2015-04-07T10:12:00-05:00 2014-06-30 611436956 NOVAK FRANCELLA LLC ONE PRESIDENTIAL BLVD SUITE 330 BALA CYNWYD PA 19004 990 2013-07-01 050271216 TEAMSTERS LOCAL 251 HEALTH SERVICES AND INSURANCE PLAN TEAM 4014673323 1201 ELMWOOD AVENUE PROVIDENCE RI 029043799 MATTHEW G TAIBI UNION TRUSTEE 4014673323 2015-04-07 1 LOUIS VERZELLA CPA P00360279 6106689400 2015-03-03 2013 2016-03-07 17:11:31Z MATTHEW G TAIBI 121 BRIGHTRIDGE AVENUE EAST PROVIDENCE RI 02914 64085295 0 X NA X 1954 RI THE PLAN PROVIDES MEDICAL, HOSPITALIZATION, DENTAL, VISION, HEARING, LIFE INSURANCE, WEEKLY ACCIDENT AND SICKNESS, PREPAID LEGAL, EMPLOYEES ASSISTANCE PROGRAM, INCOME TAX PREPARATION, AND PRESCRIPTION DRUG BENEFITS FOR ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS. THE PLAN ALSO PROVIDES A PROGRAM OF BENEFITS FOR ELIGIBLE RETIREES. 8 8 2712 0 0 0 0 0 38130773 39497281 2275345 1273609 15124 3201 40421242 40774091 0 0 36986284 34952785 723157 741358 0 0 0 769764 914135 38479205 36608278 1942037 4165813 45452148 52627017 300317 363092 45151831 52263925 X THE PLAN PROVIDES MEDICAL, HOSPITALIZATION, DENTAL, VISION, HEARING, LIFE INSURANCE, WEEKLY ACCIDENT AND SICKNESS, PREPAID LEGAL, EMPLOYEES ASSISTANCE PROGRAM, INCOME TAX PREPARATION, AND PRESCRIPTION DRUG BENEFITS FOR ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS. THE PLAN ALSO PROVIDES A PROGRAM OF BENEFITS FOR ELIGIBLE RETIREES. 0 0 THE FUND PROVIDED MEDICAL, HOSPITAL, ACCIDENT, SICKNESS, DENTAL, VISION, HEARING, LIFE INSURANCE BENEFITS, DEATH, AND PREPAID LEGAL BENEFITS FOR APPROXIMATELY 2,387 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 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 5 0 2712 1 0 0 0 0 0 0 X 8 8 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 X FUND OFFICE 4014673323 1201 ELMWOOD AVENUE PROVIDENCE RI 029043799 X JOSEPH J BAIROS CO-CHAIRMAN (P) 2.00 X 0 164576 54710 PAUL M FRADIN CO-CHAIRMAN 2.00 X 0 0 0 ANTONIO B CARDI EMPLOYER TRUSTEE 2.00 X 0 0 0 KEVIN G REDDY UNION TRUSTEE (P) 2.00 X 0 155293 54710 STEVEN M LABRIE UNION TRUSTEE (P) 2.00 X 0 133961 54710 LOUIS J SPERLING EMPLOYER TRUSTEE 2.00 X 0 0 0 DANIEL R MANOCCHIO UNION TRUSTEE (P) 2.00 X 0 119576 70310 WILLIAM F LEANUES EMPLOYER TRUSTEE 2.00 X 0 0 0 MATTHEW G TABI CO-CHAIRMAN 2.00 X 0 0 0 PAUL J SANTOS UNION TRUSTEE 2.00 X 0 0 0 MATTHEW A MAINI UNION TRUSTEE 2.00 X 0 0 0 NICHOLAS T WILLIAMS UNION TRUSTEE 2.00 X 0 0 0 0 573406 234440 0 0 1 0 UNITEDHEALTHCARE INSURANCE COMPANY 475 KILVERT STREET WARWICK RI 02886 CLAIMS PROCESSING 1318894 COIA & LEPORE LTD 226 SOUTH MAIN STREET PROVIDENCE RI 02903 LEGAL BENEFIT PROVIDER 508087 GURSKY LAW ASSOCIATES 420 SCRABBLETOWN RD N KINGSTON RI 02852 LEGAL SERVICES 235562 MELLON FINANCIAL CORP 1 TURKS HEAD PLACE PROVIDENCE RI 02903 INVESTMENT MANAGER 139010 SEGAL COMPANY 116 HUNTINGTON AVENUE BOSTON MA 02116 ACTUARY 111700 6 EMPLOYER CONTRIBUTIONS 525100 38519408 38519408 RETIREE CONTRIBUTIONS 525100 845731 845731 PARTICIPANT CONTRIBUTION 525100 128987 128987 STOP LOSS REIMBURSEMENT 525100 3155 3155 39497281 799851 799851 23784962 23311204 473758 473758 473758 MISCELLANEOUS INCOME 900099 3201 3201 3201 40774091 39497281 0 1276810 34952785 398693 189172 110962 42531 236731 77350 178772 135977 61279 38386 77309 43530 38311 26490 36608278 3070639 2935934 402757 2092716 2537965 2314385 39350 41439 1058004 737878 358437 320126 31730899 35718105 6729442 8529312 582659 675000 45452148 52627017 223145 287174 77172 75918 300317 363092 X 45151831 52263925 0 0 0 0 45151831 52263925 45452148 52627017 4165813 2946281 0 X X 0 1 X 1 0 33602 33602 625462 472986 152476 309464 175416 134048 89476 89476 0 320126 COMMON COLLECTIVE TRUST 8529312 F 8529312 DEFERRRED RETIREE AND COBRA CONTRIBUTIONS 75918 75918 X 43541600 2946281 2946281 40595319 178771 178771 40774090 36429506 0 36429506 178772 178772 36608278 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. 0 0 0 JOSEPH J BAIROS CO-CHAIRMAN (P) 0 164576 0 0 0 0 0 35732 0 18978 0 219286 0 0 KEVIN G REDDY UNION TRUSTEE (P) 0 155293 0 0 0 0 0 35732 0 18978 0 210003 0 0 STEVEN M LABRIE UNION TRUSTEE (P) 0 133961 0 0 0 0 0 35732 0 18978 0 188671 0 0 DANIEL R MANOCCHIO UNION TRUSTEE (P) 0 119576 0 0 0 0 0 51332 0 18978 0 189886 0 0 FORM 990, PART VI, SECTION B, LINE 11 TEAMSTERS LOCAL 251 HEALTH SERVICES AND INSURANCE PLAN'S FORM 990 IS PREAPARED BY ITS INDEPENDENT PUBLIC ACCOUNTANT. THE RETURN IS FORWARDED TO THE FUND'S EXECUTIVE DIRECTOR FOR INTITIAL REVIEW. THE RETURN IS THEN PRESENTED TO THE TRUSTEES FOR REVIEW AND SIGNATURE FORM 990, PART VI, SECTION C, LINE 19 TEAMSTERS LOCAL 251 HEALTH SERVICES & INSURANCE PLAN MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VII PAUL M. FRADIN - P.O. BOX 1427, WEST GREENWICH, RI 02817. ANTONIO B. CARDI - 400 LINCOLN AVENUE, WARWICK, RI 02888. LOUIS J. SPERLING - 593 EDDY STREET, PROVIDENCE, RI 02903. WILLIAM F. LEANUES - 87 BRICK KILN ROAD, CHELMSFORD, MA 01824. FORM 990, PART XII, LINE 2C: TEAMSTERS LOCAL 251 HEALTH SERVICES AND INSURANCE PLAN'S BOARD OF TRUSTEES IS RESPOSIBLE FOR OVERSEEING THE FINANCIAL STATEMENT AUDIT AND SELECTION OF THE INDEPENDENT ACCOUNTANT THAT PERFORMS THE AUDIT. FORM 990, PART V, LINE 1A: TEAMSTERS LOCAL 251 HEALTH SERVICES AND INSURANCE PLAN ALSO PREPARE FORMS W-2 FOR ALL PARTICIPANTS THAT RECEIVE THE TAXABLE LEGAL, DEPENDENT LIFE INSURANCE AND TAX PREPARATION BENEFITS UNDER THE PLAN. A TOTAL OF 2,706 FROMS W-2 WERE ISSUED FOR THESE BENEFITS FOR THE CALENDAR YEAR 2013. TEAMSTERS LOCAL 251 HEALTH SERVICES AND INSURANCE 401(K) PLAN 1201 ELMWOOD AVENUE PROVIDENCE RI 02907 050271216 PENSION PLAN RI 401(A)/501(A) 0 ABCO ENTERPRISES RI ABF FREIGHT SYSTEMS INC RI ADAMSDALE CONCRETE & PRODS RI ALMONTE & SONS CORP RI AMERIGAS PROPANE LP RI BACCALA CONCRETE CORPORATION RI BAKER COMMODITIES INC RI BFH TRUCKING RI BOYLE & FOGARTY RI BRITO C CONSTRUCTION RI BUCKLEY AND SCOTT RI BUILDING MATERIALS RI BURRILLVILLE RACING ASSOC (TWIN RIVER) RI CAP INC RI CAPCO STEEL CORPORATION RI CARDI CORP READY MIX CONCRETE RI CARDI CORPORATION RI CARDI LEASING CORPORATION RI CAST AND CREW RI CATALANO CONSTRUCTION INC RI CENTREX DISTRIBUTORS INC RI CONSOLIDATED FREIGHTWAYS RI CONSOLIDATED FREIGHTWAYS - OFFICE RI CONSTANTINI BROS TRANSPORT INC RI CROSSON OIL COMPANY RI D'AMBRA CONSTRUCTION RI D'AMBRA EQUIPMENT LLC RI DATTCO RI DCT INC RI DEL-VA CORPORATION RI DICENZO CONSTRUCTION CO RI DIGREGORIO CONSTRUCTION RI DIGREGORIO CORPORATION RI ENTERTAINMENT PARTNERS RI EQUALITY CONSTRUCTION RI GPL CONSTRUCTION RI GREENVILLE WATER DISTRICT RI HALLAMORE MOTOR TRANS INC RI HENKELS & MCCOY RI HESS JOHN R & SONS INC RI HUDSON JOHN J INC RI IANNUCCILLO R P & SONS RI ID'S HIGHWAY SAFETY RI IEG RI INDIEPAY LLC RI INERGY PROPANE RI INERGY PROPANE CSR RI JOHN ROCCHIO CORP RI LAPHAM-HICKEY STEEL CORP RI LYNCH JH & SONS INC RI MARR SCAFFOLDING COMPANY RI MARSHALL JL & SONS INC RI MCLAUGHLIN & MORAN INC RI METALS RECYCLING RI MIOZZI T TRUCKING CO RI NABISCO RI NARRAGANSETT IMPROVEMENT CO RI NATIONAL GRID RI NEW ENGLAND LINEN SUPPLY CO RI NEW PENN MOTOR EXPRESS RI NEWPORT HOUSING RI NORTHSTAR EQUIPMENT & SUPPLY LLC RI PJ KEATING RI PJ KEATING MA RI PARK AVENUE CEMENT BLOCK CO RI PARKSIDE SITE & UTILITY CO RI PASQUAZZI BROTHERS RI PETRO DRIVERS & MECHANICS RI PETROLEUM HEAT & POWER RI PRAXAIR DISTRIBUTION INC RI REICHERT AND SONS RI REZENDES KR RI RIVER HEAD BLDG SUPPLY RI ROSCITI CONSTRUCTION RI SMITH'S GENERAL TRUCKING CO RI SUNBELT RENTALS RI TEAMSTERS LOCAL 251 RI TEAMSTERS LOCAL 251 HSIP RI TEKNOR APEX RI TOWN OF TIVERTON RI UNITED PARCEL SERVICE RI UNIVERSAL CONSTRUCTION CO RI VEOLIA WATER RI WALSH CONTRACTING CORP RI WOODS HEATING RI YRC RI YRC CLERICAL RI 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0