2023-05-12T13:20:25-05:00 2022-12-31 223271252 ROSENBERG RICH BAKER BERMAN & CO 265 DAVIDSON AVE SUITE 210 SOMERSET NJ 088734120 990 2022-01-01 221582446 LOCAL 464AUNITED FOOD AND COMMERCIAL WORKERS UNION WELFARE SERVICE BENEFIT FD WELF 9732566790 245 PATERSON AVENUE LITTLE FALLS NJ 07424 JOHN T NICCOLLAI TRUSTEE 9732566790 2023-05-12 1 JOHN NICCOLLAI 999009999 0 GARY SHERMAN CPA P00055309 9082311000 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z JOHN T NICCOLLAI 245 PATERSON AVENUE LITTLE FALLS NJ 07424 215655781 0 X UFCW464A.ORG X 1945 NJ WELFARE FUND PROVIDING MEDICAL,SURGICAL,HOSPITAL,DENTAL,OPTICAL,PRESCRIPTION AND LIFE INSURANCE BENEFITS FOR COVERED MEMBERS OF UFCW LOCAL 464A-AFL-CIO. 6 0 18 0 0 0 0 0 78497723 79898303 24640633 19990762 0 0 103138356 99889065 0 0 52801426 62707094 1310008 1247103 0 0 0 11497725 11430839 65609159 75385036 37529197 24504029 333347359 288699453 21043517 22769704 312303842 265929749 TO PROVIDE MEDICAL,SURGICAL,HOSPITAL,DENTAL,OPTICAL,PRESCRIPTION AND LIFE INSURANCE BENEFITS FOR APPROXIMATELY 10,719 COVERED MEMBERS OF UFCW LOCAL 464A-AFL-CIO. 0 0 MEDICAL,SURGICAL,HOSPITALIZATION,DENTAL,OPTICAL,PRESCRIPTION AND LIFE INSURANCE BENEFITS FOR COVERED MEMBERS OF UFCW LOCAL 464A-AFL-CIO. APPROXIMATELY 10,719 MEMBERS SERVED. 0 0 0 0 0 0 0 0 0 1 1 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 7 0 18 1 0 0 0 0 0 0 0 0 0 0 X 6 0 1 0 0 0 1 1 0 1 1 0 0 1 0 0 0 0 1 0 X JOHN T NICCOLLAI 9732566790 245 PATERSON AVENUE LITTLE FALLS NJ 07424 JOHN T NICCOLLAI TRUSTEE 1.00 X X 0 695842 599 RICHARD WHALEN TRUSTEE 1.00 X X 0 454513 599 JOHN NICCOLLAI III TRUSTEE 1.00 X X 0 339532 599 DAN DOSENBACH TRUSTEE 1.00 X 0 0 0 ROBERT SPINELLA TRUSTEE 1.00 X 0 0 0 JOANN PISCITELLI ALTERNATE 1.00 X 77725 83675 599 PATRICK DURNING TRUSTEE 1.00 X 0 0 0 JOAN WILLIAMS ALTERNATE 1.00 X 0 0 0 ROSA MICA-TERRA EMPLOYEE 40.00 X 124459 0 0 KATHLEEN PRIDMORE EMPLOYEE 40.00 X 137928 0 0 340112 1573562 2396 2 0 1 0 DENTAL DELIVERY SYSTEMS INC 2826 MT CARMEL AVENUE GLENSIDE PA 19038 CONTRACT FEES - DENTAL SERVICES 3142331 HORIZON BLUE CROSS BLUE SHIELD OF NJ 3 PENN PLAZA EAST NEWARK NJ 071052200 CLAIMS ADMINISTRATION 2050254 THE MAXON ADMINISTRATORS INC 76 NORTH BROADWAY IRVINGTON NY 10533 CLAIMS ADMINISTRATION 1713854 JOHN NICCOLLAI MEDICAL PRACTICE PA 219 PATERSON AVENUE LITTLE FALLS NJ 07424 CONTRACT FEES - MEDICAL SERVICES 1410571 ANTHONY J BONI OD AND ALICIA N DO 245 PATERSON AVENUE LITTLE FALLS NJ 07424 CONTRACT FEES - VISION SERVICES 1074175 5 EMPLOYERS CONTRIBUTIONS 445100 79898303 79898303 79898303 4591652 4591652 131165826 115766716 15399110 15399110 15399110 99889065 99889065 0 0 62707094 1030892 124113 5762 86336 266500 61073 736925 5741633 202011 110571 15080 22966 MEDICAL CLAIMS ADMINIST 3764108 HOSPITAL ARBITRATION FE 177575 COMPUTER FEES 175431 INSURANCE 74378 82588 75385036 9535847 6180262 5227685 5722683 85810 85535 441 275 309251737 239901629 4990214 32443148 2384622 2384622 206784 211727 1750029 1855107 333347359 288699453 548763 517379 20494754 22252325 21043517 22769704 X 0 0 0 0 312303842 265929749 312303842 265929749 333347359 288699453 24504029 -70878122 0 X 0 1 X 0 0 85810 85535 275 275 SHORT TERM INVESTMENT FUNDS 32443148 F 32443148 CLAIMS PAYABLE 21502332 TRUST ITEMS PAYABLE 20741 PAYROLL LIABILITIES 1442 DEFERRED CONTRIBUTION REVENUE 727810 22252325 28274018 -70878122 -70878122 99152140 736925 736925 99889065 72371638 0 72371638 736925 2276473 3013398 75385036 Part XII, Line 4b - Other Adjustments: EXPENSES INCURRED BUT NOT REPORTED 0 0 0 JOHN T NICCOLLAI TRUSTEE 0 695842 0 0 0 0 0 0 0 0 0 695842 0 0 RICHARD WHALEN TRUSTEE 0 454513 0 0 0 0 0 0 0 0 0 454513 0 0 JOHN NICCOLLAI III TRUSTEE 0 339532 0 0 0 0 0 0 0 0 0 339532 0 0 JOANN PISCITELLI ALTERNATE 77725 83675 0 0 0 0 0 0 0 0 77725 83675 0 0 Form 990, Part VI, Section A, line 2 JOHN T. NICCOLLAI AND JOHN NICCOLLAI III ARE FATHER AND SON. Form 990, Part VI, Section A, line 6 THE UNION CONSISTS OF APPROXIMATELY 12,579 MEMBERS. Form 990, Part VI, Section A, line 7a THE UNION MEMBERSHIP VOTE FOR MEMBERS OF THE GOVERNING BODY EVERY THREE YEARS, INCLUDING THE CONSTITUTIONAL OFFICERS AND THE MEMBERS OF THE EXECUTIVE BOARD. Form 990, Part VI, Section B, line 11b FORM 990 IS PREPARED BY AN OUTSIDE CPA FIRM. THE COMPLETED FORM 990 IS REVIEWED IN DETAIL BY JOHN T.NICCOLLAI. THE FORM IS PRESENTED AT A TRUSTEES MEETING AND APPROVAL FOR FILING THE RETURN IS VOTED ON. Form 990, Part VI, Section B, line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orm 990, Part VI, Section B, line 15b JOHN T. NICCOLLAI AND A TRUSTEE REVIEW COMPENSATION ON AN ANNUAL BASIS AND UTILIZE COMPARATIVE DATA FROM VARIOUS SOURCES, INCLUDING TYING EXECUTIVE AND WORKFORCE INCREASES TO CONTRACTS NEGOTIATED ON BEHALF OF THE MEMBERSHIP. Form 990, Part VI, Section C, line 19 CERTAIN FINANCIAL INFORMATION IS PUBLISHED IN THE UNION NEWSLETTER AND ALL DOCUMENTATION IS AVAILABLE FOR INSPECTION UPON REQUEST. UNITED FOOD & COMMERCIAL WORKERS INTERNATIONAL UNION LOCAL 464A AFL-CIO 245 PATERSON AVENUE LITTLE FALLS NJ 07424 221435504 NJ 501(c)(5) 0 WELFARE & PENSION FUNDS OF LOCAL 464A - PENSION FUND 245 PATERSON AVENUE LITTLE FALLS NJ 07424 226051600 PROVIDES PENSION BENEFITS TO ELIGIBLE UNION MEMBERS NJ 0 LOCAL 464A WELFARE & PENSION BUILDING INC 245 PATERSON AVENUE LITTLE FALLS NJ 07424 222144162 HOLDS TITLE TO REAL PROPERTY AND RENTS TO VARIOUS TENANTS NJ 501(c)(2) 0 LOCAL 464A EDUCATIONAL BENEFIT FUND 245 PATERSON AVENUE LITTLE FALLS NJ 07424 222230709 PROVIDES EDUCATIONAL BENEFIT PROGRAMS TO ELIGIBLE UNION MEMBERS NJ 501(c)(5) 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 LOCAL 464A WELFARE & PENSION BUILDING INC K 107083