2015-10-12T15:28:55-05:00 2014-12-31 611436956 NOVAK FRANCELLA LLC ONE PRESIDENTIAL BLVD SUITE 330 BALA CYNWYD PA 19004 990 2014-01-01 136178513 LOCAL 580 INSURANCE FUND LOCA 2126955206 501 WEST 42ND STREET NEW YORK NY 100366205 PETER MYERS TRUSTEE 2126955206 2015-10-12 1 LOUIS VERZELLA CPA P00360279 6106689400 2015-10-07 2014 2016-03-07 17:11:31Z PETER MYERS 501 WEST 42ND STREET NEW YORK NY 100366205 211877344 0 X N/A X 1946 NY LIFE INSURANCE, MEDICAL, HOSPITALIZATION, DENTAL, DISABILITY, OPTICAL, HEARING AIDS, DEATH BENEFITS, ETC. 501 (C)(9) ORGANIZATION. 9 9 0 0 0 0 0 0 38342574 38621574 8739637 15907919 14254 14254 47096465 54543747 0 0 24452345 30330470 635356 598645 0 0 0 1070854 1303574 26158555 32232689 20937910 22311058 176346377 194823913 4653829 6287284 171692548 188536629 TO PROVIDE LIFE INSURANCE, MEDICAL, HOSPITALIZATION, DENTAL, DISABILITY, HEARING AIDS, DEATH BENEFITS, ETC. FOR MEMBER OF IRON WORKERS UNION LOCAL 580. 0 0 TO PROVIDE LIFE INSURANCE, MEDICAL, HOSPITALIZATION, DENTAL, DISABILITY, HEARING AIDS, DEATH BENEFITS, ETC. FOR MEMBER OF IRON WORKERS UNION LOCAL 580. 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 5 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X FUND OFFICE 2126955206 501 WEST 42ND STREET NEW YORK NY 100366205 HERBERT KOENIG CO-CHAIRMAN 2.00 X 0 0 0 RANDALL RIFELLI EMPLOYER TRUSTEE 2.00 X 0 0 0 RANDALL MENT EMPLOYER TRUSTEE 2.00 X 0 0 0 PETER CARRIERO EMPLOYER TRUSTEE 2.00 X 0 0 0 ROBERT BENESH CO-CHAIRMAN 2.00 45.00 X 0 131463 116176 KENNETH CODY UNION TRUSTEE 2.00 X 0 0 0 JAMES MAHONEY UNION TRUSTEE 2.00 45.00 X 0 135463 116176 PETER MYERS UNION TRUSTEE 2.00 45.00 X 0 132664 116176 JOHN BUSCH UNION TRUSTEE (P) 2.00 5.00 X 0 0 0 MICHAEL WENZEL UNION TRUSTEE 2.00 5.00 X 0 0 0 MARK NARDELLA CONTROLLER 25.00 25.00 X 55792 110057 118495 PATRICK DOHERTY ADMINISTRATOR 25.00 25.00 X 55822 110117 115706 ROBERT MAGUIRE ASST ADMINISTRATOR 25.00 25.00 X 52337 103244 115706 DENNIS LUSARDI DIRECTOR OF P/R AUDITS 25.00 25.00 X 52916 104385 115707 216867 827393 814142 0 0 1 0 EMPIRE BLUE CROSS AND BLUE SHIELD ONE LIBERTY PLAZA NEW YORK NY 10006 ADMINISTRATIVE FEES 1590554 MDSASS ASSOCIATES INC 1185 AVENUE OF THE AMERICAS NEW YORK NY 10036 INVESTMENT FEES 158133 MANNING & NAPIER 290 WOODCLIFF DR FAIPORT NY 14450 INVESTMENT FEES 137155 3 EMPLOYER CONTRIBUTIONS 525100 38267825 38267825 PAYROLL AUDIT REIMBURSEMENTS 525100 187022 187022 COBRA CONTRIBUTIONS 525100 166727 166727 38621574 4892775 4892775 168348741 157333597 11015144 11015144 11015144 ADMINISTRATIVE FEES 900099 14254 14254 14254 54543747 49636718 0 4907029 30330470 385935 122418 62869 27423 124514 123779 498536 73266 60359 26548 85243 8774 6327 2623 57173 FEES MANADATED BY ACA 236432 32232689 22227508 13213982 8615346 25429659 3791521 4342102 3412 4161 214487 199611 4668 14876 141632043 151727844 71879 91289 176346377 194823913 263322 470892 4390507 5816392 4653829 6287284 X 0 0 0 0 171692548 188536629 171692548 188536629 176346377 194823913 22311058 -5466977 0 X X 0 1 X 1 0 214487 199611 14876 14876 SECURITIES PURCHASED AND NOT SETTLED 898931 DUE TO RELATED PARTY 4909796 PAYROLL TAXES 7665 5816392 X 48391212 -5466977 -5466977 53858189 498536 187022 685558 54543747 31547131 0 31547131 498536 187022 685558 32232689 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. PART XI, LINE 4B - OTHER ADJUSTMENTS: PAYROLL AUDIT REIMBURSEMENTS PART XII, LINE 4B - OTHER ADJUSTMENTS: PAYROLL AUDIT REIMBURSEMENTS X 0 0 0 ROBERT BENESH CO-CHAIRMAN 0 131463 0 0 0 0 0 84887 0 31289 0 247639 0 0 JAMES MAHONEY UNION TRUSTEE 0 135463 0 0 0 0 0 84887 0 31289 0 251639 0 0 PETER MYERS UNION TRUSTEE 0 132664 0 0 0 0 0 84887 0 31289 0 248840 0 0 MARK NARDELLA CONTROLLER 55792 110057 0 0 0 0 19841 39139 20021 39494 95654 188690 0 0 PATRICK DOHERTY ADMINISTRATOR 55822 110117 0 0 0 0 19374 38218 19550 38564 94746 186899 0 0 ROBERT MAGUIRE ASST ADMINISTRATOR 52337 103244 0 0 0 0 19374 38218 19550 38564 91261 180026 0 0 DENNIS LUSARDI DIRECTOR OF P/R AUDITS 52916 104385 0 0 0 0 19374 38218 19550 38565 91840 181168 0 0 FORM 990, PART VI, SECTION B, LINE 11 LOCAL 580 INSURANCE FUND'S FORM 990 IS PREPARED BY ITS INDEPENDENT ACCOUNTANT WHO THEN FORWARDS THE COMPLETED RETURN TO THE FUND'S ADMINISTRATOR FOR REVIEW. THE FUND ADMINISTRATOR THEN PRESENTS THE FORM 990 TO THE GOVERNING BODY FOR REVIEW AND SIGNATURE. FORM 990, PART VI, SECTION B, LINE 12C LOCAL 580 INSURANCE FUND MONITORS ITS CONFLICT OF INTERST POLICY ON AN ANNUAL BASIS. FORM 990, PART VI, SECTION C, LINE 19 LOCAL 580 INSURANCE FUND'S GOVERNING DOCUMENTS, CONFLICT OF INTERST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VII HERBERT KOENIG - ALLIED BRONZE CORP, 25-11 HUNTERS POINT AVE., LIC, NY 11101-4429. RANDALL RIFELLI - UNITED IRON WORKS, 6 ROSLYN PLACE, MT VERNON, NY 10550. RANDALL MENT - MENT BROS IRON WORKS, 11 BROADWAY, SUITE 1131, NEW YORK, NY 10004. PETER CARRIERO - POST ROAD IRON WORKS, 345 W. PUTNAM AVE., GREENWICH, CT 06830. FORM 990, PART XII, LINE 2C: LOCAL 580 INSURANCE FUND'S BOARD OF TRUSTEES IS RESPONSIBLE FOR OVERSEEING THE FINANCIAL STATEMENT AUDIT AND SELECTION OF THE INDPENDENT ACCOUNTANT THAT PERFORMS THE AUDIT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. 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