2016-11-14T15:27:57-06:00 2015-12-31 131578842 BUCHBINDER TUNICK & CO LLP ONE PENN PLAZA - SUITE 5335 NEW YORK NY 101190219 990 2015-01-01 050557207 1199 SEIUGREATER NEW YORK JOB SECURITY 1199 6464736365 PO BOX 842 NEW YORK NY 10108 SANDI VITO EXECUTIVE DIRECTOR 6464736365 2016-11-10 1 KENNETH PERLMAN CPA P00293700 2126955003 2015 2017-02-10 21:41:12Z SANDI VITO 330 WEST 42ND ST 2ND FL NEW YORK NY 10036 1362040 0 X HTTP://1199SEIUBENEFITS.ORG X EMPLOYEE BENEFIT PLAN 2003 NY TO PROVIDE SUPPLEMENTAL UNEMPLOYMENT AND OTHER RELATED BENEFITS TO COVERED PARTICIPANTS. 10 10 0 0 0 0 0 0 1375023 1355430 8141 5507 0 1103 1383164 1362040 0 0 127252 428370 0 0 0 0 0 120719 123963 247971 552333 1135193 809707 2445173 3163460 129670 38250 2315503 3125210 THE EXEMPT PURPOSE OF THIS FUND IS TO PROVIDE SUPPLEMENTAL UNEMPLOYMENT AND OTHER RELATED BENEFITS TO COVERED PARTICIPANTS. 0 0 THE EXEMPT PURPOSE OF THIS FUND IS TO PROVIDE SUPPLEMENTAL UNEMPLOYMENT AND OTHER RELATED BENEFITS TO COVERED 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 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 3 0 1 0 0 0 0 0 0 0 0 0 X 10 10 1 0 0 0 0 1 0 1 1 0 0 0 1 1 1 1 1 0 0 0 X MARIA ACOSTA CFO 6464736365 330 WEST 42ND STREET 28TH FL NEW YORK NY 10036 ALLAN SHERMAN UNION TRUSTEE 1.00 5.00 X 0 0 0 JOHN SEALES UNION TRUSTEE 1.00 2.00 X 0 0 0 MICHAEL BALBONI EMPLOYER TRUSTEE 1.00 5.00 X 0 0 0 JACQUELINE ALLEYNE UNION TRUSTEE 1.00 4.00 X 0 0 0 ROBIN ROSEN EMPLOYER TRUSTEE 1.00 5.00 X 0 0 0 WILLIAM PASCOCELLO EMPLOYER TRUSTEE 1.00 4.00 X 0 0 0 DOUG WISSMANN EMPLOYER TRUSTEE 1.00 4.00 X 0 0 0 YVONNE ARMNSTRONG UNIONTRUSTEE 1.00 5.00 X 0 0 0 MILAGROS SILVA UNION TRUSTEE 1.00 3.00 X 0 0 0 ISAAC NORTEY UNION TRUSTEE 1.00 2.00 X 0 0 0 DEBORAH KING EXECUTIVE DIRECTOR 1.00 X 2071 24571 9447 MITRA BEHROOZI CROSS FUNDS EXECUTIVE OFFI 1.00 X 0 59319 22242 DONNA REY CROSS FUNDS CHIEF OPERATING OFFICER 1.00 X 360 39423 15239 FLORENCE WONG DEPUTY DIRECTOR 1.00 X 1249 23397 8280 MARIA ACOSTA CHIEF FINANCIAL OFFICER 1.00 X 262 28685 10902 3942 175395 66110 0 0 0 0 0 EMPLOYERS' CONTRIBUTIO 900099 1355430 1355430 1355430 5507 5507 OTHER INCOME 900099 1103 1103 1103 1362040 1356533 0 5507 428370 15044 25000 5527 SHARED ALLOCATED EXPENS 70446 ALLOC. WAGES, TAXES AND 6729 OTHER EXPENSES 1217 552333 237 1000 2143914 2904867 269198 246964 34249 28268 9404 5981 22420 4648 2445173 3163460 40991 36385 88679 1865 129670 38250 X 0 0 0 0 2315503 3125210 2315503 3125210 2445173 3163460 809707 0 X X 0 1 X 1 0 18910 16445 2465 12300 9825 2475 3039 1998 1041 5981 DUE TO RELATED ENTITIES 1865 1865 X 1362040 0 1362040 0 1362040 552333 0 552333 0 552333 PART X, LINE 2: FORM 990, PART IV, LINE 11F: US GAAP REQUIRE PLAN MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE FUND AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF THE ORGANIZATION HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE. THE PLAN ADMINISTRATOR HAS ANALYZED THE TAX POSITIONS TAKEN BY THE PLAN, AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2015, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF LIABILITY (OR ASSET) OR DISCLOSURE IN 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 2012. FORM 990, PART VI, SECTION A, LINE 2 ALL OF THE UNION TRUSTEES ARE ALSO EMPLOYEES OF 1199SEIU (THE UNION) AND THEREFORE HAVE A BUSINESS RELATIONSHIP WITH EACH OTHER. FORM 990, PART VI, SECTION A, LINE 7A THE UNION TRUSTEES ARE APPOINTED BY 1199SEIU UNITED HEALTHCARE WORKERS EAST, AND THE EMPLOYER TRUSTEES ARE APPOINTED BY THE GREATER NEW YORK HEALTH CARE FACILITIES ASSOCIATION, INC. FORM 990, PART VI, SECTION B, LINE 11 THE CHIEF FINANCIAL OFFICER AND FINANCE TEAM REVIEWS THE DRAFT FORM 990 AND CONFER WITH THE ACCOUNTANTS AND LEGAL COUNSEL TO ENSURE THE ACCURACY OF THE RETURN. ANY CONCERNS ARE NOTED AND ADDRESSED AND MANAGEMENT ENSURES THAT THE CHANGES ARE INCORPORATED IN THE FORM 990. THE COMPLETED FORM 990 IS THEN SIGNED BY THE CHIEF FINANCIAL OFFICER. FORM 990, PART VI, SECTION B, LINE 12C AS OF DECEMBER, 2008, TRUSTEES AND EMPLOYEES ARE REQUIRED TO ANNUALLY DISCLOSE OR UPDATE TO THE EXECUTIVE DIRECTOR, OR DESIGNEE, THEIR INTERESTS THAT COULD GIVE RISE TO CONFLICTS OF INTERESTS. FOR EACH INTEREST DISCLOSED BY A TRUSTEE, THE EXECUTIVE DIRECTOR OR DESIGNEE WILL DETERMINE WHETHER TO (A) TAKE NO ACTION (B) ASSURE FULL DISCLOSURE TO THE TRUSTEES (C) ASK THE TRUSTEE TO BE RECUSED FROM PARTICIPATION IN RELATED DISCUSSIONS OR DECISIONS; AND/OR (D) ASK THE TRUSTEE TO RESIGN. REGARDING EMPLOYEES, COMPLETED CONFLICTS OF INTEREST DISCLOSURE FORMS WILL BE REVIEWED BY THE HUMAN RESOURCES DEPARTMENT AND DISCLOSED CONFLICTS WILL BE REVIEWED BY CHIEF OF HUMAN RESOURCES. FORM 990, PART VI, SECTION B, LINE 15 THE PROCESS FOR DETERMINING THE COMPENSATION OF THE FUNDS EXECUTIVE DIRECTOR AND OTHER KEY EMPLOYEES, IS BASED ON AN EVALUATION OF THE FUNDS BOARD OF TRUSTEES. FORM 990, PART VI, SECTION C, LINE 18 UPON REQUEST, FORM 990, PART VI, SECTION C, LINE 19 SPD AND FINANCIAL REPORTS ARE MADE PUBLIC PURSUANT TO IRS FILING REQUIREMENTS. WRITTEN REQUESTS FOR OTHER INFORMATION WILL BE FORWARDED TO GENERAL COUNSEL'S OFFICE FOR CONSIDERATION. FORM 990, PART XII, LINE 2C: THE FUND'S AUDIT COMMITTEE ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT AND THE SELECTION OF THE INDEPENDENT ACCOUNTANT. THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. 1199 SEIU GREATER NY EDUCATION FUND 330 WEST 42ND STREET NEW YORK NY 10036 133753121 TO PROVIDE EDUCATION BENEFITS TO PARTICIPANTS NY 501 (C) (9) N/A N/A 0 1199 SEIU GREATER WORKER PARTICIPATION FUNDINC 330 WEST 42ND STREET NEW YORK NY 10036 134079917 TO ESTABLISH AND OPERATE A LABOR MANAGEMENT PARTICIPATION PROGRAM. NY 501 (C) (5) N/A N/A 0 1199 SEIU GREATER NY PENSION FUND 330 WEST 42ND STREET NEW YORK NY 10036 136601940 TO PROVIDE PENSION BENEFITS TO PARTICIPANTS NY 401 (A) N/A N/A 0 1199 SEIU GREATER NY BENEFIT FUND 330 WEST 42ND STREET NEW YORK NY 10036 136125570 TO PROVIDE HEALTH BENEFITS TO PARTICIPANTS AND DEPENDENTS NY 501 (C) (9) N/A N/A 0 1999 SEIUGREATER NEW YORK CHILDCARE FUND 330 WEST 42ND STREET NEW YORK NY 10036 753086330 TO PROVIDE CHILDCARE BENEFITS TO PARTICANTS AND DEPENDENTS NY 501 (C) (9) N/A N/A 0 AFFINITY SKILLED LIVING AND BEACH TERRACE CENTER BEACON REHABILITATION AND NURSING CENTER BEZALEL NURSING HOME BRONX CENTER MANAGEMENT CORP BRONX HARBOR HEALTH CARE COMPL BRONX PARK REHAB & NURSING CTR BROOKHAVEN BEACH HEALTH BROOKHAVEN HEALTH CARE BROOKLYN CTR FOR REHAB CENTER CAMPBELL HALL REHABILITATION CARILLON NURSING AND REHAB CARLTON NURSING HOME CATON PARK NURSING HOME CENTRAL ISLAND NURSING HOME CLIFFSIDE NURSING HOME CLOVELAKES HEALTH CARE COBBLE HILL CARE CENTER COMPLETE HOUSEKEEPING LLC CONCORD NURSING HOME CORTLANDT HEALTHCARE CROWN NURSING (HOUSEKEEPING) CROWN NURSING AND CROWN NURSING HOME ASSOCIATES CYPRESS CARE CENTER DALEVIEW NURSING HOME DEWITT REHABILITATION AND EASTCHESTER REHABILITATION ELMHURST CARE CENTER FAIRVIEW NURSING HOME FAR ROCKAWAY NURSING HOME FIELDSTON LODGE CARE CENTER FOREST HILLS CARE CENTER FOREST VIEW NURSING HOME FORT TRYON CENTER FOR FOUR SEASONS REHABILITATION FRANKLIN CENTER FOR REHAB FRIEDWALD HOUSE FULTON COMMONS CARE CENTER GLENGARIFF CORPORATION GLEN-HAVEN RESIDENTIAL HEALTH CARE FACILITY INC DBA WATER'S EDGE PORT JEF GOLDCREST NURSING HOME GRANDELL NURSING AND HAMPTON CENTER FOR REHABILITATION AND NURSING HEALTHCARE GROUP AT KINGS HARBOR MULTI-CARE HEALTHCARE SERVICES GROUP AT PORT JEFFERSON HEALTHCARE SERVICES GROUP INC BRONX PARK HEALTHCARE SERVICES GROUP INC GLENGARIFF HIGHFIELD GARDENS CARE CENTER HILLSIDE MANOR HEALTH HOLLIS PARK MANOR HORIZON CARE CENTER LACONIA NURSING HOME LAWRENCE NURSING HOME LITTLE NECK NURSING HOME LIVINGSTON S AND V OPERATIONS LLC DBA LIVINGSTON VENTURES INC LLC LONG ISLAND CARE CENTER MANHATTANVILLE HEALTH CARE MARCUS GARVEY NURSING HOME MEADOW PARK REHABILITATION MEADOWBROOK CARE CENTER MEDCO ENTERPRISES AT WAYNE HEALTH RELATED MEDCO ENTERPRISES AT BAINBRIDGE NURSING HM MEDCO ENTERPRISES AT EASTHAVEN HEALTH MEDCO ENTERPRISES AT MOSHULA PARKWAY MEDFORD MULTI CARE CENTER METHODIST CHURCH HOME MORRIS PARK NURSING HOME MORRISON SENIOR DINING NASSAU EXTENDED CARE CENTER NEW BRIDGEVIEW COMPANY LLC NEW GLEN OAKS NURSING HOME NEW MAYFAIR COMPANY INC NEW MIDWAY COMPANY LLC NEW SURFSIDE NURSING HOME NEW VANDERBILT NURSING HOME NEW YORK CONGREGATIONAL NORTHERN MANHATTAN NORTHERN METROPOLITAN INC NORTHERN RIVERVIEW HEALTH CARE CTR INC NORTHERN WESTCHESTER RESTRORACTIVE NORTHPORT RESIDENTIAL HEALTHCARE FACILITY INC DBA HUNTINGTON HILLS CENTER NOSTRAND CENTER FOR NURSING & REHABILITATION NYACK MANOR NURSING HOME OASIS REHABILITATION & NURSING LLC OCEANSIDE CARE CENTER OCEANVIEW NURSING HOME OXFORD NURSING HOME PALM GARDENS PREVIOUSLY HEALTH PALM TREE PREVIOUSLY HEALTH PARK AVENUE EXTENDED CARE PARK GARDENS PARK NURSING HOME PARK TERRACE CARE CENTERINC PARK VIEW NURSING HOME PELHAM PARKWAY NURSING HOME PORT CHESTER NURSING AND PROMENADE REHABILITATION PUTNAM NURSING AND REHABILITAT QUEENS NASSAU (BC) QUEENS NASSAU (LPN) REGEIS CARE CENTER REGENCY EXTENDED CARE CENTER REGO PARK NURSING HOME RESORT NURSING HOME RIVER MANOR HEALTH RIVER VALLEY CARE CENTER RIVERDALE NURSING HOME RIVERHEAD NURSING HOME ROCKAWAY CARE CENTER ROCKAWAY CARE CENTER(BC) ROCKVILLE NURSING CENTER INC ROCKVILLE SKILLED NURSING & SAINT JAMES HEALTHCARE CENTER SAINT JAMES PLAZA NURSING SANDS POINT NURSING HOME (BC) SAN-SIMEON BY THE SOUND SAPPHIRE CENTER FOR REHAB & NURSING LLC SEACREST HEALTH CARE CENTER SHEEPSHEAD NURSING AND SHOREVIEW NURSING HOME SILVER LAKE SPECIALIZED SKYVIEW HEALTHCARE CENTER SOUTH POINT PLAZA NURSING & REHABILITATION CENTER SOUTH SHORE HEALTHCARE SPLIT ROCK REHABILITATION SPRING CREEK NH WILLOUGHBY REHAB & HCC STATEN ISLAND CARE CENTER - LAFAYETTE AVENUE SUNHARBOR MANOR LLC SUTTON PARK CENTER FOR TARRYTOWN HALL CARE CENTER TERRACE HEALTHCARE CENTER INC THE CITADEL REHABILITATION AND NURSING CENTER KINGSBRIDGE THE GRAND REHABILITATION & NURSING AT QUEENS THE PAVILION QUEENS REHABILITATION & NURSING LLC THE PHOENIX TOLSTOY FOUNDATION TOWNHOUSE EXTENDED CARE CENTER UNION PLAZA NURSING HOME UNIVERSITY NURSING HOME VERRAZANO NURSING HOME VICTORY LAKE NURSING OPERATIONS LLC DBA QUAKER HILL MANOR WATERVIEW NURSING HOME WESTCHESTER CARE CENTER WESTCHESTER CARE CENTER (RN) WHITE PLAINS CENTER WILLIAMSBRIDGE MANOR WINDSOR PARK NURSING HOME WOODCREST NURSING HOME WOODMERE REHABILITATION AND WORKMENS CIRCLE HOME 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 1