2024-07-11T09:36:11-05:00 2023-09-30 611436956 NOVAK FRANCELLA LLC 40 MONUMENT RD 5TH FLR BALA CYNWYD PA 19004 990 2022-10-01 061498630 INTERNATIONAL UNION OF BRICKLAYERS & ALLIED CRAFTWORKERS LOCAL 1 HEALTH FUND INTE 8886176521 228 PARK AVE 87234 NEW YORK NY 10003 GERALD A MAROTTI TRUSTEE 8886176521 2024-07-11 1 GERALD MAROTTI 999009999 0 LOUIS VERZELLA CPA P00360279 6106689400 2024-07-09 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z X GERALD A MAROTTI 228 PARK AVE 87234 NEW YORK NY 10003 13974822 0 X N/A X 1997 CT PROVIDE HEALTH & WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR BENEFICIARIES. 10 0 0 0 0 0 0 0 11474090 12317488 50639 81439 1967592 1007296 13492321 13406223 0 0 10773253 10884148 0 0 0 0 0 1778946 1514411 12552199 12398559 940122 1007664 6955876 8005291 1601898 1497063 5353978 6508228 PROVIDE HEALTH & WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR BENEFICIARIES. 0 0 TO PROVIDE MAJOR MEDICAL, HOSPITALIZATION, DISABILITY, LIFE INSURANCE, AND OTHER HEALTH BENEFITS TO ELIGIBLE PARTICIPANTS OF THIS FUND AND THEIR BENEFICIARIES. 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 10 0 0 0 0 0 0 0 0 1 1 0 0 1 0 1 1 0 0 0 X CAPITAL RX INC 8886176521 228 PARK AVE NEW YORK NY 10003 VINCENT CONVERTITO TRUSTEE 2.00 X 0 0 0 FRANCO INDOMENICO TRUSTEE 2.00 X 0 0 0 TODD DEXTER TRUSTEE (P) 2.00 40.00 X 0 115440 93485 SCOTT ARONOWICZ TRUSTEE 2.00 X 0 0 0 VINCENZO CAPASSO TRUSTEE 2.00 X 0 0 0 VINNY ARPINO TRUSTEE 2.00 40.00 X 0 115440 91343 JOHN CHANDLER TRUSTEE 2.00 X 0 0 0 MICHAEL THOMPSON TRUSTEE/CO-CHAIR 2.00 X 0 0 0 JOHN CIVITILLO TRUSTEE 2.00 X 0 0 0 GERALD MAROTTI TRUSTEE/CO-CHAIR 2.00 40.00 X 0 139584 99038 STEVEN J CARNEY IV TRUSTEE 2.00 X 0 0 0 0 370464 283866 0 0 1 0 ZENITH AMERICAN SOLUTIONS (FKA IPI) 10 TECHNOLOGY DRIVE WALLINGFORD CT 06492 THIRD PARTY ADMIN 469956 CAPITAL RX INC 1 WORLD TRADE CENTER NEW YORK NY 10007 PHARMACEUTICAL 252269 BENEFITS DNA LLC 2400 MARKET STREET SUITE 245 PHILADELPHIA PA 19103 INSURANCE 214992 ANTHEM BCBS 108 LEIGUS ROAD WALLINGFORD CT 06492 PPO 183545 HLH HOLDINGS LLC 130 N 18TH ST 26TH FL STE 2675 PHILADELPHIA PA 19103 CONTRACT ADMINISTRATION 142145 5 EMPLOYER CONTRIBUTIONS 900099 10167570 10167570 EMPLOYEE CONTRIBUTIONS 900099 1371211 1371211 RECIPROCAL NET CONTRIBUTIONS 900099 778707 778707 12317488 71520 71520 578518 568599 9919 9919 9919 PRESCRIPTION REBATES 900099 650680 650680 MEDICARE PART D REIMBURSEMENTS 900099 275034 275034 MISCELLANEOUS 900099 58451 58451 23131 23131 1007296 13406223 13324784 0 81439 X 10884148 69440 31896 16279 1325544 19605 1424 15356 DUES ASSESSMENT 30939 PCORI FEES 3908 MEDICARE PART D FEES 20 12398559 1451038 2719221 34409 34559 2916150 2488677 2554279 2762834 6955876 8005291 17072 27962 1584826 1469101 1601898 1497063 X 0 0 0 0 5353978 6508228 5353978 6508228 6955876 8005291 1007664 146586 0 X X 0 1 X 1 0 0 RECIPROCIAL PAYABLE 8074 CLAIMS PAYABLE & IBNR 1386212 DEFERRED REVENUE 28502 DUE TO RELATED ORGANIZATION 46313 1469101 X 12880700 146586 146586 12734114 16279 655830 672109 13406223 11877316 0 11877316 16279 504964 521243 12398559 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 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: STOP LOSS REIMBURSEMENT 5,150. PRESCRIPTION REBATE 650,680. PART XII, LINE 4B - OTHER ADJUSTMENTS: CHANGE IN OBLIGATION -150,866. STOP LOSS REIMBURSEMENT 5,150. PRESCRIPTION REBATE 650,680. 0 0 0 GERALD MAROTTI TRUSTEE/CO-CHAIR 0 139584 0 0 0 0 0 75576 0 23462 0 238622 0 0 TODD DEXTER TRUSTEE (P) 0 115440 0 0 0 0 0 70023 0 23462 0 208925 0 0 VINNY ARPINO TRUSTEE 0 115440 0 0 0 0 0 67881 0 23462 0 206783 0 0 FORM 990, PART VI, SECTION B, LINE 11B LINE 11B EXPLANATION - FORM 990 WAS PROVIDED TO THE ORGANIZATION'S GOVERNING BODY VIA PAPER COPY OR EMAIL. THE FORM 990 WAS REVIEWED BY THE TRUSTEE SIGNING THE RETURN AND LEGAL COUNSEL PRIOR TO FILING. 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 IX, LINE 11G ACTUARIAL/CONSULTING 214,992. BENEFITS ADMISTRATIVE SERVICES FEES 1,110,552. FORM 990. PART XII, LINE 2C: FUND MANAGEMENT IS RESPONSIBILE FOR THE OVER SIGHT OF THE AUDIT, SELECTION OF THE INDEPENDENT AUDITORS, AND THE FINANCIAL STATMENTS. INTERNATIONAL UNION OF BRICKLAYERS AND ALLIED CRAFTWORKERS LOCAL 1 17 NORTH PLAINS INDUSTRIAL ROAD WALLINGFORD CT 06492 061478610 LABOR UNION CT 501(C)(5) 0 A & K SLIPFORMING INC A AND J CAULKING CO INC ACRANOM MASONRY APONTES CONSTRUCTION RESOURCES ARMANI RESTORATION INC ATLANTIC MASONRY PRODUCTS CORP BAC LOCAL 1 CT BLAKESLEE PRESTRESS INC BRUNALLI CONSTRUCTION CO CAMPUTARO LEASING LLC CAPASSO ENTERPRISES CARVALHO & MCDOWELL CONST INC CHERRY HILL GLASS CO INC CIVITILLO MASONRY INC CONN MASON CONTRACTORS CONN ACOUSTICS INC CONSTRUCTION RESOURCE SVCS LLC CORENO MARBLE AND TILE LTD CT MASONS LLC DANIELS CAULKING COMPANY DEPAOLI MOSAIC COMPANY DEXTER LANDSCAPING & MASONRY ECDNY INC ELEGANT CONCRETE POLISHING IN ESI INC EXECUTIVE MANAGEMENT SOLUTIONS FABCON PRECAST LLC FILLORAMO JOHN CONSTCO GARGIULO CONSTRUCTION CO INC GENOVESI CONSTRUCTION LLC GILIBERTO & SONS LLC GRANDE MASONRY LLC IMI A&T INSTRUCTORS J AND P CONSTRUCTION CORP JL MARSHALL & SONS INC JOSEPH COHN&SON TILE&TERRAZZO KIEWIT CONSTRUCTORS CO LORING & SON MASONRY REST INC M L CONSTRUCTION MANAFORT BROS INC MASSEY'S PLATE GLASS & ALUMINU N2 FLOORS LLC NICKERSON CH & CO NOBLE CONSTRUCTION & MGMNT O AND G INDUSTRIES INC P CASINELLI CONSTR LTD PARTITIONS INC R&B FLOOR COVERING INC RJB CONTRACTING INC ROTHA CONTRACTING COMPANY INC SILCARR CORPORATION SPECTRUM FLOORS INC SPINO BROS INC SUMMIT MASONRY & BUILDING REST THE GRASSO COMPANIES LLC TILCON CONNECTICUT INC TITTARELLI INC TRINITY CONSTRUCTION GROUP LLC UNION FLOORING INSTALLATIONS W HAVEN STREET SWEEPING LLC WALSH CONSTRUCTION CO OF IL WATERPROOFING COMPANY LLC ACRANOM MASONRY ENTERPRISES CAPASSO RESTORATION FRANK CAPASSO & SONS GL CAPASSO INC ICC COMMONWEALTH CORP CONSTRUCTION RESOURCE DEBRINO CAULKING ASSOC JT THORPE & SONS INC ROMAN MOSAIC & TILE CO 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 IUBAC LOCAL 1 S 96036