2020-10-21T10:30:34-05:00 2019-12-31 131577780 SCHULTHEIS & PANETTIERI LLP 450 WIRELESS BLVD HAUPPAUGE NY 11788 990 2019-01-01 042214296 MASSACHUSETTS LABORERS' HEALTH & WELFARE FUND MASS 7812721000 1400 DISTRICT AVENUE NO 200 BURLINGTON MA 018035236 LOUIS MANDARINI III EXECUTIVE DIR. 7812721000 2020-10-21 1 CAROL WESTFALL P00539069 6312734778 173.56.115.218 2020-10-21 11:29:20 ED P 3D4AE2E8976E81368E472ACBB9DF04FDA774F33F 3D4AE2E8976E81368E472ACBB9DF04FDA774F33F 2019 2021-04-22 16:20:28Z LOUIS MANDARINI III 1400 DISTRICT AVENUE NO 200 BURLINGTON MA 018035236 193487586 0 X N/A X 1964 MA THE PURPOSE OF THE PLAN IS TO PROVIDE HEALTH AND OTHER BENEFITS TO ELIGIBLE PARTICIPANTS. 8 8 50 0 0 0 0 0 136648948 142484647 2687430 5714909 0 0 139336378 148199556 0 0 119511992 130438254 3997990 4962258 0 0 0 282750 256052 123792732 135656564 15543646 12542992 452459231 509105011 17088059 18088477 435371172 491016534 THE PURPOSE OF THE PLAN IS TO PROVIDE HEALTH AND OTHER BENEFITS TO ELIGIBLE PARTICIPANTS. 0 0 THE PURPOSE OF THE PLAN IS TO PROVIDE HEALTH AND OTHER BENEFITS TO ELIGIBLE PARTICIPANTS. 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 1 0 0 1 224 0 1 50 1 0 0 0 0 0 0 0 0 X 8 8 1 0 0 0 0 1 0 1 1 0 0 1 1 0 0 1 1 1 1 0 X LOUIS MANDARINI III 7812721000 1400 DISTRICT AVENUE NO 200 BURLINGTON MA 018035236 LOUIS MANDARINI JR CHAIRMAN 1.00 0.00 X 0 0 0 JOSEPH BONFIGLIO CO-CHAIRMAN 1.00 0.00 X 0 0 0 THOMAS C TROY JR TRUSTEE 1.00 0.00 X 0 0 0 THOMAS ANDREWS TRUSTEE 1.00 0.00 X 0 0 0 THOMAS J GUNNING CO-SEC/TREAS 1.00 0.00 X 0 0 0 STEVEN GENTILUCCI TRUSTEE 1.00 0.00 X 0 0 0 DONALD C COOK JR TRUSTEE 1.00 0.00 X 0 0 0 MATTHEW MCCOURT TRUSTEE 1.00 0.00 X 0 0 0 LOUIS MANDARINI III EXECUTIVE DIRECTOR 35.00 0.00 X 248490 0 43253 DONNA CARR ASST EXEC DIR 35.00 0.00 X 144707 0 43253 KATE A FOSSEL DIR HEALTH & WELF 35.00 0.00 X 121692 0 43253 CHRISTINA CLEGG MGR HEALTH & WELF 35.00 0.00 X 121442 0 43253 GLENN TROY LAB. RECOVER. SPECIALIST 35.00 0.00 X 107250 0 43253 MARC R LYLE LAB. RECOVER. SPECIALIST 35.00 0.00 X 100359 0 43253 843940 0 259518 7 0 1 0 BLUE CROSS BLUE SHIELD OF MASSACHUSETTS 101 HUNTINGTON AVENUE BOSTON MA 02199 NETWORK ACCESS/ADMIN 5048861 EXPRESS SCRIPTS 21653 NETWORK PLACE CHICAGO IL 60673 CLAIMS ADMIN 1293349 DELTA DENTAL OF MASSACHUETTS PO BOX 2907 MILWAUKEE WI 53201 CLAIMS ADMIN 686472 SEGAL CONSULTING 116 HUNTINGTON AVE 8TH FLR BOSTON MA 02116 BENEFITS CONSULTING 213027 SEGAL ROITMAN LLP 33 HARRISON AVENUE 7TH FL BOSTON MA 02111 LEGAL 155416 7 EMPLOYER CONTRIBUTIONS 236200 140596112 140596112 PARTICIPANT CONTRIBUTIONS 236200 1888535 1888535 142484647 3059421 3059421 47943518 45288030 2655488 2655488 2655488 148199556 142484647 0 5714909 130438254 291743 2993101 770141 641864 265409 324371 79482 488871 280819 555679 24718 183770 160055 179351 66825 OUTSIDE SERVICES 83579 PHOTO ID PROGRAM 19190 REIMB. FROM RELATED ORG -2190658 135656564 13386279 15980408 86924 19918941 19840348 39964 57094 1680613 1333600 484486 347013 62352349 68543258 356190288 404336890 452459231 509105011 268103 428210 16819956 17660267 17088059 18088477 X 0 0 0 0 435371172 491016534 435371172 491016534 452459231 509105011 12542992 43102370 0 X 0 1 X 1 0 369501 134078 235423 1311112 1199522 111590 347013 REG INV CO @ EST FMV 17845098 F 103-12 INVEST. ENTITIES 43401800 F COMMON COLLECTIVE TRUSTS 254113413 F PARTNERSHIP/JV INTEREST 72709016 F POOLED SEPARATE ACCOUNTS 16267563 F 404336890 BENEFIT OBLIG. CURRENTLY PAYABLE 17082216 DEFERRED COMPENSATION 578051 17660267 190813055 43102370 43102370 147710685 488871 488871 148199556 134359063 -808630 -808630 135167693 488871 488871 135656564 PART XII, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN BEN OBLIG CURRENTLY PAYABLE -808,630. X 0 0 0 LOUIS MANDARINI III EXECUTIVE DIRECTOR 234498 0 0 0 13992 0 28567 0 14686 0 291743 0 0 0 DONNA CARR ASST EXEC DIR 144707 0 0 0 0 0 28567 0 14686 0 187960 0 0 0 KATE A FOSSEL DIR HEALTH & WELF 121692 0 0 0 0 0 28567 0 14686 0 164945 0 0 0 CHRISTINA CLEGG MGR HEALTH & WELF 121442 0 0 0 0 0 28567 0 14686 0 164695 0 0 0 GLENN TROY LAB. RECOVER. SPECIALIST 107250 0 0 0 0 0 28567 0 14686 0 150503 0 0 0 SCHEDULE J SUPPLEMTAL INFORMATION LOUIS MANDARINI III RECEIVES COMPENSATION AND BENEFITS IN HIS CAPACITY AS EXECUTIVE DIRECTOR OF THE ORGANIZATION AND THE RELATED PENSION AND ANNUITY FUNDS. COMPENSATION AND BENEFITS ARE PAID BY THE ORGANIZATION, WITH REIMBURSEMENTS MADE ACCORDINGLY. THE ORGANIZATION'S PORTION OF THESE EXPENSES IS 60% OF THE GROSS AMOUNTS DETAILED ON SCHEDULE J, PART II. MARGUERITE MANDARINI FAMILY MEMBER 127780 EMPLOYMENT 0 FORM 990, PART VI, SECTION A, LINE 2 LOUIS MANDARINI JR, WHO SERVES AS A TRUSTEE, IS THE FATHER OF LOUIS MANDARINI III, WHO SERVES AS AN OFFICER. FORM 990, PART VI, SECTION A, LINE 7A THE ORGANIZATION IS JOINTLY ADMINISTERED BY TRUSTEES WHO ARE APPOINTED BY THE UNIONS AND BY EMPLOYER ASSOCIATIONS. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WAS PREPARED IN COORDINATION WITH MANAGEMENT OF THE ORGANIZATION AND WAS PROVIDED TO AND REVIEWED BY THE BOARD OF TRUSTEES PRIOR TO SUBMISSION. FORM 990, PART VI, SECTION B, LINE 15 THE ADMINISTRATIVE COMMITTEE AND BOARD OF TRUSTEES ANNUALLY REVIEW PERFORMANCE AND DETERMINE COMPENSATION FOR THE EXECUTIVE DIRECTOR AND KEY EMPLOYEES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, POLICIES AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC TO THE EXTENT REQUIRED BY LAW. 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