2019-11-27T09:32:58-06:00 2019-04-30 611436956 NOVAK FRANCELLA LLC ONE PRESIDENTIAL BLVD SUITE 330 BALA CYNWYD PA 19004 990 2018-05-01 231574984 BOARD OF ADMINISTRATION CARPENTERS' HEALTH & CARP 2155680430 1811 SPRING GARDEN STREET PHILADELPHIA PA 19130 WILLIAM SPROULE LABOR TRUSTEE 2155680430 2019-11-27 1 LOUIS VERZELLA CPA P00360279 6106689400 2019-11-25 162.211.205.39 2019-11-27 09:31:01 ES P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 A96940F3BC1CB41A42F1C40DCB182A9E8131B64B 2018 2020-03-31 21:24:44Z WILLIAM SPROULE 1803 SPRING GARDEN STREET PHILADELPHIA PA 19130 664884257 0 X N/A X 1960 PA THE CARPENTERS' HEALTH AND WELFARE FUND OF PHILADELPHIA AND VICINITY (THE PLAN) PROVIDES HEALTH AND OTHER BENEFITS TO ELIGIBLE MEMBERS OF METROPOLITAN REGIONAL COUNCIL OF PHILADELPHIA AND VICINITY OF THE UNITED BROTHERHOOD OF CARPENTERS AND JOINERS OF AMERICA WHICH REPRESENTS CARPENTERS EMPLOYED PRIMARILY IN SOUTHEASTERN PENNSYLVANIA. 11 6 0 0 0 0 0 0 127816928 137199690 11051139 10490087 11334 233339 138879401 147923116 0 0 94616021 100423787 1592892 1773154 0 0 0 2344353 2398947 98553266 104595888 40326135 43327228 395684573 445523440 11896047 8575702 383788526 436947738 X THE CARPENTERS' HEALTH AND WELFARE FUND OF PHILADELPHIA AND VICINITY (THE PLAN) PROVIDES HEALTH AND OTHER BENEFITS TO ELIGIBLE MEMBERS OF METROPOLITAN REGIONAL COUNCIL OF PHILADELPHIA AND VICINITY OF THE UNITED BROTHERHOOD OF CARPENTERS AND JOINERS OF AMERICA WHICH REPRESENTS CARPENTERS EMPLOYED PRIMARILY IN SOUTHEASTERN PENNSYLVANIA. 0 0 THE PLAN PROVIDES MEDICAL, HOSPITAL, DENTAL, PRESCRIPTION, VISION, WEEKLY DISABILITY INCOME AND WORKERS' COMPENSATION, DEATH AND ACCIDENTAL DEATH AND DISMEMBERMENT, AND VACATION BENEFITS. REFERENCE SHOULD BE MADE TO THE SUMMARY PLAN DESCRIPTION FOR SPECIFIC DETAILS ON ELIGIBILITY AND BENEFITS. 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 1641 0 1 0 0 0 0 0 0 0 0 0 X 11 6 0 0 0 0 0 0 0 1 1 0 0 1 0 0 1 0 0 0 X THE BOARD OF ADMINISTRATION 2155680430 1811 SPRING GARDEN STREET PHILADELPHIA PA 19130 FRANK T LUTTER MGMT TRUSTEE 2.00 X 0 0 0 JAMES R DAVIS MGMT TRUSTEE 2.00 X 0 0 0 ROBERT NAUGHTON LABOR TRUSTEE (P) 2.00 60.00 X 0 60000 0 PHILIP RADOMSKI MGMT TRUSTEE CO-CHAIR 2.00 X 0 0 0 JOSEPH CLEARKIN MGMT TRUSTEE 2.00 X 0 0 0 JACK HEALY MGMT TRUSTEE 2.00 X 0 0 0 MICHAEL MORROW LABOR TRUSTEE 2.00 60.00 X 0 144114 0 MICHAEL HAND LABOR TRUSTEE 2.00 60.00 X 0 184856 0 THOMAS BRESLIN LABOR TRUSTEE 2.00 60.00 X 0 171230 0 JOHN BALLANTYNE LABOR TRUSTEE CO-CHAIR (P) 2.00 60.00 X 0 0 0 DAVE HAINES LABOR TRUSTEE (P) 2.00 60.00 X 0 0 0 BENJAMIN J CONNORS MGMT TRUSTEE 2.00 X 0 0 0 WILLIAM WATERKOTTE LABOR TRUSTEE CO-CHAIR 2.00 60.00 X 0 260613 0 WILLIAM SPROULE LABOR TRUSTEE 2.00 60.00 X 0 298634 0 MICHAEL CAPELLI LABOR TRUSTEE (P) 1.00 60.00 X 0 0 0 PETE TONIA COORDINATOR OF BENEFITS 18.00 22.00 X 117936 144144 304799 JOSEPH OBUCHOWICZ ASST COORDINATOR OF BENEFI 18.00 22.00 X 72866 89059 50855 RYAN SICA CONTOLLER 16.00 24.00 X 50841 76261 45283 241643 1428911 400937 1 0 1 0 INDEPENDENCE BLUE CROSS 1901 MARKET STREET PHILADELPHIA PA 19103 BENEFIT CLAIMS ADMINISTRATION 938833 HEALTH CARE SOLUTIONS CORP 14 MYSTIC LANE MALVERN PA 19355 BENEFIT CLAIMS AND ADMINISTRATION 830130 EXPRESS SCRIPTS INCMEDCO HEALTH 100 PARSONS POND DRIVE FRANKLIN LAKES NJ 07417 BENEFIT CLAIMS ADMINISTRATION 455309 BNY MELLON 500 GRANT STREET SUITE 151-0625 PITTSBURGH PA 15258 INVESTMENT MANAGEMENT 335329 FOUNDRY PARTNERS 323 WASHINGTON AVE NORTH SUITE 36 MINNEAPOLIS MN 55401 INVESTMENT MANAGEMENT 326346 11 EMPLOYER CONTRIBUTIONS 525100 130702468 130702468 PARTICIPANT COBRA CONTRIBUTIONS 525100 6497222 6497222 137199690 10195477 10195477 517255751 516961141 294610 294610 294610 OTHER INCOME 900099 233339 233339 233339 147923116 137199690 0 10723426 100423787 1046276 274875 358448 93555 154996 29150 1115772 308683 297537 240940 120034 10876 70016 REGULATORY FEES AND TAX 41577 ADMIN EXPENSE REIMB. 9366 104595888 3163945 3039081 22511507 22699531 19254944 18952220 1894037 1894037 276736479 298133504 70830486 99522312 1293175 1282755 395684573 445523440 1035153 1342799 10860894 7232903 11896047 8575702 X 0 0 0 0 383788526 436947738 383788526 436947738 395684573 445523440 43327228 9831984 0 X X 0 1 X 1 0 0 LIMITED PARTNERSHIPS 99522312 C 99522312 ESCROW LIABILITY 1282755 DUE TO CARPENTERS PENSION & ANNUITY FUND 121268 DUE TO BROKER 5828880 7232903 X 156635040 9831984 9831984 146803056 1115772 4288 1120060 147923116 103475828 0 103475828 1115772 4288 1120060 104595888 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. PART XI, LINE 4B - OTHER ADJUSTMENTS: LEGAL FEES REIMBURSEMENTS 4,288. PART XII, LINE 4B - OTHER ADJUSTMENTS: LEGAL FEES REIMBURSEMENTS 4,288. 0 0 0 MICHAEL HAND LABOR TRUSTEE 0 184856 0 0 0 0 0 0 0 0 0 184856 0 0 THOMAS BRESLIN LABOR TRUSTEE 0 171230 0 0 0 0 0 0 0 0 0 171230 0 0 WILLIAM WATERKOTTE LABOR TRUSTEE CO-CHAIR 0 260613 0 0 0 0 0 0 0 0 0 260613 0 0 WILLIAM SPROULE LABOR TRUSTEE 0 298634 0 0 0 0 0 0 0 0 0 298634 0 0 PETE TONIA COORDINATOR OF BENEFITS 117936 144144 0 0 0 0 21460 262230 9499 11610 148895 417984 0 0 JOSEPH OBUCHOWICZ ASST COORDINATOR OF BENEFI 72866 89059 0 0 0 0 13386 16360 9499 11610 95751 117029 0 0 RYAN SICA CONTOLLER 50841 76261 0 0 0 0 9670 14504 8444 12665 68955 103430 0 0 FORM 990, PART VI, SECTION B, LINE 11B CARPENTERS' HEALTH AND WELFARE FUND OF PHILADELPHIA AND VICINITY'S FORM 990 IS PREPARED BY ITS INDEPENDENT PUBLIC ACCOUNTANT WHO THEN FORWARDS THE RETURN TO THE FUND ADMINISTRATOR FOR INITIAL REVIEW. THE ADMINISTRATOR THEN PRESENTS THE FORM 990 TO THE BOARD OF TRUSTEES FOR SIGNATURE AND FILING. FORM 990, PART VI, SECTION C, LINE 19 CARPENTERS' HEALTH AND WELFARE FUND OF PHILADELPHIA AND VICINITY'S GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XII, LINE 2C: CARPENTERS' HEALTH AND WELFARE FUND OF PHILADELPHIA AND VICINITY'S BOARD OF TRUSTEES IS RESPONSIBLE FOR OVERSEEING THE FINANCIAL STATEMENT AUDIT AND SELECTION OF THE INDEPENDENT PUBLIC ACCOUNTANT THAT PERFORMS THE AUDIT. FORM 990, PART V, LINE 2A/2B: CARPENTERS HEALTH AND WELFARE FUND OF PHILADELPHIA & VICINITY PAYS VACATION BENEFITS TO ELIGIBLE FUND PARTICIPANTS. FOR THE TAX PERIOD ENDING 12/31/2018 THE FUND ISSUED 7,659 FORMS W-2. THE FUND ALSO FILED ALL REQUIRED EMPLOYMENT TAX RETURNS. CARPENTERS' PENSION AND ANNUITY FUND OF PHILADELPHIA AND VICINITY 1811 SPRING GARDEN STREET PHILADELPHIA PA 19130 231613018 PENSION FUND PA 401(A)/501(A) 0 CARPENTERS JOINT APPRECTICESHIP TRAINING FUND OF PHILADELPHIA & VICINITY 10401 DECATUR ROAD PHILADELPHIA PA 19154 231518467 EDUCATION AND TRAINING FUND PA 501(C)(3) 170(B)(1)(A)(II) 0 CARPENTERS SAVINGS PLAN OF PHILADELPHIA AND VICINITY 1811 SPRING GARDEN STREET PHILADELPHIA PA 19130 232508131 PENSION FUND PA 401(A)/501(A) 0 KEYSTONE MOUNTAIN LAKES REGIONAL COUNCIL OF CARPNTERS 650 RIDGE RD PITTSBURGH PA 15205 250849687 LABOR UNION PA 501(C)(5) 0 GENERAL BUILDING CONTRACTORS ASSOCIATION PO BOX 15959 PHILADELPHIA PA 19103 230847495 EMPLOYER ASSOCIATION PA 501(C)(6) 0 UBC EDUCATION FUND 6801 PLACID STREET LAS VEGAS NV 89119 526447063 TRAINING FUND NV 501(C)(3) 0 LEVEL CARE HEALTH CONSORTIUM 1811 SPRING GARDEN STREET PHILADELPHIA PA 19130 832819398 BUSINESS LEAGUE PA 501(C)(6) 0 3C DRILLING AJ BUILDERS INC AV WOODWORK CO INC ABBONIZIO 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