2013-10-15T13:29:09-05:00 2012-12-31 043508036 MANZI & ASSOCIATES LLC 855 TURNPIKE STREET STE 140 NORTH ANDOVER MA 01845 990 2012-01-01 046040880 IUOE LOCAL 4 HEALTH & WELFARE PLAN IUOE 5085331400 16 TROTTER DRIVE MEDWAY MA 02053 GINA ALONGI 5085331400 2013-10-15 1 JEANNIE MICKEL P01058630 9789751099 2012 2016-02-25 16:41:14Z GINA ALONGI 16 TROTTER DRIVE MEDWAY MA 02053 49948943 0 X N/A X 1957 MA TO PROVIDE HEALTH AND WELFARE BENEFITS 6 6 26 0 0 0 0 0 37501567 36311988 1334922 1083898 6785 3096 38843274 37398982 0 0 33011194 33455993 1271136 1248819 0 0 0 1292368 1454205 35574698 36159017 3268576 1239965 65982588 68448644 2657258 2639014 63325330 65809630 TO PROVIDE HEALTH AND WELFARE BENEFITS 0 0 36159017 TO PROVIDE HEALTH AND OTHER SPECIFIED BENEFITS TO ELIGIBLE MEMBERS/DEPENDENTS THROUGH A COLLECTIVELY BARGAINED MULTIEMPLOYER PLAN. 36159017 0 0 0 0 0 0 0 0 0 1 1 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 1 0 0 1 54 0 1 26 0 0 0 0 0 0 0 0 0 X 6 6 0 0 0 0 1 0 0 1 1 0 0 1 0 1 1 0 1 0 X GINA ALONGI 5085331400 16 TROTTER DRIVE MEDWAY MA 02053 X DAVID SHEA 10.00 X 0 0 0 LOUIS RASETTA 10.00 X 0 0 0 JIM REGER 10.00 X 0 0 0 JOHN SHAUGHNESSY JR 10.00 X 0 0 0 DAVID FANTINI 10.00 X 0 0 0 PAUL DIMINICO 10.00 X 0 0 0 GINA ALONGI 12.00 28.00 X 58522 135324 47290 GREG GEIMAN 12.00 28.00 X 43135 99744 38810 ALAN KOUFOS 12.00 28.00 X 38763 89633 38810 140420 324701 124910 0 0 1 0 BLUE CROSS BLUE SHIELD OF MASS 401 PARK DR 14 BOSTON MA 02215 MEDICAL 1183563 DELTA DENTAL 465 MEDFORD STREED BOSTON MA 02129 DENTAL 154529 THE SEGAL COMPANY 116 HUNTINGTON AVE BOSTON MA 02116 CONSULTING 112034 THE TRIZETTO GROUP INC 179 LINCOLN STREET 3RD FLOOR BOSTON MA 02111 HEALTHCARE MNGMT 101207 4 EMPLOYER CONTRIBUTIONS 813930 35402589 35402589 MEMBER CONTRIBUTIONS 813930 909399 909399 36311988 718489 718489 12915370 12549961 365409 365409 365409 OTHER INCOME 900099 3096 3096 3096 37398982 36315084 0 1083898 33455993 774807 193820 215773 64419 43366 49444 86078 17047 11502 97020 17029 34559 12441 REINSURANCE EXPENSE 414435 UNCOMPENSATED CARE POOL 285666 ACTUARY 112258 DATA MANAGEMENT 101207 172153 36159017 11022799 12313013 5217657 4330634 14687 17010 732431 654380 93297 78051 28245761 39576713 21202163 11946787 186224 186436 65982588 68448644 179223 268405 2478035 2370609 2657258 2639014 X 0 0 0 0 63325330 65809630 63325330 65809630 65982588 68448644 1239965 1244335 0 X X 0 1 X 1 0 732431 654380 78051 78051 S&P 500 INDEX 5190203 F US AGGREGATE BOND INDEX 6756584 F 11946787 DUE TO BROKER 26847 BENEFITS PAYABLE 2343762 2370609 X 38557239 1244335 1244335 37312904 86078 86078 37398982 36178877 0 36178877 86078 -105938 -19860 36159017 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE PLAN MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE PLAN AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF THE PLAN HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE DEPARTMENT OF LABOR AND INTERNAL REVENUE SERVICE. THE PLAN ADMINISTRATOR HAS ANALYZED THE TAX POSITIONS TAKEN BY THE PLAN, AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2012, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE FINANCIAL STATEMENTS. PART XII, LINE 4B - OTHER ADJUSTMENTS: CHANGE IN BENEFIT OBLIGATIONS -105,938. 0 0 0 GINA ALONGI 58522 135324 0 0 0 0 0 0 0 0 58522 135324 0 0 FORM 990, PART VI, SECTION A, LINE 6 MEMBERS ARE COLLECTICELY BARGAINED LOCAL 4 OPERATING ENGINEERS. FORM 990, PART VI, SECTION B, LINE 11 THE BOARD OF TRUSTEES HAS GRANTED THE FUND ADMINSTRATOR AUTHORITY TO REVIEW AND FILE ALL TAX DOCUMENTS. FORM 990, PART VI, SECTION B, LINE 12 AS AN EMPLOYEE BENEFIT PLAN, THE PLAN IS SUBJECT TO THE CONFLICTS OF INTEREST POLICIES OF ERISA FORM 990, PART VI, SECTION B, LINE 15B TRUSTEES RECEIVE NO COMPENSATION. THE BENEFIT FUND STAFF IS REVIEWED ANNUALLY AND COMPENSATION DATA IS REVIEWED BY BOTH THE BOARD OF TRUSTEES AND AN OUTSIDE CONSULTANT. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS AND AUDITED FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. 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