2012-10-10T11:56:38-05:00 2011-12-31 611436956 NOVAK FRANCELLA LLC ONE PRESIDENTIAL BLVD SUITE 330 BALA CYNWYD PA 19004 990 2011-01-01 136178513 LOCAL 580 INSURANCE FUND LOCA 2126955206 501 WEST 42ND STREET NEW YORK NY 100366205 JAMES MAHONEY 2126955206 2012-10-03 LOUIS VERZELLA CPA P00360279 6106689400 2012-10-03 2011 2016-02-24 21:20:13Z JAMES MAHONEY 501 WEST 42ND STREET NEW YORK NY 10036 128932093 0 X N/A X 1946 NY LIFE INSURANCE, MEDICAL, HOSPITALIZATION, DENTAL, DISABILITY, OPTICAL, HEARING AIDS, DEATH BENEFITS, ETC. 501 (C)(9) ORGANIZATION. 9 9 0 0 0 0 0 0 27540432 29236270 5585874 7099212 12970 12970 33139276 36348452 0 0 22904294 23630102 530573 565357 0 0 0 822855 871631 24257722 25067090 8881554 11281362 120307255 141330767 1026138 11809239 119281117 129521528 TO PROVIDE LIFE INSURANCE, MEDICAL, HOSPITALIZATION, DENTAL, DISABILITY, HEARING AIDS, DEATH BENEFITS, ETC. FOR MEMBER OF IRON WORKERS UNION LOCAL 580. 0 0 TO PROVIDE LIFE INSURANCE, MEDICAL, HOSPITALIZATION, DENTAL, DISABILITY, HEARING AIDS, DEATH BENEFITS, ETC. FOR MEMBER OF IRON WORKERS UNION LOCAL 580. 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 1 0 0 0 1 2 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 0 0 0 1 1 1 0 1 1 1 1 1 1 0 0 0 X FUND OFFICE 2126955206 501 WEST 42ND STREET NEW YORK NY 100366205 HERBERT KOENIG 2.00 X 0 0 0 RANDALL RIFELLI 2.00 X 0 0 0 RANDALL MENT 2.00 X 0 0 0 PETER CARRIERO 2.00 X 0 0 0 ROBERT BENESH 2.00 X 0 0 0 KENNETH CODY 2.00 X 0 0 0 JAMES MAHONEY 2.00 X 0 0 0 MARK NARDELLA 20.00 X 52430 91886 29775 PATRICK DOHERTY 20.00 X 52810 92552 28337 ROBERT MAGUIRE 20.00 X 49402 86580 28337 DENNIS LUSARDI 20.00 X 49402 86580 28337 204044 357598 114786 0 0 1 0 EMPIRE BLUE CROSS AND BLUE SHIELD ONE LIBERTY PLAZA NEW YORK NY 10006 ADMINISTRATIVE FEES 1135350 MDSASS ASSOCIATES INC 1185 AVENUE OF THE AMERICAS NEW YORK NY 10036 INVESTMENT FEES 116739 BUCKHEAD CAPITAL MANAGEMENT LLC 3339 CUMBERLAND BLVD STE 650 ATLANTA GA 30339 INVESTMENT FEES 112591 3 EMPLOYER CONTRIBUTIONS 525100 28813351 28813351 COBRA CONTRIBUTIONS 525100 244352 244352 PAYROLL AUDIT REIMBURS 525100 144362 144362 COBRA PREMIUM ASSISATN 525100 34205 34205 29236270 4391847 4391847 95291006 92583641 2707365 2707365 2707365 ADMINISTRATIVE FEES 900099 12970 12970 12970 36348452 31943635 0 4404817 23630102 367889 101560 68145 27763 108356 142974 341428 80291 49920 31865 52536 13665 6846 10366 33384 25067090 405570 9251360 5515581 923211 3218764 2940710 25670 110112 201655 187080 24941 14575 111071464 128028969 45265 61830 120307255 141330767 218831 185595 807307 11623644 1026138 11809239 X 0 0 0 0 119281117 129521528 119281117 129521528 120307255 141330767 X 11281362 -1040951 X X 0 1 1 X 0 201655 187080 14575 14575 DUE TO BROKER 3965037 DUE TO RELATED PARTY 7653066 PAYROLL TAXES 5541 11623644 36348452 25067090 11281362 -1040951 -1040951 10240411 34821712 -1040951 -1040951 35862663 341428 144361 485789 36348452 24581301 0 24581301 341428 144361 485789 25067090 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 EXAMINATION BY THE U.S. FEDERAL, STATE, OR LOCAL TAX AUTHORITIES FOR YEARS BEFORE 2008. PART XII, LINE 4B - OTHER ADJUSTMENTS: PAYROLL AUDIT REIMBURSEMENTS PART XIII, LINE 4B - OTHER ADJUSTMENTS: PAYROLL AUDIT REIMBURSEMENTS X 0 0 0 MARK NARDELLA 52430 91886 0 0 0 0 18138 0 11637 0 82205 91886 0 0 PATRICK DOHERTY 52810 92552 0 0 0 0 17262 0 11075 0 81147 92552 0 0 ROBERT MAGUIRE 49402 86580 0 0 0 0 17262 0 11075 0 77739 86580 0 0 DENNIS LUSARDI 49402 86580 0 0 0 0 17262 0 11075 0 77739 86580 0 0 FORM 990, PART VI, SECTION B, LINE 11 LOCAL 580 INSURANCE FUND'S FORM 990 IS PREPARED BY ITS INDEPENDENT ACCOUNTANT WHO THEN FORWARDS THE COMPLETED RETURN TO THE FUND'S ADMINISTRATOR FOR REVIEW. THE FUND ADMINISTRATOR THEN PRESENTS THE FORM 990 TO THE GOVERNING BODY FOR REVIEW AND SIGNATURE. FORM 990, PART VI, SECTION B, LINE 12C LOCAL 580 INSURANCE FUND MONITORS ITS CONFLICT OF INTERST POLICY ON AN ANNUAL BASIS. FORM 990, PART VI, SECTION C, LINE 19 LOCAL 580 INSURANCE FUND'S GOVERNING DOCUMENTS, CONFLICT OF INTERST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. CONTACT ADDRESSES FOR OFFICERS, DIRECTORS, ETC FORM 990, PART VII HERBERT KOENIG - ALLIED BRONZE CORP, 25-11 HUNTERS POINT AVE., LIC, NY 11101-4429. RANDALL RIFELLI - UNITED IRON WORKS, 6 ROSLYN PLACE, MT VERNON, NY 10550. RANDALL MENT - MENT BROS IRON WORKS, 150 W. 22ND ST, 10TH FLR, NEW YORK, NY 10011. PETER CARRIERO - POST ROAD IRON WORKS, 345 W. PUTNAM AVE., GREENWICH, CT 06830. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -1,040,951. FORM 990, PART XII, LINE 2C: LOCAL 580 INSURANCE FUND'S BOARD OF TRUSTEES IS RESPONSIBLE FOR OVERSEEING THE FINANCIAL STATEMENT AUDIT AND SELECTION OF THE INDPENDENT ACCOUNTANT THAT PERFORMS THE AUDIT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. LOCAL 580 VACATION FUND 501 WEST 42ND STREET NEW YORK NY 100366205 132874176 VACATION BENEFITS NY 501(C)(9) 0 LOCAL 580 PENSION FUND 501 WEST 42ND STREET NEW YORK NY 100366205 132874172 PENSION FUND NY 401(A)/(501(A) 0 LOCAL 580 ANNUITY FUND 501 WEST 42ND STREET NEW YORK NY 100366205 136178512 PENSION FUND NY 401(A)/(501(A) 0 LOCAL 580 EDUCATION FUND 501 WEST 42ND STREET NEW YORK NY 100366205 230740036 EDUCATION AND TRAINING FUND NY 501(C)(3) 0 LOCAL 580 COLLEGE SCHOLARSHIP FUND 501 WEST 42ND STREET NEW YORK NY 100366205 450536496 COLLEGE SCHOLARSHIP BENEFITS NY 501(C)(5) 0 ARCHITECTURAL IRON REALTY CORP 501 WEST 42ND STREET NEW YORK NY 100366205 134192352 TITLE HOLDING CORP NY 501(C)(2) 0 501-507 WEST 42ND STREET REALTY CORP 501 WEST 42ND STREET NEW YORK NY 100366205 133120147 TITLE HOLDING CORP NY 501(C)(2) 0 LOCAL 580 LABOR MANAGEMENT PROMOTION FUND 501 WEST 42ND STREET NEW YORK NY 100366205 364636298 LABOR-MANAGEMENT PROMOTIONAL ORGANIZATION NY 501(C)(5) 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 501-507 WEST 42ND STREET REALTY CORP J 52536 FMV