2025-10-23T15:06:48-05:00 2024-12-31 131577780 SCHULTHEIS & PANETTIERI LLP 450 WIRELESS BLVD HAUPPAUGE NY 11788 990 2024-01-01 221764453 NJBLS WELFARE FUND NJBL 2019630633 485 ROUTE 1 B-401 ISELIN NJ 08830 MICHAEL HELLSTROM CO-CHAIRMAN 2019630633 2025-10-23 1 1 CAROL WESTFALL P00539069 6312734778 2024 2025-03-06 01:10:19Z KIMBERLY KEMPLE 485 ROUTE 1 B-401 ISELIN NJ 08830 102796580 0 X N/A X 1965 NJ PROVIDE HEALTH AND OTHER BENEFITS TO ELIGIBLE PARTICIPANTS. 10 10 22 0 0 0 0 0 41767353 42782676 2590983 4897234 9528 10522 44367864 47690432 0 0 38487396 39465300 3086177 3470970 0 0 0 -628510 -1421341 40945063 41514929 3422801 6175503 116568226 125049099 17637873 19631416 98930353 105417683 TO PROVIDE HEALTH AND OTHER BENEFITS TO ELIGIBLE PARTICIPANTS. 0 0 TO PROVIDE HEALTH AND OTHER BENEFITS TO ELIGIBLE PARTICIPANTS. 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 1 0 0 0 0 0 0 1 0 0 1 7 0 1 22 1 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 1 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X KIMBERLY KEMPLE 2019630633 485 ROUTE 1 SUITE B-401 ISELIN NJ 08830 VICTORIA PETERSON-MITCHELL FUND ADMIN - THRU 12/2024 17.00 15.00 X 326598 0 58725 KIMBERLY KEMPLE FUND ADMIN - EFF 12/2024 17.00 15.00 X 182194 0 64760 ANDREW GODZWON CONTROLLER 7.00 3.00 X 121696 0 54952 SUSAN DOMINGUEZ SENIOR CA ANALYST 15.00 12.00 X 105981 0 64760 MARITZA PEREZ EXECUTIVE ASSISTANT 17.00 15.00 X 102063 0 64760 CHRISTOPHER CUPO UNION TRUSTEE 1.00 2.00 X 0 0 0 BRYAN HALFEN UNION TRUSTEE 1.00 2.00 X 0 0 0 MICHAEL E HELLSTROM CO-CHAIRMAN 1.00 2.00 X 0 0 0 PAUL ROLDAN UNION TRUSTEE 1.00 2.00 X 0 0 0 CARL E STYLES UNION TRUSTEE 1.00 2.00 X 0 0 0 MICHAEL FITZPATRICK EMPLOYER TRUSTEE 1.00 2.00 X 0 0 0 ROBERT GARIEPY EMPLOYER TRUSTEE 1.00 2.00 X 0 0 0 JOSEPH GIORDANO EMPLOYER TRUSTEE 1.00 2.00 X 0 0 0 JACK KOCSIS CO-CHAIRMAN 1.00 2.00 X 0 0 0 PHIL PRICSO EMPLOYER TRUSTEE 1.00 2.00 X 0 0 0 838532 0 307957 5 0 1 0 UNITED HEALTH CARE SERVICES INC 185 ASYLUM STREET HARTFORD CT 06103 MEDICAL SERVICE FEES 928026 KROLL HEINEMAN PTASIEWICZ & PARSONS 91 FIELDCREST AVE STE 35 EDISON NJ 08837 LEGAL 613568 SCHULTHEIS & PANETTIERI LLP 450 WIRELESS BLVD HAUPPAUGE NY 11788 AUDITING 539267 WOODBRIDGE EXECUTIVE LLC 550 HILLS DRIVE BEDMINSTER NJ 07921 RENT 264366 THE SEGAL COMPANY (EASTERN STATES) INC 333 WEST 34TH STREET NEW YORK NY 10001 ACTUARIAL CONSULTING 127835 6 EMPLOYER CONTRIB 238900 39569411 39569411 PARTICIPANT CONTRIB 238900 3213265 3213265 42782676 3353046 3353046 56650336 55106148 1544188 1544188 1544188 OTHER INCOME 238900 10522 10522 10522 47690432 42793198 0 4897234 39465300 632277 1538251 725929 425040 149473 759715 542517 243999 210335 128700 244003 29774 26354 255417 REPAIRS & MAINTENANCE 88150 REIMBURSED EXPENSES -3950305 41514929 19897508 23478526 9378984 9595881 226873 128059 103638 98814 71702268 75008538 14797828 16179340 688000 688000 116568226 125049099 655247 443391 136772 131474 16845854 19056551 17637873 19631416 X 0 0 0 0 98930353 105417683 98930353 105417683 116568226 125049099 6175503 311827 0 X 0 1 X 1 0 192394 93580 98814 34479 34479 0 98814 ULLICO SEPARATE ACCT W1 7318944 F NT COMMON EAFE INDEX 4554124 F AFL-CIO HOUSING 4306272 F 16179340 DUE TO AFFILIATES 12835488 PLANS CURRENT BENEFIT OBLIGATIONS 5883578 DUE TO BROKER 337485 19056551 47758260 311827 311827 47446433 243999 243999 47690432 39354892 0 39354892 243999 1916038 2160037 41514929 PART XII, LINE 4B - OTHER ADJUSTMENTS: CHANGE IN IBNR 1,916,038. X 1 0 0 VICTORIA PETERSON-MITCHELL FUND ADMIN - THRU 12/2024 222116 0 9615 0 94867 0 34805 0 23920 0 385323 0 0 0 KIMBERLY KEMPLE FUND ADMIN - EFF 12/2024 164013 0 6731 0 11450 0 40840 0 23920 0 246954 0 0 0 ANDREW GODZWON CONTROLLER 116311 0 5385 0 0 0 34712 0 20240 0 176648 0 0 0 SUSAN DOMINGUEZ SENIOR CA ANALYST 102175 0 3806 0 0 0 40840 0 23920 0 170741 0 0 0 MARITZA PEREZ EXECUTIVE ASSISTANT 98292 0 3771 0 0 0 40840 0 23920 0 166823 0 0 0 PART I, LINE 4A VICTORIA PETERSON-MITCHELL - TOTAL COMPENSATION REPORTED BY THE NJBLS WELFARE FUND INCLUDES SEVERANCE OF $85,000 AND AMOUNT TO $385,323. TRACY HANSEN FAMILY MEMBER 129823 SALARY/BEN 0 FORM 990, PART VI, SECTION A, LINE 7A THE PLAN IS JOINTLY ADMINISTERED BY TRUSTEES WHO ARE APPOINTED BY THE DISTRICT COUNCIL AND BY THE EMPLOYER ASSOCIATION. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WAS PREPARED IN COORDINATION WITH MANAGEMENT OF THE ORGANIZATION AND WAS REVIEWED WITH THE BOARD OF TRUSTEES PRIOR TO SUBMISSION. FORM 990, PART VI, SECTION B, LINE 12C AS REQUIRED BY THE FUND'S POLICY AND BY ERISA, OFFICERS, DIRECTORS, AND KEY EMPLOYEES HAVE A CONTINUOUS OBLIGATION TO REPORT POTENTIAL CONFLICTS OF INTEREST. FORM 990, PART VI, SECTION C, LINE 19 NO DOCUMENTS AVAILABLE TO PUBLIC. PARTICIPANTS MAY VIEW DOCUMENTS AT THE FUND OFFICE UPON REQUEST TO THE EXTENT REQUIRED BY LAW. SCHEDULE O: SUPPLEMENTAL INFORMATION THE RETIREE PLAN OF THE NJBLS WAS FORMED DURING YEAR ENDED DECEMBER 31, 2011 WITH A SEPARATE PLAN NUMBER BUT THE SAME EIN NUMBER AS THE NJBLS WELFARE FUND. THIS FORM 990 INCLUDES THE ACTIVITY FROM THE AUDITED FINANCIAL STATEMENTS OF THE NJBLS WELFARE FUND AND THE AUDITED FINANCIAL STATEMENTS OF THE RETIREE PLAN OF THE NJBLS. NJBLS PENSION FUND 485 ROUTE 1 SUITE B-401 ISELIN NJ 08830 226077693 TRUST FUND NJ 501(A) N/A N/A 0 NJBLS ANNUITY FUND 485 ROUTE 1 SUITE B-401 ISELIN NJ 08830 222450453 TRUST FUND NJ 501 (A) N/A N/A 0 BUFFALO LABORERS WELFARE FUND 25 TYROL DRIVE SUITE 200 CHEEKTOWAGA NY 14227 160806902 LABOR ORGANIZATION NY 501 (C) 9 N/A N/A 0 BUILDING AND CONSTRUCTION LABORERS LOCAL 77 1588 PARKSIDE AVENUE EWING NJ 08638 454638121 LABOR ORGANIZATION NJ 501 (C) 5 N/A N/A 0 BUILDING AND GENERAL CONSTRUCTION LABORERS LOCAL 3 1121 BRISTOL ROAD MOUNTAINSIDE NJ 07092 454637996 LABOR ORGANIZATION NJ 501 (C) 5 N/A N/A 0 CENTRAL NEW YORK LABORERS' HEALTH & WELFARE FD 435 CAPTAIN THOMAS BOULEVARD WEST HAVEN CT 06516 060960814 EMPLOYEE BENEFIT FUND CT 501 (C) 9 N/A N/A 0 CENTRAL NEW YORK LABORERS' HEALTH & WELFARE FD 7051 FLY ROAD EAST SYRACUSE NY 13057 166044095 EMPLOYEE BENEFIT FUND NY 501 (C) 9 N/A N/A 0 CONSTRUCTION CRAFT LABORERS TRAINING & APPRENTICESHIP FUND OF NEW JERSEY AN 104 INTERCHANGE PLAZA CRANBURY NJ 08831 226234965 EMPLOYEE BENEFIT FUND NJ 501 (C) 3 LINE_10_ORGA N/A 0 GENERAL BUILDING LABORERS LOCAL NO 66 WELFARE FUND 1600 WALT WHITMAN ROAD MELVILLE NY 11747 111627279 WELFARE FUND NY 501 (C) 9 N/A N/A 0 HEAVY & GENERAL LABORERS LOCAL 472 & LOCAL 172 OF NEW JERSEY WELFARE FUND 700 RAYMOND BOULEVARD NEWARK NJ 07105 221481564 WELFARE FUND NJ 501 (C) 9 N/A N/A 0 LABORERS D C HEALTH & WELFARE TRUST FUND NO2 7130 COLUMBIA GATEWAY DRIVE SUITE A COLUMBIA MD 21046 520228954 WELFARE FUND MD 501 (C) 9 N/A N/A 0 LABORERS DISTRICT COUNCIL OF VIRGINIA HEALTH & WELFARE TRUST FUND PO BOX 1769 SALEM VA 24153 546070422 WELFARE FUND VA 501 (C) 9 N/A N/A 0 LABORERS EASTERN REGION ORGANIZING FUND 104 INTERCHANGE PLAZA 304 MONROE TOWNSHIP NJ 08831 223640887 LABOR ORGANIZATION NJ 501(C)(5) N/A N/A 0 LABORER'S EMPLOYMENT BENEFIT PLAN COLLECTION TRUST 905 16TH STREET NW WASHINGTON DC 20006 526681436 LABOR ORGANIZATION DC 501 (C) 5 N/A N/A 0 LABORERS INTERNATIONAL UNION OF NA LOCAL 17 HEALTH BENEFIT FUND 451-B LITTLE BRITAIN ROAD NEWBURGH NY 12550 146022217 WELFARE FUND NY 501 (C) 9 N/A N/A 0 LABORERS INTERNATIONAL UNION OF NA LOCAL 754 WELFARE FUND 215 OLD NYACK TURNPIKE CHESTNUT RIDGE NY 10977 131895923 WELFARE FUND NY 501 (C) 9 N/A N/A 0 LABORERS LOCAL 235 WELFARE FUND 41 KNOLLWOOD ROAD ELMSFORD NY 10523 131777458 WELFARE FUND NY 501 (C) 9 N/A N/A 0 LABORERS LOCAL UNION 1174 PENSION PLAN 6345 FLANK DRIVE SUITE 400 HARRISBURG PA 17112 231687376 EMPLOYEE BENEFIT FUND PA 401 (A) N/A N/A 0 LABORERS OF DELAWARE LOCAL 199 308 MARKUS COURT NEWARK DE 19713 516024937 LABOR ORGANIZATION DE 501 (C) 5 N/A N/A 0 LDC CONSTRUCTION INDUSTRY PENSION FUND 475 NORTH 5TH STREET PHILADELPHIA PA 19123 236235338 EMPLOYEE BENEFIT FUND PA 401 (A) N/A N/A 0 MASON TENDERS' DISTRICT COUNCIL WELFARE FUND 520 EIGHTH AVENUE SUITE 600 NEW YORK NY 10018 135537605 WELFARE FUND NY 501 (C) 9 N/A N/A 0 ROCHESTER LABORERS' WELFARE - SUB FUND UNEMPLOYMENT BENEFIT FUND 18 FOURTH STREET ROCHESTER NY 14069 160821557 WELFARE FUND NY 501 (C) 9 N/A N/A 0 SUSQUEHANNA LABORERS COMBINED HEALTH & WELFARE FUND 3031 B WALTON ROAD PLYMOUTH MEETING PA 19462 236426910 WELFARE FUND PA 501 (C) 9 N/A N/A 0 SEE SUPPLEMENTAL INFORMATION 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 1 0 0 2024 FORM 990, SCHEDULE R ATTACHMENT, RELATED ORGANIZATIONS PART IV, IDENTIFICATION OF RELATED ORGANIZATIONS TAXABLE AS A CORPORATION OR TRUST 111 SOUTH CONTRACTORS LLC 44 IRVINE HOLDINGS URBAN RE A.C.T ABATEMENT CORP AAA FACILITY SOULTIONS ABATE TECH INC ACCURATE IRRIGATION LLC ACM CONSULTING CORP ADG CONTRACTING CORP ADVANCED CORING & CUTTING ADVANCED SCAFFOLD SERVICES ADVANCED SPECIALTY CONTRACT AGD CONTRACTING ALAN T. 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