2025-09-15T13:04:58-05:00 2024-11-30 043508036 MANZI & ASSOCIATES LLC 855 TURNPIKE STREET NORTH ANDOVER MA 01845 990 2023-12-01 042088633 SHEET METAL WORKERS LOCAL UNION NO 17 INSURANCE FUND SHEE 6174265646 1157 ADAMS STREET 1ST FLOOR DORCHESTER MA 02124 RICHARD KEOGH FUND ADMINISTRATOR 6174265646 2025-09-15 1 0 JEANNIE MICKEL P01058630 9789751099 2023 2025-03-06 01:10:19Z RICHARD KEOGH 1157 ADAMS STREET 1ST FLOOR DORCHESTER MA 02124 54806336 0 X N/A X 1950 MA TO PROVIDE HEALTH BENEFITS FOR ELIGIBLE PARTICIPANTS 6 6 49 0 0 0 0 0 50955047 51485928 3680531 2616447 707450 623991 55343028 54726366 0 0 40607822 44896027 812796 880854 0 0 0 688229 823494 42108847 46600375 13234181 8125991 102772790 117678714 5778696 3690773 96994094 113987941 TO PROVIDE HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS 0 0 TO PROVIDE HEALTH AND OTHER SPECIFIED BENEFITS TO ELIGIBLE MEMBERS/DEPENDENTS THROUGH A COLLECTIVELY BARGAINED MULTIEMPLOYER PLAN. 0 0 0 0 0 0 0 0 0 1 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 4 0 1 49 1 0 0 0 0 0 0 0 0 0 0 X 6 6 0 0 0 0 1 0 0 1 1 0 0 1 0 0 1 0 1 0 X RICHARD KEOGH 6174265646 1157 ADAMS STREET 1ST FLOOR DORCHESTER MA 02124 X JAMES WOOL TRUSTEE 10.00 X X 0 0 0 KEVIN GILL TRUSTEE 10.00 X X 0 0 0 JOSEPH CULLEN TRUSTEE 10.00 X X 0 0 0 JACK DESMOND TRUSTEE 10.00 X X 0 0 0 RICHARD KEOGH TRUSTEE 10.00 X 0 0 0 ROBERT BUTLER TRUSTEE 10.00 X 0 0 0 RICHARD B KEOGH ADMINISTRATOR 40.00 X 165077 0 64788 165077 0 64788 1 0 1 0 BLUE CROSS BLUE SHIELD 401 PARK DRIVE BOSTON MA 02215 HEALTH CLAIMS ADMINISTRATION 1456156 PAYD HEALTH 4100 ALPHA ROAD DALLAS TX 75244 CLAIMS CONSULTANT 187616 BRIDGEWAY 3000 S LENOLA RD MAPLE SHADE NJ 08052 IT CONSULTANTS 157538 ELIXIR SOLUTIONS 2181 E AURORA ROAD TWINSBURG OH 44087 PRESCRIPTION CLAIMS ADMINSTRATION 142028 DELTA DENTAL 465 MEDOFRD STREET BOSTON MA 02129 DENTAL CLAIMS ADMINISTRATION 118719 5 EMPLOYER CONTRIBUTIONS 561000 49584685 49584685 MEMBER CONTRIBUTIONS 561000 1419986 1419986 SASMI CONTRIBUTIONS 561000 481257 481257 51485928 2181669 2181669 514748 79970 434778 434778 434778 ADMIN ASSESSMENTS 900099 617509 617509 DELINQUENT CONTRACTOR INTEREST 900099 5410 5410 SETTLEMENT INCOME 900099 1072 1072 623991 54726366 52109919 0 2616447 44896027 178673 286168 220297 153400 42316 25533 30113 195078 197181 18171 165458 40688 12982 56683 38236 POSTAGE 22488 ACA FEES 15421 TELEPHONE 3424 PRINTING 1943 95 46600375 4209034 6347861 7620222 7651503 41415 36962 1418442 775105 583720 643337 87572399 100106151 2746000 2892900 102772790 117678714 138811 144605 5639885 3546168 5778696 3690773 X 0 0 0 0 96994094 113987941 96994094 113987941 102772790 117678714 8125991 8867856 0 X X 0 1 X 1 0 899382 361198 538184 519060 413907 105153 643337 BAIRD INTERMEDIATE BOND 25290920 F NHIT CORE PLUS DISCRETION TRUST 24112987 F US REAL ESTATE INVEST FUND 5311664 F BNY MELLON AFL CIO 36236847 F BAIRD SHORT TERM BOND FUND 9153733 F 100106151 INCURRED BUT NOT REPORTED CLAIMS 2206393 BENEFITS PAYABLE 1339775 3546168 X 63399144 8867856 8867856 54531288 195078 195078 54726366 48484965 0 48484965 195078 -2079668 -1884590 46600375 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 (OR ASSET) IF THE PLAN HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE DEPARTMENT OF LABOR AND INTERNAL REVENUE SERVICE. THE PLAN ADMINISTRATOR HAS ANALYZED THE TAX POSITIONS TAKEN BY THE PLAN, AND HAS CONCLUDED THAT AS OF NOVEMBER 30, 2024, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE FINANCIAL STATEMENTS. PART XII, LINE 4B - OTHER ADJUSTMENTS: NET CHANGE IN BENEFIT OBLIGATIONS -2,079,668. X 0 0 0 RICHARD B KEOGH ADMINISTRATOR 165077 0 0 0 0 0 34774 0 30014 0 229865 0 0 0 FORM 990, PART VI, SECTION A, LINE 6 COLLECTIVELY BARGAINED MULTIEMPLOYER PLAN FOR MEMBERS AND RETIREES OF LOCAL 17 SMW FORM 990, PART VI, SECTION B, LINE 11B BOARD OF TRUSTEES HAS GIVEN AUTHORITY TO THE FUND ADMINISTRATOR TO REVIEW ALL TAX DOCUMENTATION BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12 AS AN EMPLOYEE BENEFIT PLAN WE ARE SUBJECT TO THE CONFLICTS OF INTEREST REQUIREMENTS OF ERISA. FORM 990, PART VI, SECTION B, LINE 15B COMPENSATION IS REVIEWED ANNUALLY BY THE BOARD OF TRUSTEES. FORM 990, PART VI, SECTION C, LINE 19 AVAILABLE UPON REQUEST FORM 990, PART XII, LINE 2C: NO CHANGE IN OVERSIGHT PROCESS OR SELECTION OF INDEPENDENT ACCOUNTANT. 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