2025-09-12T14:22:10-05:00 2025-04-30 043728817 TRONCONI SEGARRA & ASSOCIATES LLP 8321 MAIN STREET WILLIAMSVILLE NY 14221 990 2024-05-01 161561710 UA PLUMBERS AND STEAMFITTERS LOCAL 22 HEALTH FUND UAPL 7166688800 120 GARDENVILLE PARKWAY STE 3 WEST SENECA NY 14224 RICHARD EVANS TRUSTEE 7166688800 2025-09-12 1 0 DIANE M STRAKA CPA P00165826 7166331373 2025-09-12 2024 2025-03-06 01:10:19Z RICHARD EVANS 120 GARDENVILLE PARKWAY STE 3 WEST SENECA NY 14224 22220917 0 X WWW.LOCAL22BENEFITS.COM X 1999 NY TO PROVIDE MEMBERS WITH MEDICAL, DISABILITY AND LIFE INSURANCE BENEFITS. 8 5 19 0 0 0 0 0 16938082 18886759 719753 1102398 2082754 2231760 19740589 22220917 0 0 14725354 17700253 573322 622772 0 0 0 706826 785732 16005502 19108757 3735087 3112160 25573786 29453471 466429 465987 25107357 28987484 TO PROVIDE MEMBERS WITH MEDICAL, DISABILITY AND LIFE INSURANCE BENEFITS. 0 0 THE FUND PROVIDED MEDICAL, VISION, DENTAL, GROUP LIFE, AND DISABILITY BENEFITS TO ELIGIBLE PARTICIPANTS. 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 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 3 0 1 19 1 0 0 0 0 0 0 0 0 X 8 5 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X STEVEN HOOVER 7166888800 120 GARDENVILLE PARKWAY STE 3 WEST SENECA NY 14224 RICHARD BLY TRUSTEE 1.00 48.00 X 675 56064 24170 DAVID MUSKOPF JR TRUSTEE 1.00 1.00 X 0 0 0 JEFFREY ZUBLER TRUSTEE 1.00 48.00 X 0 105048 91664 MICHAEL BEMENT TRUSTEE 1.00 1.00 X 0 0 0 RICHARD EVANS TRUSTEE 1.00 56.00 X 0 122427 98631 CHRISTOPHER TRYJANKOWSKI TO 125 TRUSTEE 1.00 1.00 X 0 0 0 JOEL BROCK TRUSTEE 1.00 X 0 0 0 ADAM MOLLENBERG TRUSTEE 1.00 1.00 X 0 0 0 JOSEPH MARCHITTE FROM 1125 TRUSTEE 1.00 1.00 X 0 0 0 DEBRA KORPOLINSKI TO 93024 FUND ADMINISTRATOR 16.00 24.00 X 124958 0 27422 STEVEN HOOVER FROM 10124 FUND ADMINISTRATOR 16.00 24.00 X 84006 0 59696 209639 283539 301583 1 0 1 0 0 EMPLOYER CONTRIBUTIONS 900099 17975152 17975152 MEMBER CONTRIBUTIONS 900099 911607 911607 18886759 1061191 1061191 41207 0 41207 41207 41207 PRESCRIPTION REBATES AND TRUE-UPS 900099 1208617 1208617 STOP LOSS REIMBURSEMENTS 900099 554682 554682 REIMBURSED EXPENSES 900099 458723 458723 9738 9738 2231760 22220917 21118519 0 1102398 17700253 271818 156879 106151 59798 28126 41033 56465 31471 508609 26012 41299 37620 9936 8120 20047 PCORI FEES 5120 19108757 6369004 3488960 39824 96417 1591748 1812185 52469 36426 24164 16043 16633306 23342016 915740 697850 25573786 29453471 64082 92092 402347 373895 466429 465987 X 0 0 0 0 25107357 28987484 25107357 28987484 25573786 29453471 3112160 767967 0 X 0 1 X 1 0 52469 36426 16043 16043 OPERATING LEASE OBLIGATION 373895 373895 22498690 767967 767967 21730723 31471 458723 490194 22220917 18618563 0 18618563 31471 458723 490194 19108757 PART XI, LINE 4B - OTHER ADJUSTMENTS: REIMBURSED EXPENSES 458,723. PART XII, LINE 4B - OTHER ADJUSTMENTS: REIMBURSED EXPENSES 458,723. 0 0 0 RICHARD EVANS TRUSTEE 0 122427 0 0 0 0 0 73941 0 24690 0 221058 0 0 JEFFREY ZUBLER TRUSTEE 0 105048 0 0 0 0 0 66974 0 24690 0 196712 0 0 DEBRA KORPOLINSKI TO 93024 FUND ADMINISTRATOR 124958 0 0 0 0 0 18009 0 9413 0 152380 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B FORM IS EMAILED TO ALL TRUSTEES FOR REVIEW PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE POLICY IS REVIEWED ANNUALLY AT THE BOARD OF TRUSTEES MEETING AND ANY CONFLICTS MUST BE DISCLOSED, DISCUSSED AND RESOLVED FORM 990, PART VI, SECTION B, LINE 15 FORM 990, PAGE 6, PART VI, LINE 15A: THE FUND ADMINISTRATOR WORKS UNDER A MANAGERIAL EMPLOYMENT CONTRACT. THE BOARD APPOINTS A COMMITTEE THAT PERFORMS A SALARY COMPARISON, REVIEWS THE PERFORMANCE AND EXPECTATIONS OF THE BOARD AND FUND ADMINISTRATOR, AND MAKES RECOMMENDATIONS TO THE BOARD FOR APPROVAL. FORM 990 PAGE 6 PART VI, LINE 15B: UNION TRUSTEES ARE COMPENSATED FOR LOST TIME FOR ATTENDING BOARD OF TRUSTEE MEETINGS. THE TRUSTEE IS COMPENSATED AT A RATE EQUAL TO WHAT THE TRUSTEE'S COMPENSATION AND BENEFITS WOULD BE HAD HE WORKED FOR HIS EMPLOYER. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO PARTICIPANTS UPON REQUEST. 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