2018-11-06T15:11:44-06:00 2017-12-31 043508036 MANZI & ASSOCIATES LLC 855 TURNPIKE STREET NORTH ANDOVER MA 01845 990 2017-01-01 042149479 TEAMSTERS LOCAL 653 WELFARE FUND TEAM 5082307140 4 B HAMPDEN DRIVE SOUTH EASTON MA 02375 BRIAN MCELHINNEY TRUSTEE 5082307140 2018-10-31 1 EDWARD MANZI P01058633 9789751099 173.162.188.213 2018-11-06 16:08:47 ES P 7ADBD96C547CBE419AC9B87DCFC7EE63ECE44F7B A54CA6112FE5A8F0A286552BC749CAA8FA9601AC 2017 2019-02-21 02:37:17Z BRIAN MCELHINNEY 4 B HAMPDEN DRIVE SOUTH EASTON MA 023751158 33191937 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 21716464 21024653 1889396 2482135 3285 6515 23609145 23513303 0 0 20549649 20977783 270618 273785 0 0 0 1163552 1107852 21983819 22359420 1625326 1153883 55804741 59156317 2802042 2891752 53002699 56264565 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 1 0 0 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 X 6 6 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 1 1 0 X BRIAN MCELHINNEY 5082307140 4 B HAMPDEN DRIVE SOUTH EASTON MA 02375 X BRIAN MCELHINNEY TRUSTEE 10.00 X 0 0 0 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 TIMOTHY BROWN 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 686369 MORGAN STANLEY SMITH BARNEY 25 RECREATION PK DR HINGHAM MA 02043 INVESTMENT FEES 386029 2 EMPLOYER CONTRIBUTIONS 900099 20543977 20543977 EMPLOYEE CONTRIBUTIONS 900099 480676 480676 21024653 1492850 1492850 10667919 9678634 989285 989285 989285 HALL RENTAL 532000 5000 5000 OTHER INVESTMENT INCOME 523000 1515 1515 6515 23513303 21024653 0 2488650 20977783 145124 66041 49748 12872 25000 48641 386029 84119 11364 4107 10851 5923 40110 25204 STOPLOSS 400703 REPAIRS AND MAINTENANCE 27223 ACA COMPLIANCE FEES 16822 REAL ESTATE TAXES 12187 9569 22359420 2686692 1742383 3912840 943782 2383014 2170086 14166 14121 1395384 708513 708618 686871 37058685 44382580 6394581 6396775 2646145 2819719 55804741 59156317 11475 8349 2790567 2883403 2802042 2891752 X 0 0 0 0 53002699 56264565 53002699 56264565 55804741 59156317 1153883 2107983 0 X X 0 1 X 1 0 115200 115200 1280184 708513 571671 686871 DOUBLELINE CORE FIXED INC I 3173393 F GUGGENHEIM LIMITED DURATION I 3223382 F 6396775 DUE TO BROKER FOR PURCHASES 149971 HEALTH CLAIMS PAYABLE 2729501 DUE TO AFFILIATES 3931 2883403 X 25235257 2107983 2107983 23127274 386029 386029 23513303 22034457 0 22034457 386029 -61066 324963 22359420 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, 2017, 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 -61,066. 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, LINE 15A: BOARD OF TRUSTEES DO NOT RECEIVE COMPENSATION. 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 FAIRSIDE TRUCKING INC MA N/A FRITO-LAY INC MA N/A GARBER BROTHERS INC MA N/A GM WHITE CONSTRUCTION MA N/A HALLAMORE CORPORATION MA N/A HORIZON BEVERAGE COMPANY INC MA N/A PLAINVILLELORUSSO MATERIALS CORP 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 LIQUORSMARTIGNETTI COMPANIES 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 52903 CASH