2012-08-15T12:55:21-05:00 2011-12-31 232586736 DANIEL A WINTERS & COMPANY CPAS 6 DICKINSON DRIVE SUITE 205 CHADDS FORD PA 19317 990 2011-01-01 042191579 NEW ENGLAND CARPENTERS HEALTH BENEFITS FUND NEWE 9786941000 350 FORDHAM ROAD WILMINGTON MA 01887 HARRY R DOW 9786578622 2012-08-16 1 CRAIG D WINTERS CPA P00154131 6103582000 2012-08-17 2011 2016-02-24 21:20:13Z HARRY R DOW 350 FORDHAM ROAD WILMINGTON MA 01887 142743976 0 X WWW.CARPENTERSFUND.ORG X 1955 MA TO PROVIDE PARTICIPANTS WITH HEALTH BENEFITS 20 20 0 0 0 0 0 0 83961296 98190167 5137368 3740544 917035 783350 90015699 102714061 0 0 84866764 84941218 2270760 2358119 0 0 0 7842840 7049032 94980364 94348369 -4964665 8365692 143551323 168058401 55462073 69253704 88089250 98804697 TO PROVIDE PARTICIPANTS WITH HEALTH BENEFITS. 0 0 THE EXEMPT PURPOSE OF THE NEW ENGLAND CARPENTERS HEALTH BENEFITS FUND IS TO PROVIDE HEALTH BENEFITS TO THE PARTICIPANTS AND THEIR DEPENDENTS. THIS IS ESSENTIALLY THE ONLY PROGRAM SERVICE OF THE ORGANIZATION AND ALL OF THE REVENUES AND EXPENSES ARE CONSIDERED TO BE FOR THIS PURPOSE. 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 0 1 112 0 1 0 0 0 0 0 0 0 X 20 20 0 0 0 0 0 1 0 1 1 0 0 1 0 0 1 1 1 0 X HARRY DOW 9786941000 350 FORDHAM ROAD WILMINGTON MA 01887 STEPHAN ADAMIC 1.00 X 0 0 0 GEORGE BIDGOOD 1.00 X 0 0 0 THOMAS H O'CONNOR III 1.00 X 0 0 0 THOMAS J GUNNING 1.00 X 0 0 0 MICHAEL SHAUGHNESSY 1.00 X 0 0 0 WILLIAM SHEA 1.00 X 0 0 0 THOMAS STEEVES 1.00 X 0 0 0 C JOSEPH WILLIAMS 1.00 X 0 0 0 GEORGE ALLEN 1.00 X 0 0 0 MARK L ERLICH 1.00 X 0 0 0 THOMAS J FLYNN 1.00 X 0 0 0 GARY DECOSTA 1.00 X 0 0 0 JASON GARAND 1.00 X 0 0 0 BRIAN RICHARDSON 1.00 X 0 0 0 JOHN MURPHY 1.00 X 0 0 0 JACK DONAHUE 1.00 X 0 0 0 BRYAN BOUCHARD 1.00 X 0 0 0 RICK BRACCIA 1.00 X 0 0 0 JOSEPH GANGI JR 1.00 X 0 0 0 WILLIAM J SULLIVAN 1.00 X 0 0 0 HARRY R DOW 8.00 X 0 173318 52550 SUZANNE SMITH 10.00 X 0 124785 43323 0 298103 95873 0 0 1 0 MASSACHUSETTS BLUE CROSS BLUE SHIELD 401 PARK DRIVE BOSTON MA 02215 ADMINISTRATOR OF BENEFITS 3112701 DELTA DENTAL 465 MEDFORD STREET BOSTON MA 02129 ADMINISTRATOR OF BENEFITS 477748 HEALTH NEW ENGLAND ONE MONARCH PLACE SUITE 1500 SPRINGFIELD MA 011441500 ADMINISTRATOR OF BENEFITS 276887 THE SEGAL COMPANY 116 HUNTINGTON AVENUE BOSTON MA 021165744 ACTUARIAL SERVICES 205056 BEST DOCTORS 100 FEDERAL STREET 21ST FLOOR BOSTON MA 02110 MEDICAL 160867 6 EMPLOYER CONTRIBUTIONS 525100 91391097 91391097 EMPLOYEE CONTRIBUTIONS 525100 5464209 5464209 COBRA STIMULUS 525100 1334861 1334861 98190167 4024140 4024140 39746319 40029915 -283596 -283596 -283596 REBATES, FEES, CHARGES 525100 783350 783350 783350 102714061 98973517 0 3740544 84941218 1435474 311644 452933 158068 91197 56840 173189 4328554 428029 57010 272482 18108 20908 251824 368491 CARE POOL SURCHARGE 531735 COLLECTION AGENCY 437673 DUES AND SUBSCRIPTIONS 8783 CREDIT CARD SERVICES 4209 94348369 18493065 18615106 23860067 11637535 668714 1786459 2763783 1729041 744145 1034742 40743187 46989329 59042145 87995230 143551323 168058401 3363802 10028553 52098271 59225151 55462073 69253704 X 0 0 0 0 88089250 98804697 88089250 98804697 143551323 168058401 X 8365692 2349755 X X 0 1 1 X 0 2763783 1729041 1034742 1034742 COMMON/COLLECTIVE TRUSTS 65541688 F LIMITED PARTNERSHIP INTERESTS 13708604 F OTHER 8744938 F 87995230 BENEFIT OBLIGATIONS CURRENTLY PAYABLE 59225151 59225151 102714061 94348369 8365692 2349755 2349755 10715447 104890627 2349755 2349755 102540872 173189 173189 102714061 87048300 0 87048300 173189 7126880 7300069 94348369 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: AS OF JANUARY 1, 2009, THE PLAN ADOPTED ASC TOPIC 740 - INCOME TAXES AND ACCORDINGLY DETERMINED THAT NO PROVISION FOR INCOME TAXES WAS DEEMED NECESSARY IN THE PLAN'S FINANCIAL STATEMENTS. PART XIII, LINE 4B - OTHER ADJUSTMENTS: INCREASE IN BENEFIT OBLIGATION AND ESTIMATED LIABILITY. X X X 0 1 0 HARRY R DOW 0 173318 0 0 0 0 0 34177 0 18373 0 225868 0 0 SUZANNE SMITH 0 124785 0 0 0 0 0 27827 0 15496 0 168108 0 0 PART I, LINE 4B HARRY R. DOW PARTICIPATED IN A NON-QUALIFIED DEFERRED COMPENSATION PLAN. FORM 990, PART VI, SECTION A, LINE 7A UNION TRUSTEES ARE APPOINTED BY THE UNION REGIONAL COUNCIL. THE EMPLOYER TRUSTEES ARE APPOINTED BY THE EMPLOYER GROUP. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS REVIEWED AND APPROVED BY THE FUND'S MANAGEMENT, INCLUDING THE EXECUTIVE DIRECTOR, CONTROLLER AND ACCOUNTING MANAGER, BEFORE THE FORM IS FILED. FORM 990, PART VI, SECTION B, LINE 15 EXTERNAL SALARY SURVEYS ARE USED FOR ALL MANAGEMENT AND NON-COLLECTIVELY BARGAINED EMPLOYEES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 2349755. FORM 990, PART XII, LINE 1: THERE HAVE BEEN NO CHANGES MADE DURING THE YEAR. THE FUND DOES NOT ISSUE W-2S TO ANY EMPLOYEES AND SHARES, AS REPORTED IN SCHEDULE R. CERTAIN STAFF WITH A RELATED ORGANIZATION THAT FUNCTIONS AS THE STAFF'S EMPLOYER AND ISSUES AND ISSUES FORMS W-2 AND COMPLIES WITH APPLICABLE PAYROLL REPORTING AND RELATED REQUIREMENTS. ACCORDINGLY, THE FUND'S ALLOCATED SHARE OF THE COSTS RELATED TO THIS SHARING IS REPORTED ON FORM 990, INCLUDING PART IX, LINES 7 THROUGH 10. SIMILARLY, CERTAIN RELATED PRACTICES ARE DISCLOSED, SUCH AS A COMPENSATION SURVEY OR STUDY FOR SETTING COMPENSATION FOR CERTAIN "HIGHER LEVEL" EMPLOYEES THAT ARE REPORTED ON FORM 990 PART VI, SECTION B, ITEM 15. NEW ENGLAND CARPENTERS PENSION FUND 350 FORDHAM ROAD WILMINGTON MA 01887 042305512 TO PROVIDE PENSION BENEFITS TO ITS PARTICIPANTS MA 401 (A) 0 NEW ENGLAND CARPENTERS GUARANTEED ANNUITY FUND 350 FORDHAM ROAD WILMINGTON MA 01887 042776873 TO PROVIDE GUARANTEED ANNUITY BENEFITS TO ITS PARTICIPANTS MA 401 (A) 0 NEW ENGLAND CARPENTERS VACATION SAVINGS PLAN 350 FORDHAM ROAD WILMINGTON MA 01887 043322721 TO PROVIDE VACATION BENEFITS TO ITS PARTICIPANTS MA 501 (C) 9 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 1 0 NEW ENGLAND CARPENTERS PENSION FUND N 1435474 CASH NEW ENGLAND CARPENTERS PENSION FUND O 1999953 CASH NEW ENGLAND CARPENTERS PENSION FUND Q 460412 CASH NEW ENGLAND CARPENTERS PENSION FUND J 109273 CASH THE GLOSSARY TO THE INSTRUCTIONS INCLUDES THE DEFINITION OF RELATED PARTY WHICH INCLUDES SPONSORING ORGANIZATIONS AND EMPLOYERS CONTRIBUTING TO THE PLAN. THIS PLAN HAS DETERMINED THAT THERE ARE NO RELATED PARTIES TO BE INCLUDED PER THE GUIDANCE NOTED IN THE INSTRUCTIONS.