Civic Intelligence

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

990 • Fiscal year 2015 • EIN 13-1940098

Jan 01, 2015 to Sep 30, 2015 • Filed on May 16, 2016

Refreshing map…

2556 Arthur Kill RoadStaten Island, NY 10309

(718) 303-7700

Siviq Scores

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

Liabilities / Assets

Score unavailable

No value available

Liabilities-to-assets requires both liabilities and assets on this filing.

Source year 2015

Liabilities / Revenue

66th percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

2015 filings • 501(c)9 • <$500k nonprofits • Source year 2015

Net Margin

73rd percentile

18%

Higher net margin than 73% of similar nonprofits.

2015 filings • 501(c)9 • <$500k nonprofits • Source year 2015

Top Officer Pay

92nd percentile

$102,583

Higher top officer pay than 92% of similar nonprofits.

Top officer pay equals 46.1% of source-year revenue.

2015 filings • 501(c)9 • <$500k nonprofits • Source year 2015

Asset Growth

8th percentile

-100%

Faster asset growth than 8% of similar nonprofits.

2015 filings • 501(c)9 • <$500k nonprofits • Annualized from 2014 to 2015

Revenue Growth

23rd percentile

-31%

Faster revenue growth than 23% of similar nonprofits.

2015 filings • 501(c)9 • <$500k nonprofits • Annualized from 2014 to 2015

Assets

Down

$0

Down $1,463,866 (-100%) from 2014

Net Assets

Down

$0

Down $1,441,135 (-100%) from 2014

Liabilities

Down

$0

Down $22,731 (-100%) from 2014

Revenue

Down

$222,499

Down $99,053 (-31%) from 2014

Expenses

Down

$182,691

Down $26,260 (-13%) from 2014

Net Income

Down

$39,808

Down $72,793 (-65%) from 2014

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

2015

Assets$0
Liabilities$0
Net Assets$0

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

2015

Revenue$222,499
Expenses$182,691
Net Income$39,808
Jump To
Filing Snapshot
Filing Period
Jan 1, 2015 to Sep 30, 2015
Signed
May 16, 2016
Return Version
2015v2.1
Gross Receipts
$222,499
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$1,441,135$0▼ $1,441,135
Investments in Publicly Traded Securities$1,037,163$0▼ $1,037,163
Cash and Non-Interest-Bearing Accounts$398,484$0▼ $398,484
Accounts Receivable$28,219$0▼ $28,219
Savings and Temporary Cash Investments-$0-
Other Notes and Loans Receivable, Net-$0-
Pledges and Grants Receivable-$0-
Receivable From Disqualified Prsn-$0-
Receivables From Officers Etc-$0-
Investments Other Securities-$0-
Investments Program Related-$0-
Land, Buildings, and Equipment, Net-$0-
Pd in Cap Srpls Land Bldg Eqp Fund$0$0→ $0
Cap Stk Tr Prin Current Funds$0$0→ $0
Intangible Assets-$0-
Inventories for Sale or Use-$0-
Prepaid Expenses and Deferred Charges-$0-
Total Assets$1,463,866$0▼ $1,463,866
Other Assets Total-$0-
Liabilities
Accounts Payable and Accrued Expenses$22,731--
Total Liabilities$22,731$0▼ $22,731
Net Assets / Fund Balance
Total Net Assets Fund Balance$1,441,135$0▼ $1,441,135
Total Liabilities and Net Assets / Fund Balance$1,463,866$0▼ $1,463,866
Compensation and Service Providers

Employees

NameTitleOtherTotal
Joseph BiggsTrustee$102,583$102,583
Russell ReedTrustee$101,933$101,933

Board Members and Trustees

NameTitle
Frank FoliseTrustee
Linda MurrayTrustee
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$207,125
Investment Income
$15,374
Other Revenue
$0
Change in Net Assets
$39,808

Audited Revenue Reconciliation

Revenue per Audited Statements
$221,374
Revenue Not Reported on Financial Statements
$1,125
Revenue Not Reported on Form 990
$-24,043
Total Revenue per Audited Statements
$197,331
Total Revenue per Form 990
$222,499
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$72,471
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$110,220--$110,220
Fees for Services Legal-$27,079-$27,079
Fees for Services Accounting-$19,521-$19,521
Insurance-$12,014-$12,014
Other Expenses-$1,932-$1,932
Fees for Service Investment Mgmnt Fees-$1,125-$1,125
Total Functional Expenses$110,220$72,471$0$182,691

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$182,691
Expenses per Audited Statements$181,566
Total Expenses per Audited Statements$181,566
Expenses Not Reported on Financial Statements$1,125
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
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Receivables from Disqualified Persons-$0-
Receivables from Officers, Directors, Trustees, and Key Employees-$0-
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
7183037700
Address
2556 ARTHUR KILL ROAD, STATEN ISLAND, NY 10309

Signing Officer

Name
Russell Reed
Title
Union Trustee
Phone
7183037700
Signed
2016-05-16
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 XI, LINE 9:

Transfer to teamsters local 210 affiliated health & insurance fund - merger -1,456,900.

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 2011 .

Raw XML Appendix394 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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IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/MethodOfFMVDeterminationTxt0PROVIDED BY FINANCIAL INSTITUTION
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/MethodOfFMVDeterminationTxt1BOOK VALUE
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/MethodOfFMVDeterminationTxt2BOOK VALUE
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/MethodOfFMVDeterminationTxt3BOOK VALUE
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/AddressLine1Txt02556 ARTHUR KILL ROAD
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/AddressLine1Txt12556 ARTHUR KILL ROAD
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/AddressLine1Txt22556 ARTHUR KILL ROAD
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/AddressLine1Txt32556 ARTHUR KILL ROAD
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/CityNm0STATEN ISLAND
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/CityNm1STATEN ISLAND
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/CityNm2STATEN ISLAND
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/CityNm3STATEN ISLAND
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/StateAbbreviationCd0NY
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/StateAbbreviationCd1NY
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/StateAbbreviationCd2NY
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/StateAbbreviationCd3NY
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/ZIPCd010309
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/ZIPCd110309
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/ZIPCd210309
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/ZIPCd310309
IRS990ScheduleN/OwnerOfSuccessorInd00
IRS990ScheduleN/ReceiveCompensationInd00
IRS990ScheduleN/RequiredToNotifyAGInd00
IRS990ScheduleN/SupplementalInformationDetail/ExplanationTxt0PERSON(S) INVOLVED: FRANK FOLISE
IRS990ScheduleN/SupplementalInformationDetail/ExplanationTxt1EXPLANATION OF INVOLVEMENT: EMPLOYER TRUSTEE
IRS990ScheduleN/SupplementalInformationDetail/FormAndLineReferenceDesc0PART I, LINE 2E:
IRS990ScheduleN/SupplementalInformationDetail/FormAndLineReferenceDesc1PART I, LINE 2E:
IRS990/ScheduleORequiredInd01
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/ExplanationTxt2TRANSFER TO TEAMSTERS LOCAL 210 AFFILIATED HEALTH & INSURANCE FUND - MERGER -1,456,900.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3PART 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
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION C, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART XI, LINE 9:
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART XII, LINE 2C:
IRS990ScheduleR/AssetExchangeInd00
IRS990ScheduleR/AssetPurchaseFromOtherOrgInd00
IRS990ScheduleR/AssetSaleToOtherOrgInd00
IRS990ScheduleR/DivRelatedOrganizationInd00
IRS990ScheduleR/GiftGrntCapContriFromOthOrgInd00
IRS990ScheduleR/GiftGrntOrCapContriToOthOrgInd00
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd00
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DirectControllingNACd0N/A
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt0I B T LOCAL UNION 210
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN0131692466
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ExemptCodeSectionTxt00320
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/LegalDomicileStateCd0NY
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt0LABOR UNION
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PublicCharityStatusTxt0501(C)(5)
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/AddressLine1Txt055 BROAD STREET
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/CityNm0NY
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/StateAbbreviationCd0NY
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/ZIPCd010004
IRS990ScheduleR/LoansOrGuaranteesFromOthOrgInd00
IRS990ScheduleR/LoansOrGuaranteesToOtherOrgInd00
IRS990ScheduleR/PaidEmployeesSharingInd00
IRS990ScheduleR/PerformOfServicesByOtherOrgInd00
IRS990ScheduleR/PerformOfServicesForOthOrgInd00
IRS990ScheduleR/ReceiptOfIntAnntsRntsRyltsInd00
IRS990ScheduleR/ReimbursementPaidByOtherOrgInd00
IRS990ScheduleR/ReimbursementPaidToOtherOrgInd00
IRS990ScheduleR/RentalOfFacilitiesToOthOrgInd00
IRS990ScheduleR/RentalOfFcltsFromOthOrgInd00
IRS990ScheduleR/SharingOfFacilitiesInd00
IRS990ScheduleR/TransferFromOtherOrgInd00
IRS990ScheduleR/TransferToOtherOrgInd00
IRS990/SchoolOperatingInd00
IRS990/SignificantChangeInd00
IRS990/SignificantNewProgramSrvcInd00
IRS990/SubjectToProxyTaxInd00
IRS990/TaxablePartyNotificationInd00
IRS990/TaxExemptBondsInd00
IRS990/TempOrPermanentEndowmentsInd00
IRS990/TerminateOperationsInd01
IRS990/TotalAssetsBOYAmt01463866
IRS990/TotalAssetsEOYAmt00
IRS990/TotalAssetsGrp/BOYAmt01463866
IRS990/TotalAssetsGrp/EOYAmt00
IRS990/TotalCompGreaterThan150KInd00
IRS990/TotalEmployeeCnt00
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt072471
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt0110220
IRS990/TotalFunctionalExpensesGrp/TotalAmt0182691
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt022731
IRS990/TotalLiabilitiesEOYAmt00
IRS990/TotalLiabilitiesGrp/BOYAmt022731
IRS990/TotalLiabilitiesGrp/EOYAmt00
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt01441135
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt00
IRS990/TotalOtherCompensationAmt00
IRS990/TotalProgramServiceExpensesAmt0110220
IRS990/TotalProgramServiceRevenueAmt0207125
IRS990/TotalReportableCompFromOrgAmt00
IRS990/TotalRevenueGrp/ExclusionAmt015374
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt0207125
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0222499
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotalVolunteersCnt00
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt01463866
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt00
IRS990/TotReportableCompRltdOrgAmt0204516
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/BuildTS02016-09-27 15:27:22Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd01
ReturnHeader/BusinessOfficerGrp/PersonNm0RUSSELL REED
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0UNION TRUSTEE
ReturnHeader/BusinessOfficerGrp/PhoneNum07183037700
ReturnHeader/BusinessOfficerGrp/SignatureDt02016-05-16
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/PhoneNum07183037700
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/ReturnTs02016-05-16T17:38:30-05:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02015-01-01
ReturnHeader/TaxPeriodEndDt02015-09-30
ReturnHeader/TaxYr02015

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