2012-09-11T14:45:29-05:00 2011-10-31 DERMODY BURKE & BROWN CPAS LLC 443 N FRANKLIN ST STE 100 SYRACUSE NY 132041441 990 2010-11-01 150613682 SERVICE EMPLOYEES BENEFIT FUND SERV 3152186513 PO BOX 1240 SYRACUSE NY 13201 TAMMY MCMANUS 3152186513 2012-09-11 1 JOHN J TARTAGLIA 3154719171 2010 2016-02-24 21:20:13Z X TAMMY MCMANUS PO BOX 1240 SYRACUSE NY 13201 20859584 0 X WWW.SEIU200UNITED.ORG X 1961 NY TO PROVIDE HEALTH AND WELFARE SERVICES TO MEMBERS. 5 5 10 0 0 459 0 0 20179401 20552883 23547 40658 112889 266043 20315837 20859584 0 0 15662945 17331334 575928 584123 0 0 0 309801 550245 16548674 18465702 3767163 2393882 10965045 12692277 971811 304265 9993234 12388012 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 13,433. 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 1 560 0 1 10 1 1 1 0 0 0 0 0 0 0 0 0 X 5 5 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 PO BOX 1240 SYRACUSE NY 13201 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 TAMMY MCMANUS 40.00 X 76535 0 27298 76535 0 27298 0 0 0 0 0 EMPLOYER CONTRIBUTIONS 525100 20450052 20450052 SEPARATED EMPLOYEE CON 525100 102831 102831 20552883 40658 40658 AUDIT/ LIEN SETTLEMENT 900099 245522 245522 MISCELLANEOUS INCOME 900099 20521 20521 266043 20859584 20818926 0 40658 17331334 80669 396323 68801 38330 76254 23829 65850 55724 31190 2647 1993 18088 210668 EQUIPMENT RENTAL & MAIN 55147 UNRELATED BUSINESS INCO 5755 MISCELLANEOUS EXPENSES 3100 18465702 8666031 10736893 2083993 1789694 31075 11203 489007 457528 48617 31479 74943 75839 0 60386 47169 10965045 12692277 180854 148637 790957 155628 971811 304265 X 9993234 12388012 0 0 0 0 9993234 12388012 10965045 12692277 X 2393882 896 X X 0 1 1 X 0 489007 457528 31479 31479 DUE TO AETNA, INC. 155452 DUE TO AFFILIATES 176 155628 20859584 18465702 2393882 896 896 2394778 20860480 896 896 20859584 0 20859584 18465703 1 1 18465702 0 18465702 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: 896. 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.