2020-05-30T14:09:24-05:00 2019-07-31 222951202 MSPC CPAS & ADVISORS PC 340 NORTH AVENUE EAST CRANFORD NJ 070162496 990 2018-08-01 222004832 TEAMSTERS LOCAL 97 BENEFITS FUND TEAM 9088100022 136 CENTRAL AVENUE 1ST FLOOR CLARK NJ 07066 JOHN GEROW TRUSTEE 9088100022 2020-05-30 1 RAYMOND HARGADON P01780635 9082727000 72.88.221.141 2020-05-30 14:09:20 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 8B9B2715201586C5F4528686F625FECF758F16CC 2018 2020-11-06 18:47:13Z JOHN GEROW 136 CENTRAL AVENUE 1ST FLOOR CLARK NJ 07066 17346086 0 X N/A X 1972 NJ TO PROVIDE HEALTH AND WELFARE BENEFITS TO PARTICIPANTS. 4 0 4 0 0 0 0 0 15127911 16838782 72516 32052 7453 292699 15207880 17163533 0 0 12538499 13722882 405078 396515 0 0 0 1467136 1528945 14410713 15648342 797167 1515191 1563221 1902139 1633172 437986 -69951 1464153 TO PROVIDE HEALTH AND WELFARE BENEFITS TO PARTICIPANTS. 0 0 PROVIDE HEALTH AND WELFARE BENEFITS TO PARTICIPANTS. 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 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 69 0 1 4 1 0 0 0 0 0 0 0 0 0 0 0 0 X 4 0 1 0 0 0 0 1 0 1 1 0 0 1 0 0 0 1 0 0 X BOARD OF TRUSTEES 9088100022 136 CENTRAL AVENUE 1ST FLOOR CLARK NJ 07066 JOHN GEROW TRUSTEE 1.00 40.00 X 0 150571 62027 MARIA PEREZ TRUSTEE 1.00 40.00 X 0 142673 59545 DANIEL REIMAN TRUSTEE 1.00 X 0 0 0 STEPHEN GENCO TRUSTEE 1.00 X 0 0 0 ELAINE ALESSIO FUND MANAGER 37.50 X 115954 0 32273 115954 293244 153845 1 0 1 0 HORIZON BLUE CROSS & BLUE SHIELD 3 PENN PLAZA NEWARK NJ 10119 CLAIMS ADMINISTRATION 889814 FABIAN & BYRN LLC 425 EAGLE ROCK AVE ROSELAND NJ 07068 CLAIMS ADMINISTRATION 181160 MSPC CPA'S & ADVISORS LLC 340 NORTH AVE CRANFORD NJ 07016 ACCOUNTANT 131677 3 EMPLOYERS' CONTRIBUTIONS 525100 16798934 16798934 COBRA CONTRIBUTIONS 525100 39848 39848 16838782 28603 28603 186002 182553 3449 3449 3449 OTHER INCOME 525100 290225 290225 INTEREST ON EMPLOYER AUDITS 525100 2399 2399 CLASS ACTION SUIT SETTLEMENT 525100 75 75 292699 17163533 17134930 0 28603 13722882 115954 153700 100592 26269 39762 131677 8923 1195843 31398 55318 29474 4134 15557 10620 EQUIPMENT RENTAL AND MA 5612 OTHER EXPENSES 627 15648342 364794 520563 12207 16500 11165 138510 20163 16200 210085 138986 37525 71099 714589 750272 402778 388995 1563221 1902139 201741 106286 1431431 331700 1633172 437986 X 0 0 0 0 -69951 1464153 -69951 1464153 1563221 1902139 1515191 18913 0 X 0 1 X 0 0 210085 138986 71099 71099 ACCRUED INTEREST AND DIVIDENDS 4201 DUE FROM BROKER FOR SECURITIES SOLD 1209 ADVANCE DEPOSITS 365500 STOP LOSS RECEIVABLE 18085 388995 PAYABLE TO CLAIMS ADMINISTRATORS 328223 DUE TO BROKER FOR SECURITIES PURCHASED 3477 331700 X 17166964 18913 18913 17148051 15482 15482 17163533 15632860 0 15632860 15482 15482 15648342 PART X, LINE 2: THE PLAN'S TRUSTEES AND LEGAL COUNSEL BELIEVE THAT THE PLAN IS DESIGNED AND IS CURRENTLY BEING OPERATED IN COMPLIANCE WITH THE APPLICABLE REQUIREMENTS OF THE INTERNAL REVENUE CODE ("IRC"). 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 (OR ASSET) IF THE ORGANIZATION HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE TAXING AUTHORITIES. AS OF JULY 31, 2019, THERE WERE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE FINANCIAL STATEMENTS. 0 0 0 JOHN GEROW TRUSTEE 0 150571 0 0 0 0 0 48909 0 13118 0 212598 0 0 MARIA PEREZ TRUSTEE 0 142673 0 0 0 0 0 45937 0 13608 0 202218 0 0 CHRISTINE KNISPEL FAMILY MEMBER OF JOHN GEROW 70396 EMPLOYMENT 0 FORM 990, PART VI, SECTION A, LINE 2 TRUSTEES GEROW AND PEREZ ARE OFFICERS OF TEAMSTERS LOCAL UNION NO. 97. THE EMPLOYER TRUSTEES ARE EMPLOYED BY EMPLOYERS THAT HAVE COLLECTIVE BARGAINING AGREEMENTS WITH TEAMSTERS LOCAL UNION NO. 97 IN WHICH UNION TRUSTEES GEROW AND PEREZ ARE OFFICERS. MEMBERS OF THE UNION ARE EMPLOYED BY THE EMPLOYER TRUSTEES' EMPLOYERS AND THE TERMS AND CONDITIONS OF THAT EMPLOYMENT ARE NEGOTIATED BY THE EMPLOYERS AND THE UNION IN THE COLLECTIVE BARGAINING PROCESS. FORM 990, PART VI, SECTION A, LINE 7A THE TWO UNION TRUSTEES ARE APPOINTED BY THE EXECUTIVE BOARD OF TEAMSTERS LOCAL UNION NO. 97. THE EMPLOYER TRUSTEES ARE APPOINTED BY VOTE OF THE EMPLOYERS HAVING A CONTRACTUAL RELATIONSHIP WITH THE UNION. FORM 990, PART VI, SECTION B, LINE 11B PRIOR TO ITS FILING, THE FORM 990 WAS REVIEWED BY ALL OF THE ACTIVE TRUSTEES OF THE PLAN. THE BOARD OF TRUSTEES IS THE GOVERNING BODY OF THE ORGANIZATION AND CONSISTS OF ALL THE VOTING MEMBERS. FORM 990, PART VI, SECTION B, LINE 12 THIS ORGANIZATION IS AN EMPLOYEE BENEFIT PLAN COVERED BY THE EMPLOYEE RETIREMENT SECURITY ACT (ERISA). THE TRUSTEES HAVE A STATUTORY DUTY UNDER ERISA TO AVOID CONFLICTS AND REPORT THEM WHEN THEY OCCUR. FORM 990, PART VI, SECTION B, LINE 15A THE COMPENSATION OF THE TOP MANAGEMENT OFFICIAL IS REVIEWED AND APPROVED ANNUALLY BY THE BOARD OF TRUSTEES. THE FUND DOES NOT HAVE A CEO OR EXECUTIVE DIRECTOR. FORM 990, PART VI, SECTION C, LINE 19 THE FUND'S GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC IN ACCORDANCE WITH THE REQUIREMENTS OF ERISA AND OTHER GOVERNING LAW UPON REQUEST. THE FUND HANDLES CONFLICTS OF INTEREST AS REQUIRED BY ERISA. BOROUGH OF CARTERET 20 COOKE AVE CARTERET NJ 07008 226001707 VEBA CONTRIBUTING EMPLOYER NJ N/A 0 JACKSON BOARD OF EDUCATION 151 DON CONNER BLVD JACKSON NJ 08527 216000344 VEBA CONTRIBUTING EMPLOYER NJ N/A 0 LACEY TOWNSHIP 818 W LACEY ROAD FORKED RIVER NJ 08731 216006469 VEBA CONTRIBUTING EMPLOYER NJ N/A 0 LAVALLETTE BOROUGH 1306 GRAND CENTRAL AVE LAVALLETTE NJ 08735 216000788 VEBA CONTRIBUTING EMPLOYER NJ N/A 0 TOWNSHIP OF LITTLE FALLS 225 MAIN STREET LITTLE FALLS NJ 07424 226002036 VEBA CONTRIBUTING EMPLOYER NJ N/A 0 TEAMSTERS LOCAL UNION NO 97 485 CHESTNUT STREET UNION NJ 07083 221633671 VEBA CONTRIBUTING EMPLOYER NJ N/A 0 BOROUGH OF SOUTH TOMS RIVER 144 MILL STREET SOUTH TOMS RIVER NJ 08757 221859596 VEBA CONTRIBUTING EMPLOYER NJ N/A 0 BOROUGH OF PARAMUS 1 JOCKISH SQUARE PARAMUS NJ 07652 226002186 VEBA CONTRIBUTING EMPLOYER NJ N/A 0 HOBOKEN HOUSING AUTHORITY 400 HARRISON STREET HOBOKEN NJ 07030 VEBA CONTRIBUTING EMPLOYER NJ N/A 0 ASHBROOK CARE AND REHABILITATION CENTER 1610 RARITAN ROAD SCOTCH PLAINS NJ 07076 270398833 VEBA CONTRIBUTING EMPLOYER NJ N/A 0 0 FOREST HILL PROPERTIES 8 WEST 40TH STREET NEW YORK NY 10018 133633569 VEBA CONTRIBUTING EMPLOYER NJ N/A 0 0 LLANFAIR HOUSE CARE AND REHAB CENTER 1140 BLACK OAK RIDGE ROAD WAYNE NJ 07470 270399620 VEBA CONTRIBUTING EMPLOYER NJ N/A 0 0 GREENBROOK MANOR & REHAB CENTER 303 ROCK AVENUE GREENBROOK NJ 08812 270399365 VEBA CONTRIBUTING EMPLOYER NJ N/A 0 0 ARCADIA NURSING AND REHABILITATION CENTER 1501 ROUTE 33 TRENTON NJ 08690 311510952 VEBA CONTRIBUTING EMPLOYER NJ N/A 0 BP & SC SERVICES INC 491 LYONS AVENUE IRVINGTON NJ 07111 208056539 VEBA CONTRIBUTING EMPLOYER NJ N/A S 0 BROWER TOWN ASSOC INCPROSPECT HEIGHTS CARE CENTER 336 PROSPECT AVE HACKENSACK NJ 07601 222761763 VEBA CONTRIBUTING EMPLOYER NJ N/A S 0 CENTURY DISTRIBUTION SERVICE INC 100 PASSAIC AVE SUITE 160 FAIRFIELD NJ 07004 223444871 VEBA CONTRIBUTING EMPLOYER NJ N/A C 0 DUREX INC 5 STAHUBER AVE UNION NJ 07083 221426696 VEBA CONTRIBUTING EMPLOYER NJ N/A S 0 MILLER & SON 24 BELLEVILLE AVENUE BELLEVILLE NJ 07109 221838356 VEBA CONTRIBUTING EMPLOYER NJ N/A 0 MACY'S LOGISTICS & OPERATIONS PO BOX 8214 MASON OH 45040 133324058 VEBA CONTRIBUTING EMPLOYER OH N/A C 0 REGENT CARE CENTER 50 POLIFLY ROAD HACKENSACK NJ 07601 222495155 VEBA CONTRIBUTING EMPLOYER NJ N/A C 0 SEVERNA OPERATIONS INC 3 EASTMANS ROAD PARSIPPANY NJ 07054 010801089 VEBA CONTRIBUTING EMPLOYER NJ N/A S 0 SILVERLINE BLDG PRODUCTS CORPANDERSEN CORP 100 4TH AVENUE NORTH BAYPORT MN 55003 251910909 VEBA CONTRIBUTING EMPLOYER N/A 0 T&E INDUSTRIES INC 215 WATCHUNG AVE ORANGE NJ 07050 222304064 VEBA CONTRIBUTING EMPLOYER NJ N/A S 0 TECHNICAL BLDG MAINT INC (TEMCO) 417 FIFTH AVENUE NEW YORK NY 10016 221852148 VEBA CONTRIBUTING EMPLOYER NJ N/A C 0 THE VMC GROUP 113 MAIN STREET BLOOMINGDALE NJ 07403 202305737 VEBA CONTRIBUTING EMPLOYER N/A 0 TRYCO TOOL & MFG CO INC 363 SO JEFFERSON STREET ORANGE NJ 07050 221695476 VEBA CONTRIBUTING EMPLOYER NJ N/A S 0 WHITE HOUSE HEALTHCARE & REHAB CENTER INC 560 BERKELEY AVE ORANGE NJ 07050 221996325 VEBA CONTRIBUTING EMPLOYER NJ N/A S 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0