2013-05-10T13:20:51-05:00 2012-10-31 010723685 DERMODY BURKE & BROWN CPAS LLC 443 N FRANKLIN ST STE 100 SYRACUSE NY 132041441 990 2011-11-01 150613682 SERVICE EMPLOYEES BENEFIT FUND SERV 3152186513 250 S CLINTON STREET SUITE 200 SYRACUSE NY 13202 TAMMY MCMANUS 3152186513 2013-05-07 1 JOHN J TARTAGLIA P00039794 3154719171 2011 2016-02-24 21:20:13Z TAMMY MCMANUS 250 S CLINTON STREET SUITE 200 SYRACUSE NY 13202 25248857 0 X N/A X 1961 NY TO PROVIDE HEALTH AND WELFARE SERVICES TO MEMBERS. 6 6 11 0 0 0 0 0 20552883 24892482 40658 350572 266043 0 20859584 25243054 0 0 17331334 23268144 584123 609954 0 0 0 550245 369412 18465702 24247510 2393882 995544 12692277 13762149 304265 145310 12388012 13616839 TO PROVIDE HEALTH AND WELFARE SERVICES TO MEMBERS. 0 0 PROVIDED COVERAGE FOR PARTICIPANTS FOR MEDICAL, DENTAL, OPTICAL, DISABILITY, ACCIDENTAL DEATH & DISMEMBERMENT, AND DEATH BENEFITS. TOTAL NUMBER OF PARTICIPANTS SERVED WAS 13,772. 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 521 0 1 11 1 1 1 0 0 0 0 0 0 0 X 6 6 0 0 0 0 1 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X TAMMY MCMANUS FUND ADMINISTRATOR 3152186513 250 S CLINTON STREET SUITE 200 SYRACUSE NY 13202 ELIZABETH GOLEMBESKI 1.00 X 0 0 0 GEORGE KENNEDY 1.00 X 0 0 0 ROBERT WOOD 1.00 X X 0 0 0 KATHY TUCKER 1.00 X 0 0 0 SCOTT PHILLIPSON 1.00 X 0 0 0 JONATHAN COOPER 1.00 X 0 0 0 TAMMY MCMANUS 40.00 X 77657 0 27368 77657 0 27368 0 0 0 0 0 EMPLOYER CONTRIBUTIONS 525100 24526740 24526740 AETNA INSURANCE REBATE 525100 141295 141295 SEPARATED EMPLOYEE CON 525100 140974 140974 INTEREST-DELINQUENCIES 525100 62979 62979 LAKESIDE SETTLEMENT 525100 20494 20494 24892482 350848 350848 5527 5803 -276 -276 -276 25243054 24892206 0 350848 23268144 85172 411870 72330 40582 66339 22635 33799 58334 58224 26422 2757 1626 16968 24562 EQUIPMENT RENTAL & MAIN 53276 MISCELLANEOUS EXPENSES 5293 UNRELATED BUSINESS INCO -823 24247510 10736893 1838724 1789694 2317235 11203 12540 313354 267643 31479 45711 75839 9540820 47169 7119 12692277 13762149 148637 126033 155628 19277 304265 145310 X 12388012 13616839 0 0 0 0 12388012 13616839 12692277 13762149 X 995544 233283 X X 0 1 1 X 0 313354 267643 45711 45711 DUE TO AETNA, INC. 19277 19277 25243054 24247510 995544 233283 233283 1228827 25442538 233283 233283 25209255 33799 33799 25243054 24213711 0 24213711 33799 33799 24247510 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: IN JUNE 2006, THE FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) ISSUED INTERPRETATION NO. 48, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES- AN INTERPRETATION OF FASB STATEMENT NO. 109, ACCOUNTING FOR INCOME TAXES (FIN 48). FIN 48 IS NOW KNOWN AS ASC SECTION 740. THIS INTERPRETATION ADDRESSES THE DETERMINATION OF WHETHER TAX BENEFITS CLAIMED OR EXPECTED TO BE CLAIMED ON A TAX RETURN SHOULD BE RECORDED IN THE FINANCIAL STATEMENTS. FOR BENEFIT PLANS, THEIR TAX-EXEMPT STATUS ITSELF IS DEEMED TO BE AN UNCERTAINTY, SINCE EVENTS COULD POTENTIALLY OCCUR TO JEOPARDIZE THEIR EXEMPT STATUS. ASC SECTION 740 PROVIDES GUIDANCE ON DERECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES, ACCOUNTING IN INTERIM PERIODS, DISCLOSURES, AND TRANSITION. THE PLAN ADOPTED THE PROVISIONS OF ASC SECTION 740 ON NOVEMBER 1, 2009 AND THERE WAS NO IMPACT ON THE PLAN'S FINANCIAL STATEMENTS. AT THE DATE OF ADOPTION AND AS OF OCTOBER 31, 2011, THE PLAN DOES NOT HAVE A LIABILITY FOR UNRECOGNIZED TAX BENEFITS. THE PLAN FILES THE ANNUAL RETURN/REPORT OF EMPLOYEE BENEFIT PLAN (FORM 5500) IN THE U.S. FEDERAL JURISDICTION. THE PLAN IS NO LONGER SUBJECT TO U.S. FEDERAL INFORMATIONAL TAX EXAMINATIONS BY TAX AUTHORITIES FOR YEARS THROUGH 2007. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION CONTAINS UNION MEMBERS. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 WILL BE REVIEWED BY THE BOARD OF TRUSTEES PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C EACH YEAR BOARD MEMBERS AND ALL STAFF ARE REQUIRED TO SIGN A CONFLICT OF INTEREST STATEMENT. STATEMENTS ARE REVIEWED ANNUALLY BY THE PRESIDENT, CEO AND CHAIRPERSON. FORM 990, PART VI, SECTION B, LINE 15 THE FUND MANAGER'S SALARY IS APPROVED BY THE BOARD OF TRUSTEES THROUGH THE BUDGET. FORM 990, PART VI, SECTION C, LINE 19 THE IRS FORM 990 WILL BE PROVIDED TO ANY INDIVIDUAL UPON WRITTEN OR IN PERSON REQUEST WITHOUT CHARGE OTHER THAN REASONABLE FEES FOR COPYING AND POSTAGE. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 233,283. OVERSIGHT OF THE AUDIT: FORM 990, PART XII, LINE 2C: THE ORGANIZATION HAS NOT CHANGED ITS OVERSIGHT PROCESS DURING THE TAX YEAR. THE BOARD OF TRUSTEES IS RESPONSIBLE FOR THE OVERSIGHT OF THE AUDIT. THE BOARD OF TRUSTEES REVIEWS RESULTS OF THE AUDIT AND HAS FINAL APPROVAL OF THE AUDITED FINANCIAL STATEMENTS AS WELL AS APPOINTING AN INDEPENDANT AUDITOR.