2024-05-15T11:47:50-05:00 2023-06-30 132858927 FITZSIMMONS ABRAMS LLP 7600 JERICHO TPKE WOODBURY NY 11797 990 2022-07-01 133704948 SERGEANTS BENEVOLENT ASSOCIATION HEALTH & WELFARE FUND SERG 2122262180 35 WORTH STREET NEW YORK NY 10013 VINCENT VALLELONG PRESIDENT 2122262180 2024-05-14 1 VINCENT VALLELONG 999009999 1 DAVID FITZSIMMONS P01242338 5166820100 X 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z VINCENT VALLELONG 57 LEONARD STREET NEW YORK NY 10013 21477051 0 X WWW.SBANYC.ORG X 1993 NY TO PROVIDE SUPPLEMENTAL HEATH BENEFITS TO COVERED MEMBERS AND THEIR DEPENDENTS. 7 0 10 0 0 0 0 0 27725390 20873333 361637 551510 340104 52208 28427131 21477051 0 0 18781750 22060008 856991 822071 0 0 0 944169 799605 20582910 23681684 7844221 -2204633 57930216 54904022 11201067 10379440 46729149 44524582 TO PROVIDE SUPPLEMENTAL HEALTH BENEFITS TO COVERED MEMBERS AND THEIR DEPENDENTS. 0 0 TO PROVIDE SUPPLEMENTAL HEALTH BENEFITS TO COVERED MEMBERS AND THEIR DEPENDENTS. 0 0 0 0 0 0 0 0 0 1 1 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 45 0 10 1 0 0 0 0 0 0 0 0 0 0 X 7 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 1 0 X DENNIS OSTERMANN 2122262180 57 LEONARD STREET NEW YORK NY 10013 VINCENT VALLELONG TRUSTEE 5.00 25.00 X 0 89443 0 EDMUND SMALL TRUSTEE 5.00 25.00 X 0 60676 0 MICHAEL PERUGGIA TRUSTEE 5.00 25.00 X 0 30338 0 EDWARD GEARY TRUSTEE 5.00 25.00 X 0 30338 0 ANTHONY BORELLI TRUSTEE 5.00 25.00 X 0 30338 0 DONALD KIPP TRUSTEE 5.00 25.00 X 0 30338 0 JOSEPH RICOTTA TRUSTEE 5.00 25.00 X 0 30338 0 ERROL OGMAN BENEFIT FUND MANAGER 38.00 2.00 X 124000 31000 9300 DENNIS OSTERMANN CONTROLLER 2.00 38.00 X 32964 186796 13186 156964 519605 22486 1 0 1 0 HEALTHPLEX 333 EARL OVINGTON BLVD UNIONDALE NY 11553 3RD PARTY ADMIN 129545 1 EMPLOYER CONTRIBUTIONS 525100 14246778 14246778 PRESCRIPTION REBATES 525100 5034343 5034343 MEDICARE REIMBURSEMENTS 525100 828183 828183 COBRA CONTRIBUTIONS 525100 690529 690529 UNIFORM ALLOWANCE 525100 73500 73500 20873333 551510 551510 OTHER INCOME 525100 52208 52208 52208 21477051 21477051 0 0 22060008 650900 39054 87231 44886 132000 33105 35718 6911 19447 2147 5634 OVERHEAD ALLOCATION 409448 BENEFIT PROVIDER FEES 98075 MISC EXP 47821 TRAINING 8899 400 23681684 45473398 41942453 6651998 7070345 7963 13722 56587 55515 3219 1072 5793638 5876430 57930216 54904022 228645 247018 10972422 10132422 11201067 10379440 X 0 0 0 0 46729149 44524582 46729149 44524582 57930216 54904022 -2204633 66 0 X X 0 1 X 1 0 56587 55515 1072 1072 BOYD WATERSON CAPITAL 5876430 F 5876430 EXCESS CONTRIBUTION PAYABLE 9042422 BENEFIT OBLIGATIONS 1090000 10132422 X 21477051 0 21477051 0 21477051 24521684 0 24521684 -840000 -840000 23681684 PART X, LINE 2: THE INTERNAL REVENUE SERVICE HAS RULED THAT THE PLAN IS AN EXEMPT ORGANIZATION UNDER SECTION 501 (C) (9) OF THE INTERNAL REVENUE CODE AND IS THEREFORE NOT SUBJECT TO FEDERAL INCOME TAXES. THE PLAN IS REQUIRED TO OPERATE IN CONFORMITY WITH THE IRC TO MAINTAIN ITS QUALIFICATION. THE BOARD IS NOT AWARE OF ANY COURSE OF ACTION OR SERIES OF EVENTS THAT HAVE OCCURRED THAT MIGHT ADVERSELY AFFECT THE PLAN'S QUALIFIED STATUS. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRES PLAN MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE PLAN AND RECOGNIZE A TAX LIABILITY OR ASSET IF THE PLAN HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS. THE PLAN'S MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE PLAN, AND HAS CONCLUDED THAT AT JUNE 30, 2023, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR ASSET OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. MANAGEMENT BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO 2020. PART XII, LINE 4B - OTHER ADJUSTMENTS: CHANGE IN BENEFIT OBLIGATION - IBNR PART XII, LINE 4B - OTHER ADJUSTMENTS CHANGE IN BENEFIT OBLIGATION - IBNR X 0 0 0 DENNIS OSTERMANN CONTROLLER 32964 186796 0 0 0 0 1978 11208 0 0 34942 198004 0 0 ERROL OGMAN BENEFIT FUND MANAGER 124000 31000 0 0 0 0 7440 1860 0 0 131440 32860 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE PLAN'S POLICY REQUIRES THE SIGNATORY BOARD MEMBER TO REVIEW THE IRS FORM 990 THAT IS PREPARED ON THE PLAN'S BEHLAF BEFORE ITIS FILED WITH THE IRS. THE SIGNATORY BOARD MEMBER MAY DESIMINATE COPIES OF THE 990 TO THE FULL BOARD. FORM 990, PART VI, SECTION B, LINE 15B EMPLOYEES, INCLUDING KEY EMPLOYEES, GET RAISES EVERY 3 YEARS THAT AREAPPROVED BY THE BOARD. AMOUNTS PAID TO BOARD MEMBERS ARE PREDETERMINED BYTHE SBA CONSTITUTION. THE PRESIDENT RECEIVES 60% OF THE HIGHEST PAIDSERGEANT, THE VICE PRESIDENT RECEIVES 40% OF THE HIGHEST PAID SERGEANT ANDTHE OTHER 5 BOARD MEMBERS RECEIVED 20% OF THE HIGHEST PAID SERGEANT. FORM 990, PART VI, SECTION C, LINE 19 IF THE GOVERNING DOCUMENTS OF OUR ORGANIZATION ARE SUBJECT TO THE FEDERAL DISCLOSURE RULES, THESE DOCUMENTS WILL BE MADE PUBLICLY AVAILABLE AS THE APPLICABLE LAW REQUIRES. OTHERWISE, THE GOVERNING DOCUMENTS WILL BE PROVIDED TO THE PUBLIC AT THE DISCRETION OF MANAGEMENT. SERGEANTS BENEVOLENT ASSOC ANNUITY 35 WORTH STREET NEW YORK NY 10013 133704953 RETIREMENT NY 401A N/A 0 SERGEANTS BENEVOLENT ASSOCATION PAC 35 WORTH STREET NEW YORK NY 10013 133629315 POLITICAL NY 527 N/A 0 SERGEANTS BENEVOLENT ASSOCIATION IN 35 WORTH STREET NEW YORK NY 10013 136121923 LABOR ORG NY 501(C)(5) N/A 0 SBA SCHOLARSHIP FUND 35 WORTH STREET NEW YORK NY 10013 542184059 SCHOLARSHI NY 501(C)(3) LINE 7 N/A 0 SBA WIDOWS & CHILDRENS FUND INC 35 WORTH STREET NEW YORK NY 10013 134197047 CHARITY NY 501(C)(3) LINE 7 N/A 0 CITY OF NEW YORK 1 CENTRE STREET NEW YORK NY 10007 CONTRIBUTING EMPLOYER NY 115 N/A 0 SBA 35 REALTY CORP 35 WORTH STREET NEW YORK NY 10013 133858362 REAL ESTATE HOLDING CORP NY N/A C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0