2025-10-12T17:43:59-05:00 2024-12-31 611436956 NOVAK FRANCELLA LLC 40 MONUMENT RD 5TH FLR BALA CYNWYD PA 19004 990 2024-01-01 581910292 SOUTHERN PAINTERS WELFARE FUND SOUT 6158590131 2001 CALDWELL DR GOODLETTSVILLE TN 37072 BRUCE WOHL TRUSTEE 6158590131 2025-10-12 1 0 LOUIS VERZELLA CPA P00360279 6106689400 2025-10-12 2024 2025-03-06 01:10:19Z BRUCE WOHL 2001 CALDWELL DR GOODLETTSVILLE TN 37072 71972316 0 X N/A X 1990 GA THIS IS A MULTIEMPLOYER HEALTH AND WELFARE PLAN WHICH HAS BEEN ESTABLISHED TO PROVIDE HEALTH AND WELFARE BENEFITS FOR ELIGIBLE PARTICIPANTS. 8 7 15 0 0 0 0 0 26680485 25324652 489112 1139137 0 0 27169597 26463789 0 0 18443930 16407001 0 0 0 0 0 2166016 2177405 20609946 18584406 6559651 7879383 33047689 41814878 2725775 2792864 30321914 39022014 THIS IS A MULTIEMPLOYER HEALTH AND WELFARE PLAN THAT HAS BEEN ESTABLISHED TO PROVIDE HEALTH AND WELFARE BENEFITS FOR ELIGIBLE PARTICIPANTS. 0 0 THE PLAN PROVIDES DEATH, LIFE, AND HEALTH BENEFITS (MEDICAL, SURGICAL, MAJOR MEDICAL, SHORT-TERM DISABILITY, DENTAL, PRESCRIPTION, AND VISION) FOR ELIGIBLE PARTICIPANTS. 0 0 0 0 0 0 0 0 0 0 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 X 86 0 15 1 0 0 0 0 0 0 0 0 X 8 7 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X SOUTHERN BENEFIT ADMINISTRATORS INC 6158590131 2001 CALDWELL DR GOODLETTSVILLE TN 37072 LAWRENCE PEACOCK UNION TRUSTEE 2.00 X 0 130681 67111 JOHN BECKHAM EMPLOYER TRUSTEE 2.00 X 0 0 0 PAUL CANNING UNION TRUSTEE/CHAIRMAN 2.00 X 0 0 0 DON DRASHEFF EMPLOYER TRUSTEE 2.00 X 0 0 0 CHIP FLEETWOOD UNION TRUSTEE 2.00 X 0 110174 63599 TONY GREEN EMPLOYER TRUSTEE (P) 2.00 X 0 0 0 KYLE HOUGH EMPLOYER TRUSTEE (P) 2.00 X 0 0 0 RICHARD JONES UNION TRUSTEE 2.00 X 0 67715 62675 LUTHER LASURE EMPLOYER TRUSTEE 2.00 X 0 0 0 NIKITAS MANIAS EMPLOYER TRUSTEE (P) 2.00 X 0 0 0 DARRYL TRAYLOR EMPLOYER TRUSTEE (P) 2.00 X 0 0 0 DAN WILLIAMS UNION TRUSTEE/CO-CHAIRMAN (P) 2.00 X 0 0 0 BRUCE WOHL EMPLOYER TRUSTEE/CO-CHAIRM 2.00 X 0 0 0 0 308570 193385 0 0 1 0 HIGHMARK 120 FIFTH AVE SUITE P2307 PITTSBURGH PA 15222 CLAIMS ADMINISTRATOR 932021 SOUTHERN BENEFIT ADMINISTRATORS INC 2001 CALDWELL DR GOODLETTSVILLE TN 37072 THIRD PARTY ADMINISTRATOR 432000 EXPRESS SCRIPTS 100 PARSONS POND DRIVE FRANKLIN LAKES NJ 07417 CLAIMS ADMINISTRATOR 247464 ROBEIN URANN SPENCER PICARD & CANGEMI 2540 SEVERN AVE SUITE 400 METAIRIE LA 70009 LEGAL SERVICE 126490 CENTRAL DATA SERVICES 5 HOT METAL STREET SUITE 200 PITTSBURGH PA 15203 THIRD PARTY ADMINISTRATOR 104875 5 EMPLOYER CONTRIBUTIONS 525100 25181921 25181921 RETIREE CONTRIBUTIONS 525100 140540 140540 OTHER INCOME 900099 2191 2191 25324652 1142669 1142669 45504995 45508527 -3532 -3532 -3532 26463789 25324652 0 1139137 16407001 432840 126490 104875 79042 1321522 51229 31647 16244 FEES MANDATED BY ACA 13516 18584406 12873817 2161018 10950839 4126373 3312793 5224 3911 13881257 27547335 33047689 41814878 118968 148858 2606807 2644006 2725775 2792864 X 0 0 0 0 30321914 39022014 30321914 39022014 33047689 41814878 7879383 820717 0 X X 0 1 X 1 0 0 AFFORDABLE CARE ACT FEE LIABILITY 13516 DUE TO RELATED PARTIES 2439394 BANK OVERDRAFT 191096 2644006 X 27205464 820717 820717 26384747 79042 79042 26463789 18505364 0 18505364 79042 79042 18584406 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 TO 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 LAWRENCE PEACOCK UNION TRUSTEE 0 130681 0 0 0 0 0 47299 0 19812 0 197792 0 0 CHIP FLEETWOOD UNION TRUSTEE 0 110174 0 0 0 0 0 51690 0 11909 0 173773 0 0 FORM 990, PART V, LINE 2A AND 2B: SOME WELFARE BENEFITS PAID BY SOUTHERN PAINTERS WELFARE FUND ARE TAXABLE TO PARTICIPANTS AND MUST BE REPORTED ON FORM W-2. FORMS WERE ISSUED FOR THE 2024 PLAN YEAR. FORM 990, PART VI, SECTION B, LINE 11B SOUTHERN PAINTERS WELFARE FUND'S FORM 990 IS PREPARED BY ITS INDEPENDENT PUBLIC ACCOUNTANT, WHO THEN FORWARDS THE COMPLETED RETURN TO THE FUND'S GOVERNING BODY FOR REVIEW AND SIGNATURE. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION MONITORS ITS CONFLICT OF INTEREST POLICY ANNUALLY. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. 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