2017-11-01T10:41:25-05:00 2016-12-31 611436956 NOVAK FRANCELLA LLC ONE PRESIDENTIAL BLVD SUITE 330 BALA CYNWYD PA 19004 990 2016-01-01 223143027 district 1199j new jersey health care employers benefit fund DIST 9732424450 9-25 Alling street Newark NJ 07102 BARBARA SMALL executive director 9732424450 2017-11-01 1 Louis Verzella CPA P00360279 6106689400 2017-10-07 162.211.205.39 2017-11-01 10:30:56 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 19998950A844A1ED5F18EB360E4E9E4F9906FFA9 2016 2021-01-29 14:40:06Z barabara small 9-25 Alling street Newark NJ 07102 76763462 0 X N/A X 1991 NJ TO PROVIDE HOSPITAL, MAJOR MEDICAL, DENTAL, PRESCRIPTION DRUG, VISION, LIFE INSURANCE AND OTHER MEDICAL BENEFITS TO ELIGIBLE PARTICIPANTS. 7 3 0 0 0 0 0 0 30947626 30549657 46745 57139 436 557 30994807 30607353 0 0 29900099 29539520 950075 989215 0 0 0 1198801 1078847 32048975 31607582 -1054168 -1000229 21828424 20698446 358329 209314 21470095 20489132 TO PROVIDE HOSPITAL, MAJOR MEDICAL, DENTAL, PRESCRIPTION DRUG, VISION, LIFE INSURANCE AND OTHER MEDICAL BENEFITS TO ELIGIBLE PARTICIPANTS. 0 0 TO PROVIDE HOSPITAL, MAJOR MEDICAL, DENTAL, PRESCRIPTION DRUG, VISION, LIFE INSURANCE AND OTHER MEDICAL BENEFITS TO ELIGIBLE PARTICIPANTS. 0 0 0 0 0 0 0 0 0 1 0 0 1 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 81 0 0 0 0 0 0 0 0 X 7 3 0 0 0 0 0 0 0 1 0 0 0 1 0 1 1 0 0 0 X barbara small 9732424450 9-25 Alling street newark NJ 07102 ARNOLD D MANZO TRUSTEE 2.00 X 0 0 0 STEVE IZZO TRUSTEE 2.00 X 0 0 0 SUSAN M CLEARY TRUSTEE 2.00 40.00 X 0 114111 0 CRAIG A FORD TRUSTEE 2.00 40.00 X 0 104642 0 PHYLLIS SHIVERS TRUSTEE 2.00 40.00 X 0 84307 0 RICHARD MORREALE TRUSTEE 2.00 40.00 X 0 84307 0 ZACHARY LIPNER TRUSTEE 2.00 X 0 0 0 BARBARA SMALL EXECUTIVE DIRECTOR 40.00 X 0 0 0 0 387367 0 0 0 0 0 HORIZON HEALTHCARE SERVICES 3 PENN PLAZA EAST PPA-04V NEWARK NJ 07105 CLAIMS ADMINISTRATION 1435774 EXPRESS SCRIPTS ONE EXPRESS WAY ST LOUIS MO 63121 CLAIMS ADMINISTRATION 267347 MILLIMAN INC ONE PENN PLAZA 38TH FLR NEW YORK NY 10119 ACTUARIAL 138433 OXFELD COHEN PC 60 PARK PLACE STE 600 NEWARK NJ 07102 LEGAL 113380 4 EMPLOYER CONTRIBUTIONS 525100 30445869 30445869 COBRA CONTRIBUTIONS 525100 103788 103788 30549657 81174 81174 46132074 46156109 -24035 -24035 -24035 OTHER INCOME 900099 557 557 557 30607353 30549657 0 57696 29539520 695313 53344 173422 67136 188980 33539 48116 146231 117112 54725 159893 23971 17014 89830 FEES MANDATED BY THE AF 199436 31607582 2138736 2130836 12144520 7467673 3646882 4871142 39093 75188 480817 457044 40787 23773 2945361 4554404 89074 873045 1486356 21828424 20698446 42083 11136 316246 198178 358329 209314 X 21470095 20489132 21470095 20489132 21828424 20698446 -1000229 19266 0 X X 0 1 X 1 0 403202 379429 23773 77615 77615 0 23773 DEPOSITS 665686 RENTAL ESCROW 8342 ACCRUED INTEREST AND DIVIDENDS 10195 PRESCRIPTION REBATES 752133 SECURITIES SOLD AND NOT SETTLED 50000 1486356 DUE TO AFFILIATES 17521 FEES MANDATED BY THE AFFORDABLE CARE ACT 180657 198178 X 30578503 19266 19266 30559237 48116 48116 30607353 31559466 0 31559466 48116 48116 31607582 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. Form 990, Part VI, Section A, line 8b THE FUND HAS NO COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. Form 990, Part VI, Section B, line 11b THE FUND'S 990 IS PREPARED BY ITS OUTSIDE AUDITOR AND SUBMITTED TO THE EXECUTIVE DIRECTOR. THE EXECUTIVE DIRECTOR THEN REVIEWS IT WITH THE BOARD OF TRUSTEES PRIOR TO FILING. Form 990, Part VI, Section C, line 19 THE FUND'S GOVERNING DOCUMENTS, POLICIES AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. Form 990, Part XII, Line 2c: THE BOARD OF TRUSTEES ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND SELECTION OF THE INDEPENDENT AUDITOR. THIS PROCESS HAS NOT CHNAGED FROM THE PRIOR YEAR. DISTRICT 1199J NEW JERSEY HEALTH CARE EMPLOYERS PENSION PLAN 9-25 ALLING STREET NEWARK NJ 07102 223095464 TO PROVIDE PENSION BENEFITS TO ELIGIBLE MEMBERS AND THEIR BENEFICIARIES NJ 501(A) 0 DISTRICT 1199J PENSION FUND TITLE HOLDING COMPANY 9-25 ALLING STREET NEWARK NJ 07102 223619686 OFFICE SPACE FOR UNION ACTIVITIES NJ 501(C)(2) 0 DISTRICT 1199J TRAINING & DEVELOPMENT FUND 9-25 ALLING STREET NEWARK NJ 07102 222858377 TO PROVIDE EDUCATIONAL BENEFITS TO ELIGIBLE MEMBERS NJ 501(C)(9) 0 DISTRICT 1199J NUHHCE AFSCME AFL-CIO 9-25 ALLING STREET NEWARK NJ 07102 222180099 REPRESENTS MEMBERS IN COLLECTIVE BARGAINING MATTERS WITH EMPLOYERS NJ 501(C)(5) 0 TITAN FACILITY SERVICES Clara Maas Memorial Ho Newark Beth Israel Medi Saint Barnabas Hospital Daughters of Miriam Elizabeth Nursing Home Daughters of Israel Ger Sodexho AT St Michael's Pine Acres Nursing Home Sodexho USA Inc CMS AT Pine Acres Nursin Green Hill Memorial Cen Cornell Hall Convalesce Comprehensive Cleaning Princeton Care Center Hackensack UMC Mountain Inglemoor Care Ctr of L Delaney Hall The Harbor House Logan Hall Tully House Waterview Center Healthcare Services Gro CEC AT Talbot Hall Capital Health Regional Vantage Health Services PRIME HEALTHSERVICES 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0 0 DISTRICT 1199J NEW JERSEY HEALTH CARE EMPLOYERS PENSION FUND P 210785 FMV DISTRICT 1199J NEW JERSEY HEALTH CARE EMPLOYERS PENSION FUND O 989215 FMV DISTRICT 1199J PENSION FUND TITLE HOLDING COMPANY K 159983 FMV