2024-10-04T09:27:58-05:00 2023-11-30 043508036 MANZI & ASSOCIATES LLC 855 TURNPIKE STREET NORTH ANDOVER MA 01845 990 2022-12-01 042088633 SHEET METAL WORKERS LOCAL UNION NO 17 INSURANCE FUND SHEE 6174265646 1157 ADAMS STREET 1ST FLOOR DORCHESTER MA 02124 RICHARD KEOGH FUND ADMINISTRATOR 6174265646 2024-09-17 1 0 JEANNIE MICKEL P01058630 9789751099 2022 2024-10-15 13:58:12Z RICHARD KEOGH 1157 ADAMS STREET 1ST FLOOR DORCHESTER MA 02124 88549377 0 X N/A X 1950 MA TO PROVIDE HEALTH BENEFITS FOR ELIGIBLE PARTICIPANTS 6 6 49 0 0 0 0 0 48300772 50955047 898780 3680531 815802 707450 50015354 55343028 0 0 40659507 40607822 854617 812796 0 0 0 755464 688229 42269588 42108847 7745766 13234181 88739286 102772790 6259818 5778696 82479468 96994094 TO PROVIDE HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS 0 0 TO PROVIDE HEALTH AND OTHER SPECIFIED BENEFITS TO ELIGIBLE MEMBERS/DEPENDENTS THROUGH A COLLECTIVELY BARGAINED MULTIEMPLOYER PLAN. 0 0 0 0 0 0 0 0 0 1 1 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 4 0 1 49 1 0 0 0 0 0 0 0 0 0 0 X 6 6 0 0 0 0 1 0 0 1 1 0 0 1 0 0 1 0 1 0 X RICHARD KEOGH 6174265646 1157 ADAMS STREET 1ST FLOOR DORCHESTER MA 02124 X JAMES WOOL TRUSTEE 10.00 X X 0 0 0 KEVIN GILL TRUSTEE 10.00 X X 0 0 0 JOSEPH CULLEN TRUSTEE 10.00 X X 0 0 0 JACK DESMOND TRUSTEE 10.00 X X 0 0 0 RICHARD KEOGH TRUSTEE 10.00 X 0 0 0 ROBERT BUTLER TRUSTEE 10.00 X 0 0 0 RICHARD B KEOGH ADMINISTRATOR 40.00 X 165077 0 64788 165077 0 64788 1 0 1 0 BLUE CROSS BLUE SHIELD 401 PARK DRIVE BOSTON MA 02215 HEALTH CLAIMS ADMINISTRATION 1270600 ELIXIR SOLUTIONS 2181 E AURORA ROAD TWINSBURG OH 44087 PRESCRIPTION CLAIMS ADMINSTRATION 191708 DELTA DENTAL 465 MEDOFRD STREET BOSTON MA 02129 DENTAL CLAIMS ADMINISTRATION 120903 3 EMPLOYER CONTRIBUTIONS 561000 48974966 48974966 MEMBER CONTRIBUTIONS 561000 1495690 1495690 SASMI CONTRIBUTIONS 561000 484391 484391 50955047 1682363 1682363 35183617 20900 33206349 0 1977268 20900 1998168 1998168 ADMIN ASSESSMENTS 900099 689339 689339 SETTLEMENT INCOME 900099 16905 16905 DELINQUENT CONTRACTOR INTEREST 900099 1206 1206 707450 55343028 51662497 0 3680531 40607822 159423 264519 206350 150072 32432 30875 31350 175523 181580 16492 76291 38635 10187 44278 40152 POSTAGE 17154 ACA FEES 14041 TELEPHONE 5202 PRINTING 3828 2641 42108847 3444844 4209034 7389454 7620222 98794 41415 1302143 718423 542249 583720 74532145 87572399 2731800 2746000 88739286 102772790 159911 138811 6099907 5639885 6259818 5778696 X 0 0 0 0 82479468 96994094 82479468 96994094 88739286 102772790 13234181 1280445 0 X X 0 1 X 1 0 810927 335449 475478 491216 382974 108242 583720 BAIRD INTERMEDIATE BOND 23788099 F NHIT CORE PLUS DISCRETION TRUST 20697260 F US REAL ESTATE INVEST FUND 5724813 F BNY MELLON AFL CIO 28715030 F BAIRD SHORT TERM BOND FUND 8647197 F 87572399 INCURRED BUT NOT REPORTED CLAIMS 5366430 BENEFITS PAYABLE 259406 DUE TO AFFILIATES 14049 5639885 X 56447950 1280445 1280445 55167505 175523 175523 55343028 42393448 0 42393448 175523 -460124 -284601 42108847 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 (OR ASSET) IF THE PLAN HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE DEPARTMENT OF LABOR AND INTERNAL REVENUE SERVICE. THE PLAN ADMINISTRATOR HAS ANALYZED THE TAX POSITIONS TAKEN BY THE PLAN, AND HAS CONCLUDED THAT AS OF NOVEMBER 30, 2023, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE FINANCIAL STATEMENTS. PART XII, LINE 4B - OTHER ADJUSTMENTS: NET CHANGE IN BENEFIT OBLIGATIONS -460,124. X 0 0 0 RICHARD B KEOGH ADMINISTRATOR 165077 0 0 0 0 0 34774 0 30014 0 229865 0 0 0 FORM 990, PART VI, SECTION A, LINE 6 COLLECTIVELY BARGAINED MULTIEMPLOYER PLAN FOR MEMBERS AND RETIREES OF LOCAL 17 SMW FORM 990, PART VI, SECTION B, LINE 11B BOARD OF TRUSTEES HAS GIVEN AUTHORITY TO THE FUND ADMINISTRATOR TO REVIEW ALL TAX DOCUMENTATION BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12 AS AN EMPLOYEE BENEFIT PLAN WE ARE SUBJECT TO THE CONFLICTS OF INTEREST REQUIREMENTS OF ERISA. FORM 990, PART VI, SECTION B, LINE 15B COMPENSATION IS REVIEWED ANNUALLY BY THE BOARD OF TRUSTEES. FORM 990, PART VI, SECTION C, LINE 19 AVAILABLE UPON REQUEST FORM 990, PART XII, LINE 2C: NO CHANGE IN OVERSIGHT PROCESS OR SELECTION OF INDEPENDENT ACCOUNTANT. 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