# Board Of Trustees Local 804 Welfare Trust Fund 401(k) Plan
Source: https://planprovider.pro/companies/board-of-trustees-local-804-welfare-trust-fund-111637886-501

> Board Of Trustees Local 804 Welfare Trust Fund&#39;s 401(k) plan: 4,955 participants, plan year 2024 financials, providers, and benchmarks from Form 5500.

Form 5500 filing data for plan year 2024.

## Plan Snapshot

- **Plan Sponsor:** Board Of Trustees Local 804 Welfare Trust Fund

- **Sponsor EIN:** 111637886

- **Sponsor Address:** 44 S. BAYLES AVENUE, SUITE 302, PORT WASHINGTON, NY, 110503765

- **Plan Type:** 401(k)

- **Plan Number:** 501

- **Total Participants:** 4,955

- **Total Assets:** $151.3M

## Key Plan Design Features

- **Auto-Enrollment:** No

- **Auto-Escalation:** No

- **Allows Roth Contributions:** No

- **Participant Loans:** No

- **Participant-Directed Investments:** No

- **ERISA Section 404(c) Fiduciary Safe Harbor:** No

## Plan Financials by Year

| Year|Participants|Total Assets|Employer Contrib.|Employee Contrib.|

| 2024|4,955|$151.3M|$135.3M|$2.9M|

| 2023|4,955|$152.2M|$133.1M|$3.2M|

| 2022|5,232|$154.9M|$131.6M|$3.0M|

## Service Providers (Schedule C)

Vendors paid $5,000 or more for services to the plan, ranked by total compensation (direct + indirect fees).

| Provider Name|
Role|
Direct Compensation|
Indirect Compensation|
Total Fees|

| ANTHEM BLUE CROSS|Other Service Provider|$2,250,699|—|$2,250,699|

| THE SEGAL COMPANY|Actuary|$582,675|—|$582,675|

| COMPREHENSIVE HEALTHCARE SYSTEMS|Other Service Provider|$439,958|—|$439,958|

| NEW YORK MEDICAL MANAGEMENT, INC.|Other Service Provider|$439,335|—|$439,335|

| PROSKAUER ROSE, LLP|Other Service Provider|$296,068|—|$296,068|

| EXPRESS SCRIPTS (AKA EVERNORTH)|Other Service Provider|$267,413|—|$267,413|

| MARC PANTELEONE|Other Service Provider|$245,959|—|$245,959|

| MAGGIE WU|Other Service Provider|$238,679|—|$238,679|

| JAMES PANTELEONE|Other Service Provider|$179,403|—|$179,403|

| TEAMSTER CENTER SERVICES FUND|Other Service Provider|$149,558|—|$149,558|

| CHRISTINE NICOLETTI|Other Service Provider|$145,184|—|$145,184|

| COHEN, WEISS AND SIMON LLP|Other Service Provider|$135,606|—|$135,606|

| CELIA LIAW|Other Service Provider|$129,846|—|$129,846|

| DOROTHY LUBERA|Other Service Provider|$108,794|—|$108,794|

| ANWAR ZAIDI|Other Service Provider|$106,315|—|$106,315|

| WEAVER AND TIDWELL, LLP|Auditor|$104,876|—|$104,876|

| JAMES SOLIWODA|Other Service Provider|$101,413|—|$101,413|

| CONCEPCION ACEVEDO|Other Service Provider|$98,236|—|$98,236|

| LISA ROSA|Other Service Provider|$97,509|—|$97,509|

| BARKSDALE INVESTMENT MANAGEMENT|Other Service Provider|$96,845|—|$96,845|

| JANINA JONES|Other Service Provider|$91,926|—|$91,926|

| NANCY ROSAS|Other Service Provider|$87,013|—|$87,013|

| MEAGAN ADRIAN-IRIZARRY|Other Service Provider|$80,089|—|$80,089|

| JEANETTE BROWN|Other Service Provider|$79,314|—|$79,314|

| ANTHONY SCULLY|Other Service Provider|$79,179|—|$79,179|

| DR. ASHER MANSDORF|Other Service Provider|$60,000|—|$60,000|

| AMALGAMATED BANK|Custodian / Trustee|$45,878|—|$45,878|

| PAMELA GARCIA|Other Service Provider|$45,543|—|$45,543|

| LUBOA LIZA LEI|Other Service Provider|$45,338|—|$45,338|

| KATHERINE CANDO|Other Service Provider|$42,708|—|$42,708|

| ELISHA RICHARDS|Other Service Provider|$41,720|—|$41,720|

| MORGAN STANLEY GRAYSTONE|Recordkeeper|$38,944|—|$38,944|

| DR. FREDERICK M. TUCCI|Other Service Provider|$24,000|—|$24,000|

| NORTHERN TRUST COMPANY|Other Service Provider|$10,712|—|$10,712|

### Verified Provider Profiles

Direct links to verified profiles of matched retirement plan providers on PlanProvider.Pro:

- [WEAVER AND TIDWELL, LLP](https://planprovider.pro/provider/weaver-and-tidwell-llp) — Auditor

- [MORGAN STANLEY GRAYSTONE](https://planprovider.pro/provider/jp-morgan-asset-management) — Recordkeeper

## Plan Fees & Expenses

Annual service provider fees and administrative expenses sourced from DOL Form 5500 filings.

- **Total Service Provider Fees:** $6,986,735

- **Estimated Expense Ratio:** 4.619% of plan assets

### Historical Administrative Expenses

Breakdown of administrative expense categories reported on Form 5500 filings.

| Year|
Total Admin Expenses|
Investment Mgmt Fees|
Contract Admin Fees|
IQPA Audit Fees|
Professional Fees|

| 2024|$8,213,775|$196,042|$2,518,112|$104,876|—|

| 2023|$8,117,510|$213,984|$2,533,034|$49,000|—|

| 2022|$7,983,086|$207,202|$2,492,501|—|$1,552,767|

## Similar Plans

- [Board Of Trustees Local 804 Annuity Fund](https://planprovider.pro/companies/board-of-trustees-local-804-annuity-fund-plan) — 7,578 participants

- [Board Of Trustees Local 282](https://planprovider.pro/companies/board-of-trustees-local-282-plan-002) — 3,993 participants

- [Board Of Trustees Of Local 282](https://planprovider.pro/companies/board-of-trustees-of-local-282-plan) — 3,000 participants

- [Board Of Trustees Local 282](https://planprovider.pro/companies/board-of-trustees-local-282-116244552-501) — 2,657 participants

- [Board Of Trustees Local 282](https://planprovider.pro/companies/board-of-trustees-local-282-116276103-502) — 2,657 participants

- [Board Of Trustees Local 282](https://planprovider.pro/companies/board-of-trustees-local-282-116399999-503) — 2,390 participants

[View full interactive plan profile on PlanProvider.Pro](https://planprovider.pro/companies/board-of-trustees-local-804-welfare-trust-fund-111637886-501)

&copy; 2026 PlanProvider.Pro
