Form 5500
Department of the Treasury
Internal Revenue Service

Department of Labor
Employee Benefits Security
Administration

Pension Benefit Guaranty Corporation
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Annual Return/Report of Employee Benefit Plan
This
form is required to be filed under sections 104 and 4065 of the
Employee Retirement Income Security Act of 1974 (ERISA) and sections
6039D, 6047(e), 6057(b), and 6058(a) of the Internal Revenue Code (the
Code).
Complete all entries in accordance with
the instructions to the Form 5500.
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Official Use Only
OMB Nos. 1210 - 0110
1210 - 0089

2007

This Form is Open to Public Inspection
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Part I
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Annual Report Identification Information
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For the calendar plan year 2007 or fiscal plan year beginning
July 01, 2007
, and ending
June 30, 2008
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A
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This return/report is for:
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(1) a multiemployer plan;
(2) a single-employer plan (other than a multiple-employer plan);
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(3) a multiple-employer plan;
(4) a DFE (specify)
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B
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This return/report is:
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(1) the first return/report filed for the plan;
(2) the amended return/report;
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(3) the final return/report filed for the plan;
(4) a short plan year return/report (less than 12 months).
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C
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If the plan is a collectively-bargained plan, check here
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D
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If you filed for an extension of time to file, check the box and attach a copy of the extension application
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Part II
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Basic Plan Information – enter all requested information.
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1a
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Name of plan
UPSTATE NEW YORK CARPENTERS PENSION PLAN
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1b |
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Three-digit plan number (PN) |
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001
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1c |
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Effective date of plan (mo., day, yr.)
April 01, 1959
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2a
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Plan sponsor's name and address (employer, if for a single-employer plan)
(Address should include room or suite no.)
UPSTATE NEW YORK CARPENTERS PENSION 270 MOTOR PKWY HAUPPAUGE NY 11788-5183
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2b
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Employer Identification Number (EIN)
15-6014463
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2c
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Sponsor's telephone number
631-952-9700
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2d
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Business code (see instructions)
525100
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Caution: A penalty for the late or incomplete filing of this return/report will be assessed unless reasonable cause is established.
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Under penalties of perjury and other penalties set forth in the
instructions, I declare that I have examined this return/report,
including accompanying schedules, statements and attachments, and to
the best of my knowledge and belief, it is true, correct, and complete.
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04/14/2009
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CHARLES T RINALDO
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Signature of plan administrator
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Date
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Typed or printed name of individual signing as plan administrator
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04/14/2009
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JOHN D SCHALK
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Signature of employer/plan sponsor/DFE
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Date
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Typed or printed name of individual signing as employer, plan sponsor or DFE as applicable
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For Paperwork Reduction Act Notice and OMB Control Numbers, see the instructions for Form 5500.
v2.3
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Form 5500 (2007)
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3a
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Plan administrator's name and address (if same as plan sponsor, enter"Same")
SAME
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3b
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Administrator's EIN
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3c
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Administrator's telephone number
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4
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If the name and/or EIN of the plan sponsor has changed since the last
return/report filed for this plan, enter the name, EIN and the plan
number from the last return/report below:
a Sponsor's name
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5
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Preparer information (optional) a Name (including firm name, if applicable) and address
BEARD MILLER COMPANY LLP THOMAS E RILEY 115 SOLAR STREET 100 SYRACUSE NY 13204
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b EIN
23-3060766
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c Telephone no.
315-471-2777
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6
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Total number of participants at the beginning of the plan year
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6
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2,358
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7
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Number of participants as of the end of the plan year (welfare plans complete only lines 7a, 7b, 7c, and 7d)
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a
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Active participants
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a
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1,029
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b
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Retired or separated participants receiving benefits
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b
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786
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Other retired or separated participants entitled to future benefits
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c
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332
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Subtotal. Add lines 7a, 7b, and 7c
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d
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2,147
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e
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Deceased participants whose beneficiaries are receiving or are entitled to receive benefits
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e
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158
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f
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Total. Add lines 7d and 7e
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f
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2,305
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g
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Number of participants with account balances as of the end of the plan
year (only defined contribution plans complete this item) |
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g
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h
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Number of participants that terminated employment during the plan year
with accrued benefits that were less than 100% vested |
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h
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i
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If any participant(s) separated from service with a deferred vested
benefit, enter the number of separated participants required to be
reported on a Schedule SSA (Form 5500) |
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i
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48
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8
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Benefits provided under the plan (complete 8a through 8c, as applicable)
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a
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Pension benefits
(check this box if the plan provides pension benefits and enter the
applicable pension feature codes from the List of Plan Characteristics
Codes (printed in the instructions)):
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b
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Welfare benefits
(check this box if the plan provides welfare benefits and enter the
applicable welfare feature codes from the List of Plan Characteristics
Codes (printed in the instructions)):
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9a
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Plan funding arrangement (check all that apply)
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(1)
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Insurance
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(2)
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Section 412(i) insurance contracts
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(3)
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Trust
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(4)
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General assets of the sponsor
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9b
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Plan benefit arrangement (check all that apply)
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(1)
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Insurance
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(2)
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Section 412(i) insurance contracts
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(3)
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Trust
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(4)
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General assets of the sponsor
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10
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Schedules attached (Check all applicable boxes and, where indicated, enter the number attached. See instructions.)
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a
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Pension Benefit Schedules
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(1)
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R
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(Retirement Plan Information)
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(2)
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T
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(Qualified Pension Plan Coverage Information)
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If a Schedule T is not attached because the plan is relying on coverage
testing information for a prior year, enter the year |
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(3)
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B
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(Actuarial Information)
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(4)
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E
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(ESOP Annual Information)
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(5)
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SSA
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(Separated Vested participant Information)
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b
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Financial Schedules
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(1)
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H
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(Financial Information)
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(2)
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I
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(Financial Information – Small Plan)
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(3)
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A
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(Insurance Information)
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(4)
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C
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(Service Provider Information)
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(5)
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D
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(DFE/Participating Plan Information)
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(6)
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G
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(Financial Transaction Schedules)
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