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LOCAL 99 UNITE HEALTH AND WELFARE FUND: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
LOCAL 99 UNITE HEALTH AND WELFARE FUND (EIN 30-0217152)
Tax period
2019-01-01 to 2019-12-31
Filed
2020-11-11
IRS object ID
202023169349304672
Schema version
2019v5.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2020-11-11T15:51:52-06:00ReturnTs
Tax Period End2019-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN812950760PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1SAX LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1389 INTERPACE PARKWAYAddressLine1Txt
CityPARSIPPANYCityNm
State AbbreviationNJStateAbbreviationCd
ZIP07054ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN300217152EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1LOCAL 99 HEALTH AND WELFARE FUNDBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlLOCABusinessNameControlTxt
Phone9737356464PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1703 MCCARTER HIGHWAYAddressLine1Txt
CityNEWARKCityNm
State AbbreviationNJStateAbbreviationCd
ZIP07102ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKEVIN MCCANNPersonNm
Person TitleTRUSTEEPersonTitleTxt
Phone9737356464PhoneNum
Signature2020-11-06SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonTOD CHRISTIANSONPreparerPersonNm
PTINP00088252PTIN
Phone9734726250PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address4.15.146.154IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-11-06IPDt
IP Tm14:51:45IPTm
IP TimezoneESIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device Id1C5089F742F0448891618444409BB14138B5C961AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2022-01-07 14:23:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerKEVIN MCCANNPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1703 MCCARTER HIGHWAYAddressLine1Txt
CityNEWARKCityNm
State AbbreviationNJStateAbbreviationCd
ZIP07102ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$44,858,939GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501cYes (X)Organization501cInd
Website AddressN/AWebsiteAddressTxt
Type Of Organization OtherYes (X)TypeOfOrganizationOtherInd
Formation1946FormationYr
Legal Domicile StateNJLegalDomicileStateCd
Activity Or MissionTO PROVIDE HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTSActivityOrMissionDesc
Voting Members Governing Body7VotingMembersGoverningBodyCnt
Voting Members Independent5VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$25,807,977PYProgramServiceRevenueAmt
CY Program Service Revenue$23,957,065CYProgramServiceRevenueAmt
PY Investment Income$236,223PYInvestmentIncomeAmt
CY Investment Income$1,421,577CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$26,044,200PYTotalRevenueAmt
CY Total Revenue$25,378,642CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$26,024,953PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$23,547,522CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$3,624,116PYOtherExpensesAmt
CY Other Expenses$3,360,454CYOtherExpensesAmt
PY Total Expenses$29,649,069PYTotalExpensesAmt
CY Total Expenses$26,907,976CYTotalExpensesAmt
PY Revenues Less Expenses-$3,604,869PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$1,529,334CYRevenuesLessExpensesAmt
Total Assets BOY$35,029,722TotalAssetsBOYAmt
Total Assets EOY$35,575,817TotalAssetsEOYAmt
Total Liabilities BOY$433,503TotalLiabilitiesBOYAmt
Total Liabilities EOY$793,927TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$34,596,219NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$34,781,890NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS WHO ARE EMPLOYED IN COVERED CRAFTS BY EMPLOYERS WHO CONTRIBUTE TO THE FUNDMissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
DescHEALTH AND WELFARE BENEFITS PAID TO OR FOR PARTICIPANTS AND BENEFICIARIES, OVER 2,700 PARTICIPANTS WERE INVOLVED.Desc
Described In Section501c30DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment0ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntYes (1)BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document3IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Form8899 Filedind0Form8899Filedind
Form1098 C Filed0Form1098CFiledInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members7GoverningBodyVotingMembersCnt
Independent Voting Member5IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy0ConflictOfInterestPolicyInd
Whistleblower Policy0WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1FUND'S BOARD OF TRUSTEESBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone9737356464PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1703 MCCARTER HIGHWAYAddressLine1Txt
CityNEWARKCityNm
State AbbreviationNJStateAbbreviationCd
ZIP07102ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (8 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
ALBERTO ARROYO
TRUSTEE10.00Yes (X)$0$0$0
KEVIN MCCANN
TRUSTEE30.00Yes (X)$0$0$0
MARICARMEN MOLINA
TRUSTEE2.00Yes (X)$0$0$0
ANGELA BIALORUCKI
TRUSTEE2.00Yes (X)$0$0$0
CECILIA GOMEZ
TRUSTEE2.00Yes (X)$0$0$0
CLEVELAND JENKINS
TRUSTEE2.00Yes (X)$0$0$0
MARTIN CANTURIANO
TRUSTEE2.00Yes (X)$0$0$0
DEBRA RICH
EXECUTIVE DIRECTOR35.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
EMPLOYER CONTRIBUTIONS900099$20,874,075$20,874,075
PARTICIPANT COPAYMENTS900099$2,989,676$2,989,676
COBRA CONTRIBUTIONS900099$93,314$93,314
FieldValueIRS element (for citing)
Total Program Service Revenue$23,957,065TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$669,588TotalRevenueColumnAmt
Exclusion$669,588ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$20,232,286SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$19,480,297SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$751,989SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$751,989TotalRevenueColumnAmt
Exclusion$751,989ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$25,378,642TotalRevenueColumnAmt
Related Or Exempt Func Income$23,957,065RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$1,421,577ExclusionAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$23,547,522TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$10,500TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$87,471TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$99,574TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$7,613TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$2,265TotalAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$12,896TotalAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmt
BENEFITS ADMINISTRATORS$1,735,863
CONTRACT ADMINISTRATOR$1,400,535
BANK CHARGES$2,412
PRINTING$1,325

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$26,907,976TotalAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$135,314BOYAmt
EOY$44,964EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,422,782BOYAmt
EOY$900,524EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$32,147,751BOYAmt
EOY$33,319,069EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$1,300,000BOYAmt
EOY$1,300,000EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$23,875BOYAmt
EOY$11,260EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$35,029,722BOYAmt
EOY$35,575,817EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$433,503BOYAmt
EOY$793,927EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$433,503BOYAmt
EOY$793,927EOYAmt
FieldValueIRS element (for citing)
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

FieldValueIRS element (for citing)
BOY$34,596,219BOYAmt
EOY$34,781,890EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$34,596,219BOYAmt
EOY$34,781,890EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$35,029,722BOYAmt
EOY$35,575,817EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$1,529,334ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$1,715,005NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting OtherYes (X)MethodOfAccountingOtherInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (8 entries)

DescDescAmtAmt
PROFESSIONAL FEES DUE$190,351
DUE TO CLAIMS ADMIN. FOR BENEFIT PYMTS$307,935
DUE TO UNITE HEALTH CENTER$6,864
DUE TO AFFILIATED FUNDS$135
DUE TO ANTHEM BC BS$252,328
DUE TO LIVONGO MANAGEMENT$5,433
DUE TO LOCAL 99$4,762
DUE TO SELEDENT$26,119
FieldValueIRS element (for citing)
Total Liability$793,927TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$26,994,073TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$1,715,005NetUnrealizedGainsInvstAmt
Revenue Not Reported$1,715,005RevenueNotReportedAmt
Revenue Subtotal$25,279,068RevenueSubtotalAmt
Investment Expenses Not Incld$99,574InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt$99,574RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$25,378,642TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$26,528,978TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$306,703OtherExpensesIncludedAmt
Expenses Not Reported$306,703ExpensesNotReportedAmt
Expenses Subtotal$26,222,275ExpensesSubtotalAmt
Investment Expenses Not Incld2$99,574InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$586,127OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$685,701ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$26,907,976TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART X, LINE 2:PART IV, LINE 11F: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRES MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE FUND AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF THE FUND HAS TAKEN AN UNCERTAIN POSITION THAT WILL NOT BE REALIZED. THE PLAN ADMINISTRATOR HAS ANALYZED THE TAX POSITIONS TAKEN BY THE FUND, AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2019, THERE ARE NO UNCERTAIN POSITIONS TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE FUND IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. THE PLAN ADMINISTRATOR BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO 2016.
PART XII, LINE 2D - OTHER ADJUSTMENTS:BENEFITS RECORDED IN PRIOR YEAR PER SOP 92-6
PART XII, LINE 4B - OTHER ADJUSTMENTS:BENEFITS RECORDED IN CURRENT YEAR PER SOP 92-6
SCHEDULE D PART XII - LINE 2D AND 4BPART XIII LINE 2D OTHER - BENEFITS RECORDED IN PRIOR YEAR PER SOP 92-6: $306,703 PART XIII LINE 4B OTHER - BENEFITS RECORDED IN CURRENT YEAR PER SOP 92-6: $586,127

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
ALFREDO ARROYO
INDIVIDUAL IS FUND CHAIRMAN AND CO-MANAGER OF THE CONTRACT ADMINISTRATORTRANSACTION IS FOR PAYMENT OF $1,400,535 FOR NECESSARY ADMINISTRATIVE SERVICES AND IS BETWEEN THE ORGANIZATION AND A CONTRACT ADMINISTRATOR (LAUNDRY DISTRIBUTION & FOOD SERVICE JOINT BOARD, WORKERS UNITED, SEIU) WHERE THE INDIVIDUAL IS AN OFFICER OF BOTH NON PROFIT ORGANIZATIONS.0
KEVIN MCCANN
INDIVIDUAL IS A FUND TRUSTEE AND CONTROLLER OF THE CONTRACT ADMINISTRATORTRANSACTION IS FOR PAYMENT OF $1,400,535 FOR NECESSARY ADMINISTRATIVE SERVICES AND IS BETWEEN THE ORGANIZATION AND A CONTRACT ADMINISTRATOR (LAUNDRY DISTRIBUTION & FOOD SERVICE JOINT BOARD, WORKERS UNITED, SEIU) WHERE THE INDIVIDUAL IS AN OFFICER OF BOTH NON PROFIT ORGANIZATIONS.0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BTHE FORM 990 IS SUBMITTED TO THE FUND CONTROLLER FOR REVIEW. THE CONTROLLER INITIATES AN INTERNAL REVIEW OF THE FORM 990. AFTER REVIEW CHANGES NEEDED ARE MADE, IF ANY, THE CONTROLLER WILL THEN PROVIDE COPIES OF THE FORM 990 TO EACH BOARD MEMBER AT A COMMITTEE MEETING AND REQUEST THAT THE RETURN IS REVIEWED AND ANY CHANGES NEEDED DISCUSSED AND AGREED UPON. SUCH CHANGE, IF ANY, ARE MADE AND THE RETURN IS APPROVED FOR FILING.
FORM 990, PART VI, SECTION B, LINE 15FORM 990, PART VI, SECTION B: QUESTIONS 15A AND 15B HAVE BEEN ANSWERED NO BECAUSE THE FUND DOES NOT HAVE ANY EMPLOYEES OR COMMITTEE MEMBERS WHO RECEIVE COMPENSATION. THEREFORE, A PROCESS FOR DETERMINING COMPENSATION IS NOT NEEDED.
FORM 990, PART VI, SECTION C, LINE 19THE FORM 990 IS SUBMITTED TO THE FUND CONTROLLER FOR REVIEW. THE CONTROLLER INITIATES AN INTERNAL REVIEW OF THE FORM 990. AFTER REVIEW CHANGES NEEDED ARE MADE, IF ANY, THE CONTROLLER WILL THEN PROVIDE COPIES OF THE FORM 990 TO EACH BOARD MEMBER AT A COMMITTEE MEETING AND REQUEST THAT THE RETURN IS REVIEWED AND ANY CHANGES NEEDED DISCUSSED AND AGREED UPON. SUCH CHANGE, IF ANY, ARE MADE AND THE RETURN IS APPROVED FOR FILING.