2019-10-11T15:21:30-05:00 2018-12-31 043508036 MANZI & ASSOCIATES LLC 855 TURNPIKE STREET NORTH ANDOVER MA 01845 990 2018-01-01 042149479 TEAMSTERS LOCAL 653 WELFARE FUND TEAM 5082307140 4 B HAMPDEN DRIVE SOUTH EASTON MA 02375 MICHAEL CLARK TRUSTEE 5082307140 2019-10-01 1 EDWARD MANZI P01058633 9789751099 173.162.188.213 2019-10-11 16:20:17 ED P 7ADBD96C547CBE419AC9B87DCFC7EE63ECE44F7B 57CAB1478FA21B4BB6BCA0ED5F2D8E49AC86AE59 2018 2020-03-31 21:24:44Z MICHAEL CLARK 4 B HAMPDEN DRIVE SOUTH EASTON MA 023751158 59842311 0 X N/A X H&W FUND 1952 MA PROVIDE HEALTH BENEFITS TO MEMBERS OF SPONSORING ORGANIZATION UNDER CBA 6 6 3 0 0 0 0 0 21024653 23031324 2482135 2413036 6515 34490 23513303 25478850 0 0 20977783 23216088 273785 288327 0 0 0 1107852 1142559 22359420 24646974 1153883 831876 59156317 56717236 2891752 3471294 56264565 53245942 PROVIDE HEALTH BENEFITS TO MEMBERS OF THE SPONSORING ORGANIZATION UNDER COLLECTIVE BARGAINING AGREEMENT 0 0 PROVIDE WELFARE BENEFITS TO EMPLOYEES UNDER COLLECTIVE BARGAINING AGREEMENT 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 1 3 1 0 0 0 0 0 0 0 0 0 0 X 6 6 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 1 1 0 X MICHAEL CLARK 5082307140 4 B HAMPDEN DRIVE SOUTH EASTON MA 02375 X MICHAEL EPSTEIN TRUSTEE 10.00 X 0 0 0 WILLIAM BURKE TRUSTEE 10.00 X 0 0 0 WILLIAM TRASK TRUSTEE 10.00 X 0 0 0 GEORGE WIESENDANGER TRUSTEE 10.00 X 0 0 0 MICHAEL CLARK TRUSTEE 10.00 X 0 0 0 RONALD DAWBER TRUSTEE 10.00 X 0 0 0 0 0 0 0 0 0 0 BLUE CROSS BLUE SHIELD 401 PARK DR 14 BOSTON MA 02129 CLAIMS ADMIN 696947 MORGAN STANLEY SMITH BARNEY 25 RECREATION PK DR HINGHAM MA 02043 INVESTMENT FEES 378358 2 EMPLOYER CONTRIBUTIONS 900099 22385713 22385713 EMPLOYEE CONTRIBUTIONS 900099 645611 645611 23031324 1334258 1334258 35442239 34363461 1078778 1078778 1078778 OTHER INCOME 525100 30776 30776 OTHER INVESTMENT INCOME 523000 2214 2214 HALL RENTAL 532000 1500 1500 34490 25478850 23031324 0 2447526 23216088 152283 66375 56332 13337 31923 41957 378358 100605 25041 5692 13311 1260 32618 25093 STOPLOSS 423231 REPAIRS AND MAINTENANCE 23030 ACA COMPLIANCE FEES 20135 REAL ESTATE TAXES 11768 8537 24646974 1742383 673196 943782 577561 2170086 2529756 14121 14719 1399118 741131 686871 657987 44382580 49144169 6396775 0 2819719 3119848 59156317 56717236 8349 13225 2883403 3458069 2891752 3471294 X 0 0 0 0 56264565 53245942 56264565 53245942 59156317 56717236 831876 -3850499 0 X X 0 1 X 1 0 115200 115200 1283918 741131 542787 657987 DEPOSITS 3015700 INVESTMENT INCOME RECEIVABLE 95868 DUE FROM AFFILIATE 8280 3119848 HEALTH CLAIMS PAYABLE 3454110 DUE TO AFFILIATES 3959 3458069 X 21249993 -3850499 -3850499 25100492 378358 378358 25478850 23544007 0 23544007 378358 724609 1102967 24646974 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 (OR ASSET) IF THE PLAN HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE DEPARTMENT OF LABOR AND INTERNAL REVENUE SERVICE. THE PLAN ADMINISTRATOR HAS ANALYZED THE TAX POSITIONS TAKEN BY THE PLAN, AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2018, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE FINANCIAL STATEMENTS. PART XII, LINE 4B - OTHER ADJUSTMENTS: CHANGE IN BENEFITS PAYABLE 724,609. FORM 990, PART VI, SECTION A, LINE 6 COLLECTIVELY BARGAINED MULTIEMPLOYER PLAN FOR MEMBERS OF TEAMSTERS LOCAL 653 FORM 990, PART VI, SECTION B, LINE 11B BOARD OF TRUSTEES HAS GIVEN AUTHORITY TO THE FUND ADMINISTRATOR TO REVIEW TAX DOCUMENTATION BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12 AS AN EMPLOYEE BENEFIT PLAN, THE ORGANIZATION IS SUBJECT TO THE CONFLICTS OF INTEREST REQUIREMENTS OF ERISA FORM 990, PART VI, SECTION B, LINE 15 BOARD OF TRUSTEES REVIEWS KEY EMPLOYEES COMPENSATION WITH COMPARABILITY DATA ANNUALLY. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS AND AUDITED FINANCIAL STATEMENTS OF THE ORGANIZATION ARE AVAILABLE UPON REQUEST FORM 990, PART XII, LINE 2C: THERE HAVE BEEN NO CHANGES TO THE PROCESS DURING THE CURRENT YEAR. 4 HAMPDEN DRIVE 4-1 HAMPDEN DRIVE SOUTH EASTON MA 02375 043552834 REALTY MA 501 0 INTERNATIONAL BROTHERHOOD OF TEAMSTERS LOCAL 653 TCWH 4 A HAMPDEN DRIVE SOUTH EASTON MA 02375 041472105 UNION MA 501 0 TEAMSTERS 25 HEALTH SERVICES 139 CAMPANELLI DRIVE MIDDLEBORO MA 02346 HEALTH INSURANCE 0 ABF FREIGHT SYSTEM INC AK N/A AGGREGATE INDUSTRIES INC CA N/A ALKAT TRANSPORT LLC MA N/A ARAMARK UNIFORM SERVICES INC CA N/A BURKE DISTRIBUTING CORPORATION MA N/A CBI SHAW & WEBSTER CONSTRUCTION TX N/A COLLINS CRANE & RIGGINS SERVICE INC MA N/A DAY & ZIMMERMAN NPS INC PA FAIRSIDE TRUCKING INC MA N/A FRITO-LAY INC MA N/A HALLAMORE CORPORATION MA N/A HORIZON BEVERAGE COMPANY INC MA N/A LORUSSO MATERIALS CORPPLAINVILLE MA N/A MARTIGNETTI COMPANIESUNITED LIQUORS MA N/A REDIMIX COMPANIES MA N/A SM LORUSSO & SONS INC MA N/A SOUTHEASTERN CONCRETE INC MA N/A SOUTHEASTERN METAL FAB INC MA N/A UNITED PARCEL SERVICE OH N/A WH RILEY & SON INC (NA) MA N/A WH RILEY & SON INC (TAUNTON) MA N/A YRC WORLDWIDE INC KS N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 4 HAMPDEN DRIVE NOMINEE TRUST P 53401 CASH