OF TRUSTEES IS RESPONSIBLE FOR OVERSEEING THE FINANCIAL STATEMENT AUDIT AND SELECTION OF THE INDEPENDENT PUBLIC ACCOUNTANT THAT PERFORMS THE AUDIT. FORM 990, PART V, LINE 2A/2B: CARPENTERS HEALTH AND WELFARE FUND OF PHILADELPHIA & VICINITY PAYS VACATION AND DISABILITY BENEFITS TO ELIGIBLE FUND PARTICIPANTS. FOR THE TAX PERIOD ENDING 12/31/2020 THE FUND ISSUED 8,279 FORMS W-2. THE FUND ALSO FILED ALL REQUIRED EMPLOYMENT TAX RETURNS. CARPENTERS' PENSION AND ANNUITY FUND OF PHILADELPHIA AND VICINITY 1811 SPRING GARDEN STREET PHILADELPHIA PA 19130 231613018 PENSION FUND PA 401(A)/501(A) 0 CARPENTERS JOINT APPRECTICESHIP TRAINING FUND OF PHILADELPHIA & VICINITY 10401 DECATUR ROAD PHILADELPHIA PA 19154 231518467 EDUCATION AND TRAINING FUND PA 501(C)(3) 170(B)(1)(A)(II) 0 CARPENTERS SAVINGS PLAN OF PHILADELPHIA AND VICINITY 1811 SPRING GARDEN STREET PHILADELPHIA PA 19130 232508131 PENSION FUND PA 401(A)/501(A) 0 EASTERN ATLANTICE STATES REGIONAL COUNCIL OF CARPENTERS 650 RIDGE RD PITTSBURGH PA 15205 250849687 LABOR UNION PA 501(C)(5) 0 GENERAL BUILDING CONTRACTORS ASSOCIATION PO BOX 15959 PHILADELPHIA PA 19103 230847495 EMPLOYER ASSOCIATION PA 501(C)(6) 0 UBC EDUCATION FUND 6801 PLACID STREET LAS VEGAS NV 89119 526447063 TRAINING FUND NV 501(C)(3) 0 LEVEL CARE HEALTH CONSORTIUM 1811 SPRING GARDEN STREET PHILADELPHIA PA 19130 832819398 BUSINESS LEAGUE PA 501(C)(6) 0 NORTHEAST REGIONAL COUNCIL OF CARPENTERS FUNDS PLAZA II 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