2024-10-29T15:15:02-05:00 2023-12-31 873231666 PKF O'CONNOR DAVIES ADVISORY LLC 245 PARK AVENUE 12TH FLOOR NEW YORK NY 10167 990 2023-01-01 206740815 ROLEX WATCH USA INC RETIREE MEDICAL PLAN ROLE 2127587700 650 FIFTH AVENUE NEW YORK NY 10019 MARK W GOLDBERG TRUSTEE 2127587700 2024-10-28 1 1 GARRETT M HIGGINS P00543209 2122862600 2024-10-29 2023 2024-10-15 13:58:12Z MARK W GOLDBERG 650 FIFTH AVENUE NEW YORK NY 10019 3824795 0 X N/A X 2005 NY TO PROVIDE POSTRETIREMENT HEALTH INSURANCE BENEFITS TO CERTAIN FORMER EMPLOYEES OF ROLEX WATCH U.S.A., INC. 4 4 0 4 668557 649318 0 0 259678 294720 607423 668557 0 0 867101 963277 0 0 1026712 1074709 123860 110014 0 0 0 214780 204239 1365352 1388962 -498251 -425685 10548579 11250829 55000 78000 10493579 11172829 THE PRIMARY PURPOSE OF THE PLAN IS TO PROVIDE POSTRETIREMENT HEALTH INSURANCE BENEFITS TO CERTAIN FORMER EMPLOYEES OF ROLEX WATCH U.S.A., INC. AND CERTAIN OF ITS AFFILAITED COMPANIES. 0 0 PROVISION FOR POSTRETIREMENT HEALTH INSURANCE BENEFITS TO CERTAIN FORMER EMPLOYEES OF ROLEX WATCH U.S.A., INC. 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 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 1 1 0 0 0 0 0 0 0 X 4 4 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 X MARK W GOLDBERG TRUSTEE 2127587700 650 FIFTH AVENUE NEW YORK NY 10019 PETER COUSINS TRUSTEE 5.00 X 0 0 0 MARK GOLDBERG TRUSTEE 5.00 X 0 0 0 KENNETH SACKS TRUSTEE 5.00 X 0 0 0 MICHELE TANCREDI TRUSTEE 5.00 X 0 0 0 UBS FINANICAL SERVICES INC TRUSTEE 10.00 X 110014 0 0 110014 0 0 0 0 0 0 0 EMPLOYEE CONTRIBUTIONS 525100 236994 236994 EMPLOYER CONTRIBUTIONS 525100 57726 57726 294720 237042 237042 3293033 2861518 431515 431515 431515 963277 294720 668557 0 1074709 110014 UNRELATED BUSINESS INCO 198000 FOREIGN TAX 6239 1388962 417455 416803 10131124 10834026 10548579 11250829 55000 78000 55000 78000 X 10493579 11172829 0 0 0 0 10493579 11172829 10548579 11250829 -425685 1104935 0 X 0 1 X 0 0 0 23000 STATE INCOME TAXES PAYABLE 55000 78000 X 1951959 1104935 1104935 847024 110014 6239 116253 963277 1272709 0 1272709 110014 6239 116253 1388962 PART X, LINE 2: MANAGEMENT OF THE PLAN IS NOT AWARE OF ANY VIOLATION OF ITS TAX STATUS AS AN ORGANIZATION EXEMPT FROM INCOME TAXES. THE TRUST IS SUBJECT TO UNRELATED BUSINESS INCOME TAX UNDER SECTION 512 OF THE INTERNAL REVENUE CODE (THE "CODE") ON ITS INVESTMENT INCOME IF ASSETS EXCEED THE ACCOUNT LIMIT AS DETERMINED UNDER SECTION 419A OF THE CODE. THE PLAN RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. MANAGEMENT HAS DETERMINED THAT THE PLAN HAD NO UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE FINANCIAL STATEMENT RECOGNITION OR DISCLOSURE. THE PLAN IS NO LONGER SUBJECT TO EXAMINATIONS BY THE APPLICABLE TAXING JURISDICTIONS FOR PERIODS PRIOR TO DECEMBER 31, 2020. PART XI, LINE 4B - OTHER ADJUSTMENTS: FOREIGN TAX REPORTED ON PART IX, LINE 24B 6,239. PART XII, LINE 4B - OTHER ADJUSTMENTS: FOREIGN TAX REPORTED ON PART IX, LINE 24B 6,239. FORM 990, PART VI, SECTION A, LINE 8B THE ROLEX WATCH U.S.A, INC. RETIREE MEDICAL PLAN HAS NO SUCH COMMITTEES. FORM 990, PART VI, SECTION B, LINE 11B THE ROLEX WATCH U.S.A., INC. RETIREE MEDICAL PLAN SENDS AN EMAIL TO ALL TRUSTEES WITH A .PDF FILE OF THE FORM 990 FOR THEIR REVIEW. ONCE REVIEWED, ALL TRUSTEES ARE ASKED TO SUBMIT QUESTIONS, CHANGES OR COMMENTS BY A GIVEN DATE IN ORDER TO FILE ON A TIMELY BASIS. EACH TRUSTEE CONFIRMS THAT THEY REVIEWED THE FORM 990 PRIOR TO ITS FILING. FORM 990, PART VI, SECTION C, LINE 19 THE ROLEX WATCH U.S.A., INC. RETIREE MEDICAL PLAN MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST AT THE OFFICE OF THE ORGANIZATION. ROLEX WATCH USA INC 650 FIFTH AVENUE NEW YORK NY 10019 131574389 DISTRIBUTE, SERVICE AND WAREHOUSE ROLEX WATCHES NY N/A C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 1