2020-11-25T08:09:13-06:00 2020-04-30 611436956 NOVAK FRANCELLA LLC ONE PRESIDENTIAL BLVD SUITE 330 BALA CYNWYD PA 19004 990 2019-05-01 231574984 BOARD OF ADMINISTRATION CARPENTERS' HEALTH & CARP 2155680430 1811 SPRING GARDEN STREET PHILADELPHIA PA 19130 WILLIAM SPROULE LABOR TRUSTEE 2155680430 2020-11-24 1 LOUIS VERZELLA CPA P00360279 6106689400 2020-11-22 162.211.205.39 2020-11-25 07:27:40 ES P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 214E2DE4754F8F73DD572B34B07E6CCBC316F7C9 2019 2022-01-07 14:23:13Z WILLIAM SPROULE 1803 SPRING GARDEN STREET PHILADELPHIA PA 19130 766210878 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 137199690 123361798 10490087 16405267 233339 68300 147923116 139835365 0 0 100423787 116361950 1773154 1769020 0 0 0 2398947 2851447 104595888 120982417 43327228 18852948 445523440 458301832 8575702 9016880 436947738 449284952 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 1520 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 ADMINISTRATION 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 145951 0 MICHAEL HAND LABOR TRUSTEE 2.00 60.00 X 0 230000 115544 THOMAS BRESLIN LABOR TRUSTEE 2.00 60.00 X 0 200789 0 BENJAMIN J CONNORS MGMT TRUSTEE 2.00 X 0 0 0 WILLIAM WATERKOTTE LABOR TRUSTEE CO-CHAIR (P) 2.00 60.00 X 0 0 0 WILLIAM SPROULE LABOR TRUSTEE CO-CHAIR 2.00 60.00 X 0 326154 226354 RICHARD KELLY LABOR TRUSTEE 2.00 60.00 X 0 148798 73128 PETE TONIA COORDINATOR OF BENEFITS 18.00 22.00 X 132589 162053 71416 JOSEPH OBUCHOWICZ ASST COORDINATOR OF BENEFI 18.00 22.00 X 93925 114797 55862 RYAN SICA CONTOLLER 16.00 24.00 X 54231 81346 44548 280745 1409888 586852 1 0 1 0 INDEPENDENCE BLUE CROSS 1901 MARKET STREET PHILADELPHIA PA 19103 BENEFIT CLAIMS ADMINISTRATION 2061183 HEALTH CARE SOLUTIONS CORP 14 MYSTIC LANE MALVERN PA 19355 BENEFIT CLAIMS AND ADMINISTRATION 634192 EXPRESS SCRIPTS INCMEDCO HEALTH 100 PARSONS POND DRIVE FRANKLIN LAKES NJ 07417 BENEFIT CLAIMS ADMINISTRATION 410827 FOUNDRY PARTNERS 323 WASHINGTON AVE NORTH SUITE 36 MINNEAPOLIS MN 55401 INVESTMENT MANAGEMENT 380930 BNY MELLON 500 GRANT STREET SUITE 151-0625 PITTSBURGH PA 15258 INVESTMENT MANAGEMENT 365770 12 EMPLOYER CONTRIBUTIONS 525100 117199146 117199146 PARTICIPANT COBRA CONTRIBUTIONS 525100 6162652 6162652 123361798 12727625 12727625 630053155 626375513 3677642 3677642 3677642 OTHER INCOME 900099 68300 68300 68300 139835365 123361798 0 16473567 116361950 965023 318161 388769 97067 112765 30025 1264504 251743 675728 256763 136651 6378 68481 REGULATORY FEES AND TAX 41650 ADMIN EXPENSE REIMB. 6759 120982417 3039081 22699531 19609970 18952220 11972910 1894037 1180667 298133504 307250988 99522312 117004449 1282755 1282848 445523440 458301832 1342799 870355 7232903 8146525 8575702 9016880 X 0 0 0 0 436947738 449284952 436947738 449284952 445523440 458301832 18852948 -6515734 0 X X 0 1 X 1 0 0 LIMITED PARTNERSHIPS 117004449 F 117004449 ESCROW LIABILITY 1282848 DUE TO CARPENTERS PENSION & ANNUITY FUND 1197779 DUE TO BROKER 5665898 8146525 X 132055077 -6515734 -6515734 138570811 1264504 50 1264554 139835365 119717863 0 119717863 1264504 50 1264554 120982417 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. PART XI, LINE 4B - OTHER ADJUSTMENTS: LEGAL FEES REIMBURSEMENTS 50. PART XII, LINE 4B - OTHER ADJUSTMENTS: LEGAL FEES REIMBURSEMENTS 50. 0 0 0 MICHAEL HAND LABOR TRUSTEE 0 230000 0 0 0 0 0 0 0 115544 0 345544 0 0 THOMAS BRESLIN LABOR TRUSTEE 0 200789 0 0 0 0 0 0 0 0 0 200789 0 0 WILLIAM SPROULE LABOR TRUSTEE CO-CHAIR 0 326154 0 0 0 0 0 0 0 226354 0 552508 0 0 RICHARD KELLY LABOR TRUSTEE 0 148798 0 0 0 0 0 52537 0 20591 0 221926 0 0 PETE TONIA COORDINATOR OF BENEFITS 132589 162053 0 0 0 0 23640 28894 8497 10385 164726 201332 0 0 JOSEPH OBUCHOWICZ ASST COORDINATOR OF BENEFI 93925 114797 0 0 0 0 16641 20339 8497 10385 119063 145521 0 0 RYAN SICA CONTOLLER 54231 81346 0 0 0 0 10267 15400 7552 11329 72050 108075 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 FUND ADMINISTRATOR FOR INITIAL REVIEW. THE ADMINISTRATOR 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 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 BENEFITS TO ELIGIBLE FUND PARTICIPANTS. FOR THE TAX PERIOD ENDING 12/31/2019 THE FUND ISSUED 8,323 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 KEYSTONE MOUNTAIN LAKES REGIONAL COUNCIL OF CARPNTERS 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 3C DRILLING AJ BUILDERS INC AV WOODWORK CO INC AAA 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