2026-05-11T20:13:25-05:00 2025-06-30 611436956 NOVAK FRANCELLA LLC 40 MONUMENT RD 5TH FLR BALA CYNWYD PA 19004 990 2024-07-01 060683942 IUPAT DISTRICT COUNCIL NO 11 HEALTH FUND IUPA 8665995611 PO BOX 727 MERIDEN CT 06450 JASON WERTHMAN TRUSTEE 8665995611 2026-05-11 1 0 ANTHONY VOGT CPA P01385419 6106689400 2026-05-11 2024 2025-03-06 01:10:19Z JASON WERTHMAN PO BOX 727 MERIDEN CT 06450 40742023 0 X N/A X 1950 CT TO PROVIDE HEALTH BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR ELIGIBLE DEPENDENTS. 7 3 0 0 0 0 0 0 14437671 16300613 2449955 2265045 552452 480163 17440078 19045821 0 0 15010228 18393763 0 0 0 0 0 1451801 1477869 16462029 19871632 978049 -825811 42141432 42472320 2755331 3316328 39386101 39155992 TO PROVIDE HEALTH BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR ELIGIBLE DEPENDENTS. 0 0 TO PROVIDE VARIOUS FORMS OF HEALTH AND OTHER BENEFITS TO ELIGIBLE PARTICIPANTS AND BENEFICIARIES OF THIS FUND. 0 0 0 0 0 0 0 0 0 0 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 1 0 0 0 0 0 0 0 0 0 0 0 X 7 3 0 0 0 0 0 0 0 1 1 0 0 1 0 1 1 0 0 0 X SOLXSYS ADMINISTRATIVE SOLUTIONS LLC 8665995611 PO BOX 727 MERIDEN CT 06450 JASON WERTHMAN TRUSTEE/CO-CHAIR 2.00 45.00 X 0 209538 74285 MARK VERITY TRUSTEE 2.00 45.00 X 0 159613 71434 JUSTIN KELLEY TRUSTEE 2.00 45.00 X 0 159613 61234 JOSEPH FAZZINO TRUSTEE 2.00 45.00 X 0 142942 69183 MALCOLM MACKENZIE TRUSTEE/CO-CHAIR 2.00 X 0 0 0 PAUL CARAMANICA TRUSTEE 2.00 X 0 0 0 ANDREW F MELE TRUSTEE 2.00 X 0 0 0 0 671706 276136 0 0 1 0 SOLXSYS ADMINISTRATIVE SOL LLC 321 RESEARCH PARKWAY SUITE 110 MERIDEN CT 06450 THIRD PARTY ADMIN. 408000 ANTHEM BCBS 108 LEIGUS RD WALLINGFORD CT 06492 PPO 329209 ANCHOR CAPITAL ADVISORS LLC ONE POST OFFICE SQUARE BOSTON MA 02109 INVESTMENT MANAGEMENT 179453 RBC WEALTH MANAGEMENT 200 VESEY ST NEW YORK NY 10281 INVESTMENT MANAGEMENT 119474 ZENITH AMERICAN SOLUTIONS INC 8 FAIRFIELD BLVD SUITE 105 WALLINGFORD CT 06492 THIRD PARTY ADMIN. 114293 5 EMPLOYER CONTRIBUTIONS 525100 15598940 15598940 SELF-PAY CONTRIBUTIONS 525100 701673 701673 16300613 1087685 1087685 22873562 21696202 1177360 1177360 1177360 PRESCRIPTION REBATE 525100 471746 471746 STOP LOSS REIMBURSEMENT 525100 8417 8417 480163 19045821 16780776 0 2265045 18393763 69300 34269 298927 971598 22608 3171 16535 MEMBERSHIP DUES 61461 19871632 2860269 728690 2506415 2866399 36774748 38877231 42141432 42472320 92655 402235 100876 76893 2561800 2837200 2755331 3316328 X 0 0 0 0 39386101 39155992 39386101 39155992 42141432 42472320 -825811 595702 0 X X 0 1 X 1 0 0 CLAIMS PAYABLE & IBNR 2837200 2837200 X 18862433 595702 595702 18266731 298927 480163 779090 19045821 18817142 -480163 -480163 19297305 298927 275400 574327 19871632 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 TO RECOGNIZE A TAX LIABILITY (OR ASSET) IF IT HAS TAKEN AN UNCERTAIN POSITION THAT, MORE LIKELY THAN NOT, WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. PART XI, LINE 4B - OTHER ADJUSTMENTS: PRESCRIPTION REIMBURSEMENTS 471,746. STOP LOSS 8,417. PART XII, LINE 2D - OTHER ADJUSTMENTS: PRESCRIPTION REIMBURSEMENTS -471,746. STOP LOSS -8,417. PART XII, LINE 4B - OTHER ADJUSTMENTS: CHANGE IN BENEFIT OBLIGATION 275,400. X 0 0 0 JASON WERTHMAN TRUSTEE/CO-CHAIR 0 209538 0 0 0 0 0 60143 0 14142 0 283823 0 0 MARK VERITY TRUSTEE 0 159613 0 0 0 0 0 53392 0 18042 0 231047 0 0 JUSTIN KELLEY TRUSTEE 0 159613 0 0 0 0 0 53392 0 7842 0 220847 0 0 JOSEPH FAZZINO TRUSTEE 0 142942 0 0 0 0 0 51141 0 18042 0 212125 0 0 FORM 990, PART VI, SECTION B, LINE 11B LINE 11B EXPLANATION - THE FORM 990 WAS REVIEWED BY THE TRUSTEE SIGNING THE RETURN, LEGAL COUNSEL, AND THIRD-PARTY ADMINISTRATOR (TPA) PRIOR TO FILING THE RETURN. FORM 990 WAS PROVIDED TO THE ORGANIZATION'S GOVERNING BODY VIA PAPER COPY OR EMAIL. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, INSTRUMENTS UNDER WHICH THE ORGANIZATION IS OPERATED OR ESTABLISHED, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST, TO PARTICIPANTS, EMPLOYERS AND OTHERS IN ACCORDANCE WITH THE PROVISIONS OF ERISA, BUT ARE NOT AVAILABLE TO THE GENERAL PUBLIC. FORM 990, PART XI, LINE 2C: THE GOVERNING BODY IS RESPONSIBLE FOR OVERSEEING THE AUDIT OF THE FINANCIAL STATEMENTS AND THE SELECTION OF THE INDEPENDENT ACCOUNTANT. NO CHANGE FROM PRIOR YEAR. 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