2013-02-07T08:22:14-06:00 2012-04-30 611436956 NOVAK FRANCELLA LLC ONE PRESIDENTIAL BLVD SUITE 330 BALA CYNWYD PA 19004 990 2011-05-01 231599630 GRAPHIC COMMUNICATIONS CONFERENCE IBT LOCAL 14-M HEALTH & WELFARE FUND GRAP 2155339262 1310-28 E SEDGLEY AVENUE PHILADELPHIA PA 191341520 JOHN POTTS 2155339262 2013-02-07 1 LOUIS VERZELLA CPA P00360279 6106689400 2013-02-01 2011 2016-02-25 16:41:14Z JOHN POTTS 1310-28 E SEDGLEY AVENUE PHILADELPHIA PA 191341520 5727151 0 X N/A X 1949 PA THE PLAN PROVIDES HEALTH AND WELFARE BENEFITS TO ELIGIBLE MEMBERS AND THEIR DEPENDENTS OF THE GRAPHIC COMMUNICATIONS CONFERENCE INTERNATIONAL BROTHERHOOD OF TEAMSTERS LOCAL 14-M WHICH REPRESENTS GRAPHIC COMMUNICATION WORKERS IN SOUTHEASTERN PENNSYLVANIA, SOUTHERN NEW JERSEY AND NORTHERN DELAWARE. 6 6 1 0 0 0 0 0 5683482 5718181 51028 8970 0 0 5734510 5727151 0 0 5201270 4314150 52281 53088 0 0 0 62936 64920 5316487 4432158 418023 1294993 1922696 3219220 3639 5170 1919057 3214050 X THE PLAN PROVIDES MEDICAL, HOSPITAL, DENTAL, VISION AND PRESCRIPTION BENEFITS TO ACTIVE MEMBERS AND THEIR DEPENDENTS. THE PLAN PROVIDES LIFE INSURANCE, ACCIDENTAL DEATH AND DISMEMBERMENT BENEFITS AND DISABILITY INCOME TO ACTIVE MEMBERS. THE PLAN ALSO PROVIDES MEDICAL BENEFITS FOR RETIRED MEMBERS SUBJECT TO ELIGIBILITY REQUIREMENTS. 0 0 THE FUND PROVIDES MEDICAL, HOSPITAL, DENTAL, VISION, PRESCRIPTION, ACCIDENTAL DEATH AND DISMEMBERMENT AND LIFE INSURANCE BENEFITS FOR APPROXIMATELY 359 ACTIVE AND RETIRED PARTICIPANT. 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 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 1 0 0 0 0 0 0 X 6 6 0 0 0 0 0 0 0 1 1 0 0 1 1 1 0 0 0 0 0 0 X FUND OFFICE 2155339262 1310-28 E SEDGLEY AVENUE PHILADELPHIA PA 19134 X ANDREW DOUGLAS 2.00 X 0 0 0 KURT FREEMAN 2.00 X 0 0 0 DAVID THOMSON 2.00 X 0 0 0 DAVID SALTER 2.00 X 0 0 0 JOSEPH SCALISE 2.00 X 0 0 0 JOHN POTTS 2.00 X 0 0 0 0 0 0 0 0 0 0 AETNA LIFE INSURANCE COMPANY 151 FARMINGTON AVE HARTFORD CT 06156 CLAIMS ADMINISTRATION 228527 1 EMPLOYER CONTRIBUTIONS 900099 4353889 4353889 EMPLOYEE CONTRIBUTIONS 900099 1227025 1227025 RETIREE CO-PAYMENTS 900099 84681 84681 COBRA CONTRIBUTIONS 900099 52586 52586 5718181 8970 8970 5727151 5718181 0 8970 4314150 44536 4910 3642 1518 12750 22262 7099 8285 1055 2673 9278 4432158 1117664 1245410 682911 1778920 113440 180477 4130 4359 34635 26691 2441 7944 2110 2110 1922696 3219220 3639 5170 3639 5170 X 0 0 0 0 1919057 3214050 1919057 3214050 1922696 3219220 1294993 0 X X 0 1 1 X 0 34635 26691 7944 7944 5727151 4432158 1294993 1294993 5727151 0 5727151 0 5727151 4432158 0 4432158 0 4432158 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: MANAGEMENT EVALUATED THE PLAN'S TAX POSITIONS AND CONCLUDED THAT THE PLAN HAD MAINTAINED ITS TAX EXEMPT STATUS AND HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO THE FINANCIAL STATEMENTS. THEREFORE, NO PROVISION OR LIABILITY FOR INCOME TAXES HAS BEEN INCLUDED IN THE FINANCIAL STATEMENTS. AT THE PRESENT TIME, THE PLAN IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS BY U.S. FEDERAL, STATE, OR LOCAL TAX AUTHORITIES FOR YEARS BEFORE 2009. FORM 990, PART VI, SECTION B, LINE 11 GRAPHIC COMMUNICATIONS CONFERENCE IBT LOCAL 14-M HEALTH & WELFARE FUND'S FORM 990 IS PREPARED BY THE FUND'S INDEPENDENT PUBLIC ACCOUNTANT. THE RETURN IS THEN FORWARDED TO THE TRUSTEES FOR REVIEW AND SIGNATURE. FORM 990, PART VI, SECTION C, LINE 19 GRAPHIC COMMUNICATIONS CONFERENCE IBT LOCAL 14-M HEALTH & WELFARE FUND'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XII, LINE 2C: GRAPHIC COMMUNICATIONS CONFERENCE IBT LOCAL 14-M HEALTH & WELFARE FUND'S BOARD OF TRUSTEES IS RESPONSIBLE FOR OVERSEEING THE FINANCIAL STATEMENT AUDIT AND SELECTION OF THE INDEPENDENT ACCOUNTANT THAT PERFORMS THE AUDIT. CONSOLIDATED DRAKE PRESS PA GRAPHIC ARTS INC PA BWAY CORPORATION NJ PEARL PRESSMAN LIBERTY INC PA SHARP CORP (LITHO) PA SHARP CORP (PACKAGING) PA SMITH-EDWARDS-DUNLAP CO PA PNISKL PA CONSOLIDATED DRAKE PRESS PA PPL COM GROUP (PEARL PRESMAN) PA SMITH-EDWARDS-DUNLAP CO PA 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0