2014-10-21T08:33:03-05:00 2013-12-31 611436956 NOVAK FRANCELLA LLC ONE PRESIDENTIAL BLVD SUITE 330 BALA CYNWYD PA 19004 990 2013-01-01 136178513 LOCAL 580 INSURANCE FUND LOCA 2126955206 501 WEST 42ND STREET NEW YORK NY 100366205 JAMES MAHONEY TRUSTEE 2126955206 2014-10-17 1 LOUIS VERZELLA CPA P00360279 6106689400 2014-10-06 2013 2015-11-30 17:44:51Z JAMES MAHONEY 501 WEST 42ND STREET NEW YORK NY 10036 140926208 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 34892046 38342574 5531671 8739637 15259 14254 40438976 47096465 0 0 24011794 24452345 581785 635356 0 0 0 943034 1070854 25536613 26158555 14902363 20937910 154148733 176346377 6145512 4653829 148003221 171692548 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 128304 110695 KENNETH CODY UNION TRUSTEE 2.00 X 0 0 0 JAMES MAHONEY UNION TRUSTEE 2.00 45.00 X 0 131704 110695 PETER MYERS UNION TRUSTEE 2.00 45.00 X 0 128454 110695 JOHN BUSCH UNION TRUSTEE 2.00 5.00 X 0 17722 10256 MARK NARDELLA CONTROLLER 25.00 25.00 X 55219 103010 87013 PATRICK DOHERTY ADMINISTRATOR 25.00 25.00 X 52959 104471 87013 ROBERT MAGUIRE ASST ADMINISTRATOR/TRUSTEE 25.00 25.00 X 48407 95491 87013 DENNIS LUSARDI DIRECTOR OF P/R AUDITS/TRU 25.00 25.00 X 49327 105902 90126 205912 815058 693506 0 0 1 0 EMPIRE BLUE CROSS AND BLUE SHIELD ONE LIBERTY PLAZA NEW YORK NY 10006 ADMINISTRATIVE FEES 1272547 MDSASS ASSOCIATES INC 1185 AVENUE OF THE AMERICAS NEW YORK NY 10036 INVESTMENT FEES 143632 BUCKHEAD CAPITAL MANAGEMENT LLC 3339 CUMBERLAND BLVD STE 650 ATLANTA GA 30339 INVESTMENT FEES 136330 MANNING & NAPIER 290 WOODCLIFF DR FAIPORT NY 14450 INVESTMENT FEES 124234 4 EMPLOYER CONTRIBUTIONS 525100 37898570 37898570 PAYROLL AUDIT REIMBURSEMENTS 525100 272339 272339 COBRA CONTRIBUTIONS 525100 171665 171665 38342574 4762926 4762926 97806454 93829743 3976711 3976711 3976711 ADMINISTRATIVE FEES 900099 14254 14254 14254 47096465 38342574 0 8753891 24452345 352379 197254 59960 25763 140064 143335 444961 106500 58269 23425 74930 14455 3793 2779 53154 PATIENT CENTERED OUTCOM 5189 26158555 10762231 22227508 6975738 8615346 3952654 3791521 2689 3412 201655 196987 7447 4668 132361941 141632043 86033 71879 154148733 176346377 195272 263322 5950240 4390507 6145512 4653829 X 0 0 0 0 148003221 171692548 148003221 171692548 154148733 176346377 20937910 2751417 0 X X 0 1 X 1 0 201655 196987 4668 4668 SECURITIES PURCHASED AND NOT SETTLED 432278 DUE TO RELATED PARTY 3871610 PAYROLL TAXES 2872 WITHDRAWAL LIABILITY OBLIGATION 83747 4390507 X 49130582 2751417 2751417 46379165 444961 272339 717300 47096465 25441255 0 25441255 444961 272339 717300 26158555 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 128304 0 0 0 0 0 81661 0 29034 0 238999 0 0 JAMES MAHONEY UNION TRUSTEE 0 131704 0 0 0 0 0 81661 0 29034 0 242399 0 0 PETER MYERS UNION TRUSTEE 0 128454 0 0 0 0 0 81661 0 29034 0 239149 0 0 MARK NARDELLA CONTROLLER 55219 103010 0 0 0 0 18971 37423 11347 19272 85537 159705 0 0 PATRICK DOHERTY ADMINISTRATOR 52959 104471 0 0 0 0 18317 36133 10954 21609 82230 162213 0 0 ROBERT MAGUIRE ASST ADMINISTRATOR/TRUSTEE 48407 95491 0 0 0 0 18317 36133 10954 21609 77678 153233 0 0 DENNIS LUSARDI DIRECTOR OF P/R AUDITS/TRU 49327 105902 0 0 0 0 18317 36133 10954 24722 78598 166757 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. LOCAL 580 VACATION FUND 501 WEST 42ND STREET NEW YORK NY 100366205 132874176 VACATION BENEFITS NY 501(C)(9) 0 LOCAL 580 PENSION FUND 501 WEST 42ND STREET NEW YORK NY 100366205 132874172 PENSION FUND NY 401(A)/(501(A) 0 LOCAL 580 ANNUITY FUND 501 WEST 42ND STREET NEW YORK NY 100366205 136178512 PENSION FUND NY 401(A)/(501(A) 0 LOCAL 580 EDUCATION FUND 501 WEST 42ND STREET NEW YORK NY 100366205 230740036 EDUCATION AND TRAINING FUND NY 501(C)(3) 0 LOCAL 580 COLLEGE SCHOLARSHIP FUND 501 WEST 42ND STREET NEW YORK NY 100366205 450536496 COLLEGE SCHOLARSHIP BENEFITS NY 501(C)(5) 0 ARCHITECTURAL IRON REALTY CORP 501 WEST 42ND STREET NEW YORK NY 100366205 134192352 TITLE HOLDING CORP NY 501(C)(2) 0 501-507 WEST 42ND STREET REALTY CORP 501 WEST 42ND STREET NEW YORK NY 100366205 133120147 TITLE HOLDING CORP NY 501(C)(2) 0 LOCAL 580 LABOR MANAGEMENT PROMOTION FUND 501 WEST 42ND STREET NEW YORK NY 100366205 364636298 LABOR-MANAGEMENT PROMOTIONAL ORGANIZATION NY 501(C)(5) 0 INTERNATIONAL ASSN OF 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