2013-03-21T13:40:28-05:00 2012-06-30 611436956 NOVAK FRANCELLA LLC ONE PRESIDENTIAL BLVD SUITE 330 BALA CYNWYD PA 19004 990 2011-07-01 042150983 PAINTERS DISTRICT COUNCIL NO 35 HEALTH BENEFITS FUND PAIN 6175241240 25 COLGATE ROAD ROSLINDALE MA 02131 SHARON SAGANEY 6175241240 2013-03-19 1 LOUIS VERZELLA CPA P00360279 6106689400 2013-03-19 2011 2016-02-25 16:41:14Z SHARON SAGANEY 25 COLGATE ROAD ROSLINDALE MA 02131 41740529 0 X WWW.IUPATDC35.ORG X 1970 MA TO PROVIDE HEALTH AND OTHER BENEFITS TO ELIGIBLE MEMBERS OF THE INTERNATIONAL UNION OF PAINTERS AND ALLIED TRADES DISTRICT COUNCIL NO. 35. 12 12 0 0 0 0 0 0 18628330 17758086 4393313 3343283 0 53166 23021643 21154535 0 0 14936033 16661078 0 470779 0 0 0 1743596 1305138 16679629 18436995 6342014 2717540 87554623 90752634 2174600 190427 85380023 90562207 TO PROVIDE HEALTH AND OTHER BENEFITS TO ELIGIBLE MEMBERS OF THE INTERNATIONAL UNION OF PAINTERS AND ALLIED TRADES DISTRICT COUNCIL NO. 35. 0 0 18435511 17758086 TO PROVIDE HEALTH AND OTHER BENEFITS TO ELIGIBLE MEMBERS OF THE INTERNATIONAL UNION OF PAINTERS AND ALLIED TRADES DISTRICT COUNCIL NO. 35. 18435511 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 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1082 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 1 1 0 1 1 0 0 1 0 0 1 0 1 0 X SHARON SAGANEY 6175241240 25 COLGATE ROAD ROSLINDALE MA 02131 JEFFREY SULLIVAN 10.00 X 0 0 0 PAUL CANNING 10.00 X 0 0 0 JOSEPH GUARINO 10.00 X 0 0 0 WILLIAM DOHERTY 10.00 X 0 0 0 CHARLES FOGELL 10.00 X 0 0 0 JOSEPH ITRI 10.00 X 0 0 0 THOMAS GUNNING 10.00 X 0 0 0 MARK KENNEDY 10.00 X 0 0 0 RICHARD MAURO 10.00 X 0 0 0 PETER PATCH 10.00 X 0 0 0 MATTHEW SOEP 10.00 X 0 0 0 THOMAS STEEVES 10.00 X 0 0 0 SHARON SAGANEY 40.00 X 85655 49875 46068 85655 49875 46068 0 0 1 0 CARELINK INC 225 CHAPMAN STREET SUITE 301 PROVIDENCE RI 02905 BENEFITS ADMINISTRATION 575192 MCDONNELL INVESTMENT MANAGEMENT 1515 WEST 22ND ST OAKBROOK IL 60532 INVESTMENT MANAGER 140074 THE SEGAL COMPANY 116 HUNTINGTON AVENUE BOSTON MA 02116 ACTUARY 105063 DELTA DENTAL 465 MEDFORD ST BOSTON MA 02129 CLAIMS PROCESSING 100475 4 EMPLOYER CONTRIBUTIONS 900099 17265027 17265027 PARTICIPANT CONTRIBUTI 900099 493059 493059 17758086 2459718 2459718 21469559 20585994 883565 883565 883565 INTEREST ON EMPLOYER C 900099 44509 44509 OTHER INCOME 900099 8657 8657 53166 21154535 17758086 0 3396449 16661078 114770 191094 92788 50449 21678 91941 56884 226009 105063 109112 5947 26576 2993 6566 14448 3090 UTILIZATION REVIEW 585771 MASS SURCHARGE 70738 18436995 2427342 0 682538 3237222 2467211 2135603 139872 134972 4256 4900 81766476 85233694 206800 141215 87554623 90752634 2174600 141586 0 48841 2174600 190427 X 0 0 0 0 85380023 90562207 85380023 90562207 87554623 90752634 X 2717540 2464644 X X 0 1 1 X 0 139872 134972 4900 4900 DUE TO RELATED PARTIES 48841 48841 21154535 18436995 2717540 465034 1999610 2464644 5182184 21384903 465034 465034 20919869 226009 8657 234666 21154535 18202329 0 18202329 226009 8657 234666 18436995 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. 0 0 0 SHARON SAGANEY 85655 49875 0 0 0 0 18861 10983 10254 5970 114770 66828 0 0 FORM 990, PART VI, SECTION A, LINE 6 THE INTERNATIONAL UNION OF PAINTERS AND ALLIED TRADES DISTRICT COUNCIL NO. 35 HEALTH BENEFITS FUND HAS MEMBERS. MEMBERSHIP TO THE ORGANIZATION IS DESCRIBED IN ITS CONSTITUTION WHICH IS AVAILABLE UPON REQUEST. FORM 990, PART VI, SECTION A, LINE 7A THE INTERNATIONAL UNION OF PAINTERS AND ALLIED TRADES DISTRICT COUNCIL NO. 35 HEALTH BENEFITS FUND MEMBERS ELECT THE SECRETARY TREASURER WHO THEN APPOINTS THE EMPLOYEE TRUSTEES. FORM 990, PART VI, SECTION B, LINE 11 THE INTERNATIONAL UNION OF PAINTERS AND ALLIED TRADES DISTRICT COUNCIL NO. 35 HEALTH BENEFITS FUND'S FORM 990 IS PREPARED BY ITS INDEPENDENT PUBLIC ACCOUNTANT. THE RETURN IS THEN FORWARDED TO THE ADMINISTRATOR FOR REVEIW AND SIGNATURE. FORM 990, PART VI, SECTION B, LINE 15B WITH APPROVAL OF BOARD OF DIRECTORS FORM 990, PART VI, SECTION C, LINE 19 THE INTERNATIONAL UNION OF PAINTERS AND ALLIED TRADES DISTRICT COUNCIL NO. 35 HEALTH BENEFITS FUND MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 465,034. CHANGE IN PRIOR YEAR BENEFIT OBLIGATION 1,999,610. TOTAL TO FORM 990, PART XI, LINE 5: 2,464,644. FORM 990, PART XII, LINE 2C THE INTERNATIONAL UNION OF PAINTERS AND ALLIED TRADES DISTRICT COUNCIL NO. 35 HEALTH BENEFITS FUND'S GOVERNING BODY IS RESPONSIBLE FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTING THE INDEPENDENT ACCOUNTANT WHO CONDUCTS THE AUDIT.