2014-02-07T14:13:00-06:00 2013-06-30 043508036 MANZI & ASSOCIATES LLC 855 TURNPIKE STREET STE 140 NORTH ANDOVER MA 01845 990 2012-07-01 042762048 CAMBRIDGE PUBLIC EMPLOYEES DENTAL AND VISION FUND CAMB 6173541110 100 CAMBRIDGE PARK DR NO 101 CAMBRIDGE MA 02140 LISA PETERSON 6173541110 2014-02-06 1 JEANNIE MICKEL P01058630 9789751099 2012 2015-11-30 17:44:51Z JILL HEROLD 100 CAMBRIDE PARK DR SUITE 101 CAMBRIDGE MA 02140 4560811 0 X N/A X 1984 MA TO PROVIDE DENTAL & VISION BENEFITS 10 10 2 0 0 0 0 0 4413716 4428805 111582 132006 0 0 4525298 4560811 0 0 3136025 3766622 133502 137188 0 0 0 289371 328530 3558898 4232340 966400 328471 5078821 5634002 505000 533000 4573821 5101002 TO PROVIDE DENTAL & VISION BENEFITS 0 0 3967414 TO PROVIDE DENTAL & VISION BENEFITS TO ELIGIBLE PARTICIPANTS AND DEPENDENTS PURSUANT TO THE FUND'S PLAN OF BENEFITS 264926 ADMINISTRATIVE EXPENSES RELATED TO PROVIDING DENTAL & VISION BENEFITS 4232340 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 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 13 0 1 2 1 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 1 1 0 1 1 0 0 1 0 0 0 0 1 0 X JILL HEROLD 6173541110 100 CAMBRIDGE PARK DRIVE SUITE 101 CAMBRIDGE MA 02140 GERALDINE HEROLD 1.00 X 1800 0 0 RICHARD ROSSI 1.00 X 1650 0 0 RAY CLARK 1.00 X 1650 0 0 MICHAEL COSTELLO 1.00 X 900 0 0 JAMES CASSIDY SR 1.00 X 1500 0 0 LEONARD SILVA 1.00 X 1350 0 0 PETER MILI 1.00 X 1800 0 0 MARY ELLEN CAMPBELL 1.00 X 1200 0 0 DENNIS O'CONNOR 1.00 X 1350 0 0 GERALDINE HEROLD 2.00 X 1800 0 0 LISA PETERSON 1.00 X 1500 0 0 16500 0 0 0 0 0 0 DELTA DENTAL 465 MEDFORD STREET BOSTON MA 02129 BENEFIT ADMINISTRATION 200793 1 EMPLOYER CONTRIBUTIONS 900099 3925094 3925094 EMPLOYEE CONTRIBUTIONS 900099 503711 503711 4428805 132006 132006 4560811 4428805 0 132006 3766622 3766622 16650 16650 107750 107750 4008 4008 8780 8780 20749 20749 14170 14170 14459 14459 200793 200793 5063 5063 19469 19469 2628 2628 2834 2834 PROFESSIONAL FEES 30080 30080 POSTAGE 9553 9553 PAYROLL FEES 3786 3786 STORAGE 2000 2000 2946 2946 4232340 4232340 0 0 106087 50937 1186786 1295109 99751 86409 10375 12377 68965 61759 9834 7206 3665988 4181964 5078821 5634002 505000 533000 505000 533000 X 0 0 0 0 4573821 5101002 4573821 5101002 5078821 5634002 328471 198710 0 X X 0 1 X 1 0 68965 61759 7206 7206 BENEFITS PAYABLE 377804 IBNR 155196 533000 X 4745062 198710 198710 4546352 14459 14459 4560811 4189881 0 4189881 14459 28000 42459 4232340 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: 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 JUNE 30, 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 BENEFIT PAYABLE 10,278. CHANGE IN IBNR 17,722. FORM 990, PART VI, SECTION A, LINE 6 ORGANIZED WITH MEMBERS WHO ARE QUALIFYING PUBLIC EMPLOYEES. FORM 990, PART VI, SECTION A, LINE 7A MEMBERS ELECT THE TRUSTEES FORM 990, PART VI, SECTION B, LINE 11 TRUSTEES REVIEW AND APPROVE THE FORM 990 PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 15B COMPENSATION DETERMINED BY COMPARABILITY DATA. FORM 990, PART VI, SECTION C, LINE 19 NO DOCUMENTS AVAILABLE TO THE PUBLIC FORM 990, PART XII, LINE 2: NO CHANGE IN OVERSIGHT PROCESS OR SELECTION OF INDEPENDANT ACCOUNTANT. CITY OF CAMBRIDGE MA CAMBRIDGE RETIREMENT BOARD MA CAMBRIDGE HEALTH ALLIANCE MA CAMBRIDGE SCHOOL DEPARTMENT MA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0