UFCW UNIONS & PARTCIPATING EMPLOYERS HEALTH AND WELFARE FUND: Form 990, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- UFCW UNIONS & PARTCIPATING EMPLOYERS HEALTH AND WELFARE FUND (EIN 01-0749311)
- Tax period
- 2023-11-01 to 2024-10-31
- Filed
- 2025-08-18
- IRS object ID
- 202542309349300844
- Schema version
- 2023v6.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2025-08-18T14:21:00-04:00 | ReturnTs |
| Tax Period End | 2024-10-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 222212404 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BARATZ & ASSOCIATES PA | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4B EVES DR STE 100 | AddressLine1Txt |
| City | MARLTON | CityNm |
| State Abbreviation | NJ | StateAbbreviationCd |
| ZIP | 08053 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2023-11-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 010749311 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | UFCW UNIONS & PARTICIPATING | BusinessNameLine1Txt |
| Business Name Line2 | EMPLOYERS HEALTH & WELFARE FUND | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | UFCW | BusinessNameControlTxt |
| Phone | 8567932500 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 27 ROLAND AVENUE | AddressLine1Txt |
| City | MT LAUREL | CityNm |
| State Abbreviation | NJ | StateAbbreviationCd |
| ZIP | 08054 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SAM FERRAINO | PersonNm |
| Person Title | CHAIR/TRUSTEE | PersonTitleTxt |
| Phone | 8567932500 | PhoneNum |
| Signature | 2025-08-18 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | false | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JOHN FEKETE CPA | PreparerPersonNm |
| PTIN | P00956964 | PTIN |
| Phone | 8569855688 | PhoneNum |
| Preparation | 2025-08-18 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2023 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | SAM FERRAINO | PrincipalOfficerNm |
| Gross Receipts | $53,216,674 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c | Yes (X) | Organization501cInd |
| Type Of Organization Other | Yes (X) | TypeOfOrganizationOtherInd |
| Other Organization Dsc | BENEFIT FUND | OtherOrganizationDsc |
| Formation | 2002 | FormationYr |
| Legal Domicile State | NJ | LegalDomicileStateCd |
| Activity Or Mission | TO PAY HEALTH, LIFE AND LIMITED LEGAL BENEFITS FOR PARTICIPANTS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 8 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 0 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $45,069,344 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $47,038,527 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,416,164 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,979,207 | CYInvestmentIncomeAmt |
| PY Other Revenue | $33,274 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $46,518,782 | PYTotalRevenueAmt |
| CY Total Revenue | $49,017,734 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $41,812,997 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $40,754,736 | CYBenefitsPaidToMembersAmt |
| CY Salaries Comp Emp Bnft Paid | $0 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $5,408,805 | PYOtherExpensesAmt |
| CY Other Expenses | $5,971,078 | CYOtherExpensesAmt |
| PY Total Expenses | $47,221,802 | PYTotalExpensesAmt |
| CY Total Expenses | $46,725,814 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$703,020 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $2,291,920 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $46,733,989 | TotalAssetsBOYAmt |
| Total Assets EOY | $52,746,573 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $9,349,924 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $10,719,022 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $37,384,065 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $42,027,551 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO PAY HEALTH, LIFE AND LIMITED LEGAL BENEFITS FOR PARTICIPANTS. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Desc | TO PROVIDE HEALTH, LIFE, LEGAL, AND OTHER BENEFITS TO PARTICIPANTS. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | TO PROVIDE HEALTH, LIFE, LEGAL, AND OTHER BENEFITS TO PARTICIPANTS. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Described In Section501c3 | false | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | false | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 106 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 8 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 0 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (true) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | false | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | false | ConflictOfInterestPolicyInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ADMINISTRATIVE COMMITTEE | PersonNm |
| Phone | 8567932500 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 27 ROLAND AVENUE | AddressLine1Txt |
| City | MT LAUREL | CityNm |
| State Abbreviation | NJ | StateAbbreviationCd |
| ZIP | 08054 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | Yes (X) | NoListedPersonsCompensatedInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (8 entries)
| TitleTitleTxt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|
| SAM FERRAINO | ||||
| CHAIR/TRUSTE | Yes (X) | $0 | $0 | $0 |
| PATRICK J DURNING | ||||
| SECRETARY/TR | Yes (X) | $0 | $0 | $0 |
| GENE DEL ROSARIO | ||||
| TRUSTEE | Yes (X) | $0 | $0 | $0 |
| DANIEL ROSS | ||||
| TRUSTEE | Yes (X) | $0 | $0 | $0 |
| DANIEL KONCZYK | ||||
| TRUSTEE | Yes (X) | $0 | $0 | $0 |
| RACHEL CARUSO | ||||
| TRUSTEE | Yes (X) | $0 | $0 | $0 |
| ALEXANDER VOITOVICH | ||||
| TRUSTEE | Yes (X) | $0 | $0 | $0 |
| TIM TERIFAY | ||||
| TRUSTEE | Yes (X) | $0 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | false | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (3 entries)
| Business Name Line2ContractorName/BusinessName/BusinessNameLine2Txt | Address Line1ContractorAddress/USAddress/AddressLine1Txt | Address Line2ContractorAddress/USAddress/AddressLine2Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|---|---|
| TRI-STATE ADMINISTRATORS | |||||||
| TRI-STATE ADMINISTRATORS | 27 ROLAND AVE | 27 ROLAND AVE | MT LAUREL | NJ | 08054 | ADMINISTRATION | $5,611,973 |
| SPEAR WILDERMAN PC | |||||||
| SPEAR WILDERMAN PC | 230 S BROAD ST | 230 S BROAD ST | PHILADELPHIA | PA | 19102 | LEGAL | $481,353 |
| O'BRIEN BELLAND & BUSHINSKY LLC | |||||||
| O'BRIEN BELLAND & BUSHINSKY LLC | 509 S LENOLA RD | 509 S LENOLA RD | MOORESTOWN | NJ | 08057 | LEGAL | $180,403 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 3 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|
| EMPLOYER CONTRIBUTIONS | $46,945,527 | $46,945,527 |
| EMPLOYEE CONTRIBUTIONS | $93,000 | $93,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $47,038,527 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,778,147 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $730,533 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $1,047,614 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $4,400,000 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $4,198,940 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $201,060 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $201,060 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $201,060 | RelatedOrExemptFuncIncomeAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $49,017,734 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $47,970,120 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $1,047,614 | ExclusionAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $40,754,736 | TotalAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,463,212 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $37,713 | TotalAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $43,500 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,884 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,250 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $284 | TotalAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,029 | TotalAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt |
|---|---|
| DATA PROCESSING | $154,648 |
| ADMINISTRATION-PROJECTS | $148,761 |
| OFFICE EXPENSES | $34,833 |
| NEWSLETTER | $13,964 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $46,725,814 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $39,425 | BOYAmt |
| EOY | $33,880 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,467,393 | BOYAmt |
| EOY | $23,515,428 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,898,887 | BOYAmt |
| EOY | $4,025,940 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,508 | BOYAmt |
| EOY | $88,987 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $266,589 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $266,589 | LandBldgEquipAccumDeprecAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,920,878 | BOYAmt |
| EOY | $21,187,979 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,374,898 | BOYAmt |
| EOY | $3,894,359 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $46,733,989 | BOYAmt |
| EOY | $52,746,573 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,349,924 | BOYAmt |
| EOY | $10,719,022 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,349,924 | BOYAmt |
| EOY | $10,719,022 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Org Does Not Follow FASB117 | Yes (X) | OrgDoesNotFollowFASB117Ind |
Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,384,065 | BOYAmt |
| EOY | $42,027,551 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,384,065 | BOYAmt |
| EOY | $42,027,551 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $46,733,989 | BOYAmt |
| EOY | $52,746,573 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $2,291,920 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $2,351,566 | NetUnrlzdGainsLossesInvstAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule D IRS990ScheduleD
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $266,589 | OtherCostOrOtherBasisAmt |
| Depreciation | $266,589 | DepreciationAmt |
Other Assets Org OtherAssetsOrgGrp (4 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DEPOSITS & DRUG REBATE RECEIVABLE | $2,883,796 |
| BLUE CROSS DEPOSIT/RESERVE | $983,000 |
| ACCRUED INCOME | $26,617 |
| DUE FROM RELATED PARTY | $946 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $3,894,359 | TotalBookValueOtherAssetsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $51,337,416 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $2,351,566 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | $2,351,566 | RevenueNotReportedAmt |
| Revenue Subtotal | $48,985,850 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $31,884 | InvestmentExpensesNotIncldAmt |
| Revenue Not Reported Fincl Stmt | $31,884 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $49,017,734 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $45,308,221 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $45,308,221 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $31,884 | InvestmentExpensesNotIncld2Amt |
| Other Expenses Not Included | $1,385,709 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $1,417,593 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $46,725,814 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE D, PAGE 3, PART X | ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE PLAN MANAGEMENT TO EVALUATE TAX PROVISIONS TAKEN BY THE PLAN. MANAGEMENT EVALUATED THE PLAN'S TAX POSITIONS AND CONCLUDED THAT THE PLAN HAD MAINTAINED ITS TAX-EXEMPT STATUS AND HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THEREFORE, NO PROVISION OF LIABILITY FOR INCOME TAXES HAS BEEN INCLUDED IN THE FINANCIAL STATEMENTS. WITH FEW EXCEPTIONS, THE PLAN IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS BY U.S. FEDERAL, STATE, OR LOCAL TAX AUTHORITIES FOR YEARS BEFORE 2022. |
| SCHEDULE D, PAGE 4, PART XII, LINE 4B | BENEFIT PAYABLE ADJUSTMENT 1,385,709 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 2, PART III, LINE 4D | TO PROVIDE HEALTH, LIFE, LEGAL, AND OTHER BENEFITS TO PARTICIPANTS. |
| FORM 990, PAGE 6, PART VI, LINE 3 | DAILY OPERATIONS ARE PERFORMED BY A THIRD-PARTY ADMINISTRATOR (TRI-STATE ADMINISTRATORS). |
| FORM 990, PAGE 6, PART VI, LINE 11B | THE FORM 990 WAS REVIEWED BY THE FUND'S BOOKKEEPER, BEFORE BEING SENT TO THE TRUSTEES FOR FINAL REVIEW AND SIGNATURE. |
| FORM 990, PAGE 6, PART VI, LINE 19 | GOVERNMENT FORMS ARE AVAILABLE FOR REVIEW UPON REQUEST. PARTICIPANTS ARE ABLE TO COME TO THE ADMINISTRATIVE OFFICE AND REQUEST AN OPPORTUNITY TO REIVEW THE FORMS. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)
| Business Name Line2DisregardedEntityName/BusinessNameLine2Txt | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| UNITED FOOD & COMMERCIAL WORKERS | ||||||||||
| UNION LOCAL 152 | 3120 FIRE RD STE 201 | EGG HARBOR CITY | NJ | 08234 | 203953178 | UNION | NJ | 501C5 | N/A | false |
| UNITED FOOD & COMMERCIAL WORKERS | ||||||||||
| UNION LOCAL 1360 | 400 COMMERCE LANE | WEST BERLIN | NJ | 08091 | 210546700 | UNION | NJ | 501C5 | N/A | false |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (9 entries)
| Business Name Line2RelatedOrganizationName/BusinessNameLine2Txt | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Business Name Line2DirectControllingEntityName/BusinessNameLine2Txt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| AVC PICTURES LLC | ||||||||||||
| AVC PICTURES LLC | 58 S BROAD ST | WOODBURY | NJ | 08096 | 201580850 | MEDIA | NJ | AVC | AVC PICTURES LLC | false | false | |
| SHOPRITE OF EDDYSTONE | ||||||||||||
| SHOPRITE OF EDDYSTONE | 1568 CHESTER PIKE | EDDYSTONE | PA | 19022 | 201624507 | GROCERY ST | PA | COLLINS | FAMILY MARKETS | false | false | |
| EEE ASSOCIATES LLC | ||||||||||||
| SHOPRITE OF ARK RD & RT 38 | 1310 FAIRVIEW RD | DELRAN | NJ | 08075 | 562669847 | GROCERY ST | NJ | EICKHOFF'S | SUPERMARKETS | false | false | |
| KGJ ASSOCIATES LLC | ||||||||||||
| SHOPRITE OF CINNAMINSON | 1310 FAIRVIEW BLVD | DELRAN | NJ | 08075 | 432104622 | GROCERY ST | NJ | EICKHOFF'S | SUPERMARKETS | false | false | |
| SHOPRITE OF GLENOLDEN | ||||||||||||
| 140 N MCDADE BLVD | GLENOLDEN | PA | 19036 | 201624507 | GROCERY ST | PA | COLLINS | FAMILY MARKETS | false | false | ||
| SOMERSET HOLDINGS LLC | ||||||||||||
| 1230 BLACKWOOD-CLEMENTON RD | BLACKWOOD | NJ | 08021 | 222385129 | GROCERY ST | NJ | false | false | N/A | |||
| MARLTON SUPERMARKETS INC | ||||||||||||
| MARLTON SUPERMARKETS INC | 600 KINGS HWY | CHERRY HILL | NJ | 08034 | 223198687 | GROCERY ST | NJ | MARLTON | SUPERMARKETS | false | false | |
| MOUNT LAUREL SUPERMARKETS INC | ||||||||||||
| MOUNT LAUREL SUPERMARKETS INC | 1000 NIXON DR | MOUNT LAUREL | NJ | 08054 | 223198672 | GROCERY ST | NJ | MOUNT LAUR | SUPERMARKETS INC | false | false | |
| RACETRACK SUPERMARKET | ||||||||||||
| RACETRACK SUPERMARKET | 600 KINGS HWY | CHERRY HILL | NJ | 08034 | 223543183 | GROCERY ST | NJ | RACETRACK | SUPERMARKET | false | false | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (17 entries)
| Business Name Line2RelatedOrganizationName/BusinessNameLine2Txt | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| ZALLIE SUPERMARKETS INC | |||||||||||
| ZALLIE SUPERMARKETS INC | 1230 BLACKHORSE PIKE | CLEMENTON | NJ | 08021 | 222385129 | GROCERY ST | NJ | N/A | C CORP | false | |
| KRE INC | |||||||||||
| T/A SHOPRITE OF HAINESPORT & RT 38 | 1310 FAIRVIEW BLVD | DELRAN | NJ | 08075 | 300107628 | GROCERY ST | NJ | C CORP | false | EICKHOFF'S | |
| LION'S GATE | |||||||||||
| SJF-CCRC INC | 1110 LAUREL OAK RD | VOORHEES | NJ | 08043 | 233701092 | HEALTHCARE | NJ | N/A | C CORP | false | |
| HFE INC | |||||||||||
| SHOP RITE OF WILLINGBORO | 1310 FAIRVIEW BLVD | DELRAN | NJ | 08075 | 221859016 | GROCERY ST | NJ | C CORP | false | EICKHOFF'S | |
| SAKER SHOPRITES INC | |||||||||||
| SAKER SHOPRITES INC | 10 CENTERVILLE RD | HOLMDEL | NJ | 07733 | 221729304 | GROCERY ST | NJ | N/A | C CORP | false | |
| AHOLD USA INC | |||||||||||
| AHOLD FINANCIAL SERVICES | 1149 HARRISBURG PIKE | CARLISLE | PA | 17013 | 530073545 | GROCERY ST | PA | N/A | C CORP | false | |
| BOTTINO'S SUPERMARKET | |||||||||||
| 1000 N PEARL | BRIDGETON | NJ | 08302 | 223050074 | GROCERY ST | NJ | N/A | C CORP | false | ||
| BROWN'S SUPERSTORES | |||||||||||
| 700 DELSEA DR | WESTVILLE | NJ | 08093 | 232795356 | GROCERY ST | PA | C CORP | false | BROWN'S SU | ||
| DELAWARE SUPERMARKETS | |||||||||||
| 501 S WALNUT ST | WILMINGTON | DE | 19801 | 510363305 | GROCERY ST | DE | C CORP | false | WAKEFERN C | ||
| FRANK M VACCARO & ASSOC INC | |||||||||||
| 27 ROLAND AVE | MOUNT LAUREL | NJ | 08054 | 232148108 | ADMINISTRA | PA | N/A | C CORP | false | ||
| MURPHYS MARKETS | |||||||||||
| 381 MEDFORD LAKES | TABERNACLE | NJ | 08088 | 223547084 | GROCERY ST | NJ | N/A | C CORP | false | ||
| SHOP RITE OF MULLICA HILL | |||||||||||
| 143 BRIDGETON PIKE | MULLICA HILL | NJ | 08062 | 260494691 | GROCERY ST | NJ | C CORP | false | AMMONS | ||
| SHOP RITE OF YARDLEY | |||||||||||
| 272 RT 31 | FLEMINGTON | NJ | 08822 | 202805115 | GROCERY ST | NJ | C CORP | false | SHOP RITE | ||
| SHOP RITE OF WEST CHESTER | |||||||||||
| 236 RARITAN | EDISON | NJ | 088373610 | 232820673 | GROCERY ST | PA | C CORP | false | KTM SUPERM | ||
| TRI-STATE ADMINISTRATORS | |||||||||||
| 27 ROLAND AVE | MT LAUREL | NJ | 08054 | 223478819 | ADMINISTRA | PA | N/A | C CORP | false | ||
| VILLAGE SUPERMARKETS | |||||||||||
| 733 MOUNTAIN AVE | SPRINGFIELD | NJ | 07081 | 221576170 | GROCERY ST | NJ | N/A | C CORP | false | ||
| MARQUIS HEALTH SERVICES | |||||||||||
| 1608 NJ 88 | BRICKTOWNSHIP | NJ | 08724 | 263237625 | HEALTHCARE | NJ | N/A | false | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (6 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| UFCW TRI-STATE HEALTH & WELFARE | ||
| P | $14,105 | PER ALLOCATION |
| TRI-STATE ADMINISTRATORS | ||
| L | $5,611,973 | PER CONTRACT/HOURLY RATES |
| TRI-STATE ADMINISTRATORS | ||
| M | $204,274 | PER CBA |
| UFCW LOCAL 360 | ||
| P | $284 | PER INVOICES |
| UFCW LOCAL 360 | ||
| M | $668,411 | PER CBA |
| UFCW LOCAL 152 | ||
| M | $126,874 | PER CBA |
Comments