efile Public Visual Render
ObjectId: 202202729349300445 - Submission: 2022-09-29
TIN: 23-6263170
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
Attach to Form 990.
Go to
www.irs.gov/Form990
for instructions and the latest information.
OMB No. 1545-0047
20
21
Open to Public Inspection
Name of the organization
CENTRAL PENNSYLVANIA TEAMSTERS HEALTH
AND WELFARE FUND
Employer identification number
23-6263170
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)
CENTRAL PENNSYLVANIA TEAMSTERS DEFINED BENEFIT PLAN
1055 SPRING STREET
WYOMISSING
,
PA
19610
23-6262789
PENSION PLAN
PA
401(A)
No
(2)
CENTRAL PENNSYLVANIA TEAMSTERS RETIREMENT INCOME PLAN - 1987
1055 SPRING STREET
WYOMISSING
,
PA
19610
23-6262789
PENSION PLAN
PA
401(A)
No
(3)
BERKS COUNTY JAIL SYSTEM
23-6003049
LOCAL GOVERNMENT
PA
No
(4)
BERN TOWNSHIP
23-6000249
LOCAL GOVERNMENT
PA
No
(5)
BIRDSBORO BOROUGH
23-6003118
LOCAL GOVERNMENT
PA
No
(6)
BOROUGH OF BERWICK
24-6000568
LOCAL GOVERNMENT
PA
No
(7)
CUMRU TOWNSHIP
23-6000288
LOCAL GOVERNMENT
PA
No
(8)
DENVER BOROUGH
23-6002983
LOCAL GOVERNMENT
PA
No
(9)
EXETER TWP BD OF SUPV
23-6000327
LOCAL GOVERNMENT
PA
No
(10)
LOYALSOCK TOWNSHIP
24-6001483
LOCAL GOVERNMENT
PA
No
(11)
MAHANOY CITY BOROUGH
23-6002892
LOCAL GOVERNMENT
PA
No
(12)
MILTON REGIONAL SEWER ATH
30-0093422
LOCAL GOVERNMENT
PA
No
(13)
MUHLENBERG TOWNSHIP
23-6000435
LOCAL GOVERNMENT
PA
No
(14)
MUHLENBERG TOWNSHIP AUTH
25-6010770
LOCAL GOVERNMENT
PA
No
(15)
NESCOPECK BOROUGH
24-6000638
LOCAL GOVERNMENT
PA
No
(16)
NEWBERRY TWP BD OF SUPV
23-6000437
LOCAL GOVERNMENT
PA
No
(17)
NORTHUMBERLAND COUNTY
24-6000742
LOCAL GOVERNMENT
PA
No
(18)
PA CONFERENCE OF TEAMSTER
23-2311355
LOCAL GOVERNMENT
PA
No
(19)
POLK TOWNSHIP SUPERVISORS
24-6001528
LOCAL GOVERNMENT
PA
No
(20)
RDG REGIONAL AIRPORT AUTH
23-6050410
LOCAL GOVERNMENT
PA
No
(21)
SCHUYLKILL COUNTY PRISON
23-6003048
LOCAL GOVERNMENT
PA
No
(22)
SMITHFIELD TOWNSHIP
23-2089952
LOCAL GOVERNMENT
PA
No
(23)
SNYDER COUNTY
23-6003152
LOCAL GOVERNMENT
PA
No
(24)
SPRING GARDEN TWP BOC
23-6003037
LOCAL GOVERNMENT
PA
No
(25)
SPRINGETTSBURY TOWNSHIP
23-6000513
LOCAL GOVERNMENT
PA
No
(26)
SUMMIT HILL BOROUGH
24-6000664
LOCAL GOVERNMENT
PA
No
(27)
TEAMSTERS LOCAL UNION 229
24-0565465
LABOR UNION
PA
501(C)(5)
No
(28)
TEAMSTERS LOCAL UNION 429
23-0724625
LABOR UNION
PA
501(C)(5)
No
(29)
TEAMSTERS LOCAL UNION 764
24-0773584
LABOR UNION
PA
501(C)(5)
No
(30)
TEAMSTERS LOCAL UNION 771
23-1071860
LABOR UNION
PA
501(C)(5)
No
(31)
TEAMSTERS LOCAL UNION 773
23-0724667
LABOR UNION
PA
501(C)(5)
No
(32)
TEAMSTERS LOCAL UNION 776
23-1147664
LABOR UNION
PA
501(C)(5)
No
(33)
UPPER MT BETHEL TOWNSHIP
24-6001583
LOCAL GOVERNMENT
PA
No
(34)
WASHINGTON TOWNSHIP
23-6000563
LOCAL GOVERNMENT
PA
No
(35)
WEST READING BOROUGH
23-6002959
LOCAL GOVERNMENT
PA
No
(36)
WEST YORK BOROUGH
23-6003014
LOCAL GOVERNMENT
PA
No
(37)
VALLEY FORGE SEWER AUTHORITY
23-1859795
LOCAL GOVERNMENT
PA
No
(38)
LOWER MACUNGIE TOWNSHIP
23-6000397
LOCAL GOVERNMENT
PA
No
(39)
BOROUGH OF MOUNT PENN
23-6002902
LOCAL GOVERNMENT
PA
No
(40)
ROBESON TOWNSHIP
23-6000481
LOCAL GOVERNMENT
PA
No
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2021
Page 2
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
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)
3B SERVICES INC
(2)
ABM INDUSTRIES
(3)
ACME MARKETS INC
(4)
AIRGAS
(5)
ANTONIO ORIGLIO INC
(6)
ANTHRACITE INDUSTRIES
(7)
ARAMARK REFRESHMENT SERVICES
(8)
ARKANSAS BEST FREIGHT SYS INC
(9)
BRENNTAG NORTHEAST INC
(10)
C&D RIGGING
(11)
CANTEEN VENDING
(12)
CENTRAL BUILDERS SUPPLY CO
(13)
CENTRAL PA TEAMSTERS H&W FUND
(14)
CENTRAL PA TEAMSTERS PENSION FUND
(15)
CENTRE CONCRETE COMPANY
(16)
DAIRY FARMERS OF AMERICA
(17)
DEAN DAIRY FLUIDTRANSPORTATION
(18)
DUN TRANS & STRINGING INC
(19)
E J BRENEMAN LLC
(20)
EMPIRE WRECKING
(21)
ENERFAB POWER
(22)
FLATIRONS DRILLING INC
(23)
GROCERY HAULERS INC
(24)
HANGING H COMPANIES
(25)
HILLIS GROUP
(26)
INTERNATIONAL SCRAP IRON & METAL
(27)
J D M MATERIALS CO INC
(28)
JONES MOTOR CO INC
(29)
KUNZLER & COMPANY INC
(30)
LENTZ MILLING COMPANY
(31)
LOWER MACUNGIE TWP
(32)
MICHELS CORPORATION
(33)
MILLER ROBESONIA SERVICES
(34)
NEW PENN MOTOR EXPRESS
(35)
PARA TRANSIT AUTHORITY
(36)
PE BEN USA INC
(37)
PENNSY SUPPLY INC
(38)
PETRO OIL
(39)
PRECISION PIPELINE
(40)
PRICE GREGORY INTL
(41)
RABBIT TRANSIT
(42)
READING FOUNDRY & SUPPLY CO
(43)
SAVOR STREET FOODS INC
(44)
SINGER EQUIPMENT CO INC
(45)
SNYDER COUNTY PRISON
(46)
UNITED PARCEL SERVICE INC
(47)
UPS CARTAGE SERVICES INC
(48)
US PIPELINE
(49)
WALTER ZIEGLER & SONS
(50)
WEINER IRON & METAL CORP
(51)
WILLIAM E BUCKHOLZ CO
(52)
WINDSOR SERVICE TRUCKING
(53)
WOLVERINE TRUCKING INC
(54)
YEAGER SUPPLY INC
(55)
YORK GROUP INC
(56)
YRC FREIGHT
Schedule R (Form 990) 2021
Page 3
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
Yes
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
Yes
p
Reimbursement paid to related organization(s) for expenses
............................
1p
Yes
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
(1)
CENTRAL PENNSYLVANIA TEAMSTERS RETIREMENT INCOME PLAN - 1987
P
3,028,738
FMV
(2)
TEAMSTERS LOCAL UNION NO 429
K
145,035
FMV
Schedule R (Form 990) 2021
Page 4
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
Page 5
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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