2024-11-14T13:55:29-06:00 2023-12-31 750786316 WEAVER AND TIDWELL LLP ONE PENNSYLVANIA PLAZA SUITE 3200 NEW YORK NY 10119 990 2023-01-01 476584995 KINGSBROOK JEWISH AND INTERFAITH MEDICAL KING 7186134000 1545 ATLANTIC AVENUE BROOKLYN NY 112130002 FRANCESCA TINTI TRUSTEE 7186134000 2024-11-12 1 0 MARC NEWMAN CPA P00293703 2126955003 2023 2024-10-15 13:58:12Z FRANCESCA TINTI 1545 ATLANTIC AVENUE BROOKLYN NY 112130002 109427 0 X N/A X EMPLOYEE BENEFIT PLAN 2014 NY THE NYSNA/KINGSBROOK RN RETIREE HEALTH PLAN IS ESTABLISHED TO PROVIDE QUALIFIED MEDICAL CARE BENEFITS TO CERTAIN RETIRED REGISTERED NURSES WHO WORKED UNDER THE COLLECTIVE BARGAINING AGREEMENT BETWEEN NYSNA AND KINGSBROOK JEWISH MEDICAL CENTER AND INTERFAITH MEDICAL CENTER. 8 8 0 0 0 0 0 0 131484 74739 23747 34688 0 0 155231 109427 0 0 40287 41945 0 0 0 0 0 42210 39175 82497 81120 72734 28307 1439840 1469819 33676 33676 1406164 1436143 TO PROVIDE QUALIFIED MEDICAL CARE BENEFITS TO CERTAIN RETIRED REGISTERED NURSES WHO WORKEDUNDER THE COLLECTIVE BARGAINING AGREEMENT BETWEEN NYSNA AND KINGSBROOK JEWISH MEDICAL CENTER AND INTERFAITH MEDICAL CENTER. 0 0 THE KINGSBROOK JEWISH AND INTERFAITH MEDICAL CENTERS - NYSNA RETIREE VEBA IS ESTABLISHED TO PROVIDE QUALIFIED MEDICAL CARE BENEFITS TO CERTAIN RETIRED REGISTERED NURSES WHO WORKED UNDER THE COLLECTIVE BARGAINING AGREEMENT BETWEEN NYSNA AND KINGSBROOK JEWISH MEDICAL CENTER AND INTERFAITH MEDICAL CENTER. 0 0 0 0 0 0 0 0 0 0 1 0 0 0 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 2 0 1 0 0 0 0 0 0 0 0 0 X 8 8 0 0 0 0 1 0 0 1 0 0 0 1 0 0 0 0 0 0 X MS FRANCESCA TINTI 7186134000 1545 ATLANTIC AVENUE BROOKLYN NY 11213 FRANCESCA TINTI EMPLOYER TRUSTEE 1.00 X 0 0 0 VIVIENNE PHILLIPS UNION TRUSTEE 1.00 X 0 0 0 GLENN BOULDIN FORMER UNION TRUSTEE 1.00 X 0 0 0 DENISE MCLELLAN FORMER EMPLOYER TRUSTEE 1.00 X 0 0 0 ADAM KRAUTHAMER UNION TRUSTEE 1.00 X 0 0 0 SHARON BEDFORD UNION TRUSTEE 1.00 X 0 0 0 ARI MOMA UNION TRUSTEE 1.00 X 0 0 0 ANNETTE MIDDLETON SOTO EMPLOYER TRUSTEE 1.00 X 0 0 0 GREGORIANA JARVIS EMPLOYER TRUSTEE 1.00 X 0 0 0 JUDY JOHNSON UNION TRUSTEE 1.00 X 0 0 0 0 0 0 0 0 0 0 0 EMPLOYER CONTRIBUTIONS 900099 74739 74739 74739 34688 34688 109427 74739 0 34688 41945 9842 13349 12007 3977 81120 131809 208763 1308031 1261056 1439840 1469819 33676 33676 33676 33676 X 0 0 0 0 1406164 1436143 1406164 1436143 1439840 1469819 X 28307 1672 X X 0 1 X 1 0 0 GROUP ANNUITY CONTRACT 1261056 F 1261056 X 109427 0 109427 0 109427 81120 0 81120 0 81120 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 THE PLAN HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE. THE PLAN ADMINISTRATOR HAS ANALYZED THE TAX POSITIONS TAKEN BY THE PLAN, AND HAS CONCLUDED THAT AS OF DECEMBER 31, 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. FORM 990, PART VI, SECTION A, LINE 6 THE FUND HAS PARTICIPANTS FORM 990, PART VI, SECTION A, LINE 8B THERE ARE NO SUBCOMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BOARD. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WAS EMAILED TO ALL BOARD MEMBERS TO REVIEW PRIOR TO FILING. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE ALL AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST. FORM 990, PART XI, LINE 9: TRANSFER IN 1,672. KINGSBROOK JEWISH MEDICAL CENTER INTERFAITH MEDICAL CENTER 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0