2024-12-09T14:11:20-06:00 2024-03-31 131577780 SCHULTHEIS & PANETTIERI LLP 450 WIRELESS BLVD HAUPPAUGE NY 11788 990 2023-04-01 150582931 UPSTATE NEW YORK ENGINEERS HEALTH FUND UPST 3154921796 101 INTREPID LA PO BOX 100 COLVIN SYRACUSE NY 132050100 EARL R HALL CHAIRMAN 3154921796 2024-12-09 1 1 CAROL WESTFALL P00539069 6312734778 2023 2024-10-15 13:58:12Z DEBORAH SPAULDING 101 INTREPID LA PO BOX 100 COLVIN SYRACUSE NY 132050100 75023582 0 X N/A X 1957 NY TO PROVIDE HEALTH CARE AND OTHER BENEFITS TO ELIGIBLE PARTICIPANTS. 10 10 20 0 0 0 0 0 43257247 47595732 1836699 5338511 98679 258999 45192625 53193242 0 0 38758392 46180587 1786485 2073105 0 0 0 653576 558487 41198453 48812179 3994172 4381063 111584065 120779135 6773426 7657254 104810639 113121881 TO PROVIDE HEALTH CARE AND OTHER BENEFITS TO ELIGIBLE PARTICIPANTS. 0 0 TO PROVIDE HEALTH CARE AND OTHER BENEFITS TO ELIGIBLE PARTICIPANTS. 0 0 0 0 0 0 0 0 0 0 0 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 20 1 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X DEBORAH SPAULDING 3154921796 101 INTREPID LANE SYRACUSE NY 132050100 DEBORAH SPAULDING FUND ADMINISTRATOR 33.00 2.00 X 166309 0 42793 KARL BUTTON EFF 823 UNION TRUSTEE 1.00 0.00 X 0 0 0 WILLIAM FEKETE UNION TRUSTEE 1.00 0.00 X 0 0 0 JONATHAN LANSE UNION TRUSTEE 1.00 0.00 X 0 0 0 GRANT MALONE EFF 423 UNION TRUSTEE 1.00 0.00 X 0 0 0 JOSHUA WILLIAMS EFF 1123 UNION TRUSTEE 1.00 0.00 X 0 0 0 THERON H HOGLE THRU 723 UNION TRUSTEE 1.00 0.00 X 0 0 0 MICHAEL LYONS THRU 423 UNION TRUSTEE 1.00 0.00 X 0 0 0 GARY SWAIN THRU 1123 UNION TRUSTEE 1.00 0.00 X 0 0 0 KIM GAYLORD EFF 1223 EMPLOYER TRUSTEE 1.00 0.00 X 0 0 0 EARL R HALL CHRMN/EMP TRUSTEE 1.00 0.00 X 0 0 0 TOM KEELER EFF 224 CHRMN/EMP TRSTEE 1.00 0.00 X 0 0 0 DOUGLAS MAY EMPLOYER TRUSTEE 1.00 0.00 X 0 0 0 NICKOLAUS OSINSKI EMPLOYER TRUSTEE 1.00 0.00 X 0 0 0 EUGENE D HALLOCK III THRU 1123 EMPLOYER TRUSTEE 1.00 0.00 X 0 0 0 JAMES LOGAN THRU 1223 EMPLOYER TRUSTEE 1.00 0.00 X 0 0 0 166309 0 42793 1 0 1 0 AETNA 151 FARMINGTON AVENUE HARTFORD CT 06156 CLAIMS PROCESSOR 678247 NOVA HEALTHCARE ADMINISTRATORS PO BOX 1534 BUFFALO NY 14231 CLAIMS PROCESSOR 287508 JOSEPH W MCCARTHY & ASSOCIATES 7644 ROUTE 31 WEST BALDWINSVILLE NY 13027 PAYROLL AUDITS 240718 SEI INV MGMT CORP 1 FREEDOM VALLEY DR OAKS PA 19456 INVESTMENT MANAGER 233892 BLITMAN & KING LLP 433 NORTH FRANKLIN ST FRANKLIN SQUARE SYRAC NY 13204 COLLECTION FEES 145580 6 EMPLOYERS CONTRIBUTIONS 237310 44146577 44146577 PARTICIPANTS CONTRIBUTION 237310 3449155 3449155 47595732 4296174 4296174 22872677 21830340 1042337 1042337 1042337 DELINQ CONTRIB INT / FEES 237310 258999 258999 258999 53193242 47854731 0 5338511 46180587 209102 1110478 391800 255228 106497 145791 73949 314985 192702 204166 63448 142932 12634 60114 REIMB PR, PR TAXES & BE -652234 48812179 2039252 1334266 925278 938896 4109795 5867195 104140168 112125604 369572 513174 111584065 120779135 455727 345189 6317699 7312065 6773426 7657254 X 0 0 0 0 104810639 113121881 104810639 113121881 111584065 120779135 4381063 3930179 0 X 0 1 X 1 0 0 DUE TO RELATED ORGANIZATIONS 714165 CLAIMS PAYABLE AND CLAIMS IBNR 6597900 7312065 56808436 3930179 3930179 52878257 314985 314985 53193242 47727694 0 47727694 314985 769500 1084485 48812179 PART XII, LINE 4B - OTHER ADJUSTMENTS: CHANGE IN CLAIMS PAYABLE & IBNR 769,500. X 0 0 0 DEBORAH SPAULDING FUND ADMINISTRATOR 166309 0 0 0 0 0 26117 0 16676 0 209102 0 0 0 PART III - ADDITIONAL INFORMATION DEBORAH SPAULDING RECEIVES COMPENSATION AND BENEFITS IN HER CAPACITY AS FUND ADMINISTRATOR OF THIS ENTITY AND THE RELATED PENSION AND SUB FUNDS. COMPENSATION AND BENEFITS ARE PAID BY THIS ENTITY WITH REIMBURSEMENTS MADE ACCORDINGLY, BASED ON THE ALLOCATION PERCENTAGES IN THE CURRENT EXPENSE STUDY. THE ENTITY'S PORTION OF THE EXPENSES ARE 53% OF THE GROSS AMOUNT DETAILED ON SCHEDULE J, PART II - LINE (I). KELLEY HARRIGAN FAMILY MEMBER 99936 EMPLOYMENT 0 CHRIS SPAULDING FAMILY MEMBER 74022 EMPLOYMENT 0 FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WAS PREPARED IN COORDINATION WITH THE FUND ADMINISTRATOR WHO WORKS FULL TIME FOR THE ORGANIZATION. ONCE COMPLETE, THE FORM WAS PROVIDED TO AND REVIEWED BY THE BOARD OF TRUSTEES PRIOR TO SUBMISSION. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION IS AN EMPLOYEE BENEFIT FUND COVERED BY ERISA. THE TRUSTEES HAVE A STATUTORY DUTY UNDER ERISA TO AVOID CONFLICTS AND REPORT THEM AS THEY OCCUR. IN ADDITION, THE FUND'S WRITTEN CONFLICT OF INTEREST POLICY REQUIRES FUND EMPLOYEES TO FULLY AND PROMPTLY DISCLOSE ANY FINANCIAL OR PERSONAL INTEREST THEY HAVE WITH OTHER PARTIES THAT DEAL WITH THE FUND, IN WRITING. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO ALL PARTICIPANTS UPON REQUEST. DOCUMENTS ARE AVAILABLE TO THE PUBLIC TO THE EXTENT REQUIRED BY LAW. UPSTATE NY ENGINEERS PENSION FUND 101 INTREPID LANE SYRACUSE NY 132050100 150614642 RETIREMENT BENEFITS TO PARTICIPANTS & BENEFIC NY 501(A) N/A 0 IUOE LOCAL 158 TRAINING FUND 5612 BUSINESS AVE CICERO NY 130399532 160954711 EDUCATION TO PARTICIPANTS NY 501(C)3 LINE_10_ORGANIZATION 0 SEE SCHEDULE R - SUPPLEMENTAL INFORMATION SEE SCHEDULE R - SUPPLEMENTAL INFORMATION SEE SCHEDULE R - SUPPLEMENTAL INFORMATION 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 0 0 FORM 990, PART VII, SECTION A CERTAIN TRUSTEES LISTED ON FORM 990, PART VII, SECTION A, SERVE AS VOLUNTEERS AND DO NOT RECEIVE COMPENSATION FROM THIS ORGANIZATION OR ANY RELATED ORGANIZATION IN THEIR CAPACITY AS TRUSTEES OF THIS ORGANIZATION. CERTAIN TRUSTEES LISTED ON FORM 990, PART VII, SECTION A DO NOT RECEIVE COMPENSATION FROM THIS ORGANIZATION, BUT DO RECEIVE COMPENSATION FROM A RELATED ORGANIZATION IN THEIR CAPACTIY AS EMPLOYEES/OFFICERS OF THAT ORGANIZATION. ACCORDINGLY, THEIR COMPENSATION IS ALREADY REPORTED ON THE FORM 990 OF THE RELATED ORGANIZATION. THIS INFORMATION DISCLOSED ON THE ATTACHED SCHEDULE OF RELATED PARTIES IS THAT WHICH WAS AVAILABLE TO THIS ORGANIZATION AT THE TIME OF THIS FILING. PART II, IDENTIFICATION OF RELATED TAX-EXEMPT ORGANIZATIONS (A) NAME I U O E LOCAL # 17 OPER. ENG. LOCAL 17 TRAINING.FUND UPSTATE NY OPERATING ENGINEERS LOCAL 158 I U O E LOCAL # 158 TRAINING FUND PART III & IV, IDENTIFICATION OF RELATED ORGANIZATIONS TAXABLE AS A PARTNER (A) NAME A & K SLIP FORMING, INC. 22ND CENTURY TECHNOLOGIES INC 34 GROUP, INC. 4TH GENERATION CONSTRUCTION A CRANE RENTAL LLC A G I CONSTRUCTION, INC. A O W ASSOCIATES, INC. A-1 LAND CARE INC. AA FENCING LLC AARON ENTERPRISES, INC. ABLE RIGGING CONTRACTORS, INC. ACCESS ANVIL CORPORATION ACCUBRACE, INC BY DAYTON SUP. AJAY GLASS & MIRROR CO., INC. ALL CRANE RENTAL OF PA., LLC ALL WAYS CONCRETE PUMPING, LLC ALLIED POWER SERVICES, LLC ALLMARK SERVICES INC. 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