2024-11-12T10:45:57-06:00 2023-12-31 222951202 MSPC CPAS & ADVISORS PC 340 NORTH AVENUE EAST CRANFORD NJ 070162496 990 2023-01-01 221537766 JOINT WELFARE BOARD LOCAL #164 - IBEW INTE 9732284200 425 EAGLE ROCK AVENUE ROSELAND NJ 07068 ROBERT FARINA FUND ADMINISTRATOR 9732284200 2024-11-12 1 1 JON S GAGLIARDI CPA P00528721 9082727000 2023 2024-10-15 13:58:12Z ROBERT FARINA 204 EAGLE ROCK AVENUE ROSELAND NJ 07068 150062189 0 X N/A X 1952 NJ TO PROVIDE MEDICAL AND OTHER RELATED TYPE BENEFITS. 7 5 0 0 0 0 0 0 73734666 66652533 2558703 5278785 1638830 1680951 77932199 73612269 0 0 75353520 78877548 0 0 0 0 0 3800028 4067145 79153548 82944693 -1221349 -9332424 184259493 187903094 1582696 1568293 182676797 186334801 TO PROVIDE HEALTH AND WELFARE BENEFITS TO PARTICIPANTS COVERED UNDER THE COLLECTIVE BARAGAINING AGREEMENT. 0 0 TO PROVIDE HEALTH AND WELFARE BENEFITS TO PARTICIPANTS. 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 1 782 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 7 5 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 X FABIAN & BYRN LLC 9732284200 425 EAGLE ROCK AVE SUITE 105 ROSELAND NJ 07068 JAMES ESTABROOK EMPLOYER TRUSTEE 1.00 X 0 0 0 CHRISTOPHER BIOLETTI UNION TRUSTEE 1.00 X 0 0 0 STANLEY JAWORSKI UNION TRUSTEE 1.00 X 0 0 0 DANIEL GUMBLE UNION TRUSTEE 1.00 39.00 X 0 258973 156171 TOM JOHNSTON EMPLOYER TRUSTEE 1.00 X 0 0 0 TERRY CRAIG EMPLOYER TRUSTEE 1.00 X 0 0 0 TOM SULLIVAN UNION TRUSTEE 1.00 39.00 X 0 225393 135250 0 484366 291421 0 0 1 0 HORIZON BLUE CROSS PO BOX 15306 NEWARK NJ 071055306 MEDICAL CLAIMS CONSULTANT 1576310 FABIAN & BYRN LLC 204 EAGLE ROCK AVENUE ROSELAND NJ 07068 THIRD PARTY ADMINISTRATOR 730286 CAPITAL RX INC 228 PARK AVENUE S SUITE 87234 NEW YORK NY 10003 MEDICAL CLAIMS CONSULTANT 640325 ZELIS CLAIMS INTEGRITY 2 CROSSROADS DRIVE BEDMINSTER NJ 07921 MEDICAL CLAIMS CONSULTANT 266174 RAMIREZ ASSET MANAGEMENT 61 BROADWAY NEW YORK NY 10006 INVESTMENT MANAGEMENT 146892 5 CONTRACTOR CONTRIBUTION 900099 65029796 65029796 MEMBER SELF-PAYMENTS 900099 1622737 1622737 66652533 5161200 5161200 76567505 76449920 117585 117585 117585 REBATE REIMBURSEMENT 900099 1475030 1475030 STOP LOSS REIMBURSEMENTS 900099 205921 205921 1680951 73612269 68333484 0 5278785 78877548 730286 91089 41000 297509 2823727 41376 13092 ACA PATIENT - RESEARCH 25053 ERTS FEES 2480 DUES 1533 82944693 3732107 4948852 6601305 6296560 171220895 173033400 2705186 3624282 184259493 187903094 299620 370788 1283076 1197505 1582696 1568293 X 0 0 0 0 182676797 186334801 182676797 186334801 184259493 187903094 -9332424 12990428 0 X X 0 1 X 1 0 0 BENEFIT OBLIGATIONS PAYABLE 622300 RECIPROCAL PAYABLE 415205 DUE TO BROKER 150000 BENEFIT TAXES PAYABLE 10000 1197505 X 84624237 12990428 12990428 71633809 297509 1680951 1978460 73612269 80938733 -1680951 -1680951 82619684 297509 27500 325009 82944693 PART X, LINE 2: THE PLAN HAS RECEIVED AN EXEMPTION LETTER FROM THE IRS STATING THAT THE VEBA TRUST ESTABLISHED UNDER THE PLAN WAS IN COMPLIANCE WITH THE APPLICABLE REQUIREMENTS OF THE PROVISIONS OF SECTION 501(C)(9) OF THE IRC. NO FEDERAL OR STATE INCOME TAXES HAVE BEEN RECORDED IN 2023 FOR UNRELATED BUSINESS TAXABLE INCOME. THE PLAN AND TRUST ARE REQUIRED TO OPERATE IN CONFORMITY WITH THE IRC TO MAINTAIN THE TAX-EXEMPT STATUS OF THE TRUST. THE PLAN ADMINISTRATOR BELIEVES THAT THE PLAN IS BEING OPERATED IN COMPLIANCE WITH THE APPLICABLE REQUIREMENTS OF THE IRC AND, THEREFORE, BELIEVES THAT THE RELATED TRUST WAS TAX-EXEMPT AS OF THE FINANCIAL STATEMENT DATE. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE 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 REIMBURSEMENTS 205,921. REBATE REIMBURSEMENTS 1,475,030. PART XII, LINE 2D - OTHER ADJUSTMENTS: STOP LOSS REIMBURSEMENTS -205,921. REBATE REIMBURSEMENTS -1,475,030. PART XII, LINE 4B - OTHER ADJUSTMENTS: CHANGE IN BENEFIT OBLIGATIONS PAYABLE 27,500. X 0 0 0 DANIEL GUMBLE UNION TRUSTEE 0 258973 0 0 0 0 0 79366 0 76805 0 415144 0 0 TOM SULLIVAN UNION TRUSTEE 0 225393 0 0 0 0 0 68734 0 66516 0 360643 0 0 FORM 990, PART VI, SECTION B, LINE 11B BOARD MEMBERS ARE PROVIDED A CLIENT COPY FOR REVIEW PRIOR TO FILING. FORM 990, PART VI, SECTION C, LINE 18 JOINT WELFARE BOARD'S CONSTITUION AND BYLAWS ARE AVAILABLE ON THE DEPARTMENT OF LABOR WEBSITE IN ADDITION TO BEING FURNISHED UPON REQUEST. FORM 990, PART VI, SECTION C, LINE 19 JOINT WELFARE BOARD'S CONSTITUION AND BYLAWS ARE AVAILABLE ON THE DEPARTMENT OF LABOR WEBSITE IN ADDITION TO BEING FURNISHED UPON REQUEST. FORM 990, PART XII, LINE 2C THE ORGANIZATION HAS A BOARD OF TRUSTEES THAT ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT AND THE ELECTION OF INDEPENDENT ACCOUNTANTS. THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. IBEW #164 ANNUITY FUND 204 EAGLE ROCK AVENUE ROSELAND NJ 07068 226031200 PROVIDE ANNUITY BENEFITS FOR LOCAL 164 MEMBERS NJ SECTION 401(A) 0 IBEW #164 PENSION FUND 204 EAGLE ROCK AVENUE ROSELAND NJ 07068 226031199 PROVIDE PENSION BENEFITS FOR LOCAL 164 MEMBERS NJ SECTION 401(A) 0 IBEW #164 APPRENTICESHIP FUND 65 WEST CENTURY ROAD PARAMUS NJ 07652 226029937 PROVIDE ELECTRICAL TRAINING FOR LOCAL 164 MEMBERS NJ SECTION 501(C)(3) SEC 170(B)(1)(A)(II) 0 IBEW #164 LMCC 204 EAGLE ROCK AVENUE ROSELAND NJ 07068 222693287 PROVIDE DRUG TESTING SERVICES FOR LOCAL 164 MEMBERS NJ SECTION 501(C)(5) 0 IBEW LOCAL UNION #164 205 ROBIN ROAD PARAMUS NJ 07652 221010190 PROMOTE THE WELL BEING OF MEMBERS BY PROVIDING A VARIETY OF PROGRAMS/SERVICE NJ SECTION 501(C)(5) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0