2017-10-09T06:46:19-05:00 2016-12-31 350921680 CROWE HORWATH LLP 175 POWDER FOREST DR SIMSBURY CT 06089 990 2016-01-01 042214296 MASSACHUSETTS LABORERS' HEALTH & WELFARE FUND MASS 7812721000 1400 District Avenue No 200 BURLINGTON MA 018035236 LOUIS MANDARINI III FUND ADMINISTRATOR 7812721000 2017-09-29 1 Richard Buggy P00512316 8606789200 159.246.20.2 2017-09-29 06:06:04 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 5E03C4FDC8BB753D9785256DAAB91FAD88655BF0 2016 2021-01-29 14:40:06Z X Louis Mandarini III 1400 District Avenue No 200 BURLINGTON MA 018035236 221882597 0 X N/A X 1952 MA TO PROVIDE HEALTH AND WELFARE BENEFITS FOR MEMBERS OF THE UNION, THEIR FAMILIES AND DEPENDENTS. 8 8 37 0 0 0 0 0 114222128 117489368 4288498 8026487 0 0 118510626 125515855 0 0 118824823 121882027 1793006 1819760 0 0 0 5566304 6045757 126184133 129747544 -7673507 -4231689 383839904 405119724 217488329 228184674 166351575 176935050 TO PROVIDE HEALTH AND WELFARE BENEFITS FOR MEMBERS OF THE UNION, THEIR FAMILIES AND DEPENDENTS. 0 0 TO PROVIDE HEALTH AND WELFARE BENEFITS FOR MEMBERS OF THE UNION, THEIR FAMILIES AND 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 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 21 0 1 37 1 0 0 0 0 0 0 X 8 8 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X Louis Mandarini III FUND ADMINISTRATOR 7812721000 1400 District Avenue BURLINGTON MA 018035236 LOUIS MANDARINI JR CHAIRMAN 1.00 X X 0 0 0 JOSEPH BONFIGLIO CO-CHAIRMAN 1.00 X X 0 0 0 THOMAS J GUNNING CO-SECR./TREAS. 1.00 X X 0 0 0 THOMAS C TROY JR TRUSTEE 1.00 X 0 0 0 MATTHEW MCCOURT TRUSTEE 1.00 X 0 0 0 DONALD C COOK JR TRUSTEE 1.00 X 0 0 0 Steven Gentilucci TRUSTEE 1.00 X 0 0 0 THOMAS ANDREWS TRUSTEE 1.00 X 0 0 0 JEFFREY CORCORAN RESIGNED 5242016 TRUSTEE 1.00 X 0 0 0 BARRY MCANARNEY EXECUTIVE DIRECTOR 18.00 X 100674 99547 68854 JAMES V MORGAN IT DIRECTOR/CO EXECUTIVE D 26.00 X 73364 39504 45354 Kate Fossel Director of H&W 40.00 X 84306 0 39685 258344 139051 153893 1 0 1 0 BLUE CROSS BLUE SHIELD OF MASS 101 HUNTINGTON AVENUE BOSTON MA 021997611 NETWORK ACCESS/ADMIN. 4300531 SEGAL COMPANY PO BOX 4059 CHURCH STREET STATION NEW YORK NY 102614059 CONSULTING 227279 Innovative Software Solutions Inc 3000 Lenola Road Maple Shade NJ 08052 SYSTEMS CONSULTING 111641 3 EMPLOYER CONTRIBUTIONS 525100 115342842 115342842 RETIREE AND COBRA CONTRIBUTIONS 525100 2146526 2146526 117489368 2414413 2414413 101978816 96366742 5612074 5612074 5612074 125515855 117489368 0 8026487 121882027 1292696 431339 95725 227554 64062 396783 392273 215666 48650 169718 16868 73940 39167 56352 BCBS ACCESS AND ADMIN. 4300531 RENTAL EXPENSE 30553 MISCELLANEOUS EXPENSE 10094 DUES AND SUBSCRIPTIONS 3546 129747544 6718349 9245569 11622020 11105912 29858 19922 1194965 904210 266107 290755 364363093 384457566 840477 0 383839904 405119724 509432 4358223 216978897 223826451 217488329 228184674 X 0 0 0 0 166351575 176935050 166351575 176935050 383839904 405119724 -4231689 14815164 0 X X 0 1 X 1 0 129598 129598 0 1065367 774612 290755 290755 COMMON COLLECTIVE TRUSTS 248167077 F REGISTERED INVESTMENT COMPANY 37758502 F LIMITED PARTNERSHIP 49551264 F LIMITED LIABILITY COMPANIES 25720310 F BONDS AND NOTES 12742855 F US GOVERNMENT SECURITIES 8881633 F MUNICIPAL BONDS 1635925 F 384457566 LIABILITY FOR FUTURE BENEFITS 125356200 LIABILITY FOR UNPROCESSED CLAIMS AND IBNR 11954000 POST-RETIREMENT BENEFITS OBLIGATION 86516251 223826451 X 139934236 14815164 14815164 125119072 396783 396783 125515855 122503207 0 122503207 396783 6847554 7244337 129747544 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. The plan administrator has analyzed the tax positions taken by the Plan, and has concluded that as of December 31, 2016 and 2015, 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. The Plan is subject to routine audits by taxing jurisdictions; however, there are currently no audits for any tax periods in progress. 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 6,847,554. X 0 0 0 BARRY MCANARNEY EXECUTIVE DIRECTOR 100674 99547 0 0 0 0 23500 0 20409 24945 144583 124492 0 0 JAMES V MORGAN IT DIRECTOR/CO EXECUTIVE D 73364 39504 0 0 0 0 0 0 29480 15874 102844 55378 0 0 Form 990, Part VI, Section B, line 11b THE INITIAL REVIEW OF THE FORM 990 IS PERFORMED BY THE ACCOUNTING/AUDITING DIRECTOR AFTER THE INDEPENDENT AUDITORS HAVE PREPARED AND PROCESSED THE TAX RETURN. THE EXECUTIVE DIRECTOR PERFORMS A FINAL REVIEW BEFORE THE FORM 990 IS FILED. AT THE FIRST BOARD MEETING FOLLOWING THE FILING OF THE RETURN, FORM 990 IS PRESENTED BY THE EXECUTIVE DIRECTOR, AT WHICH TIME THE BOARD DISCUSSES AND APPROVES THE RETURN AS FILED. Form 990, Part VI, Section B, line 12c EACH TRUSTEE AND MEMBER OF THE BOARD MUST ANNUALLY SIGN A STATEMENT WHICH AFFIRMS THAT A COPY OF THE CONFLICT OF INTEREST POLICY WAS RECEIVED AND READ, AND ANY POTENTIAL CONFLICT OF INTEREST MUST BE DISCLOSED. EACH TRUSTEE AND MEMBER MUST ALSO AFFIRM THAT THEY UNDERSTAND THE CONFLICT OF INTEREST POLICY AND AGREE TO COMPLY WITH ITS PROVISIONS. POTENTIAL CONFLICTS BROUGHT BEFORE THE BOARD ARE REVIEWED AND APPROPRIATE RESOLUTION, CORRECTIVE ACTION OR DISCIPLINARY ACTION IS TAKEN AS NECESSARY. Form 990, Part VI, Section B, line 15 A YEARLY MEETING IS HELD WITH THE ADMINISTRATIVE COMMITTEE AND THE BOARD OF TRUSTEES TO REVIEW PERFORMANCE AND TO DETERMINE COMPENSATION FOR THE EXECUTIVE DIRECTOR AND KEY EMPLOYEES. Form 990, Part VI, Section C, line 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, FORM 990, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XII, LINE 2C: THE BOARD OF TRUSTEES ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF THE ORGANIZATION'S FINANCIAL STATEMENTS, AND FOR THE SELECTION OF AN INDEPENDENT AUDITING FIRM. Boston Contract Drilling LLC MA Boston Demolition Service Company LLC MA Pipe Line Technology LLC NJ Boston Chimney & Tower Co LLC MA Building Wreckers Local 1421 LAB INTNL UNION N A LOCAL 17 LABORERS LOCAL 1298 LABORERS' LOCAL 190 BNFT FUNDS LABORERS LOCAL 754 LABORERS NATIONAL PENSION FUND LABORERS' PENSION - BURLINGTON INVESTMENT CORP 1400 District Avenue Suite 200 BURLINGTON MA 018035236 043249480 REAL ESTATE TITLE HOLDING COMPANY MA 501(c)(25) N/A N/A 0 Lawrence Housing Authority LOCAL 1285 LOCAL 133 LOCAL 138 LOCAL 151 LOCAL 175 LOCAL 22 LOCAL 223 LOCAL 243 LOCAL 327 LOCAL 385 LOCAL 39 LOCAL 429 LOCAL 473 LOCAL 560 LOCAL 596 LOCAL 609 LOCAL 610 LOCAL 668 LOCAL 721 Local 876 LOCAL 88 LOCAL 976 LOCAL 999 Lowell Housing Authority MASS LABORERS BENEFIT FUNDS MASS LABORERS UNIFIED TRST FND MASSACHUSETTS LABORERS' ANNUITY FUND 1400 District Avenue Suite 200 BURLINGTON MA 018035236 046553616 ANNUITY FUND MA 401(A); 501(A) N/A N/A 0 MASSACHUSETTS LABORERS' LEGAL SERVICES FUND 1400 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