Form990
Click to see attachment
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Click to see attachment
Department of the TreasuryInternal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)
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OMB No. 1545-0047
2021
Open to Public Inspection
A For the 2021 calendar year, or tax year beginning 04-01-2021 , and ending 03-31-2022
BCheck if applicable:
CName of organization
NATIONAL ALLIED WORKERS UNION INSURANCE
TRUST FUND
 
Doing business as
 
 
Number and street (or P.O. box if mail is not delivered to street address)
6970 W DIVERSEY AVENUE
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
CHICAGO, IL60707
D Employer identification number

36-2241970
E Telephone number

G Gross receipts $ 9,328,059
F Name and address of principal officer:
ANGELA STROUD
6970 W DIVERSEY AVENUE
CHICAGO,IL60707
I
Tax-exempt status: ( 9 ) LeftBullet (insert no.) or
J
Website:MediumBullet
N/A
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. See instructions.
H(c)
Group exemption number MediumBullet  
K Form of organization:  
L Year of formation: 1999
M State of legal domicile: IL
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: TO PROVIDE HEALTH BENEFITS
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 4
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 4
5 Total number of individuals employed in calendar year 2021 (Part V, line 2a) ...... 5 0
6 Total number of volunteers (estimate if necessary) ............. 6 0
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 0
b Net unrelated business taxable income from Form 990-T, Part I, line 11 ......... 7b 0
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 0 0
9 Program service revenue (Part VIII, line 2g) ......... 10,119,547 7,389,122
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 72,045 339,981
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 369,232 85,279
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12) 10,560,824 7,814,382
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 0 0
14 Benefits paid to or for members (Part IX, column (A), line 4)..... 9,975,289 8,409,930
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 0 0
16a Professional fundraising fees (Part IX, column (A), line 11e) ..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 823,525 627,465
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 10,798,814 9,037,395
19 Revenue less expenses. Subtract line 18 from line 12....... -237,990 -1,223,013
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 7,141,278 5,511,844
21 Total liabilities (Part X, line 26)............. 23,475 83,873
22 Net assets or fund balances. Subtract line 21 from line 20..... 7,117,803 5,427,971
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 (2021)
Form 990 (2021)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III..............
1
Briefly describe the organization’s mission: TO PROVIDE HEALTH BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR ELIGBILE DEPENDENTS COVERED UNDER A COLLECTIVE BARGAINING AGREEMENT OF NATIONAL ALLIED WORKERS UNION LOCAL 831
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 HEALTH CARE, DENTAL, AND PRESCRIPTION DRUG BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR ELIGIBLE DEPENDENTS.
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 (2021)
Form 990 (2021)
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 Rev. Proc. 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 IClick to see attachment.........................
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 IIClick to see attachment....
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes,"
complete Schedule D, Part IIIClick to see attachment..............
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 IVClick to see attachment..............
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. Click to see attachment...................
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 VIIClick to see attachment.......
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 VIIIClick to see attachment.......
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 IXClick to see attachment............
11d
 
No
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part XClick to see attachment
11e
Yes
 
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 XClick to see attachment
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year? If "Yes," complete
Schedule D, Parts XI and XIIClick 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 Click to see attachment
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 other assistance to or for any foreign organization? 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 other assistance to or for foreign individuals? 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
 
 
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.....
21
 
No
Form 990 (2021)
Form 990 (2021)
Page 4
Part IV
Checklist of Required Schedules (continued)
Yes
No
22
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals 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 25a...............
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), 501(c)(4), and 501(c)(29) 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
 
 
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
 
 
26
Did the organization report any amount on Part X, line 5 or 22 for receivables from or payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part II...........
26
 
No
27
Did the organization provide a grant or other assistance to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or employee thereof, a grant selection committee member, or to a 35% controlled entity (including an employee thereof) 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 the Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, key employee, creator or founder, or substantial contributor? If "Yes," complete Schedule L, Part IV......................
28a
 
No
b
A family member of any individual described in line 28a? If "Yes," complete Schedule L, Part IV.....
28b
 
No
c
A 35% controlled entity of one or more individuals and/or organizations described in line 28a or 28b? If "Yes," complete Schedule L, Part IV.....................
28c
 
No
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............Click to see attachment
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
 
No
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 ...
35b
 
 
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
 
 
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 VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations on Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V...........
Yes
No
1a
Enter the number reported in box 3 of Form 1096. Enter -0- if not applicable ..
1a
391
b
Enter the number of Forms W-2G included on 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
 
 
Form 990 (2021)
Form 990 (2021)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance (continued)
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
 
 
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” to line 3b, provide an explanation in Schedule O...
3b
 
 
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 FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).
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
 
 
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
 
 
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
 
 
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
 
 
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ..
7f
 
 
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required? ......................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C? ..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds. Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year? ........
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the sponsoring organization make any taxable distributions under section 4966?........
9a
 
 
b
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?...
9b
 
 
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
 
 
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
 
 
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
 
 
15
Is the organization subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or excess parachute payment(s) during the year? ....................
If "Yes," see the instructions and file Form 4720, Schedule N.
15
 
No
16
Is the organization an educational institution subject to the section 4968 excise tax on net investment income? ..
If "Yes," complete Form 4720, Schedule O.
16
 
No
17
Section 501(c)(21) organizations. Did the trust, any disqualified person, or mine operator engage in any activities that would result in the imposition of an excise tax under section 4951, 4952, or 4953? ..
If "Yes," complete Form 6069.
17
 
 
Form 990 (2021)
Form 990 (2021)
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 or note to any line 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
4
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
4
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
Yes
 
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
 
No
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
 
 
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 on 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
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe on Schedule O how this was done...................
12c
 
No
13
Did the organization have a written whistleblower policy? ...............
13
 
No
14
Did the organization have a written document retention and destruction policy? .........
14
 
No
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 on 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
 
 
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 (1024 or 1024-A, if applicable), 990, and 990-T (section 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, address, and telephone number of the person who possesses the organization's books and records:
MediumBulletGERI ANN CANGELOSI - AEGIS ADMIN SERVICES6970 W DIVERSEY AVENUE   CHICAGO,IL60707 (773) 889-2307
Form 990 (2021)
Form 990 (2021)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line 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 the 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, Form 1099-MISC, and/or box 1 of Form 1099-NEC) 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.

See the instructions for the order in which to list the persons above.
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/1099-NEC) 		(E)
Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) ELIZABETH DELUCA......................................................................
TRUSTEE
 5.00
.................
0.03 		X           0 0 0
(2) JOSEPH HECKMAN......................................................................
TRUSTEE
 5.00
.................
0.03 		X           0 0 0
(3) ANGELA STROUD......................................................................
TRUSTEE
 5.00
.................
0.03 		X           0 0 0
(4) STEPHEN MAGLAYA......................................................................
TRUSTEE
 5.00
.................
0.03 		X           0 0 0


























Form 990 (2021)
Form 990 (2021)
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/1099-NEC) 		(E)
Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;


























1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)...........MediumBullet 0 0 0
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization MediumBullet0
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
AEGIS ADMINISTRATIVE SERVICES

6970 W DIVERSEY
CHICAGO,IL60707 		THIRD PARTY ADMINISTRATOR 324,448
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet1
Form 990 (2021)
Form 990 (2021)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII.............
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512 - 514
Contributions, Gifts, Grants, and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues..1b  
c Fundraising events..1c  
d Related organizations1d  
e Government grants (contributions)1e  
f All other contributions, gifts, grants, and similar amounts not included above1f  
g Noncash contributions included in lines 1a - 1f:$ 1g  
h Total. Add lines 1a-1f.......MediumBullet  
Program Service RevenueAmt Business Code
2a EMPLOYER CONTRIBUTIONS 525100 7,381,372 7,381,372    
b COBRA CONTRIBUTIONS 525100 7,750 7,750    
c
d
e
f All other program service revenue.        
g Total. Add lines 2a–2f .....MediumBullet 7,389,122
OtherAmtRevenueAmt 3 Investment income (including dividends, interest, and othersimilar amounts) ......MediumBullet 208,658     208,658
4 Income from investment of tax-exempt bond proceedsMediumBullet        
5 Royalties...........MediumBullet        
(ii) Personal (i) Real
6a Gross rents     6a
b Less: rental expenses     6b
c Rental income or (loss)     6c
d Net rental income or (loss).......MediumBullet        
(ii) Other (i) Securities
7a Gross amount from sales of assets other than inventory   1,645,000 7a
b Less: cost or other basis and sales expenses   1,513,677 7b
c Gain or (loss)   131,323 7c
d Net gain or (loss).........MediumBullet 131,323     131,323
8a Gross income from fundraising events (not including $   of contributions reported on line 1c). See Part IV, line 18 ....
8a  
b Less: direct expenses ... 8b  
c Net income or (loss) from fundraising events..MediumBullet      
9a Gross income from gaming activities.
See Part IV, line 19 ...
9a  
b Less: direct expenses ... 9b  
c Net income or (loss) from gaming activities..MediumBullet        
10a Gross sales of inventory, less
returns and allowances ..
10a  
b Less: cost of goods sold .. 10b  
c Net income or (loss) from sales of inventory..MediumBullet        
Business Code Miscellaneous Revenue
11a MISCELLANEOUS 525100 85,279 85,279    
b            
c            
d All other revenue ....        
e Total. Add lines 11a–11d ...... MediumBullet 85,279
12 Total revenue. See instructions.....MediumBullet 7,814,382 7,474,401 0 339,981
Form 990 (2021)
Form 990 (2021)
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 or note to any line 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 domestic organizations and domestic governments. See Part IV, line 21 ....    
2 Grants and other assistance to domestic individuals. See Part IV, line 22 ...........    
3 Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............    
4 Benefits paid to or for members ....... 8,409,930  
5 Compensation of current officers, directors, trustees, and key employees ...........        
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 ...... 273,785      
b Legal ......... 222,782      
c Accounting ........... 30,560      
d Lobbying ...........        
e Professional fundraising services. See Part IV, line 17    
f Investment management fees ...... 15,000      
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) 38,298      
12 Advertising and promotion ....        
13 Office expenses .......        
14 Information technology ......        
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 .... 85      
20 Interest ...........        
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization ..        
23 Insurance ... 41,364      
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 FEES MANDATED BY ACA 4,123      
b BANK FEES 1,468      
c
d
e All other expenses        
25 Total functional expenses. Add lines 1 through 24e 9,037,395      
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 (2021)
Form 990 (2021)
Page 11
Part X
Balance Sheet
Check if Schedule O contains a response or note to any line in this Part IX..............
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash–non-interest-bearing ........ 351,975 1 69,992
2 Savings and temporary cash investments ......... 42,852 2 12,855
3 Pledges and grants receivable, net ......   3  
4 Accounts receivable, net ............. 221,254 4 16,548
5 Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
  5  
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
  6  
7 Notes and loans receivable, net ...........   7  
8 Inventories for sale or use ............   8  
9 Prepaid expenses and deferred charges ...... 34,573 9 33,953
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 . 6,490,624 11 5,378,496
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 ...........   15  
16 Total assets. Add lines 1 through 15 (must equal line 33)... 7,141,278 16 5,511,844
Liabilities 17 Accounts payable and accrued expenses ..... 19,063 17 33,528
18 Grants payable ...   18  
19 Deferred revenue .........   19  
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 any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
  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 4,412 25 50,345
26 Total liabilities. Add lines 17 through 25.. 23,475 26 83,873
Net Assets or Fund Balance Organizations that follow FASB ASC 958, check here MediumBullet and complete lines 27, 28, 32, and 33.
27 Net assets without donor restrictions ..........   27  
28 Net assets with donor restrictions ...........   28  
Organizations that do not follow FASB ASC 958, check here MediumBullet and complete lines 29 through 33.
29 Capital stock or trust principal, or current funds ..... 0 29 0
30 Paid-in or capital surplus, or land, building or equipment fund ... 0 30 0
31 Retained earnings, endowment, accumulated income, or other funds 7,117,803 31 5,427,971
32 Total net assets or fund balances ........... 7,117,803 32 5,427,971
33 Total liabilities and net assets/fund balances ........ 7,141,278 33 5,511,844
Form 990 (2021)
Form 990 (2021)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
7,814,382
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
9,037,395
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
-1,223,013
4
Net assets or fund balances at beginning of year (must equal Part X, line 32, column (A)) ..
4
7,117,803
5
Net unrealized gains (losses) on investments ...............
5
-466,819
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
0
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 32, column (B))
10
5,427,971
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line 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 on
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
 
 
Form 990 (2021)
Form 990 (2021)
Additional Data


Software ID:  
Software Version:  
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," on 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 Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public Inspection
Name of the organization
NATIONAL ALLIED WORKERS UNION INSURANCE
TRUST FUND
Employer identification number

36-2241970
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .........    
2 Aggregate value of contributions to (during year)    
3 Aggregate value of 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" on 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 7/25/06, 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, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, handling of violations, 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" on Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under FASB 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 FASB 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)
Revenue included on 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 FASB ASC 958 relating to these items:
a
Revenue included on 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) 2021

Schedule D (Form 990) 2021
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" on 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, for escrow or custodial account liability? ...
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" on Form 990, Part IV, line 10.
(a) Current year (b) Prior year (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
Term endowment SchDMd Bullet  
The percentages on 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" on 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.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. 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 0
Schedule D (Form 990) 2021

Schedule D (Form 990) 2021
Page 3
Part VII
Investments - Other Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. 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........    
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet  
Part VIII
Investments - Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.
(a) Description of investment (b) Book value (c) Method of valuation:
Cost or end-of-year market value
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet  
Part X
Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
(1) Federal income taxes  
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 50,345
2. Liability for uncertain tax positions. 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) 2021

Schedule D (Form 990) 2021
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1 Total revenue, gains, and other support per audited financial statements ....... 1 7,332,563
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains (losses) on investments .... 2a -466,819
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 -466,819
3 Subtract line 2e from line 1.................. 3 7,799,382
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 15,000
b Other (Describe in Part XIII.) ........... 4b  
c Add lines 4a and 4b.................... 4c 15,000
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5 7,814,382
Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1 Total expenses and losses per audited financial statements ........... 1 9,022,395
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 0
3 Subtract line 2e from line 1................... 3 9,022,395
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 15,000
b Other (Describe in Part XIII.) ............ 4b  
c Add lines 4a and 4b..................... 4c 15,000
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5 9,037,395
Part XIII
Supplemental Information
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.
Return Reference Explanation
PART X, LINE 2: THE FUND HAS OBTAINED A FAVORABLE TAX DETERMINATION LETTER FROM THE INTERNAL REVENUE SERVICE DATED MAY 1999, STATING THAT THE FUND IS QUALIFIED PURSUANT TO SECTION 501(C)(9) OF THE INTERNAL REVENUE CODE (IRC), AND, ACCORDINGLY, THE PLAN'S NET INVESTMENT INCOME IS EXEMPT FROM INCOME TAXES. THE FUND SPONSOR BELIEVES THAT THE PLAN, AS AMENDED, CONTINUES TO QUALIFY AND TO OPERATE IN ACCORDANCE WITH APPLICABLE PROVISIONS OF THE INTERNAL REVENUE CODE. IN ADDITION, THE FUND AND THE TRUST ARE REQUIRED TO OPERATE IN CONFORMITY WITH THE IRC TO MAINTAIN THE TAX-EXEMPT STATUS OF THE TRUST. THE PLAN ADMINISTRATOR BELIEVES THAT THE PLAN IS BEING OPERATED IN COMPLIANCE WITH THE APPLICABLE REQUIREMENTS OF THE IRC AND, THEREFORE, BELIEVES THAT THE RELATED TRUST IS TAX-EXEMPT. U.S. GAAP REQUIRES PLAN MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE PLAN AND TO RECOGNIZE A TAX LIABILITY (OR ASSET) IF THE PLAN HAS TAKEN AN UNCERTAIN POSITION THAT, MORE LIKELY THAN NOT, WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE DEPARTMENT OF LABOR OR INTERNAL REVENUE SERVICE. THE PLAN ADMINISTRATOR HAS ANALYZED THE TAX POSITIONS TAKEN BY THE PLAN, AND HAS CONCLUDED THAT AS OF MARCH 31, 2022, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. GENERALLY, FOR UNITED STATES FEDERAL INCOME TAXES, THE PLAN IS ONLY SUBJECT TO EXAMINATION FOR THE CURRENT YEAR'S TAX RETURN AND THE PRECEDING THREE YEARS' RETURNS.
Schedule D (Form 990) 2021


Additional Data


Software ID:  
Software Version:  




SCHEDULE O
(Form 990)

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 990-EZ or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2021
Open to Public
Inspection
Name of the organization
NATIONAL ALLIED WORKERS UNION INSURANCE
TRUST FUND
Employer identification number

36-2241970
Return Reference Explanation
FORM 990, PART VI, SECTION A, LINE 1A THE FORM 990 WAS PREPARED BY REILLY, PENNER & BENTON LLP AND PROVIDED TO THE BOARD OF TRUSTEES TO REVIEW THE FORM 990 PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. SUBSEQUENTLY A COPY OF THE FORM IS PROVIDED TO THE ENTIRE BOARD AT A TRUSTEE MEETING.
FORM 990, PART VI, SECTION A, LINE 3 THE PLAN DELEGATED CONTROL OVER DAY TO DAY MANAGEMENT DUTIES TO AEGIS ADMINISTRATIVE SERVICES, A THIRD PARTY ADMINISTRATOR.
FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM AND PROVIDED TO THE BOARD OF TRUSTEES TO REVIEW THE FORM 990 PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. SUBSEQUENTLY A COPY OF THE FORM IS PROVIDED TO THE ENTIRE BOARD AT THE TRUSTEE MEETING.
FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XII, LINE 2C: THIS PROCESS HAS NOT CHANGED FROM PREVIOUS YEARS.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990) 2021


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" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990.
MediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047
2021
Open to Public Inspection
Name of the organization
NATIONAL ALLIED WORKERS UNION INSURANCE
TRUST FUND
Employer identification number

36-2241970
Part I
Identification of Disregarded Entities. Complete if the organization answered "Yes" on 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" on 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)NATIONAL ALLIED WORKERS UNION LOCAL 831
1107 S MANHEIM ROAD

WESTCHESTER,IL60154
36-4159396 		LOCAL UNION   501(C)(5)    
 
No
(2)NATIONAL ALLIED WORKERS UNION LOCAL 831 SAVINGS AND RETIREMENT PLAN
6970 WEST DIVERSEY AVENUE

CHICAGO,IL60707
90-0724512 		SAVINGS AND RETIREMENT PLAN   501(C)(18)    
 
No










For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2021
Schedule R (Form 990) 2021
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on 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
(1) 168 PRECISE BILING LLC

144-63 BARCLAY AVE
FLUSHING,NY11355
 CONTRIBUTING EMPLOYER NY  
        No     No  
(2) 1903 FULTON HOLDINGS LLC

720 MIDDLE COUNTRY RD SUITE 3J
GREAT NECK,NY11222
 CONTRIBUTING EMPLOYER NY  
        No     No  
(3) 3MH LLC

16 MUDFORD AVE
EAST HAMPTON,NY11937
 CONTRIBUTING EMPLOYER NY  
        No     No  
(4) A BUNCH LLC

646 LEONARD ST 2L
BROOKLYN,NY11222
 CONTRIBUTING EMPLOYER NY  
        No     No  
(5) ALPHA 129 REFT LLC

129 ORCHARD ST
NEW YORK,NY10002
 CONTRIBUTING EMPLOYER NY  
        No     No  
(6) ANEDOM LLC

BOX 212
HARRISON,NY10528
 CONTRIBUTING EMPLOYER NY  
        No     No  
(7) AREXA RURIK EKSTROM AND ASSOCIATES LLC

25 BROADWAY
NEW YORK,NY10004
 CONTRIBUTING EMPLOYER NY  
        No     No  
(8) BANG STUDIO LLC

195 PLYMOUTH STREET
BROOKLYN,NY11201
 CONTRIBUTING EMPLOYER NY  
        No     No  
(9) CBIZ MHM LLC

1065 AVENUE OF THE AMERICAS 10TH FL
NEW YORK,NY10018
 CONTRIBUTING EMPLOYER NY  
        No     No  
(10) COHEN PARTNERS LLC

104 W 40TH ST STE 1001
NEW YORK,NY10018
 CONTRIBUTING EMPLOYER NY  
        No     No  
(11) CONCURRENT INDUSTRIES LLC

1 EAST 66TH STREET STE 8G
NEW YORK,NY10021
 CONTRIBUTING EMPLOYER NY  
        No     No  
(12) DALTON REID LLC

25 OLD COUNTRY ROAD
MINEOLA,NY11501
 CONTRIBUTING EMPLOYER NY  
        No     No  
(13) EARTH ALIVE LLC

407 MAIN ST STE 217
METUCHEN,NJ08840
 CONTRIBUTING EMPLOYER NJ  
        No     No  
(14) ENERACLLC

1320 LINCOLN AVE 1
HOLBROOK,NY11741
 CONTRIBUTING EMPLOYER NY  
        No     No  
(15) HALSTEAD PROPERTY LLC

831 BROADWAY
NEW YORK,NY10003
 CONTRIBUTING EMPLOYER NY  
        No     No  
(16) IF U WILL LEAD LLC

12905 CHURCH RD
RICHMOND,VA23233
 CONTRIBUTING EMPLOYER VA  
        No     No  
(17) IMPERIAL TRAFFIC AND DATA COLLECTION LLC

27 IMPERIAL DR
CHERRY HILL,NJ08003
 CONTRIBUTING EMPLOYER NJ  
        No     No  
(18) KIDS DIRECTORY CHARLOTTE LLC

6028 FOREST DRIVE
CHARLOTTE,NC28277
 CONTRIBUTING EMPLOYER NC  
        No     No  
(19) LIVING TALL LLC

10 SEA PALM ROAD
SAVANNAH,GA31410
 CONTRIBUTING EMPLOYER GA  
        No     No  
(20) LOCKWOOD WEDICAL CAMPUS LLC

C/O AGENT 669 RIVER DR SUITE 201
ELMWOOD PARK,NJ07407
 CONTRIBUTING EMPLOYER NJ  
        No     No  
(21) MULLANEY AND GJELAJ PLLC

100-09 METROPOLITAN AVE
FOREST HILLS,NY11375
 CONTRIBUTING EMPLOYER NY  
        No     No  
(22) MYSTIQUE INTERNATIONAL LLC

136 BRIGHTEN AVE STE 2
DEAL,NJ07723
 CONTRIBUTING EMPLOYER NJ  
        No     No  
(23) NOVATEUR PARTNERS LLC

1735 PEACHTREE STREET NE UNIT 611
ATLANTA,GA30309
 CONTRIBUTING EMPLOYER GA  
        No     No  
(24) PAR CATON AVE LLC

PO BOX 230318
BROOKLYN,NY11223
 CONTRIBUTING EMPLOYER NY  
        No     No  
(25) PREFERRED AUTO SALES LLC

655 PENNSYLVANIA AVE
ELIZABETH,NJ07201
 CONTRIBUTING EMPLOYER NJ  
        No     No  
(26) SHOP LLC

442 W 49TH
NEW YORK,NY10019
 CONTRIBUTING EMPLOYER NY  
        No     No  
(27) SNOW GOOSE REALTY LLC

125 NEWTOWN RD STE 300
PLAINVIEW,NY11803
 CONTRIBUTING EMPLOYER NY  
        No     No  
(28) SWEET GENIUS LLC

33 PARK DR
WOODSTOCK,NY12498
 CONTRIBUTING EMPLOYER NY  
        No     No  
(29) TK SC 3 LLC

10 PATRICIAN DRIVE E
NORTHPORT,NY11731
 CONTRIBUTING EMPLOYER NY  
        No     No  
(30) TROOPER FITNESS LLC

226 E 54ST STE 600
NEW YORK,NY10022
 CONTRIBUTING EMPLOYER NY  
        No     No  
(31) WAREHOUSE STUDIOS LLC

3905 2ND AVE 2ND FLOOR
BROOKLYN,NY11238
 CONTRIBUTING EMPLOYER NY  
        No     No  
Part IV
Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on 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) 2906 FUTON

1144 MANHATTAN AVE
BROOKLYN,NY11222
 CONTRIBUTING EMPLOYER NY  
          No
(2) 304 E 73RD ST CORP

C/O MD2 PROP GP 801 2ND AVE
NEW YORK,NY10017
 CONTRIBUTING EMPLOYER NY  
          No
(3) 71LBSNY

28 YORKSHIRE DRIVWE
SUFFERN,NY10901
 CONTRIBUTING EMPLOYER NY  
          No
(4) 804 EQUITIES

804 W 180TH ST
NEW YORK,NY10033
 CONTRIBUTING EMPLOYER NY  
          No
(5) A 1 SECURITY SYSTEMS

114 EAGAN AVE
STATEN ISLAND,NY10312
 CONTRIBUTING EMPLOYER NY  
          No
(6) ABC MORTGAGE

791 KENT AVE
BROOKLYN,NY11205
 CONTRIBUTING EMPLOYER NY  
          No
(7) ACCESS BROADWAY

3137 LINCOLN AVE
OCEANSIDE,NY11572
 CONTRIBUTING EMPLOYER NY  
          No
(8) ACME MARKET RESEARCH

75 N CENTRAL AVE
ELMSFORD,NY10523
 CONTRIBUTING EMPLOYER NY  
          No
(9) AEA ACTORS EQUITY ASSOCIATION

165 W 46TH ST
NEW YORK,NY10036
 CONTRIBUTING EMPLOYER NY  
          No
(10) AEC ELECTRONICS

147 FREMONT AVE
STATTEN ISLAND,NY10306
 CONTRIBUTING EMPLOYER NY  
          No
(11) AFRICAN LEADERSHIP FOUNDATION

349 5TH AVE
NEW YORK,NY10016
 CONTRIBUTING EMPLOYER NY  
          No
(12) ALEXANDER ACQUAVELLA

50 GRAMERCY PARK N
NEW YORK,NY10010
 CONTRIBUTING EMPLOYER NY  
          No
(13) ALL AMERICAN COMPACTORS INC

13 DAHL CT
BROOKLYN,NY11204
 CONTRIBUTING EMPLOYER NY  
          No
(14) ALL AMERICAN STAIRS

130-23 91ST AVENUE
RICHMOND HILL,NY11418
 CONTRIBUTING EMPLOYER NY  
          No
(15) ALL CITY MEDICAL

4290 BROADWAY FL 2S
NEW YORK,NY10033
 CONTRIBUTING EMPLOYER NY  
          No
(16) ALL COUNTY SEWER

5834 ALBANY POST RD
CORTLAND MANOR,NY10567
 CONTRIBUTING EMPLOYER NY  
          No
(17) ALLEVIANT

164 BRIGHTON 11ST
BROOKLYN,NY11235
 CONTRIBUTING EMPLOYER NY  
          No
(18) AMERICAN BLAST CLEAN INC

82 THIRD AVE APT 1
HAWTHORNE,NJ07506
 CONTRIBUTING EMPLOYER NJ  
          No
(19) AMERICAN ENGINEERS

10 TROY LANE
BEDFORD,NY10506
 CONTRIBUTING EMPLOYER NY  
          No
(20) AMERIPRISE

440 RT110
MELVILLE,NY11747
 CONTRIBUTING EMPLOYER NY  
          No
(21) ANBOJ GROUP

1070 BRIGHTON BEACH AVE
BROOKLYN,NY11235
 CONTRIBUTING EMPLOYER NY  
          No
(22) ANESTHESIA ASSOCIATES

344 MAIN STREET
MT KISCO,NY10549
 CONTRIBUTING EMPLOYER NY  
          No
(23) ANCHOR ASSOCIATES

150 E 58TH ST
NEW YORK,NY10155
 CONTRIBUTING EMPLOYER NY  
          No
(24) ANNI DIORIO ENTERPRISES

9048 SAND TRAP DR
CHAMPIONS GATE,FL33896
 CONTRIBUTING EMPLOYER FL  
          No
(25) ANTUNES IRON WORKS

59 BEECHWOOD AVE
NEW ROCHELLE,NY10801
 CONTRIBUTING EMPLOYER NY  
          No
(26) APARTMENTS AND LOFTS REAL ESTATE

482 DRIGGS AVE
BROOKLYN,NY11211
 CONTRIBUTING EMPLOYER NY  
          No
(27) ARTISTS EQUITY

245 BROOME STREET
NEW YORK,NY10002
 CONTRIBUTING EMPLOYER NY  
          No
(28) ATLANTIC COURIERS

60 DAVIDSON ST
STATEN ISLAND,NY10303
 CONTRIBUTING EMPLOYER NY  
          No
(29) BAM HOLDING

413 86TH ST 2ND FL
BROOKLYN,NY11209
 CONTRIBUTING EMPLOYER NY  
          No
(30) BELL PUBLISHING LTD

57TH BATH ST
GRAVESERD,DA11 0DF  
UK
CONTRIBUTING EMPLOYER UK  
          No
(31) BELMONT OWNER CORP

7004 INGRAM ST
FOREST HILLS,NY11375
 CONTRIBUTING EMPLOYER NY  
          No
(32) BEN EPSTEIN AND ASSOCIATES

1455 EAST 15TH
BROOKLYN,NY11230
 CONTRIBUTING EMPLOYER NY  
          No
(33) BENTLEY ASSOCIATES LP

250 PARK AVE 101
NEW YORK,NY10177
 CONTRIBUTING EMPLOYER NY  
          No
(34) BERGEN PNEUMATIC TOOL CORP

4 AVON CT
AIRMONT,NY10952
 CONTRIBUTING EMPLOYER NY  
          No
(35) BLACK DIAMOND LUXURY LIMO

118-21 QUEENS BLVD STE 508
FOREST HILLS,NY11375
 CONTRIBUTING EMPLOYER NY  
          No
(36) BLUEFIELD FIELD FLOORS

86 INDUSTRIAL BLVD
CLEVELAND,GA30528
 CONTRIBUTING EMPLOYER GA  
          No
(37) BODE NYC

143 W 72ND STRET
NEW YORK,NY10023
 CONTRIBUTING EMPLOYER NY  
          No
(38) BOND NEW YORK PROPERTIES

250 MERCER ST
NEW YORK,NY10012
 CONTRIBUTING EMPLOYER NY  
          No
(39) BROOKLYN BRIDGE REALTY

211 COURT ST
BROOKLYN,NY11215
 CONTRIBUTING EMPLOYER NY  
          No
(40) BROOKLYN REAL PROPERTY

389 ATLANTIC AVE
BROOKLYN,NY11217
 CONTRIBUTING EMPLOYER NY  
          No
(41) BROWN HARRIS-STEVENS

445 PARK AVE
NEW YORK,NY10002
 CONTRIBUTING EMPLOYER NY  
          No
(42) BUGIA INC

THE PLZ UNIT B
LOCUST VALLEY,NY11560
 CONTRIBUTING EMPLOYER NY  
          No
(43) BULLMOOSE CONDO

42-48 E 20TH ST
NEW YORK,NY10003
 CONTRIBUTING EMPLOYER NY  
          No
(44) BUTLER & COMPANY

101 W 24TH STREET 37E
NEW YORK,NY10036
 CONTRIBUTING EMPLOYER NY  
          No
(45) BZM HEATING AND COOLING CORP

140 HOOPER ST
BROOKLYN,NY11211
 CONTRIBUTING EMPLOYER NY  
          No
(46) C & C COLLISON

26 TEXACO AVE
PORT JEFFERSON,NY11777
 CONTRIBUTING EMPLOYER NY  
          No
(47) CALSTADT ICE

517 NJ-17
CARLSTADT,NJ07072
 CONTRIBUTING EMPLOYER NJ  
          No
(48) CALVARY BIBLE CHURCH

1829 HANOVER ST
YORKTOWN HEIGHTS,NY10598
 CONTRIBUTING EMPLOYER NY  
          No
(49) CAPO AUCTION

36-01 QUEENS BLVD
LONG ISLAND CITY,NY11101
 CONTRIBUTING EMPLOYER NY  
          No
(50) CARE ONE DENTAL

2275 S FEDERAL HWY
DELRAY BEACH,FL33483
 CONTRIBUTING EMPLOYER FL  
          No
(51) CAROS CONSULTING

375 COMMACK RD
DEER PARK,NY11729
 CONTRIBUTING EMPLOYER NY  
          No
(52) CEDER BRIDGE MANAGEMENT

910 AVE T
BROOKLYN,NY11223
 CONTRIBUTING EMPLOYER NY  
          No
(53) CENTER FOR DANCE AND BODY

235 EAST 95TH ST 19G
NEW YORK,NY10128
 CONTRIBUTING EMPLOYER NY  
          No
(54) CENTER STATION

202 10TH STREET
BETHPAGE,NY11714
 CONTRIBUTING EMPLOYER NY  
          No
(55) CHERISH THE LADIES

53 HALSTEAD
YONKERS,NY10704
 CONTRIBUTING EMPLOYER NY  
          No
(56) CHRISTIAN COMMUNITY FELLOWSHIP

185-21 JAMAICA AVE
HOLLIS,NY11423
 CONTRIBUTING EMPLOYER NY  
          No
(57) CITI HABITATS

482 DRIGGS AVE
BROOKLYN,NY11211
 CONTRIBUTING EMPLOYER NY  
          No
(58) CIVILIANS INC

138 S OXFORD ST
BROOKLYN,NY11217
 CONTRIBUTING EMPLOYER NY  
          No
(59) CLARKE ENTERTAINMENT

320 E 50TH STREET
NEW YORK,NY10022
 CONTRIBUTING EMPLOYER NY  
          No
(60) CLASSIC DESIGNS

3920 NEW UTRECHT AVE
BROOKLYN,NY11218
 CONTRIBUTING EMPLOYER NY  
          No
(61) CLOERECTAL CARE

2647 CONEY ISLAND AVE
BROOKLYN,NY11223
 CONTRIBUTING EMPLOYER NY  
          No
(62) CLUB PET NYC

76 DIKEMAN ST
NEW YORK,NY11231
 CONTRIBUTING EMPLOYER NY  
          No
(63) COBBS PYSCHOLOGY

136 MADISON AVE
NEW YORK,NY10016
 CONTRIBUTING EMPLOYER NY  
          No
(64) COMALITY REAL ESTATE

7 GREEN WAY
NEW PROVIDENCE,NJ07974
 CONTRIBUTING EMPLOYER NJ  
          No
(65) COMMERCIAL MAINTENANCE ENTERPRISE

770 INDUSTRIAL DRIVE
ELMHURST,IL60126
 CONTRIBUTING EMPLOYER IL  
          No
(66) COMMUNICATION 31 INC

1250 MERRITTS RD
FARMINGDALE,NY11566
 CONTRIBUTING EMPLOYER NY  
          No
(67) COMPASS REAL ESTATE

90 5TH AVE 3RD FL
NEW YORK,NY10011
 CONTRIBUTING EMPLOYER NY  
          No
(68) COMSTOCK RESIDENTIAL

445 NORTH STATE RD
BRIAR CLIFF MANOR,NY10510
 CONTRIBUTING EMPLOYER NY  
          No
(69) CONTINENTAL PUBLIC ADJSUTERS INC

1440 CORAL RIDGE DR STE 452
CORAL SPRINGS,FL33071
 CONTRIBUTING EMPLOYER FL  
          No
(70) CORCORAN REALT ESTATE

404 E 79TH ST APT 9B
NEW YORK,NY10075
 CONTRIBUTING EMPLOYER NY  
          No
(71) CORNERSTONE CHIRPORACTIC

7 NEWARK POMPTON TURNPIKE
RIVERDALE,NJ07457
 CONTRIBUTING EMPLOYER NJ  
          No
(72) CORNERSTONE REALTY

81 LESTER STREET
WALLINGTON,NJ07057
 CONTRIBUTING EMPLOYER NJ  
          No
(73) CORY GOLDSTEIN DMD

14 MAPLE STREET
PORT WASHINGTON,NY11050
 CONTRIBUTING EMPLOYER NY  
          No
(74) CROSS BAY MEDICAL

PO BOX 40169
GLEN OAKS,NY11004
 CONTRIBUTING EMPLOYER NY  
          No
(75) CROWN CELL INC

1906 B MACARTHUR RD
WHITEHALL,PA18052
 CONTRIBUTING EMPLOYER PA  
          No
(76) CT FIBEROPTICS INC

64 FIELD RD
SOMERS,CT06071
 CONTRIBUTING EMPLOYER CT  
          No
(77) CULL MAINTENANCE

147 ELM AVE
MT VERNON,NY10550
 CONTRIBUTING EMPLOYER NY  
          No
(78) D & R CENTRAL BAKING

2526 BUTLER PLACE
BRONX,NY10461
 CONTRIBUTING EMPLOYER NY  
          No
(79) DANIEL GALE REALTY

46B MIDDLE NECK RD
GREAT NECK,NY11021
 CONTRIBUTING EMPLOYER NY  
          No
(80) DANIEL SHAPIRO MD

286 SILLS RD STE 2
EAST PATCHOGUE,NY11772
 CONTRIBUTING EMPLOYER NY  
          No
(81) DATA BASE USA

1 HEADLEY COURT
DENVILLE,NJ07834
 CONTRIBUTING EMPLOYER NJ  
          No
(82) DAVID BENJAMIN LLC

54 THOMPSON ST
NEW YORK,NY10012
 CONTRIBUTING EMPLOYER NY  
          No
(83) DD PERIODONICS

595 MADISON AVE SUITE 2500
NEW YORK,NY10022
 CONTRIBUTING EMPLOYER NY  
          No
(84) DH PROPERTIES

50-29 60TH STREET SUITE 191
BROOKLYN,NY11204
 CONTRIBUTING EMPLOYER NY  
          No
(85) DICOR CONSTRUCTION INC

15 GARFIELD AVE
BAY SHORE,NY11706
 CONTRIBUTING EMPLOYER NY  
          No
(86) DIGITAL INSTINCTS

107 N GREELEY AVE 467
CHAPPAQUA,NY10514
 CONTRIBUTING EMPLOYER NY  
          No
(87) DISALVO INTERIORS

247 SCHENCK AVE
WESTBURY,NY10002
 CONTRIBUTING EMPLOYER NY  
          No
(88) DOUELLIMAN

575 MADISON AVE
NEW YORK,NY10022
 CONTRIBUTING EMPLOYER NY  
          No
(89) DREAMSPACE REALTY

240 HENRY STREET
BROOKLYN,NY11211
 CONTRIBUTING EMPLOYER NY  
          No
(90) DTC ASSOCIATES

8 GRUBER DR
GLEN COVE,NY11542
 CONTRIBUTING EMPLOYER NY  
          No
(91) DYNAMIC REHAB PHYSICAL THERAPY

18 WORLDS FAIR DR
SOMERSET,NJ08873
 CONTRIBUTING EMPLOYER NJ  
          No
(92) EARTH DAY NY

35 EAST 38TH ST PHC
NEW YORK,NY10016
 CONTRIBUTING EMPLOYER NY  
          No
(93) EAT A BAFEL

101 BURTON AVE
STATEN ISLAND,NY10309
 CONTRIBUTING EMPLOYER NY  
          No
(94) EFFECTIVE SERVICE GROUP

34 DEFOREST AVE
EAST HANOVER,NJ07936
 CONTRIBUTING EMPLOYER NJ  
          No
(95) EG CARE MANAGEMENT

143 BURRS LANE
DIX HILLS,NY11746
 CONTRIBUTING EMPLOYER NY  
          No
(96) EICHENSTHEL CPA

39-04 15TH AVE
BROOKLYN,NY11229
 CONTRIBUTING EMPLOYER NY  
          No
(97) EMERALD AVIATION

9998/ WAKEMAN DR STE 209
MANASSAS,VA20110
 CONTRIBUTING EMPLOYER VA  
          No
(98) ENDURAFUND

315 ROARING BROOK RD
CHAPPAQUA,NY10514
 CONTRIBUTING EMPLOYER NY  
          No
(99) ENDYMYON CONDO

352 W 117TH ST
NEW YORK,NY10026
 CONTRIBUTING EMPLOYER NY  
          No
(100) ENGELWOOD FLORIST INC

47 E PALISADE AVE
ENGLEWOOD,NJ07631
 CONTRIBUTING EMPLOYER NJ  
          No
(101) ENGLEWOOD AUTO GROUP

386 GRAND AVE
ENGELWOOD,NJ07631
 CONTRIBUTING EMPLOYER NJ  
          No
(102) ERICK NATES EURO HOCKEY INC

100 PLAYLAND PARKWAY
RYE BROOK,NY10580
 CONTRIBUTING EMPLOYER NY  
          No
(103) ESTATE SILVER COMPANY

1050 2ND AVE GALLERY 65
NEW YORK,NY10022
 CONTRIBUTING EMPLOYER NY  
          No
(104) EWC FOUR SEASONS

25 COLUMBIA PL
MERRICK,NY11566
 CONTRIBUTING EMPLOYER NY  
          No
(105) EXCLUSIVE NURSING STAFF

5519 NEW UTRECHT AVE
BROOKLYN,NY11219
 CONTRIBUTING EMPLOYER NY  
          No
(106) EXTREME FITNESS

156 GRAMATTAN AVE
MT VERNON,NY10550
 CONTRIBUTING EMPLOYER NY  
          No
(107) EYE OF WORLD SECURITY

6800 JERICHO TURNOIKE
SYOSSET,NY11791
 CONTRIBUTING EMPLOYER NY  
          No
(108) FASTER CHEMISTRY

3303 COLONIAL MANOR CIRCLE 4
LOUISVILLE,KY40218
 CONTRIBUTING EMPLOYER KY  
          No
(109) FENWICK KEATS REAL ESTATE

45 7TH AVE
NEW YORK,NY10011
 CONTRIBUTING EMPLOYER NY  
          No
(110) FINANCIAL PLANNING & INVESTMENTS

403 N COUNTRY RD
STJAMES,NY11780
 CONTRIBUTING EMPLOYER NY  
          No
(111) FINGER MANAGEMENT CORP

20 TUCKAHOE ROAD
YONKERS,NY10709
 CONTRIBUTING EMPLOYER NY  
          No
(112) FIORDLAND LANDSCAPE CONSTRUCTION

619 ROUTE 52A
ALENTOWEN,NJ08501
 CONTRIBUTING EMPLOYER NJ  
          No
(113) FJKASHIINC

98 CUTTERMILL RD 430N
GREAT NECK,NY11021
 CONTRIBUTING EMPLOYER NY  
          No
(114) FLORIDA CANCER CENTER

100 HIGHLAND AVE
LARGO,FL33770
 CONTRIBUTING EMPLOYER FL  
          No
(115) FORSIGHT NORTH AMERICA INC

501 5TH AVE SUITE 1809
NEW YORK,NY10017
 CONTRIBUTING EMPLOYER NY  
          No
(116) FOUR B'S PHARM

40-35 95TH ST
ELMHURST,NY11373
 CONTRIBUTING EMPLOYER NY  
          No
(117) FRANCO ROOFING

159 RAMSEY AVE
YONKERS,NY10701
 CONTRIBUTING EMPLOYER NY  
          No
(118) FRENCH TART

1141 N RAILROAD AVE
STATEN ISLAND,NY10306
 CONTRIBUTING EMPLOYER NY  
          No
(119) FREYER ARCHITECTS

111 JOHN STREET SUITE 200
NEW YORK,NY10038
 CONTRIBUTING EMPLOYER NY  
          No
(120) FSS STAFFING SOLUTIONS

19 W 44ST 9TH FL
NEW YORK,NY10036
 CONTRIBUTING EMPLOYER NY  
          No
(121) FUTBOL CLUBS ELITE

3384 BAY FRONT PL
BALDWIN,NY11510
 CONTRIBUTING EMPLOYER NY  
          No
(122) GALLERY 1949

402 S HUNTER STREET
ASPEN,CO81611
 CONTRIBUTING EMPLOYER CO  
          No
(123) GAY CITY NEWS

1 METRO TECH CENTER NORTH STE 1001
BROOKLYN,NY11201
 CONTRIBUTING EMPLOYER NY  
          No
(124) GEORGIOS HAIRCUTTERS

155-35 CROSS ISLAND PKWY
WHITESTONE,NY11357
 CONTRIBUTING EMPLOYER NY  
          No
(125) GERMANS RESORTORATION

113 HASECO AVE
PORT CHESTER,NY10573
 CONTRIBUTING EMPLOYER NY  
          No
(126) GF55 ARCHITECTS

19 W 21ST
NEW YORK,NY10010
 CONTRIBUTING EMPLOYER NY  
          No
(127) GJ STEEL TUBING

406 ROYCEFIELD RD
HILLSBOROUGH TOWNSHIP,NJ08844
 CONTRIBUTING EMPLOYER NJ  
          No
(128) GMJ CONTRACTING

6 CEDAR RD
NANUET,NY10954
 CONTRIBUTING EMPLOYER NY  
          No
(129) GONZALEZ AND ASSOCIATES

152 W 36TH STREET STE 202
NEW YORK,NY10018
 CONTRIBUTING EMPLOYER NY  
          No
(130) GOTHAM VALUATIONS

28 W 36TH STREET STE 704
NEW YORK,NY10018
 CONTRIBUTING EMPLOYER NY  
          No
(131) GPEER CONSULTING

PO BOX 921
UPPER SADDLE RIVER,NJ07458
 CONTRIBUTING EMPLOYER NJ  
          No
(132) GRANDO PAINTING AND WALLCOVERING

56 ENGLE RD
PARAMUS,NJ07652
 CONTRIBUTING EMPLOYER NJ  
          No
(133) GREENWAY LANDSCAPES INC

41 PARKWAY DR
LIVINGSTON,NJ07039
 CONTRIBUTING EMPLOYER NJ  
          No
(134) HALSTEAD

2169 FREDERICK DOUGLASS BOULEVARD
NEW YORK,NY10026
 CONTRIBUTING EMPLOYER NY  
          No
(135) HARTSDALE PHARMACY

211 E HARTSDALE
HARTDALE,NY10530
 CONTRIBUTING EMPLOYER NY  
          No
(136) HEINWEALTH

4500 MILITARY TRAIL SUITE 226
JUPITER,FL33458
 CONTRIBUTING EMPLOYER FL  
          No
(137) HELM DENTAL LAB

112 TROAST ST
HACKENSACK,NJ07601
 CONTRIBUTING EMPLOYER NJ  
          No
(138) HIT DOCTOR TRISATE ARSENAL

7 PENN PLAZA
NEW YORK,NY10001
 CONTRIBUTING EMPLOYER NY  
          No
(139) HOBACK ENTERPRISES

103 E 84TH ST
NEW YORK,NY10028
 CONTRIBUTING EMPLOYER NY  
          No
(140) HORIZON HEALTH CARE

20 JERUSALEM AVE
HICKSVILLE,NY11801
 CONTRIBUTING EMPLOYER NY  
          No
(141) HUNTINGTON VILLAGE VAPES

4 ELM ST
HUNTINGTON,NY11743
 CONTRIBUTING EMPLOYER NY  
          No
(142) IDEAL HEATING

9515 SOUTHVIEW AVE
BROOKFIELD,IL60513
 CONTRIBUTING EMPLOYER IL  
          No
(143) IMPACT PRODUCTS LIMITED

41 1ST STREET
SOMERSET,NJ08873
 CONTRIBUTING EMPLOYER NJ  
          No
(144) INNSBRUCK RENOVATIONS

56-23 BELL BLVD
BAYSIDE,NY11364
 CONTRIBUTING EMPLOYER NY  
          No
(145) INTEGRATED REPORTING IS SIMPLE

413 86TH ST MEZZANINE FLOOR
BROOKLYN,NY11209
 CONTRIBUTING EMPLOYER NY  
          No
(146) INTEGRATED SPINE CARE

915 BROADWAY
NEW YORK,NY10010
 CONTRIBUTING EMPLOYER NY  
          No
(147) INTEGRATED TREATMENT SERVICES

6010 NEW UTRECHT AVENUE NO2
BROOKLYN,NY11219
 CONTRIBUTING EMPLOYER NY  
          No
(148) INVESTCAP

22 LAWRENCE AVE
SMITHTOWN,NY11787
 CONTRIBUTING EMPLOYER NY  
          No
(149) IRIS CRM

413 86TH STREET MEZZANINE FL
BROOKLYN,NY11209
 CONTRIBUTING EMPLOYER NY  
          No
(150) J & M AUTO DONS

90 UNDERHILL BLVD
SYOSSET,NY11791
 CONTRIBUTING EMPLOYER NY  
          No
(151) J DIEUDONNE CONSULTANTS

1533 WALES AVE
N BALDWIN,NY11510
 CONTRIBUTING EMPLOYER NY  
          No
(152) JABBER WOCKY INC

261 MAIN ST
CHATHAM,NJ07928
 CONTRIBUTING EMPLOYER NJ  
          No
(153) JBSV CORP

20 DAVIS ST
ROOSEVELT,NY11575
 CONTRIBUTING EMPLOYER NY  
          No
(154) JD SULLIVAN BLDG CORP

14 GREEN TREE RD
YORKTOWN HEIGHTS,NY10598
 CONTRIBUTING EMPLOYER NY  
          No
(155) JDSHOWCASE

42 W 48TH STE 603
NEW YORK,NY10036
 CONTRIBUTING EMPLOYER NY  
          No
(156) JEFFREY BILHUBER

330 E 59TH STREET
NEW YORK,NY10022
 CONTRIBUTING EMPLOYER NY  
          No
(157) JERSEY SHORE POWER SPORTS

656 HIGHWAY 35
MIDDLETOWN,NJ07748
 CONTRIBUTING EMPLOYER NJ  
          No
(158) JOHN C CLARKE

465 W BROADWAY
NEW YORK,NY10012
 CONTRIBUTING EMPLOYER NY  
          No
(159) JORIPAN CORP

142 BROADWAY
JERSEY CITY,NJ07306
 CONTRIBUTING EMPLOYER NJ  
          No
(160) JP MORGAN CHASE

277 PARK AVE
NEW YORK,NY10167
 CONTRIBUTING EMPLOYER NY  
          No
(161) JR ONE CONSTRUCTION

36 BANKSVILLE AVE
BEDFORD,NY10506
 CONTRIBUTING EMPLOYER NY  
          No
(162) KATZ ARCHITECTS

150 WEST 22ND STREET
NEW YORK,NY10011
 CONTRIBUTING EMPLOYER NY  
          No
(163) KEER ELECTRICAL SUPPLU CO

287 MT PLEASANT AVE
NEWWARK,NJ07104
 CONTRIBUTING EMPLOYER NJ  
          No
(164) KELLER WILLIAM NY

425 PARK AVE
NEW YORK,NY10022
 CONTRIBUTING EMPLOYER NY  
          No
(165) KENJ SALES CORP

1408 E 7TH ST
BROOKLYN,NY11230
 CONTRIBUTING EMPLOYER NY  
          No
(166) KETTLE DINE

300 S MARINE BLVD
JACKSONVILLE,NC28540
 CONTRIBUTING EMPLOYER NC  
          No
(167) KG

159-16 UNION TURNPIKE
FRESH MEADOWS,NY11366
 CONTRIBUTING EMPLOYER NY  
          No
(168) KISSULYA INC

26 F CONGRESS ST
SARATOGA,NY12826
 CONTRIBUTING EMPLOYER NY  
          No
(169) KOKO ARCHITECTS

38 DELANEY STREET 7D
NEW YORK,NY10002
 CONTRIBUTING EMPLOYER NY  
          No
(170) KRIS MRDELJA PAINTING INC

45 MOSHIER ST
GREENWICH,CT06831
 CONTRIBUTING EMPLOYER CT  
          No
(171) LAND AND SEA RESTAURANT

307 HALSTEAD AVE
HARRISON,NY10528
 CONTRIBUTING EMPLOYER NY  
          No
(172) LAPLACITA GROCERY

1049 APRK ST
PEESKSKILL,NY10566
 CONTRIBUTING EMPLOYER NY  
          No
(173) LASCON INC

185 SUMMERFIELD ST
SCARSDALE,NY10583
 CONTRIBUTING EMPLOYER NY  
          No
(174) LE SALON

220 EAST 60TH ST
NEW YORK,NY10306
 CONTRIBUTING EMPLOYER NY  
          No
(175) LEVINE CONSULTING

820 ALBEMARLE ST
WYCKOFF,NJ07481
 CONTRIBUTING EMPLOYER NJ  
          No
(176) LEWIS CONSTRUCTION AND ARCHITECTUAL MILLWORK

94 RAILROAD AVE
HACKENSACK,NJ07601
 CONTRIBUTING EMPLOYER NJ  
          No
(177) LI DENISTRY AND SMILE

1927 NEW YORK AVE
HUNTINGTON STATION,NY11746
 CONTRIBUTING EMPLOYER NY  
          No
(178) LIBERTY MEDIA

PO BOX 222
HOLMES,NY12531
 CONTRIBUTING EMPLOYER NY  
          No
(179) LIC LEASING

2 SKILLMAN STR 305
BROOKLYN,NY11205
 CONTRIBUTING EMPLOYER NY  
          No
(180) LISA VITIELLA AGENCY

282 WHITE PLAINS RD
EAST CHESTER,NY10709
 CONTRIBUTING EMPLOYER NY  
          No
(181) LOU FASANO HEATING AND COOLING

1451 SOUTH WASHINGTON AVE
PISCATAWAY,NJ08854
 CONTRIBUTING EMPLOYER NJ  
          No
(182) LS POWER SKATING INC

729 WARREN AVE
THORNWOOD,NY10594
 CONTRIBUTING EMPLOYER NY  
          No
(183) LURE GROUP

178 DWAYNE STREET
NEW YORK,NY10013
 CONTRIBUTING EMPLOYER NY  
          No
(184) M&P PROVISIONS INC

1827 FLUSHING AVE
RIDGEWOOD,NY11385
 CONTRIBUTING EMPLOYER NY  
          No
(185) MANHATTAN SPACES

183 WEST 72ND 201
NEW YORK,NY10023
 CONTRIBUTING EMPLOYER NY  
          No
(186) MARBLE ONYX GRANITE AND TERRAZO CORP

305 DOUGLASS ST
BROOKLYN,NY11217
 CONTRIBUTING EMPLOYER NY  
          No
(187) MARK LUMLEY & ASSOCIATES

58 OLD COUNTRY RD STE 103
QUOGUE,NY11959
 CONTRIBUTING EMPLOYER NY  
          No
(188) MARKET RESEARCH

52 BRIAR COURT
HAMBURG,NJ07419
 CONTRIBUTING EMPLOYER NJ  
          No
(189) MASONS MANAGEMENT

636 BROADWAY SUITE 1210
NEW YORK,NY10012
 CONTRIBUTING EMPLOYER NY  
          No
(190) MASSAGE AMERICA

32 UNION SQUARE EAST
NEW YORK,NY10003
 CONTRIBUTING EMPLOYER NY  
          No
(191) MASSON NYC

1630 8TH AVE APT 1
BROOKLYN,NY11215
 CONTRIBUTING EMPLOYER NY  
          No
(192) MATHESON

200 PARK AVE 17TH FL
NEW YORK,NY10166
 CONTRIBUTING EMPLOYER NY  
          No
(193) MATTHEW BAIRD REAL ESTATE

289 HUDSON ST 2ND FL
NEW YORK,NY10013
 CONTRIBUTING EMPLOYER NY  
          No
(194) MATTSON & SON

84 CEDAR LAKE RD
N BRANFORD,CT06488
 CONTRIBUTING EMPLOYER CT  
          No
(195) MERCER MANAGEMENT COMPANY

511 S 11TH ST
OMAHA,NE68102
 CONTRIBUTING EMPLOYER NE  
          No
(196) METRO DUCT SYSTEMS

12-19 ASTORIA BLVD
LONG ISLAND CITY,NY11102
 CONTRIBUTING EMPLOYER NY  
          No
(197) MICKEY MAC HEATING AND AIR

107 HARDSCRABBLE LAKE DRIVE
CHAPPAQUA,NY10514
 CONTRIBUTING EMPLOYER NY  
          No
(198) MIDDLETOWN MEDICAL

111 MALTESE DR
MIDDLETOWN,NY10940
 CONTRIBUTING EMPLOYER NY  
          No
(199) MILEA RE INC

119 W 11ST
NEW YORK,NY10011
 CONTRIBUTING EMPLOYER NY  
          No
(200) MILK AND HONEY

4 WILDWOOD CT
SAINT JAMES,NY11780
 CONTRIBUTING EMPLOYER NY  
          No
(201) MIX IT UP STUDIOS

87 SIGNS RD
STATEN ISLAND,NY10314
 CONTRIBUTING EMPLOYER NY  
          No
(202) MJV PAINTING

350 5TH AVE 59F
NEW YORK,NY10118
 CONTRIBUTING EMPLOYER NY  
          No
(203) MONMORE CONTRACTING

941 MCLEAN AVE
YONKERS,NY10704
 CONTRIBUTING EMPLOYER NY  
          No
(204) MORNNGSIDE PARC CONDO

320 EAST 39TH ST
NEW YORK,NY10016
 CONTRIBUTING EMPLOYER NY  
          No
(205) MOVING PICTURES LLC

545 SAW MILL RIVER ROAD
ARDSLEY,NY10502
 CONTRIBUTING EMPLOYER NY  
          No
(206) MP PROVISIONS

1827 FLUSHING AVE
RIDGEWOOD,NY11385
 CONTRIBUTING EMPLOYER NY  
          No
(207) MRCHEAPER

5 DONAHUE CT
BUCHANAN,NY10511
 CONTRIBUTING EMPLOYER NY  
          No
(208) NASTASIS

813 WHITE HORSE PIKE
HADDON TOWNSHIP,NJ08107
 CONTRIBUTING EMPLOYER NJ  
          No
(209) NATIONAL CELLULAR USA

5620 1ST AVE 3RD FL
BROOKLYN,NY11220
 CONTRIBUTING EMPLOYER NY  
          No
(210) NATIONAL DISTRIIBUTION

924 KILMER LANE
VALLEY STREAM,NJ08901
 CONTRIBUTING EMPLOYER NJ  
          No
(211) NATURAL EARTH PRODUCTS

692 THOMAS S BOYLAND ST
BROOKLYN,NY11212
 CONTRIBUTING EMPLOYER NY  
          No
(212) NEW ELA MECHANICAL

99 LAFAYETTE AVE
WHITE PLAINS,NY10603
 CONTRIBUTING EMPLOYER NY  
          No
(213) NEW STREET RESEARCH

1385 BROADWAY FL 15
NEW YORK,NY10028
 CONTRIBUTING EMPLOYER NY  
          No
(214) NEW YORK PEACE INSTITUTE

111 JOHN ST STE 600
NEW YORK,NY10038
 CONTRIBUTING EMPLOYER NY  
          No
(215) NEW YORK UNIVERSITY

443 1ST AVE
NEW YORK,NY10010
 CONTRIBUTING EMPLOYER NY  
          No
(216) NIMEX

1425 37TH ST
BROOKLYN,NY11218
 CONTRIBUTING EMPLOYER NY  
          No
(217) NOHO MEDICAL

632 BROADWAY
NEW YORK,NY10012
 CONTRIBUTING EMPLOYER NY  
          No
(218) NORTH EAST BINDERY

401-419 TRUMBULL ST
ELIZABETH,NJ07206
 CONTRIBUTING EMPLOYER NJ  
          No
(219) NSP MEDICALS

19 WEST 34TH STE1018
NEW YORK,NY10001
 CONTRIBUTING EMPLOYER NY  
          No
(220) NUTROPICAL INC

343 EAST 74 ST APT 9B
NEW YORK,NY10021
 CONTRIBUTING EMPLOYER NY  
          No
(221) NYA PARTNERS

81 MEYERSVILLE ROAD
CHATEM,NJ07928
 CONTRIBUTING EMPLOYER NJ  
          No
(222) NYC MEDIA

1 CENTRE ST 26FL
NEW YORK,NY10007
 CONTRIBUTING EMPLOYER NY  
          No
(223) NYHM

10302 METROPOLITAN AVE
QUEENS,NY11375
 CONTRIBUTING EMPLOYER NY  
          No
(224) OFECK HEINZ

85 MAIN ST SUITE 204
HACKENSACK,NJ07601
 CONTRIBUTING EMPLOYER NJ  
          No
(225) OFF THE WALL EVENTS

2606 GULFSTREAM DR
MIRAMAR,FL33023
 CONTRIBUTING EMPLOYER FL  
          No
(226) OPTOMEN PRODUCTIONS

860 5TH AVE
NEW YORK,NY10065
 CONTRIBUTING EMPLOYER NY  
          No
(227) ORANGE VALLEY TREE SERVICE

20 DERWENT AVE
VERONA,NJ07044
 CONTRIBUTING EMPLOYER NJ  
          No
(228) PARAS BRAKE AND EXHAUST

1162 ROSSVILLE AVE
STATEN ISLAND,NY10309
 CONTRIBUTING EMPLOYER NY  
          No
(229) PARK EAST ORAL & MAXIFACILA SURGERY

521 PARK AVE
NEW YORK,NY10065
 CONTRIBUTING EMPLOYER NY  
          No
(230) PEGASUS PRODUCTIONS

115 ANNFIELD CT
STATEN ISLAND,NY10034
 CONTRIBUTING EMPLOYER NY  
          No
(231) PENACHIO LAW

235 MAIN ST SUITE 600
WHITE PLAINS,NY10601
 CONTRIBUTING EMPLOYER NY  
          No
(232) PERAL REAL ESTATE

92 TARRINGTON RD
HAMBURG,NJ07419
 CONTRIBUTING EMPLOYER NJ  
          No
(233) PERFECT DENTAL

1272 50TH ST
BROOKLYN,NY11219
 CONTRIBUTING EMPLOYER NY  
          No
(234) PESECH

18 MIDDLETON ST
BROOKLYN,NY11706
 CONTRIBUTING EMPLOYER NY  
          No
(235) PG BROKERAGE

3923 FORT HAMILTON PARKWAY
BROOKLYN,NY11218
 CONTRIBUTING EMPLOYER NY  
          No
(236) PIZZA TOWN

883 MT PROSPECT AVE
NEWARK,NJ07104
 CONTRIBUTING EMPLOYER NJ  
          No
(237) POCHAL & POCHAL

86 DENISON AVE
MYSTIC,CT06355
 CONTRIBUTING EMPLOYER CT  
          No
(238) POST ROAD SERVICE & TIRE CENTER

107 WEST POINT RD
WHITE PLAINS,NY10606
 CONTRIBUTING EMPLOYER NY  
          No
(239) POWERHOUSE SOLUTIONS

1010 NORTHERN BLVD
GREAT NECK,NY11021
 CONTRIBUTING EMPLOYER NY  
          No
(240) PR2 MANAGEMENT

24 SCHERMERHORN ST
BROOKLYN,NY11201
 CONTRIBUTING EMPLOYER NY  
          No
(241) PRECISION FENCE

3139 RT 112
MEDFORD,NY11763
 CONTRIBUTING EMPLOYER NY  
          No
(242) PREMIER PHYSICAL THERAPY

33 WEST END AVE
NEW YORK,NY10023
 CONTRIBUTING EMPLOYER NY  
          No
(243) PRESTIGE STORE DISPLAY

4209 13TH AVE
BROOKLYN,NY11215
 CONTRIBUTING EMPLOYER NY  
          No
(244) PRIMERICA

1 PRIMERICA PARKWAY
DULUTH,GA30099
 CONTRIBUTING EMPLOYER GA  
          No
(245) PRO TAX PAYROLL

23-05 27TH ST
ASTORIA,NY11105
 CONTRIBUTING EMPLOYER NY  
          No
(246) PROACTIVE PHYSICAL THERAPY

339 ROUTE 202 BLD 2
SOMERS,NY10589
 CONTRIBUTING EMPLOYER NY  
          No
(247) PROCLINIX

7 WATCH HILL RD
PLEASANTVILLE,NY10570
 CONTRIBUTING EMPLOYER NY  
          No
(248) PROMET

63-17 METROPOLITAN AVE
MIDDLE VILLAGE,NY11379
 CONTRIBUTING EMPLOYER NY  
          No
(249) PROTEASE PHARAMACUITICALS

3802 W BAY TO BAY BLVD
TAMPA,FL33629
 CONTRIBUTING EMPLOYER FL  
          No
(250) PRUDENTIAL SERLS

892 MAIN ST
FISHKILL,NY12524
 CONTRIBUTING EMPLOYER NY  
          No
(251) Q 'S MOVING CORP

149-16 14TH AVE
WHITESTONE,NY11357
 CONTRIBUTING EMPLOYER NY  
          No
(252) QUALITY FARMERS MARKET

6745 ROUTE 9 NORTH
HOWEL,NJ07731
 CONTRIBUTING EMPLOYER NJ  
          No
(253) RA C CONTRACTING

17 HIGHPOINT CIRCLE
RYE BROOK,NY10573
 CONTRIBUTING EMPLOYER NY  
          No
(254) RAINBOW CAPITAL

48 S FRANKLIN TURNPIKE
RAMSEY,NJ07746
 CONTRIBUTING EMPLOYER NJ  
          No
(255) RAOS RESTAURANT

155-27 LAHN ST
HOWARD BEACH,NY11414
 CONTRIBUTING EMPLOYER NY  
          No
(256) REDWOODS INITIATIVE

988 FIFTH AVE
NEW YORK,NY10075
 CONTRIBUTING EMPLOYER NY  
          No
(257) REHAB ASSOCIATES

2072 OCEAN AVE
BROOKLYN,NY11230
 CONTRIBUTING EMPLOYER NY  
          No
(258) REMAX SYNERGY

44 OCEAN BLVD
LONG BRANCH,NJ07740
 CONTRIBUTING EMPLOYER NJ  
          No
(259) RHINO CHIROPRACTIC

25 S PARK AVE
ROCKVILLE CENTRE,NY10801
 CONTRIBUTING EMPLOYER NY  
          No
(260) RISING TIDES ALLIANCE BUSINESS GROUP

19 ELMWOOD AVE
WEST HARRISON,NY10604
 CONTRIBUTING EMPLOYER NY  
          No
(261) RITE LITE LTD

333 STANLEY AVE
BROOKLYN,NY11207
 CONTRIBUTING EMPLOYER NY  
          No
(262) RONNETTE RILEY ARCHITECTS

4947 EIGHTH AVE 15TH FL
NEW YORK,NY10001
 CONTRIBUTING EMPLOYER NY  
          No
(263) SACHEM DENTAL

469 HAWKINS AVE
LAKE RONKONKOMA,NY11779
 CONTRIBUTING EMPLOYER NY  
          No
(264) SAFE TECH USA

4522 LITTLE NECK PKWY STE 4
LITTLE NECK,NY11362
 CONTRIBUTING EMPLOYER NY  
          No
(265) SAMMYS RESTAURANT

448 W LAKE DR
MONTAUK,NY11954
 CONTRIBUTING EMPLOYER NY  
          No
(266) SANDCASTLE DAYCARE

3625 IONIA ST
SEAFORD,NY11783
 CONTRIBUTING EMPLOYER NY  
          No
(267) SD MEDICAL ARTS

833 NORTHERN BLVD
GREAT NECK,NY11021
 CONTRIBUTING EMPLOYER NY  
          No
(268) SENOPS

135 PIERCE DR
PLEASANTVILLE,NY10570
 CONTRIBUTING EMPLOYER NY  
          No
(269) SHARKBYTE

44 WALL ST FL 12
NEW YORK,NY10005
 CONTRIBUTING EMPLOYER NY  
          No
(270) SIRUR USA

55 WASHINGTON ST
BLOOMFIELD,NJ07003
 CONTRIBUTING EMPLOYER NJ  
          No
(271) SKY DENTAL PC

330 W 58ST APT 7A
NEW YORK,NY10019
 CONTRIBUTING EMPLOYER NY  
          No
(272) SMART KARMA

33 IRVING PLACE 3RD FL
NEW YORK,NY10003
 CONTRIBUTING EMPLOYER NY  
          No
(273) SMARTEN UP TUTORING

143 MORNINGSIDE AVE APT 4
NEW YORK,NY10027
 CONTRIBUTING EMPLOYER NY  
          No
(274) SOHOS MASONS CORP

1046 54TH STREET
BROOKLYN,NY11219
 CONTRIBUTING EMPLOYER NY  
          No
(275) SOLO FITNESS AND WELLNESS

81 NEW DROP PLAZA
STATEN ISLANJD,NY10306
 CONTRIBUTING EMPLOYER NY  
          No
(276) SONOTEC US INC

15 2ND AVE
CENTRAL ISLIP,NY11722
 CONTRIBUTING EMPLOYER NY  
          No
(277) SORBY CONTRACTING

30 LYNWOOD AVE
HAWTHORNE,NY10532
 CONTRIBUTING EMPLOYER NY  
          No
(278) SOTHEBY INTERNATIONAL

89 7TH AVE
BROOKLYN,NY11217
 CONTRIBUTING EMPLOYER NY  
          No
(279) SOUTH SHORE TRIM

337 RAFT AVE
HOLBROOK,NY11741
 CONTRIBUTING EMPLOYER NY  
          No
(280) SPARKLIGHTING CORP

347 37TH STREET
BROOKLYN,NY11232
 CONTRIBUTING EMPLOYER NY  
          No
(281) SPECTRUM HOME FURNISHINGS

510 SQUANKUM YELLOW BROOK RD
FARMINGDALE,NJ07727
 CONTRIBUTING EMPLOYER NJ  
          No
(282) SPIRIT GROUP INC

200 CHAMBERS STE 4T
NEW YORK,NY10007
 CONTRIBUTING EMPLOYER NY  
          No
(283) SPORTS STAR INC

1370 AVE OF THE AMERICAS 19FL
NEW YORK,NY10019
 CONTRIBUTING EMPLOYER NY  
          No
(284) SRZ DESIGN CORP

1908 CONEY ISLAND AVE
BROOKLYN,NY11230
 CONTRIBUTING EMPLOYER NY  
          No
(285) STEP BY STEP

1049 38TH ST
BROOKLYN,NY11204
 CONTRIBUTING EMPLOYER NY  
          No
(286) STEWARTLEE

9 MURRAY ST STE 4W
NEW YORK,NY10007
 CONTRIBUTING EMPLOYER NY  
          No
(287) TG BUSINESS SERVICES INC

55 SULGRAVE RD
SCARSDALE,NY10583
 CONTRIBUTING EMPLOYER NY  
          No
(288) TERRIES WINE AND SPIRITS

2510 US-44
SALT POINT,NY12578
 CONTRIBUTING EMPLOYER NY  
          No
(289) TFM BUILDERS

2210 NORTH RD
POINT PLEASANT,NJ08742
 CONTRIBUTING EMPLOYER NJ  
          No
(290) THERMO DYNAMICS

9 BEVERLY RD
YONKERS,NY10710
 CONTRIBUTING EMPLOYER NY  
          No
(291) THINK ARCHITECTS

1 METROTECH CENTER NORTH 6TH FL
BROOKLYN,NY11201
 CONTRIBUTING EMPLOYER NY  
          No
(292) THRU WAY GLASS CO

41 RELYEA
NEW ROCHELLE,NY10801
 CONTRIBUTING EMPLOYER NY  
          No
(293) TILEM ASSOCIATES

188 E POST RD
WHITE PLAINS,NY10601
 CONTRIBUTING EMPLOYER NY  
          No
(294) TOO YOUNG TO WED

PO BOX 897
MOHEGAN LAKE,NY10547
 CONTRIBUTING EMPLOYER NY  
          No
(295) TOTAL FORM FITNESS

20 WEED HILL AVE UNIT M
STAMFORD,CT06907
 CONTRIBUTING EMPLOYER CT  
          No
(296) TOWN REAL ESTATE

337 W BROADWAY
NEW YORK,NY10013
 CONTRIBUTING EMPLOYER NY  
          No
(297) TWIG INTERNATIONAL

76 CARTWRIGHT DR
PRINCETON JUNCTION,NJ08550
 CONTRIBUTING EMPLOYER NJ  
          No
(298) ULTIMATE DRYWALL

PO BOX 531
STORMVILLE,NY11731
 CONTRIBUTING EMPLOYER NY  
          No
(299) UNISOURCE INC

531 W 36TH ST FL2
NEW YORK,NY10018
 CONTRIBUTING EMPLOYER NY  
          No
(300) UNITED EMPLOYMENT AGENCY

27 WARING RD
POUND RIDGE,NY10576
 CONTRIBUTING EMPLOYER NY  
          No
(301) UNLIMITED EDUCATIONAL SERVICES

114-62 MERRICK BLVD
JAMAICA,NY11434
 CONTRIBUTING EMPLOYER NY  
          No
(302) UR BELLE

347 CLINTON ST
HEMPSTEAD,NY11550
 CONTRIBUTING EMPLOYER NY  
          No
(303) URBAN COMPASS

90 5TH AVE
NEW YORK,NY10011
 CONTRIBUTING EMPLOYER NY  
          No
(304) URGENT CARE OF CONNECTICUT

900 MAIN STREET
ORANGE,NJ06477
 CONTRIBUTING EMPLOYER NJ  
          No
(305) VANGUARD 11

155 PUULAWN RD STE 210
MELVILLE,NY11747
 CONTRIBUTING EMPLOYER NY  
          No
(306) VINNIE BUILDERS

421 SALMOUTH AVE
ELMWOOD PARK,NJ07047
 CONTRIBUTING EMPLOYER NJ  
          No
(307) VINYL TOUCH REMODELING

28 FERN AVE
ISLIP,NY11730
 CONTRIBUTING EMPLOYER NY  
          No
(308) VIVID MORTGAGE

211-41 JAMAICA AVE
QUEENS VILLAGE,NY11428
 CONTRIBUTING EMPLOYER NY  
          No
(309) VORTEK INTERNATIONAL

19 GREENTREE LANE
CHESTER,NY10918
 CONTRIBUTING EMPLOYER NY  
          No
(310) WARBURG REALTY

654 MADISON AVE
NEW YORK,NY10065
 CONTRIBUTING EMPLOYER NY  
          No
(311) WARWICK MARINE INTERNATIONAL

201 EAST 79TH STREET
NEW YORK,NY10075
 CONTRIBUTING EMPLOYER NY  
          No
(312) WEBAGE SOLUTIONS

24 WINTER AVE
STATEN ISLAND,NY10301
 CONTRIBUTING EMPLOYER NY  
          No
(313) WELLPASS

33 IRVING PLACE SUITE 4006
NEW YORK,NY10003
 CONTRIBUTING EMPLOYER NY  
          No
(314) WETTLING ARCHITECTS

270 LAFAYETTE ST 400
NEW YORK,NY10012
 CONTRIBUTING EMPLOYER NY  
          No
(315) WILDER STUDIO

PO BOX 921
SLEEPY HOLLOW,NY10591
 CONTRIBUTING EMPLOYER NY  
          No
(316) WILLIAMSBURG GARDEN CO INC

259 WYTHE
BROOKLYN,NY11211
 CONTRIBUTING EMPLOYER NY  
          No
(317) WINICK REALTY GROUP

655 3RD AVE 8
NEW YORK,NY10017
 CONTRIBUTING EMPLOYER NY  
          No
(318) XPRESSPOSTCOM

183 KOHANZA ST
DANBURY,CT06811
 CONTRIBUTING EMPLOYER CT  
          No
(319) XYZRADIO

275 20TH ST
BROOKLYN,NY11215
 CONTRIBUTING EMPLOYER NY  
          No
(320) YELED V' YALDA

1312 38TH ST
BROOKLYN,NY11219
 CONTRIBUTING EMPLOYER NY  
          No
(321) YESHIVA TORAH DOVODAATH

425 E 9TH ST
BROOKLYN,NY11218
 CONTRIBUTING EMPLOYER NY  
          No
(322) ZAD INDUSTRIES LTD

40 ABERT DR
MONSEY,NY10952
 CONTRIBUTING EMPLOYER NY  
          No
(323) ZBS ASSOCIATES

1760 2ND AVE
NEW YORK,NY10128
 CONTRIBUTING EMPLOYER NY  
          No
Schedule R (Form 990) 2021
Schedule R (Form 990) 2021
Page 3
Part V
Transactions With Related Organizations. Complete if the organization answered "Yes" on 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
 
No
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................
1n
 
No
o Sharing of paid employees with related organization(s) ............................
1o
 
No
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
 
No
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 related organization 		(b)
Transaction
type (a-s) 		(c)
Amount involved 		(d)
Method of determining amount involved





Schedule R (Form 990) 2021
Schedule R (Form 990) 2021
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on 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 sections 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) 2021
Schedule R (Form 990) 2021
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R. See instructions.
Return Reference Explanation
Schedule R (Form 990) 2021

Additional Data


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