2013-11-14T08:17:52-06:00 2012-12-31 113266576 GRASSI & CO CPA'S PC 488 MADISON AVE NEW YORK NY 10022 990 2012-01-01 135622663 IRON WORKERS LOCAL 40 361 & 417 HEALTH FUND IRON 2126841586 451 PARK AVE SOUTH NEW YORK NY 10016 BRIAN SABBAGH 2126610945 2013-11-12 1 STEVEN GOLDSTEIN P00011393 2126610945 2012 2016-02-24 21:20:13Z BRIAN SABBAGH 451 PARK AVE SOUTH NEW YORK NY 10016 301609727 0 X WWW.IRONWORKERS.NET X 1948 NY TO PROVIDE HEALTH, VACATION AND OTHER BENEFITS 18 18 21 0 0 0 0 0 102452407 97561680 2489760 2381828 1203314 1129766 106145481 101073274 0 0 82142515 81199475 1871460 2096803 0 0 0 1524746 1791811 85538721 85088089 20606760 15985185 102041617 114790471 21721581 17528924 80320036 97261547 HOSPITALIZATION, COMPREHENSIVE, MEDICAL, PRESCRIPTION, DENTAL, OPTICAL, SUPPLEMENTARY MEDICARE, AND VACATION BENEFIT 0 0 HOSPITALIZATION, COMPREHENSIVE MEDICAL, PRESCRIPTION, DENTAL, OPTICAL, SUPPLEMENTARY MEDICARE, AND VACATION BENEFITS 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 2831 0 21 1 0 0 0 0 0 0 0 0 0 0 X 18 18 0 0 0 0 0 0 0 1 1 0 0 1 1 0 1 0 0 0 0 0 X BRIAN SABBAGH 2126841586 451 PARK AVE SOUTH NEW YORK NY 10016 DANIEL DOYLE 1.00 X 0 0 0 KEVIN O'ROURKE 1.00 X 0 0 0 ROBERT WALSH 1.00 X 0 0 0 MICHAEL GAYDOS 1.00 X 0 0 0 MATTHEW STODDARD 1.00 X 0 0 0 RICHARD O'KANE 1.00 X 0 0 0 ROBERT KOCH 1.00 X 0 0 0 JAKE BIDOSKY 1.00 X 0 0 0 STEPHEN HYNES 1.00 X 0 0 0 STEVE ISAACSON 1.00 X 0 0 0 ROBERT SAMELA 1.00 X 0 0 0 LAWRENCE WEISS 1.00 X 0 0 0 RICHARD LUCAS 1.00 X 0 0 0 A ALAN SEIDMAN 1.00 X 0 0 0 DANIEL TEUTUL 1.00 X 0 0 0 MATTHEW CHARTRAND 1.00 X 0 0 0 ANTHONY DEBLASIE 1.00 X 0 0 0 MATTHEW WEBER 1.00 X 0 0 0 BRIAN SABBAGH 40.00 X 140400 0 88327 ELSIE O'NEIL 40.00 X 105456 0 88327 J DELANEY 40.00 X 109200 0 88327 355056 0 264981 3 0 1 0 JOSEPH STERN 89 JOSEPH AVE STATEN ISLAND NY 10304 ACCOUNTING 246996 COLLERAN O'HARA & MILLS LLP 1225 FRANKLIN AVE SUITE 450 GARDEN CITY NY 11530 LEGAL 206321 THE SEGAL CO 333 WEST 34TH ST NEW YORK NY 10001 ACTUARY 123250 3 EMPLOYER CONTRIBUTIONS 230000 97037219 97037219 EMPLOYEE CONTRIBUTIONS 230000 524461 524461 97561680 3076311 3076311 199841970 200536453 -694483 -694483 -694483 LIQUIDATED DAMAGES & SETTLEMENTS 230000 979255 979255 SERVICE FEE INCOME 230000 150511 150511 1129766 101073274 96867197 0 4206077 81199475 1316556 683371 96876 238208 175375 225707 72022 160113 232539 36359 31784 38439 173833 INVESTMENT EXPENSE 170814 PREFERED PROVIDER ADMIN 99489 POSTAGE 58555 REHAB 41433 37141 85088089 11548177 12456230 10639121 7656134 8467256 5983665 99182 99182 2056264 2006658 90405 49606 70375168 87405838 822308 1139816 102041617 114790471 17295477 14628421 4426104 2900503 21721581 17528924 X 0 0 0 0 80320036 97261547 80320036 97261547 102041617 114790471 15985185 956326 0 X 0 1 X 0 0 2056264 2006658 49606 49606 U.S. GOVERNMENT AND AGENCIES 65308708 F COMMON STOCK 10800567 F CORPORATE BONDS AND DEBENTURES 9017149 F MUTUAL FUNDS 133900 F EXCHANGE TRADED FUNDS 2145514 F 87405838 ESCROW PAYABLE 30000 DUE TO AFFILIATED FUNDS 1530030 EXCHANGE 553535 DUE TO BROKER 786938 2900503 101858786 956326 956326 100902460 170814 170814 101073274 87590774 0 87590774 170814 -2673499 -2502685 85088089 PART XII, LINE 4B - OTHER ADJUSTMENTS: DECREASE IN BENEFITS PAYABLE -2,673,499. 0 0 0 BRIAN SABBAGH 140400 0 0 0 0 0 25534 18302 25916 18575 191850 36877 0 0 ELSIE O'NEIL 105456 0 0 0 0 0 25534 18302 25916 18575 156906 36877 0 0 J DELANEY 109200 0 0 0 0 0 25534 18302 25916 18575 160650 36877 0 0 FORM 990, PART VI, SECTION B, LINE 11 A COPY OF THE FORM 990 IS PROVIDED TO MEMBERS OF ORGANIZATION'S GOVERNING BODY BEFORE IT IS FILED. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION REGULARLY MONITORS THE COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. ENFORCEMENT OF POLICY AND COMPLIANCE WITH THE POLICY IS ADDRESSED AT QUARTERLY BOARD MEETINGS. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS AVAILABLE UPON REQUEST IRON WORKERS LOCALS 40 361 & 417 PENSION FUND 451 PARK AVE SOUTH NEW YORK NY 10016 516102576 TO PROVIDE PENSION BENEFITS TO MEMBERS NY 0 IRON WORKERS LOCALS 40 361 & 417 ANNUITY FUND 451 PARK AVE SOUTH NEW YORK NY 10016 237299279 TO PROVIDE ANNUITY BENEFITS TO MEMBERS NY 0 IRON WORKERS LOCALS 40 361 & 417 TOPPING OUT FUND 451 PARK AVE SOUTH NEW YORK NY 10016 133156507 TO PROVIDE SUPPLEMENTAL MEDICAL AND UNEMPLOYMENT BENEFITS TO MEMBERS NY 501(C)(9) 0 IRON WORKERS LOCALS 40 361 APPRENTICESHIP & TRAINING FUND 35-23 36TH STREET ASTORIA NY 11106 132571023 TO PROVIDE TRAINING TO MEMBERS NY 501(C)(3) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 IRON WORKERS LOCALS 40 361 & 417 PENSION FUND Q 578227 TIME & MOTION STUDY IRON WORKERS LOCALS 40 361 & 417 ANNUITY FUND Q 904552 TIME & MOTION STUDY IRON WORKERS LOCALS 40 361 & 417 TOPPING OUT FUND Q 719189 TIME & MOTION STUDY IRON WORKERS LOCALS 40 361 APPRENTICESHIP & TRAINING FUND Q 35539 TIME & MOTION STUDY