2024-05-07T10:10:02-05:00 2023-07-31 611436956 NOVAK FRANCELLA LLC 40 MONUMENT RD 5TH FLR BALA CYNWYD PA 19004 990 2022-08-01 237248562 LOCAL 1964 ILA HEALTH AND INSURANCE FUND INTE 2014406523 11 TEANECK ROAD RIDGEFIELD PARK NJ 07660 BRIAN WALLACH TRUSTEE 2014406523 2024-05-07 1 BRIAN WALLACH 999009999 0 LOUIS VERZELLA CPA P00360279 6106689400 2024-05-07 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z BRIAN WALLACH 11 TEANECK ROAD RIDGEFIELD PARK NJ 07660 23410134 0 X WWW.LOCAL1964.ORG X 1972 NJ THE PLAN PROVIDES HOSPITALIZATION, MAJOR MEDICAL, PRESCRIPTION DRUG, DENTAL, OPTICAL AND LIFE INSURANCE BENEFITS TO ELIGIBLE PARTICIPANTS. THE PLAN ALSO PROVIDES CERTAIN BENEFITS TO ELIGIBLE SPOUSES AND DEPENDENTS OF PARTICIPANTS. 2 1 13 0 0 0 0 0 6108854 5616205 1432073 3047287 37237 36701 7578164 8700193 0 0 3541761 3428669 1226332 1209250 0 0 0 743523 772661 5511616 5410580 2066548 3289613 31998057 32870047 358531 145553 31639526 32724494 THE PLAN PROVIDES HOSPITALIZATION, MAJOR MEDICAL, PRESCRIPTION DRUG, DENTAL, OPTICAL AND LIFE INSURANCE BENEFITS TO ELIGIBLE PARTICIPANTS. THE PLAN ALSO PROVIDES CERTAIN BENEFITS TO ELIGIBLE SPOUSES AND DEPENDENTS OF PARTICIPANTS. 0 0 THE ORGANIZATION PROVIDES HEALTH AND LIFE INSURANCE BENEFITS TO ELIGIBLE MEMBERS AND THOSE ELECTING TO BE COVERED UNDER COBRA, EITHER THROUGH PAYMENTS FROM INSURANCE CARRIERS OR DIRECTLY THROUGN THE TRUST. 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 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 1004 0 13 1 0 0 0 0 0 0 0 0 X 2 1 1 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 X OFFICERS 2014406523 11 TEANECK ROAD RIDGEFIELD PARK NJ 07660 ARNOLD HARRIS UNION TRUSTEE 1.00 40.00 X 18000 0 0 BRIAN WALLACH EMPLOYER TRUSTEE 2.00 X 0 0 0 ADAM HARRIS FUND ADMINISTRATOR 14.00 26.00 X 79992 159497 35654 DAVID HARRIS ASST FUND ADMINISTRATOR 14.00 26.00 X 75815 151857 35399 RICHARD GALLO ASST FUND ADMINISTRATOR 16.00 24.00 X 84795 115827 36036 LORRAINE LEVY OFFICE MANAGER 30.00 10.00 X 113074 40044 33669 EVELYN DE JESUS FUND EMPLOYEE 18.00 22.00 X 63720 79472 33881 HILDA SANCHEZ BOOKKEEPER 36.00 4.00 X 108366 19207 32880 543762 565904 207519 2 0 1 0 RELIANCE TRUST COMPANY 1100 ABERNATHY RD NE STE 400 ATLANTA GA 30328 INVESTMENT MANAGEMENT 151697 OPTIMUM TECHNOLOGIES 114 PLEASANT STREET SOUTHBRIDGE MA 01550 SECURITY AUDITOR 144200 MAGNACARE ONE PENN PLAZA 46TH FLR NEW YORK NY 10119 CLAIMS MANAGEMENT 129870 UNITED LABOR SYSTEMS 360 E PARK AVE LONG BEACH NY 11561 IT SERVICES 103350 4 EMPLOYER CONTRIBUTIONS 525100 5608879 5608879 COBRA CONTRIBUTIONS 525100 7326 7326 5616205 921143 921143 36701 0 36701 36701 36701 16836085 14709941 2126144 2126144 2126144 8700193 5616205 0 3083988 3428669 113059 769416 84156 178923 63696 36000 55892 155697 52600 34159 250369 147103 9798 25366 GOVERNMENT FEES MANDATE 5677 5410580 1000 1000 5435071 5790566 631189 558365 19838 18268 1662086 1637684 28215 24402 25853134 26444729 29610 32717 31998057 32870047 40429 39226 318102 106327 358531 145553 X 0 0 0 0 31639526 32724494 31639526 32724494 31998057 32870047 3289613 -2204645 0 X X 0 1 X 1 0 785689 784954 735 556945 538214 18731 319452 314516 4936 24402 SECURITIES PURCHASED AND NOT SETTLED 22317 DUE TO RELATED ENTITIES 84010 106327 X 6303150 -2204645 -2204645 8507795 155697 36701 192398 8700193 5218182 0 5218182 155697 36701 192398 5410580 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 IF THE PLAN HAS TAKEN AN UNCERTAIN POSITION THAT, MORE LIKELY THAN NOT, WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE U.S. FEDERAL, STATE, OR LOCAL TAXING AUTHORITIES. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. TYPICALLY, PLAN TAX YEARS WILL REMAIN OPEN FOR THREE YEARS; HOWEVER, THIS MAY DIFFER DEPENDING UPON THE CIRCUMSTANCES OF THE PLAN. PART XI, LINE 4B - OTHER ADJUSTMENTS: RENTAL INCOME 36,701. PART XII, LINE 4B - OTHER ADJUSTMENTS: RENTAL INCOME 36,701. X 0 0 0 ADAM HARRIS FUND ADMINISTRATOR 79992 159497 0 0 0 0 7999 5096 7533 15026 95524 179619 0 0 DAVID HARRIS ASST FUND ADMINISTRATOR 75815 151857 0 0 0 0 7581 5287 7524 15007 90920 172151 0 0 RICHARD GALLO ASST FUND ADMINISTRATOR 84795 115827 0 0 0 0 8479 5282 6360 15915 99634 137024 0 0 LORRAINE LEVY OFFICE MANAGER 113074 40044 0 0 0 0 11307 100 7329 14933 131710 55077 0 0 EVELYN DE JESUS FUND EMPLOYEE 63720 79472 0 0 0 0 6372 5344 12234 9931 82326 94747 0 0 HILDA SANCHEZ BOOKKEEPER 108366 19207 0 0 0 0 10837 0 2137 19906 121340 39113 0 0 DAVID HARRIS FAMILY MEMBER OF ARNOLD HARRIS, TRUSTEE 90920 EMPLOYEE 0 ADAM S HARRIS FAMILY MEMBER OF ARNOLD HARRIS, TRUSTEE 95524 EMPLOYEE 0 ERIC M HARRIS ESQ PC SERVICE PROVIDER/FAMILY MEMBER OF ARNOLD HARRIS, TRUSTEE 36000 LEGAL SERVICES 0 FORM 990, PART VI, SECTION A, LINE 2 ARNOLD HARRIS, INDEPENDENT TRUSTEE, IS THE FATHER OF ADAM HARRIS (FUND ADMINISTRATOR), DAVID HARRIS (ASSISTANT FUND ADMINISTRATOR) AND ERIC HARRIS (FUND ATTORNEY). FORM 990, PART VI, SECTION B, LINE 11B LOCAL 1964 ILA HEALTH AND INSURANCE FUND'S FORM 990 IS PREPARED BY ITS INDEPENDENT ACCOUNTANT. THE RETURN IS THEN FORWARDED TO THE FUND ADMINISTRATOR FOR REVIEW. THE RETURN IS THEN PRESENTED TO THE BOARD OF TRUSTEED FOR SIGNATURE. FORM 990, PART VI, SECTION C, LINE 19 LOCAL 1964 ILA HEALTH AND INSURANCE FUND MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XII, LINE 2C: LOCAL 1964 ILA HEALTH AND INSURANCE FUND'S BOARD OF TRUSTEES IS RESPONSIBLE FOR OVERSEEING THE FINANCIAL STATEMENT AUDIT AS WELL AS THE SELECTION OF THE INDEPENDENT ACCOUNTANT THAT PERFORMS THE AUDIT. LOCAL 1964 ILA RETIREMENT FUND 11 TEANECK RD RIDGEFIELD PARK NJ 07660 226244648 PENSION FUND NJ 401(A)/501(A) 0 ILA LOCAL 1964 AFL-CIO 11 TEANECK RD RIDGEFIELD PARK NJ 07660 237073244 UNION ORGANIZATION NJ 501(C)(5) 0 A J CIANCIULLI - EMPLOYER NO I02520 ADP EXPRESS LLC - EMPLOYER NO I01090 COMPREHENSIVE CLEANING CO - EMPLOYER NO A01200 CONFIDENCE MANAGEMENT SYSTEMS - EMPLOYER NO A01300 FOREST HILLS NURSING HOME - EMPLOYER NO A01520 HAVEN MANOR NURSING HOME - EMPLOYER NO A01540 HAYM SOLOMAN - EMPLOYER NO A01350 HIGHLAND CARE CENTER - EMPLOYER NO A01560 KEYSTONE FRT OHIO - EMPLOYER NO I01750 KFC - BEST BUY - EMPLOYER NO I04930 KINGS HARBOR CARE CENTER - EMPLOYER NO A02300 MR AUTO CLEANER - EMPLOYER NO A02650 NRC - EMPLOYER NO I04900 PARKER IMPERIAL ASSOC INC - EMPLOYER NO I03900 PERFORMANCE TEAM LLC - EMPLOYER NO I07020 PRECISION WERKS - EMPLOYER NO I04100 PRIORITY PORT EXPRESS LLC - EMPLOYER NO I09095 SANS SOUCI REHAB AND NURSING CENTER - EMPLOYER NO A03000 SHEEPSHEAD BAY NURSING HOME - EMPLOYER NO A03100 SURFSIDE NURSING HOME - EMPLOYER NO A03310 TOMORROW'S PERSONNEL INC - EMPLOYER NO I04567 TRIANGLE DISTRIBUTION - EMPLOYER NO I04560 WATERVIEW NURSING HOME - EMPLOYER NO A04000 WEST LAWRENCE NURSING HOME - EMPLOYER NO A04020 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 LOCAL 1964 ILA AFL-CIO O 448000 BOOK VALUE LOCAL 1964 ILA RETIREMENT FUND O 330000 BOOK VALUE