2013-11-04T07:51:16-06:00 2012-12-31 542076905 BST ADVISORS LLC 28 WEST 44TH STREET NEW YORK NY 10036 990 2012-01-01 223143027 DISTRICT 1199J NEW JERSEY HEALTH CARE EMPLOYERS BENEFIT FUND DIST 9732424450 9-25 ALLING STREET NEWARK NJ 07102 BARBARA SMALL 9732424450 2013-10-31 1 PATRICK C STINES P01592735 2126618640 2012 2016-03-07 17:11:31Z BARBARA SMALL 9-25 ALLING STREET NEWARK NJ 07102 30337748 0 X N/A X 1991 NJ TO PROVIDE HOSPITAL, MAJOR MEDICAL, DENTAL, PRESCRIPTION DRUG, VISION, LIFE INSURANCE AND OTHER MEDICAL BENEFITS TO ELIGIBLE PARTICIPANTS. 8 4 0 0 0 0 0 0 31583889 28366935 279810 130279 871 198 31864570 28497412 0 0 23004905 24394353 0 0 0 0 0 1801101 1665672 24806006 26060025 7058564 2437387 26326961 28779193 37430 47210 26289531 28731983 TO PROVIDE HOSPITAL, MAJOR MEDICAL, DENTAL, PRESCRIPTION DRUG, VISION, LIFE INSURANCE AND OTHER MEDICAL BENEFITS TO ELIGIBLE PARTICIPANTS. 0 0 TO PROVIDE HOSPITAL, MAJOR MEDICAL, DENTAL, PRESCRIPTION DRUG, VISION, LIFE INSURANCE AND OTHER MEDICAL BENEFITS TO APPROXIMATELY 4,600 ELIGIBLE PARTICIPANTS. 0 0 0 0 0 0 0 0 0 1 0 0 0 0 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 67 0 1 0 0 0 0 0 0 0 0 0 X 8 4 0 0 0 0 0 0 0 1 0 0 0 1 0 1 1 0 0 0 X BARBARA SMALL 9732424450 9-25 ALLING STREET NEWARK NJ 07102 ARNOLD D MANZO 5.00 X 0 0 0 SIDNEY D SELIGMAN 5.00 X 0 0 0 BRENDAN FARRELLY 5.00 X 0 0 0 STEVE IZZO 5.00 X 0 0 0 SUSAN M CLEARY 5.00 X 0 104414 0 CRAIG A FORD 5.00 X 0 95721 0 PHYLLIS SHIVERS 5.00 X 0 79077 0 RICHARD MORREALE 5.00 X 0 79077 0 BARBARA SMALL 40.00 X 0 118383 38700 0 476672 38700 0 0 1 0 HORIZON HEALTHCARE SERVICES INC 3 PENN PLAZA EAST PPA-04V NEWARK NJ 07105 CLAIMS ADMINISTRATION 1382752 MILLIMAN INC ONE PENN PLAZA 38TH FLOOR NEW TORK NY 10119 ACTUARIAL 126531 2 EMPLOYERS' CONTRIBUTIONS 900099 28276452 28276452 COBRA CONTRIBUTIONS 900099 90483 90483 28366935 157487 157487 1813128 1840336 -27208 -27208 -27208 OTHER INCOME 900099 198 198 198 28497412 28367133 0 130279 24394353 175549 32400 18204 126531 93647 41701 156128 17860 2003 65365 ALLOCATED PAYROLL, BENE 613064 ALLOCATED EMPLOYEE BENE 199707 ALLOCATED PAYROLL TAXES 62323 REPAIRS AND MAINTENANCE 54730 6460 26060025 19445342 22395200 255022 125266 3259127 2583930 22441 41132 405817 394587 6288 11230 2726758 2903195 611983 719240 26326961 28779193 37430 47210 37430 47210 X 26289531 28731983 26289531 28731983 26326961 28779193 2437387 5065 0 X X 0 1 X 1 0 405817 394587 11230 11230 X 28484273 5065 5065 28479208 18204 18204 28497412 26041821 0 26041821 18204 18204 26060025 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: THE 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 2009. 0 0 0 BARBARA SMALL 0 118383 0 0 0 0 0 9104 0 29596 0 157083 0 0 FORM 990, PART VI, SECTION A, LINE 8B THE FUND HAS NO COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BONDY. FORM 990, PART VI, SECTION B, LINE 11 THE 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 19 THE FUND'S DOCUMENTS, POLICIES AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART XII, LINE 2C THE 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. DISTRICT 1199J NEW JERSEY HEALTH CARE EMPLOYERS PENSION PLAN 9-25 ALLING STREET NEWARK NJ 07102 223095464 TO PROVIDE PENSION BENEFITS TO ELIGIBLE MEMBERS AND THEIR BENEFICIARIES NJ 501(A) N/A 0 DISTRICT 1199J PENSION FUND TITLE HOLDING COMPANY 9-25 ALLING STREET NEWARK NJ 07102 223619686 TO PROVIDE OFFICE SPACE FOR UNION ACTIVITES NJ 501(C)(2) N/A 0 DISTRICT 1199J TRAINING & DEVELOPMENT FUND 9-25 ALLING STREET NEWARK NJ 07102 222858377 TO PROVIDE EDUCATIONAL BENEFITS TO ELIGIBLE MEMBERS NJ 501(C)(9) N/A 0 DISTRICT 1199J NUHHCE AFSCME AFL-CIO 9-25 ALLING STREET NEWARK NJ 07102 222180099 REPRESENTS MEMBERS IN COLLECTIVE BARGAINING MATTERS WITH EMPLOYERS NJ 501(C)(5) N/A 0 UNIVERSAL CLEANING CO NY N/A CLARA MAASS MEMORIAL NY N/A NEWARK BETH ISRAEL NY N/A SAINT BARNABAS HOSPITAL NY N/A DAUGHTERS OF MIRIAM NY N/A ELIZABETH NURSING HOME NY N/A HELENE FULD MEDICAL NY N/A DAUGHTERS OF ISRAEL NY N/A SAINT MICHAELS MEDICAL NY N/A SODEXHO AT SAINT MICHAELS NY N/A PINE ACRES NURSING HOME NY N/A SODEXHO USA INC NY N/A GREEN HILL MEMORIAL NY N/A CORNELL HALL NY N/A COMPREHENSIVE CLEANING NY N/A HOBOKEN UNIVERSITY MEDICAL NY N/A PRINCETON CARE CENTER NY N/A MERIT MOUNTAINSIDE NY N/A INGLEMOOR CARE CENTER NY N/A DELANEY HALL NY N/A THE HARBOR HOUSE NY N/A LOGAN HALL NY N/A TULLY HOUSE NY N/A WATERVIEW CENTER NY N/A 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 0 0 DISTRICT 1199J NEW JERSEY HEALTH CARE EMPLOYERS PENSION FUND N 318816 ACCRUAL BASIS DISTRICT 1199J NEW JERSEY HEALTH CARE EMPLOYERS PENSION FUND O 875094 ACCRUAL BASIS DISTRICT 1199J NEW JERSEY HEALTH CARE EMPLOYERS PENSION FUND P 1193910 ACCRUAL BASIS DISTRICT 1199J PENSION FUND TITLE HOLDING COMPANY K 156128 ACCRUAL BASIS