2019-02-14T08:54:51-06:00 2018-04-30 611436956 NOVAK FRANCELLA LLC ONE PRESIDENTIAL BLVD SUITE 330 BALA CYNWYD PA 19004 990 2017-05-01 231578380 CEMENT MASONS UNION LOCAL NO 592 HEALTH AND WELFARE FUND CEME 2154680237 7821 BARTRAM AVENUE NO 102 PHILADELPHIA PA 19153 WILLIAM OUSEY TRUSTEE 2154680237 2019-02-14 1 LOUIS VERZELLA CPA P00360279 6106689400 2019-01-28 162.211.205.39 2019-02-14 08:53:49 ES P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 19998950A844A1ED5F18EB360E4E9E4F9906FFA9 2017 2019-02-21 02:37:17Z WILLIAM OUSEY 7821 BARTRAM AVENUE NO 102 PHILADELPHIA PA 19153 53180557 0 X N/A X 1960 PA THE PURPOSE OF CEMENT MASONS UNION LOCAL 592 HEALTH AND WELFARE FUND IS TO PROVIDE FOR THE PAYMENT OF LIFE, SICK, ACCIDENT, OR OTHER BENEFITS TO ITS MEMBERS OR THEIR DEPENDENTS OR DESIGNATED BENEFICIARIES. 8 5 0 0 0 0 0 0 10248553 10893493 133368 232999 0 0 10381921 11126492 0 0 5811118 7765986 238088 291272 0 0 0 730188 876818 6779394 8934076 3602527 2192416 14957274 16964429 183861 179763 14773413 16784666 THE PURPOSE OF CEMENT MASONS UNION LOCAL 592 HEALTH AND WELFARE FUND IS TO PROVIDE FOR THE PAYMENT OF LIFE, SICK, ACCIDENT, OR OTHER BENEFITS TO ITS MEMBERS OR THEIR DEPENDENTS OR DESIGNATED BENEFICIARIES. 0 0 PLAN PROVIDES MEDICAL, HOSPITAL, SURGICAL, DEATH, WEEKLY DISABILITY INCOME, AND MEDICINE REIMBURSEMENTS. 0 0 0 0 0 0 0 0 0 1 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 6 0 0 0 0 0 0 0 0 X 8 5 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X JOSEPH MOSKAUSKI 2154680237 7821 BARTRAM AVENUE PHILADELPHIA PA 19153 BILL OUSEY UNION CO-CHAIRMAN 2.00 38.00 X 0 156580 94474 JIM DOLENTE EMPLOYER TRUSTEE 2.00 X 0 0 0 FRANCIS A PIETRINI EMPLOYER CO-CHAIRMAN 2.00 X 0 0 0 MARK WILDSMITH UNION TRUSTEE 2.00 38.00 X 0 138777 90957 MIKE SABATINI UNION TRUSTEE 2.00 38.00 X 0 145720 92481 BEN CONNORS EMPLOYER TRUSTEE 2.00 X 0 0 0 ED LUTZ III UNION TRUSTEE 2.00 X 0 0 0 TOM O'NEIL EMPLOYER TRUSTEE 2.00 X 0 0 0 JOE DIEHL ADMINISTRATOR (P) 20.00 20.00 X 50304 86705 95528 JOE MOSKAUSKI ADMINISTRATOR 20.00 20.00 X 26372 76746 88050 76676 604528 461490 0 0 1 0 AETNA 920 HARVEST DRIVE PO BOX 50092 BLUE BELL PA 19422 CLAIMS PROCESSING 317867 JENNINGS SIGMOND PC 1835 MARKET ST SUITE 2800 PHILADELPHIA PA 19103 LEGAL 154695 2 EMPLOYER CONTRIBUTIONS 525100 10228701 10228701 VACATION CONTRIBUTIONS 525100 292377 292377 RETIREE & MEDICARE CONTRIBUTIONS 525100 278210 278210 COBRA CONTRIBUTIONS 525100 68110 68110 SELF PAY CONTRIBUTIONS 525100 26095 26095 10893493 306898 306898 41980166 42054065 -73899 -73899 -73899 11126492 10893493 0 232999 7765986 167732 60671 48518 14351 170496 83465 61186 425384 26617 24691 16015 8421 5867 1770 771 48028 FEES MANDATED BY THE AC 4107 8934076 687487 301875 1949987 1862616 1702181 1627615 72024 39722 42911 42911 481 0 10545114 11799383 1333218 14957274 16964429 117621 89133 6597 59643 90630 183861 179763 X 14773413 16784666 14773413 16784666 14957274 16964429 2192416 -181163 0 X X 0 1 X 1 0 6000 6000 0 33842 33842 0 3069 3069 0 0 LIMITED PARTNERSHIP 1333218 C 1333218 DUE TO CUSTODIAN 23668 DUE TO CEMENT MASONS UNION LOCAL 592 PENSION PLAN 66962 90630 X 10884143 -181163 -181163 11065306 61186 61186 11126492 8872890 0 8872890 61186 61186 8934076 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 BILL OUSEY UNION CO-CHAIRMAN 0 156580 0 0 0 0 0 65063 0 29411 0 251054 0 0 MARK WILDSMITH UNION TRUSTEE 0 138777 0 0 0 0 0 61546 0 29411 0 229734 0 0 MIKE SABATINI UNION TRUSTEE 0 145720 0 0 0 0 0 63070 0 29411 0 238201 0 0 JOE DIEHL ADMINISTRATOR (P) 50304 86705 0 0 0 0 0 66117 0 29411 50304 182233 0 0 JOE MOSKAUSKI ADMINISTRATOR 26372 76746 0 0 0 0 0 58639 0 29411 26372 164796 0 0 FORM 990, PART VI, SECTION B, LINE 11B CEMENT MASONS UNION LOCAL NO. 592 HEALTH AND WELFARE FUND'S FORM 990 IS PREPARED BY ITS INDEPENDENT PUBLIC ACCOUNTANT. THE RETURN IS FORWARDED TO THE FUND ADMINISTRATOR FOR INITIAL REVIEW. THE FUND ADMINISTRATOR THEN PRESENTS THE RETURN TO THE TRUSTEES FOR SIGNATURE. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION'S CONFLICT OF INTEREST POLICYIS REVIEWED ANNUALLY. FORM 990, PART VI, SECTION B, LINE 15 THE FUND ADMINISTRATOR'S SALARY IS APPROVED ANNUALLY BY THE BOARD OF TRUSTEES. FORM 990, PART VI, SECTION C, LINE 19 CEMENT MASONS UNION LOCAL NO. 592 HEALTH AND WELFARE FUND'S GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XII, LINE 2C: CEMENT MASONS UNION LOCAL NO. 592 HEALTH AND WELFARE FUND'S BOARD OF TRUSTEES IS RESPONSIBLE FOR OVERSEEING THE FINANCIAL STATEMENT AUDIT AND SELECTION OF THE INDEPENDENT PUBLIC ACCOUNTANT WHO PERFORMS THE AUDIT. 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