2014-10-20T06:09:47-05:00 2013-12-31 043508036 MANZI & ASSOCIATES LLC 855 TURNPIKE STREET STE 140 NORTH ANDOVER MA 01845 990 2013-01-01 042149479 TEAMSTERS LOCAL 653 WELFARE FUND TEAM 5082307140 4 B HAMPDEN DRIVE SOUTH EASTON MA 02375 MICHAEL CLARK TRUSTEE 5082307140 2014-10-16 1 EDWARD MANZI P01058633 9789751099 2013 2015-11-30 17:44:51Z MICHAEL CLARK 4 B HAMPDEN DRIVE SOUTH EASTON MA 023751158 32894047 0 X N/A X 1952 MA PROVIDE HEALTH BENEFITS TO MEMBERS OF SPONSORING ORGANIZATION UNDER CBA 6 6 15 0 0 0 0 0 18373619 19149885 1659252 1819686 4750 34951 20037621 21004522 0 0 17619171 17826002 203671 190270 0 0 0 891595 968299 18714437 18984571 1323184 2019951 48060148 50963168 3079353 2629858 44980795 48333310 PROVIDE HEALTH BENEFITS TO MEMBERS OF THE SPONSORING ORGANIZATION UNDER COLLECTIVE BARGAINING AGREEMENT 0 0 PROVIDE WELFARE BENEFITS TO EMPLOYEES UNDER COLLECTIVE BARGAINING AGREEMENT 0 0 0 0 0 0 0 0 0 1 0 0 1 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 0 0 15 1 0 0 0 0 0 0 0 0 X 6 6 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 1 1 0 X MICHAEL CLARK 5082307140 4 B HAMPDEN DRIVE SOUTH EASTON MA 02375 X MICHAEL CLARK TRUSTEE 10.00 X 0 0 0 BRIAN MCELHINNEY TRUSTEE 10.00 X 0 0 0 ROBERT EPSTEIN TRUSTEE 10.00 X 0 0 0 MICHAEL EPSTEIN TRUSTEE 10.00 X 0 0 0 WILLIAM BURKE TRUSTEE 10.00 X 0 0 0 WILLIAM TRASK TRUSTEE 10.00 X 0 0 0 0 0 0 0 0 0 0 BLUE CROSS BLUE SHIELD 401 PARK DR 14 BOSTON MA 02129 CLAIMS ADMIN 695007 MORGAN STANLEY SMITH BARNEY 25 RECREATION PK DR HINGHAM MA 02043 INVESTMENT FEES 329219 2 EMPLOYER CONTRIBUTIONS 900099 18719161 18719161 EMPLOYEE CONTRIBUTIONS 900099 430724 430724 19149885 1375792 1375792 12333419 11889525 443894 443894 443894 OTHER INCOME 532420 34951 34951 34951 21004522 19149885 0 1854637 17826002 127683 60633 1954 22828 53363 363037 60000 14100 2202 11078 12543 34084 11624 STOPLOSS 322781 REPAIRS AND MAINTENANCE 40736 REAL ESTATE TAXES 8554 TELEPHONE 6650 4719 18984571 1656836 1750009 2031242 1370341 1913125 1865511 0 19004 1365522 577281 809079 788241 39055261 42498738 2594605 2671324 48060148 50963168 34040 33722 3045313 2596136 3079353 2629858 X 0 0 0 0 44980795 48333310 44980795 48333310 48060148 50963168 2019951 1332564 0 X X 0 1 X 1 0 115200 115200 1250322 577281 673041 788241 DEPOSITS 2538800 INVESTMENT INCOME RECEIVABLE 132524 2671324 HEALTH CLAIMS PAYABLE 2596136 2596136 X 21974049 1332564 1332564 20641485 363037 363037 21004522 19070711 0 19070711 363037 -449177 -86140 18984571 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 (OR ASSET) IF THE PLAN HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE DEPARTMENT OF LABOR AND INTERNAL REVENUE SERVICE. THE PLAN ADMINISTRATOR HAS ANALYZED THE TAX POSITIONS TAKEN BY THE PLAN, AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2013, 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. PART XII, LINE 4B - OTHER ADJUSTMENTS: CHANGE IN BENEFITS PAYABLE -449,177. FORM 990, PART VI, SECTION A, LINE 6 COLLECTIVELY BARGAINED MULTIEMPLOYER PLAN FOR MEMBERS OF TEAMSTERS LOCAL 653 FORM 990, PART VI, SECTION B, LINE 11 BOARD OF TRUSTEES HAS GIVEN AUTHORITY TO THE FUND ADMINISTRATOR TO REVIEW TAX DOCUMENTATION BEFORE FILING. FORM 990, PART VI, LINE 15A: BOARD OF TRUSTEES DO NOT RECEIVE COMPENSATION. FORM 990, PART VI, SECTION B, LINE 12 AS AN EMPLOYEE BENEFIT PLAN, THE ORGANIZATION IS SUBJECT TO THE CONFLICTS OF INTEREST REQUIREMENTS OF ERISA FORM 990, PART VI, SECTION B, LINE 15 BOARD OF TRUSTEES REVIEWS KEY EMPLOYEES COMPENSATION WITH COMPARABILITY DATA ANNUALLY. 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