2017-11-13T11:22:50-06:00 2016-12-31 131578842 BUCHBINDER TUNICK & CO LLP ONE PENN PLAZA - SUITE 3500 NEW YORK NY 101193601 990 2016-01-01 221461069 TRUCKING EMPLOYEES OF NORTH JERSEY WELFARE FUND TRUC 2018673553 707 SUMMIT AVE UNION CITY NJ 07087 ROBERT BLUMENFELD FUND ADMINISTRATOR 2018673553 2017-11-06 1 P01366109 2126955003 38.142.119.26 2017-11-06 11:36:19 ES P 2B4D4A18B74C7DE564883AA55A93403797D9AF05 300CDC618CDDB0A58958200700C4D129290889D7 2016 2017-02-10 21:41:12Z ROBERT BLUMENFELD 707 SUMMIT AVE UNION CITY NJ 07087 97720907 0 X WWW.560BENEFITFUNDS.COM X 1948 NJ TO PROVIDE HEALTH BENEFITS TO ELIGIBLE PARTICIPANTS. 6 4 30 0 0 0 0 0 17759371 18187161 680126 5936724 1096486 656194 19535983 24780079 0 0 18577542 18575058 894702 876041 0 0 0 791275 752495 20263519 20203594 -727536 4576485 42522995 41511914 3416173 3016830 39106822 38495084 TO PROVIDE HEALTH BENEFITS TO ELIGIBLE PARTICIPANTS. 0 0 TO PROVIDE HEALTH BENEFITS TO ELIGIBLE PARTICIPANTS. 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 1 539 0 1 30 1 0 0 0 0 0 0 X 6 4 0 0 0 0 1 0 0 1 0 0 0 1 1 1 1 0 1 1 1 0 X ROBERT BLUMENFELD 2018671447 707 SUMMIT AVENUE UNION CITY NJ 07087 ANTHONY VALDNER UNION TRUSTEE 2.00 40.00 X 0 102821 73009 LAMAR E BEINHOWER EMPLOYER TRUSTEE 1.00 X 0 0 0 EDWIN H STIER UNION TRUSTEE 1.00 X 0 0 0 CRAIG COHEN EMPLOYER TRUSTEE 1.00 X 0 0 0 KEVIN BIGLEY UNION TRUSTEE ALTERNATE 1.00 40.00 X 0 95055 70254 CHARLES D'ANGELO UNION TRUSTEE 1.00 40.00 X 0 19913 13821 GEORGE KREIS EMPLOYER TRUSTEE ALTERNATE 1.00 X 0 0 0 JOSEPH DEPALMA UNION TRUSTEE 1.00 X 0 0 0 ROBERT BLUMENFELD FUND ADMINISTRATOR 12.00 X 204072 0 64977 BRIAN MCCLOSKEY CHIEF FINANCIAL OFFICER 13.00 X 152239 0 60567 356311 217789 282628 2 0 1 0 HORIZON BLUE CROSS BLUE SHIELD PO BOX 15306 NEWARK NJ 07105 HEALTH CARE PROVIDER 412627 CHANGE HEALTHCARE SOLUTIONS LLC 3055 LEBANON PIKE NASHVILLE TN 37214 CLAIMS REPRICING AGENT 315136 SEGAL COMPANY 333 WEST 3TH STREET NEW YORK NY 10001 ACTUARY 111998 3 EMPLOYER CONTRIBUTIONS 525100 14845075 14845075 PARTICIPANT CONTRIBUTIONS 525100 2285659 2285659 PARTICIPANT RX CONTRIBUTIONS 525100 873181 873181 COBRA CONTRIBUTIONS 525100 183246 183246 18187161 769504 769504 78108048 72940828 5167220 5167220 5167220 PRESCRIPTION REBATE INCOME 525100 471713 471713 OTHER REVENUE 525100 184481 184481 656194 24780079 18843355 0 5936724 18575058 269049 285230 124940 156842 39980 99358 36000 91240 121350 163438 106867 81585 1441 14629 35472 DUES AND SUBSCRIPTIONS 1115 20203594 1563126 1802707 1134127 1044774 23599 25155 265362 235025 37951 30337 37540653 38773309 990883 1068288 42522995 41511914 205046 200630 3211127 2816200 3416173 3016830 X 0 0 0 0 39106822 38495084 39106822 38495084 42522995 41511914 4576485 -5188223 0 X X 0 1 X 1 0 44272 38365 5907 196216 175442 20774 24874 21218 3656 30337 CLAIMS PAYABLE AND CLAIMS INCURRED BUT NOT REPORTED 2816200 2816200 X 19500616 -5188223 -5188223 24688839 91240 91240 24780079 20507281 0 20507281 91240 -394927 -303687 20203594 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 IRS. THE PLAN ADMINISTRATOR HAS ANALYZED THE TAX POSITIONS TAKEN BY THE PLAN, AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2016, 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. EMPLOYEE BENEFIT PLANS ARE SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS FOR THE PLAN. THE PLAN ADMINISTRATOR BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO 2013. PART XII, LINE 4B - OTHER ADJUSTMENTS: CHANGE IN BENEFIT OBLIGATIONS -394,927. X 0 0 0 ANTHONY VALDNER UNION TRUSTEE 0 101457 0 0 0 1364 0 51427 0 21582 0 175830 0 0 KEVIN BIGLEY UNION TRUSTEE ALTERNATE 0 94371 0 0 0 684 0 49043 0 21211 0 165309 0 0 ROBERT BLUMENFELD FUND ADMINISTRATOR 204072 0 0 0 0 0 42187 0 22790 0 269049 0 0 0 BRIAN MCCLOSKEY CHIEF FINANCIAL OFFICER 152239 0 0 0 0 0 37777 0 22790 0 212806 0 0 0 FORM 990, PART VI, SECTION A, LINE 6 THE FUND HAS PARTICIPANTS. FORM 990, PART VI, SECTION A, LINE 8B THE ORGANIZATION DOES NOT HAVE ANY COMMITTEES WITH THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BOARD. FORM 990, PART VI, SECTION B, LINE 11B A COPY OF THE FORM 990 WAS PROVIDED TO THE TRUSTEES OF THE ORGANIZATION BEFORE IT WAS FILED. FORM 990, PART VI, SECTION B, LINE 12C THE PLAN IS BOUND BY ERISA PROHIBITED TRANSACTION RULES WHICH PRECLUDE THE PLAN FROM ENGAGING IN ANY NON-EXEMPT PARTY IN INTEREST TRANSACTIONS. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF TRUSTEES REVIEWS THE SALARY INCREASES ANNUALLY FOR ALL MANAGERS BASED ON PERFORMANCE, MARKET FORCES AND INDUSTRY PERFORMANCE. LAST REVIEW WAS DONE IN 2016. FORM 990, PART VI, SECTION C, LINE 19 THE FINANCIAL STATEMENTS ARE PROVIDED TO PARTICIPANTS AND OTHER INTERESTED PARTIES UPON REQUEST. FORM 990, PART XII, LINE 2C: THE BOARD OF TRUSTEES ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND THE SELECTION OF THE INDEPENDENT AUDITOR. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. TRUCKING EMPLOYEES OF NORTH JERSEY PENSION FUND 707 SUMMIT AVENUE UNION CITY NJ 07087 226063702 TO PROVIDE PENSION BENEFITS NJ 501A N/A 0 TEAMSTERS LOCAL 408 WELFARE FUND TEAMSTERS JOINT COUNCIL NO 73 LOCAL ONE LITHOGRAPHERS INT'L BROTHERHOOD OF TEAMSTERS LOCAL NO 560 BETHESDA MEMORIAL HOSPITAL BEEBE MEDICAL CENTER ATLANTIC HEALTH SYSTEM ENGLEWOOD HOSPITAL HACKENSACK UNIVERSITY MED CENTER LEHIGH VALLEY HOSPITAL LOCAL 469 MERIDIAN HOSPITALS CORP OSCEOLA REGIONAL HOSPITAL POCONO MEDICAL CENTER KESSLER TRUCKING CO LLC HAVILAND LAW FIRM LLC LACKAWANNA MEDICAL GROUP THE HILLIS GROUP LLC A VENIERO & SONS ABF FREIGHT SYSTEMS INC AMERICAN BRIDGE COMPANY AMERICAN PILE AND FOUNDATION ANSELMI AND DECICCO INC ASPEN LANDSCAPING CONST INC BAY CRANE SERVICE OF NJ CALIBER AUTO TRANSFER CASSENS TRANSPORT COMPANY CHINA CONSTRUCTION CONSOLIDATED PERSONNEL CORP CREAMER SANZARI-JOINT VENTURE CRUZ CONTRACTING DI CLEMENTE CONTRACTORS INC EASTERN CONCRETE MATERIALS INC ENTACT LLC EQ NORTHEAST INC FERRARA WEST LLC FERREIRA CONST CO INC GROVE CONSTRUCTION HUDSON NEWS DISTRIBUTORS LLC J & D TRUCKING INC J DANNUNZIO AND SONS INC J FLETCHER CREAMER & SONINC J SUPOR & SON TRUCK JACK COOPER TRANSPORT CO INC JANSONS ASSOCIATES INC JOSEPH M SANZARI INC KEMSCO EQUIPMENT COINC LVI DEMOLITION SERVICES INC MH DRIVERS LLC NABISCO BISCUIT COMPANY NEW MEADOWLANDS STADIUM CO NEW PRINCE CONCRETE CONST CO INC PARAGON IRON INC PETILLO INCORPORATED ROADWAY EXPRESS INC SCAFAR CONTRACTING INC SCHIAVONE CONSTRUCTION COMPANY SEVENSON ENVR SERVICES SKANSKA KIEWIT SKANSKA SNC LAVALIN SLOAN AND COMPANY INC THE IDEAL SUPPLY CO UNION PAVING & CONSTRUCTION COINC VOLLERS EXCAVATING & CONSTRUCTING INC DNC CORP GLEMNY TORRES JUDLAU CONTRACTING KESSLER INSTITUTE FOR REHAB LEAVE OF ABSENCE LINCARE MUNOZ TRUCKING CORP PARSONS SOLAR MITE ELECTRICAL CONTRACT 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 0 0 TRUCKING EMPLOYEES OF NORTH JERSEY WELFARE FUND INC-PENSION FUND N 62586 TRUCKING EMPLOYEES OF NORTH JERSEY WELFARE FUND INC-PENSION FUND O 409593 TRUCKING EMPLOYEES OF NORTH JERSEY WELFARE FUND INC-PENSION FUND Q 585347