2015-04-08T14:03:43-05:00 2014-06-30 611436956 NOVAK FRANCELLA LLC ONE PRESIDENTIAL BLVD SUITE 330 BALA CYNWYD PA 19004 990 2013-07-01 042150983 PAINTERS DISTRICT COUNCIL NO 35 HEALTH BENEFITS FUND PAIN 6175241240 25 COLGATE ROAD ROSLINDALE MA 02131 JEFFREY P SULLIVAN TRUSTEE 6175241240 2015-04-08 1 LOUIS VERZELLA CPA P00360279 6106689400 2015-03-31 2013 2016-02-25 16:41:14Z WILLIAM MCDEVITT 25 COLGATE ROAD ROSLINDALE MA 02131 86010083 0 X WWW.IUPATDC35.ORG X 1970 MA TO PROVIDE HEALTH AND OTHER BENEFITS TO ELIGIBLE MEMBERS OF THE INTERNATIONAL UNION OF PAINTERS AND ALLIED TRADES DISTRICT COUNCIL NO. 35. 12 12 1 0 0 0 0 0 19991595 21745862 4326386 2578244 62092 172163 24380073 24496269 0 0 17595137 17478339 515239 555097 0 0 0 1307536 1658421 19417912 19691857 4962161 4804412 93493041 103376991 126277 204495 93366764 103172496 TO PROVIDE HEALTH AND OTHER BENEFITS TO ELIGIBLE MEMBERS OF THE INTERNATIONAL UNION OF PAINTERS AND ALLIED TRADES DISTRICT COUNCIL NO. 35. 0 0 19691857 21745862 TO PROVIDE HEALTH AND OTHER BENEFITS TO ELIGIBLE MEMBERS OF THE INTERNATIONAL UNION OF PAINTERS AND ALLIED TRADES DISTRICT COUNCIL NO. 35. 19691857 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 1234 0 1 1 0 0 0 0 0 0 X 12 12 0 0 0 0 1 1 0 1 1 0 0 1 0 0 1 0 1 0 X WILLIAM MCDEVITT 6175241240 25 COLGATE ROAD ROSLINDALE MA 02131 JEFFREY SULLIVAN TRUSTEE 2.00 40.00 X 0 161563 70795 PAUL CANNING TRUSTEE 2.00 40.00 X 0 141415 68075 JOSEPH GUARINO TRUSTEE 2.00 40.00 X 0 0 0 WILLIAM DOHERTY TRUSTEE 2.00 40.00 X 0 146573 68771 CHARLES FOGELL TRUSTEE 2.00 40.00 X 0 143257 68324 JOSEPH ITRI TRUSTEE 2.00 40.00 X 0 133235 66971 THOMAS GUNNING TRUSTEE 2.00 X 0 0 0 MARK KENNEDY TRUSTEE 2.00 X 0 0 0 RICHARD MAURO TRUSTEE 2.00 X 0 0 0 PETER PATCH TRUSTEE (P) 2.00 X 0 0 0 MATTHEW SOEP TRUSTEE 2.00 X 0 0 0 THOMAS STEEVES TRUSTEE 2.00 X 0 0 0 PETER TOWNSEND TRUSTEE 2.00 X 0 0 0 WILLIAM MCDEVITT FUND ADMINISTRATOR 25.00 15.00 X 88383 51464 68435 88383 777507 411371 0 0 1 0 CARELINK INC 225 CHAPMAN STREET SUITE 301 PROVIDENCE RI 02905 BENEFITS ADMINISTRATION 607671 THE SEGAL COMPANY 116 HUNTINGTON AVENUE BOSTON MA 02116 ACTUARY 119601 DELTA DENTAL 465 MEDFORD STREET BOSTON MA 02129 CLAIMS PROCESSING 112648 NOVAK FRANCELLA LLC ONE PRESIDENTIAL BLVD STE 330 BALA CYNWYD PA 19004 ACCOUNTING 111357 4 EMPLOYER CONTRIBUTIONS 900099 21640814 21640814 PARTICIPANT CONTRIBUTIONS 900099 105048 105048 21745862 1709299 1709299 62382759 61513814 868945 868945 868945 OTHER INCOME 900099 126724 126724 INTEREST ON EMPLOYER CONTRIBUTION 900099 45439 45439 172163 24496269 21745862 0 2750407 17478339 132212 231026 105979 59135 26745 49538 103484 143257 125817 92416 45461 27378 20052 2159 13845 UTILIZATION REVIEW 793211 REGULATORY FEES AND TAX 123281 MASSACHUSETTS SURCHARGE 81481 ALLOCATED DEPRECIATION 27826 9215 19691857 4760753 2316377 4091949 6732378 518 147086 139061 2970 8025 84485134 52253073 41936920 152235 129700 93493041 103376991 126277 85897 0 118598 126277 204495 X 0 0 0 0 93366764 103172496 93366764 103172496 93493041 103376991 4804412 5001320 0 X X 0 1 X 1 0 147086 139061 8025 8025 COMMON COLLECTIVE TRUST 34027597 F HOUSING INVESTMENT TRUST, AFL-CIO 5000000 F LIMITED PARTNERSHIP - VONTOBEL 2909323 F 41936920 AFFORDABLE CARE ACT REINSURANCE FEE 118598 118598 X 29227608 5001320 5001320 24226288 143257 126724 269981 24496269 19421876 0 19421876 143257 126724 269981 19691857 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: OTHER INCOME 126,724. PART XII, LINE 4B - OTHER ADJUSTMENTS: OTHER INCOME 126,724. 0 0 0 JEFFREY SULLIVAN TRUSTEE 0 161563 0 0 0 0 0 54519 0 16276 0 232358 0 0 PAUL CANNING TRUSTEE 0 141415 0 0 0 0 0 51799 0 16276 0 209490 0 0 WILLIAM DOHERTY TRUSTEE 0 146573 0 0 0 0 0 52495 0 16276 0 215344 0 0 CHARLES FOGELL TRUSTEE 0 143257 0 0 0 0 0 52048 0 16276 0 211581 0 0 JOSEPH ITRI TRUSTEE 0 133235 0 0 0 0 0 50695 0 16276 0 200206 0 0 WILLIAM MCDEVITT FUND ADMINISTRATOR 88383 51464 0 0 0 0 32932 19175 10319 6009 131634 76648 0 0 FORM 990, PART VI, SECTION A, LINE 6 THE INTERNATIONAL UNION OF PAINTERS AND ALLIED TRADES DISTRICT COUNCIL NO. 35 HEALTH BENEFITS FUND HAS MEMBERS. MEMBERSHIP TO THE ORGANIZATION IS DESCRIBED IN ITS CONSTITUTION WHICH IS AVAILABLE UPON REQUEST. FORM 990, PART VI, SECTION A, LINE 7A THE INTERNATIONAL UNION OF PAINTERS AND ALLIED TRADES DISTRICT COUNCIL NO. 35 HEALTH BENEFITS FUND MEMBERS ELECT THE SECRETARY TREASURER WHO THEN APPOINTS THE EMPLOYEE TRUSTEES. FORM 990, PART VI, SECTION B, LINE 11 THE INTERNATIONAL UNION OF PAINTERS AND ALLIED TRADES DISTRICT COUNCIL NO. 35 HEALTH BENEFITS FUND'S FORM 990 IS PREPARED BY ITS INDEPENDENT PUBLIC ACCOUNTANT. THE RETURN IS THEN FORWARDED TO THE ADMINISTRATOR FOR REVEIW AND SIGNATURE. FORM 990, PART VI, SECTION B, LINE 15B WITH APPROVAL OF BOARD OF DIRECTORS FORM 990, PART VI, SECTION C, LINE 19 THE INTERNATIONAL UNION OF PAINTERS AND ALLIED TRADES DISTRICT COUNCIL NO. 35 HEALTH BENEFITS FUND MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XII, LINE 2C THE INTERNATIONAL UNION OF PAINTERS AND ALLIED TRADES DISTRICT COUNCIL NO. 35 HEALTH BENEFITS FUND'S GOVERNING BODY IS RESPONSIBLE FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTING THE INDEPENDENT ACCOUNTANT WHO CONDUCTS THE AUDIT. 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