2025-10-22T10:32:52-05:00 2024-12-31 131577780 SCHULTHEIS & PANETTIERI LLP 450 WIRELESS BLVD HAUPPAUGE NY 11788 990 2024-01-01 136121369 DERRICKMEN'S WELFARE FUND LOCAL 197 DERR 2125055050 1040 AVENUE OF THE AMERICAS 24TH F NEW YORK CITY NY 10018 WILLIAM HAYES BUSINESS MANAGER/TRUSTEE 2125055050 2025-10-22 1 1 CAROL WESTFALL P00539069 6312734778 2024 2025-03-06 01:10:19Z X WILLIAM HAYES 1040 AVENUE OF THE AMERICAS 24TH FL NEW YORK CITY NY 10018 4754682 0 X HTTPS://DHCOOK.COM/GROUPS/DERRICK/ X 1950 NY TO PROVIDE MEDICAL, VACATION, DEATH BENEFITS, PRESCRIPTION DRUG,OPTICAL, DENTAL, DISABILITY AND PAID FAMILY LEAVE TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS. 6 6 0 0 0 0 0 0 4930573 3480324 104194 347351 0 0 5034767 3827675 0 0 5453327 4402531 0 0 0 0 0 267445 258254 5720772 4660785 -686005 -833110 4727261 3741134 952355 888014 3774906 2853120 TO PROVIDE MEDICAL, VACATION, DEATH BENEFITS, PRESCRIPTION DRUG,OPTICAL, DENTAL, DISABILITY AND PAID FAMILY LEAVE TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS. 0 0 TO PROVIDE MEDICAL, VACATION, DEATH BENEFITS, PRESCRIPTION DRUG,OPTICAL, DENTAL, DISABILITY AND PAID FAMILY LEAVE TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS. 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 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 42 0 1 0 0 0 0 0 0 0 0 0 X 6 6 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X DANIEL H COOK ASSOC 2125055050 1040 AVENUE OF THE AMERICAS 24TH FL NEW YORK NY 10018 WILLIAM HAYES UNION TRUSTEE 1.00 3.00 X 0 0 0 CAROLE RAFTREY UNION TRUSTEE 1.00 3.00 X 0 0 0 DAVID CARRUA UNION TRUSTEE 1.00 3.00 X 0 0 0 MARCO BERARDI EMPLOYER TRUSTEE 1.00 3.00 X 0 0 0 ANTHONY VESPA EMPLOYER TRUSTEE 1.00 3.00 X 0 0 0 ROBERT WEISS EMPLOYER TRUSTEE 1.00 3.00 X 0 0 0 0 0 0 0 0 0 0 SCHULTHESIS AND PANETTIERI LLP 450 WIRELESS BLVD HAUPPAUGE NY 11788 AUDIT / PR AUDIT 107781 1 PARTICIPANTS' CONTRIBUTIONS 238900 2132071 2132071 EMPLOYERS' CONTRIBUTIONS 238900 1348253 1348253 3480324 81978 81978 1192380 927007 265373 265373 265373 3827675 3480324 0 347351 4402531 39164 73474 6000 24482 10534 21349 8215 2726 THIRD PARTY ADMINISTRAT 72310 4660785 1073693 1039807 17609 41496 457671 508421 2992530 1976573 185758 174837 4727261 3741134 98909 59772 853446 828242 952355 888014 X 0 0 0 0 3774906 2853120 3774906 2853120 4727261 3741134 -833110 -88676 0 X 0 1 X 1 0 0 BENEFIT OBLIGATIONS - CURRENT 669793 LEASE LIABILITY 158449 828242 3732999 -88676 -88676 3821675 6000 6000 3827675 4671554 0 4671554 6000 -16769 -10769 4660785 PART XII, LINE 4B - OTHER ADJUSTMENTS: CHANGE IN CLAIMS PAYABLE & INCURRED BUT NOT REPORTED -16,769. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WAS PREPARED IN COORDINATION WITH THE FUND ADMINISTRATOR. ONCE COMPLETE, THE FORM WAS PROVIDED TO AND REVIEWED BY THE BOARD OF TRUSTEES PRIOR TO SUBMISSION. FORM 990, PART VI, SECTION B, LINE 12C AS REQUIRED BY THE FUND'S POLICY AND BY ERISA, OFFICERS, DIRECTORS, AND KEY EMPLOYEES HAVE A CONTINUOUS OBLIGATION TO REPORT POTENTIAL CONFLICTS OF INTEREST. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO ALL PARTICIPANTS UPON REQUEST. DOCUMENTS ARE AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST TO THE EXTENT REQUIRED BY LAW. DERRICKMEN'S ANNUITY FUND LCL 197 253 WEST 35TH STREET 12TH FLOOR NEW YORK CITY NY 100011970 516112621 PROVIDE RET BENEFITS TO ELIG PARTICIPANTS NY 501(A) N/A N/A 0 DERRICKMEN'S APPRENTICE EDU FUND 253 WEST 35TH STREET 12TH FLOOR NEW YORK CITY NY 100011970 136221668 PROVIDE APP TRAINING, SKILL IMROV & SAFETY ED TO ELIG PARTICIPANTS NY 501(C)(3) LINE_2_SCHOOL_DESCRI N/A 0 DERRICKMEN'S PENSION FUND LCL 197 253 WEST 35TH STREET 12TH FLOOR NEW YORK CITY NY 100011970 136121370 TO PROVIDE RET BENEFITS TO ELIG PARTICIPANTS NY 501(A) N/A N/A 0 LOCAL 197 INT'L ASSOC OF IRONWORKERS 25-19 43RD AVE LONG ISLAND CITY NY 11101 135591951 LABOR ORGANIZATION NY 501(C)(5) N/A N/A 0 SEE SCHEDULE R SUPPLEMENTAL INFORMATION 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 SCHEDULE R, PART II AND IV: CERTAIN TRUSTEES LISTED ON FORM 990 PART VII SECTION A, SERVE AS VOLUNTEERS AND DO NOT RECEIVE COMPENSATION FROM THIS ORGANIZATION OR RELATED ORGANIZATIONS IN THEIR CAPACITY AS TRUSTEES OF THIS ORGANIZATION. CERTAIN TRUSTEES LISTED ON FORM 990 PART VII, SECTION A, SERVE AS VOLUNTEERS AND DO NOT RECEIVE COMPENSATION FROM THIS ORGANIZATION BUT DO RECEIVE COMPENSATION FROM LOCAL 197 INT'L ASSOC. OF BRIDGE STRUCTURAL & ORNAMENTAL IRONWORKERS (THE UNION") IN THEIR CAPACITY AS EMPLOYEES/OFFICERS OF THE UNION. THEIR COMPENSATION IS REPORTED ON THE FORM 990 OF THE UNION. PART IV, IDENTIFICATION OF RELATED ORGANIZATIONS TAXABLE AS A CORP OR TRUST A. OTTAVINO CORP. A.J. MCNULTY & CO., INC. ATLANTIC EXT. WALL SYSTEMS BERARDI STONE SETTING EASI CAULKING INC. EASTERN DESIGN TILE AND MARBLE, INC GARCIA MARBLE & TILE INC. GUYTEC STEEL INC. J & N CONSTRUCTION GROUP CORP. J & T STONE & CERAMIC CORP. J.C. STEEL ERECTORS CORP. JMC STONE CORP KOEHLER MASONRY CORP. MIDWEST STEEL MILLER DRUCK SPECIALTY CONT. NINE STONE PETRONE ERECTORS, INC. PETRONE STONE INC. PRECAST SERVICES INC. STONE TRUSS SYSTEMS INC. STRUCTURAL SYSTEMS, INC. TPH PROJECT SERVICES, LLC. VESPA STONE LLC. WATSON STONE INC WDF, INC