2023 Form 5500 filing — Local No. 863 Welfare Plan
Plain-English filing summary
According to public Form 5500 filings published through the U.S. Department of Labor (DOL) Employee Benefits Security Administration (EBSA) via the EFAST2 system, this is the 2023 Form 5500 filing (EFAST2 acknowledgement 20250115144536NAL0012790659001) for Local No. 863 Welfare Plan, reported by Local No. 863 Welfare Plan under EIN 22-1478216 and plan number 501. It reports 2,903 participants. Attached schedules in the loaded dataset include Schedule H (large plan financials), Schedule C (service provider compensation).
- EFAST2 acknowledgement
- 20250115144536NAL0012790659001
- Filing year
- 2023
- Form type
- 1
- Plan sponsor
- Local No. 863 Welfare Plan
- EIN
- 22-1478216
- Plan number
- 501
- Location
- Mountainside, NJ
- Participants
- 2,903
- Schedules available
- Schedule H, Schedule C
- Received date
- not reported in the loaded dataset
Reported financial snapshot (2023)
- Total assets (EOY)
- $26,780,321
- Total liabilities (EOY)
- $2,381,964
- Net assets (EOY)
- $24,398,357
- Employer contributions
- $45,898,540
- Participant contributions
- $102,668
- Total income / additions
- $50,045,481
- Benefits paid
- $44,251,140
- Administrative expenses
- $4,352,794
- Total expenses
- $48,603,934
- Net increase / (decrease)
- $1,441,547
- Schedule source
- Schedule H
Reported service provider compensation (Schedule C)
| Provider | Service | Direct comp. | Indirect comp. |
|---|---|---|---|
| Kathryn Zizza | EMPLOYEE | $150,540 | not reported in the loaded dataset |
| Health Care Admin | ADMIN. | $141,536 | not reported in the loaded dataset |
| Kenneth Nowak, Esq. | ATTORNEY | $126,000 | $0 |
| Bederson Llp | AUDITOR | $90,795 | not reported in the loaded dataset |
| Statewide Health Data Systems | COMPUTER SERVICE | $87,044 | not reported in the loaded dataset |
| The Segal Company | ACTUARY | $81,015 | not reported in the loaded dataset |
| Anna Romano | EMPLOYEE | $70,020 | not reported in the loaded dataset |
| Rosa Vigario | EMPLOYEE | $68,720 | not reported in the loaded dataset |
| Anna Pannella | EMPLOYEE | $64,560 | not reported in the loaded dataset |
| Donna Clader | EMPLOYEE | $63,520 | not reported in the loaded dataset |
| Janney Montgomery Scott LLC | INVESTMENT ADVISER | $62,189 | $0 |
| Lori Dibenedetto | EMPLOYEE | $20,072 | not reported in the loaded dataset |
| Zazzali Et Al | ATTORNEY | $19,200 | not reported in the loaded dataset |