2020-11-11T10:02:03-06:00 2019-12-31 611436956 NOVAK FRANCELLA LLC ONE PRESIDENTIAL BLVD SUITE 330 BALA CYNWYD PA 19004 990 2019-01-01 223143027 DISTRICT 1199J NEW JERSEY HEALTH CARE EMPLOYERS BENEFIT FUND DIST 9732424450 9-25 ALLING STREET NEWARK NJ 07102 BARBARA SMALL EXECUTIVE DIRECTOR 9732424450 2020-11-11 1 LOUIS VERZELLA CPA P00360279 6106689400 2020-11-02 162.211.205.39 2020-11-11 10:01:20 ES P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 214E2DE4754F8F73DD572B34B07E6CCBC316F7C9 2019 2021-04-22 16:20:28Z BARBARA SMALL 9-25 ALLING STREET NEWARK NJ 07102 78388324 0 X N/A X 1991 NJ TO PROVIDE HOSPITAL, MAJOR MEDICAL, DENTAL, PRESCRIPTION DRUG, VISION, LIFE INSURANCE AND OTHER MEDICAL BENEFITS TO ELIGIBLE PARTICIPANTS. 7 3 0 0 0 0 0 0 31919126 32174100 176651 129222 0 928 32095777 32304250 0 0 32331656 33545610 1093973 1120985 0 0 0 875390 846980 34301019 35513575 -2205242 -3209325 15693905 12517487 54601 61653 15639304 12455834 TO PROVIDE HOSPITAL, MAJOR MEDICAL, DENTAL, PRESCRIPTION DRUG, VISION, LIFE INSURANCE AND OTHER MEDICAL BENEFITS TO ELIGIBLE PARTICIPANTS. 0 0 TO PROVIDE HOSPITAL, MAJOR MEDICAL, DENTAL, PRESCRIPTION DRUG, VISION, LIFE INSURANCE AND OTHER MEDICAL BENEFITS TO ELIGIBLE PARTICIPANTS. 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 1 104 0 0 0 0 0 0 0 0 0 0 X 7 3 0 0 0 0 0 0 0 1 0 0 0 1 0 1 1 0 0 0 X BARBARA SMALL 9732424450 9-25 ALLING STREET NEWARK NJ 07102 STEVE IZZO EMPLOYER TRUSTEE 2.00 X 0 0 0 SUSAN M CLEARY UNION TRUSTEE 2.00 35.00 X 0 121153 0 CRAIG A FORD UNION TRUSTEE 2.00 35.00 X 0 115293 0 PHYLLIS SHIVERS UNION TRUSTEE 2.00 35.00 X 0 91329 0 RICHARD MORREALE UNION TRUSTEE (P) 2.00 35.00 X 0 47075 0 ZACHARY LIPNER EMPLOYER TRUSTEE 2.00 X 0 0 0 STEVEN A NACKENSON EMPLOYER TRUSTEE 2.00 X 0 0 0 JONI REESE UNION TRUSTEE 2.00 35.00 X 0 94577 0 BARBARA SMALL EXECUTIVE DIRECTOR 40.00 X 0 148960 49902 JERRY VITA EMPLOYEE 40.00 X 0 132858 44507 0 751245 94409 0 0 1 0 HORIZON HEALTHCARE SERVICES 3 PENN PLAZA EAST PPA-04V NEWARK NJ 07105 CLAIMS ADMINISTRATION 1552663 LABOR FIRST LLC 3000 MIDLANTIC DR 101 MT LAUREL TOWNSHIP NJ 08054 BENEFIT CONSULTANT 216932 MILLIMAN INC ONE PENN PLAZA 38TH FLR NEW YORK NY 10119 ACTUARIAL 127307 SELE DENT ONE HUNTINGTON QUADRANGLE - STE 1N0 MELVILLE NY 11747 CLAIMS ADMINISTRATION 110858 4 EMPLOYER CONTRIBUTIONS 525100 32118098 32118098 COBRA CONTRIBUTIONS 525100 56002 56002 32174100 134047 134047 46079249 46084074 -4825 -4825 -4825 OTHER INCOME 900099 928 928 928 32304250 32174100 0 130150 33545610 91476 719383 62065 170303 77758 153507 60791 19436 136324 137560 68424 141291 13834 3883 93682 FEES MANDATED BY THE AF 18248 35513575 797899 163504 7551780 5670327 5008659 4430102 39535 39966 500230 486641 17472 13589 1580159 1574966 698401 625033 15693905 12517487 19719 13193 34882 48460 54601 61653 X 15639304 12455834 15639304 12455834 15693905 12517487 -3209325 25855 0 X X 0 1 X 1 0 422615 409026 13589 77615 77615 0 13589 DUE TO AFFILIATES 48460 48460 X 32310669 25855 25855 32284814 19436 19436 32304250 35494139 0 35494139 19436 19436 35513575 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 BARBARA SMALL EXECUTIVE DIRECTOR 0 148960 0 0 0 0 0 12662 0 37240 0 198862 0 0 JERRY VITA EMPLOYEE 0 132858 0 0 0 0 0 11293 0 33214 0 177365 0 0 FORM 990, PART VI, SECTION A, LINE 8B THE FUND HAS NO COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B THE FUND'S 990 IS PREPARED BY ITS OUTSIDE AUDITOR AND SUBMITTED TO THE EXECUTIVE DIRECTOR. THE EXECUTIVE DIRECTOR THEN REVIEWS IT WITH THE BOARD OF TRUSTEES PRIOR TO FILING. FORM 990, PART VI, SECTION C, LINE 19 THE FUND'S GOVERNING DOCUMENTS, POLICIES AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART XII, LINE 2C: THE BOARD OF TRUSTEES ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND SELECTION OF THE INDEPENDENT AUDITOR. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. 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