2018-10-11T11:09:36-05:00 2017-12-31 611436956 NOVAK FRANCELLA LLC ONE PRESIDENTIAL BLVD SUITE 330 BALA CYNWYD PA 19004 990 2017-01-01 136178513 LOCAL 580 - INSURANCE FUND LOCA 2126955206 501 WEST 42ND STREET NEW YORK NY 100366205 PETER MYERS TRUSTEE 2126955206 2018-10-11 1 LOUIS VERZELLA CPA P00360279 6106689400 2018-09-28 162.211.205.39 2018-10-11 10:59:00 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 19998950A844A1ED5F18EB360E4E9E4F9906FFA9 2017 2018-06-14 16:35:46Z PETER MYERS 501 WEST 42ND STREET NEW YORK NY 100366205 490844958 0 X N/A X 1946 NY TO PROVIDE LIFE INSURANCE, MEDICAL, HOSPITALIZATION, DENTAL, DISABILITY, HEARING AIDS, DEATH BENEFITS, ETC. FOR MEMBER OF IRON WORKERS UNION LOCAL 580. 9 3 0 0 0 0 0 0 50781255 57012575 4882520 9917848 14254 12584 55678029 66943007 0 0 37229251 37918612 590551 574255 0 0 0 1339490 1397119 39159292 39889986 16518737 27053021 225456163 260427025 9724474 11934313 215731689 248492712 TO PROVIDE LIFE INSURANCE, MEDICAL, HOSPITALIZATION, DENTAL, DISABILITY, HEARING AIDS, DEATH BENEFITS, ETC. FOR MEMBER OF IRON WORKERS UNION LOCAL 580. 0 0 TO PROVIDE LIFE INSURANCE, MEDICAL, HOSPITALIZATION, DENTAL, DISABILITY, HEARING AIDS, DEATH BENEFITS, ETC. FOR MEMBER OF IRON WORKERS UNION LOCAL 580. 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 11 0 0 0 0 0 0 0 0 X 9 3 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X FUND OFFICE 2126955206 501 WEST 42ND STREET NEW YORK NY 100366205 HERBERT KOENIG CO-CHAIRMAN (P) 2.00 X 0 0 0 RANDALL RIFELLI EMPLOYER TRUSTEE 2.00 X 0 0 0 RANDALL MENT EMPLOYER TRUSTEE 2.00 X 0 0 0 PETER CARRIERO CO-CHAIRMAN 2.00 X 0 0 0 KENNETH CODY UNION TRUSTEE 2.00 X 1981 0 364 PETER MYERS CO-CHAIRMAN 2.00 45.00 X 0 145120 127689 MICHAEL WENZEL UNION TRUSTEE 2.00 5.00 X 0 6770 0 THOMAS MILTON UNION TRUSTEE 2.00 45.00 X 0 142470 127689 JOSEPH NOLAN UNION TRUSTEE 2.00 45.00 X 0 142620 127689 MARK NARDELLA CONTROLLER 25.00 25.00 X 50606 119212 102006 PATRICK DOHERTY ADMINISTRATOR 25.00 25.00 X 51750 121908 99254 ROBERT MAGUIRE ASST ADMINISTRATOR 25.00 25.00 X 48099 113307 99254 DENNIS LUSARDI DIRECTOR OF P/R AUDITS 25.00 25.00 X 48874 115132 99254 201310 906539 783199 0 0 1 0 EMPIRE BLUE CROSS AND BLUE SHIELD ONE LIBERTY PLAZA NEW YORK NY 10006 ADMINISTRATIVE FEES 1570931 GUARDIAN LIFE INSURANCE CO 7 HANOVER SQUARE NEW YORK NY 10004 ADMINISTRATIVE FEES 297421 MANNING & NAPIER 290 WOODCLIFF DR FAIRPORT NY 14450 INVESTMENT FEES 217580 J P MORGAN ASSET MANAGEMENT 270 PARK AVENUE 6TH FLOOR NEW YORK NY 10017 INVESTMENT FEES 136063 MDSASS ASSOCIATES INC 1185 AVENUE OF THE AMERICAS NEW YORK NY 10036 INVESTMENT FEES 122192 6 EMPLOYER CONTRIBUTIONS 525100 56784274 56784274 COBRA CONTRIBUTIONS 525100 153545 153545 PAYROLL AUDIT REIMBURSEMENTS 525100 74756 74756 57012575 6431403 6431403 427388396 423901951 3486445 3486445 3486445 ADMINISTRATIVE FEES 900099 12584 12584 12584 66943007 60511604 0 6431403 37918612 2708 354185 129692 56693 30977 139751 131256 687896 178166 62909 25857 78344 9519 6530 3131 60887 FEES MANADATED BY ACA 12873 39889986 9966570 6353798 9429557 8144414 5332054 4494412 8692 8366 220085 209222 13994 10863 200622669 241121910 82627 293262 225456163 260427025 312054 457881 9412420 11476432 9724474 11934313 X 0 0 0 0 215731689 248492712 215731689 248492712 225456163 260427025 27053021 5708002 0 X X 0 1 X 1 0 220085 209222 10863 10863 SECURITIES PURCHASED AND NOT SETTLED 7356299 DUE TO RELATED PARTY 4113874 PAYROLL TAXES 6259 11476432 X 71888357 5708002 5708002 66180355 687896 74756 762652 66943007 39127334 0 39127334 687896 74756 762652 39889986 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: PAYROLL AUDIT REIMBURSEMENTS PART XII, LINE 4B - OTHER ADJUSTMENTS: PAYROLL AUDIT REIMBURSEMENTS X 0 0 0 PETER MYERS CO-CHAIRMAN 0 145120 0 0 0 0 0 92665 0 35024 0 272809 0 0 THOMAS MILTON UNION TRUSTEE 0 142470 0 0 0 0 0 92665 0 35024 0 270159 0 0 JOSEPH NOLAN UNION TRUSTEE 0 142620 0 0 0 0 0 92665 0 35024 0 270309 0 0 MARK NARDELLA CONTROLLER 50606 119212 0 0 0 0 19442 45799 10956 25809 81004 190820 0 0 PATRICK DOHERTY ADMINISTRATOR 51750 121908 0 0 0 0 18917 44564 10660 25113 81327 191585 0 0 ROBERT MAGUIRE ASST ADMINISTRATOR 48099 113307 0 0 0 0 18917 44564 10660 25113 77676 182984 0 0 DENNIS LUSARDI DIRECTOR OF P/R AUDITS 48874 115132 0 0 0 0 18917 44564 10660 25113 78451 184809 0 0 FORM 990, PART VI, SECTION B, LINE 11B LOCAL 580 INSURANCE FUND'S FORM 990 IS PREPARED BY ITS INDEPENDENT ACCOUNTANT WHO THEN FORWARDS THE COMPLETED RETURN TO THE FUND'S ADMINISTRATOR FOR REVIEW. THE FUND ADMINISTRATOR THEN PRESENTS THE FORM 990 TO THE GOVERNING BODY FOR REVIEW AND SIGNATURE. FORM 990, PART VI, SECTION B, LINE 12C LOCAL 580 INSURANCE FUND MONITORS ITS CONFLICT OF INTERST POLICY ON AN ANNUAL BASIS. FORM 990, PART VI, SECTION C, LINE 19 LOCAL 580 INSURANCE FUND'S GOVERNING DOCUMENTS, CONFLICT OF INTERST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XII, LINE 2C: LOCAL 580 INSURANCE FUND'S BOARD OF TRUSTEES IS RESPONSIBLE FOR OVERSEEING THE FINANCIAL STATEMENT AUDIT AND SELECTION OF THE INDPENDENT ACCOUNTANT THAT PERFORMS THE AUDIT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. 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