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← TEAMSTERS HEALTH SERVICES AND INSURANCE PLAN OF LOCAL UNION 404

Form 990 for tax year 2022

Filed by TEAMSTERS HEALTH SERVICES AND INSURANCE PLAN OF LOCAL UNION 404.

Totals

Total revenue
$20,197,694
Total expenses
$10,123,488
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$15,720,805
Investment income
$4,476,236
Other revenue
$653
Total assets, end of year
$168,128,456
Total liabilities, end of year
$1,664,749
Net assets or fund balances, end of year
$166,463,707
Program services expenses (Part IX)
not reported
Management and general expenses
not reported
Fundraising expenses
not reported
Program service expenses (Part III)
not reported

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 2a · Program service revenue: EMPLOYER CONTRIBUTIONS

    total $15,457,321 · related or exempt $15,457,321

  • 2b · Program service revenue: SPECIAL RETIREE CONTRIBUTIONS

    total $121,062 · related or exempt $121,062

  • 2c · Program service revenue: PAYROLL AUDIT CONTRIBUTIONS

    total $69,392 · related or exempt $69,392

  • 2d · Program service revenue: AFFILIATED RENTAL INCOME

    total $52,626 · related or exempt $52,626

  • 2e · Program service revenue: COBRA CONTRIBUTIONS

    total $20,404 · related or exempt $20,404

  • 3 · Investment income

    total $3,379,384 · excluded $3,379,384

  • 7a · Gross sales of assets other than inventory

    securities $33,479,357

  • 7b · Less cost or other basis and sales expenses

    securities $32,382,505

  • 7c · Gain or loss

    securities $1,096,852

  • 7d · Net gain or loss

    total $1,096,852 · excluded $1,096,852

  • 11a · Other revenue: REFUNDS & REIMBURSMENTS

    total $653 · related or exempt $653

  • 11e · Other revenue, total

    $653

Functional expenses

Part IX, the statement of functional expenses.

  • 4 · Benefits paid to or for members

    total $8,598,921

  • 5 · Compensation of officers, directors and key employees

    total $26,600

  • 7 · Other salaries and wages

    total $111,753

  • 8 · Pension plan contributions

    total $69,264

  • 9 · Other employee benefits

    total $54,582

  • 10 · Payroll taxes

    total $9,460

  • 11c · Fees: accounting

    total $18,600

  • 11f · Fees: investment management

    total $291,787

  • 11g · Fees: other

    total $699,395

  • 13 · Office expenses

    total $18,108

  • 16 · Occupancy

    total $134,778

  • 17 · Travel

    total $29,754

  • 19 · Conferences, conventions and meetings

    total $2,050

  • 22 · Depreciation, depletion and amortization

    total $34,055

  • 23 · Insurance

    total $24,381

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $79,622 · end of year $124,282

  • 2 · Savings and temporary cash investments

    beginning of year $3,900,399 · end of year $2,867,638

  • 4 · Accounts receivable

    beginning of year $1,442,860 · end of year $1,185,332

  • 9 · Prepaid expenses and deferred charges

    beginning of year $57,968 · end of year $36,478

  • 10a · Land, buildings and equipment: cost or other basis

    $1,087,922

  • 10b · Land, buildings and equipment: accumulated depreciation

    $709,040

  • 10c · Land, buildings and equipment, net

    beginning of year $397,007 · end of year $378,882

  • 11 · Investments: publicly traded securities

    beginning of year $139,027,587 · end of year $162,680,533

  • 15 · Other assets

    beginning of year $1,059,109 · end of year $855,311

  • 17 · Accounts payable and accrued expenses

    beginning of year $23,675 · end of year $43,729

  • 25 · Other liabilities

    beginning of year $1,180,843 · end of year $1,621,020

  • 29 · Capital stock, trust principal or current funds

    beginning of year $0 · end of year $0

  • 30 · Paid-in or capital surplus, or land, building or equipment fund

    beginning of year $0 · end of year $0

  • 31 · Retained earnings, endowment or other funds

    beginning of year $144,760,034 · end of year $166,463,707

Mission and programs · 2022

Mission

PROVIDE SELF INSURED HEALTH BENEFITS TO MEMBERS COVERED UNDER A COLLECTIVE BARGAINING AGREEMENT NEGOTIATED BY THE TEAMSTERS LOCAL 404 UNION.

Activities or mission (Part I)

SELF-INSURED HEALTH BENEFIT PLAN

  • PROVIDES INSURED AND SELF-INSURED MEDICAL, DEATH & LIFEINSURANCE BENEFITS TO 1,372 ACTIVE AND RETIRED MEMBERS PLUS THEIR DEPENDENTS.

As filed on the 2022 return.

Listed in Part VII

  • Frank Rossi

    UNION TRUSTEE

    Total calculated
    $7,700
    From this org
    $7,700
    From related orgs
    $0
    Other
    $0
    Hours/week
    4

  • Robert Sullivan Jr

    EMPLOYER TRUSTEE

    Total calculated
    $9,800
    From this org
    $9,800
    From related orgs
    $0
    Other
    $0
    Hours/week
    2

  • Lawrence Keefe

    EMPLOYER TRUSTEE

    Total calculated
    $9,100
    From this org
    $9,100
    From related orgs
    $0
    Other
    $0
    Hours/week
    2

  • Bryan Donovan

    UNION TRUSTEE

    Total calculated
    $167,919
    From this org
    $0
    From related orgs
    $107,550
    Other
    $60,369
    Hours/week
    4 + 55 related

    Schedule J breakdown matched by us

    Base
    $0 + $106,637 related
    Bonus
    $0
    Other
    $0 + $913 related
    Deferred
    $0 + $34,632 related
    Nontaxable benefits
    $0 + $25,737 related
    Filer's total
    $0 + $167,919 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

None.

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement

The filer's explanations (Part III)

PART I, LINE 3
THE UNION TRUSTEES RECEIVE WAGES FROM RELATED PARTY TEAMSTERS LOCAL UNION 404 FOR THERE POSITION OF UNION OFFICERS. SALARIES ARE DETERMINED BY THE UNION BYLAWS AND APPROVED BY THE UNION EXECUTIVE BOARD.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • BERKSHIRE CONCRETE CORP

    C · MA

  • BERKSHIRE TRANS MGT CO

    C · MA

  • YRC INC

    C · KS

  • SULLIVAN TRANSPORT INC

    C · MA

  • TITAN ROOFING

    C · MA

  • UNITED PARCEL SERVICE

    C · OH

  • WILLIAMS DISTRUBUTING

    C · MA

  • CONSTRUCTION SERVICE

    C · MA

  • ET & L CONSTRUCTION

    C · MA

  • NEW PENN MOTOR EXPRESS

    C · PA

  • ASHLAND INC

    C · MA

  • ARKANSAS BEST FREIGHT

    C · AR

  • AMERICAN ENVIRONMENTAL GROUP LTD

    C · OH

  • CASELLA WASTE CO

    C · MA

Provenance

Return type
form_990
Tax year
2022
Filed
7 May 2024
IRS schema version
2022v5.0
Source object
202421309349303712

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