2025-11-16T16:50:44-06:00 2024-12-31 510545975 PETER DECARLO CPA PLLC 125 WOLF ROAD SUITE 112 ALBANY NY 12205 990 2024-01-01 160915820 UFCW LOCAL ONE HEALTH CARE FUND UFCW 3157979600 5911 AIRPORT ROAD ORISKANY NY 13424 FRANK C DERISO TRUSTEE 3157979600 2025-11-16 1 1 PETER DECARLO CPA P00851470 5186508844 X 2024 2025-03-06 01:10:19Z FRANK C DERISO 5911 AIRPORT ROAD ORISKANY NY 13424 97294704 0 X WWW.UFCWONE.ORG X 1959 NY PROVIDE CERTAIN HEALTH AND WELFARE BENEFITS TO PLAN PARTICIPANTS. 7 0 14 0 0 0 0 0 68089888 67241783 1820521 3038043 3146370 3115003 73056779 73394829 0 0 56943850 59584002 810165 708648 0 0 0 1061728 899177 58815743 61191827 14241036 12203002 82250227 89841889 4440507 524355 77809720 89317534 THE OBJECTIVE OF THE FUND IS TO PROVIDE CERTAIN HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS, WHO ARE MEMBERS OF UFCW DISTRICT UNION LOCAL ONE, AND THEIR COVERED DEPENDENTS. 0 0 THE PLAN PROVIDED CERTAIN HEALTH AND WELFARE BENEFITS TO APPROXIMATELY 9,450 ELIGIBLE PARTICIPANTS AND THEIR COVERED DEPENDENTS. 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 7 0 1 14 1 0 0 0 0 0 0 0 0 X 7 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 0 0 0 X MICHAEL CIANCAGLINI 3157979600 5911 AIRPORT ROAD ORISKANY NY 13424 FRANK C DERISO TRUSTEE 1.00 49.00 X 0 323874 49872 ROBERT CIANCAGLINI TRUSTEE 1.00 49.00 X 0 210718 35992 I STEPHEN DAVIS TRUSTEE 1.00 X 0 0 0 JOSEPH SAHLEN TRUSTEE 1.00 1.00 X 0 0 0 RAYMOND WARDYNSKI TRUSTEE 1.00 X 0 0 0 GREGORY P GOREA TRUSTEE - PAST 1.00 49.00 X 0 265806 44289 ROGER HEMMITT TRUSTEE - PAST 1.00 49.00 X 0 0 0 MICHAEL CIANCAGLINI ADMINISTRATIVE DIRECTOR 34.00 6.00 X 161934 0 44599 ZACHARY GEHAN PENSION MANAGER 1.00 39.00 X 105899 0 36197 REGINA HEILAND EXECUTIVE ADMINISTRATIVE ASSISTANT 22.00 18.00 X 106703 0 36071 374536 800398 247020 3 0 1 0 SEGAL CONSULTING 101 NORTH WACKER DRIVE CHICAGO IL 60606 ACTUARIAL AND BENEFITS CONSULTING 180217 SLEVIN & HART PC 1625 MASSACHUSETTS AVENUE NW WASHINGTON DC 20036 LEGAL 109323 2 EMPLOYER CONTRIBUTIONS 525100 67086239 67086239 PARTICIPANT CONTRIBUTIONS 525100 155544 155544 67241783 3005020 3005020 23932523 375 23899875 0 32648 375 33023 33023 PRESCRIPTION DRUG REBATES 525100 3084534 3084534 INTEREST & LIQUIDATED DAMAGES 525100 30410 30410 SECURITIES LITIGATION SETTLEMENT 525100 59 59 3115003 73394829 70356786 0 3038043 59584002 480058 58214 130406 39970 119190 85392 57565 144084 77347 126443 87805 3950 24503 1419 87235 OPERATIONS EXPENSE 38482 AFFORDABLE CARE ACT TAX 35710 PRINTING & PUBLICATIONS 6021 PARTICIPANT SEARCH FEES 4031 61191827 688513 726343 49053917 47059392 7999463 7865785 57024 230696 77977 77189 2207 788 22446803 31956585 2002300 2002300 82250227 89841889 190507 378347 4250000 146008 4440507 524355 X 0 0 0 0 77809720 89317534 77809720 89317534 82250227 89841889 12203002 -789220 94032 0 X X 0 1 X 1 0 77977 77189 788 788 DUE TO BROKER FOR SECURITIES PURCHASED 146008 146008 72548044 -789220 -789220 73337264 57565 57565 73394829 61134262 0 61134262 57565 57565 61191827 X 0 0 0 FRANK C DERISO TRUSTEE 0 323874 0 0 0 0 0 21622 0 28250 0 373746 0 0 ROBERT CIANCAGLINI TRUSTEE 0 210718 0 0 0 0 0 11713 0 24279 0 246710 0 0 GREGORY P GOREA TRUSTEE - PAST 0 265806 0 0 0 0 0 17266 0 27023 0 310095 0 0 MICHAEL CIANCAGLINI ADMINISTRATIVE DIRECTOR 161934 0 0 0 0 0 20790 0 23809 0 206533 0 0 0 FORM 990, PART VI, SECTION A, LINE 8B NO COMMITTEE HAS THE AUTHORITY TO ACT ON BEHALF OF THE BOARD OF TRUSTEES. FORM 990, PART VI, SECTION B, LINE 11B NO REVIEW WAS CONDUCTED. FORM 990, PART VI, SECTION C, LINE 19 DISCLOSURES REQUIRED BY LAW ARE AVAILABLE TO THE PUBLIC AT THE FUND'S OFFICE, UPON REQUEST. FORM 990, PART XII, LINE 2C THE FUND'S BOARD OF TRUSTEES ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND SELECTION OF THE INDEPENDENT ACCOUNTANT. THERE WAS NO CHANGE DURING THE TAX YEAR IN EITHER THE FUND'S OVERSIGHT OR SELECTION PROCESS. UFCW DISTRICT UNION LOCAL ONE 5911 AIRPORT ROAD ORISKANY NY 13424 150559586 LABOR UNION NY 501(C)(5) 0 MEAT CUTTERS & FOOD STORE EMPLOYEES BUILDING CORPORATION 5911 AIRPORT ROAD ORISKANY NY 13424 156025584 TITLE HOLING CORPORATION NY 501(C)(2) 0 UFCW LOCAL ONE PENSION FUND 5911 AIRPORT ROAD ORISKANY NY 13424 166144007 PENSION PLAN NY 501(A) 0 UFCW LOCAL ONE 401(K) SAVINGS PLAN 5911 AIRPORT ROAD ORISKANY NY 13424 166184130 PENSION PLAN NY 501(A) 0 THE LUTHERAN HOMES NIAGRA GERIATRIC CENTER STAMFORD HEALTH CARE HERITAGE HEALTH CARE CENTER PRESBYTERIAN HOME ELDERWOOD AT LAKE PLACID CAPITAL DISTRICT AREA LABOR FEDERATION CENTRAL NEW YORK LABOR AGENCY PENNSYLVANIA AFL-CIO TOWN OF WHITESTOWN TOPS MARKETS INC EMPIRE MERCHANTS NORTH ALBANY KRAFT INC DAIRY GROUP GREAT AMERICAN STORES SAHLEN PACKING CORP G&L DAVIS MEAT CO HOMETOWN MARKETS LLC EMPIRE MERCHANTS NORTH BUFFALO SHOP RITE CAPITAL DISTRICT CHANATRY'S FRENCH ROAD MARKET ZWEIGLES INC RETAIL MARKETSGIANT EAGLE INC SODEXO INCPAUL SMITH COLLEGE WELCH FOODS INC BREEN FAMILY INC FORT'S GROCERY INC SMITH PACKING COMPANY WALTON'S BIG M HOFMANN SAUSAGE CO INC LR BRASS INC COUDERSPORT JUBILEE SMYD CORP DIVERSE FOOD PRODUCTS LLC VANCHLOR CO FRANK WARDYNSKI & SONS INC TN HARVEY INC FILLMORE JUBILEE GALETON IGA FIBERCELL PACKAGING LLC BIG V CORPSHOP RITE THE WINE GROUPMOGEN DAVID GATES BIG M GRAND UNION STORES MILWARD ALLOYS INC SOUTHERN GLAZERS WINE & SPIRIT 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 0 1 UFCW DISTRICT UNION LOCAL ONE P 75020 ALLOCATION UFCW DISTRICT UNION LOCAL ONE P 67389 CASH MEAT CUTTERS & FOOD STORE EMPLOYEES BUIDING CORPORATION K 131534 FAIR VALUE MEAT CUTTERS & FOOD STORE EMPLOYEES BUIDING CORPORATION P 41917 ALLOCATION UFCW LOCAL ONE PENSION FUND Q 787914 ALLOCATION UFCW LOCAL ONE 401(K) SAVINGS PLAN Q 232801 ALLOCATION TOPS MARKETS INC S 48338184 CONTRACT EMPIRE MERCHANTS NORTH A-R-S S 1980550 CONTRACT THE LUTHERAN HOMES S 1533926 CONTRACT KRAFT INC DAIRY GROUP S 1477495 CONTRACT G&L DAVIS MEAT COMPANY S 852449 CONTRACT PRESBYTERIAN HOME S 814552 CONTRACT SAHLEN PACKING CORP S 797811 CONTRACT HERITAGE HEALTH CARE CENTER S 713389 CONTRACT STAMFORD HEALTH CAREROBINSON S 661724 CONTRACT ELDERWOOD AT LAKE PLACID S 614873 CONTRACT SHOP RITE CAPITAL DISTRICT S 606191 CONTRACT EMPIRE MERCHANTS NORTH BUFFALO S 550550 CONTRACT FIBERCEL PACKAGING LLC S 544647 CONTRACT HOMETOWN MARKETS LLC S 514679 CONTRACT ZWEIGLE'S S 467359 CONTRACT UFCW LOCAL ONE S 462480 CONTRACT THE WINE GROUPMOGEN DAVID S 459008 CONTRACT GRAND UNION CORTLAND S 370131 CONTRACT WELCH FOODS INC S 340176 CONTRACT BIG V CORPORATIONSSHOP RITE MARKETS S 250323 CONTRACT SODEXOPAUL SMITH COLLEGE S 233135 CONTRACT HOFFMAN SAUSAGE COMPANY INC S 232523 CONTRACT UFCW LOCAL ONE HEALTH CARE FUND S 217360 CONTRACT FORT'S GROCERY S 215885 CONTRACT DIVERSE FOOD PRODUCTS LLC S 213155 CONTRACT GRAND UNION NORWICH S 210147 CONTRACT GRAND UNION SHERRILL S 203950 CONTRACT CHANATRY'S FRENCH ROAD MARKET S 200415 CONTRACT GRAND UNION WATERTOWN SOUTH S 197403 CONTRACT COUDERSPORT JUBILEE S 197055 CONTRACT GRAND UNION WATERTOWN S 197007 CONTRACT GRAND UNION ROME S 194275 CONTRACT GRAND UNION COOPERSTOWN S 187186 CONTRACT RETAIL MARKETSGIANT EAGLE S 170845 CONTRACT SOUTHERN GLAZERS WINE & SPIRIT S 159422 CONTRACT LR BRASS INCSHURFINE FOODS S 158720 CONTRACT WALTON'S BIG M S 133263 CONTRACT GRAND UNION WARRENSBURG S 130034 CONTRACT NIAGRA GERIATRIC CENTER S 126715 CONTRACT GREAT AMERICANPRATTSVILLE S 124778 CONTRACT GRAND UNION OWEGO S 124731 CONTRACT FRANK WARDYNSKI & SONS INC S 122556 CONTRACT GRAND UNION PERU S 99630 CONTRACT GRAND UNION SARANAC LAKE S 93334 CONTRACT BREEN FAMILY FOODBELLS WILLIAMSON S 91294 CONTRACT GATES BIG M S 77336 CONTRACT MILWARD ALLOYS INC S 68151 CONTRACT FILLMORE JUBILEE S 67160 CONTRACT TN HARVEY INC S 65317 CONTRACT GALETON IGA S 64046 CONTRACT