2017-11-15T11:31:02-06:00 2016-12-31 WITHUMSMITHBROWNPC 4600 EAST WEST HWY 900 BETHESDA MD 208143423 990 2016-01-01 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 2017-11-14 true RICHARD L RUVELSON P00234075 3012726000 66.195.210.98 22006220173195000108 2017-11-15 P E4D8CF098BE404CCCB871927F4C0A0A29E91B1BB 500A235CC04F834E4382AFEAE157AE13302336AD 2016 2021-01-29 14:40:06Z BRIAN STRING 27 ROLAND AVENUE SUITE 100 MOUNT LAUREL NJ 08054 112358530 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. 9 0 0 0 0 0 0 111615501 112207141 131811 151389 0 0 111747312 112358530 0 0 101982641 94210504 0 0 0 0 0 9711784 9606415 111694425 103816919 52887 8541611 19189164 27414176 3925405 3303669 15263759 24110507 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. 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 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 15 0 true 0 false false false false false false X 9 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 X Brian String Chairman 1.0 39.0 X X 0 327707 27881 Daniel Dosenbach Secretary 1.0 39.0 X X 0 0 0 Anthony Benigno Union Trustee 1.0 39.0 X 0 268912 27652 Dewey Cannella Employer Trustee 1.0 39.0 X 0 0 0 Patrick Durning Employer Trustee 1.0 39.0 X 0 0 0 MICHAEL FREDERICKS Employer Trustee(thru 3/21/16) 1.0 39.0 X 0 0 0 Dana Gentile Employer Trustee(thru 3/21/16) 1.0 39.0 X 0 0 0 Larry Lucente Union Trustee 1.0 39.0 X 0 118996 27014 Michael McWilliams Union Trustee 1.0 39.0 X 0 160837 27228 Steve Moyer Employer Trustee 1.0 39.0 X 0 0 0 George Murphy Jr Union Trustee 1.0 39.0 X 0 200323 21832 0 1076775 131607 0 false true false HORIZON BLUE CROSS BLUE SHIELD OF N THREE PENN PLAZA EAST NEWARK NJ 07105 ADMINISTRATOR FEE 4669761 TRI-STATE ADMINISTRATORS INC 27 ROLAND AVENUE STE 100 MOUNT LAUREL NJ 08054 PLAN ADMINISTRATOR 3700869 2 0 EMPLOYERS 525100 111443253 111443253 PARTICIPANTS (COBRA) 525100 763888 763888 112207141 136153 136153 0 0 0 0 0 15236 15236 15236 15236 0 0 0 0 0 0 0 0 0 0 112358530 112207141 151389 0 0 0 94210504 0 0 0 0 0 0 0 186617 50600 0 0 0 8451103 0 46439 0 0 0 0 0 6405 103586 0 0 35018 ACA EXCISE FEES 723352 DUES AND MEMBERSHIP 3295 103816919 0 0 2817390 12245408 0 0 5955907 5162525 0 0 0 0 0 0 0 0 27670 27040 0 0 5289251 5739562 0 0 0 0 0 0 5098946 4239641 19189164 27414176 1600586 1323277 0 0 815195 715922 0 0 0 0 0 0 0 0 0 0 1509624 1264470 3925405 3303669 X 0 0 0 0 15263759 24110507 15263759 24110507 19189164 27414176 X 8541611 305136 1 X false true X false false OTHER RECEIVABLES 1801095 HOSPITALIZATION DEPOSITS 2086591 DUE FROM RELATED ENTITIES 351955 4239641 0 DUE TO RELATED ENTITIES 1264470 1264470 X 112663666 305136 305136 112358530 112358530 103816919 103816919 103816919 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, 2016, 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. false false false Brian String Chairman 0 327707 0 0 0 27881 0 355588 0 0 Anthony Benigno Union Trustee 0 268912 0 0 0 27652 0 296564 0 0 Michael McWilliams Union Trustee 0 160837 0 0 0 27228 0 188065 0 0 George Murphy Jr Union Trustee 0 200323 0 2923 0 18909 0 222155 0 0 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 ROUTED TO THE BOARD OF TRUSTEES FOR REVIEW PRIOR TO FILING. PART VI, SECTION B, LINE 12C - CONFLICT OF INTEREST POLICY COMPLIANCE: 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 PROCESS: 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 AND F/S: THE ORGANIZATION DOES NOT GENERALLY MAKE ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. PART XI, LINE 9 - OTHER CHANGES IN NET ASETS OR FUND BALANCES DUE TO FINANCIAL STATEMENT ROUNDING. PART VI, SECTION A, LINE 2 - BUSINESS RELATIONSHIPS; TRUSTEES BRIAN STRING, MICHAEL MCWILLIAMS AND ANTHONY BENIGNO SERVE AS OFFICERS AND LARRY LUCENTE IS AN EMPLOYEE OF UNITED FOOD & COMMERCIAL WORKERS LOCAL 152. UFCW LOCAL 152 SAVINGS PLAN 27 ROLAND AVENUE STE 100 MOUNT LAUREL NJ 08054 236421914 PENSION NJ 401(A) false UFCW LOCAL 152 RETAIL MEAT PENSION FUND 27 ROLAND AVENUE STE 100 MOUNT LAUREL NJ 08054 236209656 PENSION NJ 401(A) false UFCW LOCAL 152 1 N WHITE HORSE PIKE HAMMONTON NJ 08037 203953178 LABOR ORG NJ 501(c)(5) false UFCW LOCAL 27 AFL-CIO 21 WEST ROAD BALTIMORE MD 21204 521265190 LABOR ORG MD 501(c)(5) false Board of Trustees UFCW Local 152 Health 27 ROLAND AVENUE STE 100 MOUNT LAUREL NJ 08054 PLAN SPONSOR NJ false BOROUGH OF BRADLEY BEACH COUNTY OF MONMOUTH St Mary's Catholic Home Colligas Family Market 21ST CENTRY PRO MANAGEMENT GRP ABC SUPPLY COMPANY ACME MARKETS INC ADVANCE PIERRE FOODS ALLEGANY COUNTY HRD ALLIED SPECIALTY FOODSINC AUNT KITTY'S FOODS AUTUMN LAKE HEALTHCARE AVON FOODS INC B & A SEAFOOD INC B & B POULTRY CO INC BARRY CALLEBAUT (USA) BEEF INTERNATIONAL INC BERKS PACKING CO INC BEVCO SERVICE INC BISHOP MC CARTHY RESIDENCE BOTTINO'S SUPERMARKETS BRIDGETON CHOICE TA C-TOWN BROWN'S SUPERSTORES BUMBLE BEE FOODSSNOW DOXEE CASE PORK ROLL CO INC CHARTWELLS COASTAL POOLS & SPA COLLINGSWOOD MANOR COLLINS FAMILY MARKETS INC CROTHALL HEALTHCAREINC DALLAS AIRMOTIVE INC DAVID MITCHELL INC DE SUPERMARKETS DREXELINE SUPERVALUE DS SERVICES OF AMERICA INC E FRANK HOPKINS CO INC EG EMIL & SON INC EAGLEVIEW HEALTH & REHABILITION EICKHOFF SUPERMARKETS EMPIRE CRAB INC ENVIROCHEM INC ENVIRONMENTAL SERVICE CONCEPTS EUROPEAN COFFEE CLASSICS FAMILY FOODS PRODUCTS INC FELRA-UNITED AMERICA FOODTOWN SUPERMARKETS FOOTE & JENKS CORPORATION GENERAL MILLS GEORGE L WELLS MEAT COMPANY GEORGE'S DRESHERTOWN SHOPNBAG GMS ZALLIE HOLDINGS INC GOYA FOODS INC HEALTHCARE SERVICES GROUP INC HOLIDAY MARKETS INCOLLINGO'S IGA J & J SNACK FOODS CORP JOHANNA FOODS INC KAPLAN & ZUBRIN KEYSTONE FOODSEQUITY GROUP KRAFT HEINZ FOOD KUNZLER & COMPANY INC LASSONDE PAPPAS AND CO INC LAWRENCE STREET SEAFOOD LFM FOOD CART LIBERTY BELL STEAK CO LIBERTY FOOD STORES INC LIONS MANOR NURSING HOME MARYLAND PLASTICSINC MD PLASTICS- LAB PRODUCTSINC MEADOW LAKES FACILITY MURPHY'S MARKETPLACE OCEAN VIE NURSING & REHAB OCEANA REHAB OLD FASHIONED KITCHEN INC OTTO C RODE INC OUR LADY'S CENTER FOR REHAB PATHMARK STORES PURATOS CORPORATION R & R SHOPRITE RALPH & PAUL ADAMS INC REED & PERRINEINC SAKER SHOPRITES SAMUELS & SON SEAFOOD CO INC SHIELDALLOY SHOPRITE OF MANAHAWKIN SHOPRITE OF MULLICA HILL SHOPRITE OF WEST CHESTER SIMMONS FOODS INC SOLID TECHNOLOGIES SOMERSET STORES STANDARD PARKING SUPER FRESH FOOD MARKETS INC SUPERMARKETS OF CHERRY HILL SYSCO FOOD SERVICES OF PHILA TAYLOR PROVISIONS COMPANY THE FRESH GROCER TRC INC TA BFI TRI-STATE ADMINISTRATORS INC UNITED METHODIST HOMES OF NJ VACCARO & ASSOCIATES VILLAGE SUPERMARKETS ZALLIE'S SUPERMARKETS VACCARO & ASSOCIATES-NJ STAFF VILLAGE SR - ABSECON VILLAGE SPMKTS-L27 TA SR 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.