2013-11-13T09:08:58-08:00 2012-12-31 GOULD KOBRICK & SCHLAPP PC 3 PARK AVE 14TH FL NEW YORK NY 100165902 990 2012-01-01 136118206 MARBLE INDUSTRY TRUST FUND MARB 2125055050 253 WEST 35TH STREET 12TH FLOOR NEW YORK NY 10001 Christopher Guy 2013-11-13 true Steven T Schlapp P00170958 2125649451 2012 2016-02-24 21:20:13Z Christopher Guy 45-34 Court Street Long Island City NY 111014301 7605477 false false X N/A X 1946 NY The Plan was established for the purpose of providing health care and other benefits to eligible employees covered by collective bargaining agreements. 8 8 81 0 0 6849696 7534063 4178 14921 36658 56493 6890532 7605477 0 6686401 6276876 50099 0 0 536067 519910 7222468 6846885 -331936 758592 11231728 11986946 3624924 3618354 7606804 8368592 The Plan was established for the purpose of providing health care and other benefits to eligible employees covered by collective bargaining agreements. false false PROVIDED HEALTH & WELFARE AND OTHER BENEFITS TO COVERED PLAN PARTICIPANTS. false false false false false false false false false false false false false false true false true false false false false false false false false false false false false false false false false false false false false false false false false false false false false false true false false false false true 168 0 true 81 true false false false false false false false false false false false false X 8 8 false false false false false false false true true false false true true true true true true false false false X DANIEL H COOK ASSOCIATES INC 2125055050 253 WEST 35TH STREET 12TH FLOOR NEW YORK NY 100011970 JACK CUSUMANO 1.00 1.00 X 0 0 0 Patrick Barrett 1.00 1.00 X 0 0 0 Christopher Guy 1.00 1.00 X 0 0 0 kevin ennis 1.00 1.00 X 0 0 0 james beecher 1.00 1.00 X 916 0 827 MICHAEL GOEDTEL 1.00 1.00 X 792 0 650 mortimer lynch 1.00 1.00 X 0 0 0 ronald nicastri 1.00 1.00 X 0 0 0 1708 1477 0 false false false EMPIRE BLUE CROSS BLUE SHIELD 3350 PEACHTREE ROAD POB 30302-445 ATLANTA GA 303261039 CLAIMS PROCESSING 133376 DANIEL H COOK ASSOCIATES INC 253 W 35TH STREET 12TH FL NEW YORK NY 10001 THIRD PARTY ADMIN. 162500 COLLERAN OHARA & MILLS LLP 1225 FRANKLIN AVE SUITE 450 GARDEN CITY NY 11530 LEGAL REPRESENTATION 100503 3 0 MEDICARE PART D SUBSIDY 525100 15114 15114 Employer contributions 525100 7421001 7421001 cobra contributions 525100 97948 97948 7534063 14921 14921 0 0 0 0 0 0 0 Reimb of admin expenses 525100 38299 38299 MISCELLANEOUS 525100 9282 9282 FORFEITURES 525100 8912 8912 56493 7605477 7590556 14921 0 0 0 6276876 3185 0 40000 3200 0 3714 0 51130 65965 0 0 0 349970 0 41930 1200 0 0 0 0 5381 0 0 0 4334 0 6846885 0 0 0 4461826 4991784 4793574 4804358 0 1899947 2106596 0 0 0 0 27881 35708 0 0 0 0 0 48500 48500 11231728 11986946 37951 90329 923 1988 3586050 3526037 3624924 3618354 X 7606804 8368592 7606804 8368592 11231728 11986946 758592 3196 X false true X false false CLEARANCE ACCOUNT EXCHANGES 2158798 CLAIMS PAYABLE & IBNR 1367239 3526037 7570374 3196 3196 7567178 38299 38299 7605477 6829419 -38299 -38299 6867718 -20833 -20833 6846885 Part XI, Line 4b Part XI, Line 4b: Other revenue amounts included on 990 but not included in F/S OVERHEAD REIMBURSEMENT $38299 FORM 990, PART V, LINE 2A - NUM OF EMPL THE FUND HAS ONLY ONE EMPLOYEE. THE FORM W-2S WERE ISSUED TO THE EMPLOYEE AND PARTICIPANTS OF THE PLAN WHO RECEIVED TAXABLE BENEFITS IN ACCORDANCE WITH THE INTERNAL REVENUE CODE. Form 990, Part VI, Line 19 Form 990, Part VI, Line 19: Other Organization Documents Publicly Available GOVERNING DOCUMENTS, POLICIES AND FINANCIAL STATEMENTS ARE NOT MADE AVAILABLE TO THE GENERAL PUBLIC. Form 990, Part VI, Line 12c Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts AS REQUIRED BY THE PLAN'S CONFLICT OF INTEREST POLICY ("POLICY"), THE TRUSTEES OF THE PLAN HAVE A CONTINUOUS OBLIGATION TO DISCLOSE POTENTIAL CONFLICTS OF INTEREST TO THE FULL BOARD OF TRUSTEES. IN ADDITION TO THE AFORESAID CONTINUOUS OBLIGATION TO DISCLOSE, THE PLAN'S POLICY REQUIRES TRUSTEES OF THE PLAN TO ANNUALLY SIGN A STATEMENT AFFIRMING THAT SUCH PERSON HAS RECEIVED A COPY OF THE POLICY, HAS READ AND UNDERSTANDS THE POLICY, AND AGREES TO COMPLY WITH THE POLICY. Form 990, Part VI, Line 11b Form 990, Part VI, Line 11b: Form 990 Review Process PRIOR TO FILING, A COPY OF FEDERAL FORM 990 IS PROVIDED TO EACH TRUSTEE. MARBLE INDUSTRY PENSION & ANNUITY TR FDS 253 WEST 35TH STREET 12TH FLOOR NEW YORK NY 10001 132967109 TO PROVIDE PENSION & ANNUITY BENEFITS NY 501(A) N/A false WILKSTONE RESTORATION LLC N/A false Wilkstone LLC N/A false WALLICO MAINTENANCE INC N/A false WALLICO MAINTENANCE GROUP LLC N/A false VAL Floors Inc N/A false TRINITY CONTRACTING & MAINTENANCE N/A false TOP STONE & TILE N/A false Tile Stone Marble&Terrazzo N/A false THIN STONE SYSTEMS N/A false THEMEING SOLUTIONS N/A false TEMCO SERVICE INDUSTRIAL N/A false SUPERIOR STONE SETTERS LLC N/A false Stuart-Dean Co N/A false Stone Truss Systems Inc N/A false STONE ONE INC N/A false STONE CARE SERVICES INC N/A false STONE AGE LLC N/A false STAR CONSTRUCTION MARBLE & GRANITE N/A false Specialty Flooring Systems N/A false SIGNATURE METAL & MARBLE N/A false Shepard Ind Inc N/A false SEVEN CS RESTORATION N/A false SAS MAINTENANCE SERVICES INC N/A false ROYAL STONE INC N/A false Restoration Specialty Servic N/A false RENAISSANCE METAL & STONE INC N/A false Remco Maintenance Co N/A false QUALITY SERVICES OF NEW YORK N/A false QUALITY BUILDING SERVICES N/A false PRESTIGE RESTORATION & MAINTENANCE N/A false PREMIER METAL & MARBLE N/A false Port Morris TILE & MARBLE CO N/A false Port Morris Marble & Metal R N/A false Platinum Maintenance N/A false PETRONE ERECTORS INC N/A false Petrillo Setting Corp N/A false PAGS MARBLE N/A false NTT INDUSTRY INC N/A false Nine Stone Marble & Tile Inc N/A false NEW YORK STONE CO INC N/A false NEW STONE AGE N/A false Navillus Tile Inc N/A false N2 FLOORS LLC N/A false Miller Druck Specialty N/A false Millennium Stone Masonary Co N/A false METRO STONE N/A false MARCELLO TILE CO INC N/A false MARBLEX CORP N/A false marble Industry trust funds N/A false MARBLE DOCTOR INC N/A false Local 52 Tile N/A false L & L STONE & TILE LLC N/A false Krisstone LLC N/A false Joseph Corcoran Marble N/A false JENNINGS KITCHEN N/A false Jantile Inc N/A false Harvard Maintenance Inc N/A false GREAT POINT STONE INC N/A false GARCIA MARBLE & TILE N/A false FANTINI MOSAICI USA INC N/A false EUROPA TILE & MASONRY N/A false ENRIGHT MARBLE & TILE N/A false ELITE RESTORATION & MAINTENANCE N/A false EASTERN DESIGN TILE & MARBLE N/A false EAST COAST STONE LLC N/A false DEL TURCO BROS N/A false Dan Lepore & Sons Co N/A false CREATIVE MAINTENANCE SYSTEM N/A false CORNER STONE MARBLE&TILEICE AGREEMENT N/A false Continental Marble Inc N/A false COASTEL TILE & MARBLE N/A false CARRARA MARBLE & GRANITE N/A false CARNAK CONSTRUCTION N/A false CAPITAL MARBLE & TILE N/A false CAESAR MAX CONSTRUCTION N/A false Building Maintenance Service N/A false BRISK WATERPROOFING CO N/A false BRICKENS CONSTRUCTION N/A false BIZANTINE STONE LLC N/A false Berardi Stone Setting Inc N/A false BAYBRENT CONSTRUCTION CORP N/A false ATLANTIC EXTERIOR WALL SYSTEMS LLC N/A false Athena Stone Inc N/A false Artisan Tile & Marble Co N/A false ARTISAN STONEWORKS N/A false ARCHITECTUAL TILEMARBLE & STONE N/A false ARC ELECTRICAL & MECHANICAL N/A false Amadeus Marble & Granite Co N/A false AM TILE NATURAL STONE AND SPECILATY N/A false All City Stone Inc N/A false ADAMS EUROPEAN CONTRACTING N/A false Academic Stone Setters Inc N/A false false false false false false false false false false false false false false true true true true false false