2013-11-15T09:50:25-06:00 2012-12-31 131578842 BUCHBINDER TUNICK & COMPANY LLP 6720-A ROCKLEDGE DRIVE SUITE 510 BETHESDA MD 20817 990 2012-01-01 135590515 MEBA MEDICAL AND BENEFITS PLAN MEBA 4105479111 1007 EASTERN AVENUE BALTIMORE MD 212024345 MICHAEL B JEWELL TRUSTEE 4105479111 2013-11-15 1 JOHN ZIMMERMAN P01049106 2402001400 2012 2016-02-25 16:41:14Z MICHAEL B JEWELL TRUSTE 1007 EASTERN AVE BALTIMORE MD 212024345 79196570 0 X N/A X 1950 MD EMPLOYEE BENEFIT PLAN 12 12 73 0 0 0 0 0 33810762 34089009 1640707 4847053 5634348 5615479 41085817 44551541 0 0 33040613 34098167 6414773 6639478 0 0 0 1769948 1387348 41225334 42124993 -139517 2426548 74783176 76084369 3018942 1378237 71764234 74706132 TO PROVIDE MEDICAL, DEATH AND DISMEMBERMENT, DENTAL, OPTICAL, ANNUAL DIAGNOSTIC EXAMS, DISABILITY, HEARING AIDS, WAGE INSURANCE, LEGAL AID AND CERTAIN OTHER BENEFITS TO ELIGIBLE PARTICIPANTS. 0 0 PROVIDED MEDICAL BENEFITS TO APPROXIMATELY 3,500 ACTIVE AND RETIRED PARTICIPANTS. PROVIDED FOR THE OPERATING COSTS OF 2 DIAGNOSTIC MEDICAL CENTERS AND FOR PARTICIPANT TRAVEL TO THOSE MEDICAL CENTERS. PROVIDED ADDITIONAL BENEFITS FOR APPROXIMATELY 3,500 ACTIVE AND RETIRED PARTICIPANTS IN THE WAY OF INSURANCE, LEGAL AID AND MEDICARE PREMIUM REIMBURSEMENTS. 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 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 1 205 0 1 73 1 0 0 0 0 0 0 X 12 12 0 0 0 0 0 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X ALLEN SZYMCZAK ADMINISTRATOR 4105479111 1007 EASTERN AVENUE BALTIMORE MD 212024345 BLANKERSHIP MARK 2.00 X 0 0 0 CAMERON MICHAEL 2.00 X 0 0 0 COLE WILLIAM 2.00 X 0 0 0 DORN ROBERT 2.00 X 0 0 0 FISHER PHILLIP 2.00 X 0 0 0 GILL TIMOTHY 2.00 X 0 0 0 GUERRA CHRIS 2.00 X 0 0 0 HANLEY EDWARD 2.00 X 0 0 0 JABLONSKI STEVE 2.00 X 0 0 0 JEWELL MICHAEL 2.00 X 0 0 0 LINCOLN JONATHAN 2.00 X 0 0 0 MCHUGH WILLIAM 2.00 X 0 0 0 MOSES DALE 2.00 X 0 0 0 MOZDEAN ROBERT 2.00 X 0 0 0 MURPHY THOMAS 2.00 X 0 0 0 NASHIF DAVE 2.00 X 0 0 0 NOLAN DAVE 2.00 X 0 0 0 STEPHENS ROBERT 2.00 X 0 0 0 SULLIVAN JOHN 2.00 X 0 0 0 VAN LOO WILLIAM 2.00 X 0 0 0 DEMEROUTIS STEVEN 2.00 X 0 0 0 SZYMCZAK ALLEN 9.00 X 209413 0 40281 GILCHRIST ANN 6.00 X 122615 0 17405 KOHRN BRUCE 40.00 X 106779 0 30151 FABELLA SANDRA 10.00 X 113333 0 26591 GILLOGY NORMA 40.00 X 103759 0 26542 BUCKALEW BARRY 40.00 X 110036 0 20962 765935 0 161932 6 0 1 0 GORDON FEINBLATT LLC 233 EAST REDWOOD STREET BALTIMORE MD 21202 LEGAL FEES AND EXPENSES 191270 MORGAN LEWIS & BOCKIUS LLP 1111 PENNSYLVANIA AVENUE NW WASHINGTON DC 20004 LEGAL FEES AND EXPENSES 154166 RISK STRATEGIES 115 BROADWAY SUITE 402 NEW YORK NY 10006 INSURANCE BROKERAGE 137840 THE SEGAL COMPANY 333 WEST 34TH STREET NEW YORK NY 10001 ACTUARY/CONSULTING 104464 DR JULIE ANN WAGNER 1005 EASTERN AVE BALTIMORE MD 21202 MEDICAL 100959 5 EMPLOYER CONTRIBUTIONS 900099 27386025 27386025 PARTICIPANT CONTRIBUT. 900099 6524643 6524643 EMPLOYER CONT. - FRCA 900099 178341 178341 34089009 3808088 3808088 35683994 34645029 1038965 1038965 1038965 REIMBURSED ADMIN. EXP. 900099 5187186 5187186 MEDICARE PART D REBATE 900099 427733 427733 OTHER INCOME 900099 560 560 5615479 44551541 40742893 0 3808648 34098167 249677 3622489 1402934 1052744 311634 369946 48088 177913 92059 47667 134391 110844 5029 57441 92594 EQUIPMENT RENTAL AND MA 69043 POSTAGE 52363 PROPERTY ASSET USAGE CH 47220 PREFERRED PROVIDER FEE 33157 49593 42124993 2087884 1776650 1961032 686689 5766219 6373855 44685 28163 1512511 1407192 122864 105319 30582921 36300316 34217571 30813377 74783176 76084369 880943 501187 2137999 877050 3018942 1378237 X 0 0 0 0 71764234 74706132 71764234 74706132 74783176 76084369 2426548 515350 0 X 0 1 X 1 0 1004192 1003814 378 508319 403378 104941 105319 MEBA MASTER TRUST FOR ERISA PLANS 5261684 F MELLON GLBAL ALPHA I 6245894 F MELLON EB TEMPORARY INVESTMENT 14 F RUSSELL 1000 VALUE INDEX 9495215 F PIMCO ALL ASSET FUND 6754600 F RIDGEWORTH SEIX FLOATING RATE 3055970 F 30813377 CASH OVERDRAFT 80157 CONTRIBUTION RECEIVED IN ADVANCE 242588 DUE TO RELATED PARTY 258261 DUE TO BROKERS 296044 877050 39274060 515350 515350 38758710 177913 5614918 5792831 44551541 36332162 0 36332162 177913 5614918 5792831 42124993 PART XI, LINE 4B - OTHER ADJUSTMENTS: REIMBURSEMENT OF ADMINISTRATIVE EXPENSES NET AGAINST EXPENSES MEDICARE PART D REBATES NET AGAINST EXPENSES PART XII, LINE 4B - OTHER ADJUSTMENTS: REIMBURSEMENT OF ADMINISTRATIVE EXPENSES NET AGAINST EXPENSES MEDICARE PART D REBATES NET AGAINST EXPENSES X 0 0 0 SZYMCZAK ALLEN 209413 0 0 0 0 0 24062 0 16219 0 249694 0 0 0 FORM 990, PART VI, SECTION A, LINE 7A THE PLAN IS A JOINTLY ADMINISTERED MULTI-EMPLOYER BENEFIT PLAN. UNION TRUSTEES ARE APPOINTED BY THE SPONSORING UNION. EMPLOYER TRUSTEES ARE APPOINTED BY CONTRIBUTING EMPLOYERS BASED ON THE HIGHEST TOTALS OF CUMULATIVE MAN DAYS. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS REVIEWED BY THE FUND'S ADMINISTRATOR WITH THE ASSISTANCE OF THE FUND'S PROFESSIONALS AND IS PROVIDED TO THE FUND'S BOARD OF TRUSTEES PRIOR TO ITS FILING. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD OF TRUSTEES MONITORS AND ENFORCES COMPLIANCE WITH THE FUND'S CONFLICT OF INTEREST POLICY THROUGH ANNUAL QUESTIONNAIRES AND WITH THE ASSISTANCE OF THE FUND'S PROFESSIONALS. FORM 990, PART VI, SECTION B, LINE 15 THE ADMINISTRATOR'S SALARY IS REVIEWED ANNUALLY BY THE BOARD OF TRUSTEES. FORM 990, PART VI, SECTION C, LINE 19 THE FUND MAKES ITS GOVERNING DOCUMENTS, POLICIES, AND FINANCIAL STATEMENTS AVAILABLE TO PARTICIPANTS, BENEFICIARIES, THE SPONSORING UNION, AND CONTRIBUTING EMPLOYERS AS REQUIRED BY ERISA. ERISA DOES NOT REQUIRE THAT THE FUND MAKE THESE DOCUMENTS AVAILABLE TO THE PUBLIC AND THE FUND DOES NOT DO SO. ACME REPAIR 326-328 FRONT STREET STATEN ISLAND NY 10304 383678562 IND & MARINE REPAIR NY 0 ALASKA TANKER COMPANY LLC 15400 NW GREEN BRIER PARKWAY STE A4 BEAVERTON OR 97006 522154054 SHIP OPERATOR DE 0 AMERICAN CREWING SERVICES 9426 TURNBERRY DRIVE POTOMAC MD 20854 753073861 REFERRAL OF QUALIFIED MARINE OFFICERS TO VARIOUS EMPLOYERS MD 0 APL MARINE SERVICES LTD 6901 ROCKLEDGE DR STE 200 BETHESDA MD 20817 201760878 OVERSEAS CONTAINER TRANSPORTATION & SHIPPING MD 0 ALARIS COMPANIES LLC 140 SECOND STREET SUITE 250 PETALUMA CA 94952 273258276 MARINE CREWING/ENGINEERING CA 0 PATRIOT CONTRACT SERVICES - MARAD 1320 WILLOW PASS ROAD SUITE 485 CONCORD CA 94520 911862242 GOVT. SHIP MGMT CA 0 PATRIOT CONTRACT SERVICES - MSC 1320 WILLOW PASS ROAD SUITE 485 CONCORD CA 94520 911862242 GOVT. 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