Civic Intelligence

Local 210 Affiliated Supp Benefit Fund C/O Crossroads Healthcare Management

990 • Fiscal year 2014 • EIN 13-1940098

Jan 01, 2014 to Dec 31, 2014 • Filed on May 15, 2015

Refreshing map…

2556 Arthur Kill RoadStaten Island, NY 10309

(718) 966-8200

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

52nd percentile

0.02x

Higher debt load relative to assets than 52% of similar nonprofits.

2014 filings • 501(c)9 • $1M-$5M nonprofits • Source year 2014

Liabilities / Revenue

64th percentile

0.07x

Higher debt load relative to revenue than 64% of similar nonprofits.

2014 filings • 501(c)9 • $1M-$5M nonprofits • Source year 2014

Net Margin

86th percentile

35%

Higher net margin than 86% of similar nonprofits.

2014 filings • 501(c)9 • $1M-$5M nonprofits • Source year 2014

Top Officer Pay

52nd percentile

$0

Higher top officer pay than 52% of similar nonprofits.

Top officer pay equals 0.0% of source-year revenue.

2014 filings • 501(c)9 • $1M-$5M nonprofits • Source year 2014

Asset Growth

71st percentile

12%

Faster asset growth than 71% of similar nonprofits.

2014 filings • 501(c)9 • $1M-$5M nonprofits • Annualized from 2013 to 2014

Revenue Growth

54th percentile

3.7%

Faster revenue growth than 54% of similar nonprofits.

2014 filings • 501(c)9 • $1M-$5M nonprofits • Annualized from 2013 to 2014

Assets

Up

$1,463,866

Up $151,801 (+12%) from 2013

Net Assets

Up

$1,441,135

Up $147,895 (+11%) from 2013

Liabilities

Up

$22,731

Up $3,906 (+21%) from 2013

Revenue

Up

$321,552

Up $11,514 (+3.7%) from 2013

Expenses

Up

$208,951

Up $8,648 (+4.3%) from 2013

Net Income

Up

$112,601

Up $2,866 (+2.6%) from 2013

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$1.5M$1.0M$500K$0Assets 2010: $787,192Liabilities 2010: $25,268Net Assets 2010: $761,9242010Assets 2011: $1,010,733Liabilities 2011: $36,562Net Assets 2011: $974,1712011Assets 2012: $1,112,469Liabilities 2012: $9,783Net Assets 2012: $1,102,6862012Assets 2013: $1,312,065Liabilities 2013: $18,825Net Assets 2013: $1,293,2402013Assets 2014: $1,463,866Liabilities 2014: $22,731Net Assets 2014: $1,441,1352014Assets 2015: $0Liabilities 2015: $0Net Assets 2015: $02015

Highlighted filing

2014

Assets$1,463,866
Liabilities$22,731
Net Assets$1,441,135

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$600K$400K$200K$0Revenue 2010: $271,690Expenses 2010: $209,213Net Income 2010: $62,4772010Revenue 2011: $410,900Expenses 2011: $190,102Net Income 2011: $220,7982011Revenue 2012: $315,104Expenses 2012: $209,912Net Income 2012: $105,1922012Revenue 2013: $310,038Expenses 2013: $200,303Net Income 2013: $109,7352013Revenue 2014: $321,552Expenses 2014: $208,951Net Income 2014: $112,6012014Revenue 2015: $222,499Expenses 2015: $182,691Net Income 2015: $39,8082015

Highlighted filing

2014

Revenue$321,552
Expenses$208,951
Net Income$112,601
Jump To
Filing Snapshot
Filing Period
Jan 1, 2014 to Dec 31, 2014
Signed
May 15, 2015
Return Version
2014v5.0
Gross Receipts
$321,552
Mission and Program Overview

Mission

The providing of benefits to participants covered by collective bargaining agreements. Benefits include group life insurance, long-term disability and accidental death and dismemberment.

The providing of benefits to participants covered by collective bargaining agreements. Benefits include group life insurance, long term disability and accidental death and dismemberment.

Balance Sheet Detail
LineBeginningEndChange
Assets
Rtn Earn Endowment Incm Other Fnds$1,293,240$1,441,135▲ $147,895
Investments in Publicly Traded Securities$981,702$1,037,163▲ $55,461
Cash and Non-Interest-Bearing Accounts$294,373$398,484▲ $104,111
Accounts Receivable$35,990$28,219▼ $7,771
Pd in Cap Srpls Land Bldg Eqp Fund$0$0→ $0
Cap Stk Tr Prin Current Funds$0$0→ $0
Total Assets$1,312,065$1,463,866▲ $151,801
Liabilities
Accounts Payable and Accrued Expenses$18,825$22,731▲ $3,906
Total Liabilities$18,825$22,731▲ $3,906
Net Assets / Fund Balance
Total Net Assets Fund Balance$1,293,240$1,441,135▲ $147,895
Total Liabilities and Net Assets / Fund Balance$1,312,065$1,463,866▲ $151,801
Compensation and Service Providers

Board Members and Trustees

NameTitle
Frank FoliseTrustee
Joseph BiggsTrustee
Linda MurrayTrustee
Russell ReedTrustee
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$301,386
Investment Income
$20,166
Other Revenue
$0
Change in Net Assets
$112,601

Audited Revenue Reconciliation

Revenue per Audited Statements
$320,052
Revenue Not Reported on Financial Statements
$1,500
Revenue Not Reported on Form 990
$35,294
Total Revenue per Audited Statements
$355,346
Total Revenue per Form 990
$321,552
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$53,687
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Benefits to Members$155,264--$155,264
Fees for Services Accounting-$17,500-$17,500
Fees for Services Legal-$14,353-$14,353
Insurance-$3,834-$3,834
Other Expenses-$2,100-$2,100
Fees for Service Investment Mgmnt Fees-$1,500-$1,500
Total Functional Expenses$155,264$53,687$0$208,951

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$208,951
Expenses per Audited Statements$207,451
Total Expenses per Audited Statements$207,451
Expenses Not Reported on Financial Statements$1,500
Expenses Not Reported on Form 990$0
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Subject to proxy tax
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Audit committee
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
No
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section B, Line 11

The return preparer e-mails a draft version of the form 990 to the fund's counsel and the fund's third-party administrator ("tpa"). The tpa then e-mails the draft to each trustee of the fund. Although there is no formal detailed review process, as a result of the foregoing, each trustee has an opportunity to make inquiries before the filing of the form.

Form 990, Part VI, Section C, Line 19

No other documents available to the public.

Filing and Contact Details

Filer

Filer Name
Local 210 Affiliated Supp Benefit Fund
EIN
13-1940098
Phone
7189668200
Address
2556 ARTHUR KILL ROAD, STATEN ISLAND, NY 10309

Signing Officer

Name
Russell Reed
Title
Union Trustee
Phone
7189668200
Signed
2015-05-15
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Russell Reed
Formed
1961
Legal Domicile
Ny
Voting Board Members
4
Independent Board Members
4
Employees
0
Volunteers
0

Preparer

Firm
Samuel Goldstein & Co Pc
Address
150 GREAT NECK ROAD, GREAT NECK, NY 11021-3309
Preparer
Stuart Goldstein
Phone
5164663388
Supplemental Narrative

Additional Explanations

FORM 990, PART XII, LINE 2C:

Part xii - line 2c: no change in process from the prior year regarding responsibility for oversight of the audit of financial statements and selection of independent accountant.

Financial Statement Notes

PART X, LINE 2:

U.s. Gaap requires plan management to evaluate tax positions taken by the plan and recognize a tax liability (or asset) if the organization has taken an uncertain position that more likely than not would not be sustained upon examination by the internal revenue service. The plan is subject to routine audits by taxing jurisdictions; however, there are currently no audits for any tax periods in progress. The plan administrator believes it is no longer subject to income tax examinations for years prior to 2010.

Raw XML Appendix322 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0U.S. GAAP REQUIRES PLAN MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE PLAN AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF THE ORGANIZATION HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. THE PLAN ADMINISTRATOR BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO 2010.
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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THE RETURN PREPARER E-MAILS A DRAFT VERSION OF THE FORM 990 TO THE FUND'S COUNSEL AND THE FUND'S THIRD-PARTY ADMINISTRATOR ("TPA"). THE TPA THEN E-MAILS THE DRAFT TO EACH TRUSTEE OF THE FUND. ALTHOUGH THERE IS NO FORMAL DETAILED REVIEW PROCESS, AS A RESULT OF THE FOREGOING, EACH TRUSTEE HAS AN OPPORTUNITY TO MAKE INQUIRIES BEFORE THE FILING OF THE FORM.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1NO OTHER DOCUMENTS AVAILABLE TO THE PUBLIC.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2PART XII - LINE 2C: NO CHANGE IN PROCESS FROM THE PRIOR YEAR REGARDING RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF FINANCIAL STATEMENTS AND SELECTION OF INDEPENDENT ACCOUNTANT.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION B, LINE 11
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IRS990/TotalVolunteersCnt00
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt01312065
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt01463866
IRS990/TotReportableCompRltdOrgAmt00
IRS990/TypeOfOrganizationTrustInd0X
IRS990/UnrelatedBusIncmOverLimitInd00
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt055 BROAD STREET
IRS990/USAddress/CityNm0NEW YORK
IRS990/USAddress/StateAbbreviationCd0NY
IRS990/USAddress/ZIPCd010004
IRS990/VotingMembersGoverningBodyCnt04
IRS990/VotingMembersIndependentCnt04
IRS990/WebsiteAddressTxt0N/A
IRS990/WhistleblowerPolicyInd00
ReturnHeader/BuildTS02016-03-07 17:11:31Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd01
ReturnHeader/BusinessOfficerGrp/PersonNm0RUSSELL REED
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0UNION TRUSTEE
ReturnHeader/BusinessOfficerGrp/PhoneNum07189668200
ReturnHeader/BusinessOfficerGrp/SignatureDt02015-05-15
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0LOCAL 210 AFFILIATED SUPP BENEFIT FUND
ReturnHeader/Filer/BusinessName/BusinessNameLine2Txt0C/O CROSSROADS HEALTHCARE MANAGEMENT
ReturnHeader/Filer/BusinessNameControlTxt0LOCA
ReturnHeader/Filer/EIN0131940098
ReturnHeader/Filer/PhoneNum07189668200
ReturnHeader/Filer/USAddress/AddressLine1Txt02556 ARTHUR KILL ROAD
ReturnHeader/Filer/USAddress/CityNm0STATEN ISLAND
ReturnHeader/Filer/USAddress/StateAbbreviationCd0NY
ReturnHeader/Filer/USAddress/ZIPCd010309
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0112478817
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0SAMUEL GOLDSTEIN & CO PC
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt0150 GREAT NECK ROAD
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0GREAT NECK
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0NY
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd0110213309
ReturnHeader/PreparerPersonGrp/PhoneNum05164663388
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0STUART GOLDSTEIN
ReturnHeader/ReturnTs02015-05-15T10:37:39-05:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02014-01-01
ReturnHeader/TaxPeriodEndDt02014-12-31
ReturnHeader/TaxYr02014

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