2024-01-18T11:30:05-06:00 2023-03-31 131577780 SCHULTHEIS & PANETTIERI LLP 450 WIRELESS BLVD HAUPPAUGE NY 11788 990 2022-04-01 221481564 HEAVY & GENERAL LABORERS LOCAL 472 & LOCAL 172 OF NEW JERSEY WELFARE FUND HEAV 9735895050 700 RAYMOND BOULEVARD NEWARK NJ 071052909 MANUEL AMADOR JR CO-CHAIRMAN 9735895050 2024-01-18 1 MANUEL AMADOR JR 999009999 1 CAROL WESTFALL P00539069 6312734778 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z BEVERLY CEASER 700 RAYMOND BOULEVARD NEWARK NJ 071052909 393801522 0 X N/A X 1950 NJ THE PURPOSE OF THE PLAN IS TO PROVIDE HEALTH AND OTHER BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS. 10 10 48 0 0 0 0 0 190183794 200528391 11399116 3593943 17040705 22456336 218623615 226578670 0 0 199596057 210065794 5601342 5916747 0 0 0 -784488 -312476 204412911 215670065 14210704 10908605 313433739 320028510 47450752 51509066 265982987 268519444 THE PURPOSE OF THE PLAN IS TO PROVIDE HEALTH AND OTHER BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS. 0 0 THE PURPOSE OF THE PLAN IS TO PROVIDE HEALTH AND OTHER BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS. 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 1 0 0 1 35 0 1 48 1 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X BEVERLY CEASER 9735895050 700 RAYMOND BOULEVARD NEWARK NJ 071052909 ANTONIO OLIVEIRA CO-CHAIRMAN - THRU 8/22 1.00 0.00 X 0 0 0 JACK KOCSIS JR CO-CHAIRMAN 1.00 0.00 X 0 0 0 RAYMOND M POCINO TRUSTEE 1.00 0.00 X 0 0 0 MANUEL AMADOR JR CO CHAIRMAN - EFF 9/22 1.00 0.00 X 0 0 0 ANTHONY CAPACCIO TRUSTEE 1.00 0.00 X 0 0 0 JEFFREY S WATERS TRUSTEE 1.00 0.00 X 0 0 0 FRANK CRISCOLA JR TRUSTEE 1.00 0.00 X 0 0 0 NELSON FERREIRA TRUSTEE 1.00 0.00 X 0 0 0 LUIS RECIO TRUSTEE 1.00 0.00 X 0 0 0 MARTIN DOWN TRUSTEE 1.00 0.00 X 0 0 0 MICHAEL E HELLSTROM JR TRUSTEE - EFF 9/22 1.00 0.00 X 0 0 0 MICHAEL GIUNTA TRUSTEE - EFF 9/22 1.00 0.00 X 0 0 0 BEVERLY CEASER GENERAL MANAGER 20.00 15.00 X 226938 0 82774 RUSSEL BLEY ASST. GENERAL MGR 20.00 15.00 X 155198 0 71244 THOMAS COTOV LEGAL SERVICES 35.00 0.00 X 227658 0 82835 VINCENT RICCARDI LEGAL SERVICES 35.00 0.00 X 205479 0 80950 CHARLES FERNS FINANCE MANAGER 14.00 21.00 X 178915 0 78692 CARLOS DEOLIVEIRA COLLECTIONS AUDITOR 18.00 17.00 X 147390 0 76012 GLEN KENYON MANAGER 18.00 17.00 X 144887 0 75799 1286465 0 548306 7 0 1 0 MERITAIN HEALTH INC 300 CORPORATE PARKWAY AMHERST NY 14426 CLAIMS PROCESSING 2819948 ZAZZALI FAGELLA NOWAK 1 RIVERFRONT PLAZA NEWARK NJ 07102 LEGAL 340134 ATALANTA SOSNOFF CAPITAL LLC 505 5TH AVENUE 17TH FLR NEW YORK NY 10017 INVESTMENT MANAGER 145161 THE SEGAL COMPANY (EASTERN STATES) INC 333 WEST 34TH STREET NEW YORK NY 10001 ACTUARIAL CONSULTING 115346 4 EMPLOYER CONTRIBUTIONS 237310 147151949 147151949 PARTICIPANT CONTRIBUTIONS 237310 53376442 53376442 200528391 7230360 7230360 311583 126481 185102 185102 185102 163459954 167096371 -3636417 -3636417 -3636417 PRESCRIPTION DRUG REBATES 237310 18652462 18652462 OTHER 237310 3618772 3618772 22271234 226578670 219163208 0 7415462 210065794 539429 411955 2578424 1194600 921814 270525 393793 74440 485733 102624 588529 49306 95578 81049 74358 308595 REPAIRS & MAINTENANCE 73170 REIMB EXPENSES -2639651 215670065 7649399 34315699 36604014 32030966 48337 54495 7908169 1600389 5994248 6307780 240592354 209107210 22537792 38220042 7595 -7682 313433739 320028510 1556174 612041 45894578 50897025 47450752 51509066 X 0 0 0 0 265982987 268519444 265982987 268519444 313433739 320028510 10908605 -8372148 0 X 0 1 X 1 0 117829 117829 5957171 5957171 313573 230256 83317 1519596 1370133 149463 6307780 PARTNERSHIPS 20682858 F UNALLOCATED CONTRACTS 2325988 F POOLED SEPARATE ACCOUNTS 15211196 C 38220042 BENEFIT OBLIGATIONS PAYABLE 28853000 DUE TO RELATED ORGANIZATIONS 18608633 SEVERANCE BENEFIT LIAB - FROZEN 2325988 NET TRADES 1109404 50897025 217720789 -8372148 -8372148 226092937 485733 485733 226578670 212472332 0 212472332 485733 2712000 3197733 215670065 PART XII, LINE 4B - OTHER ADJUSTMENTS: CHANGE IN IBNR 2,712,000. X X 0 0 0 BEVERLY CEASER GENERAL MANAGER 222680 0 0 0 4258 0 60896 0 21878 0 309712 0 0 0 RUSSEL BLEY ASST. GENERAL MGR 152281 0 0 0 2917 0 49366 0 21878 0 226442 0 0 0 THOMAS COTOV LEGAL SERVICES 222280 0 0 0 5378 0 60957 0 21878 0 310493 0 0 0 VINCENT RICCARDI LEGAL SERVICES 197135 0 0 0 8344 0 59072 0 21878 0 286429 0 0 0 CHARLES FERNS FINANCE MANAGER 178915 0 0 0 0 0 56814 0 21878 0 257607 0 0 0 CARLOS DEOLIVEIRA COLLECTIONS AUDITOR 146513 0 0 0 877 0 54134 0 21878 0 223402 0 0 0 GLEN KENYON MANAGER 143276 0 0 0 1611 0 53921 0 21878 0 220686 0 0 0 PART III - SUPPLEMENTAL INFORMATION COMPENSATION INFORMATION DISCLOSED IN "PART VII COMPENSATION OF OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES, HIGHEST COMPENSATED EMPLOYEES AND INDEPENDENT CONTRACTORS AND "SCHEDULE J PART II - OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES AND HIGHEST COMPENSATED EMPLOYEES" ARE GROSS AMOUNTS PAID BY THIS FUND. SUCH AMOUNTS ARE SUBSEQUENTLY ALLOCATED TO AFFILIATED ENTITIES BASED ON ESTIMATED BENEFIT RECEIVED IN ACCORDANCE WITH THE FUNDS' EXPENSE ALLOCATION POLICY. THERESA CALAMARI FAMILY MEMBER 192957 EMPLOYMENT 0 DANIELLE GAMMAN FAMILY MEMBER 117070 EMPLOYMENT 0 NATALIE RECIO GRACA FAMILY MEMBER 101928 EMPLOYMENT 0 FORM 990, PART VI, SECTION A, LINE 7A THE PLAN IS JOINTLY ADMINISTERED BY TRUSTEES WHO ARE APPOINTED BY THE UNION AND BY EMPLOYER ASSOCIATIONS. FORM 990, PART VI, SECTION A, LINE 7B AN EMPLOYER TRUSTEE MAY BE REMOVED FROM OFFICE AT ANY TIME BY ACTION OF THE EMPLOYER ASSOCIATIONS, OR OTHER EMPLOYERS, WHICHEVER SELECTED SUCH EMPLOYER TRUSTEE. AN EMPLOYEE TRUSTEE MAY BE REMOVED FROM OFFICE AT ANY TIME BY ACTION OF THE UNION. IN BOTH CASES, WRITTEN NOTICE OF SUCH ACTION MUST BE SUBMITTED BY THE EMPLOYER ASSOCIATION, OR UNION, TO THE CHAIRMAN OR SECRETARY OF THE TRUSTEES. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WAS PREPARED IN COORDINATION WITH MANAGEMENT OF THE ORGANIZATION AND WAS REVIEWED WITH THE ORGANIZATION'S BOARD OF TRUSTEES PRIOR TO SUBMISSION. FORM 990, PART VI, SECTION B, LINE 12C AS REQUIRED BY THE FUND'S POLICY AND BY ERISA; OFFICERS, DIRECTORS, AND KEY EMPLOYEES HAVE A CONTINUOUS OBLIGATION TO REPORT POTENTIAL CONFLICTS OF INTEREST. ADDITIONALLY, IN ACCORDANCE WITH THE FUND'S POLICY, ANNUAL AFFIRMATIONS ARE OBTAINED FROM THE FUND ADMINISTRATOR AND ALL BOARD MEMBERS. FORM 990, PART VI, SECTION C, LINE 19 NO DOCUMENTS AVAILABLE TO THE PUBLIC. PARTICIPANTS MAY VIEW DOCUMENTS AT THE FUND OFFICE UPON REQUEST TO THE EXTENT REQUIRED BY LAW. H&G LBRS LOC 472 & 172 ANNUITY FD 700 RAYMOND BOULEVARD NEWARK NJ 07105 222331070 PROVIDE RETIREE BENEFITS TO ELIGIBLE PARTIC & BEN'S NJ 401(A) N/A N/A 0 H&G LBRS LOC 472 & 172 PENSION FD 700 RAYMOND BOULEVARD NEWARK NJ 07105 226032103 PROVIDE RETIREE BENEFITS TO ELIGIBLE PARTIC & BEN'S NJ 401(A) N/A N/A 0 H&G LBRS LOC 472 & 172 SET FD 700 RAYMOND BOULEVARD NEWARK NJ 07105 226171671 PROVIDE APP TRAINING, SKILL IMPROV & SAFETY EDUCATION NJ 501(C)(3) 2 N/A 0 LABORERS INT'L UNION OF 472 HCL 700 RAYMOND BOULEVARD NEWARK NJ 07105 221010627 LABOR UNION NJ 501(C)5 N/A N/A 0 LABORERS INT'L UNION LOCAL 172 604 BORDENTOWN ROAD TRENTON NJ 08610 210603706 LABOR UNION NJ 501(C)(5) N/A N/A 0 SEE SCHEDULE R SUPPLEMENTAL INFORMATION SEE SCHEDULE R SUPPLEMENTAL INFORMATION 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 SCHEDULE R, PART II AND IV CERTAIN TRUSTEES LISTED ON PART VII, SECTION A, SERVE AS VOLUNTEERS AND DO NOT RECEIVE COMPENSATION FROM THIS ORGANIZATION OR ANY RELATED ORGANIZATION IN THEIR CAPACITY AS TRUSTEES OF THIS ORGANIZATION. CERTAIN TRUSTEES LISTED ON PART VII, SECTION A, DO NOT RECEIVE COMPENSATION FROM THIS ORGANIZATION, BUT DO RECEIVE COMPENSATION FROM NOT FOR PROFIT ORGANIZATIONS IN THEIR CAPACITY AS EMPLOYEES/OFFICERS OF THOSE ORGANIZATIONS. ACCORDINGLY, THEIR COMPENSATION IS REPORTED ON THE FORM 990 OF THOSE ORGANIZATIONS. THE INFORMATION DISCLOSED ON THE ATTACHED SCHEDULES OF RELATED PARTIES IS THAT WHICH WAS AVAILABLE TO THIS ORGANIZATION AT THE TIME OF THIS FILING. FORM 990 SCHEDULE R ATTATCHMENT, RELATED ORGANIZATIONS PART IV- IDENTIFICATION OF RELATED ORGANIZATIONS TAXABLE AS A CORPORATION OR TRUST (A) NAME 3C DRILLING LLC 4 CLEAN-UP INC A & J CONTRACTORS GROUP A & L CONCRETE CUTTING A & R FENCE AND GUIDERAI A P CONST INC A&J CONSTRUCTION CO. A. MAC CONTRACTING INC A.TAKTON CONCRETE CORP AAA QUALITY MAINTENANCE AARON ENTERPRISES INC. 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