2024-02-07T06:48:27-06:00 2023-12-31 043176941 O'BRIEN RILEY & RYAN PC 35 BRAINTREE HILL OFFICE PARK STE 201 BRAINTREE MA 02184 990 2023-01-01 202815766 MASSACHUSETTS ST LOTTERY COMM-SEIU LOCAL 888 HEALTH & WELFARE FUND MASS 6172413367 25 BRAINTREE HILL OFFICE PK 306 BRAINTREE MA 02184 JOHN KALLMERTEN TRUSTEE 6172413367 2024-02-06 1 JOHN KALLMERTEN 999009999 0 PAUL C RYAN P01038635 7814102300 2 AAL1 IAL1 2023 2023-04-26 12:10:37Z THE TRUSTEES 25 BRAINTREE HILL OFFICE PK 306 BRAINTREE MA 02184 978482 0 X N/A X 1985 MA PAYMENT OF DENTAL & VISION BENEFITS ON BEHALF OF PARTICIPANTS AND THEIR BENEFICIARIES. 6 6 0 0 0 0 0 0 432896 439179 15400 17726 0 0 448296 456905 0 0 327314 342179 0 0 0 0 0 74524 65752 401838 407931 46458 48974 851206 900180 0 0 851206 900180 PAYMENT OF DENTAL AND VISION BENEFITS TO PARTICIPANTS AND THEIR BENEFICIARIES. 0 0 407931 439179 THE FUND PROVIDES FOR THE PAYMENT OF DENTAL AND VISION BENEFITS TO PARTICIPANTS AND THEIR ELIGIBLE BENEFICIARIES. THE FUND HAD AN AVERAGE OF 331 EMPLOYEE PARTICIPANTS DURING THE YEAR. 407931 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 0 1 0 0 0 0 0 0 0 0 0 0 0 X 6 6 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X LINDA DELUCA 6172413367 25 BRAINTREE HILL OFFICE PARK 306 BRAINTREE MA 02184 X DIDIER BERTOLA TRUSTEE 1.00 X 0 0 0 JOHN KALLMERTEN TRUSTEE 1.00 X 0 0 0 JOHN MAGNER TRUSTEE 1.00 X 0 0 0 PAUL MCCONVILLE TRUSTEE 1.00 X 0 0 0 CHRISTINE MOUNTAIN TRUSTEE 1.00 X 0 0 0 GREGORY POLIN TRUSTEE 1.00 X 0 0 0 JAMES MCGUIRE TRUSTEE (PAST) 1.00 X 0 0 0 0 0 0 0 0 0 0 0 EMPLOYER/COBRA CONTRIB 525100 439179 439179 439179 22680 22680 516623 521577 -4954 -4954 -4954 456905 439179 0 17726 342179 11065 3185 325 3948 TPA ADMINISTRATION FEES 20533 FUND ADMIN - ALLOCATED 19652 FUND ADMIN - COBRA 5890 BANK CHARGES 1154 407931 194749 229182 14820 457639 528948 198818 127230 851206 900180 0 0 X 851206 900180 0 0 0 0 851206 900180 851206 900180 48974 0 X X 1 X 1 X 1 0 0 FIDELITY CASH RESERVES 127230 C 127230 FORM 990, PART VI, SECTION B, LINE 11B A COPY OF THE FORM 990 WAS PROVIDED TO ALL TRUSTEES FOR THEIR REVIEW. THE FORM 990 WAS FILED AFTER ACCEPTANCE BY THE TRUSTEES. FORM 990, PART VI, SECTION B, LINE 12C ALL SIGNIFICANT DECISIONS ARE MADE BY A MAJORITY OF THE TRUSTEES. TRUSTEES ARE REQUIRED TO DISCLOSE ANY INTERESTS THAT COULD GIVE RISE TO CONFLICTS. FORM 990, PART VI, SECTION C, LINE 19 THE FUND MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO PARTICIPANTS UPON WRITTEN REQUEST. A FEE MAY BE CHARGED FOR THE COST OF COPYING THE DOCUMENTS. FORM 990, PART XII, LINE 2C: THE BOARD OF TRUSTEES ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE COMPILATION OF THE FINANCIAL STATEMENTS WHICH ARE PREPARED ON THE MODIFIED CASH BASIS. THE PROCESS HAS NOT CHANGED FROM THE PROCESS FOLLOWED IN THE PRIOR YEAR. IN ADDITION THE BOARD OF TRUSTEES ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS WHICH WILL BE PREPARED IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES. THE 2023 AUDIT WILL BE PERFORMED DURING 2024 AFTER THE FILING OF THIS FORM.