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DISTRICT 1199J NEW JERSEY BENEFIT FUND: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
DISTRICT 1199J NEW JERSEY BENEFIT FUND (EIN 22-3143027)
Tax period
2013-01-01 to 2013-12-31
Filed
2014-11-14
IRS object ID
201423189349307017
Schema version
2013v3.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2014-11-14T14:40:21-06:00ReturnTs
Tax Period End2013-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN464001827PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1SAXBST LLPBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line128 WEST 44TH STREETAddressLine1
CityNEW YORKCity
StateNYState
ZIP Code10036ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN223143027EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1DISTRICT 1199J NEW JERSEY HEALTH CAREBusinessNameLine1
Business Name Line2EMPLOYERS BENEFIT FUNDBusinessNameLine2
FieldValueIRS element (for citing)
Business Name ControlDISTBusinessNameControlTxt
Phone9732424450PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line19-25 ALLING STREETAddressLine1
CityNEWARKCity
StateNJState
ZIP Code07102ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonBARBARA SMALLPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone9732424450PhoneNum
Signature2014-11-11SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonPATRICK C STINESPreparerPersonNm
PTINP01592735PTIN
Phone2126618640PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerBARBARA SMALLPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line19-25 ALLING STREETAddressLine1
CityNEWARKCity
StateNJState
ZIP Code07102ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$31,879,487GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501cYes (X)Organization501cInd
Website AddressN/AWebsiteAddressTxt
Type Of Organization TrustYes (X)TypeOfOrganizationTrustInd
Formation1991FormationYr
Legal Domicile StateNJLegalDomicileStateCd
Activity Or MissionTO PROVIDE HOSPITAL, MAJOR MEDICAL, DENTAL, PRESCRIPTION DRUG, VISION, LIFE INSURANCE AND OTHER MEDICAL BENEFITS TO ELIGIBLE PARTICIPANTS.ActivityOrMissionDesc
Voting Members Governing Body8VotingMembersGoverningBodyCnt
Voting Members Independent0VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$28,366,935PYProgramServiceRevenueAmt
CY Program Service Revenue$29,039,110CYProgramServiceRevenueAmt
PY Investment Income$130,279PYInvestmentIncomeAmt
CY Investment Income$99,576CYInvestmentIncomeAmt
PY Other Revenue$198PYOtherRevenueAmt
CY Other Revenue$4,060CYOtherRevenueAmt
PY Total Revenue$28,497,412PYTotalRevenueAmt
CY Total Revenue$29,142,746CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$24,394,353PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$29,367,759CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$1,665,672PYOtherExpensesAmt
CY Other Expenses$1,657,667CYOtherExpensesAmt
PY Total Expenses$26,060,025PYTotalExpensesAmt
CY Total Expenses$31,025,426CYTotalExpensesAmt
PY Revenues Less Expenses$2,437,387PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$1,882,680CYRevenuesLessExpensesAmt
Total Assets BOY$28,779,193TotalAssetsBOYAmt
Total Assets EOY$26,853,255TotalAssetsEOYAmt
Total Liabilities BOY$47,210TotalLiabilitiesBOYAmt
Total Liabilities EOY$30,375TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$28,731,983NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$26,822,880NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE HOSPITAL, MAJOR MEDICAL, DENTAL, PRESCRIPTION DRUG, VISION, LIFE INSURANCE AND OTHER MEDICAL BENEFITS TO ELIGIBLE PARTICIPANTS.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
DescTO PROVIDE HOSPITAL, MAJOR MEDICAL, DENTAL, PRESCRIPTION DRUG, VISION, LIFE INSURANCE AND OTHER MEDICAL BENEFITS TO APPROXIMATELY 4,200 ELIGIBLE PARTICIPANTS.Desc
Described In Section501c30DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document73IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members8GoverningBodyVotingMembersCnt
Independent Voting Member0IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of Committees0MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy0ConflictOfInterestPolicyInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonBARBARA SMALLPersonNm
Phone9732424450PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line19-25 ALLING STREETAddressLine1
CityNEWARKCity
StateNJState
ZIP Code07102ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (9 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
ARNOLD D MANZO
TRUSTEE5.0040.00Yes (X)$0$0$0
SIDNEY D SELIGMAN
TRUSTEE5.0040.00Yes (X)$0$0$0
BRENDAN FARRELLY
TRUSTEE5.0040.00Yes (X)$0$0$0
STEVE IZZO
TRUSTEE5.0040.00Yes (X)$0$0$0
SUSAN M CLEARY
TRUSTEE5.0040.00Yes (X)$0$108,151$0
CRAIG A FORD
TRUSTEE5.0040.00Yes (X)$0$99,146$0
PHYLLIS SHIVERS
TRUSTEE5.0040.00Yes (X)$0$81,372$0
RICHARD MORREALE
TRUSTEE5.0040.00Yes (X)$0$81,732$0
BARBARA SMALL
EXECUTIVE DIRECTOR40.00$0$123,194$40,272Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$493,595TotReportableCompRltdOrgAmt
Total Other Compensation$40,272TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (2 entries)

Address Line1ContractorAddress/USAddress/AddressLine1CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmt
HORIZON HEALTHCARE SERVICES INC
3 PENN PLAZA EAST PPA-04VNEWARKNJ07105CLAIMS ADMINISTRATION$1,408,648
MILLIMAN INC
ONE PENN PLAZA 38TH FLOORNEW TORKNY10119ACTUARIAL$125,752
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K2CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
EMPLOYERS' CONTRIBUTIONS900099$28,947,215$28,947,215
COBRA CONTRIBUTIONS900099$91,895$91,895
FieldValueIRS element (for citing)
Total Program Service Revenue$29,039,110TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$138,357TotalRevenueColumnAmt
Exclusion$138,357ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$2,697,960SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$2,736,741SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$38,781SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$38,781TotalRevenueColumnAmt
Exclusion-$38,781ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOTHER INCOMEDesc
Business900099BusinessCd
Total Revenue Column$4,060TotalRevenueColumnAmt
Related Or Exempt Func Income$4,060RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$4,060OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$29,142,746TotalRevenueColumnAmt
Related Or Exempt Func Income$29,043,170RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$99,576ExclusionAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$29,367,759TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$146,809TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$32,400TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$19,397TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$125,752TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$88,130TotalAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$44,107TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$158,786TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$16,467TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$10,165TotalAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$75,282TotalAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmt
ALLOCATED PAYROLL, BENE$626,543
ALLOCATED EMPLOYEE BENE$204,211
ALLOCATED PAYROLL TAXES$62,423
REPAIRS AND MAINTENANCE$40,512

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$6,683TotalAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$31,025,426TotalAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$22,395,200BOYAmt
EOY$19,733,411EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$125,266BOYAmt
EOY$125,421EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,583,930BOYAmt
EOY$3,295,157EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$41,132BOYAmt
EOY$45,563EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$480,817LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$404,752LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$11,230BOYAmt
EOY$76,065EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$2,903,195BOYAmt
EOY$2,892,241EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$719,240BOYAmt
EOY$685,397EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$28,779,193BOYAmt
EOY$26,853,255EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$47,210BOYAmt
EOY$30,375EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$47,210BOYAmt
EOY$30,375EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$28,731,983BOYAmt
EOY$26,822,880EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$28,731,983BOYAmt
EOY$26,822,880EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$28,779,193BOYAmt
EOY$26,853,255EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$1,882,680ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$26,423NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule D IRS990ScheduleD

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$403,202OtherCostOrOtherBasisAmt
Depreciation$330,262DepreciationAmt
Book Value$72,940BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$77,615OtherCostOrOtherBasisAmt
Depreciation$74,490DepreciationAmt
Book Value$3,125BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$76,065TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$29,096,926TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$26,423NetUnrealizedGainsInvstAmt
Revenue Not Reported-$26,423RevenueNotReportedAmt
Revenue Subtotal$29,123,349RevenueSubtotalAmt
Investment Expenses Not Incld$19,397InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt$19,397RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$29,142,746TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$31,006,029TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$31,006,029ExpensesSubtotalAmt
Investment Expenses Not Incld2$19,397InvestmentExpensesNotIncld2Amt
Expenses Not Rpt Fincl Stmt$19,397ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$31,025,426TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationTHE PLAN RECEIVED ITS LATEST DETERMINATION LETTER ON JUNE 16, 1993, IN WHICH THE INTERNAL REVENUE SERVICE (IRS) ADVISED THAT THE PLAN QUALIFIES UNDER SECTION 501(C)(9) OF THE INTERNAL REVENUE CODE (IRC) AND IS, THEREFORE, EXEMPT FROM FEDERAL INCOME TAXES UNDER THE PROVISIONS OF SECTION 501(A). THE PLAN HAS BEEN AMENDED SINCE RECEIVING THE DETERMINATION LETTER. HOWEVER, THE PLAN'S TRUSTEES AND THE PLAN'S COUNSEL BELIEVE THAT THE PLAN IS CURRENTLY DESIGNED AND BEING OPERATED IN COMPLIANCE WITH THE APPLICABLE REQUIREMENTS OF THE IRC. THE PLAN'S MANAGEMENT EVALUATES TAX POSITIONS TAKEN BY THE PLAN AND RECOGNIZES A TAX LIABILITY OR ASSET IF AN UNCERTAIN TAX POSITION WAS TAKEN AND IT IS MORE-LIKELY-THAN-NOT THAT THE TAX POSITION WOULD NOT BE SUSTAINED UPON EXAMINATION BY TAXING AUTHORITIES. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE NO AUDITS IN PROGRESS AT THIS TIME. THE PLAN IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR THE YEARS PRIOR TO 2010.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp

FieldValueIRS element (for citing)
PersonBARBARA SMALLPersonNm
TitleEXECUTIVE DIRECTORTitleTxt
Base Compensation Filing Org$0BaseCompensationFilingOrgAmt
Compensation Based On Rltd Orgs$123,194CompensationBasedOnRltdOrgsAmt
Bonus Filing Organization$0BonusFilingOrganizationAmount
Bonus Related Organizations$0BonusRelatedOrganizationsAmt
Other Compensation Filing Org$0OtherCompensationFilingOrgAmt
Other Compensation Rltd Orgs$0OtherCompensationRltdOrgsAmt
Deferred Compensation Flng Org$0DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs$9,474DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org$0NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs$30,798NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org$0TotalCompensationFilingOrgAmt
Total Compensation Rltd Orgs$163,466TotalCompensationRltdOrgsAmt
Comp Report Prior990 Filing Org$0CompReportPrior990FilingOrgAmt
Comp Report Prior990 Rltd Orgs$0CompReportPrior990RltdOrgsAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 8BTHE FUND HAS NO COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY.
FORM 990, PART VI, SECTION B, LINE 11THE FUND'S 990 IS PREPARED BY ITS OUTSIDE AUDITOR AND SUBMITTED TO THE EXECUTIVE DIRECTOR. THE EXECUTIVE DIRECTOR THEN REVIEWS IT WITH THE BOARD OF TRUSTEES PRIOR TO FILING.
FORM 990, PART VI, SECTION C, LINE 19THE FUND'S DOCUMENTS, POLICIES AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.
FORM 990, PART XII, LINE 2CTHE BOARD OF TRUSTEES ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND THE SELECTION OF THE INDEPENDENT AUDITOR. THIS PROCESS HAS NOT CHANGED SINCE THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationInd
DISTRICT 1199J NEW JERSEY HEALTH CARE EMPLOYERS PENSION PLAN
9-25 ALLING STREETNEWARKNJ07102223095464TO PROVIDE PENSION BENEFITS TO ELIGIBLE MEMBERS AND THEIR BENEFICIARIESNJ501(A)N/A0
DISTRICT 1199J PENSION FUND TITLE HOLDING COMPANY
9-25 ALLING STREETNEWARKNJ07102223619686TO PROVIDE OFFICE SPACE FOR UNION ACTIVITESNJ501(C)(2)N/A0
DISTRICT 1199J TRAINING & DEVELOPMENT FUND
9-25 ALLING STREETNEWARKNJ07102222858377TO PROVIDE EDUCATIONAL BENEFITS TO ELIGIBLE MEMBERSNJ501(C)(9)N/A0
DISTRICT 1199J NUHHCE AFSCME AFL-CIO
9-25 ALLING STREETNEWARKNJ07102222180099REPRESENTS MEMBERS IN COLLECTIVE BARGAINING MATTERS WITH EMPLOYERSNJ501(C)(5)N/A0

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (24 entries)

Legal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACd
UNIVERSAL CLEANING CO
NYN/A
CLARA MAASS MEMORIAL
NYN/A
NEWARK BETH ISRAEL
NYN/A
SAINT BARNABAS HOSPITAL
NYN/A
DAUGHTERS OF MIRIAM
NYN/A
ELIZABETH NURSING HOME
NYN/A
HELENE FULD MEDICAL
NYN/A
DAUGHTERS OF ISRAEL
NYN/A
SAINT MICHAELS MEDICAL
NYN/A
SODEXHO AT SAINT MICHAELS
NYN/A
PINE ACRES NURSING HOME
NYN/A
SODEXHO USA INC
NYN/A
GREEN HILL MEMORIAL
NYN/A
CORNELL HALL
NYN/A
COMPREHENSIVE CLEANING
NYN/A
HOBOKEN UNIVERSITY MEDICAL
NYN/A
PRINCETON CARE CENTER
NYN/A
MERIT MOUNTAINSIDE
NYN/A
INGLEMOOR CARE CENTER
NYN/A
DELANEY HALL
NYN/A
THE HARBOR HOUSE
NYN/A
LOGAN HALL
NYN/A
TULLY HOUSE
NYN/A
WATERVIEW CENTER
NYN/A
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
DISTRICT 1199J NEW JERSEY HEALTH CARE EMPLOYERS PENSION FUND
N$431,149ACCRUAL BASIS
DISTRICT 1199J NEW JERSEY HEALTH CARE EMPLOYERS PENSION FUND
O$893,177ACCRUAL BASIS
DISTRICT 1199J NEW JERSEY HEALTH CARE EMPLOYERS PENSION FUND
P$1,324,326ACCRUAL BASIS
DISTRICT 1199J PENSION FUND TITLE HOLDING COMPANY
K$158,786ACCRUAL BASIS