2020-11-11T15:51:52-06:00 2019-12-31 812950760 SAX LLP 389 INTERPACE PARKWAY PARSIPPANY NJ 07054 990 2019-01-01 300217152 LOCAL 99 HEALTH AND WELFARE FUND LOCA 9737356464 703 MCCARTER HIGHWAY NEWARK NJ 07102 KEVIN MCCANN TRUSTEE 9737356464 2020-11-06 1 TOD CHRISTIANSON P00088252 9734726250 4.15.146.154 2020-11-06 14:51:45 ES P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 1C5089F742F0448891618444409BB14138B5C961 2019 2022-01-07 14:23:13Z KEVIN MCCANN 703 MCCARTER HIGHWAY NEWARK NJ 07102 44858939 0 X N/A X 1946 NJ TO PROVIDE HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS 7 5 0 0 0 0 0 0 25807977 23957065 236223 1421577 0 0 26044200 25378642 0 0 26024953 23547522 0 0 0 0 0 3624116 3360454 29649069 26907976 -3604869 -1529334 35029722 35575817 433503 793927 34596219 34781890 TO PROVIDE HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS WHO ARE EMPLOYED IN COVERED CRAFTS BY EMPLOYERS WHO CONTRIBUTE TO THE FUND 0 0 HEALTH AND WELFARE BENEFITS PAID TO OR FOR PARTICIPANTS AND BENEFICIARIES, OVER 2,700 PARTICIPANTS WERE INVOLVED. 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 7 5 0 0 0 0 0 0 0 1 1 0 0 1 0 0 1 0 0 0 X FUND'S BOARD OF TRUSTEES 9737356464 703 MCCARTER HIGHWAY NEWARK NJ 07102 X ALBERTO ARROYO TRUSTEE 10.00 X 0 0 0 KEVIN MCCANN TRUSTEE 30.00 X 0 0 0 MARICARMEN MOLINA TRUSTEE 2.00 X 0 0 0 ANGELA BIALORUCKI TRUSTEE 2.00 X 0 0 0 CECILIA GOMEZ TRUSTEE 2.00 X 0 0 0 CLEVELAND JENKINS TRUSTEE 2.00 X 0 0 0 MARTIN CANTURIANO TRUSTEE 2.00 X 0 0 0 DEBRA RICH EXECUTIVE DIRECTOR 35.00 X 0 0 0 0 0 0 0 0 0 0 0 EMPLOYER CONTRIBUTIONS 900099 20874075 20874075 PARTICIPANT COPAYMENTS 900099 2989676 2989676 COBRA CONTRIBUTIONS 900099 93314 93314 23957065 669588 669588 20232286 19480297 751989 751989 751989 25378642 23957065 0 1421577 23547522 10500 87471 99574 7613 2265 12896 BENEFITS ADMINISTRATORS 1735863 CONTRACT ADMINISTRATOR 1400535 BANK CHARGES 2412 PRINTING 1325 26907976 135314 44964 1422782 900524 32147751 33319069 1300000 1300000 23875 11260 35029722 35575817 433503 793927 433503 793927 X 0 0 0 0 34596219 34781890 34596219 34781890 35029722 35575817 -1529334 1715005 0 X 0 1 X 1 0 0 PROFESSIONAL FEES DUE 190351 DUE TO CLAIMS ADMIN. FOR BENEFIT PYMTS 307935 DUE TO UNITE HEALTH CENTER 6864 DUE TO AFFILIATED FUNDS 135 DUE TO ANTHEM BC BS 252328 DUE TO LIVONGO MANAGEMENT 5433 DUE TO LOCAL 99 4762 DUE TO SELEDENT 26119 793927 X 26994073 1715005 1715005 25279068 99574 99574 25378642 26528978 306703 306703 26222275 99574 586127 685701 26907976 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 4B PART 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 ALFREDO ARROYO INDIVIDUAL IS FUND CHAIRMAN AND CO-MANAGER OF THE CONTRACT ADMINISTRATOR TRANSACTION 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 ADMINISTRATOR TRANSACTION 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 FORM 990, PART VI, SECTION B, LINE 11B THE 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 15 FORM 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 19 THE 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.