2024-01-15T10:19:50-06:00 2023-08-31 611436956 NOVAK FRANCELLA LLC 40 MONUMENT RD 5TH FLR BALA CYNWYD PA 19004 990 2022-09-01 232788903 SCHOOL CAFETERIA EMPLOYEES UNITE HERE LOCAL 634 HEALTH & WELFARE TRUST FUND SCHO 8332289212 911 RIDGEBROOK ROAD SPARKS MD 21152 NICOLE HUNT UNION TRUSTEE 2154400245 2024-01-15 1 NICOLE HUNT 999009999 0 LOUIS VERZELLA CPA P00360279 6106689400 2024-01-15 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z NICOLE HUNT 1415 N BROAD ST STE 219 PHILA PA 19122 2760804 0 X N/A X 1970 PA THE PLAN PROVIDES HEALTH BENEFITS TO ELIGIBLE MEMBERS OF THE SCHOOL CAFETERIA EMPLOYEES UNITE HERE LOCAL NO. 634 (THE LOCAL) WHICH REPRESENTS MEMBERS EMPLOYED BY THE PHILADELPHIA AREA SCHOOL DISTRICT. 6 5 0 0 0 0 0 0 1655285 2198047 78912 28231 0 15298 1734197 2241576 0 0 1657506 2066814 0 0 0 0 0 261958 295994 1919464 2362808 -185267 -121232 1470668 1275809 90991 19485 1379677 1256324 THE PLAN PROVIDES HEALTH BENEFITS TO ELIGIBLE MEMBERS OF THE SCHOOL CAFETERIA EMPLOYEES UNITE HERE LOCAL NO. 634 (THE LOCAL) WHICH REPRESENTS MEMBERS EMPLOYED BY THE PHILADELPHIA AREA SCHOOL DISTRICT. 0 0 THE FUND PROVIDES BENEFITS, INCLUDING MEDICAL, VISION, PRESCRIPTION, DENTAL, AND DEATH BENEFITS TO ELIGIBLE MEMBERS AND THEIR DEPENDENTS. 0 0 0 0 0 0 0 0 0 0 0 0 1 0 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 92 0 0 0 0 0 0 0 0 0 0 X 6 5 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 X FUND OFFICE 8332289212 911 RIDGEBROOK ROAD SPARKS MD 21152 NICOLE HUNT UNION TRUSTEE 2.00 10.00 X 0 62728 101854 WARREN HEYMAN UNION TRUSTEE 2.00 X 0 0 0 SUSAN HANCOCK MANAGEMENT TRUSTEE (P) 2.00 X 0 0 0 LISA NORTON MANAGEMENT TRUSTEE 2.00 X 0 0 0 ANTIONETTE FORD UNION TRUSTEE 2.00 X 0 0 0 MARISSA QUINN MANAGEMENT TRUSTEE 2.00 X 0 0 0 MARIE KILLIAN MANAGEMENT TRUSTEE 2.00 X 0 0 0 0 62728 101854 0 0 1 0 BENECARD 5040 RITTER ROAD MECHANICSBURG PA 17055 PRESCRIPTION BENEFITS 1706770 LOUIS P MATTUCCI & ASSOCIATES 1037 MILLCREEK DR FRONT B FESTERVILLE PA 190537371 DENTAL BENEFITS 182925 2 EMPLOYER CONTRIBUTIONS 525100 1632976 1632976 SCHOOL DISTRICT CONTRI 525100 500000 500000 CAFETERIA WORKERS DIAB 525100 63957 63957 PARTICIPANTS' COBRA 525100 1114 1114 2198047 29344 29344 518115 519228 -1113 -1113 -1113 OTHER INCOME 900099 15298 15298 15298 2241576 2213345 0 28231 2066814 35533 21879 5161 182180 7890 4703 HEALTH FAIR 18037 REIMBURSED OFFICE ADMIN 15600 PCORI FEES 5011 2362808 250443 149328 22927 12362 1009580 905976 7700 10959 180018 197184 1470668 1275809 15259 19485 75732 0 90991 19485 X 0 0 0 0 1379677 1256324 1379677 1256324 1470668 1275809 -121232 -2121 0 X X 0 1 X 1 0 0 ACCRUED INCOME 6197 PRESCRIPTION REBATE RECEIVABLE 190987 197184 X 2234294 -2121 -2121 2236415 5161 5161 2241576 2357647 0 2357647 5161 5161 2362808 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 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 NICOLE HUNT UNION TRUSTEE 0 62728 0 0 0 0 0 82668 0 19186 0 164582 0 0 FORM 990, PART VI, SECTION B, LINE 11B SCHOOL CAFETERIA EMPLOYEES UNITE HERE LOCAL 634 HEALTH & WELFARE TRUST FUND'S FORM 990 IS PREPARED BY ITS INDEPENDENT PUBLIC ACCOUNTANT. THE FORM IS FORWARDED TO THE FUND ADMINISTRATOR FOR REVIEW AND IS THEN PRESENTED TO THE TRUSTEES FOR REVEIW AND SIGNATURE. FORM 990, PART VI, SECTION C, LINE 19 SCHOOL CAFETERIA EMPLOYEES UNITE HERE LOCAL 634 HEALTH & WELFARE TRUST FUND'S MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XII, LINE 2C: THE TRUSTEES ARE RESPONSIBLE FOR THE OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATMENTS AND SELECTION OF THE INDEPENDENT ACCOUNTANT. CAFETERIA WORKERS UNITE HERE LOCAL 634 SCHOLARSHIP TRUST FUND 1415 N BROAD ST SUITE 219 PHILA PA 19122 233003236 SCHOLARSHIP FUND PA 501(C)(3) 509(A)(2) 0 SCHOOL DISTRICT OF PHILADELPHIA 440 NORTH BROAD STREET PHILA PA 19103 EDUCATIONAL PA 0 SCHOOL CAFETERIA EMPLOYEES UNITE HERE LOCAL 634 LEGAL SVCS FD 1415 N BROAD ST SUITE 219 PHILA PA 19122 236699959 LEGAL FUND PA 501(C)(9) 0 SCHOOL CAFETERIA EMPLOYEES UNITE HERE LOCAL 634 1415 N BROAD ST SUITE 219 PHILA PA 19122 231856035 LABOR UNION PA 501(C)(5) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 SCHOOL CAFETERIA EMPLOYEES UNITE HERE LOCAL 634 P 15600 FMV