2020-10-29T15:39:49-05:00 2019-12-31 611436956 NOVAK FRANCELLA LLC ONE PRESIDENTIAL BLVD SUITE 330 BALA CYNWYD PA 19004 990 2019-01-01 111896894 AMALGAMATED MEAT CUTTER & RETAIL FOOD AMAL 5167475980 166 E JERICHO TPKE MINEOLA NY 115012098 DEBRA DUNN UNION TRUSTEE 5167475980 2020-10-29 1 LOUIS VERZELLA CPA P00360279 6106689400 2020-10-29 162.211.205.39 2020-10-29 15:36:24 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 214E2DE4754F8F73DD572B34B07E6CCBC316F7C9 2019 2021-04-22 16:20:28Z DEBRA DUNN 166 E JERICHO TPKE MINEOLA NY 115012098 20685031 0 X N/A X 1957 NY TO PROVIDE HEALTH BENEFITS FOR ELIGIBLE MEMBERS AND THEIR DEPENDENTS. 4 2 0 0 0 0 0 0 18891969 20596814 16751 35499 87 52718 18908807 20685031 0 0 16185031 17818727 1958155 2003542 0 0 0 787544 975843 18930730 20798112 -21923 -113081 7173829 7031428 2191511 2162191 4982318 4869237 TO PROVIDE HEALTH BENEFITS FOR ELIGIBLE MEMBERS AND THEIR DEPENDENTS. 0 0 TO PROVIDE HEALTH BENEFITS FOR ELIGIBLE MEMBERS AND THEIR DEPENDENTS. 0 0 0 0 0 0 0 0 0 1 0 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 1 656 0 0 0 0 0 0 0 0 0 0 X 4 2 0 0 0 0 0 0 0 1 1 0 0 1 0 0 1 0 0 0 X FUND ADMINISTRATOR 5167475980 166 E JERICHO TURNPIKE MINEOLA NY 11501 DEANA TELMANY ALTERNATE LABOR TRUSTEE 1.00 40.00 X 0 160712 31417 ROBERT JANDOVITZ EMPLOYER TRUSTEE 1.00 X 0 0 0 LISA O'LEARY LABOR TRUSTEE 1.00 40.00 X 0 230698 33517 GENAROSO DELROSARIO EMPLOYER TRUSTEE 1.00 X 0 0 0 0 391410 64934 0 0 1 0 PROSKAUER ROSE LLP ELEVEN TIMES SQUARE NEW YORK NY 10036 LEGAL 451918 EMPIRE HEALTHCHOICE ASSURANCE INC ONE LIBERTY PLAZA 165 BROADWAY NEW YORK NY 10006 CLAIMS ADMINISTRATION 178947 DICKINSON GROUP LLC 825 E GATE BLVD STE 102 GARDEN CITY NY 11530 CLAIMS ADMINISTRATION/ACTUARIAL 155862 3 EMPLOYER CONTRIBUTIONS 525100 20443549 20443549 REFUND - CLAIMS 525100 70980 70980 PRESCRIPTION REBATES 525100 52812 52812 COBRA CONTRIBUTIONS 525100 28812 28812 REFUND - PREMIUMS 525100 661 661 20596814 35499 35499 MISCELLANEOUS INCOME 900099 52718 52718 52718 20685031 20649532 0 35499 17818727 1531348 121618 238035 112541 451918 25327 98111 161139 23886 171310 2549 35395 AFFORDABLE CARE ACT FE 6208 20798112 1849464 1629697 4856749 4503875 366754 826652 154523 154523 0 0 100862 71204 7173829 7031428 504972 566722 1686539 1595469 2191511 2162191 X 0 0 0 0 4982318 4869237 4982318 4869237 7173829 7031428 -113081 0 X X 0 1 X 1 0 47393 47393 0 63157 63157 0 43973 43973 0 0 DUE TO RELATED ENTITIES 39937 DEPOSIT PAYABLE 1555532 1595469 X 20685031 0 20685031 0 20685031 20798112 0 20798112 0 20798112 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 DEANA TELMANY ALTERNATE LABOR TRUSTEE 0 160712 0 0 0 0 0 6263 0 25154 0 192129 0 0 LISA O'LEARY LABOR TRUSTEE 0 230698 0 0 0 0 0 6263 0 27254 0 264215 0 0 FORM 990, PART VI, SECTION B, LINE 11B AMCU LOCAL 342 WELFARE FUND'S FORM 990 IS PREPARED BY ITS INDEPENDENT PUBLIC ACCOUNTANT WHO THEN FORWARDS THE COMPLETED RETURN TO THE FUND'S ADMINISTRATOR FOR REVIEW. THE FUND ADMINISTRATOR THEN PRESENTS THE RETURN TO AT LEAST ONE MEMBER OF THE BOARD OF TRUSTEES FOR REVIEW AND SIGNATURE. FORM 990, PART VI, SECTION C, LINE 19 AMCU LOCAL 342 WELFARE FUND MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE FOR INSPECTION BY PARTICIPANTS AND BENEFICIARIES AT THE FUND'S OFFICE. FORM 990, PART VII CONTACT ADDRESSES FOR OFFICERS, DIRECTORS, ETC ROBERT JANDOVITZ - 8301 PROFESSIONAL PLACE, SUITE 110, LANDOVER, MD 20785. FORM 990, PART XII, LINE 2C: AMCU LOCAL 342 WELFARE FUND'S BOARD OF TRUSTEES IS RESPONSIBLE FOR OVERSEEING THE FINANCIAL STATEMENT AUDIT AND SELECTION OF THE INDEPENDENT ACCOUNTANT THAT PERFORMS THE AUDIT. UFCW LOCAL 174 PENSION FUND 8751 18TH AVENUE BROOKLYN NY 11214 136219542 PENSION FUND NY 401 (A) 0 UFCW LOCAL 174 RETAIL PENSION FUND 166 E JERICHO TURNPIKE MINEOLA NY 11501 131845497 PENSION FUND NY 401 (A) 0 UFCW LOCAL 174 COMMERCIAL PENSION FUND 166 E JERICHO TURNPIKE MINEOLA NY 11501 133563111 PENSION FUND NY 401 (A) 0 FUR WORKERS LOCAL 3F PENSION FUND 166 E JERICHO TURNPIKE MINEOLA NY 11501 516099349 PENSION FUND NY 401 (A) 0 JT RETIREMENT FUND LEATHER GOODS PLASTICS HANDBAGS AND NOVELTY WORKERS 166 E JERICHO TURNPIKE MINEOLA NY 11501 112208237 PENSION FUND NY 401 (A) 0 AMCU LOCAL 342 A&P HEALTH AND WELFARE 166 E JERICHO TURNPIKE MINEOLA NY 11501 112208237 VEBA PLAN NY 501 (C)(9) 0 AMCU LOCAL 342 RFSEU GROUP LEGAL SERVICES FUND 166 E JERICHO TURNPIKE MINEOLA NY 11501 112547525 VEBA PLAN, LEGAL SERVICES NY 501 (C)(9) 0 AMCU LOCAL 342 PENSION FUND 166 E JERICHO TURNPIKE MINEOLA NY 11501 111896845 PENSION FUND NY 401 (A) 0 AMCU & RFSEU LOCAL 342 SAFETY EDUCATIONAL & CULTURAL FUND 166 E JERICHO TURNPIKE MINEOLA NY 11501 112447683 VEBA PLAN NY 501 (C)(9) 0 UFCW LOCAL 50 PENSION FUND 166 E JERICHO TURNPIKE MINEOLA NY 11501 136696824 PENSION FUND NY 401 (A) 0 UFCW LOCAL 342 HEALTH CARE FUND 166 E JERICHO TURNPIKE MINEOLA NY 11501 135626340 VEBA PLAN NY 501 (C)(9) 0 UFCW LOCAL 342 INDEPENDENT WELFARE FUND 166 E JERICHO TURNPIKE MINEOLA NY 11501 135328510 VEBA PLAN NY 501 (C)(9) 0 UFCW LOCAL 342 SAVINGS AND 401(K) PLAN 166 E JERICHO TURNPIKE MINEOLA NY 11501 562364474 PENSION FUND NY 401 (A) 0 UFCW LOCAL 50-627 SEVERANCE PAY FUND 166 E JERICHO TURNPIKE MINEOLA NY 11501 136415226 VEBA PLAN NY 501 (C)(9) 0 THE STOP & SHOP SUPERMARKET 1385 HANCOCK ST QUINCY MA 02169 043061447 SUPERMARKET MA C 0 KING KULLEN GROCERY COMPANY INC 185 CENTRAL AVE BETHPAGE NY 11714 110954404 SUPERMARKET NY C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 AMCU LOCAL 342 RFSEU GROUP LEGAL SERVICES FUND P 832245 UFCW UNION LOCAL 342 P 739385 AMCU LOCAL 342 RFSEU GROUP LEGAL SERVICES FUND O 44600 UFCW UNION LOCAL 342 O 666726 UFCW LOCAL 174 COMMERCIAL PENSION FUND O 111643 JT RETIREMENT FUND LEATHER GOODS PLASTICS HANDBAGS AND NOVELTY WORKERS O 443600 AMCU LOCAL 342 HEALTHCARE FUND O 967000 AMCU LOCAL 342 PENSION FUND O 320000 AMCU LOCAL 342 SEC FUND O 724208 UFCW LOCAL 342 SAVINGS AND 401K FUND O 65819