UFCW UNIONS & PARTCIPATING EMPLOYERS HEALTH AND WELFARE FUND: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- UFCW UNIONS & PARTCIPATING EMPLOYERS HEALTH AND WELFARE FUND (EIN 01-0749311)
- Tax period
- 2013-11-01 to 2014-10-31
- Filed
- 2015-09-14
- IRS object ID
- 201512579349301236
- Schema version
- 2013v4.0
- 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 | 2015-09-14T15:11:34-05:00 | ReturnTs |
| Tax Period End | 2014-10-31 | 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 | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7 EVES DRIVE SUITE 100 | AddressLine1 |
| City | MARLTON | City |
| State | NJ | State |
| ZIP Code | 080533196 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-11-01 | 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 | BusinessNameLine1 |
| Business Name Line2 | EMPLOYERS HEALTH & WELFARE FUND | BusinessNameLine2 |
| 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 | AddressLine1 |
| City | MT LAUREL | City |
| State | NJ | State |
| ZIP Code | 08054 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SAM FERRAINO | PersonNm |
| Person Title | CHAIRMAN | PersonTitleTxt |
| Phone | 8567932500 | PhoneNum |
| Signature | 2015-09-10 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JOHN FEKETE CPA | PreparerPersonNm |
| PTIN | P00956964 | PTIN |
| Phone | 8569855688 | PhoneNum |
| Preparation | 2015-09-14 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | VINCE CARROLL | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 27 ROLAND AVE | AddressLine1 |
| City | MT LAUREL | City |
| State | NJ | State |
| ZIP Code | 08054 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $45,606,600 | 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 | 8 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $41,597,745 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $45,574,720 | CYProgramServiceRevenueAmt |
| PY Investment Income | $10,419 | PYInvestmentIncomeAmt |
| CY Investment Income | $3,907 | CYInvestmentIncomeAmt |
| PY Other Revenue | $17,704 | PYOtherRevenueAmt |
| CY Other Revenue | $27,973 | CYOtherRevenueAmt |
| PY Total Revenue | $41,625,868 | PYTotalRevenueAmt |
| CY Total Revenue | $45,606,600 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $39,217,968 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $40,730,166 | 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 | $3,751,888 | PYOtherExpensesAmt |
| CY Other Expenses | $4,479,720 | CYOtherExpensesAmt |
| PY Total Expenses | $42,969,856 | PYTotalExpensesAmt |
| CY Total Expenses | $45,209,886 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$1,343,988 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $396,714 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $8,654,075 | TotalAssetsBOYAmt |
| Total Assets EOY | $10,181,530 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $6,358,904 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $7,489,645 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $2,295,171 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $2,691,885 | 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 |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| 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 With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| 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 | 499 | 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 |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 8 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | 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 | AddressLine1 |
| City | MT LAUREL | City |
| State | NJ | State |
| ZIP Code | 08054 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | Yes (X) | NoListedPersonsCompensatedInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (8 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|
| DEWEY CANNELLA | |||||
| SECRETARY/TR | 1.00 | Yes (X) | $0 | $0 | $0 |
| PATRICK J DURNING | |||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 |
| CRAIG HOFFMAN | |||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 |
| DAVID B GILLIS | |||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 |
| SAM FERRAINO | |||||
| CHAIR/TRUSTE | 1.00 | Yes (X) | $0 | $0 | $0 |
| BRIAN STRING | |||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 |
| DANIEL KONCZYK | |||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 |
| GREGORY QUAGLIATO | |||||
| TRUSTEE | 1.00 | 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 (4 entries)
| Business Name Line2ContractorName/BusinessName/BusinessNameLine2 | Address Line1ContractorAddress/USAddress/AddressLine1 | Address Line2ContractorAddress/USAddress/AddressLine2 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|---|---|
| TRI-STATE ADMINISTRATORS | |||||||
| TRI-STATE ADMINISTRATORS | 27 ROLAND AVE | 27 ROLAND AVE | MT LAUREL | NJ | 08054 | ADMINISTRATION | $3,737,890 |
| SPEAR WILDERMAN PC | |||||||
| SPEAR WILDERMAN PC | 230 S BROAD ST | 230 S BROAD ST | PHILADELPHIA | PA | 19102 | LEGAL | $350,600 |
| O'BRIEN BELLAND & BUSHINSKY LLC | |||||||
| O'BRIEN BELLAND & BUSHINSKY LLC | 1526 BERLIN RD | 1526 BERLIN RD | CHERRY HILL | NJ | 08003 | LEGAL | $183,466 |
| HEALTH PLAN SYSTEMS INC | |||||||
| HEALTH PLAN SYSTEMS INC | ONE WOODBRIDGE CENTER SUITE 735 | ONE WOODBRIDGE CENTER SUITE 735 | WOODBRIDGE | NJ | 07095 | CPU CONSULTING | $177,565 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 4 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|
| EMPLOYER CONTRIBUTIONS | $45,492,224 | $45,492,224 |
| EMPLOYEE CONTRIBUTIONS | $82,496 | $82,496 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $45,574,720 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,907 | TotalRevenueColumnAmt |
| Exclusion | $3,907 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER INCOME | Desc |
| Total Revenue Column | $27,973 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $27,973 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $27,973 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $45,606,600 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $45,602,693 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $3,907 | ExclusionAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $40,730,166 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $37,817 | TotalAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,500 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,084 | TotalAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt |
|---|---|
| ADMINISTRATOR FEES | $3,663,354 |
| REINSURANCE FEE | $357,630 |
| DATA PROCESSING | $180,286 |
| ADMINISTRATION-PROJECTS | $92,942 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $124,107 | TotalAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $45,209,886 | 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 | $1,470,505 | BOYAmt |
| EOY | $2,624,643 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,952,254 | BOYAmt |
| EOY | $1,955,275 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,830,933 | BOYAmt |
| EOY | $4,071,159 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $94,936 | BOYAmt |
| EOY | $10,167 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $276,971 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $171,146 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $160,242 | BOYAmt |
| EOY | $105,825 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,145,205 | BOYAmt |
| EOY | $1,414,461 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,654,075 | BOYAmt |
| EOY | $10,181,530 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,358,904 | BOYAmt |
| EOY | $7,489,645 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,358,904 | BOYAmt |
| EOY | $7,489,645 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Org Does Not Follow SFAS117 | Yes (X) | OrgDoesNotFollowSFAS117Ind |
Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,295,171 | BOYAmt |
| EOY | $2,691,885 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,295,171 | BOYAmt |
| EOY | $2,691,885 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,654,075 | BOYAmt |
| EOY | $10,181,530 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $396,714 | ReconcilationRevenueExpnssAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
Schedule D IRS990ScheduleD
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $276,971 | OtherCostOrOtherBasisAmt |
| Depreciation | $171,146 | DepreciationAmt |
| Book Value | $105,825 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $105,825 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| BLUE CROSS DEPOSIT/RESERVE | $983,000 |
| DEPOSITS & DRUG REBATE RECEIVABLE | $431,461 |
| OTHER RECEIVABLE |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $1,414,461 | TotalBookValueOtherAssetsAmt |
| Total Rev Etc Audited Fincl Stmt | $45,606,600 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Subtotal | $45,606,600 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $45,606,600 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $44,465,153 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $44,465,153 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $744,733 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $744,733 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $45,209,886 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE D, PAGE 3, PART X | U.S. GAAP REQUIRES PLAN MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE PLAN AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF THE ORGANIZATION HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE. |
| SCHEDULE D, PAGE 4, PART XII, LINE 4B | BENEFIT PAYABLE ADJUSTMENT 744,733 |
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 (8 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line2DisregardedEntityName/BusinessNameLine2 |
|---|---|---|---|---|---|---|---|---|---|---|
| WEPCO FEDERAL CREDIT UNION | ||||||||||
| 204 N BRANCH AVE | BLOOMINGTON | MD | 21523 | 520627367 | FINANCIAL | MD | 501C14 | N/A | false | |
| UNITED FOOD & COMMERCIAL WORKERS | ||||||||||
| 701 RT 50 | MAYS LANDING | NJ | 08330 | 203953178 | UNION | NJ | 501C5 | N/A | false | UNION LOCAL 152 |
| UNITED FOOD & COMMERCIAL WORKERS | ||||||||||
| 400 COMMERCE LANE | WEST BERLIN | NJ | 08091 | 210546700 | UNION | NJ | 501C5 | N/A | false | UNION LOCAL 1360 |
| NURSING HOME BOARD OF ALLEGANY | ||||||||||
| 901 SETON DR | CUMBERLAND | MD | 21502 | 520812302 | HEALTHCARE | MD | 501C3 | N/A | false | COUNTY |
| FIRST PEOPLES COMMUNITY FEDERAL | ||||||||||
| 153 BALTIMORE ST | CUMBERLAND | MD | 21502 | 520905189 | FINANCIAL | MD | 501C14 | N/A | false | CREDIT UNION |
| CHESSIE FEDERAL CREDIT UNION | ||||||||||
| 141 BALTIMORE ST | CUMBERLAND | MD | 21502 | 520580973 | FINANCIAL | MD | 501C14 | N/A | false | |
| CAMDEN COUNTY MUNICIPAL | ||||||||||
| 1645 FERRY AVE | CAMDEN | NJ | 08104 | 222003702 | UTILITIES | NJ | N/A | false | UTILITIES AUTHORITY | |
| ALLEGANY COUNTY HUMAN RESOURCES | ||||||||||
| 125 VIRGINIA AVE | CUMBERLAND | MD | 21502 | 526065754 | SOCIAL SVC | MD | 501C3 | N/A | false | DEVELOPMENT COMMISSION INC |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (7 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | Business Name Line2RelatedOrganizationName/BusinessNameLine2 | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Business Name Line2DirectControllingEntityName/BusinessNameLine2 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| AVC PICTURES LLC | ||||||||||||
| 58 S BROAD ST | WOODBURY | NJ | 08096 | 201580850 | MEDIA | NJ | N/A | false | false | |||
| AVISTA HEALTHCARE LLC | ||||||||||||
| 3025 CHAPEL AVE WEST | CHERRY HILL | NJ | 08002 | 205274822 | HEALTHCARE | NJ | N/A | false | false | |||
| COLLINS MARKETS LLC | ||||||||||||
| 1568 CHESTER PIKE | EDDYSTONE | PA | 19022 | 201624507 | GROCERY ST | PA | N/A | false | false | SHOPRITE OF EDDYSTONE | ||
| EEE ASSOCIATES LLC | ||||||||||||
| 1310 FAIRVIEW RD | DELRAN | NJ | 08075 | 562669847 | GROCERY ST | NJ | false | false | SHOPRITE OF ARK RD & RT 38 | EICKHOFF'S | SUPERMARKETS | |
| FROSTBURG FACILITY OPERATIONS LLC | ||||||||||||
| ONE KAYLOR CIRCLE | FROSTBURG | MD | 21532 | 205111843 | HEALTHCARE | MD | N/A | false | false | |||
| KGJ ASSOCIATES LLC | ||||||||||||
| 1310 FAIRVIEW BLVD | DELRAN | NJ | 08075 | 432104622 | GROCERY ST | NJ | false | false | SHOPRITE OF CINNAMINSON | EICKHOFF'S | SUPERMARKETS | |
| SHOP RITE OF GLEN BURNIE LLC | ||||||||||||
| 5000 RIVERSIDE DR | KEASBY | NJ | 08832 | 272508458 | GROCERY ST | NJ | N/A | false | false | |||
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (12 entries)
| Business Name Line2RelatedOrganizationName/BusinessNameLine2 | Address Line1USAddress/AddressLine1 | Address Line2USAddress/AddressLine2 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Business Name Line2DirectControllingEntityName/BusinessNameLine2 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| WILLSE & ASSOCIATES INC | |||||||||||||
| WILLSE & ASSOCIATES INC | 1501 S CLINTON ST | 7TH FLOOR | BALTIMORE | MD | 21224 | 521187907 | INSURANCE | NJ | N/A | C CORP | false | ||
| KRE INC | |||||||||||||
| KRE INC | 1310 FAIRVIEW BLVD | DELRAN | NJ | 08075 | 300107628 | GROCERY ST | NJ | C CORP | false | EICKHOFF | SUPERMARKETS INC | ||
| HFE INC | |||||||||||||
| HFE INC | 1310 FAIRVIEW BLVD | DELRAN | NJ | 08075 | 221859016 | GROCERY ST | NJ | C CORP | false | EICKHOFF | SUPERMARKETS INC | ||
| AVON FOODS INC | |||||||||||||
| AVON FOODS INC | 1275 HORNBERGER AVE | ROEBLING | NJ | 08554 | 562628476 | GROCERY ST | NJ | N/A | C CORP | false | |||
| PERLMART INC | |||||||||||||
| 954 RT 166 | TOMS RIVER | NJ | 08753 | 222143674 | GROCERY ST | NJ | N/A | C CORP | false | ||||
| SAKER SHOPRITES INC | |||||||||||||
| 922 HIGHWAY 33 | BLDG 6 | FREEHOLD | NJ | 07728 | 221729304 | GROCERY ST | NJ | N/A | C CORP | false | |||
| SJF-CCRC INC | |||||||||||||
| SJF-CCRC INC | 1110 LAUREL OAK RD | VOORHEES | NJ | 08043 | 233701092 | HEALTHCARE | NJ | N/A | C CORP | false | |||
| ZALLIE SUPERMARKETS INC | |||||||||||||
| 1230 BLACKWOOD-CLEMENTON RD | CLEMENTON | NJ | 08021 | 222385129 | GROCERY ST | NJ | N/A | C CORP | false | ||||
| AHOLD USA INC | |||||||||||||
| AHOLD USA INC | 1149 HARRISBURG PIKE | CARLISLE | PA | 17013 | 530073545 | GROCERY ST | PA | N/A | C CORP | false | |||
| ASSITED LIVING AT FROSTBURG VILLIAG | |||||||||||||
| 100 VILLAGE PARKWAY | FROSTBURG | MD | 21532 | 205103941 | HEALTHCARE | MD | N/A | C CORP | false | ||||
| FRANK M VACCARRO & ASSOCIATES INC | |||||||||||||
| 27 ROLAND AVE | MT LAUREL | NJ | 08054 | 232148108 | BENEFITS | NJ | N/A | false | |||||
| TRI STATE ADMINISTRATORS | |||||||||||||
| 27 ROLAND AVE | MT LAUREL | NJ | 08054 | 223478819 | BENEFITS | 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 | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
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