2018-11-15T14:21:54-06:00 2017-12-31 WITHUMSMITHBROWNPC 4600 EAST WEST HWY 900 BETHESDA MD 208143423 990 2017-01-01 210681336 UFCW LOCAL 152 HEALTH AND WELFARE FUND % FRANK VACCARO UFCW 8567931598 27 ROLAND AVENUE Suite 100 MOUNT LAUREL NJ 08054 BRIAN STRING CHAIRMAN 6097043901 2018-11-13 true RICHARD L RUVELSON P00234075 3012726000 209.190.253.84 22006220183195000288 2018-11-15 P 83E8D17CDFFEEABAB04596B5687894C085F7A0D5 E755B2CC0E817F6D5E4FDA2E0EF0FB7939AE8BA5 2017 2019-02-21 02:37:17Z BRIAN STRING 27 ROLAND AVENUE SUITE 100 MOUNT LAUREL NJ 08054 119352431 false X N/A X 1956 NJ THE ORGANIZATION IS THE TRUST FOR A MULTIEMPLOYER WELFARE BENEFIT PLAN THAT COVERS ELIGIBLE MEMBERS OF THE UNITED FOOD AND COMMERCIAL WORKERS LOCAL NO. 152 AND LOCAL NO. 27. 8 0 0 0 0 0 0 112207141 119188421 151389 164010 0 0 112358530 119352431 0 0 94210504 104985050 0 0 0 0 0 9606415 9597208 103816919 114582258 8541611 4770173 27414176 32068105 3303669 2398499 24110507 29669606 THE ORGANIZATION IS THE TRUST FOR A MULTIEMPLOYER WELFARE BENEFIT PLAN THAT COVERS ELIGIBLE MEMBERS OF THE UNITED FOOD AND COMMERCIAL WORKERS LOCAL NO. 152 AND LOCAL NO. 27 AND THEIR DEPENDENTS, ESTABLISHED PURSUANT TO VARIOUS COLLECTIVE BARGAINING AGREEMENTS. false false SERVES AS THE INVESTMENT TRUST TO FUND MEDICAL, HOSPITAL, PRESCRIPTION DRUG, DENTAL, VISION, HEALTH SCREENING, DISABILITY INCOME, LEGAL, AND LIFE INSURANCE BENEFITS FOR PARTICIPANTS AND THEIR ELIGIBLE DEPENDENTS AND BENEFICIARIES. false false false false false false false false false false false false true true true true false false false false false false false false false false false false true false false false false false false false false false false false true false false true 14 0 true 0 false false false false false false X 8 0 true false false false false true false true false false false true true true true true true false false false X FRANK VACCARO 8566625757 27 ROLAND AVENUE SUITE 100 MOUNT LAUREL NJ 08054 Brian String Chairman 1.0 39.0 X X 0 338642 21514 Daniel Dosenbach Secretary 1.0 39.0 X X 0 0 0 Anthony Benigno Union Trustee 1.0 39.0 X 0 270778 20936 Dewey Cannella Employer Trustee 1.0 39.0 X 0 0 0 Patrick Durning Employer Trustee 1.0 39.0 X 0 0 0 Larry Lucente Union Trustee 1.0 39.0 X 0 127357 22855 Eric Masten Union Trustee 1.0 39.0 X 0 165871 22357 Michael McWilliams Union Trustee (Thru 10/01/17) 1.0 39.0 X 0 127441 14245 Steve Moyer Employer Trustee 1.0 39.0 X 0 0 0 GEORGE MURPHY JR UNION TRUSTEE (Thru 03/13/17) 1.0 39.0 X 0 0 0 0 1030089 101907 0 false true false HORIZON BLUE CROSS BLUE SHIELD OF N THREE PENN PLAZA EAST NEWARK NJ 07105 ADMINISTRATOR FEE 4979814 TRI-STATE ADMINISTRATORS INC 27 ROLAND AVENUE STE 100 MOUNT LAUREL NJ 08054 PLAN ADMINISTRATOR 4107101 2 0 EMPLOYERS 525100 118162339 118162339 PARTICIPANTS (COBRA) 525100 1026082 1026082 119188421 161126 161126 0 0 0 0 0 2884 2884 2884 2884 0 0 0 0 0 0 0 0 0 0 119352431 119188421 164010 0 0 0 104985050 0 0 0 0 0 0 0 185428 51000 0 0 0 9170586 0 32052 0 0 0 0 0 9980 65704 0 0 34533 ACA EXCISE FEES 46425 DUES AND MEMBERSHIP 1500 114582258 0 0 12245408 16037852 0 0 5162525 5173382 0 0 0 0 0 0 0 0 27040 27530 0 0 5739562 6664922 0 0 0 0 0 0 4239641 4164419 27414176 32068105 1323277 853424 0 0 715922 476466 0 0 0 0 0 0 0 0 0 0 1264470 1068609 3303669 2398499 X 0 0 0 0 24110507 29669606 24110507 29669606 27414176 32068105 X 4770173 788926 X false true X false false OTHER RECEIVABLES 1801227 HOSPITALIZATION DEPOSITS 2086591 DUE FROM RELATED ENTITIES 276601 4164419 0 DUE TO RELATED ENTITIES 1068609 1068609 X 120141357 788926 788926 119352431 119352431 114582258 114582258 114582258 PART X, LINE 2 - FIN 48 FOOTNOTE: Accounting principles generally accepted in the United States of America require management of an entity to evaluate tax positions taken and recognize a tax liability if the entity has taken an uncertain position that more likely than not would not be sustained upon examination by the Internal Revenue Service. Management has analyzed the tax positions taken by the Plan, and has concluded that as of December 31, 2017, there are no uncertain positions taken or expected to be taken that would require recognition of a liability or disclosure in the financial statements. The Plan is subject to routine audits by taxing jurisdictions; however, there are currently no audits in progress for any tax periods. In addition, there have been no tax related interest or penalties for the periods presented in these financial statements. false false false Brian String Chairman 0 338642 0 0 0 21514 0 360156 0 0 Anthony Benigno Union Trustee 0 270778 0 0 0 20936 0 291714 0 0 Larry Lucente Union Trustee 0 127357 0 0 0 22855 0 150212 0 0 Eric Masten Union Trustee 0 165871 0 3339 0 19018 0 188228 0 0 PART VI, SECTION A, LINE 2 - BUSINESS RELATIONSHIPS; TRUSTEES BRIAN STRING, MICHAEL MCWILLIAMS (PRIOR TO HIS DEPARTURE) AND ANTHONY BENIGNO SERVE AS OFFICERS AND LARRY LUCENTE IS AN EMPLOYEE OF UNITED FOOD & COMMERCIAL WORKERS LOCAL 152. PART VI, SECTION A, LINE 7A - SELECTION OF TRUSTEES: Employer Trustees are designated by a majority of current seated Employer Trustees. Union Trustees are designated by the Union. PART VI, SECTION A, LINE 8B - OTHER COMMITTEES WITH AUTHORITY TO ACT: THE HEALTH AND WELFARE FUND DOES NOT HAVE ANY OTHER COMMITTEE THAT MAY ACT ON BEHALF OF THE GOVERNING BODY. PART VI, SECTION B, LINE 11B - REVIEW PROCESS OF FORM 990: THE FORM 990 IS PREPARED BY AN INDEPENDENT CERTIFIED PUBLIC ACCOUNTING FIRM, ENGAGED BY THE BOARD OF TRUSTEES, IN WHICH A DRAFT COPY OF THE FORM 990 IS ROUTED TO THE BOARD OF TRUSTEES FOR REVIEW AND COMMENT PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. PART VI, SECTION B, LINE 12C - CONFLICT OF INTEREST POLICY The Plan is maintained and administered in accordance with ERISA Sections 404 and 406 and the plan's conflict of interest policy is described in ERISA Sections 404 and 406. The Trustees monitor and enforce the Fund's compliance with ERISA with the assistance of the Fund's professionals. PART VI, SECTION B, LINES 15A & 15B - COMPENSATION REVIEW the Fund's governing body retains the services of a third party administative consultant who has the ultimate responsibility for implementing the decision of the organizations governing body, and the full governing body reviews and approves the Fund's agreement with the third party administrative consultant's company. PART VI, SECTION C, LINE 18 - FORM 990 AVAILABILITY TO OTHERS: THE FORM 990 IS AVAILABLE UPON REQUEST FOR A PERIOD OF THREE YEARS FROM THE DUE DATE OF THE RETURN. PART VI, SECTION C, LINE 19 - AVAILABILITY OF GOVERNING DOCUMENTS THE ORGANIZATION DOES NOT GENERALLY MAKE ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. Colligas Family Market ACME EASHORE-DEPCOVERAGE ALLEGANY COUNTY HRD AUNT KITTY'S FOODS AUTUMN LAKE HEALTHCARE AVON FOODS INC B & A SEAFOOD INC BARRY CALLEBAUT (USA) BEEF INTERNATIONAL INC BERKS PACKING CO INC BEVCO SERVICE INC BOTTINO'S SPRMKTS-DELSEA BROWN'S SPRSTORES-BENSALEM BUMBLE BEE FOODSSNOW DOXEE CASE PORK ROLL CO INC CATELLI BROTHERS- NON-UNION CHARTWELLS CHESSIE FCU-RETIREES OVER65 COASTAL POOLS & SPA COLLINGSWOOD MANOR COLLINS FAMILY MARKETS INC CROTHALL HEALTHCAREINC DAVID MITCHELL INC DE SPMKTS-CHRISTINA CROSSING DREXELINE SUPERVALU DS SERVICES OF AMERICA INC E FRANK HOPKINS CO INC EG EMIL & SON INC EAGLEVIEW HEALTH &REHABILITION EICKHOFF SPMKTS-CINNAMINSON SR EMPIRE CRAB INC ENVIROCHEM INC EUROPEAN COFFEE CLASSICS FAMILY FOODS PRODUCTS INC FELRA-ACME EMPLOYEE PORTION FIRST PEOPLES COMM FCU FOODTOWN-EDICKERSON & SONINC GEORGE L WELLS MEAT COMPANY GEORGE'S MARKET AT DRESHERTOWN GMS ZALLIE HOLDINGS INC GOYA FOODS INC- PEDRICKTOWN INCOLLINGO'S - EGG HARBOR J & J SNACK FOODS CORP JOHANNA FOODS INC KRAFT HEINZ FOODS KUNZLER & COMPANY INC LASSONDE PAPPAS AND CO INC LAWRENCE STREET SEAFOOD LFM FOOD CORPTA C-TOWN SUPER LIBERTY BELL STEAK CO LIONS MANOR NURSING HOME MARYLAND PLASTICSINC-UNION EE MD PLASTICS- LAB PRODUCTSINC MEADOW LAKES FACILITY MURPHY'S AT THE LAKES OCEANA REHAB OLD FASHIONED KITCHEN INC OTTO C RODE INC-NON UNION OUR LADYS NON-UNION PURATOS CORPORATION R & R SHOPRITE RALPH & PAUL ADAMS INC REED & PERRINEINC SAKER SHOPRITES-BORDENTOWN SAMUELS & SON (WHOLESALE SEAF SHOP RITE OF MANAHAWKIN SIMMONS PET FOOD INC SOMERSET STORES-LAWNSIDEGIBBS SUPERMKTS OF CH-MARLTON SR SYSCO FOOD SERVICES OF PHILA TAYLOR PROVISIONS COMPANY THE FRESH GROCERWALNUT STREET TRI-STATE ADMINIST-PA TYSON UNITED METHODIST AT BRISTOL GL VACCARO & ASSOCIATES-NJ NON-UN VICTORIA COMMONS-DIETARY(HCSG) VILLAGE SR - ABSECON WEPCO - RETIREES OVER 65 ZALLIE'S SPRMKTS-CHEWS LANDING false false false false false false false false false false false false true true false false false true true PART IV - RELATED ORGANIZATIONS TAXABLE AS CORPORATIONS: THE ORGANIZATIONS LISTED AS RELATED ARE ALL CONTRIBUTING EMPLOYERS TO THE HEALTH & WELFARE FUND AND THE INSTRUCTIONS ONLY REQUIRE THE NAME OF THE ORGANIZATIONS ON THIS SCHEDULE.