2025-11-17T14:46:01-06:00 2025-01-31 611436956 NOVAK FRANCELLA LLC 40 MONUMENT RD 5TH FLR BALA CYNWYD PA 19004 990 2024-02-01 042946668 MASSACHUSETTS STATE HEALTH CARE PROFESSIONALS' DENTAL FUND MASS 8003384330 CO AEBA 333 WESTCHESTER AVENUE WHITE PLAINS NY 10604 MARC CARBONNEAU CO-CHAIR 8003384330 2025-11-17 1 0 LOUIS VERZELLA CPA P00360279 6106689400 2025-11-17 2024 2025-03-06 01:10:19Z MARC CARBONNEAU C/O AEBA 333 WESTCHESTER AVENUE WHITE PLAINS NY 10604 19415254 0 X N/A X 1989 MA THE FUND PROVIDES DENTAL AND VISION BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS AS DESCRIBED IN THE FUND'S PLAN OF BENEFITS. 10 10 0 0 0 0 0 0 4300385 4410542 1012725 1553061 0 0 5313110 5963603 0 0 4166562 4562465 0 0 0 0 0 692107 752968 4858669 5315433 454441 648170 20167262 21948570 244555 293901 19922707 21654669 THE FUND PROVIDES DENTAL AND VISION BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS AS DESCRIBED IN THE FUND'S PLAN OF BENEFITS. 0 0 THE FUND PROVIDES DENTAL AND VISION BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS AS DESCRIBED IN THE FUND'S PLAN OF BENEFITS. 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 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 1 0 0 1 2 0 0 0 0 0 0 0 0 0 0 X 10 10 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X AMALGMATED EMPLOYEE BENEFITS ADMINISTRATORS 8003384330 333 WESTCHESTER AVENUE WHITE PLAINS NY 10604 X MARC CARBONNEAU UNION TRUSTEE 2.00 X 0 0 0 MICHAEL MURRAY EMPLOYER TRUSTEE 2.00 X 0 0 0 DONNA GUINEY UNION TRUSTEE 2.00 X 0 0 0 MARTHA MIRAGLIA UNION TRUSTEE 2.00 X 0 0 0 CHERLY LATHUM UNION TRUSTEE 2.00 X 0 0 0 TERESA BELMONT EMPLOYER TRUSTEE 2.00 X 0 0 0 DEBORAH MAJEWSKI EMPLOYER TRUSTEE 2.00 X 0 0 0 MELISSA THOMSON EMPLOYER TRUSTEE (P) 2.00 X 0 0 0 BRENT FISHER EMPLOYER TRUSTEE 2.00 X 0 0 0 VALERIE QUITDAMO UNION TRUSTEE 2.00 X 0 0 0 PATRICIA LAVIN EMPLOYER TRUSTEE 2.00 X 0 0 0 0 0 0 0 0 0 0 AMALAGMATED EMPLOYEE BENEFIT ADMINISTRAT 333 WESTCHESTER AVE WHITE PLAINS NY 10604 FUND ADMINISTRATOR 265905 DELTA DENTAL OF MASSACHUSETTS 465 MEDFORD STREET BOSTON MA 02129 DENTAL ADMIN FEES 190340 2 EMPLOYER CONTRIBUTIONS 900099 3051492 3051492 EMPLOYEE CONTRIBUTIONS 900099 1359050 1359050 4410542 562152 562152 14442560 13451651 990909 990909 990909 5963603 4410542 0 1553061 4562465 456245 20834 13650 118099 65500 46047 1445 31148 5315433 605612 1185560 599435 717768 371156 155816 18166774 19483545 424285 405881 20167262 21948570 80555 67901 164000 226000 244555 293901 X 0 0 0 0 19922707 21654669 19922707 21654669 20167262 21948570 648170 1083792 0 X X 0 1 X 1 0 0 CLAIMS PAYABLE 226000 226000 X 6929296 1083792 1083792 5845504 118099 118099 5963603 5135334 0 5135334 118099 62000 180099 5315433 PART X, LINE 2: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE FUND MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE FUND AND TO RECOGNIZE A TAX LIABILITY IF THE FUND 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 FUND 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 FUND. PART XII, LINE 4B - OTHER ADJUSTMENTS: CHANGE IN BENEFITS PAYABLE 62,000. FORM 990, PART VI, SECTION A, LINE 3 LINE 3 EXPLANATION - BOARD OF TRUSTEES ENTERED INTO AGREEMENT WITH AEBA TO PROVIDE THIRD-PARTY ADMINISTRATIVE SERVICES. FORM 990, PART VI, SECTION B, LINE 11B LINE 11B EXPLANATION - FORM 990 REVIEWED AT FULL BOARD MEETING PRIOR TO ELECTRONIC SUBMISSION. FORM 990, PART VI, SECTION B, LINE 12C THE MASSACHUSETTS STATE HEALTH CARE PROFESSIONALS' DENTAL FUND MEETS REGULARLY THROUGHOUT THE YEAR AND IT REVIEWS, ON AN ANNUAL BASIS WITH ITS BOARD MEMBERS, THE FUND'S CONFLICT OF INTEREST POLICY AND EACH OF THE RELATED SECTIONS CONTAINED IN THAT POLICY. FORM 990, PART VI, SECTION C, LINE 19 THE FUND PROVIDES TO EACH OF ITS PARTICIPANTS, ON AN ANNUAL BASIS, A SUMMARY OF THE FUND'S FINANCIAL STATUS AS REQUIRED BY ERISA AND MAKES AVAILABLE TO ITS PARTICIPANTS, UPON REQUEST, ANY OTHER GOVERNING DOCUMENTS OR POLICIES AS REQUIRED BY ERISA AND THE INTERNAL REVENUE SERVICE. FORM 990, PART XII, LINE 2C: THE BOARD OF TRUSTEES OF THE FUND IS RESPONSIBLE FOR THE OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF THE INDEPENDENT ACCOUNTANT. UMASS MEMORIAL MEDICAL CENTER 043358564 0 UNIVERISTY OF MASSACHUSETTS MEDCIAL CENTER 046014838 0 COMMONWEALTH OF MASSACHUSETTS 046002284 0 UMASS MEDICAL SCHOOL UNIV OF MASS 043167352 0 UNIV OF MASS MAIN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0