2024-06-19T14:09:07-05:00 2021-12-31 873231666 PKF O'CONNOR DAVIES ADVISORY LLC 300 TICE BOULEVARD SUITE 315 WOODCLIFF LAKE NJ 07677 990 2021-01-01 861830285 NYSPIA HEALTH AND WELFARE FUND NYSP 5184360120 421 LOUDON ROAD ALBANY NY 12211 TIMOTHY M DYMOND TRUSTEE 5184360120 2024-06-19 1 TIMOTHY DYMOND 999009999 GARRETT HIGGINS P00543209 2017129800 2024-06-19 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z X TIMOTHY M DYMOND 421 LOUDON ROAD ALBANY NY 12211 3885205 0 X WWW.NYSPIA.ORG X 2021 NY TO PROVIDE HEALTH AND WELFARE BENEFITS TO EMPLOYEES AND RETIRED EMPLOYEES. 3 2 0 4 0 0 0 3767200 118005 0 3885205 0 0 0 0 0 7837 7837 3877368 3860008 0 3860008 X THE ORGANIZATION HAS BEEN ESTABLISHED TO PROVIDE HEALTH AND WELFARE BENEFITS TO EMPLOYEES AND RETIRED EMPLOYEES COVERED BY COLLECTIVE BARGAINING AGREEMENTS BETWEEN THE STATE OF NEW YORK AND THE NEW YORK STATE POLICE INVESTIGATORS UNION, LOCAL NO. 4 OF THE INTERNATIONAL UNION OF POLICE UNIONS (THE UNION). THE TRUSTEES HAVE ADOPTED THE MEDICAL EXPENSE REIMBURSEMENT PLAN (THE PLAN) TO PROVIDE FOR THE REIMBURSEMENT OF MEDICAL EXPENSES OF RETIRED EMPLOYEES. THE PLAN IS INTENDED TO QUALIFY AS A HEALTH REIMBURSEMENT ARRANGEMENT AS DEFINED BY IRS NOTICE 2002-45. THE ORGANIZATION IS FUNDED BY EMPLOYER CONTRIBUTIONS REQUIRED UNDER PRIOR AND FUTURE COLLECTIVE BARGAINING AGREEMENTS. THE PLAN WILL BE ADMINISTERED BY THE TRUSTEES WITH ASSISTANCE FROM UNION STAFF. 0 0 THE TRUSTEES HAVE ADOPTED THE MEDICAL EXPENSE REIMBURSEMENT PLAN (THE PLAN) TO PROVIDE FOR THE REIMBURSEMENT OF MEDICAL EXPENSES OF RETIRED EMPLOYEES. THE PLAN IS INTENDED TO QUALIFY AS A HEALTH REIMBURSEMENT ARRANGEMENT AS DEFINED BY IRS NOTICE 2002-45. THE ORGANIZATION IS FUNDED BY EMPLOYER CONTRIBUTIONS REQUIRED UNDER PRIOR AND FUTURE COLLECTIVE BARGAINING AGREEMENTS. THE PLAN WILL BE ADMINISTERED BY THE TRUSTEES WITH ASSISTANCE FROM UNION STAFF. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 0 0 0 0 0 0 0 X 3 2 0 0 0 0 1 1 1 1 1 0 0 0 0 0 0 0 0 0 X X RONALD R PIERONE JR 5184360120 421 LOUDON ROAD ALBANY NY 12211 TIMOTHY M DYMOND TRUSTEE 1.00 39.00 X 0 20000 0 RONALD R PIERONE JR TRUSTEE 1.00 19.00 X 0 5000 0 WILLIAM SHEETS TRUSTEE 1.00 14.00 X 0 4808 0 0 29808 0 0 0 0 0 0 CONTRIBUTION - NYSPIA 900099 3767200 3767200 3767200 23051 23051 94954 0 94954 94954 94954 3885205 3767200 0 118005 7837 7837 842898 3017110 0 3860008 0 0 X 0 0 0 0 0 3860008 0 3860008 0 3860008 3877368 -17360 0 X 0 0 0 FORM 990, PART VI, SECTION A, LINE 6 ALL UNIFORMED MEMBERS OF THE NEW YORK STATE POLICE INVESTIGATORS WITHIN THE BUREAU OF CRIMINAL INVESTIGATION WITHIN THE NEW YORK STATE POLICE ARE ELIGIBLE FOR MEMBERSHIP. FORM 990, PART VI, SECTION A, LINE 7A TRUSTEES ARE APPOINTED BY PRESIDENT OF THE NEW YORK STATE POLICE INVESTIGATORS ASSOCIATION UNION. FORM 990, PART VI, SECTION A, LINE 7B THE BOARD MAY REMOVE ANY DIRECTORS OF THE ORGANIZATION BY A VOTE OF TWO-THIRDS OF BOARD MEMBERS PRESENT AT A REGULAR BOARD MEETING OR ANY SPECIAL MEETING FOR THAT PURPOSE. FORM 990, PART VI, SECTION B, LINE 11B THE TRUSTEE APPOINTED BY THE UNION PRESIDENT AND THE UNION TREASURER REVIEWS A COPY OF THE FORM 990 BEFORE IT IS FILED WITH THE IRS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AVAILABLE FOR PUBLIC INSPECTION AS REQUIRED UNDER SECTION 6104 OF THE INTERNAL REVENUE CODE. THE FORM 990 IS ALSO AVAILABLE ON THE IRS WEBSITE, GUIDESTAR.ORG, AND OTHER SIMILAR TYPES OF WEBSITES. INTERESTED PARTIES SHOULD CONTACT THE BOARD OF TRUSTEES AT 421 LOUDON ROAD, ALBANY, NY 12211 TO REQUEST A COPY OF ANY OF THE DOCUMENTS. NYSPIA PAC 421 LOUDON ROAD ALBANY NY 12211 141835999 POLITICAL NY 527 NYSPIA 0 NYSPIA FOUNDATION INC 421 LOUDON ROAD ALBANY NY 12211 842425025 CHARITABLE NY 501(C)(3) LINE 7 NYSPIA 0 NYSPIA 421 LOUDON ROAD ALBANY NY 12211 061412386 UNION NY 501(C)(5) N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1