Form990
Click to see attachment
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation)

MediumBullet The organization may have to use a copy of this return to satisfy state reporting requirements.
OMB No. 1545-0047
2012
Open to Public Inspection
A For the 2012 calendar year, or tax year beginning 01-01-2012 , 2012, and ending 12-31-2012
BCheck if applicable:
CName of organization
TEAMSTERS HEALTH & WELFARE FUND OF PHILADELPHIA & VICINITY
 
Doing Business As
TEAMSTERS HEALTH & WELFARE FUND OF PHILADELPHIA & VICINITY
 
Number and street (or P.O. box if mail is not delivered to street address)
6981 NORTH PARK DRIVE
 
Room/suite
City or town, state or country, and ZIP + 4
PENNSAUKEN, NJ08109
D Employer identification number

23-1392600
E Telephone number

G Gross receipts $ 107,880,598
F Name and address of principal officer:
WILLIAM J EINHORN
6981 NORTH PARK DRIVE
PENNSAUKEN,NJ08109
I
Tax-exempt status: ( 9 ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.TEAMSTERFUNDS.COM
H(a)
Is this a group return for
affiliates?
H(b)
Are all affiliates included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:
 
L Year of formation: 1951
M State of legal domicile: NJ
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: FUNDING ARRANGEMENT FOR MULTI-EMPLOYER WELFARE PLAN
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 6
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 2
5 Total number of individuals employed in calendar year 2011 (Part V, line 2a) ...... 5 0
6 Total number of volunteers (estimate if necessary) ............. 6  
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 0
b Net unrelated business taxable income from Form 990-T, line 34 ......... 7b  
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) .........   0
9 Program service revenue (Part VIII, line 2g) ......... 97,414,073 99,562,455
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 1,558,757 2,349,088
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)   102,327
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 98,972,830 102,013,870
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...   0
14 Benefits paid to or for members (Part IX, column (A), line 4)..... 88,693,741 95,624,127
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 9,600 9,600
16a Professional fundraising fees (Part IX, column (A), line 11e).....   0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 6,009,785 6,523,282
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 94,713,126 102,157,009
19 Revenue less expenses. Subtract line 18 from line 12....... 4,259,704 -143,139
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 71,445,550 77,206,275
21 Total liabilities (Part X, line 26)............. 316,263 844,462
22 Net assets or fund balances. Subtract line 21 from line 20..... 71,129,287 76,361,813
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
 
Preparer's signature
Date
PTIN
Firm's name MediumBullet

Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ............
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2012)
Form 990 (2012)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response to any question in this Part III ...............
1
Briefly describe the organization’s mission: FUNDING ARRANGEMENT FOR MULTI-EMPLOYER WELFARE PLAN
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ......................
If “Yes,” describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ............................
If “Yes,” describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
TO PROVIDE FUNDED MEDICAL BENEFITS INCLUDING VISION DENTAL OUTPATIENT SERVICES HOSPITALIZATION WEEKLY DISABILITY DEATH SURGERY MAJOR MEDICAL PRESCRIPTION DRUGS AND MANAGED CARE TO PLAN PARTICIPANTS AND THEIR ELIGIBLE DEPENDENTS AND BENEFICIARIES.
4b (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4c (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4d Other program services (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet  
Form 990 (2012)
Form 990 (2012)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If “Yes,” complete Schedule A........................
1
 
No
2
Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? ...
2
 
No
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If “Yes,” complete Schedule C, Part I..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If “Yes,” complete Schedule C, Part II........
4
 
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If “Yes,” complete Schedule C,
Part III............................
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If “Yes,” complete Schedule D, Part I........................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If “Yes,” complete Schedule D, Part II...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If “Yes,” complete Schedule D, Part III ....................
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If “Yes,” complete Schedule D, Part IV..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments? If “Yes,” complete Schedule D, Part V......
10
 
No
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10?
If “Yes,” complete Schedule D, Part VI....................
11a
 
No
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VII.......
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VIII.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part IX............
11d
 
No
e
Did the organization report an amount for other liabilities in Part X, line 25? If “Yes,” complete Schedule D, Part X
11e
 
No
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If “Yes,” complete Schedule D, Part X.........................
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year?
If “Yes,” complete Schedule D, Parts XI and XII Click to see attachment.................
12a
Yes
 
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If “Yes,” and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional
12b
 
No
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If “Yes,” complete Schedule E....
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?.....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If “Yes,” complete Schedule F, Parts I and IV.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or assistance to any organization or entity located outside the United States? If “Yes,” complete Schedule F, Parts II and IV
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or assistance to individuals located outside the United States? If “Yes,” complete Schedule F, Parts III and IV...
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If “Yes,” complete Schedule G, Part I (see instructions)....
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If “Yes,” complete Schedule G, Part II............
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If “Yes,” complete Schedule G, Part III...................
19
 
No
20a
Did the organization operate one or more hospital facilities? If “Yes,” complete Schedule H....
20a
 
No
b
If “Yes” to line 20a, did the organization attach a copy of its audited financial statements to this return?
20b
 
 
Form 990 (2012)
Form 990 (2012)
Page 4
Part IV
Checklist of Required Schedules (continued)
21
Did the organization report more than $5,000 of grants and other assistance to any government or organization in the United States on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II...
21
 
No
22
Did the organization report more than $5,000 of grants and other assistance to individuals in the United States on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........
22
 
No
23
Did the organization answer “Yes” to Part VII, Section A, line 3, 4, or 5 about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If “Yes,” complete Schedule J.......................
23
 
No
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25................
24a
 
No
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?......................
24c
 
 
d
Did the organization act as an “on behalf of” issuer for bonds outstanding at any time during the year?...
24d
 
 
25a
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If “Yes,” complete Schedule L, Part I........
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If “Yes,” complete Schedule L, Part I...................
25b
 
No
26
Was a loan to or by a current or former officer, director, trustee, key employee, highest compensated employee, or disqualified person outstanding as of the end of the organization’s tax year? If “Yes,” complete Schedule L,
Part II..........................
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons? If “Yes,” complete Schedule L, Part III.........
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If “Yes,” complete Schedule L, Part IV ..........................
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If “Yes,”
complete Schedule L, Part IV.....................
28b
 
No
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner? If “Yes,” complete Schedule L, Part IV... Click to see attachment
28c
Yes
 
29
Did the organization receive more than $25,000 in non-cash contributions? If “Yes,” complete Schedule M..
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If “Yes,” complete Schedule M.............
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If “Yes,” complete Schedule N,
Part I...........................
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If “Yes,” complete Schedule N, Part II......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If “Yes,” complete Schedule R, Part I........
33
 
No
34
Was the organization related to any tax-exempt or taxable entity? If “Yes,” complete Schedule R, Part II, III, or IV, and Part V, line 1........................ Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If “Yes,” complete Schedule R, Part V, line 2... Click to see attachment
35b
Yes
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If “Yes,” complete Schedule R, Part V, line 2.............
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If “Yes,” complete Schedule R, Part VI
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2012)
Form 990 (2012)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response to any question in this Part V ...............
Yes
No
1a
Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable ..
1a
907
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
0
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions)
2b
 
No
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
 
No
b
If “Yes,” has it filed a Form 990-T for this year? If “No,” provide an explanation in Schedule O.....
3b
 
No
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)?..........................
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If “Yes,” to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
No
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions?...
6a
 
No
b
If “Yes,” did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
 
No
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
 
No
b
If “Yes,” did the organization notify the donor of the value of the goods or services provided?.....
7b
 
No
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
No
d
If “Yes,” indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?............................
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?............................
7g
 
No
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?..........................
7h
 
No
8
Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year?............
8
 
No
9
Sponsoring organizations maintaining donor advised funds.
a
Did the organization make any taxable distributions under section 4966?..........
9a
 
No
b
Did the organization make a distribution to a donor, donor advisor, or related person?.......
9b
 
No
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
No
b
If “Yes,” enter the amount of tax-exempt interest received or accrued during the year. ....................
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note. See the instructions for additional information the organization must report on Schedule O.
13a
 
No
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If “No,” provide an explanation in Schedule O..
14b
 
No
Form 990 (2012)
Form 990 (2012)
Page 6
Part VI
Governance, Management, and Disclosure For each “Yes” response to lines 2 through 7b below, and for a “No” response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response to any question in this Part VI ...............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year .....................
1a
6
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent ...................
1b
2
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? ...........................
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
 
No
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
 
No
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If “Yes,” provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If “Yes,” did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
No
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If “No,” go to line 13.......
12a
 
No
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
 
No
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If “Yes,” describe in Schedule O how this was done.......................
12c
 
No
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
 
No
b
Other officers or key employees of the organization ................
15b
 
No
If "Yes" to line 15a or 15b, describe the process in Schedule O (see instructions).
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
 
No
b
If “Yes,” did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
No
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how), the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization:
MediumBulletWILLIAM J EINHORN6981 NORTH PARK DRIVE SUITE 400PENNSAUKENNJ08109 (856) 382-2400
Form 990 (2012)
Form 990 (2012)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response to any question in this Part VII ...............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(A)
Name and Title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(1) KENNETH LEEDY........................................................................
EMPLOYER TRUSTEE
 1
.......................1 		X           9,600 0 0
(2) BOB SCHAEFFER JR........................................................................
EMPLOYER TRUSTEE
 1
.......................2 		X           0 0 0
(3) TOM VENTURA........................................................................
EMPLOYER TRUSTEE
 1
.......................1 		X           0 0 0
(4) WILLIAM HAMILTON........................................................................
UNION TRUSTEE
 1
.......................2 		X           0 0 122,000
(5) HOWARD WELLS........................................................................
UNION TRUSTEE
 1
.......................1 		X           0 0 135,000
(6) ROBERT BRYAN JR........................................................................
UNION TRUSTEE
 1
.......................1 		X           0 0 80,000
(7) WILLIAM J EINHORN........................................................................
ADMINISTRATOR
 20
.......................25 		    X       0 0 0




















Form 990 (2012)
Form 990 (2012)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;


























1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 9,600   337,000
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organizationMediumBullet  
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If “Yes,” complete Schedule J for such individual ..............
3
 
No
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If “Yes,” complete Schedule J for such individual...........................
4
 
No
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If “Yes,” complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
ADMINISTRATIVE SERVICE PROFESSIONAL, 6981 N PARK DRPENNSAUKENNJ08109 ADMINISTRATIVE SERVICES 2,692,000
HORIZON HEALTHCARE, 3 PENN PLAZANEWARKNJ07105 CLAIMS ADMINISTRATOR 1,411,637
AETNA INC, 151 FARMINGTON AVEHARTFORDCT06156 CLAIMS ADMINISTRATOR 800,927
HEALTHCARE STRATEGIES, PO BOX 37039BALTIMOREMD21297 CASE MANAGEMENT 566,018
TOTAL CARE NETWORK, 1341 N DELAWARE AVENUEPHILADELPHIAPA19125 CLAIMS ADMINISTRATOR 265,114
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet5
Form 990 (2012)
Form 990 (2012)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response to any question in this Part VIII ..............
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512, 513, or 514
Contributions, Gifts, Grants and Other Similar Amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c  
d Related organizations...1d  
e Government grants (contributions)1e  
f All other contributions, gifts, grants, and
similar amounts not included above1f 		 
g Noncash contributions included in lines
1a-1f:$ 		 
h Total. Add lines 1a-1f.......MediumBullet  
Program Service Revenue Business Code
2a EMPLOYER CONTRIBUTIONS 525100 97,742,329 97,742,329    
b COBRA 525100 1,820,126 1,820,126    
c
d
e
f All other program service revenue .        
g Total. Add lines 2a–2f........MediumBullet 99,562,455
Other Revenue 3 Investment income (including dividends, interest, and other similar amounts).......MediumBullet 1,828,773     1,828,773
4 Income from investment of tax-exempt bond proceeds..MediumBullet        
5 Royalties...........MediumBullet        
(i) Real (ii) Personal
6a Gross rents    
b Less: rental expenses    
c Rental income or (loss)    
d Net rental income or (loss).......MediumBullet        
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory 6,407,043  
b Less: cost or other basis and sales expenses 5,886,728  
c Gain or (loss) 520,315  
d Net gain or (loss)..........MediumBullet 520,315     520,315
8a Gross income from fundraising events (not including
$  
of contributions reported on line 1c). See Part IV, line 18 ..
a  
b Less: direct expenses ...b  
c Net income or (loss) from fundraising events..MediumBullet      
9a Gross income from gaming activities.
See Part IV, line 19 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from gaming activities...MediumBullet        
10a Gross sales of inventory, less
returns and allowances .
a  
b Less: cost of goods sold ..b  
c Net income or (loss) from sales of inventory..MediumBullet        
Miscellaneous Revenue Business Code
11a OTHER INCOME   102,327     102,327
b            
c            
d All other revenue ....        
e Total. Add lines 11a–11d ...... MediumBullet 102,327
12 Total revenue. See Instructions......MediumBullet 102,013,870 99,562,455 0 2,451,415
Form 990 (2012)
Form 990 (2012)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response to any question in this Part IX ...............
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII. 		(A)
Total expenses 		(B)
Program service expenses 		(C)
Management and general expenses 		(D)
Fundraising expenses
1 Grants and other assistance to governments and organizations in the United States. See Part IV, line 21    
2 Grants and other assistance to individuals in the United States. See Part IV, line 22    
3 Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16    
4 Benefits paid to or for members 95,624,127  
5 Compensation of current officers, directors, trustees, and key employees .... 9,600      
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....        
7 Other salaries and wages        
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....        
9 Other employee benefits .......        
10 Payroll taxes ...........        
11 Fees for services (non-employees):        
a Management ......        
b Legal ......... 86,463      
c Accounting ........... 71,944      
d Lobbying ...........        
e Professional fundraising services. See Part IV, line 17    
f Investment management fees ...... 209,681      
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ........ 6,010,717      
12 Advertising and promotion ....        
13 Office expenses ....... 103,148      
14 Information technology ...... 28,252      
15 Royalties ..        
16 Occupancy ...........        
17 Travel ............        
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ......        
19 Conferences, conventions, and meetings .... 8,363      
20 Interest ...........        
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization .....        
23 Insurance .............. 4,714      
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a
b
c
d
e All other expenses        
25 Total functional expenses. Add lines 1 through 24e 102,157,009 0 0 0
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2012)
Form 990 (2012)
Page 11
Part X Balance Sheet Check if Schedule O contains a response to any question in this Part X ...............
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash—non-interest-bearing ............. 50 1 50
2 Savings and temporary cash investments ......... 2,929,113 2 2,398,976
3 Pledges and grants receivable, net ...........   3  
4 Accounts receivable, net ............. 8,226,091 4 7,291,736
5 Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L ..................
  5  
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
  6  
7 Notes and loans receivable, net .............   7  
8 Inventories for sale or use ..............   8  
9 Prepaid expenses and deferred charges .......... 1,965 9 2,428
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a  
b Less: accumulated depreciation ..... 10b     10c  
11 Investments—publicly traded securities .......... 59,083,727 11 66,320,626
12 Investments—other securities. See Part IV, line 11 .....   12  
13 Investments—program-related. See Part IV, line 11 .....   13  
14 Intangible assets ...............   14  
15 Other assets. See Part IV, line 11 ........... 1,204,604 15 1,192,459
16 Total assets. Add lines 1 through 15 (must equal line 34)...... 71,445,550 16 77,206,275
Liabilities 17 Accounts payable and accrued expenses ......... 24,213 17 230,416
18 Grants payable .................   18  
19 Deferred revenue ................ 292,050 19 614,046
20 Tax-exempt bond liabilities .............   20  
21 Escrow or custodial account liability. Complete Part IV of Schedule D..   21  
22 Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L..........   22  
23 Secured mortgages and notes payable to unrelated third parties ..   23  
24 Unsecured notes and loans payable to unrelated third parties ....   24  
25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D.................... 0 25 0
26 Total liabilities. Add lines 17 through 25......... 316,263 26 844,462
Net Assets or Fund Balance Organizations that follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets ..............   27  
28 Temporarily restricted net assets ...........   28  
29 Permanently restricted net assets ...........   29  
Organizations that do not follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds ........ 71,129,287 30 76,361,813
31 Paid-in or capital surplus, or land, building or equipment fund .....   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ........... 71,129,287 33 76,361,813
34 Total liabilities and net assets/fund balances ........ 71,445,550 34 77,206,275
Form 990 (2012)
Form 990 (2012)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response to any question in this Part XI ...............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
102,013,870
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
102,157,009
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
-143,139
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
71,129,287
5
Net unrealized gains (losses) on investments ...............
5
5,375,665
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
 
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
76,361,813
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response to any question in this Part XII ..............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If “Yes,” to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?
3a
 
No
b
If “Yes,” did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits
3b
 
No
Form 990 (2012)
Form 990, Special Condition Description:
Special Condition Description
Additional Data


Software ID:  
Software Version:  
SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b
SchDMd Bullet Attach to Form 990. SchDMd Bullet See separate instructions.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
TEAMSTERS HEALTH & WELFARE FUND OF PHILADELPHIA & VICINITY
 
Employer identification number

23-1392600
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .........    
2 Aggregate contributions to (during year) ...    
3 Aggregate grants from (during year) .....    
4 Aggregate value at end of year ........    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ....................... 2a  
b Total acreage restricted by conservation easements .................. 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register .................... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .......................................
9
In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:
(i)
Revenues included in Form 990, Part VIII, line 1 ........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ..............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:
a
Revenues included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) 2012

Schedule D (Form 990) 2012
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIII and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21? .....................
b
If “Yes,” explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ........
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current year (b)Prior year b (c)Two years back (d)Three years back (e)Four years back
1a Beginning of year balance ....          
b Contributions ........          
c Net investment earnings, gains, and losses          
d Grants or scholarships .....          
e Other expenditures for facilities
and programs ........ 		         
f Administrative expenses ....          
g End of year balance ......          
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet  
b
Permanent endowment SchDMd Bullet  
c
Temporarily restricted endowment SchDMd Bullet  
The percentages in lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
 
 
(ii) related organizations ........................
3a(ii)
 
 
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment. See Form 990, Part X, line 10.
Description of property (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .................      
b Buildings ................        
c Leasehold improvements ............        
d Equipment ................        
e Other .................        
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......SchDMdBullet  
Schedule D (Form 990) 2012

Schedule D (Form 990) 2012
Page 3
Part VII
Investments—Other Securities. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)		 (b)Book value (c) Method of valuation:
Cost or end-of-year market value
(1)Financial derivatives    
(2)Closely-held equity interests    
Other








Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet  
Part VIII
Investments—Program Related. See Form 990, Part X, line 13.
(a) Description of investment type (b) Book value (c) Method of valuation:
Cost or end-of-year market value








Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets. See Form 990, Part X, line 15.
(a) Description (b) Book value








Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet  
Part X
Other Liabilities. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
Federal income taxes  








Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet  
2. Fin 48 (ASC 740) Footnote. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII .....................................................
Schedule D (Form 990) 2012

Schedule D (Form 990) 2012
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1 Total revenue, gains, and other support per audited financial statements ....... 1 107,179,854
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains on investments .......... 2a 5,375,665
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d ..................... 2e 5,375,665
3 Subtract line 2e from line 1..................... 3 101,804,189
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a 209,681
b Other (Describe in Part XIII.) ........... 4b  
c Add lines 4a and 4b....................... 4c 209,681
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5 102,013,870
Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1 Total expenses and losses per audited financial statements ........... 1 101,947,328
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities .......... 2a  
b Prior year adjustments .............. 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d...................... 2e  
3 Subtract line 2e from line 1..................... 3 101,947,328
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a 209,681
b Other (Describe in Part XIII.) ............ 4b  
c Add lines 4a and 4b....................... 4c 209,681
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5 102,157,009
Part XIII
Supplemental Information
Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
Identifier Return Reference Explanation
    PART X LINE 2 ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT OF AN ORGANIZATION TO EVALUATE TAX POSITIONS TAKEN BY THE ORGANIZATION AND RECOGNIZE A TAX LIABILITY IF THE ORGANIZATION HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE FUND AND HAS CONCLUDED THAT AS OF DECEMBER 31 2012 THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE FUND IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS HOWEVER THERE ARE CURRENTLY NO AUDITS IN PROGESS FOR ANY TAX PERIODS. MANAGEMENT BELIEVES THE FUND IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEAR PRIOR TO 2009.
Schedule D (Form 990) 2012

Additional Data


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Schedule L
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ. MediumBullet See separate instructions.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
TEAMSTERS HEALTH & WELFARE FUND OF PHILADELPHIA & VICINITY
 
Employer identification number

23-1392600
Part I
Excess Benefit Transactions (section 501(c)(3) and section 501(c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1(a) Name of disqualified person (b) Relationship between disqualified person and organization (c) Description of transaction (d) Corrected?
Yes No





2
Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image$
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image$
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22
(a) Name of interested person (b) Relationship with organization (c) Purpose of loan (d) Loan to or from the organization? (e)Original principal amount (f)Balance due (g) In default? (h) Approved by board or committee? (i)Written agreement?
To From Yes No Yes No Yes No
Total ......Small Bullet $  
Part III
Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of assistance (d) Type of assistance (e) Purpose of assistance
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990 or 990-EZ) 2012
Schedule L (Form 990 or 990-EZ) 2012
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
(1) ADMIN SVC PROFESSIONALS INC ADMIN SERVICES 2,692,000 ADMINISTRATIVE   No
Part V
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule L (see instructions).
Identifier Return Reference Explanation
    HOWARD WELLS AND BOB SCHAEFFER ARE TRUSTEES OF THE TEAMSTERS HEALTH & WELFARE FUND AS WELL AS DIRECTORS OF THE ADMINISTRATIVE SERVICE PROFESSIONALS INC. IN ADDITION WILLIAM J. EINHORN IS THE ADMINISTRATOR OF THE TEAMSTERS HEALTH & WELFARE FUND AND ALSO SERVES AS THE PRESIDENT OF THE ADMINISTRATIVE SERVICE PROFESSIONALS INC.
Schedule L (Form 990 or 990-EZ) 2012

Additional Data


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Software Version:  




SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2012
Open to Public
Inspection
Name of the organization
TEAMSTERS HEALTH & WELFARE FUND OF PHILADELPHIA & VICINITY
 
Employer identification number

23-1392600
Identifier Return Reference Explanation
    PART VI SECTION A LINE 7A UNION DESIGNATED TRUSTEES ARE ELECTED BY MAJORITY VOTE BY THE PRINCIPAL OFFICERS OF THE SEVEN LOCALS THAT ORIGINALLY FOUNDED THE FUND. EMPLOYER DESIGNATED TRUSTEES ARE APPOINTED BY THE TRANSPORT EMPLOYERS ASSOCIATION AN ASSOCIATION HAVING AS IT'S MEMBERS INDIVIDUAL EMPLOYERS WHO HAVE COLLECTIVE BARGAINING RELATIONSHIPS WITH THE FUND'S PARTICIPATING LOCAL UNIONS. PART VI SECTION B LINE 11B AFTER COMPLETION THE ADMINISTRATOR REVIEWS FORM 990 BEFORE FORWARDING IT TO OUR INDEPENDENT AUDITORS FOR THEIR REVIEW. ONCE BACK IT IS REVIEWED BY THE FUND'S TRUSTEES BEFORE IT IS SIGNED. PART VI SECTION C LINE 19 UPON RECEIPT OF WRITTEN REQUEST TO THE FUND ADMINISTRATOR DOCUMENTS POLICIES AND FINANCIAL STATEMENTS ARE FORWARDED TO THE REQUESTOR. FINANCIAL STATEMENTS ARE ALSO AVAILABLE ON THE WEBSITE. PART X LINE 11 COLUMN B INVESTMENTS - PUBLICLY TRADED SECURITIES MUTUAL FUNDS 66320626 FMV
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2012

Additional Data


Software ID:  
Software Version:  
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBulletAttach to Form 990. MediumBullet See separate instructions.

OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
TEAMSTERS HEALTH & WELFARE FUND OF PHILADELPHIA & VICINITY
 
Employer identification number

23-1392600
Part I
Identification of Disregarded Entities (Complete if the organization answered "Yes" to Form 990, Part IV, line 33.)
(a)
Name, address, and EIN (if applicable) of disregarded entity


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Total income


 		(e)
End-of-year assets


 		(f)
Direct controlling
entity










Part II
Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" to Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)
(a)
Name, address, and EIN of related organization


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Exempt Code section


 		(e)
Public charity status
(if section 501(c)(3))

 		(f)
Direct controlling
entity

 		(g)
Section 512(b)(13) controlled entity?
Yes No
(1) TEAMSTERS PENSION TRUST FUND

6981 N PARK DRIVE

PENNSAUKEN,NJ08109
23-1511735 		PENSION FUND NJ 401(A)   N/A
 
No
(2) TEAMSTERS JOINT COUNCIL 53

3460 N DELAWARE AVENUE

PHILADELPHIA,PA19134
23-0578867 		BARGAINING REP PA 501C(9)   IBT
 
 
No
(3) TEAMSTERS LOCAL 107

12275 TOWNSEND ROAD

PHILA,PA19154
23-0724615 		BARGAINING REP PA 501C(5)   IBT
 
 
No
(4) TEAMSTERS LOCAL 312

1 EAST 15TH STREET

CHESTER,PA19013
23-1154457 		BARGAINING REP PW 501C(5)   IBT
 
 
No
(5) TEAMSTERS LOCAL 326

451 E NEWCHURCHMAN RD

NEW CASTLE,DE19720
51-0106272 		BARGAINING REP DE 501C(5)   IBT
 
 
No
(6) TEAMSTERS LOCAL 331

1 PHILADELPHIA AVENUE

EGG HARBOR CITY,NJ08215
21-0577323 		BARGAINING REP NJ 501C(5)   IBT
 
 
No
(7) TEAMSTERS LOCAL 384

2910 HANNAH AVE

NORRISTOWN,PA19401
23-0343099 		BARGAINING REP PA 501C(5)   IBT
 
 
No
(8) TEAMSTERS LOCAL 500

3460 N DELAWARE AVENUE

PHILADELPHIA,PA19134
23-1693676 		BARGAINING REP PW 501C(5)   IBT
 
 
No
(9) TEAMSTERS LOCAL 623

4369 RICHMOND STREET

PHILA,PA19137
23-6003359 		BARGAINING REP PW 501C(5)   IBT
 
 
No
(10) TEAMSTERS LOCAL 628

614 N FRONT ST

PHILA,PA19123
23-1381180 		BARGAINING REP PW 501C(5)   IBT
 
 
No
(11) TEAMSTERS LOCAL 676

101 CRESCENT BLVD

COLLINGSWOOD,NJ08108
02-0482997 		BARGAINING REP NJ 501C(5)   IBT
 
 
No
(12) TEAMSTERS LOCAL 929

4345 FRANKFORD AVE

PHILA,PA19124
23-0919031 		BARGAINING REP PA 501C(5)   IBT
 
 
No
(13) TEAMSTERS LOCAL UNION 463

1375 VIRGINIA DRIVE

FORT WASHINGTON,PA19034
23-0381272 		BARGAINING REP PW 501C(5)   IBT
 
 
No
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2012
Schedule R (Form 990) 2012
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" to Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)
(a)
Name, address, and EIN of
related organization



 		(b)
Primary activity




 		(c)
Legal
domicile
(state or foreign
country)


 		(d)
Direct controlling
entity



 		(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




 		(g)
Share of end-of-year
assets



 		(h)
Disproprtionate allocations?




 		(i)
Code V—UBI
amount in box 20 of
Schedule K-1
(Form 1065)
 		(j)
General or
managing
partner?



 		(k)
Percentage
ownership
Yes No Yes No












Part IV
Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" to Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)
(a)
Name, address, and EIN of
related organization
 		(b)
Primary activity
 		(c)
Legal
domicile
(state or foreign
country)
 		(d)
Direct controlling
entity
 		(e)
Type of entity
(C corp, S corp,
or trust) 		(f)
Share of total income
 		(g)
Share of end-of-year
assets
 		(h)
Percentage
ownership
 		(i)
Section 512(b)(13) controlled entity?
Yes No
(1) ADMINISTRATIVE SERVICE PROFESSIONALS

6981 N PARK DRIVE
PENNSAUKEN,NJ08109
20-4056745 		ADMINISTRATIVE NJ TH&W FUND
  		C CORP 3,408,879 26,019 72.000 %   No
(2) A P CONSTRUCTION CO

915 BLACKHORSE PIKE
BLACKWOOD,NJ08012
23-1653438 		CONTRIBUTING EMP NJ NA
  		C CORP         No
(3) A PENZA INC

6700 ESSINGTON AVENUE
PHILADELPHIA,PA19153
23-1528805 		CONTRIBUTING EMP PA NA
  		C CORP         No
(4) AC KISSLING COMPANY INC

161 E ALLEN STREET
PHILADELPHIA,PA19125
23-1354367 		CONTRIBUTING EMP PA NA
  		C CORP         No
(5) AE STONE INC

1435 DOUGHTY ROAD
EGG HARBOR TOWNSHIP,NJ08234
21-0669895 		CONTRIBUTING EMP NJ NA
  		C CORP         No
(6) AVASSALLO INC

6700 ESSINGTON AVENUE
PHILADELPHIA,PA19153
23-1310724 		CONTRIBUTING EMP PA NA
  		C CORP         No
(7) ABC CONSTRUCTION CO INC

714 DUNKSFERRY ROAD
BENSALEM,PA19020
23-2803865 		CONTRIBUTING EMP PA NA
  		C CORP         No
(8) ABF FREIGHT SYSTEM INC

4000 RICHMOND STREET
PHILADELPHIA,PA19137
71-0249444 		CONTRIBUTING EMP PA NA
  		C CORP         No
(9) ACCORDIAN FILMS

TEAMSTERS LOCAL UNION 817
GREAT NECK,NY11021
26-3379521 		CONTRIBUTING EMP NY NA
  		C CORP         No
(10) ACE MOTORS INC

487 MANTUA AVENUE
WOODBURY,NJ08096
21-0387690 		CONTRIBUTING EMP NJ NA
  		C CORP         No
(11) ACME MARKETS INC

75 VALLEY STREAM PARKWAY
MALVERN,PA19355
87-0440072 		CONTRIBUTING EMP PA NA
  		C CORP         No
(12) ACRA SERVICES INC

4501 BLACK HORSE PIKE
MAYS LANDING,NJ08330
52-2341257 		CONTRIBUTING EMP NJ NA
  		C CORP         No
(13) ACTION SUPPLY CO INC

1401 CALCON HOOK ROAD
SHARON HILL,PA19079
23-1659143 		CONTRIBUTING EMP PA NA
  		C CORP         No
(14) ADVANCE TRANSPORTATION CO

1445 NORTH 32ND ST
PHILA,PA19121
23-1570804 		CONTRIBUTING EMP PA NA
  		C CORP         No
(15) AGB TRUCKING LLC

207 OAK STREET
AMBLER,PA19002
27-3992184 		CONTRIBUTING EMP PA NA
  		C CORP         No
(16) AIRGAS EAST INC

140 HARDING AVENUE
BELLMAWR,NJ08031
06-1463355 		CONTRIBUTING EMP NJ NA
  		C CORP         No
(17) AL KLIESH TRUCKING LLC

169 FLORAL DRIVE
MORRISVILLE,PA19067
45-0542772 		CONTRIBUTING EMP PA NA
  		C CORP         No
(18) ALAN MC ILVAIN COMPANY

5TH MARKET ST BX 380
MARCUS HOOK,PA19061
23-1716213 		CONTRIBUTING EMP PA NA
  		C CORP         No
(19) ALLEGHENY IRON & METAL CO

2200 EAST ADAMS AVENUE
PHILADELPHIA,PA19124
23-0336330 		CONTRIBUTING EMP PA NA
  		C CORP         No
(20) ALLIED BEVERAGE GROUP LLC

901 PLEASANT VALLEY AVE
MT LAUREL,NJ08054
22-1683878 		CONTRIBUTING EMP NJ NA
  		C CORP         No
(21) ALLIED ROOFERS SUPPLY-PHILA

2430 EAST TIOGA ST
PHILADELPHIA,PA19134
22-1729463 		CONTRIBUTING EMP PA NA
  		C CORP         No
(22) AMADEI MATERIALS LLC

416 MANTUA BOULEVARD
MANTUA,NJ08051
20-0717363 		CONTRIBUTING EMP NJ NA
  		C CORP         No
(23) AMOROSO BAKING COMPANY

PO BOX 1226
LANSDOWNE,PA19050
23-1599232 		CONTRIBUTING EMP PA NA
  		C CORP         No
(24) AMPM NORTH AMERICA INC

619 NORTH 67TH STREET
PHILADELPHIA,PA19151
11-3732177 		CONTRIBUTING EMP PA NA
  		C CORP         No
(25) APPLESACK TRUCKING INC

418 WASHINGTON AVENUE
HULMEVILLE,PA19047
23-3019289 		CONTRIBUTING EMP PA NA
  		C CORP         No
(26) ARAMARK UNIFORM SERVICES

ATTN PAYROLL
BURBANK,CA91502
95-3082883 		CONTRIBUTING EMP CA NA
  		C CORP         No
(27) ARATA EXPOSITIONS INC

15928 TOURNAMENT DRIVE
GAITHERSBURG,MD20877
52-0953639 		CONTRIBUTING EMP MD NA
  		C CORP         No
(28) ARROW LEASING CORPORATION

1772 PULASKI HIGHWAY
BEAR,DE19701
51-0106328 		CONTRIBUTING EMP DE NA
  		C CORP         No
(29) ARTHUR R HENRY INC

3031 OCEAN HEIGHTS AVENUE
EGG HARBOR TOWNSHIP,NJ08234
21-0611412 		CONTRIBUTING EMP NJ NA
  		C CORP         No
(30) ASH GROUPS INC

4 GORDY PLACE
NEW CASTLE,DE19720
51-0563888 		CONTRIBUTING EMP DE NA
  		C CORP         No
(31) ASHKHA TRUCKING LLC

6927 NORTH 19TH STREET
PHILADELPHIA,PA19126
46-1906200 		CONTRIBUTING EMP PA NA
  		C CORP         No
(32) ATLANTIC EXPOSITION SERVICES

3089 ENGLISH CREEK AVE
EGG HARBOR TOWNSHIP,NJ08234
22-3125223 		CONTRIBUTING EMP NJ NA
  		C CORP         No
(33) AUDUBON MUTUAL HOUSING CORP

20 ROAD C
AUDUBON PARK,NJ08106
21-0615554 		CONTRIBUTING EMP NJ NA
  		C CORP         No
(34) AUNT KITTY'S FOODS INC

270 N MILL ROAD
VINELAND,NJ08360
83-0389760 		CONTRIBUTING EMP NJ NA
  		C CORP         No
(35) AVW AUDIO VISUAL (FREEMAN)

4545 W DAVIS STREET
DALLAS,TX75211
75-1375597 		CONTRIBUTING EMP TX NA
  		C CORP         No
(36) BRS PRODUCE CO

6700 ESSINGTON AVENUE
PHILADELPHIA,PA19153
23-1674861 		CONTRIBUTING EMP PA NA
  		C CORP         No
(37) BAKE RITE ROLLS

2945 SAMUEL DRIVE
BENSALEM,PA19020
52-1529550 		CONTRIBUTING EMP PA NA
  		C CORP         No
(38) BALFORD FARMSMIMCO

4 MANHATTAN DRIVE
BURLINGTON,NJ08016
23-1718524 		CONTRIBUTING EMP NJ NA
  		C CORP         No
(39) BANTIVOGLIO METALS INC

143 HARDING AVENUE
BELLMAWR,NJ08031
22-2982796 		CONTRIBUTING EMP NJ NA
  		C CORP         No
(40) BARLOW CHEVROLET INC

RT 130 FAIRVIEW STREET
DELRAN,NJ08075
22-1923253 		CONTRIBUTING EMP NJ NA
  		C CORP         No
(41) BARRETT ASPHALT CORPORATION

7503 WEYMOUTH ROAD
HAMMONTON,NJ08037
22-2724785 		CONTRIBUTING EMP NJ NA
  		C CORP         No
(42) BASF CONSTRUCTION CHEMICALS

6450 BRISTOL PIKE
LEVITTOWN,PA19057
25-0814125 		CONTRIBUTING EMP PA NA
  		C CORP         No
(43) BAYARD SALES CORP

3300 RICHMOND ST
PHILA,PA19134
23-0373970 		CONTRIBUTING EMP PA NA
  		C CORP         No
(44) BELLA TRUCKING CORP

4455 CASTOR AVENUE
PHILADELPHIA,PA19124
20-3583929 		CONTRIBUTING EMP PA NA
  		C CORP         No
(45) BENSALEM PARK - OUTRIDERS

BOX 1000
CORNWELL HEIGHTS,PA19020
23-2307734 		CONTRIBUTING EMP PA NA
  		C CORP         No
(46) BENSALEM PARK MAINTENANCE

PO BOX 1000 ATTN-PR
BENSALEM,PA19020
23-2777870 		CONTRIBUTING EMP PA NA
  		C CORP         No
(47) BILLY BOY TRUCKING INC

424 BLUE BUFF ROAD
KING OF PRUSSIA,PA19406
27-1499936 		CONTRIBUTING EMP PA NA
  		C CORP         No
(48) BOARDWALK BELLE INC

901 PLEASANT VALLEY AVENUE
MOUNT LAUREL,NJ08054
22-3186622 		CONTRIBUTING EMP NJ NA
  		C CORP         No
(49) BRANDENBURG INDUSTRIAL SERV

1905 E 4TH STREET
BETHLEHEM,PA18015
36-3353196 		CONTRIBUTING EMP PA NA
  		C CORP         No
(50) BRANDYWINE CONST CO IN

101 PIGEON POINT RD
NEW CASTLE,DE19720
51-0080296 		CONTRIBUTING EMP DE NA
  		C CORP         No
(51) BRANDYWINE INTERIORS

34 INDUSTRIAL BLVD
NEW CASTLE,DE19720
51-0386895 		CONTRIBUTING EMP DE NA
  		C CORP         No
(52) BRIDGE STREET FILMS (LOTT0)

TEAMSTERS LOCAL UNION 817
GREAT NECK,NY11021
20-2869877 		CONTRIBUTING EMP NY NA
  		C CORP         No
(53) BRIGHTLINE EQUIPMENT RENTALS

PO BOX 1862
BENSALEM,PA19020
26-3685260 		CONTRIBUTING EMP PA NA
  		C CORP         No
(54) BUCKLEY & COMPANY INC

3401 MOORE STREET
PHILA,PA19145
23-0442520 		CONTRIBUTING EMP PA NA
  		C CORP         No
(55) C ABBONIZIO CONTRACTOR

PO BOX 315
SEWELL,NJ08080
22-2007293 		CONTRIBUTING EMP NJ NA
  		C CORP         No
(56) C BROWN INC

44 W CENTRAL AVENUE
PAOLI,PA19301
23-2969110 		CONTRIBUTING EMP PA NA
  		C CORP         No
(57) C MARTIN COMPANY

3395 WEST CHEYENNE AVENUE
WEST LAS VEGAS,NV89032
95-2934507 		CONTRIBUTING EMP NV NA
  		C CORP         No
(58) CW DUNNETT & CO

3200 S LAWRENCE ST
PHILA,PA19148
23-1551622 		CONTRIBUTING EMP PA NA
  		C CORP         No
(59) CAMDEN IRON & METAL INC

143 HARDING AVENUE
BELLMAWR,NJ08031
23-1740935 		CONTRIBUTING EMP NJ NA
  		C CORP         No
(60) CANTERA CONSTRUCTION SERV

615 GRAVELLY ROAD
MEDFORD,NJ08055
27-3365090 		CONTRIBUTING EMP NJ NA
  		C CORP         No
(61) CARNEYS PT TWSP SEWERAGE AUT

303 HARDING HIGHWAY
CARNEYS POINT,NJ08069
21-6008661 		CONTRIBUTING EMP NJ NA
  		C CORP         No
(62) CARSON CONCRETE CORP

5 CREEK PARKWAY
BOOTHWYN,PA19061
23-2043082 		CONTRIBUTING EMP PA NA
  		C CORP         No
(63) CARUSONE CONSTRUCTION INC

3245 SOUTH 74TH STREET
PHILADELPHIA,PA19153
23-2877635 		CONTRIBUTING EMP PA NA
  		C CORP         No
(64) CASE PAPER COMPANY INC

499 EAST TIOGA STREET
PHILADELPHIA,PA19134
23-1268643 		CONTRIBUTING EMP PA NA
  		C CORP         No
(65) CE MASON LU592 HW&PEN

2315 SOUTH 22ND STREET
PHILA,PA19145
23-1578380 		CONTRIBUTING EMP PA NA
  		C CORP         No
(66) CEMENT MASONS LU592

2843 SNYDER AVENUE
PHILA,PA19145
23-0932560 		CONTRIBUTING EMP PA NA
  		C CORP         No
(67) CHARLES JACQUIN

2633 TRENTON AVENUE
PHILADELPHIA,PA19125
27-0729970 		CONTRIBUTING EMP PA NA
  		C CORP         No
(68) CHARLES RITTER INC

3333 S 3RD STREET
PHILA,PA19148
23-1022660 		CONTRIBUTING EMP PA NA
  		C CORP         No
(69) CLASSIC CARS NISSAN INC

RT 38 LENOLA RD
MOORESTOWN,NJ08057
22-3319292 		CONTRIBUTING EMP NJ NA
  		C CORP         No
(70) CLEAR SOUND INC

546 PENN STREET
YEADON,PA19050
23-2219100 		CONTRIBUTING EMP PA NA
  		C CORP         No
(71) COLLOTTI & SONS INC

6700 ESSINGTON AVENUE
PHILADELPHIA,PA19153
23-1942630 		CONTRIBUTING EMP PA NA
  		C CORP         No
(72) COLONIAL PRODUCE LLC (NBU)

6700 ESSINGTON AVENUE
PHILADELPHIA,PA19153
46-1132416 		CONTRIBUTING EMP PA NA
  		C CORP         No
(73) COMMERCE CONSTRUCTION

603 HERON DRIVE - UNIT 1
BRIDGEPORT,NJ08014
22-3475682 		CONTRIBUTING EMP NJ NA
  		C CORP         No
(74) COMMONWEALTH ASSOCIATION

855 NORTH BROAD STREET
PHILADELPHIA,PA19123
23-1737649 		CONTRIBUTING EMP PA NA
  		C CORP         No
(75) CONGOLEUM CORPKOGUT

4401 RIDGE ROAD
TRAINER,PA19061
02-0379120 		CONTRIBUTING EMP PA NA
  		C CORP         No
(76) COONEY BROTHERS INC

1850 GRAVERS ROAD 100
PLYMOUTH MEETING,PA19462
23-1292138 		CONTRIBUTING EMP PA NA
  		C CORP         No
(77) COOSEMAN'S PHILADELPHIA INC

6700 ESSINGTON AVENUE
PHILADELPHIA,PA19153
23-2673885 		CONTRIBUTING EMP PA NA
  		C CORP         No
(78) CORNELL & COMPANY INC

P O BOX 807
WOODBURY,NJ08096
21-0681013 		CONTRIBUTING EMP NJ NA
  		C CORP         No
(79) COURIER POST - SCMA

950 WEST BASIN ROAD
NEW CASTLE,DE19720
21-0718571 		CONTRIBUTING EMP DE NA
  		C CORP         No
(80) CPC MEDICAL PRODUCTS LLC

14528 S OUTER 40
CHESTERFIELD,MO63017
43-1412670 		CONTRIBUTING EMP MO NA
  		C CORP         No
(81) CROWLEY TRUCKING INC

POBOX 197
PENNSAUKEN,NJ08110
59-0835484 		CONTRIBUTING EMP NJ NA
  		C CORP         No
(82) D & A HAULING LLC

10860 PARLIN TERRACE
PHILADELPHIA,PA19116
20-8993497 		CONTRIBUTING EMP PA NA
  		C CORP         No
(83) DANELLA CONSTRUCTION CORP

2290 BUTLER PIKE
PLYMOUTH MEETING,PA19462
23-1396417 		CONTRIBUTING EMP PA NA
  		C CORP         No
(84) D'ANGELO BROS INC

3700 S 26TH STREET
PHILA,PA19145
23-0508690 		CONTRIBUTING EMP PA NA
  		C CORP         No
(85) DANIELS AND SONS LIMITED

500 BRIGHTON ROAD
COLLEGEVILLE,PA19426
46-0594226 		CONTRIBUTING EMP PA NA
  		C CORP         No
(86) DARLING INTERNATIONAL INC

825 WILSON AVENUE
NEWARK,NJ07105
36-2495346 		CONTRIBUTING EMP NJ NA
  		C CORP         No
(87) DAVID M CAMPBELL INC

2458 SANATOGA ROAD
POTTSTOWN,PA19464
34-1987706 		CONTRIBUTING EMP PA NA
  		C CORP         No
(88) DAY & ZIMMERMAN NPS

FRINGE BENEFIT DEPT
LANCASTER,PA17601
23-2499111 		CONTRIBUTING EMP PA NA
  		C CORP         No
(89) DB TRUCKING INC

PO BOX 567
JAMISON,PA18929
23-3092588 		CONTRIBUTING EMP PA NA
  		C CORP         No
(90) DCD CONTRACTING INC

34 E GERMANTOWN PIKE 232
NORRISTOWN,PA19401
86-1175352 		CONTRIBUTING EMP PA NA
  		C CORP         No
(91) DE PAUL CONCRETE CO

1750 WALTON RD BX 1667
BLUE BELL,PA19422
23-2342060 		CONTRIBUTING EMP PA NA
  		C CORP         No
(92) DELAWARE SHIP SUPPLY CO

100 ATLANTIC AVENUE
CAMDEN,NJ08104
23-1744685 		CONTRIBUTING EMP NJ NA
  		C CORP         No
(93) DELAWARE VALLEY STEEL

2249 WEST MANOR AVENUE
UPPER DARBY,PA19082
23-1439966 		CONTRIBUTING EMP PA NA
  		C CORP         No
(94) DELTA LINE CONSTRUCTION

7 ROBERT BEST ROAD
EGG HARBOR TOWNSHIP,NJ08234
21-0721607 		CONTRIBUTING EMP NJ NA
  		C CORP         No
(95) DEPENDABLE DISTRIBUTION SER

1301 UNION AVENUE
PENNSAUKEN,NJ08110
22-1761977 		CONTRIBUTING EMP NJ NA
  		C CORP         No
(96) DEVAULT GROUP INC

3025 CASTOR AVENUE
PHILADELPHIA,PA19134
42-1655992 		CONTRIBUTING EMP PA NA
  		C CORP         No
(97) DHL EXPRESS (USA) INC

570 POLARIS PARKWAY
WESTERVILLE,OH43082
91-0837469 		CONTRIBUTING EMP OH NA
  		C CORP         No
(98) DHL(AEI) CO ASKPAYROLL

850 CALCON HOOK ROAD
SHARON HILL,PA19079
36-2074327 		CONTRIBUTING EMP PA NA
  		C CORP         No
(99) DIETZ & WATSON MEAT CO

5701 TACONY STREET
PHILADELPHIA,PA19135
23-0526135 		CONTRIBUTING EMP PA NA
  		C CORP         No
(100) DIOCESE OF CAMDEN CEMETERIES

631 MARKET STREET
CAMDEN,NJ08102
21-0634498 		CONTRIBUTING EMP NJ NA
  		C CORP         No
(101) DMD PRODUCTIONS LLC

TEAMSTERS LOCAL UNION 817
GREAT NECK,NY11021
27-3029605 		CONTRIBUTING EMP NY NA
  		C CORP         No
(102) DNA INC

TEAMSTERS LOCAL UNION 817
GREAT NECK,NY11021
95-4111275 		CONTRIBUTING EMP NY NA
  		C CORP         No
(103) DOMINIC LOLLI & SON LLC

111 WEST DOMINION DRIVE
MARLTON,NJ08053
22-3809083 		CONTRIBUTING EMP NJ NA
  		C CORP         No
(104) DOWNS BROTHERS HAULING INC

PO BOX 639
MT LAUREL,NJ08054
23-1308787 		CONTRIBUTING EMP NJ NA
  		C CORP         No
(105) DRISCOLL CONSTRUCTION CO INC

1740 WALTON ROAD
BLUE BELL,PA19422
23-1271402 		CONTRIBUTING EMP PA NA
  		C CORP         No
(106) DUBIN PAPER CO AT BORT

1910 S COLUMBUS BLVD
PHILA,PA19148
23-0537340 		CONTRIBUTING EMP PA NA
  		C CORP         No
(107) DUMP UR LOAD EXPRESS INC

26 THORNYAPPLE LANE
LEVITTOWN,PA19054
20-0759492 		CONTRIBUTING EMP PA NA
  		C CORP         No
(108) E A DAGES INC

975 BETHLEHEM PIKE
MONTGOMERYVILLE,PA18936
23-1322571 		CONTRIBUTING EMP PA NA
  		C CORP         No
(109) E W KEAN CO INC

6700 ESSINGTON AVENUE
PHILADELPHIA,PA19153
23-1657719 		CONTRIBUTING EMP PA NA
  		C CORP         No
(110) EDGAR M HERR INC

979 KIRKWOOD PIKE
QUARRYVILLE,PA17566
23-1711368 		CONTRIBUTING EMP PA NA
  		C CORP         No
(111) ELLIOTT-LEWIS CONVENTION SVS

2900 BLACK LAKE PLACE
PHILADELPHIA,PA19154
23-1313749 		CONTRIBUTING EMP PA NA
  		C CORP         No
(112) ENVIRONMENTAL CROSSINGS INC

1306 N FM 3083 RD E
CONROE,TX77303
38-3042053 		CONTRIBUTING EMP TX NA
  		C CORP         No
(113) ESM PRODUCTIONS INC

1600 JFK BOULEVARD
PHILADELPHIA,PA19102
23-2868700 		CONTRIBUTING EMP PA NA
  		C CORP         No
(114) EURAMAX INTERNATIONALBERGER

5445 TRIANGLE PARKWAY
NORCROSS,GA30092
23-0403055 		CONTRIBUTING EMP GA NA
  		C CORP         No
(115) EUSA - ALLIED ACQUISITION

100 MYLES STANDISH BLVD
TAUNTON,MA02780
04-3840371 		CONTRIBUTING EMP MA NA
  		C CORP         No
(116) F C HAAB CO INC

2314 MARKET ST
PHILA,PA19103
23-1269582 		CONTRIBUTING EMP PA NA
  		C CORP         No
(117) FERGUSON ENTERPRISES INC

10205 10TH AVENUE NORTH
PLYMOUTH,MN55441
23-1508749 		CONTRIBUTING EMP MN NA
  		C CORP         No
(118) FESSENDEN HALL INC

1050 SHERMAN AVE
PENNSAUKEN,NJ08110
23-1481140 		CONTRIBUTING EMP NJ NA
  		C CORP         No
(119) FIRST PHILA LABOR SERVICES

1512 S 13TH STREET
PHILADELPHIA,PA19147
27-1704162 		CONTRIBUTING EMP PA NA
  		C CORP         No
(120) FIZZANO BROTHERS CONCRETE

1776 CHESTER PIKE
CRUM LYNNE,PA19022
23-1310186 		CONTRIBUTING EMP PA NA
  		C CORP         No
(121) FORREST THEATRE

THE SHUBERT ORGANIZATION
NEW YORK,NY10036
13-2751366 		CONTRIBUTING EMP NY NA
  		C CORP         No
(122) FOUNDATION STRUCTURES INC

1740 WALTON ROAD
BLUE BELL,PA19422
23-2860297 		CONTRIBUTING EMP PA NA
  		C CORP         No
(123) FREEMAN DECORATING CO

BRANCH 909 NEWARK TURNPIKE
KEARNY,NJ07032
42-0661692 		CONTRIBUTING EMP NJ NA
  		C CORP         No
(124) FREEMAN DECORATING CO

PO BOX 660613
DALLAS,TX75266
42-0661692 		CONTRIBUTING EMP TX NA
  		C CORP         No
(125) FRESH EXPRESS - SINGLE

7505 GRAYSON ROAD
HARRISBURG,PA17111
23-2063194 		CONTRIBUTING EMP PA NA
  		C CORP         No
(126) FRONT STREET REFRIDGERATED

CO HOLT LOGISTICS
GLOUCESTER CITY,NJ08030
46-1241363 		CONTRIBUTING EMP NJ NA
  		C CORP         No
(127) G & G PRODUCE INC

6700 ESSINGTON AVENUE
PHILADELPHIA,PA19153
23-2817025 		CONTRIBUTING EMP PA NA
  		C CORP         No
(128) GK PRODUCE INC

6700 ESSINGTON AVENUE
PHILADELPHIA,PA19153
23-2704678 		CONTRIBUTING EMP PA NA
  		C CORP         No
(129) GENERAL ASPHALT PAVING CO

9301 KREWSTOWN ROAD
PHILA,PA19115
23-1462368 		CONTRIBUTING EMP PA NA
  		C CORP         No
(130) GENERAL EXPOSITION SERVICES

205 WINDSOR ROAD
POTTSTOWN,PA19464
23-2682585 		CONTRIBUTING EMP PA NA
  		C CORP         No
(131) GEORGE L WELLS MEAT COMPANY

982 N DELAWARE AVE
PHILA,PA19123
23-1207100 		CONTRIBUTING EMP PA NA
  		C CORP         No
(132) GEORGE YOUNG COMPANY

509 HERON DRIVE
SWEDESBORO,NJ08085
23-1667336 		CONTRIBUTING EMP NJ NA
  		C CORP         No
(133) GEPPERT BROS INC

3101 TREWIGTOWN ROAD
COLMAR,PA18915
23-1574094 		CONTRIBUTING EMP PA NA
  		C CORP         No
(134) GES-GLOBAL EXP SPECIALISTS

PO BOX 400430
LAS VEGAS,NV89140
34-0655581 		CONTRIBUTING EMP NV NA
  		C CORP         No
(135) GLASGOW INC

WILLOW GROVE LIMEKILN PIKE
GLENSIDE,PA19038
23-1386976 		CONTRIBUTING EMP PA NA
  		C CORP         No
(136) GLASGOW INC

WILLOW GROVE LIMEKILN PIKE
GLENSIDE,PA19038
23-1172580 		CONTRIBUTING EMP PA NA
  		C CORP         No
(137) GLOBAL SPECTRUM

CITIZENS BANK PARK
PHILADELPHIA,PA19148
23-2513233 		CONTRIBUTING EMP PA NA
  		C CORP         No
(138) GLOUCESTER TERMINALS (WHSE)

701 N BROADWAY
GLOUCESTER,NJ08030
22-3222625 		CONTRIBUTING EMP NJ NA
  		C CORP         No
(139) GLOUCESTER TERMINALS LLC

CO HOLT LOGISTICS CORP
GLOUCESTER CITY,NJ08030
65-0379117 		CONTRIBUTING EMP NJ NA
  		C CORP         No
(140) GOURMET BAKERY DISTRIBUTORS

3381 US HIGHWAY 206
BORDENTOWN,NJ08505
52-1529550 		CONTRIBUTING EMP NJ NA
  		C CORP         No
(141) GRACE OIL COGRACE ENERGY

PO BOX 178
RIO GRANDE,NJ08242
21-0462630 		CONTRIBUTING EMP NJ NA
  		C CORP         No
(142) GRAEBEL EASTERN MOVERS INC

923 N LENOLA ROAD
MOORESTOWN,NJ08057
23-1434751 		CONTRIBUTING EMP NJ NA
  		C CORP         No
(143) GRAYBAR ELECTRIC COMPANY

1550 S WARFIELD STREET
PHILADELPHIA,PA19148
13-0794380 		CONTRIBUTING EMP PA NA
  		C CORP         No
(144) GREGGO AND FERRARA INC

4048 NEW CASTLE AVE
NEW CASTLE,DE19720
51-0061777 		CONTRIBUTING EMP DE NA
  		C CORP         No
(145) GROUND PENETRATION & RESTOR

8405 HEGERMAN STREET
PHILADELPHIA,PA19136
20-0313795 		CONTRIBUTING EMP PA NA
  		C CORP         No
(146) GROVE SUPPLY INC

106 STEAMBOAT DRIVE
WARMINSTER,PA18974
23-1315466 		CONTRIBUTING EMP PA NA
  		C CORP         No
(147) GRZ CONTRACTORS LLP

4921 STUMP ROAD
PIPERSVILLE,PA18947
20-8001233 		CONTRIBUTING EMP PA NA
  		C CORP         No
(148) H T SWEENEY & SON INC

308 DUTTON MILL ROAD
CHESTER,PA19015
23-1897690 		CONTRIBUTING EMP PA NA
  		C CORP         No
(149) HAINES & KIBBLEHOUSE INC

PO BOX 196
SKIPPACK,PA19474
23-1699847 		CONTRIBUTING EMP PA NA
  		C CORP         No
(150) HAKE RIGGING - DIV OF BARNHA

1502 CHESTER PIKE
EDDYSTONE,PA19022
20-3110467 		CONTRIBUTING EMP PA NA
  		C CORP         No
(151) HAMADA INC

2848 FRANKFORD AVE
PHILA,PA19134
23-1579540 		CONTRIBUTING EMP PA NA
  		C CORP         No
(152) HANSON AGGREGATES BMC INC

PO BOX 660225
DALLAS,TX75266
23-1542403 		CONTRIBUTING EMP TX NA
  		C CORP         No
(153) HARGROVE INC

1 HARGROVE DRIVE
LANHAM,MD20706
52-0697413 		CONTRIBUTING EMP MD NA
  		C CORP         No
(154) HATZEL & BUEHLER INC

3600 SILVERSIDE ROAD
WILMINGTON,DE19810
13-0828930 		CONTRIBUTING EMP DE NA
  		C CORP         No
(155) HEAVY EQUIPMENT RENTAL INC

218 MARSH LANE
NEW CASTLE,DE19720
51-0278384 		CONTRIBUTING EMP DE NA
  		C CORP         No
(156) HEITKAMP INC

99 CALLENDER ROAD
WATERTOWN,CT06795
22-2384299 		CONTRIBUTING EMP CT NA
  		C CORP         No
(157) HENKELS & MC COY INC

985 JOLLY ROAD
BLUE BELL,PA19422
23-1535602 		CONTRIBUTING EMP PA NA
  		C CORP         No
(158) HENKELS & MC COY INC

JOLLY ROAD
BLUE BELL,PA19422
23-1733148 		CONTRIBUTING EMP PA NA
  		C CORP         No
(159) HERMAN GOLDNER CO INC

7777 BREWSTER AVENUE
PHILA,PA19153
23-0633740 		CONTRIBUTING EMP PA NA
  		C CORP         No
(160) HIGHWAY SAFETY PROTECTION CO

PO BOX 677
SYOSSET,NY11791
26-1248625 		CONTRIBUTING EMP NY NA
  		C CORP         No
(161) HIGHWAY SAFETY SYSTEMS INC

716 WHITE HORSE PIKE
HAMMONTON,NJ08037
22-3786298 		CONTRIBUTING EMP NJ NA
  		C CORP         No
(162) HILL CREST DAIRY FARMS

3008 STATE ROAD
BENSALEM,PA19020
23-1550701 		CONTRIBUTING EMP PA NA
  		C CORP         No
(163) HOP ENERGY LLC

178 BRUCKNER BOULEVARD
BRONX,NY10474
06-1434797 		CONTRIBUTING EMP NY NA
  		C CORP         No
(164) HORIZON SCRIPTED TELEVISION

TEAMSTERS LOCAL UNION 817
GREAT NECK,NY11021
95-4448498 		CONTRIBUTING EMP NY NA
  		C CORP         No
(165) HOSTESS BRANDS

12 E ARMOUR BOULEVARD
KANSAS CITY,MO64111
44-0296705 		CONTRIBUTING EMP MO NA
  		C CORP         No
(166) HP HOOD LLC

10975 DUTTON ROAD
PHILADELPHIA,PA19154
15-0282160 		CONTRIBUTING EMP PA NA
  		C CORP         No
(167) HP HOOD LLC

10975 DUTTON ROAD
PHILADELPHIA,PA19154
23-1431556 		CONTRIBUTING EMP PA NA
  		C CORP         No
(168) HSI PRODUCTIONS

TEAMSTERS LOCAL UNION 817
GREAT NECK,NY11021
52-1769464 		CONTRIBUTING EMP NY NA
  		C CORP         No
(169) HUDSON NEWS DISTRIBUTORS LLC

10 CANALE DRIVE
EGG HARBOR TOWNSHIP,NJ08234
11-3668123 		CONTRIBUTING EMP NJ NA
  		C CORP         No
(170) HUNTER BROTHERS INC

6700 ESSINGTON AVENUE
PHILADELPHIA,PA19153
23-1677126 		CONTRIBUTING EMP PA NA
  		C CORP         No
(171) IACONELLI CONTRACTING INC

943 MILL ROAD
PLEASANTVILLE,NJ08232
22-2113232 		CONTRIBUTING EMP NJ NA
  		C CORP         No
(172) INNOVATIVE RECOVERY PROD

143 HARDING AVENUE
BELLMAWR,NJ08031
22-3683816 		CONTRIBUTING EMP NJ NA
  		C CORP         No
(173) INTEGRATED BUILDING SYSTEMS

1929 DARBY ROAD
HAVERTOWN,PA19083
23-1392600 		CONTRIBUTING EMP PA NA
  		C CORP         No
(174) J & D TRUCKING INC

3526 NW BLVD
VINELAND,NJ08360
22-3540085 		CONTRIBUTING EMP NJ NA
  		C CORP         No
(175) J & P CONTRACTING CO

31 EAST FRONT STREET
MEDIA,PA19063
23-2576618 		CONTRIBUTING EMP PA NA
  		C CORP         No
(176) J AMBROGI FOODS

1400 METROPOLITAN AVENUE
THOROFARE,NJ08086
51-0297646 		CONTRIBUTING EMP NJ NA
  		C CORP         No
(177) J D M MATERIALS CO INC

851 COUNTY LINE RD
HUNTINGDON VALLEY,PA19006
23-1445920 		CONTRIBUTING EMP PA NA
  		C CORP         No
(178) J FLETCHER CREAMER & SON

101 EAST BROADWAY
HACKENSACK,NJ07601
21-0665029 		CONTRIBUTING EMP NJ NA
  		C CORP         No
(179) J J MALONEY INC

7235 BOULEVARD AVE
PENNSAUKEN,NJ08110
22-2068530 		CONTRIBUTING EMP NJ NA
  		C CORP         No
(180) J J WHITE INC

5500 BINGHAM STREET
PHILADELPHIA,PA19120
23-1216160 		CONTRIBUTING EMP PA NA
  		C CORP         No
(181) J RAY PATTERSON INC

3201 W 2ND STREET
CHESTER,PA19013
23-1575519 		CONTRIBUTING EMP PA NA
  		C CORP         No
(182) J T RILEY INC

330 W GIRARD AVENUE
PHILADELPHIA,PA19122
23-1020920 		CONTRIBUTING EMP PA NA
  		C CORP         No
(183) JAM EXCAVATING LLC

940 OAK DR
SARATOGA,PA19464
27-4666706 		CONTRIBUTING EMP PA NA
  		C CORP         No
(184) JG NASCON INC

1400 INDUSTRIAL HIGHWAY
EDDYSTONE,PA19022
23-2617087 		CONTRIBUTING EMP PA NA
  		C CORP         No
(185) JACK COOPER TRANSPORT CO INC

1100 WALNUT STREET
KANSAS CITY,MO64106
39-1589152 		CONTRIBUTING EMP MO NA
  		C CORP         No
(186) JAMES D MORRISSEY INC

9119 FRANKFORD AVE
PHILA,PA19114
23-1268801 		CONTRIBUTING EMP PA NA
  		C CORP         No
(187) JAMES J ANDERSON CO INC

6958 TORRESDALE AVE
PHILA,PA19135
23-2177868 		CONTRIBUTING EMP PA NA
  		C CORP         No
(188) JAY GRESS INC

1225 W RIDGE PIKE
CONSHOHOCKEN,PA19428
23-1286076 		CONTRIBUTING EMP PA NA
  		C CORP         No
(189) JESSE PITT COMPANY

6700 ESSINGTON AVENUE
PHILADELPHIA,PA19153
23-1695154 		CONTRIBUTING EMP PA NA
  		C CORP         No
(190) JMJS COMPANY LLC

3010 SUNSET AVENUE
ATLANTIC CITY,NJ08401
22-3350750 		CONTRIBUTING EMP NJ NA
  		C CORP         No
(191) JOHN CURRY INC

5050 CENTRAL HIGHWAY
PENNSAUKEN,NJ08109
23-1319977 		CONTRIBUTING EMP NJ NA
  		C CORP         No
(192) JOHN CURRY INC (RUMSEY)

5050 CENTRAL HIGHWAY
PENNSAUKEN,NJ08109
23-1319971 		CONTRIBUTING EMP NJ NA
  		C CORP         No
(193) JOHN J DOUGHERTY & SON INC

18 NEALY BOULEVARD
TRAINER,PA19061
23-1867483 		CONTRIBUTING EMP PA NA
  		C CORP         No
(194) JOHN VENA INC

6700 ESSINGTON AVENUE
PHILADELPHIA,PA19153
23-1383869 		CONTRIBUTING EMP PA NA
  		C CORP         No
(195) JOHN WALESKI PRODUCE

6700 ESSINGTON AVENUE
PHILADELPHIA,PA19153
23-1397388 		CONTRIBUTING EMP PA NA
  		C CORP         No
(196) JONES MOTOR - ALLEGHENY DIV

PO BOX 137
SPRING CITY,PA19475
23-1253521 		CONTRIBUTING EMP PA NA
  		C CORP         No
(197) JPC GROUP INC

2034 S 13TH STREET
PHILADELPHIA,PA19148
23-3085595 		CONTRIBUTING EMP PA NA
  		C CORP         No
(198) JUPITER PCC INC

1500 RIVER ROAD
CROYDON,PA19021
23-1703174 		CONTRIBUTING EMP PA NA
  		C CORP         No
(199) JYE INC

221 MECHANIC STREET
CAMDEN,NJ08104
22-2690981 		CONTRIBUTING EMP NJ NA
  		C CORP         No
(200) KALECK BROTHERS INC

6700 ESSINGTON AVENUE
PHILADELPHIA,PA19153
23-1711864 		CONTRIBUTING EMP PA NA
  		C CORP         No
(201) KEHOE CONSTRUCTION

221 MILL STREET
BRIDGEPORT,PA19405
23-2990132 		CONTRIBUTING EMP PA NA
  		C CORP         No
(202) KELLERS CREAMERY LLC

855 MAPLE AVENUE
HARLEYSVILLE,PA19438
43-1876190 		CONTRIBUTING EMP PA NA
  		C CORP         No
(203) KEVIN RYDER INC

2683 FALLOW HILL LANE
JAMISON,PA18929
33-1139971 		CONTRIBUTING EMP PA NA
  		C CORP         No
(204) KEYSTONE CONTRACTORS INC

9105 COLLINS AVENUE
PENNSAUKEN,NJ08110
22-3300791 		CONTRIBUTING EMP NJ NA
  		C CORP         No
(205) KIMMEL CENTER INC

1500 WALNUT ST
PHILADELPHIA,PA19102
23-2865855 		CONTRIBUTING EMP PA NA
  		C CORP         No
(206) KISSIN FRESH MEATS INC

140 E RICHMOND STREET
PHILADELPHIA,PA19125
23-2748671 		CONTRIBUTING EMP PA NA
  		C CORP         No
(207) KLAYMAN PRODUCE CO INC

6700 ESSINGTON AVENUE
PHILADELPHIA,PA19153
23-2229129 		CONTRIBUTING EMP PA NA
  		C CORP         No
(208) KLINGHOFFER BROTHERS INC

6700 ESSINGTON AVENUE
PHILADELPHIA,PA19153
23-2513395 		CONTRIBUTING EMP PA NA
  		C CORP         No
(209) KRAMER BEVERAGE CO

161 S SECOND ROAD
HAMMONTON,NJ08037
21-0493780 		CONTRIBUTING EMP NJ NA
  		C CORP         No
(210) L CRUZ DEVELOPMENT LLC

127 W SUSQUEHANNA AVE
PHILADELPHIA,PA19122
20-4393049 		CONTRIBUTING EMP PA NA
  		C CORP         No
(211) LAFAYETTE UTILITY CONSTRUCT

9 ATLANTIC AVENUE
EGG HARBOR TOWNSHIP,NJ08234
22-1828238 		CONTRIBUTING EMP NJ NA
  		C CORP         No
(212) LARRY MAGID ENTERTAINMENT

1033 NORTH 2ND STREET
PHILADELPHIA,PA19123
16-9340897 		CONTRIBUTING EMP PA NA
  		C CORP         No
(213) LEHIGH VALLEY DAIRY FARMS

880 ALLENTOWN ROAD
LANSDALE,PA19446
22-3514312 		CONTRIBUTING EMP PA NA
  		C CORP         No
(214) LIBERTY TRANSPORT

820 EAST GATE ROAD
MOUNT LAUREL,NJ08054
11-3283281 		CONTRIBUTING EMP NJ NA
  		C CORP         No
(215) LIMBACH COMPANY LLC

175 TITUS AVENUE
WARRINGTON,PA18976
13-5653093 		CONTRIBUTING EMP PA NA
  		C CORP         No
(216) LINCOLN WAY ELECTRIC INC

114 WEST MEADOW DRIVE
WEST GROVE,PA19390
38-3751224 		CONTRIBUTING EMP PA NA
  		C CORP         No
(217) LINDENMEYR MUNROE

3300 HORIZON DRIVE
KING OF PRUSSIA,PA19406
11-1747901 		CONTRIBUTING EMP PA NA
  		C CORP         No
(218) LINDENMEYR MUNROE

3300 HORIZON DRIVE
KING OF PRUSSIA,PA19406
23-1193650 		CONTRIBUTING EMP PA NA
  		C CORP         No
(219) LINDENMEYR MUNROE - NEW EMP

3300 HORIZON DRIVE
KING OF PRUSSIA,PA19406
13-0425246 		CONTRIBUTING EMP PA NA
  		C CORP         No
(220) LIVE NATION WORLDWIDE INC

111 PRESIDENTIAL BLVD
BALA CYNWYD,PA19004
23-2326596 		CONTRIBUTING EMP PA NA
  		C CORP         No
(221) LOCAL 32BJ

101 AVENUE OF THE AMERICAS
NEW YORK,NY10013
13-0535740 		CONTRIBUTING EMP NY NA
  		C CORP         No
(222) LOUIS P CANUSO INC

401 CROWN POINT ROAD
THOROFARE,NJ08086
22-1807170 		CONTRIBUTING EMP NJ NA
  		C CORP         No
(223) LOWE & SONS HAULING

221 GWYNEDD AVENUE
NORTH WALES,PA19454
46-1896775 		CONTRIBUTING EMP PA NA
  		C CORP         No
(224) LOWER SOUTHAMPTON TOWNSHIP

1500 DESIRE AVENUE
FEASTERVILLE,PA19053
23-6000404 		CONTRIBUTING EMP PA NA
  		C CORP         No
(225) M LEVIN & COMPANY

6700 ESSINGTON AVENUE
PHILADELPHIA,PA19153
23-0697708 		CONTRIBUTING EMP PA NA
  		C CORP         No
(226) MCT SERVICES LLC

7401 WEST 129TH STREET
OVERLAND PARK,KS66213
38-3634355 		CONTRIBUTING EMP KS NA
  		C CORP         No
(227) ML RUBERTON CONSTR CO INC

PO BOX 564
HAMMONTON,NJ08037
22-2115708 		CONTRIBUTING EMP NJ NA
  		C CORP         No
(228) MADISON CONCRETE CONST

130 QUAKER LANE
MALVERN,PA19355
23-2500945 		CONTRIBUTING EMP PA NA
  		C CORP         No
(229) MANN CENTER FOR THE PERFORM

123 S BROAD ST-STE 815
PHILA,PA19109
23-1473884 		CONTRIBUTING EMP PA NA
  		C CORP         No
(230) MARANO TRUCK LINES INC

PO BOX 402
LAHASKA,PA18931
04-5356624 		CONTRIBUTING EMP PA NA
  		C CORP         No
(231) MARANO TRUCK LINES INC

PO BOX 402
LAHASKA,PA18931
45-3565624 		CONTRIBUTING EMP PA NA
  		C CORP         No
(232) MARTIN-BROWER LLC

201 WAVERLY BLVD
COATESVILLE,PA19320
36-4221605 		CONTRIBUTING EMP PA NA
  		C CORP         No
(233) MARTINELLI CONSTRUCTION LLC

PO BOX 615
HAMMONTON,NJ08037
26-1348310 		CONTRIBUTING EMP NJ NA
  		C CORP         No
(234) MDC (METRO DISTRIBUTION CO)

8 OREGON AVENUE
PHILADELPHIA,PA19148
33-1150829 		CONTRIBUTING EMP PA NA
  		C CORP         No
(235) MECO TRUCKING COMPANY

684 DUNKSFERRY ROAD
BENSALEM,PA19020
23-2797281 		CONTRIBUTING EMP PA NA
  		C CORP         No
(236) MEGA CONSTRUCTION CO

13451 DAMAR DRIVE
PHILADELPHIA,PA19116
23-2614354 		CONTRIBUTING EMP PA NA
  		C CORP         No
(237) MENA CONSTRUCTION INC

3245 SOUTH 74TH STREET
PHILADELPHIA,PA19153
02-0547953 		CONTRIBUTING EMP PA NA
  		C CORP         No
(238) METAL ALLIANCE INC

424 PIKE ROAD
HUNTINGDON VALLEY,PA19006
23-2749020 		CONTRIBUTING EMP PA NA
  		C CORP         No
(239) METRA INDUSTRIES INC

50 MULLER PLACE
LITTLE FALLS,NJ07424
22-2314048 		CONTRIBUTING EMP NJ NA
  		C CORP         No
(240) METRO READY MIX & SUPPLY

4455 CASTOR AVENUE
PHILADELPHIA,PA19124
23-2964778 		CONTRIBUTING EMP PA NA
  		C CORP         No
(241) METROPOLITAN EXPOSITION SVC

115 MOONACHIE AVENUE
MOONACHIE,NJ07074
22-3787541 		CONTRIBUTING EMP NJ NA
  		C CORP         No
(242) MICHEL'S BAKERY INC

5698 RISING SUN AVENUE
PHILADELPHIA,PA19120
23-1279986 		CONTRIBUTING EMP PA NA
  		C CORP         No
(243) MID-ATLANTIC ABATEMENT LLC

PO BOX 70
WINSLOW,NJ08095
27-1161890 		CONTRIBUTING EMP NJ NA
  		C CORP         No
(244) MILL CORPORATION

6101 TACONY STREET
PHILA,PA19135
23-1889146 		CONTRIBUTING EMP PA NA
  		C CORP         No
(245) MILLER & SON PAVING INC

6100 NORTH EASTON ROAD
PIPERSVILLE,PA18947
23-1539004 		CONTRIBUTING EMP PA NA
  		C CORP         No
(246) MINISCALCO CONSTRUCTION LLC

2052 LUCON ROAD
SKIPPACK,PA19474
20-4711311 		CONTRIBUTING EMP PA NA
  		C CORP         No
(247) MOLLY CONSTRUCTION INC

1125 E VENANGO STREET
PHILADELPHIA,PA19134
23-2461693 		CONTRIBUTING EMP PA NA
  		C CORP         No
(248) MONDELEZ INTERNTL (NABISCO)

355 CLEARVIEW AVENUE
EDISON,NJ08810
38-3869170 		CONTRIBUTING EMP NJ NA
  		C CORP         No
(249) MORABITO BAKING COMPANY

757 KOHN STREET
NORRISTOWN,PA19401
23-1530282 		CONTRIBUTING EMP PA NA
  		C CORP         No
(250) MORRIS IRON & STEEL CO

7345 MILNOR STREET
PHILA,PA19136
23-1250280 		CONTRIBUTING EMP PA NA
  		C CORP         No
(251) MOULTON LADDER & SUPPLY CO

5200 UNRUH STREET - BLDG A
PHILADELPHIA,PA19135
23-0895310 		CONTRIBUTING EMP PA NA
  		C CORP         No
(252) MOUNT CONSTRUCTION CO INC

427 S WHITE HORSE PIKE
BERLIN,NJ08009
22-3170892 		CONTRIBUTING EMP NJ NA
  		C CORP         No
(253) NARDELLA INC

6700 ESSINGTON AVENUE
PHILADELPHIA,PA19153
23-1033300 		CONTRIBUTING EMP PA NA
  		C CORP         No
(254) NELLO CONSTRUCTION CO

2935 E VICTORIA STREET
PHILA,PA19134
23-1720123 		CONTRIBUTING EMP PA NA
  		C CORP         No
(255) NEP COLD STORAGE INC

2701 RED LION ROAD
PHILADELPHIA,PA19114
65-1235094 		CONTRIBUTING EMP PA NA
  		C CORP         No
(256) NEW DEAL LUMBER COMPANY INC

5149 LANCASTER AVENUE
PHILA,PA19131
21-0673606 		CONTRIBUTING EMP PA NA
  		C CORP         No
(257) NEW PENN MOTOR EXPRESS

2300 GARRY ROAD
CINNAMINSON,NJ08077
23-2209533 		CONTRIBUTING EMP NJ NA
  		C CORP         No
(258) NGL-MA LLC CO OSTERMAN PR

CO OSTERMAN PROPANE
WHITENSVILLE,MA01588
90-0790881 		CONTRIBUTING EMP MA NA
  		C CORP         No
(259) NORRISTOWN MUNICPAL WASTE

368 E WASHINGTON STREET
NORRISTOWN,PA19401
23-2743230 		CONTRIBUTING EMP PA NA
  		C CORP         No
(260) NORTHAMPTON BUCKS CNTY MUNIC

111 TOWNSHIP ROAD
RICHBORO,PA18954
23-1662981 		CONTRIBUTING EMP PA NA
  		C CORP         No
(261) NORTHEAST METAL TRADERS

7345 MILNOR STREET
PHILADELPHIA,PA19136
23-2729349 		CONTRIBUTING EMP PA NA
  		C CORP         No
(262) NOVA PRIME INC

TEAMSTERS LOCAL UNION 817
GREAT NECK,NY11021
13-3548681 		CONTRIBUTING EMP NY NA
  		C CORP         No
(263) NOVICK BROTHERS

3660 S LAWRENCE ST
PHILA,PA19148
23-1627593 		CONTRIBUTING EMP PA NA
  		C CORP         No
(264) OBAMA FOR AMERICA

CO SPOTLIGHT PAYROLL INC
CHICAGO,IL60606
36-3093253 		CONTRIBUTING EMP IL NA
  		C CORP         No
(265) OPERA COMPANY OF PHILA

1420 LOCUST STREET
PHILADELPHIA,PA19102
23-1504706 		CONTRIBUTING EMP PA NA
  		C CORP         No
(266) OPTION SQUARED FILMS

TEAMSTERS LOCAL UNION 817
GREAT NECK,NY11021
26-3743138 		CONTRIBUTING EMP NY NA
  		C CORP         No
(267) OROGRAIN BAKERIES (EXTON)

690 EAST LINCOLN HIGHWAY
EXTON,PA19341
11-3519173 		CONTRIBUTING EMP PA NA
  		C CORP         No
(268) OTIS EASTERN SERVICE INC

PO BOX 330
WELLSVILLE,NY14895
16-0725868 		CONTRIBUTING EMP NY NA
  		C CORP         No
(269) P DIMARCO & CO INC

1000 CONSHOHOCKEN ROAD
CONSHOHOCKEN,PA19428
23-1496652 		CONTRIBUTING EMP PA NA
  		C CORP         No
(270) PE KRAMME INC

PO BOX 937
MONROEVILLE,NJ08343
21-0493820 		CONTRIBUTING EMP NJ NA
  		C CORP         No
(271) PALMISANO DELIVERY SERVICE

2520 CASTOR AVENUE
PHILADELPHIA,PA19134
22-1934239 		CONTRIBUTING EMP PA NA
  		C CORP         No
(272) PAUL GIORDANO & SONS INC

6700 ESSINGTON AVENUE
PHILADELPHIA,PA19153
23-2461862 		CONTRIBUTING EMP PA NA
  		C CORP         No
(273) PENN JERSEY BLDG MATERIALS

PO BOX 264
PLEASANTVILLE,NJ08232
21-0715649 		CONTRIBUTING EMP NJ NA
  		C CORP         No
(274) PENN LINE SERVICE INC

300 SCOTTDALE AVENUE
SCOTTDALE,PA15683
25-1000923 		CONTRIBUTING EMP PA NA
  		C CORP         No
(275) PENN WAREHOUSE & DISTR

2147 S COLUMBUS BLVD
PHILA,PA19148
23-1611879 		CONTRIBUTING EMP PA NA
  		C CORP         No
(276) PENNA WELDING SUPPLY CO

242 E HUNTING PARK AVE
PHILA,PA19124
23-1398291 		CONTRIBUTING EMP PA NA
  		C CORP         No
(277) PENNSVILLE SEWAGE AUTHORITY

90 NORTH BROADWAY
PENNSVILLE,NJ08070
21-6007553 		CONTRIBUTING EMP NJ NA
  		C CORP         No
(278) PENNSYLVANIA JERSEY CONCRETE

PO BOX 264
PLEASANTVILLE,NJ08232
22-3759819 		CONTRIBUTING EMP NJ NA
  		C CORP         No
(279) PETRONGOLO CONTRACTORS INC

2120 HOMESTEAD STREET
PHILA,PA19145
23-2248288 		CONTRIBUTING EMP PA NA
  		C CORP         No
(280) PHILA MEDIA NETWORK

801 MARKET STREET
PHILADELPHIA,PA19107
27-2937767 		CONTRIBUTING EMP PA NA
  		C CORP         No
(281) PHILA ORCHESTRA ASSN

ONE SOUTH BROAD STREET
PHILA,PA19107
23-1352289 		CONTRIBUTING EMP PA NA
  		C CORP         No
(282) PHILLIPS ENTERPRISE INC

2 SPRINGFIELD ROAD
ALDAN,PA19018
23-3046187 		CONTRIBUTING EMP PA NA
  		C CORP         No
(283) PHILLY AUTO LABOR SVC

CO HOLT LOGISTICS CORP
GLOUCESTER CITY,NJ08030
27-2470855 		CONTRIBUTING EMP NJ NA
  		C CORP         No
(284) PHILLY PRODUCE LLC

2-44 CORNELIA STREET
NEWARK,NJ07105
45-5469417 		CONTRIBUTING EMP NJ NA
  		C CORP         No
(285) PINTO BROTHERS INC

6700 ESSINGTON AVENUE
PHILADELPHIA,PA19153
23-1858663 		CONTRIBUTING EMP PA NA
  		C CORP         No
(286) PINTO BROTHERS INC (NBU)

6700 ESSINGTON AVENUE
PHILADELPHIA,PA19153
23-1858663 		CONTRIBUTING EMP PA NA
  		C CORP         No
(287) PIPE LINE TECHNOLOGY INC

PO BOX 324
BASKING RIDGE,NJ07920
72-3233858 		CONTRIBUTING EMP NJ NA
  		C CORP         No
(288) PJP TRUCKING

9355 BLUE GRASS ROAD
PHILADELPHIA,PA19154
23-1630194 		CONTRIBUTING EMP PA NA
  		C CORP         No
(289) PLUMBERS UNION 690 IND FUNDS

2791 SOUTHAMPTON ROAD
PHILA,PA19154
23-1573070 		CONTRIBUTING EMP PA NA
  		C CORP         No
(290) POINT INTEGRITY SOLUTIONS

137 EAYRESTOWN ROAD
SOUTHAMPTON,NJ08088
27-4032268 		CONTRIBUTING EMP NJ NA
  		C CORP         No
(291) POPPLEWELL AND SON HAULING

3325 PRINCETON AVENUE
PHILADELPHIA,PA19149
45-5152880 		CONTRIBUTING EMP PA NA
  		C CORP         No
(292) PORT AUTHORITY TRANSIT

ADMINISTRATION OFFICES
LINDENWOLD,NJ08021
69-2340048 		CONTRIBUTING EMP NJ NA
  		C CORP         No
(293) PRECAST SERVICES INC

8200 BOYLE PARKWAY
TWINSBURG,OH44087
34-1575212 		CONTRIBUTING EMP OH NA
  		C CORP         No
(294) PROCACCI BROTHERS

3333 S FRONT STREET
PHILA,PA19148
23-1489642 		CONTRIBUTING EMP PA NA
  		C CORP         No
(295) PRODUCE INTERCHANGE INC

6700 ESSINGTON AVENUE
PHILADELPHIA,PA19153
23-2431713 		CONTRIBUTING EMP PA NA
  		C CORP         No
(296) PROJECTION VIDEO SERVICES

5803 ROLLING ROAD
SPRINGFIELD,VA22152
54-1296110 		CONTRIBUTING EMP VA NA
  		C CORP         No
(297) PROOF PRODUCTIONS INC

PO BOX 1150
MULLICA HILL,NJ08062
01-0620183 		CONTRIBUTING EMP NJ NA
  		C CORP         No
(298) PSAV PRESENTATION SERVICES

10110 SENATE DRIVE
LANHAM,MD20706
13-4025666 		CONTRIBUTING EMP MD NA
  		C CORP         No
(299) Q TRUCKING INC

3540 S LAWRENCE STREET
PHILADELPHIA,PA19148
23-2670819 		CONTRIBUTING EMP PA NA
  		C CORP         No
(300) QUAKER CITY PRODUCE CO

6700 ESSINGTON AVENUE
PHILADELPHIA,PA19153
23-1480875 		CONTRIBUTING EMP PA NA
  		C CORP         No
(301) QUAKER CITY PRODUCE CO NBU

6700 ESSINGTON AVENUE
PHILADELPHIA,PA19153
23-1480875 		CONTRIBUTING EMP PA NA
  		C CORP         No
(302) RE PIERSON CONSTRUCTION CO

PO BOX 430
WOODSTOWN,NJ08098
22-2269412 		CONTRIBUTING EMP NJ NA
  		C CORP         No
(303) RE PIERSON MATERIALS CORP

860 OAK GROVE ROAD
BRIDGEPORT,NJ08014
22-2975097 		CONTRIBUTING EMP NJ NA
  		C CORP         No
(304) RABBIT CONTENT

TEAMSTERS LOCAL UNION 817
GREAT NECK,NY11021
06-1756162 		CONTRIBUTING EMP NY NA
  		C CORP         No
(305) RADICAL MEDIA LLC

TEAMSTERS LOCAL UNION 817
GREAT NECK,NY11021
13-3089726 		CONTRIBUTING EMP NY NA
  		C CORP         No
(306) RAILROAD CONSTRUCTION OF SJ

705 MANTUA AVENUE
PAULSBORO,NJ08066
22-1901120 		CONTRIBUTING EMP NJ NA
  		C CORP         No
(307) RALPH CLAYTON & SONS

1355 CAMPUS PARKWAY
NEPTUNE,NJ07753
21-0699747 		CONTRIBUTING EMP NJ NA
  		C CORP         No
(308) REDTREE PRODUCTIONS INC

TEAMSTERS LOCAL UNION 817
GREAT NECK,NY11021
04-3152709 		CONTRIBUTING EMP NY NA
  		C CORP         No
(309) REGIONAL PRODUCE CO

6700 ESSINGTON AVENUE
PHILADELPHIA,PA19153
23-1521011 		CONTRIBUTING EMP PA NA
  		C CORP         No
(310) RELIABLE TIRE COMPANY

805 N BLACK HORSE PIKE
BLACKWOOD,NJ08012
21-0684412 		CONTRIBUTING EMP NJ NA
  		C CORP         No
(311) ROAD SAFETY SYSTEMS LLC

1 LINDA LANE SUITE D
VINCENTOWN,NJ08088
26-0243455 		CONTRIBUTING EMP NJ NA
  		C CORP         No
(312) ROBERT T WINZINGER INC

PO BOX 537
HAINESPORT,NJ08036
21-0724134 		CONTRIBUTING EMP NJ NA
  		C CORP         No
(313) ROCK CANYON INC

517 MORTON AVENUE
RIDLEY PARK,PA19078
51-0351226 		CONTRIBUTING EMP PA NA
  		C CORP         No
(314) ROYAL PETROLEUM CORPORATION

685 ELMWOOD AVENUE
SHARON HILL,PA19079
23-1037910 		CONTRIBUTING EMP PA NA
  		C CORP         No
(315) RUAN TRANSPORT CORPORATION

666 GRAND AVENUE
DES MOINES,IA50309
42-0619339 		CONTRIBUTING EMP IA NA
  		C CORP         No
(316) RUPP'S HAULING

PO BOX 16
SICKLERVILLE,NJ08081
22-3668124 		CONTRIBUTING EMP NJ NA
  		C CORP         No
(317) RYECO LLC

6700 ESSINGTON AVENUE
PHILADELPHIA,PA19153
23-2565448 		CONTRIBUTING EMP PA NA
  		C CORP         No
(318) S D RICHMAN & SONS INC

2435 E WHEATSHEAF LANE
PHILA,PA19137
13-1996851 		CONTRIBUTING EMP PA NA
  		C CORP         No
(319) SPC INC

143 HARDING AVENUE
BELLMAWR,NJ08031
52-1442890 		CONTRIBUTING EMP NJ NA
  		C CORP         No
(320) SAFEWAY FREEZER STORAGE LLC

07 N MILL ROAD
VINELAND,NJ08360
21-0731931 		CONTRIBUTING EMP NJ NA
  		C CORP         No
(321) SAFWAY SERVICES LLC

10 INDUSTRIAL HIGHWAY
LESTER,PA19029
34-1761339 		CONTRIBUTING EMP PA NA
  		C CORP         No
(322) SANTA SWEETS INC

20 DUFFIELD AVENUE
CEDARVILLE,NJ18311
30-0118082 		CONTRIBUTING EMP NJ NA
  		C CORP         No
(323) SARDO & SONS WAREHOUSING

701-A PENCADER DRIVE
NEWARK,DE19702
51-0105489 		CONTRIBUTING EMP DE NA
  		C CORP         No
(324) SCHAGRIN GAS COMPANY

P O BOX 427 - PR
MIDDLETON,DE19709
51-0067012 		CONTRIBUTING EMP DE NA
  		C CORP         No
(325) SCHOOL EMPLOYEES 1201 H&W

455 N 5TH STREET
PHILA,PA19123
23-1904725 		CONTRIBUTING EMP PA NA
  		C CORP         No
(326) SCOTT MARTIN LANDSCAPING

100 PALACE COURT
CHALFONT,PA18914
23-2813985 		CONTRIBUTING EMP PA NA
  		C CORP         No
(327) SERAVALLI INC

10059 SANDMEYER LANE
PHILA,PA19116
23-1612601 		CONTRIBUTING EMP PA NA
  		C CORP         No
(328) SEVENSON ENVIRONMENTAL SERV

2749 LOCKPORT ROAD
NIAGARA FALLS,NY14305
16-1091535 		CONTRIBUTING EMP NY NA
  		C CORP         No
(329) SHARED SYSTEMS TECHNOLOGY

420 ANDBRO DRIVE
PITMAN,NJ08071
22-3270937 		CONTRIBUTING EMP NJ NA
  		C CORP         No
(330) SHARON HILL BOROUGH

250 SHARON AVENUE
SHARON HILL,PA19079
23-6002942 		CONTRIBUTING EMP PA NA
  		C CORP         No
(331) SHEINMAN PROVISION CO

4192-26 VIOLA ST
PHILA,PA19104
23-1867021 		CONTRIBUTING EMP PA NA
  		C CORP         No
(332) SHELLHORN & HILL INC

P O BOX 2569
WILM,DE19805
51-0045770 		CONTRIBUTING EMP DE NA
  		C CORP         No
(333) SHELLHORN & HILL-SERV

P O BOX 2569
WILM,DE19805
81-0045770 		CONTRIBUTING EMP DE NA
  		C CORP         No
(334) SHEPARD EXPOSITION SERVICES

1424 HILLS PLACE NW
ATLANTA,GA30318
58-1463468 		CONTRIBUTING EMP GA NA
  		C CORP         No
(335) SHO AIDS INC

PO BOX 200
FOLCROFT,PA19032
23-1945139 		CONTRIBUTING EMP PA NA
  		C CORP         No
(336) SHORE TRANSPORT INC

P O BOX 500
HAMMONTON,NJ08037
22-3392078 		CONTRIBUTING EMP NJ NA
  		C CORP         No
(337) SIEGFRIED (USA) INC

33 INDUSTRIAL PARK ROAD
PENNSVILLE,NJ08070
13-1639745 		CONTRIBUTING EMP NJ NA
  		C CORP         No
(338) SIMPSONS DUMP TRUCKING LLC

843 ATWOOD ROAD
PHILADELPHIA,PA19151
45-4633446 		CONTRIBUTING EMP PA NA
  		C CORP         No
(339) SJA CONSTRUCTION INC

8004 LINCOLN DRIVE WEST
MARLTON,NJ08053
23-2253829 		CONTRIBUTING EMP NJ NA
  		C CORP         No
(340) SMITH EDWARDS DUNLAP

ALLEGHENY DEL EXPWAY
PHILA,PA19134
23-0539350 		CONTRIBUTING EMP PA NA
  		C CORP         No
(341) SOURCECHAS LEVY CIRCULATING

4219 RICHMOND STREET
PHILADELPHIA,PA19137
23-1308315 		CONTRIBUTING EMP PA NA
  		C CORP         No
(342) SOUTH STATE INC

PO BOX 68
BRIDGETON,NJ08302
23-1483884 		CONTRIBUTING EMP NJ NA
  		C CORP         No
(343) SOUTHERN DEVELOPMENT CO

97 N MILL ROAD
VINELAND,NJ08360
22-1776789 		CONTRIBUTING EMP NJ NA
  		C CORP         No
(344) SOUTHPORT DISTRIBUTION LLC

CO HOLT LOGISTICS CORP
GLOUCESTER,NJ08030
74-3155996 		CONTRIBUTING EMP NJ NA
  		C CORP         No
(345) SPARKS EXHIBITS & ENVIRON

2828 CHARTER ROAD
PHILADELPHIA,PA19154
23-2741307 		CONTRIBUTING EMP PA NA
  		C CORP         No
(346) STAGE CALL PRODUCTIONS

311 W 43RD STREET - 604
NEW YORK,NY10036
13-4147242 		CONTRIBUTING EMP NY NA
  		C CORP         No
(347) STALWART FILMS LLC

TEAMSTERS LOCAL UNION 817
GREAT NECK,NY11021
27-5380496 		CONTRIBUTING EMP NY NA
  		C CORP         No
(348) STANDARD DISTRIBUTING CO

100 SOUTH MEWS DRIVE
NEW CASTLE,DE19720
51-0056747 		CONTRIBUTING EMP DE NA
  		C CORP         No
(349) STANDARD WHSE & DIST CO

8501 RIVER ROAD
PENNSAUKEN,NJ08110
21-0721426 		CONTRIBUTING EMP NJ NA
  		C CORP         No
(350) STANLEY MARVEL INC (DRIVERS)

1221 FORD ROAD
BENSALEM,PA19020
23-1667378 		CONTRIBUTING EMP PA NA
  		C CORP         No
(351) STEA BROS INC

6700 ESSINGTON AVENUE
PHILADELPHIA,PA19153
23-1690542 		CONTRIBUTING EMP PA NA
  		C CORP         No
(352) STECH TRANSPORTATION

961 SYLVAN ST
CAMDEN,NJ08104
21-0715920 		CONTRIBUTING EMP NJ NA
  		C CORP         No
(353) STERICYCLE INC

1120 INDUSTRIAL BLVD
LOWER SOUTHAMPTON,PA18966
36-3640402 		CONTRIBUTING EMP PA NA
  		C CORP         No
(354) STROEHMANN BAKERIES LC

1410 CATILLION BLVD
MAYS LANDING,NJ08330
23-2826739 		CONTRIBUTING EMP NJ NA
  		C CORP         No
(355) SUBURBAN PROPANE

240 ROUTE 10 WEST
WHIPPANY,NJ21108
56-1995482 		CONTRIBUTING EMP NJ NA
  		C CORP         No
(356) SUNNY TELEVISION PRODUCTIONS

10201 W PICO BLVD
LOS ANGELES,CA90035
20-1701901 		CONTRIBUTING EMP CA NA
  		C CORP         No
(357) SUPERIOR SCAFFOLD SERVICES

520 E LUZERNE STREET
PHILADELPHIA,PA19124
23-2701456 		CONTRIBUTING EMP PA NA
  		C CORP         No
(358) SWIPES HEAVY HAULING LLC

457 MULLICA HILL ROAD
MULLICA HILL,NJ08062
20-2699353 		CONTRIBUTING EMP NJ NA
  		C CORP         No
(359) SYKES SCHOLTZ COLLINS LUMBER

3130 WEST 4TH STREET
CHESTER,PA19013
23-1401807 		CONTRIBUTING EMP PA NA
  		C CORP         No
(360) SYSCO PHILA LLC

P O BOX 6499
PHILA,PA19145
21-0645658 		CONTRIBUTING EMP PA NA
  		C CORP         No
(361) SYSCO PHILADELPHIA LLC

PO BOX 6499
PHILA,PA19145
23-1626223 		CONTRIBUTING EMP PA NA
  		C CORP         No
(362) TAGUE LUMBER COMPANY

560 E HIGH STREET
PHILA,PA19144
23-1552415 		CONTRIBUTING EMP PA NA
  		C CORP         No
(363) TANNER INDUSTRIES INC

735 DAVISVILLE RD
SOUTHAMPTON,PA18966
23-1441497 		CONTRIBUTING EMP PA NA
  		C CORP         No
(364) TAZZER HAULING LLC

50 ASH DRIVE
JIM THORPE,PA18229
14-1878388 		CONTRIBUTING EMP PA NA
  		C CORP         No
(365) THACKRAY CRANE RENTAL INC

2071 BYBERRY ROAD
PHILADELPHIA,PA19116
23-2541035 		CONTRIBUTING EMP PA NA
  		C CORP         No
(366) THE DAWSON CORPORATION

631 WRIGHT DEBOW ROAD
JACKSON,NJ08527
22-2088279 		CONTRIBUTING EMP NJ NA
  		C CORP         No
(367) THE DEVEREUX FOUNDATION

2012 RENAISSANCE BLVD
KING OF PRUSSIA,PA19406
23-1390618 		CONTRIBUTING EMP PA NA
  		C CORP         No
(368) THE HILLIS GROUP LLC

2100 WOOD AVENUE
EASTON,PA18042
20-1756428 		CONTRIBUTING EMP PA NA
  		C CORP         No
(369) THE NAPP-GRECCO COMPANY

1500 MC CARTER HIGHWAY
NEWARK,NJ07104
22-1735299 		CONTRIBUTING EMP NJ NA
  		C CORP         No
(370) THE NYLEVE BRIDGE CORP

1540 CHESTNUT STREET
EMMAUS,PA18049
23-2472655 		CONTRIBUTING EMP PA NA
  		C CORP         No
(371) THE TIMES OF TRENTON PUBLISH

1 STAR-LEDGER BUILDING
NEWARK,NJ07102
13-3380395 		CONTRIBUTING EMP NJ NA
  		C CORP         No
(372) THOMAS COLACE CO

800 GROVE ROAD
THOROFARE,NJ08086
23-1538199 		CONTRIBUTING EMP NJ NA
  		C CORP         No
(373) THYSSENKRUPP ELEVATOR CO

11605 HAYNES BRIDGE RD ST650
ALPHARETTA,GA30009
62-1211267 		CONTRIBUTING EMP GA NA
  		C CORP         No
(374) TMK - PHILA INC

6700 ESSINGTON AVENUE
PHILADELPHIA,PA19153
23-2331154 		CONTRIBUTING EMP PA NA
  		C CORP         No
(375) TONY DEPAUL & SON

1750 WALTON RD
BLUE BELL,PA19422
23-1297478 		CONTRIBUTING EMP PA NA
  		C CORP         No
(376) TOWNSHIP OF SPRINGFIELD

50 POWELL ROAD
SPRINGFIELD,PA19064
23-6004592 		CONTRIBUTING EMP PA NA
  		C CORP         No
(377) TRADE SHOW ASSOCREBER FRIEL

PO BOX 1202
OAKS,PA19456
23-3038879 		CONTRIBUTING EMP PA NA
  		C CORP         No
(378) TRAKTOR INC

TEAMSTERS LOCAL UNION 817
GREAT NECK,NY11021
77-0464154 		CONTRIBUTING EMP NY NA
  		C CORP         No
(379) TRANS CARGO LLC

203 PIGEON POINT ROAD
NEW CASTLE,DE19720
23-1149320 		CONTRIBUTING EMP DE NA
  		C CORP         No
(380) TRANS CARGO LLC - CASUALS

203 PIGEON POINT ROAD
NEW CASTLE,DE19720
41-2105844 		CONTRIBUTING EMP DE NA
  		C CORP         No
(381) TRANSERVICE LOGISTICS-LIQUID

PO BOX 272
DELAWARE CITY,DE19706
36-6054893 		CONTRIBUTING EMP DE NA
  		C CORP         No
(382) TRICORBRAUN INC

10330 OLD OLIVE STREET RD
ST LOUIS,MO63141
23-1291400 		CONTRIBUTING EMP MO NA
  		C CORP         No
(383) TRI-STATE STAGING-SUSQ BANK

144 HIGH STREET
MULLICA HILL,NJ08062
22-3251391 		CONTRIBUTING EMP NJ NA
  		C CORP         No
(384) UNISOURCE WORLDWIDE INC

6600 GOVERNORS LAKE PARKWAY
NORCROSS,GA30071
13-5369500 		CONTRIBUTING EMP GA NA
  		C CORP         No
(385) UNITED METAL TRADERS INC

5240 COMLY STREET
PHILADELPHIA,PA19135
23-1619297 		CONTRIBUTING EMP PA NA
  		C CORP         No
(386) UNITED PARCEL SERVICE

200 INDUSTRIAL HIGHWAY
RIDLEY PARK,PA19078
13-1588792 		CONTRIBUTING EMP PA NA
  		C CORP         No
(387) UNITED STATES ROOFING CORP

910 EAST MAIN STREET
NORRISTOWN,PA19401
23-1528668 		CONTRIBUTING EMP PA NA
  		C CORP         No
(388) UPA PRODUCTION SERVICES

5430 PARK DRIVE
ROCKLIN,CA95765
77-0377150 		CONTRIBUTING EMP CA NA
  		C CORP         No
(389) UPPER MORELAND SEWER(UMHJSA)

2875 TERWOOD ROAD
WILLOW GROVE,PA19090
23-6005825 		CONTRIBUTING EMP PA NA
  		C CORP         No
(390) UPPER PROVIDENCE TOWNSHIP

935 N PROVIDENCE ROAD
MEDIA,PA19063
23-6000545 		CONTRIBUTING EMP PA NA
  		C CORP         No
(391) US FOODS INC

300 BERKELEY DRIVE
BRIDGEPORT,NJ08014
36-3732339 		CONTRIBUTING EMP NJ NA
  		C CORP         No
(392) US FOODS INC

9399 WEST HIGGINS RD STE 500
ROSEMONT,IL60018
36-0783330 		CONTRIBUTING EMP IL NA
  		C CORP         No
(393) UTILITY LINE SERVICES INC

1302 CONSHOHOCKEN ROAD
CONSHOHOCKEN,PA19428
23-2861506 		CONTRIBUTING EMP PA NA
  		C CORP         No
(394) VALLEY SEEDING COMPANY INC

306 WEST COUNTY ROAD
SUGARLOAF,PA18249
23-1685267 		CONTRIBUTING EMP PA NA
  		C CORP         No
(395) VENTURA FOODS LLC

650 WEST SEDGLEY AVENUE
PHILADELPHIA,PA19140
95-4589254 		CONTRIBUTING EMP PA NA
  		C CORP         No
(396) VISION TECHNICAL GROUP

216 BROOKE ROAD
POTTSTOWN,PA19464
23-3098584 		CONTRIBUTING EMP PA NA
  		C CORP         No
(397) VISTA CONVENTION CENTER

PO BOX 3000
PLEASANTVILLE,NJ08232
22-3257066 		CONTRIBUTING EMP NJ NA
  		C CORP         No
(398) VISUAL AID ELECTRONICS

12910 CLOVERLEAF CENTER DR
GERMANTOWN,MD20874
52-0883948 		CONTRIBUTING EMP MD NA
  		C CORP         No
(399) VISUAL SOUND INC

1101 ARCH STREET
PHILA,PA19107
23-1449404 		CONTRIBUTING EMP PA NA
  		C CORP         No
(400) VITO'S HAULING LLC

23 SOMMY DRIVE
OLD FORGE,PA18518
30-0489799 		CONTRIBUTING EMP PA NA
  		C CORP         No
(401) VOLPE EXPRESS INC

565 HOLLOW ROAD
PHOENIXVILLE,PA19460
23-1185640 		CONTRIBUTING EMP PA NA
  		C CORP         No
(402) WE RYAN CO INC

2325 N AMERICAN ST
PHILA,PA19133
23-1583525 		CONTRIBUTING EMP PA NA
  		C CORP         No
(403) WARREN DISTRIBUTING CO SOUTH

200 SOUTH ROUTE 73
BLUE ANCHOR,NJ08037
22-1850887 		CONTRIBUTING EMP NJ NA
  		C CORP         No
(404) WAWA INC

260 W BALTIMORE PIKE
WAWA,PA19063
21-0515330 		CONTRIBUTING EMP PA NA
  		C CORP         No
(405) WEBER DISPLAY & PACKAGING

3500 RICHMOND STREET
PHILA,PA19134
54-0166880 		CONTRIBUTING EMP PA NA
  		C CORP         No
(406) WEINSTEIN SUPPLY CO

CO HAJOCA CORPORATION
ARDMORE,PA19003
23-1424424 		CONTRIBUTING EMP PA NA
  		C CORP         No
(407) WHEATON INDUSTRIES INC

1501 NORTH TENTH STREET
MILLVILLE,NJ08332
20-5739745 		CONTRIBUTING EMP NJ NA
  		C CORP         No
(408) WICK & BROTHER INC

6700 ESSINGTON AVENUE
PHILADELPHIA,PA19153
51-9578650 		CONTRIBUTING EMP PA NA
  		C CORP         No
(409) WILLIAM BETZ JR INC

2826 FRANKFORD AVE
PHILA,PA19134
23-2130017 		CONTRIBUTING EMP PA NA
  		C CORP         No
(410) WM MAC MILLAN CO-DRVS

416 VINE ST
PHILADELPHIA,PA19106
23-1292747 		CONTRIBUTING EMP PA NA
  		C CORP         No
(411) WOM TRANSPORT LLC

37 GREENBROOK AVENUE
KEASEY,NJ08832
46-2088328 		CONTRIBUTING EMP NJ NA
  		C CORP         No
(412) XPEDX

1200 HIGHLAND DRIVE - STE 1B
WESTAMPTON,NJ08060
13-0872805 		CONTRIBUTING EMP NJ NA
  		C CORP         No
(413) XTL INC

8201 ENTERPRISE AVENUE
PHILADELPHIA,PA19153
23-3608279 		CONTRIBUTING EMP PA NA
  		C CORP         No
(414) YRC WORLDWIDE INC

2627 STATE ROAD
BENSALEM,PA19020
44-0594706 		CONTRIBUTING EMP PA NA
  		C CORP         No
(415) YRC WORLDWIDE INC

7450 COUNTY LINE ROAD
LINE LEXINGTON,PA18932
34-0492670 		CONTRIBUTING EMP PA NA
  		C CORP         No
Schedule R (Form 990) 2012
Schedule R (Form 990) 2012
Page 3
Part V
Transactions With Related Organizations (Complete if the organization answered "Yes" to Form 990, Part IV, line 34, 35b, or 36.)
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest (ii) annuities (iii) royalties or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .
1a
 
No
b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
 
No
c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
 
No
d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
 
No
e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
 
No
f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
 
No
k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1k
 
No
l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .
1l
 
No
m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .
1m
Yes
 
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .
1n
Yes
 
o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
Yes
 
p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
 
No
q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
 
No
r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
 
No
s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1s
Yes
 
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of other organization 		(b)
Transaction
type (a-s) 		(c)
Amount involved 		(d)
Method of determining amount involved
(1) ADMINISTRATIVE SERVICE PROFESSIONALS INC

 L 2,692,000 RATE PER MEMBER





Schedule R (Form 990) 2012
Schedule R (Form 990) 2012
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" to Form 990, Part IV, line 37.)
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity 		(b)
Primary activity 		(c)
Legal domicile
(state or foreign
country) 		(d)
Predominant income (related, unrelated, excluded from tax under section 512-514)

(e)
Are all partners
section
501(c)(3)
organizations? 		(f)
Share of total income




 		(g)
Share of
end-of-year
assets 		(h)
Disproprtionate allocations? 		(i)
Code V—UBI
amount in box 20
of Schedule K-1
(Form 1065) 		(j)
General or
managing
partner? 		(k)
Percentage
ownership
Yes No Yes No Yes No






























Schedule R (Form 990) 2012
Schedule R (Form 990) 2012
Page 5
Part VII
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule R (see instructions).
Identifier Return Reference Explanation

Additional Data


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