2017-04-25T15:11:52-05:00 2016-06-30 061298465 SM ESPOSITO & CO PC 3013 DIXWELL AVENUE HAMDEN CT 06518 990 2015-07-01 060683663 LOCAL 559 HEALTH SERVICE AND INSURANCE PLAN LOCA 8602893409 400 CHAPEL ROAD UNIT 2-A SOUTH WINDSOR CT 06074 JOHN LUPACCHINO UNION TRUSTEE 8602893409 2017-04-25 1 DANA HARVEY CPA P01452206 2033877771 2017-04-25 2015 2021-01-29 14:40:06Z JOHN LUPACCHINO 400 CHAPEL ROAD UNIT 2-A SOUTH WINDSOR CT 06074 24597696 0 X N/A X 1958 CT SELF-INSURED HEALTH BENEFIT PLAN 4 3 4 0 0 -24712 0 0 6488139 6867835 1535463 1720089 3365 0 8026967 8587924 0 0 5614305 7005971 287883 304332 0 0 0 438783 652849 6340971 7963152 1685996 624772 23676697 22778160 839677 1030774 22837020 21747386 PROVIDE SELF INSURED HEALTH BENEFITS TO MEMBERS COVERED UNDER A COLLECTIVE BARGAINING AGREEMENT NEGOTIATED BY THE TEAMSTER LOCAL 559 UNION. 0 0 PROVIDES INSURED AND SELF-INSURED MEDICAL, DEATH AND LIFEINSURANCE BENEFITS TO 1,156 MEMBERS AND THEIR DEPENDENTS. 0 0 0 0 0 0 0 0 0 1 1 0 0 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 0 0 4 1 0 0 0 0 0 0 X 4 3 0 0 0 0 0 0 0 1 0 0 0 1 0 1 1 0 0 0 X JOHN LUPACCHINO 8602893409 400 CHAPEL ROAD UNIT 2-A SOUTH WINDSOR CT 06074 JOHN LUPACCHINO UNION TRUSTEE 4.00 60.00 X 0 104433 41475 DANIEL DURSO UNION TRUSTEE 4.00 4.00 X 605 0 0 CRAIG TIMPSON EMPLOYER TRUSTEE 2.00 X 0 0 0 DONALD SHUBERT EMPLOYER TRUSTEE 2.00 X 0 0 0 605 104433 41475 0 0 0 0 MORGAN STANLEY 1300 FRANKLIN AVE GARDEN CITY NY 11530 INVESTMENT CONSULTING 150249 ANTHEM BLUE CROSS BLUE SHIELD 1351 WM HOWARD TAFT RD CINCINNATI OH 45206 CLAIM REPRICING & ADMIN 131622 2 EMPLOYER CONTRIBUTIONS 900099 6647075 6647075 SPECIAL RETIREE CONTRIBUTIONS 900099 149450 149450 AFFILIATED RENTAL INCOME 900099 28472 28472 COBRA CONTRIBUTIONS 900099 24394 24394 PAYROLL AUDIT CONTRIBUTIONS 900099 18444 18444 6867835 564602 564602 17165259 16009772 1155487 1155487 1155487 8587924 6867835 0 1720089 7005971 162489 65171 62642 14030 7150 153454 410850 12554 50935 4062 1863 11981 7963152 237621 147570 1165142 1721951 578452 574618 1942 2315 384297 356610 17949 27687 21478824 18701340 1540586 196767 62093 23676697 22778160 30699 35599 808978 995175 839677 1030774 X 0 0 0 0 22837020 21747386 22837020 21747386 23676697 22778160 624772 -1714406 0 X X 0 1 X 1 0 333804 317395 16409 50493 39215 11278 27687 SKYBRIDGE CAPITAL MULTI ADVISOR SER G LP 757420 F MORGAN STANLEY AIP GP LP 783166 F 1540586 HEALTH CLAIMS PAYABLE; INCURRED BUT NOT REPORTED 753700 ACCUMULATED ELIGIBILITY CREDITS 118367 DUE FROM PARTICIPATING HEALTH SERVICE 80507 DUE FROM AFFILIATE 42601 995175 X 6720063 -1714406 -1714406 8434469 153454 1 153455 8587924 7693332 0 7693332 153454 116366 269820 7963152 PART X, LINE 2: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE THE PLAN TO EVALUATE TAX POSITIONS TAKEN AND TO RECOGNIZE A TAX LIABILITY FOR ANY UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY TAX AUTHORITIES; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. THE PLAN BELIEVES THAT THE INCOME TAX RETURNS FOR YEARS ENDED JUNE 30, 2012 AND PRIOR ARE CLOSED YEARS AND THEREFORE, ARE NOT SUBJECT TO THE AUDIT PROCESS. FORM 990, SCH D, PART XII, LINE 2D CHANGE IN BENFIT OBLIGATIONS. FORM 990, PART VI, SECTION A, LINE 8B THERE IS NO APPLICABLE COMMITTEE WITH THE AUTHORITY TO ACT ON BEHALF OF THE EXECUTIVE BOARD FOR WHICH MINUTES WOULD NEED TO BE RECORDED. FORM 990, PART VI, SECTION B, LINE 11 FORM 990 IS REVIEWED IN PERSON WITH CERTAIN MEMBERS OF THE BOARD OF TRUSTEES PRIOR TO FILING OF THE RETURN. FORM 990, PART VI, SECTION C, LINE 19 THE HEALTH SERVICE & INSURANCE PLAN DOES NOT MAKE AVAILABLE TO THE GENERAL PUBLIC ANY OF ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY OR FINANCIAL STATEMENTS. FORM 990, PART X11, LINE 2C OVERSIGHT RESPONSIBILITY THERE HAS BEEN NO CHANGE IN THE OVERSIGHT RESPONSIBILITY. THE TRUSTEE'S ASSUME RESPONSIBILITY FOR THE AUDIT PROCESS INCLUDING SELECTION OF THE INDEPENDENT AUDITOR. 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