UFCW NATIONAL HEALTH AND WELFARE FUND: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
UFCW NATIONAL HEALTH AND WELFARE FUND (EIN 22-1458594)
Tax period
2014-10-01 to 2015-09-30
Filed
2016-06-02
IRS object ID
201611549349300016
Schema version
2014v6.0
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

FieldValueIRS element (for citing)
Return2016-06-02T10:00:38-05:00ReturnTs
Tax Period End2015-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN611436956PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1NOVAK FRANCELLA LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1ONE PRESIDENTIAL BLVD SUITE 330AddressLine1Txt
CityBALA CYNWYDCityNm
State AbbreviationPAStateAbbreviationCd
ZIP19004ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN221458594EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1UFCW NATIONAL HEALTH AND WELFARE FUNDBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlUFCWBusinessNameControlTxt
Phone2015698801PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line166 GRAND AVENUEAddressLine1Txt
CityENGLEWOODCityNm
State AbbreviationNJStateAbbreviationCd
ZIP07631ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonGEORGE J ORLANDOPersonNm
Person TitleTRUSTEEPersonTitleTxt
Phone2015698801PhoneNum
Signature2016-06-02SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonLOUIS VERZELLA CPAPreparerPersonNm
PTINP00360279PTIN
Phone6106689400PhoneNum
Preparation2016-05-23PreparationDt
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-08-17 19:52:53ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerGEORGE J ORLANDOPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line166 GRAND AVENUEAddressLine1Txt
CityENGLEWOODCityNm
State AbbreviationNJStateAbbreviationCd
ZIP07631ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$122,062,466GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501cYes (X)Organization501cInd
Website AddressN/AWebsiteAddressTxt
Type Of Organization TrustYes (X)TypeOfOrganizationTrustInd
Formation1947FormationYr
Legal Domicile StateNJLegalDomicileStateCd
Activity Or MissionTHE PLAN PROVIDES HOSPITAL, MAJOR MEDICAL, SURGICAL, DISABILITY, PRESCRIPTION DRUG, DEATH AND VISION BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS. ALL HEALTH, DISABILITY, PRESCRIPTION DRUG AND DEATH BENEFITS ARE SELF-FUNDED.ActivityOrMissionDesc
Voting Members Governing Body8VotingMembersGoverningBodyCnt
Voting Members Independent8VotingMembersIndependentCnt
Total Employee32TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$101,006,396PYProgramServiceRevenueAmt
CY Program Service Revenue$103,057,390CYProgramServiceRevenueAmt
PY Investment Income$1,388,240PYInvestmentIncomeAmt
CY Investment Income$647,373CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$102,394,636PYTotalRevenueAmt
CY Total Revenue$103,704,763CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$87,863,590PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$93,099,527CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$2,525,270PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$2,597,607CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$1,890,551PYOtherExpensesAmt
CY Other Expenses$1,837,429CYOtherExpensesAmt
PY Total Expenses$92,279,411PYTotalExpensesAmt
CY Total Expenses$97,534,563CYTotalExpensesAmt
PY Revenues Less Expenses$10,115,225PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$6,170,200CYRevenuesLessExpensesAmt
Total Assets BOY$59,687,863TotalAssetsBOYAmt
Total Assets EOY$67,331,890TotalAssetsEOYAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$59,687,863NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$67,331,890NetAssetsOrFundBalancesEOYAmt
MissionTHE PLAN PROVIDES HOSPITAL, MAJOR MEDICAL, SURGICAL, DISABILITY, PRESCRIPTION DRUG, DEATH AND VISION BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS. ALL HEALTH, DISABILITY, PRESCRIPTION DRUG AND DEATH BENEFITS ARE SELF-FUNDED.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
DescTHE FUND PROVIDES MEDICAL, HOSPITAL, PRESCRIPTION DRUGS, DEATH AND VISION BENEFITS FOR MEMBERS AND THEIR DEPENDENTS.Desc
Described In Section501c30DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document8IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee32EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members8GoverningBodyVotingMembersCnt
Independent Voting Member8IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BOARD OF TRUSTEESBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone2015698801PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line166 GRAND AVENUEAddressLine1Txt
CityENGLEWOODCityNm
State AbbreviationNJStateAbbreviationCd
ZIP07631ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (9 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
GEORGE J ORLANDO
TRUSTEE-CHAIRMAN5.00Yes (X)$0$0$0
TOM R BALLARD
TRUSTEE2.00Yes (X)$0$0$0
FRANK J RUNEY
TRUSTEE2.00Yes (X)$0$0$0
GERALDINE SENACK
TRUSTEE5.00Yes (X)$0$0$0
MICHELLE LEWIS
TRUSTEE2.00Yes (X)$0$0$0
JOHN PEPE
TRUSTEE2.00Yes (X)$0$0$0
BRIAN FITZSIMMONS
TRUSTEE2.00Yes (X)$0$0$0
CHARLES RADER
TRUSTEE2.00Yes (X)$0$0$0
MAURICE HODOS
ADMINISTRATOR40.00$178,285$0$24,449Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$178,285TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$24,449TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
HORIZON BLUE CROSS BLUE SHIELD
3 PENN PLAZA EAST PP-04KNEWARKNJ07105CLAIMS ADMINISTRATION$1,945,105
CONIFER VALUE BASED CARE LLC
15821 VENTURA BLVD STE 600ENCINOCA91436COST CONTAINMENT$363,168
THE SEGAL COMPANY
333 WEST 34TH STREETNEW YORKNY10001CONSULTING/ACTUARIAL FEES$296,200
LARRY MAGARIK ESQ
113 UNIVERSITY PLACE - 7TH FLOORNEW YORKNY10003FUND ATTORNEY$166,564
HEALTHSMART CARE MGMT SOLUTION
222 WEST LAS COLINAS BOULEVARD STEIRVINGTX75039HEALTH CARE MANAGEMENT$140,405
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K7CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
EMPLOYER CONTRIBUTIONS525100$102,004,523$102,004,523
PARTICIPANT AND RETIREE CONTRIBUT525100$888,702$888,702
MEDICARE PART D REIMB.525100$164,165$164,165
FieldValueIRS element (for citing)
Total Program Service Revenue$103,057,390TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$768,364TotalRevenueColumnAmt
Exclusion$768,364ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$18,236,712SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$18,357,703SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$120,991SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$120,991TotalRevenueColumnAmt
Exclusion-$120,991ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$103,704,763TotalRevenueColumnAmt
Related Or Exempt Func Income$103,057,390RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$647,373ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$93,099,527TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$228,747TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$1,340,961TotalAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$521,294TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$381,598TotalAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$125,007TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$175,486TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$135,500TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$233,229TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$423,662TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$399,864TotalAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$124,779TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$217,728TotalAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$71,144TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$3,943TotalAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$27,035TotalAmt

Other Expenses OtherExpensesGrp

FieldValueIRS element (for citing)
DescTEMPORARY STAFF AGENCYDesc
Total$25,059TotalAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$97,534,563TotalAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$2,216,202BOYAmt
EOY$755,243EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$20,082,479BOYAmt
EOY$22,606,731EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$834,899LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$825,939LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$3,596BOYAmt
EOY$8,960EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$36,535,585BOYAmt
EOY$43,110,955EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$850,001BOYAmt
EOY$850,001EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$59,687,863BOYAmt
EOY$67,331,890EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Org Does Not Follow SFAS117Yes (X)OrgDoesNotFollowSFAS117Ind

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

FieldValueIRS element (for citing)
BOY$59,687,863BOYAmt
EOY$67,331,890EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$59,687,863BOYAmt
EOY$67,331,890EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$59,687,863BOYAmt
EOY$67,331,890EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$6,170,200ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$1,473,827OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting OtherYes (X)MethodOfAccountingOtherInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule D IRS990ScheduleD

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$221,498OtherCostOrOtherBasisAmt
Depreciation$212,537DepreciationAmt
Book Value$8,961BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$613,401OtherCostOrOtherBasisAmt
Depreciation$613,402DepreciationAmt
Book Value-$1BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$8,960TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$103,333,378TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$969,057NetUnrealizedGainsInvstAmt
Other Revenue$831,646OtherRevenueAmt
Revenue Not Reported-$137,411RevenueNotReportedAmt
Revenue Subtotal$103,470,789RevenueSubtotalAmt
Investment Expenses Not Incld$233,974InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt$233,974RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$103,704,763TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$96,636,661TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included-$663,928OtherExpensesIncludedAmt
Expenses Not Reported-$663,928ExpensesNotReportedAmt
Expenses Subtotal$97,300,589ExpensesSubtotalAmt
Investment Expenses Not Incld2$233,974InvestmentExpensesNotIncld2Amt
Expenses Not Rpt Fincl Stmt$233,974ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$97,534,563TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART X, LINE 2:ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE PLAN MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE PLAN AND RECOGNIZE A TAX LIABILITY IF THE PLAN HAS TAKEN AN UNCERTAIN POSITION THAT, MORE LIKELY THAN NOT, WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE U.S. FEDERAL, STATE, OR LOCAL TAXING AUTHORITIES. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. TYPICALLY, PLAN TAX YEARS WILL REMAIN OPEN FOR THREE YEARS; HOWEVER, THIS MAY DIFFER DEPENDING UPON THE CIRCUMSTANCES OF THE PLAN.
PART XI, LINE 2D - OTHER ADJUSTMENTS:CHANGE IN RECEIVABLES 831,646.
PART XII, LINE 2D - OTHER ADJUSTMENTS:CHANGE IN PAYABLES -663,928.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp

FieldValueIRS element (for citing)
PersonMAURICE HODOSPersonNm
TitleADMINISTRATORTitleTxt
Base Compensation Filing Org$178,285BaseCompensationFilingOrgAmt
Compensation Based On Rltd Orgs$0CompensationBasedOnRltdOrgsAmt
Bonus Filing Organization$0BonusFilingOrganizationAmount
Bonus Related Organizations$0BonusRelatedOrganizationsAmt
Other Compensation Filing Org$0OtherCompensationFilingOrgAmt
Other Compensation Rltd Orgs$0OtherCompensationRltdOrgsAmt
Deferred Compensation Flng Org$9,434DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs$0DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org$15,015NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs$0NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org$202,734TotalCompensationFilingOrgAmt
Total Compensation Rltd Orgs$0TotalCompensationRltdOrgsAmt
Comp Report Prior990 Filing Org$0CompReportPrior990FilingOrgAmt
Comp Report Prior990 Rltd Orgs$0CompReportPrior990RltdOrgsAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11UFCW NATIONAL HEALTH AND WELFARE FUND'S FORM 990 IS PREPARED BY ITS INDEPENDENT ACCOUNTANT. THE RETURN IS THEN FORWARDED TO THE FUND ADMINISTRATOR FOR INITIAL REVIEW BEFORE BEING PRESENTED TO THE TRUSTEES FOR REVIEW AND SIGNATURE.
FORM 990, PART VI, SECTION B, LINE 12CUFCW NATIONAL HEALTH & WELFARE FUND MONITORS ITS CONFLICT OF INTEREST POLICY ON AN ANNUAL BASIS.
FORM 990, PART VI, SECTION B, LINE 15THE COMPENSATION OF PLAN SERVICE PROVIDERS IS SUBJECT TO APPROVAL OF THE BOARD OF TRUSTEES UNDER THE PLAN'S TRUST AGREEMENTS. PERSONS WITH A CONLFICT OF INTEREST WITH RESPECT TO A COMPENSATION ARRANGEMENT WILL NOT BE INVOLVED. DATA AS TO COMPARABLE COMPENSATION FOR SIMILARLY QUALIFIED PERSONS IN FUNCTIONALY COMPARABLE POSITIONS AT SIMILARLY SITUATED ORGANIZATIONS IS USED. CONTEMPORANEOUS DOCUMENTATION AND REORDS AND DECISIONS REGARDING THE COMPENSATION ARRANGEMENT ARE MADE AND KEPT.
FORM 990, PART VI, SECTION C, LINE 19UFCW NATIONAL HEALTH AND WELFARE FUND MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART VIIGEORGE J. ORLANDO - 219 PATERSON AVENUE, LITTLE FALLS, NJ 07424. GERALDINE SENACK - 556 BOCA CIEGA POINT BLVD. SOUTH, MADEIRA BEACH, FL 33708. MICHELLE LEWIS - E & J GALLO WINERY, P.O. BOX 1130, MODESTO, CA 95353. JOHN PEPE - 520 DIVISION ST, GALLO WINE SALES OF NJ, ELIZABETH, NJ 07201. BRIAN FITZSIMMONS - P.O. BOX 600, SHAW'S SUPERMARKETS INC, E BRIDGEWATER, MA 02333.
FORM 990, PART IX, LINE 11GACTUARY 297,100. CONSULTING 95,362. MEDICAL ADVISOR 31,200.
FORM 990, PART XI, LINE 9:ADJUSTMENT OF COST BASIS OF INVESTMENTS 1,473,827.
FORM 990, PART XII, LINE 1:UFCW NATIONAL HEALTH AND WELFARE FUND'S FORM 990 IS PREPARED USING THE MODIFIED CASH BASIS OF ACCOUNTING.
FORM 990, PART XII, LINE 2C:UFCW NATIONAL HEALTH AND WELFARE FUND'S BOARD OF TRUSTEES IS RESPONSIBLE FOR OVERSEEING THE FINANCIAL STATEMENT AUDIT AND SELECTION OF THE INDEPENDENT ACCOUNTANT THAT PERFORMS THE AUDIT.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtControlled OrganizationControlledOrganizationInd
RETIREMENT PLAN OF THE UFCW NATIONAL HEALTH AND WELFARE FUND
66 GRAND AVENUEENGLEWOODNJ07631221458594PENSION FUNDNJ401(A)/501(A)0
HARRIS COUNTY AFL CIO
2506 SUTHERLAND STHOUSTONTX77023741356044LABOR UNIONTX501(C)(5)0
UFCW LOCAL UNION 540
11041 GARLAND RDDALLASTX75218750953266LABOR UNIONTX501(C)(5)0
UFCW LOCAL UNION 791
55 NORFOLK AVESOUTH EASTONMA02375237281421LABOR UNIONMA501(C)(5)0
METROPOLITAN BALTIMORE COUNCIL
2701 W PATAPSCO AVE 110BALTIMOREMD21230526068046LABOR UNIONMD501(C)(5)0
UFCW LOCAL UNION 18
3163 EAST TREMONT AVEBRONXNY10461130664176LABOR UNIONNY501(C)(5)0
UFCW LOCAL UNION 2D
8402 18TH AVENUEBROOKLYNNY11214131471825LABOR UNIONMO501(C)(5)0
UFCW LOCAL UNION 186
329 DOWNEYMODESTOCA95354941549203LABOR UNIONCA501(C)(5)0
UFCW LOCAL 496
2901 RIDGELAKE DR STE 202METAIRIELA70002720225967LABOR UNIONLA501(C)(5)0

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (44 entries)

Legal Domicile StateLegalDomicileStateCd
ARISTECH SURFACES LLC
KY
ATLANTIC COFFEE INDUSTRIAL SOLUTION LLC
NJ
BLACK PRINCE DISTILLERIES INC
CA
BRONCO WINERY
KY
BUFFALO TRACE DIST INC
NY
CONSTELLATION WINES US CANANDAIGUA
PA
CSL BEHRING
CA
DELANO GROWERS CORP
CA
DIAGEO NORTH AMERICA INC
CA
DIAGEO WINES
OH
E&J GALLO WINERY
NH
EVAN INC ICWUC LOCAL 1020-C EFF DATE (62015)
MN
FOSS MANUFACTURING LLC
CA
FOUNTAIN INDUSTRIES COMPANY
NJ
GAC CHEMICAL CORPORATION
NJ
GALLO WINE COMPANY
CA
GALLO WINE SALES OF NJ
CA
GIBSON WINE COMPANY
KY
GLEASON CORPORATION
CA
GLENMORE DISTILLERSSAZERAC NORTH AMERICA INC
CA
GUIMARRA VINEYARDS CORP
KS
HARRIS COUNTY AFL CIO
CA
HUHTAMAKI INC
KY
JACOB STERN SONS
IN
JIM BEAM BRANDS COMPANYCLERMONTCINCINNATIFRAKFORT
DE
JOHN JONES SERVICES LLCEC MANAGEMENT INC
IN
JUSTIN TANKS LLC
NY
METROPOLITAN BALTIMORE COUNCIL
VA
PATRICK METALSALTEC ALUMINUM TECHNOLOGIES
MN
PERNOD RICARDCRAFT DIVISION (RETIREES ONLY)
MI
PRIORITY ONE SERVICES
MN
REIDEL SHOES INC
CA
ROSCOMMON COUNTY TRANSIT AUTHORITY (EFF 122014)
MA
SB FOOT TANNING COMPANY
PA
SEBASTIANI VINEYARDS INC
CA
SKYY SPIRITS LLCDBA CAMPARI
FL
SOUTHERN WINE & SPIRITS OF AMERICA
CT
SUN PRODUCTS CORPORATIONTEAMSTERS LOCAL 570
CA
SUNMAID GROWERS OF CALIF
CA
THE WINE GROUP
PA
VENTURA FOODS LLC
CA
VIE DEL CO
IL
VIVENDI UNIVERSAL (RETIREES)
NY
WH BAGSHAW CO INC
NH
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

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