2020-10-14T08:24:15-05:00 2019-12-31 131577780 SCHULTHEIS & PANETTIERI LLP 450 WIRELESS BLVD HAUPPAUGE NY 11788 990 2019-01-01 221764453 NJBLS WELFARE FUND NJBL 2019630633 3218 KENNEDY BLVD JERSEY CITY NJ 073063416 MARY CASTROVINCI FUND ADMIN. 2019630633 2020-10-14 1 CAROL WESTFALL P00539069 6312734778 173.56.115.218 2020-10-14 09:22:00 ED P 3D4AE2E8976E81368E472ACBB9DF04FDA774F33F 3D4AE2E8976E81368E472ACBB9DF04FDA774F33F 2019 2021-04-22 16:20:28Z 3218 KENNEDY BLVD JERSEY CITY NJ 073063416 101346472 0 X N/A X 1965 NJ THE PURPOSE OF THE TRUST IS TO PROVIDE MEDICAL AND DEATH BENEFITS TO ELIGIBLE ACTIVE AND RETIREE PARTICIPANTS AND THEIR DEPENDENTS. 10 10 18 0 0 0 0 0 44527098 46608912 1665989 2364703 111298 2608 46304385 48976223 0 0 39200035 41288192 1687860 2172003 0 0 0 379751 176210 41267646 43636405 5036739 5339818 95416838 105913819 14357874 16299218 81058964 89614601 THE PURPOSE OF THE TRUST IS TO PROVIDE MEDICAL AND DEATH BENEFITS TO ELIGIBLE ACTIVE AND RETIREE PARTICIPANTS AND THEIR DEPENDENTS. 0 0 THE PURPOSE OF THE TRUST IS TO PROVIDE MEDICAL AND DEATH BENEFITS TO ELIGIBLE ACTIVE AND RETIREE PARTICIPANTS AND THEIR DEPENDENTS. 0 0 0 0 0 0 0 0 0 1 0 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 5 0 1 18 1 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 1 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X MARY CASTROVINCI 2019630633 3218 KENNEDY BLVD JERSEY CITY NJ 073063416 RAYMOND M POCINO CO-CHAIRMAN 1.00 X 0 0 0 JACK KOCSIS CO-CHAIRMAN 1.00 X 0 0 0 ROBERT GARIEPY TRUSTEE 1.00 X 0 0 0 MICHAEL FITZPATRICK TRUSTEE 1.00 X 0 0 0 CARL STYLES TRUSTEE 1.00 X 0 0 0 THOMAS RAMSAY THRU 619 TRUSTEE 1.00 X 0 0 0 JOSEPH GIORDANO TRUSTEE 1.00 X 0 0 0 PHIL PRICSO TRUSTEE 1.00 X 0 0 0 PAUL ROLDAN TRUSTEE 1.00 X 0 0 0 ROBERT DROBISH TRUSTEE 1.00 X 0 0 0 CHRISTOPHER CUPO EFF 619 TRUSTEE 1.00 X 0 0 0 MARY CASTROVINCI FUND ADMIN. 40.00 X 302121 0 58002 KIMBERLY KEMPLE COLLECTIONS MGR 40.00 X 140612 0 58002 442733 0 116004 2 0 1 0 UNITED HEALTH CARE SERVICES INC 185 ASYLUM STREET HARTFORD CT 06103 MEDICAL SERVICE FEES 1006432 KROLL HEINEMAN CARTON LLC 99 WOOD AVE SO STE 307 ISELIN NJ 08830 LEGAL 629067 SCHULTHEIS & PANETTIERI LLP 450 WIRELESS BLVD HAUPPAUGE NY 11788 AUDITING 568975 ZENITH AMERICAN SOLUTIONS 10440 LITTLE PATUXENT PKWY COLUMBIA MD 21044 THIRD PARTY ADMIN 425671 THE SEGAL COMPANY (EASTERN STATES) INC 333 WEST 34TH STREET NEW YORK NY 10001 ACTUARIAL CONSULTING 165561 5 EMPLOYER CONTRIB 900099 43560146 43560146 PARTICIPANT CONTRIB 900099 3048766 3048766 46608912 1827891 1827891 52907061 52370249 536812 536812 536812 OTHER INCOME 900099 2608 2608 2608 48976223 46611520 0 2364703 41288192 558737 788947 430536 301944 91839 763697 575957 120963 161321 124266 28361 81900 43898 27473 201036 THIRD PARTY ADMIN 425671 REIMBURSED EXPENSES -2378333 43636405 22573401 25940315 8411721 7802654 255348 114558 125143 140790 63656573 71342060 650000 688000 95416838 105913819 1115666 805949 151321 139991 13090887 15353278 14357874 16299218 X 0 0 0 0 81058964 89614601 81058964 89614601 95416838 105913819 5339818 3215819 0 X 0 1 X 1 0 216895 93195 123700 38453 21363 17090 140790 DUE TO AFFILIATES 9763335 PLANS CURRENT BENEFIT OBLIGATIONS 5462385 DUE TO BROKER 127558 15353278 52071079 3215819 3215819 48855260 120963 120963 48976223 42422268 0 42422268 120963 1093174 1214137 43636405 PART XII, LINE 4B - OTHER ADJUSTMENTS: CHANGE IN IBNR 1,093,174. X 0 0 0 MARY CASTROVINCI FUND ADMIN. 296063 0 0 0 6058 0 34082 0 23920 0 360123 0 0 0 KIMBERLY KEMPLE COLLECTIONS MGR 134918 0 0 0 5694 0 34082 0 23920 0 198614 0 0 0 PART I, LINE 3, RELEVANT INFORMATION REGARDING COMPENSATION AND BENEFITS MARY CASTROVINCI RECEIVES COMPENSATION AND BENEFITS IN HER CAPACITY AS FUND ADMINISTRATOR OF THIS ENTITY AND THE RELATED PENSION AND ANNUITY FUNDS. COMPENSATION AND BENEFITS ARE PAID BY THE WELFARE FUND WITH REIMBURSEMENTS MADE ACCORDINGLY. THE WELFARE FUND PORTION OF THESE EXPENSES IS 37% OF THE GROSS AMOUNTS DETAILED ON SCHEDULE J, PART II. KIMBERLY KEMPLE RECEIVES COMPENSATION AND BENEFITS IN HER CAPACITY AS COLLECTIONS MANAGER OF THIS ENTITY AND THE RELATED PENSION AND ANNUITY FUNDS. COMPENSATION AND BENEFITS ARE PAID BY THE WELFARE FUND WITH REIMBURSEMENTS MADE ACCORDINGLY. THE WELFARE FUND PORTION OF THESE EXPENSES IS 47% OF THE GROSS AMOUNTS DETAILED ON SCHEDULE J, PART II. FORM 990, PART VI, SECTION A, LINE 7A THE PLAN IS JOINTLY ADMINISTERED BY TRUSTEES WHO ARE APPOINTED BY THE DISTRICT COUNCIL AND BY THE EMPLOYER ASSOCIATION. 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 12C AS REQUIRED BY THE FUND'S POLICY AND BY ERISA, OFFICERS, DIRECTORS, AND KEY EMPLOYEES HAVE A CONTINUOUS OBLIGATION TO REPORT POTENTIAL CONFLICTS OF INTEREST. FORM 990, PART VI, SECTION C, LINE 19 NO DOCUMENTS AVAILABLE TO PUBLIC. PARTICIPANTS MAY VIEW DOCUMENTS AT THE FUND OFFICE UPON REQUEST TO THE EXTENT REQUIRED BY LAW. SCHEDULE O: SUPPLEMENTAL INFORMATION THE RETIREE PLAN OF THE NJBLS WAS FORMED DURING YEAR ENDED DECEMBER 31, 2011 WITH A SEPARATE PLAN NUMBER BUT THE SAME EIN NUMBER AS THE NJBLS WELFARE FUND. THIS FORM 990 INCLUDES THE ACTIVITY FROM THE AUDITED FINANCIAL STATEMENTS OF THE NJBLS WELFARE FUND AND THE AUDITED FINANCIAL STATEMENTS OF THE RETIREE PLAN OF THE NJBLS. NJBLS PENSION FUND 3218 KENNEDY BOULEVARD JERSEY CITY NJ 07306 226077693 TRUST FUND NJ 501(A) N/A N/A 0 NJBLS ANNUITY FUND 3218 KENNEDY BOULEVARD JERSEY CITY NJ 07306 222450453 TRUST FUND NJ 501 (A) N/A N/A 0 CONST CRAFT LAB TRNG AND APPR FUND OF NJ 1 TOWER CENTER BOULEVARD EAST BRUNSWICK NJ 08816 226234965 TRUST FUND NJ 501(C)3 LINE_10_ORGANIZATION N/A 0 MASON TENDERS' DISTRICT COUNCIL WELFARE 520 EIGHTH AVENUE SUITE 600 NEW YORK NY 10018 135537605 WELFARE FUND NY 501(C)(9) N/A N/A 0 LDC CONSTRUCTION INDUSTRY PENSION FD 475 NORTH 5TH STREET PHILADELPHIA PA 19123 236235338 EMPLOYEE BEN FUND PA 401(A) N/A N/A 0 BUILDING & GEN CONST LABORERS LCL 3 1121 BRISTOL ROAD MOUNTAINSIDE NJ 07092 454637996 LABOR ORGANIZATION NJ 501(C)(5) N/A N/A 0 BUILDING AND CONST LABORERS LOCAL 77 1588 PARKSIDE AVE EWING NJ 08638 454638121 LABOR ORGANIZATION NJ 501(C)(5) N/A N/A 0 LIUNA LOCAL 17 HEALTH BENEFIT FUND 451-B LITTLE BRITAIN ROAD NEWBURGH NY 12550 146022217 WELFARE FUND NY 501(C)(9) N/A N/A 0 LIUNA LOCAL 754 WELFARE FUND 215 OLD NYACK TURNPIKE CHESTNUT RIDGE NY 10977 131895923 WELFARE FUND NY 501(C)(9) N/A N/A 0 LABORERS LOCAL 235 WELFARE FUND 41 KNOLLWOOD ROAD ELMSFORD NY 10523 131777458 WELFARE FUND NY 501(C)(9) N/A N/A 0 H&G LABORERS LCL472 & LCL172 NJ WE 700 RAYMOND BOULEVARD NEWARK NY 07105 221481564 WELFARE FUND NY 501(C)(9) N/A N/A 0 LABORERS EASTERN REGION ORG FD 1 TOWER CENTER BOULEVARD EAST BRUNSWICK NJ 08816 223640887 LABOR ORGANIZATION NJ 501(C)(5) N/A N/A 0 LABORERS WE FD OF DEL LOCAL NOS 199 501 CARR RD NO 220 WILMINGTON DE 19809 516015930 WELFARE FUND DE 501(C)(9) N/A N/A 0 GEN BUILDING LABORERS LCL NO66 WE FD 1600 WALT WHITMAN ROAD MELVILLE NY 11747 111627279 WELFARE FUND NY 501(C)(9) N/A N/A 0 LABORERS DC HE & WE TRUST FD N02 7130 COLUMBIA GATEWAY DR SUITE A COLUMBIA MD 21046 520228954 WELFARE FUND NY 501(C)(9) N/A N/A 0 LDC & C PENSION FUND OF OHIO 800 HILLSDOWNE RD WESTERVILLE OH 43081 316129964 EMPLOYEE BEN FUND OH 401(A) N/A N/A 0 LEBPCT 905 16TH STREET NW WASHINGTON DC 20006 526681436 LABOR ORGANIZATION DC 501(C)(5) N/A N/A 0 CENTRAL NEW YORK LABORERS' HEALTH & WELFARE FUND 7051 FLY ROAD EAST SYRACUSE NY 13057 166044095 EMPLOYEE BEN FUND NY 501(C)(9) N/A N/A 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 1 0 0 SCHEDULE R, PART II AND IV: CERTAIN TRUSTEES LISTED ON FORM 990 PART VII, SECTION A, SERVE AS VOLUNTEERS AND DO NOT RECEIVE COMPENSATION FROM THIS ORGANIZATION OR RELATED ORGANIZATIONS IN THEIR CAPACITY AS TRUSTEES OF 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/OFFICERS OF THOSE ORGANIZATIONS. ACCORDINGLY, THEIR COMPENSATION IS ALREADY REPORTED ON THE FORM 990 OF THOSE ORGANIZATIONS. THE INFORMATION DISCLOSED ON THE ATTACHED SCHEDULES OF RELATED PARTIES IS THAT WHICH WAS AVAILABLE TO THIS ORGANIZATION AT THE TIME OF THIS FILING. 2019 FORM 990, SCHEDULE R ATTACHMENT, RELATED ORGANIZATIONS PART IV, IDENTIFICATION OF RELATED ORGANIZATIONS TAXABLE AS A CORPORATION OR TRUST (A) NAME OF RELATED ORGANIZATION 111 SOUTH CONTRACTORS LLC A B & S MASONRY A. DEFRANK PAVING AA CONSTRUCTION ONE CORP ABATETECH, INC. ABSOLUT ACE ACM CONSULTING CORP ACOUSTICAL SERVICES, INC. A-DECK, INC. ADVANCED CORING & CUTTING ADVANCED SCAFFOLD SERVICES, LLC ADVANCED SPECIALTY CONTRACTORS AJM CONTRACTORS, INC. ALANTHONY CONSTRUCTION LLC ALBERT GARLATTI CONST. CO. INC. ALIANO BROTHERS INC. 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