2025-10-29T20:09:39-05:00 2024-12-31 611436956 NOVAK FRANCELLA LLC 40 MONUMENT RD 5TH FLR BALA CYNWYD PA 19004 990 2024-01-01 136162404 LOCAL 812 HEALTH FUND LOCA 5163031455 445 NORTHERN BLVD GREAT NECK NY 11021 JOSEPH G VITTA TRUSTEE 5163031455 2025-10-29 1 0 LOUIS VERZELLA CPA P00360279 6106689400 2025-10-29 2024 2025-03-06 01:10:19Z JOSEPH G VITTA 445 NORTHERN BLVD GREAT NECK NY 11021 58852542 0 X N/A X 1945 NY TO PROVIDE HOSPITALIZATION, DRUG, DENTAL, LIFE, VISION, DISABILITY AND OTHER BENEFITS TO ELIGIBLE PARTICIPANTS AND COVERED DEPENDENTS. 5 0 2979 0 0 0 0 0 49545643 52772974 452142 77675 0 0 49997785 52850649 0 0 44464519 70687891 286531 121140 0 0 0 820418 747395 45571468 71556426 4426317 -18705777 12829281 15873410 24112687 44693986 -11283406 -28820576 TO PROVIDE HOSPITALIZATION, DRUG, DENTAL, LIFE, VISION, DISABILITY AND OTHER BENEFITS TO ELIGIBLE PARTICIPANTS AND COVERED DEPENDENTS. 0 0 TO PROVIDE HOSPITALIZATION, DRUG, DENTAL, LIFE, VISION, DISABILITY AND OTHER BENEFITS TO ELIGIBLE PARTICIPANTS AND COVERED DEPENDENTS. 0 0 0 0 0 0 0 0 0 1 0 0 1 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 5 0 2979 1 0 0 0 0 0 0 0 0 X 5 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 X BOARD OF TRUSTEES LOCAL 812 HEALTH FUND 5163031455 445 NORTHERN BLVD GREAT NECK NY 11021 JOSEPH VITTA TRUSTEE 5.00 40.00 X 0 202684 33649 ANGEL MARTINEZ TRUSTEE 5.00 40.00 X 0 158651 33649 JOHN VISCONTI TRUSTEE 5.00 40.00 X 0 161017 36700 MARK POOLER TRUSTEE (P) 5.00 40.00 X 0 76173 32867 JEFF KNATZ TRUSTEE 5.00 40.00 X 0 161017 45383 ANTHONY BROQUADIO TRUSTEE 5.00 40.00 X 0 72422 23058 0 831964 205306 0 0 1 0 MAGNACARE 1600 STEWART AVE WESTBURY NY 11590 PROVIDER NETWORK ADMIN 2419331 CARY KANE LLP 1350 BROADWAY SUITE 1400 NEW YORK NY 10018 LEGAL 199751 JAMES L GREENE ESQ 900 MERCHANTS CONCOURSE STE 303 WESTBURY NY 11590 LEGAL 165000 3 EMPLOYER CONTRIBUTIONS 900099 50637252 50637252 STOP LOSS REIMBURSEMENTS 900099 1536381 1536381 MEDICARE PART D SUBSIDY 900099 543182 543182 COBRA CONTRIBUTIONS 900099 56159 56159 52772974 372201 372201 5707367 6001893 -294526 -294526 -294526 52850649 52772974 0 77675 70687891 83387 6800 24743 6210 364751 103402 22882 54952 36733 105332 13189 25500 GOVERNMENT FEES MANDATE 20654 71556426 848931 2243846 77373 53771 264340 262428 224868 205085 32972 19783 9826384 11073388 1779281 2220194 12829281 15873410 63287 113686 24049400 44580300 24112687 44693986 X 0 0 0 0 -11283406 -28820576 -11283406 -28820576 12829281 15873410 -18705777 1168607 0 X X 0 1 X 1 0 65944 46161 19783 98115 98115 0 60809 60809 0 19783 MEDICARE PART D SUBSIDY 968750 STOP LOSS REIMBURSEMENTS 1248200 SECURITY DEPOSITS 3244 2220194 BENEFITS PAYABLE & CLAIMS INCURRED BUT NOT REPORTED 44580300 44580300 X 53996374 1168607 1168607 52827767 22882 22882 52850649 51002644 0 51002644 22882 20530900 20553782 71556426 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 TO 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. PART XII, LINE 4B - OTHER ADJUSTMENTS: CHANGE IN BENEFIT OBLIGATION 20,530,900. 0 0 0 JOSEPH VITTA TRUSTEE 0 202684 0 0 0 0 0 15480 0 18169 0 236333 0 0 JEFF KNATZ TRUSTEE 0 161017 0 0 0 0 0 27214 0 18169 0 206400 0 0 JOHN VISCONTI TRUSTEE 0 161017 0 0 0 0 0 18531 0 18169 0 197717 0 0 ANGEL MARTINEZ TRUSTEE 0 158651 0 0 0 0 0 15480 0 18169 0 192300 0 0 FORM 990, PART VI, SECTION A, LINE 8B THERE ARE NO COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE BOARD. FORM 990, PART VI, SECTION B, LINE 11B THE FUND'S INDEPENDENT ACCOUNTANT PREPARES THE FORM 990. THE FORM 990 IS GIVEN TO THE BOARD OF TRUSTEES, WHICH REVIEWS IT WITH FUND COUNSEL. FORM 990, PART VI, SECTION C, LINE 19 THE FUND'S DOCUMENTS, POLICIES AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST AND MAY BE EXAMINED AT THE FUND OFFICE. FORM 990, PART XII, LINE 2C: THE FUND'S BOARD OF TRUSTEES ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND FOR THE SELECTION OF THE INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED SINCE THE PRIOR YEAR. FORM 990, PART V, LINE 2A: THIS LINE INCLUDES 3 PAID EMPLOYEES AND 2,976 PARTICIPANTS WHO RECEIVED A TAXABLE LIFE INSURANCE BENEFIT. SDBWU LOCAL 812 RETIREMENT PLAN 445 NORTHERN BLVD GREAT NECK NY 11021 135660090 PROVIDES RETIREMENT BENEFITS TO ITS MEMBERS NY 501(A) 0 SDBWU LOCAL 812 IBT 445 NORTHERN BLVD GREAT NECK NY 11021 135045803 LABOR ORGANIZATION NY 501(C)(5) 0 JOINT COUNCIL NO 16 265 WEST 14TH STREET NEW YORK NY 10011 135505746 LABOR ORGANIZATION NY 501(C)(5) 0 LOCAL 812 DELEGATES 445 NORTHERN BLVD GREAT NECK NY 10011 LABOR ORGANIZATION NY 0 ABNY AMERICAN COMPRESSED B J DISTRIBUTORS BAILEY DIST INC BEN DARA CORP BETT-A-WAY BEV BLUE SKY BEV BOENING BROS BRIDGEVIEW BEV BROOKLYN HEIGHTS C BLAIZE BEV DIST CAMBRIDGE BEV CANADA DRY CAPELLAN BEV DIST CEDAR BEV CLARE ROSE COCA COLA CO-OP CITY BEV DANTE BEV DIDIT BEVERAGE DITMARS DIST EAST HILLS BEV FOXDALE DISTRIBUTORS INC GABRIELE BEVERAGE GALBO BEVERAGE GOOD-O H & D DIST J WILD BEVERAGE CORP JDC DISTRIBUTOR JENCON BEV JOINT COUNCIL KENRO DOSTRIBUTOR INC KJL DISTRIBUTOR INC LETTA BEVERAGE LISA BRESCIA MALEX BEVERAGE INC MANHATTAN BEER MIDWOOD BEV OAK BEVERAGE PEPSI COLA PEPSI LOCAL 3 & 447 PEPSI LONG ISLAND PEPSI MT VERNON PEPSI SECURITY PHOENIX BEVERAGE PRINCE BEV RED BEV ROLEO BEVERAGE SNAPPLE DISTRIBUTORS TJC BEVERAGE TOMKINS SQUARE TOWER DISTRIBUTOR TRM BEV UNION BEER DISTRIBUTORS VDC DISTRIBUTORS INC WHITESTONE SALES WJD BEV 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 1 0 SOFT DRINK BWERY WRKERS & DELIVERY EMPL IND'L EMPL WRHMEN HLPR & MISC P 7100 ACCRUAL BASIS SOFT DRINK BWERY WRKERS & DELIVERY EMPL IND'L EMPL WRHMEN HLPR & MISC K 103466 ACCRUAL BASIS