2020-11-13T14:53:00-06:00 2019-12-31 611436956 NOVAK FRANCELLA LLC ONE PRESIDENTIAL BLVD SUITE 330 BALA CYNWYD PA 19004 990 2019-01-01 046040850 ASBESTOS WORKERS LOCAL 6 H & W FUND ASBE 6177954120 750 DORCHESTER AVENUE SUITE 2101 BOSTON MA 02125 JAMES LISTER UNION TRUSTEE 6177954120 2020-11-13 1 LOUIS VERZELLA CPA P00360279 6106689400 2020-11-13 162.211.205.39 2020-11-13 14:45:14 ES P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 214E2DE4754F8F73DD572B34B07E6CCBC316F7C9 2019 2022-01-07 14:23:13Z JAMES LISTER 750 DORCHESTER AVENUE SUITE 2101 BOSTON MA 02125 14194912 0 X N/A X 1950 MA PROVIDE HEALTH, WELFARE AND DEATH BENEFITS TO ELIGIBLE MEMBERS AND THEIR BENEFICIARIES OF ASBESTOS WORKERS LOCAL 6. 6 3 0 0 0 0 0 0 11643582 12406027 642927 252914 234499 26061 12521008 12685002 0 0 10978590 10899682 0 0 0 0 0 370856 413514 11349446 11313196 1171562 1371806 15145236 17456266 176520 291535 14968716 17164731 PROVIDE HEALTH, WELFARE AND DEATH BENEFITS TO ELIGIBLE MEMBERS AND THEIR BENEFICIARIES OF ASBESTOS WORKERS LOCAL 6. 0 0 PROVIDE HEALTH, WELFARE AND DEATH BENEFITS TO ELIGIBLE MEMBERS AND THEIR BENEFICIARIES OF ASBESTOS WORKERS LOCAL 6. 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 4 0 1 0 0 0 0 0 0 0 0 0 X 6 3 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X BENESYS INC 6177954120 750 DORCHESTER AVENUE SUITE 2101 BOSTON MA 02125 FRANCIS BOUDROW UNION TRUSTEE 3.00 10.00 X 0 27516 26474 JAMES LISTER UNION TRUSTEE 3.00 40.00 X 0 122812 76877 STEVE JOHNSON MGMT TRUSTEE 3.00 X 0 0 0 PAUL CAMARA MGMT TRUSTEE (P) 3.00 X 0 0 0 THOMAS ROMANO MGMT TRUSTEE 3.00 X 0 0 0 JEFFREY SALIBA UNION TRUSTEE 3.00 40.00 X 0 117777 58350 PATRICK GALLAGHER MGMT TRUSTEE 3.00 X 0 0 0 0 268105 161701 0 0 1 0 BENESYS INC 750 DORCHESTER AVENUE SUITE 2101 BOSTON MA 02125 ADMIN. SERVICES 171864 SEGAL CONSULTING PO BOX 4059 CHURCH STREET STATION NEW YORK NY 10261 ACTUARY & CONSULTING 105599 2 CONTRIBUTIONS - EMPLOYER 900099 12219351 12219351 CONTRIBUTIONS - EMPLOYEE 900099 186676 186676 12406027 252914 252914 1509910 1509910 0 DRUG REBATE RX 900099 23195 23195 MISCELLANEOUS 900099 2866 2866 26061 12685002 12432088 0 252914 10899682 171864 35019 17784 37506 105599 7549 9833 1629 15109 PCORI FEES 11622 11313196 2819772 2596389 2054231 2116753 950090 904334 3535878 4465267 5785265 7373523 15145236 17456266 35387 29050 141133 262485 176520 291535 X 0 0 0 0 14968716 17164731 14968716 17164731 15145236 17456266 1371806 824209 0 X X 0 1 X 1 0 0 REGISTERED INVESTMENT COMPANY 2909272 F COMMON/COLLECTIVE TRUST FUND 4464251 F 7373523 CLAIMS INCURRED BUT NOT REPORTED 54975 CLAIMS PAYABLE AND IBNR 2225 RECIPROCAL PAYABLE 205285 262485 X 13471705 824209 824209 12647496 37506 37506 12685002 11292190 16500 16500 11275690 37506 37506 11313196 PART X, LINE 2: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE PLAN MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE FUND AND RECOGNIZE A TAX LIABILITY IF THE FUND 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 FUND 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 FUND. PART XII, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN BENEFIT OBLIGATION 16,500. 0 0 0 JAMES LISTER UNION TRUSTEE 0 122812 0 0 0 0 0 51137 0 25740 0 199689 0 0 JEFFREY SALIBA UNION TRUSTEE 0 117777 0 0 0 0 0 32610 0 25740 0 176127 0 0 FORM 990, PART VI, SECTION B, LINE 11B LINE 11B EXPLANATION - A COPY WAS PROVIDED TO THE GOVERNING BOARD VIA E-MAIL OR PAPER COPY. THE FORM 990 WAS REVIEWED BY THE TRUSTEE SIGNING THE RETURN, TPA AND LEGAL COUNSEL PRIOR TO FILING THE RETURN. FORM 990, PART VI, SECTION B, LINE 12C REGULARLY MONITORED THROUGH BOARD OF TRUSTEE MEETINGS. CONTRACTED THIRD PARTY ADMINISTRATOR ALSO PROVIDES REGULAR OVERSIGHT OF ALL TRANSACTIONS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, INSTRUMENTS UNDER WHICH THE ORGANIZATION IS OPERATED OR ESTABLISHED, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST, TO PARTICIPANTS, EMPLOYERS, AND OTHERS IN ACCORDANCE WITH THE PROVISIONS OF ERISA. THE ORGANIZATION'S FORM 5500 IS AVAILABLE THROUGH THE U.S. DOL EFAST SYSTEM. FORM 990. PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED. INT'L ASSOC OF HEAT & FROST INSULATORS & ASBESTOS WORKERS LOCAL 6 303 FREEPORT STREET BOSTON MA 02122 041472045 LABOR ORGANIZATION MA 501(C)(5) 0 ASBESTOS WORKERS LOCAL 6 APPRENTICESHIP FUND 750 DORCHESTER AVENUE - SUITE 2101 BOSTON MA 02125 046374405 EDUCATION AND TRAINING MA 501(C)(3) 0 ASBESTOS WORKERS LOCAL 6 PENSION FUND 750 DORCHESTER AVENUE - SUITE 2101 BOSTON MA 02125 516135057 RETIREMENT FUND MA 401(K) 0 INT'L ASSOCIATION OF HEATH & FROST INSULATORS & ALLIED WORKERS 9602 MARTIN LUTHER KING HIGHWAY LANHAM MD 207061839 530088300 LABOR ORGANIZATION MA 501(C)(5) 0 ADVANCED SPECIALTY CONTRACORS LLC ATLANTIC CON& SPECLLC APPLIED INSULATION CONCEPTS LLC AULSON ROOFING INC AXION SPECIALTY CONRACING BRAND SERVICES BROCK INDUSTRIAL SERVICES COMMERCIAL INSULATION DAY & ZIMMERMANN NPS DIAMOND INSULATION LLC DYNAMIC INSULATION INC ELAD ENERGY INSULATION CONSERVAION INC FIBER FIT INSULATION GREEN INSULATION INC THERMAL INSULATIONS INC THERMO MECH SERVICE THERMO-DYNAMICS HITECH INSULATION HORIZON CONRACTING LLC INSULATION COF NENGLAND JOHNSON INSULATION COINC NE ABATEMENT RESOURCES INC PLATINUM SCAFFOLDING SERVICES INC STONE & WEBSTER CNSTR URBAN INSULATION VIKING INDUSRIESINC WESTERN STATES INSULATORS TOTAL MECHANICAL SERV ATLANTIC CONTRACTINGNEW SALES 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1