TRI STATE JOINT FUND: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- TRI STATE JOINT FUND (EIN 06-0850110)
- Tax period
- 2012-07-01 to 2013-06-30
- Filed
- 2014-02-10
- IRS object ID
- 201430419349301053
- Schema version
- 2012v2.1
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2014-02-10T14:38:04-06:00 | Timestamp |
| Tax Period End Date | 2013-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 061298465 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SM ESPOSITO & CO PC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3013 DIXWELL AVENUE | AddressLine1 |
| City | HAMDEN | City |
| State | CT | State |
| ZIP Code | 06518 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 060850110 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TRI-STATE JOINT FUND | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | TRI- | NameControl |
| Phone | 2038763110 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 25 RESEARCH DRIVE | AddressLine1 |
| City | MILFORD | City |
| State | CT | State |
| ZIP Code | 06460 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | DENNIS E RAYMOND | Name |
| Title | UNION CO-CHAIRMAN | Title |
| Phone | 2038763103 | Phone |
| Date Signed | 2014-02-10 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2033877771 | Phone |
| Date Prepared | 2014-02-10 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | DENNIS E RAYMOND | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 25 RESEARCH DRIVE | AddressLine1 |
| City | MILFORD | City |
| State | CT | State |
| ZIP Code | 06460 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 87669750 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| Web Site | N/A | WebSite |
| Type Of Organization Trust | X | TypeOfOrganizationTrust |
| Year Formation | 1968 | YearFormation |
| State Legal Domicile | CT | StateLegalDomicile |
| Activity Or Mission Description | SELF-INSURED HEALTH BENEFIT PLAN | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 28 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 28 | NbrIndependentVotingMembers |
| Total Nbr Employees | 15 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 0 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 78773261 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 79663104 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 322885 | InvestmentIncomePriorYear |
| Investment Income Current Year | 579332 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 2306 | OtherRevenuePriorYear |
| Other Revenue Current Year | 1784 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 79098452 | TotalRevenuePriorYear |
| Total Revenue Current Year | 80244220 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 76463341 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 77421276 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 1320581 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 1323716 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 1603308 | OtherExpensePriorYear |
| Other Expenses Current Year | 1645505 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 79387230 | TotalExpensesPriorYear |
| Total Expenses Current Year | 80390497 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -288778 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -146277 | RevenuesLessExpensesCY |
| Total Assets BOY | 14997874 | TotalAssetsBOY |
| Total Assets EOY | 15369983 | TotalAssetsEOY |
| Total Liabilities BOY | 2943996 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 3064550 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 12053878 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 12305433 | NetAssetsOrFundBalancesEOY |
| Mission Description | PROVIDE SELF-INSURED HEALTH AND WELFARE BENEFITS TO MEMBERS COVERED UNDER COLLECTIVE BARGAINING AGREEMENTS NEGOTIATED BY TEAMSTER LOCALS. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 80390497 | Expense |
| Description | THE FUND OPERATES UNDER A TRUST AGREEMENT FOR THE PURPOSEOF MAKING BENEFIT PAYMENTS TO MEMBERS OF THE TRI-STATETEAMSTERS HEALTH SERVICES & INSURANCE PLAN, THESE BENEFITS COVER HOSPITAL,SURGICAL, PRESCRIPTION DRUG, HOME HEALTH CARE AND DEATH BENEFITS FOR 11,196 MEMBERS PLUS THEIR DEPENDENTS. | Description |
| Total Program Service Expense | 80390497 | TotalProgramServiceExpense |
| Described In501 C3 | 0 | DescribedIn501C3 |
| Schedule B Required | 0 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 18 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 15 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 28 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 28 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 0 | ConflictOfInterestPolicy |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 0 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PATRICIA SANDILLO | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 2038763103 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 25 RESEARCH DRIVE | AddressLine1 |
| City | MILFORD | City |
| State | CT | State |
| ZIP Code | 06460 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (32 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation |
|---|---|---|---|---|---|
| DENNIS RAYMOND | |||||
| UNION CO-CHAIRMAN & TRUSTE | 4.00 | X | 0 | 0 | 0 |
| JOSEPH ESPOSITO | |||||
| UNION TRUSTEE | 1.00 | X | 0 | 0 | 0 |
| DANIEL FLANAGAN | |||||
| UNION TRUSTEE | 1.00 | X | 0 | 0 | 0 |
| ANTHONY CAPPELLA | |||||
| EMPLOYER TRUSTEE | 1.00 | X | 0 | 0 | 0 |
| RAYMOND ONEGLIA | |||||
| EMPLOYER TRUSTEE | 1.00 | X | 0 | 0 | 0 |
| FRANK ROSSI | |||||
| UNION TRUSTEE | 1.00 | X | 0 | 0 | 0 |
| VICTOR SANTIAGO | |||||
| UNION TRUSTEE | 1.00 | X | 0 | 0 | 0 |
| ROBERT SULLIVAN JR | |||||
| EMPLOYER TRUSTEE | 1.00 | X | 0 | 0 | 0 |
| SCOTT THOMSON | |||||
| EMPLOYER TRUSTEE | 1.00 | X | 0 | 0 | 0 |
| ROBERT BAYUSIK | |||||
| UNION TRUSTEE | 1.00 | X | 0 | 0 | 0 |
| LINDA BUNNELL | |||||
| UNION TRUSTEE | 1.00 | X | 0 | 0 | 0 |
| DENNIS MCGUIRE | |||||
| EMPLOYER CO-CHAIRMAN & TRU | 4.00 | X | 0 | 0 | 0 |
| THOMAS SCHLINK | |||||
| UNION TRUSTEE | 1.00 | X | 0 | 0 | 0 |
| BEVAN SWEET | |||||
| UNION TRUSTEE | 1.00 | X | 0 | 0 | 0 |
| NICHOLAS REUT | |||||
| EMPLOYER TRUSTEE | 1.00 | X | 0 | 0 | 0 |
| JOHN LUPACCHINO | |||||
| UNION TRUSTEE | 1.00 | X | 0 | 0 | 0 |
| THOMAS GILMARTIN | |||||
| UNION TRUSTEE | 1.00 | X | 0 | 0 | 0 |
| ROY SULLIVAN | |||||
| UNION TRUSTEE | 1.00 | X | 0 | 0 | 0 |
| TIMOTHY MCAVOY | |||||
| EMPLOYER TRUSTEE | 1.00 | X | 0 | 0 | 0 |
| JOHN LEAHY | |||||
| EMPLOYER TRUSTEE | 1.00 | X | 0 | 0 | 0 |
| DANIEL DURSO | |||||
| UNION TRUSTEE | 1.00 | X | 0 | 0 | 0 |
| ALAN FREOHLICH | |||||
| EMPLOYER TRUSTEE | 1.00 | X | 0 | 0 | 0 |
| CHRISTOPHER ROOS | |||||
| UNION TRUSTEE | 1.00 | X | 0 | 0 | 0 |
| GLENN BARKSDALE | |||||
| UNION TRUSTEE | 1.00 | X | 0 | 0 | 0 |
| PAUL NOVAK | |||||
| EMPLOYER TRUSTEE | 1.00 | X | 0 | 0 | 0 |
| JAMES STACK | |||||
| EMPLOYER TRUSTEE | 1.00 | X | 0 | 0 | 0 |
| TIMOTHY CASEY | |||||
| EMPLOYER TRUSTEE | 1.00 | X | 0 | 0 | 0 |
| HELGA SCHMIDT | |||||
| EMPLOYER TRUSTEE | 1.00 | X | 0 | 0 | 0 |
| PATRICIA SANDILLO | |||||
| EXECUTIVE DIRECTOR | 40.00 | X | 133978 | 0 | 38342 |
| RONALD DEFILIPPO | |||||
| UNION TRUSTEE | 1.00 | X | 0 | 0 | 0 |
| KENNETH PAUZE | |||||
| EMPLOYER TRUSTEE | 1.00 | X | 0 | 0 | 0 |
| JOHN CAPOBIANCO | |||||
| UNION TRUSTEE | 1.00 | X | 0 | 0 | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 133978 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 38342 | TotalOtherCompensation |
| Number Individuals GT100 K | 1 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (3 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| ROBERT M CHEVERIE & ASSOC | |||||
| 333 EAST RIVER DRIVE | EAST HARTFORD | CT | 06108 | LEGAL | 323762 |
| THE SEGAL COMPANY | |||||
| CHURCH STREET STATION P O BOX 4059 | NEW YORK | NY | 102614059 | ACTUARIAL | 243381 |
| EMDEONABF | |||||
| 3183 RIDER TRAIL SOUTH | EARTH CITY | MO | 63045 | PRINTING/MAILING | 127213 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 3 | NumberOfContractorsGT100K |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | CONTRIBUTIONS - HEALTH FUNDS | Description |
| Business Code | 900099 | BusinessCode |
| Total Revenue Column | 79663104 | TotalRevenueColumn |
| Related Or Exempt Function Income | 79663104 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 79663104 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 252744 | TotalRevenueColumn |
| Related Or Exempt Function Income | 252744 | RelatedOrExemptFunctionIncome |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 7752118 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 7425530 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 326588 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 326588 | TotalRevenueColumn |
| Related Or Exempt Function Income | 326588 | RelatedOrExemptFunctionIncome |
Other Revenue Misc OtherRevenueMisc (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| RENTAL INCOME | 900099 | 1350 | 1350 |
| SECURITY LITIGATION PROCEEDS | 900099 | 434 | 434 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 1784 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 80244220 | TotalRevenueColumn |
| Related Or Exempt Function Income | 80244220 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 77421276 | Total |
| Program Services | 77421276 | ProgramServices |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 759824 | Total |
| Program Services | 759824 | ProgramServices |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 259358 | Total |
| Program Services | 259358 | ProgramServices |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 239121 | Total |
| Program Services | 239121 | ProgramServices |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 65413 | Total |
| Program Services | 65413 | ProgramServices |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 368754 | Total |
| Program Services | 368754 | ProgramServices |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 155500 | Total |
| Program Services | 155500 | ProgramServices |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 67262 | Total |
| Program Services | 67262 | ProgramServices |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 41415 | Total |
| Program Services | 41415 | ProgramServices |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 439221 | Total |
| Program Services | 439221 | ProgramServices |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 61371 | Total |
| Program Services | 61371 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 57750 | Total |
| Program Services | 57750 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 51844 | Total |
| Program Services | 51844 | ProgramServices |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices |
|---|---|---|
| CONSULTING FEE (ACTUARI | 236863 | 236863 |
| OUTSIDE SERVICES | 98384 | 98384 |
| PROPERTY TAXES | 37109 | 37109 |
| UTILITIES | 30032 | 30032 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 80390497 | Total |
| Program Services | 80390497 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5576991 | BOY |
| EOY | 2677430 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 86428 | BOY |
| EOY | 44995 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 4827789 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 4375068 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 507833 | BOY |
| EOY | 452721 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7479634 | BOY |
| EOY | 11378478 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1346988 | BOY |
| EOY | 816359 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14997874 | BOY |
| EOY | 15369983 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 783148 | BOY |
| EOY | 1162359 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2160848 | BOY |
| EOY | 1902191 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2943996 | BOY |
| EOY | 3064550 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Do Not Follow SFAS117 | X | DoNotFollowSFAS117 |
Cap Stck Trst Prin Current Funds CapStckTrstPrinCurrentFunds
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Paid In Cap Srpls Land Bldg Eqp Fund PaidInCapSrplsLandBldgEqpFund
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12053878 | BOY |
| EOY | 12305433 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12053878 | BOY |
| EOY | 12305433 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14997874 | BOY |
| EOY | 15369983 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | -146277 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 397832 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Separate | X | FinancialStatementSeparate |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 152788 | OtherCostOrOtherBasis |
| Book Value | 152788 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 3652520 | OtherCostOrOtherBasis |
| Depreciation | 3433553 | Depreciation |
| Book Value | 218967 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1022481 | OtherCostOrOtherBasis |
| Depreciation | 941515 | Depreciation |
| Book Value | 80966 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 452721 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (3 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| INTEREST RECEIVABLE | 42403 |
| MISCELLANEOUS RECEIVABLE | 670990 |
| DUE FROM AFFILIATES - CONTRIBUTIONS | 102966 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 816359 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| DUE TO ANTHEM | $1,632,098 |
| DUE TO AFFILIATES | $270,093 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 1902191 | TotalOfAmounts |
| Tot Revenue Etc Audited Fincl Stmt | 80642052 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 397832 | NetUnrealizedGainsInvestments |
| Revenue Not Rptd F990 | 397832 | RevenueNotRptdF990 |
| Revenue Subtotal | 80244220 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 80244220 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 80390497 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 80390497 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 80390497 | TotalExpensesPerForm990 |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (3 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | FORM 990 IS REVIEWED IN PERSON WITH THE CO-CHAIRMEN AND THE EXECUTIVE DIRECTOR PRIOR TO FILING OF THE RETURN. |
| FORM 990, PART VI, SECTION B, LINE 15B | THE CO-CHAIRMEN REVIEW AND ADJUST THE COMPENSATION OF THE EXECUTIVE DIRECTOR ON AN ANNUAL BASIS. |
| FORM 990, PART VI, SECTION C, LINE 19 | TRI-STATE JOINT FUND DOES NOT MAKE AVAILABLE TO THE GENERAL PUBLICANY OF ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY OR FINANCIAL STATEMENTS. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (7 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|
| IBT TEAMSTERS LOCAL 191 HEALTH SERVICE & INSURANCE PLAN | |||||||||
| 1139 FAIRFIELD AVENUE | BRIDGEPORT | CT | 06605 | 060689974 | AFFILIATED SELF INSURED HEALTH PLAN | CT | 501C-9 | N/A | 0 |
| TEAMSTERS LOCAL 404 HEALTH SERVICE & INSURANCE PLAN | |||||||||
| 115 PROGRESS AVENUE | SPRINGFIELD | MA | 01104 | 042174518 | AFFILIATED SELF INSURED HEALTH PLAN | MA | 501C-9 | N/A | 0 |
| TRANSPORTATION LOCAL 443 HEALTH SERVICE & INSURANCE PLAN | |||||||||
| 200 WALLACE STREET | NEW HAVEN | CT | 06511 | 060690083 | AFFILIATED SELF INSURED HEALTH PLAN | CT | 501C-9 | N/A | 0 |
| GENERAL TEAMSTERS LOCAL 493 HEALTH SERVICE & INSURANCE PLAN | |||||||||
| 18 CRESENT STREET | UNCASVILLE | CT | 06382 | 060689500 | AFFILIATED SELF INSURED HEALTH PLAN | CT | 501C-9 | N/A | 0 |
| TEAMSTERS LOCAL 559 HEALTH SERVICE & INSURANCE PLAN | |||||||||
| 400 CHAPEL ROAD UNIT 2-B | SOUTH WINDSOR | CT | 06074 | 060683663 | AFFILIATED SELF INSURED HEALTH PLAN | CT | 501C-9 | N/A | 0 |
| TEAMSTERS LOCAL 677 HEALTH SERVICE & INSURANCE PLAN | |||||||||
| 1871 BALDWIN STREET | WATERBURY | CT | 06706 | 060691862 | AFFILIATED SELF INSURED HEALTH PLAN | CT | 501C-9 | N/A | 0 |
| TEAMSTERS LOCAL 1035 HEALTH SERVICE & INSURANCE PLAN | |||||||||
| 400 CHAPEL ROAD UNIT 2-A | SOUTH WINDSOR | CT | 06074 | 060997832 | AFFILIATED SELF INSURED HEALTH PLAN | CT | 501C-9 | N/A | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |