2017-11-08T10:04:14-08:00 2017-03-31 Schultheis & Panettieri LLP 210 Marcus Boulevard Hauppauge NY 117883740 990 2016-04-01 221481564 HEAVY & GENERAL LABORERS LOCAL 472 & LOCAL 172 OF NEW JERSEY WELFARE FUND HEAV 9735895050 700 RAYMOND BOULEVARD NEWARK NJ 07105 ROBERT CALAMARI ASST. GENL MGR 2017-11-08 true CAROL WESTFALL P00539069 6312734778 2016 2018-03-14 21:41:22Z 257070510 false false X N/A X 1950 NJ THE PURPOSE OF THE PLAN IS TO PROVIDE MEDICAL BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS. 10 10 55 0 0 145425552 146800045 2272798 3714501 171050 137791 147869400 150652337 0 123862061 130203633 6390757 6416475 0 0 -747595 -1034007 129505223 135586101 18364177 15066236 180011019 198561133 31988199 30382581 148022820 168178552 THE PURPOSE OF THE PLAN IS TO PROVIDE MEDICAL BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS. false false THE PURPOSE OF THE PLAN IS TO PROVIDE MEDICAL BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS. false false false false false false false false false false true true false false true false true false false false false false false false false false false false false true false false false false false false false false false false true false false false false false true false false false false true 1998 0 true 55 true false false false false false false false false false false false false X 10 10 false false false false false true true true true false false true true true true true true false false false X ROBERT CALAMARI 9735895050 700 RAYMOND BOULEVARD NEWARK NJ 071052909 ANTONIO OLIVEIRA CO-CHAIRMAN 1.00 0.00 X 0 0 0 FRANKLYN M GROSSO -thru 0516 CO-CHAIRMAN 1.00 0.00 X 0 0 0 RAYMOND M POCINO Trustee 1.00 0.00 X 0 0 0 JEFFREY S WATERS Trustee 1.00 0.00 X 0 0 0 CHARLES MOSIER Trustee 1.00 0.00 X 0 0 0 RICHARD l FORMAN -thru 0316 Trustee 1.00 0.00 X 0 0 0 ANTHONY CAPACCIO - EFF 416 Trustee 1.00 0.00 X 0 0 0 DONALD HIBBS - thru 0416 Trustee 1.00 0.00 X 0 0 0 JACK KOCSIS JR CO-CHAIRMAN 1.00 0.00 X 0 0 0 JOSEPH WALSH Trustee 1.00 0.00 X 0 0 0 FRANK CRISCOLA JR - eFF 716 Trustee 1.00 0.00 X 0 0 0 GERARD ISABELLA - EFF 416 Trustee 1.00 0.00 X 0 0 0 NELSON FERREIRA - EFF 316 Trustee 1.00 0.00 X 0 0 0 CHARLES O'NEILL GENERAL MANAGER 21.00 14.00 X 207746 0 67662 ROBERT CALAMARI ASST. GENL MGR 20.00 15.00 X 195892 0 66577 CHARLES FERNS FINANCE MANAGER 14.00 21.00 X 143901 0 61771 BEVERLY CEASER CLAIMS MANAGER 35.00 0.00 X 125138 0 61468 GLENN KENYON MANAGER 18.00 17.00 X 121834 0 62169 THOMAS COTOV LEGAL SERVICES 35.00 17.00 X 186348 0 65949 VINCENT RICAARDI LEGAL SERVICES 35.00 0.00 X 167854 0 64300 1148713 449896 7 false true false HORIZON HEALTHCARE SERVICES INC 3 PENN PLAZA EAST NEWARK NJ 07105 CLAIMS PROCESSOR 2702368 ZAZZALLI FAGELLA 1 RIVERFRONT PLAZA NEWARK NJ 07102 LEGAL 414543 CENTERS FOR MEDICARE AND MEDICAID SERVICES 17500 SECURITY BOULEVARD BALTIMORE MD 21244 MEDICARE/MEDICAID 181785 THE SEGAL COMPANY 333 WEST 34TH ST NEW YORK NY 100012402 ACTUARY 171240 MAGNACARE 1 PENN PLAZA NEW YORK NY 10119 CLAIMS PROCESSOR 115189 6 0 EMPLOYER CONTRIBUTIONS 900099 111709016 111709016 MEDICARE DRUG SUBSIDY 900099 1255503 1255503 PARTICIPANT CONTRIBUTIONS 900099 33833440 33833440 REIMBURSEMENTS 900099 2086 2086 146800045 3343945 3343945 0 0 288000 150209 137791 137791 137791 106638520 106267964 370556 370556 370556 0 0 0 0 150652337 147308392 3343945 0 0 0 130203633 540515 152739 2996307 1618428 811715 296771 0 476815 63000 0 0 282725 155865 0 488066 96856 0 80979 9225 0 43254 0 0 60998 73372 REPAIRS & MAINTENANCE 43613 REIMB EXPENSES -2908775 0 135586101 0 0 0 52002 501 21376643 30317824 0 24093114 22024977 0 0 0 0 1508884 1768276 6863606 1315287 4027679 5548319 119392901 128836647 9559796 10064589 0 0 0 180011019 198561133 3534654 3300717 58827 36906 28394718 27044958 31988199 30382581 X 148022820 168178552 148022820 168178552 180011019 198561133 15066236 5089496 X false true X true false 117829 117829 5242171 5242171 192945 104024 88921 1310661 1211263 99398 5548319 10064589 BENEFIT OBLIGATIONS CURRENTLY PAYAB 20272000 DUE TO RELATED ORGANIZATIONS 774694 NET TRADES PENDING SETTLEMENT 2618341 SEVERANCE BENEFIT LIABILITY-FROZEN 3379923 27044958 155459108 5089496 5089496 150369612 282725 282725 150652337 137459376 137459376 282725 -2156000 -1873275 135586101 X X false false false BEVERLY CEASER CLAIMS MANAGER 125138 42587 18881 186606 CHARLES FERNS FINANCE MANAGER 143901 42890 18881 205672 CHARLES O'NEILL GENERAL MANAGER 199525 8221 48781 18881 275408 GLENN KENYON MANAGER 119940 1894 43288 18881 184003 ROBERT CALAMARI ASST. GENL MGR 192969 2923 47696 18881 262469 THOMAS COTOV LEGAL SERVICES 182075 4273 47068 18881 252297 VINCENT RICAARDI LEGAL SERVICES 163590 4264 45419 18881 232154 Part III, Additional Information CHARLES O'NEILL RECEIVES COMPENSATION AND BENEFITS IN HIS CAPACITY AS GENERAL MANAGER OF THE RELATED PENSION, ANNUITY, WELFARE, AND SET FUNDS. COMPENSATION AND BENEFITS ARE PAID BY THE WELFARE FUND (FILING ORGANIZATION) WITH REIMBURSEMENTS MADE ACCORDINGLY. THE WELFARE FUND'S PORTION OF THESE EXPENSES IS 60% OF THE GROSS AMOUNTS DETAILED ON SCHEDULE J, PART II.ROBERT CALAMARI RECEIVES COMPENSATION AND BENEFITS IN HIS CAPACITY AS ASST. GENERAL MANAGER OF THE RELATED PENSION, ANNUITY, WELFARE, AND SET FUNDS. COMPENSATION AND BENEFITS ARE PAID BY THE WELFARE FUND (FILING ORGANIZATION) WITH REIMBURSEMENTS MADE ACCORDINGLY. THE WELFARE FUND'S PORTION OF THESE EXPENSES IS 56% OF THE GROSS AMOUNTS DETAILED ON SCHEDULE J, PART II. THERESA CALAMARI FAMILY MEMBER 152739 EMPLOYMENT false Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body THE PLAN IS JOINTLY ADMINISTERED BY TRUSTEES WHO ARE APPOINTED BY THE UNION AND BY EMPLOYER ASSOCIATIONS. Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders An Employer Trustee may be removed from office at any time by action of the Employer Associations, or other employers, whichever selected such Employer Trustee. An Employee Trustee may be removed from office at any time by action of the Union. In both cases, written notice of such action must be submitted by the Employer Association, or Union, to the Chairman or Secretary of the trustees. Form 990, Part VI, Line 11b: Form 990 Review Process THE FORM 990 WAS PREPARED IN COORDINATION WITH MANAGEMENT OF THE ORGANIZATION AND WAS REVIEWED WITH THE ORGANIZATION'S BOARD OF TRUSTEES PRIOR TO SUBMISSION. Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts AS REQUIRED BY THE FUND'S POLICY AND BY ERISA; OFFICERS, DIRECTORS, AND KEY EMPLOYEES HAVE A CONTINUOUS OBLIGATION TO REPORT POTENTIAL CONFLICTS OF INTEREST. ADDITIONALLY, IN ACCORDANCE WITH THE FUND'S POLICY, ANNUAL AFFIRMATIONS ARE OBTAINED FROM THE FUND ADMINISTRATOR AND ALL BOARD MEMBERS. Form 990, Part VI, Line 19: Other Organization Documents Publicly Available NO DOCUMENTS AVAILABLE TO PUBLIC. PARTICIPANTS MAY VIEW DOCUMENTS AT THE FUND OFFICE UPON REQUEST TO THE EXTENT REQUIRED BY LAW. H&G LBRS LOC 472 & 172 ANNUITY FD 700 RAYMOND BOULEVARD NEWARK NJ 07105 222331070 PROVIDE RETIREE BENEFITS TO ELIGIBLE PARTICIPANTS NJ 401(A) N/A N/A false H&G LBRS LOC 472 & 172 PENSION FD 700 RAYMOND BOULEVARD NEWARK NJ 07105 226032103 PROVIDE RETIREE BENEFITS TO ELIGIBLE PARTICIPANTS NJ 401(A) n/a N/A false H&G LBRS LOC 472 & 172 SET FD 700 RAYMOND BOULEVARD NEWARK NJ 07105 226171671 PROVIDE APP TRAINING, SKILL IMPROV & SAFETY EDUCATION NJ 501(C)(3) 2 N/A false LABORERS intl union of 472 hcl 700 RAYMOND BOULEVARD NEWARK NJ 07105 221010627 LABOR UNION NJ 501(C)5 N/A NA false LABORERS INTL UNION LOCAL 172 604 BORDENTOWN ROAD TRENTON NJ 08610 210603706 LABOR UNION NJ 501(C)(5) N/A NA false laborers local 235 WELFARE FUND 41 knollwood road ELMSFORD NY 10523 131777458 PROVIDE HEALTH BEN.TO ELIG PARTICIPANTS NY 501(C)(9) N/A NA false LABORERS LOCAL 1298 WELFARE FUND PO BOX 309 HEMPSTEAD NY 11551 112501979 PROVIDE HEALTH BEN.TO ELIG PARTICIPANTS NY 501(C)(9) N/A NA false LIUNA LOCal 17 HEALTH BEN FUND 451-B LITTLE BRITAIN ROAD NEWBURGH NY 12550 146022217 PROVIDE HEALTH BEN.TO ELIG PARTICIPANTS NY 501(C)(9) n/a na false LABORERS LOCAL UNION 158 H&W FUND 2201 FOREST HILLS DRIVE HARRISBURG PA 17112 231608209 PROVIDE HEALTH BEN.TO ELIG PARTICIPANTS PA 501(C)(9) N/A NA false LIUNA LOCAL 754 WELFARE FUND 215 OLD NYACK TURNPIKE CHESTNUT RIDGE NY 10977 131895923 PROVIDE HEALTH BEN.TO ELIG PARTICIPANTS NY 501(C)(9) N/A NA false LIUNA LOCAL 1174 H&W FUND PO BOX 6480 HARRISBURG PA 17112 240856734 PROVIDE HEALTH BEN.TO ELIG PARTICIPANTS PA 501(C)(9) N/A NA false WESTCHESTER HCL LAB LOC 60 H&W FUND 140 BROADWAY HAWTHORNE NY 10532 131737041 PROVIDE HEALTH BEN.TO ELIG PARTICIPANTS NY 501(C)(9) N/A NA false false false false false false false false false false false false false false true true false true false false SCHEDULE R, PART II AND IV: CERTAIN TRUSTEES LISTED ON PART VII, SECTION A, SERVE AS VOLUNTEERS AND DO NOT RECEIVE COMPENSATION FROM THIS ORGANIZATION OR ANY RELATED ORGANIZATION IN THEIR CAPACITY AS TRUSTEES OF THIS ORGANIZATION.CERTAIN TRUSTEES LISTED ON PART VII, SECTION A, DO NOT RECEIVE COMPENSATION FROM THIS ORGANIZATION, BUT DO RECEIVE COMPENSATION FROM NOT FOR PROFIT ORGANIZATIONS IN THEIR CAPACITY AS EMPLOYEES/OFFICERS OF THOSE ORGANIZATIONS. ACCORDINGLY, THEIR COMPENSATION IS REPORTED ON THE FORM 990 OF THOSE ORGANIZATIONS.THE INFORMATION DISCLOSED ON THE ATTACHED SCHEDULES OF RELATED PARTIES IS THAT WHICH WAS AVAILABLE TO THIS ORGANIZATION AT THE TIME OF THIS FILING.