2025-10-15T11:19:48-05:00 2024-12-31 611436956 NOVAK FRANCELLA LLC 40 MONUMENT RD 5TH FLR BALA CYNWYD PA 19004 990 2024-01-01 223143027 DISTRICT 1199J NEW JERSEY HEALTH CARE EMPLOYERS BENEFIT FUND DIST 9732424450 9-25 ALLING STREET NEWARK NJ 07102 MARIBEL NEGRON EXECUTIVE DIRECTOR 9732424450 2025-10-15 1 0 LOUIS VERZELLA CPA P00360279 6106689400 2025-10-15 2024 2025-03-06 01:10:19Z MARIBEL NEGRON 9-25 ALLING STREET NEWARK NJ 07102 37378768 0 X N/A X 1991 NJ TO PROVIDE HOSPITAL, MAJOR MEDICAL, DENTAL, PRESCRIPTION DRUG, VISION, LIFE INSURANCE AND OTHER MEDICAL BENEFITS TO ELIGIBLE PARTICIPANTS. 8 5 0 0 0 0 0 0 35153107 36505347 489066 873421 0 0 35642173 37378768 0 0 25364315 28985681 922119 909544 0 0 0 1020026 1014254 27306460 30909479 8335713 6469289 21063357 27488823 484030 440207 20579327 27048616 TO PROVIDE HOSPITAL, MAJOR MEDICAL, DENTAL, PRESCRIPTION DRUG, VISION, LIFE INSURANCE AND OTHER MEDICAL BENEFITS TO ELIGIBLE PARTICIPANTS. 0 0 TO PROVIDE HOSPITAL, MAJOR MEDICAL, DENTAL, PRESCRIPTION DRUG, VISION, LIFE INSURANCE AND OTHER MEDICAL BENEFITS TO ELIGIBLE PARTICIPANTS. 0 0 0 0 0 0 0 0 0 1 0 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 11 0 0 0 0 0 0 0 0 0 0 X 8 5 0 0 0 0 0 0 0 1 0 0 0 1 0 1 1 0 0 0 X MARIBEL NEGRON 9732424450 9-25 ALLING STREET NEWARK NJ 07102 CRAIG A FORD UNION TRUSTEE 2.00 35.00 X 0 151586 0 SUSAN M CLEARY UNION TRUSTEE (P) 2.00 35.00 X 0 150124 0 PHYLLIS SHIVERS UNION TRUSTEE 2.00 35.00 X 0 122150 0 RODNEY DARYN MARTIN UNION TRUSTEE 2.00 X 0 106925 0 RUTH BASH EMPLOYER TRUSTEE (P) 2.00 X 0 0 0 STEVE IZZO EMPLOYER TRUSTEE 2.00 X 0 0 0 ZACHARY LIPNER EMPLOYER TRUSTEE 2.00 X 0 0 0 TIM MATTSON EMPLOYER TRUSTEE 2.00 X 0 0 0 JONI REESE UNION TRUSTEE 2.00 X 0 0 0 MARIBEL NEGRON EXECUTIVE DIRECTOR 28.00 12.00 X 39950 68023 41309 PRECIOSA LAVRADOR EMPLOYEE 1.00 40.00 X 41291 70306 42697 81241 669114 84006 0 0 1 0 HORIZON HEALTHCARE SERVICES 3 PENN PLAZA EAST PPA-04V NEWARK NJ 07105 CLAIMS ADMINISTRATION 1504697 PAYER MATRIX LLC 407 ELMWOOD AVE SHARON HILL PA 19079 PRESIPTION DRUG MANAGEMENT 179534 NOVAK FRANCELLA LLC 40 MOUMENT RD 5TH FLOOR BALA CYNWYD PA 19004 ACCOUNTING 127495 LAW OFFICES OF BRIAN D SULLIVAN 17 CHESTNUT DR CHESTER NJ 07930 LEGAL 105000 4 EMPLOYER CONTRIBUTIONS 525100 35222155 35222155 EMPLOYEE CONTRIBUTION 525100 882244 882244 SPOUSE CONTRIBUTION 525100 370068 370068 COBRA CONTRIBUTIONS 525100 30880 30880 36505347 873421 873421 37378768 36505347 0 873421 28985681 55234 579074 62788 151267 61181 195000 127495 28683 162101 125226 44494 135920 10488 174654 FEES MANDATED BY THE AF 10193 30909479 952118 268029 13750756 20772136 4743748 5260998 87938 93948 500231 500231 0 0 463644 315853 1065153 777859 21063357 27488823 12600 15000 471430 425207 484030 440207 X 20579327 27048616 20579327 27048616 21063357 27488823 6469289 0 X X 0 1 X 1 0 422616 422616 0 77615 77615 0 0 OPERATING LEASE LIABILITY 323770 DUE TO AFFILIATES 101437 425207 X 37350085 0 37350085 28683 28683 37378768 30880796 0 30880796 28683 28683 30909479 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 TO RECOGNIZE A TAX LIABILITY IF THE PLAN HAS TAKEN AN UNCERTAIN POSITION THAT, MORE LIKELY THAN NOT, WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE U.S. FEDERAL, STATE, OR LOCAL TAXING AUTHORITIES. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. TYPICALLY, PLAN TAX YEARS WILL REMAIN OPEN FOR THREE YEARS; HOWEVER, THIS MAY DIFFER DEPENDING UPON THE CIRCUMSTANCES OF THE PLAN. 0 0 0 PRECIOSA LAVRADOR EMPLOYEE 41291 70306 0 0 0 0 4649 7916 11149 18983 57089 97205 0 0 CRAIG A FORD UNION TRUSTEE 0 151586 0 0 0 0 0 0 0 0 0 151586 0 0 SUSAN M CLEARY UNION TRUSTEE (P) 0 150124 0 0 0 0 0 0 0 0 0 150124 0 0 FORM 990, PART VI, SECTION A, LINE 8B THE FUND HAS NO COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B THE FUND'S 990 IS PREPARED BY ITS OUTSIDE AUDITOR AND SUBMITTED TO THE EXECUTIVE DIRECTOR. THE EXECUTIVE DIRECTOR THEN REVIEWS IT WITH THE BOARD OF TRUSTEES PRIOR TO FILING. FORM 990, PART VI, SECTION C, LINE 19 THE FUND'S GOVERNING DOCUMENTS, POLICIES AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART XII, LINE 2C: THE BOARD OF TRUSTEES ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND FOR SELECTION OF THE INDEPENDENT AUDITOR. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. DISTRICT 1199J NEW JERSEY HEALTH CARE EMPLOYERS PENSION PLAN 9-25 ALLING STREET NEWARK NJ 07102 223095464 TO PROVIDE PENSION BENEFITS TO ELIGIBLE MEMBERS AND THEIR BENEFICIARIES NJ 501(A) 0 DISTRICT 1199J NUHHCE AFSCME AFL-CIO 9-25 ALLING STREET NEWARK NJ 07102 222180099 REPRESENTS MEMBERS IN COLLECTIVE BARGAINING MATTERS WITH EMPLOYERS NJ 501(C)(5) 0 DISTRICT 1199J PENSION FUND TITLE HOLDING COMPANY 9-25 ALLING STREET NEWARK NJ 07102 223619686 OFFICE SPACE FOR UNION ACTIVITIES NJ 501(C)(2) 0 DISTRICT 1199J TRAINING & DEVELOPMENT FUND 9-25 ALLING STREET NEWARK NJ 07102 222858377 TO PROVIDE EDUCATIONAL BENEFITS TO ELIGIBLE MEMBERS NJ 501(C)(9) 0 AHS (MOUNTAINSIDE HOSPITAL) CLARA MAAS MEMORIAL HO CORNELL HALL CONVALESCE DAUGHTERS OF ISRAEL GER ELIZABETH NURSING HOME GREEN HILL MEMORIAL CEN HARBOUR HOUSE INGLEMOOR CARE CTR OF L NEWARK BETH ISRAEL MEDI NORTHWEST ESSEX SAINT BARNABAS HOSPITAL SODEXHO USA INC ST MICHAEL'S TULLY HOUSE VANTAGE HEALTH SERVICES CAPITAL HEALTH RED CEDAR SOLUTIONS 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0 0 DISTRICT 1199J NEW JERSEY HEALTH CARE EMPLOYERS PENSION FUND P 437757 FMV DISTRICT 1199J NEW JERSEY HEALTH CARE EMPLOYERS PENSION FUND O 909544 FMV DISTRICT 1199J PENSION FUND TITLE HOLDING COMPANY K 154167 FMV