2014-05-23T08:53:54-05:00 2013-10-31 061533253 SASLOW LUFKIN & BUGGY LLP 10 TOWER LANE AVON CT 06001 990 2012-11-01 222507311 UFCW LOCAL 1459 & CONTRIBUTING EMPLOYERS HEALTH & WELFARE FUND UNIT 4137331197 33 EASTLAND STREET SPRINGFIELD MA 011092348 DANIEL P CLIFFORD 4137331197 2014-05-23 1 RICHARD BUGGY P00512316 8606789200 2012 2015-11-30 17:44:51Z DANIEL P CLIFFORD 33 EASTLAND STREET SPRINGFIELD MA 011092348 10365203 0 X N/A X 1983 MA PROVIDING ELIGIBLE PARTICIPANTS WITH VARIOUS HEALTH AND WELFARE BENEFITS. 4 4 0 0 0 0 0 0 6437569 6569150 234405 263921 300000 45541 6971974 6878612 0 0 6169799 5926334 0 0 0 0 0 1075050 1229262 7244849 7155596 -272875 -276984 8031236 8225547 766444 1089157 7264792 7136390 PROVIDING ELIGIBLE PARTICIPANTS WITH VARIOUS EMPLOYEE WELFARE BENEFITS, INCLUDING HEALTH, HOSPITALIZATION, PRESCRIPTION, DISABILITY AND LIFE. 0 0 6837346 6614691 TO OBTAIN AND ADMINISTER THE HEALTH AND WELFARE PROGRAM FOR ALL ELIGIBLE PARTICIPANTS. 6837346 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 X 4 4 1 1 0 0 0 1 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X X ZENITH AMERICAN SOLUTIONS 4137331197 33 EASTLAND STREET SPRINGFIELD MA 01109 X JOEL A BOONE 2.00 X X 0 0 0 DANIEL P CLIFFORD 2.00 X X 0 0 0 TIMOTHY KITTREDGE 2.00 X 0 0 0 RICHARD BROWN RESIGNED 11-15-12 2.00 X 0 0 0 JASON PARADIS 2.00 X 0 0 0 TYRONE HOUSEY 2.00 X 0 0 0 ROSS KIELY 2.00 X 0 0 0 0 0 0 0 0 0 0 ZENITH AMERICAN SOLUTIONS 33 EASTLAND STREET SPRINGFIELD CT 01109 THIRD PARTY CONTRACT ADMINISTRATOR 400700 CONNECTICUT GENERAL LIFE INSURANCE COTTAGE GROVE ROAD BLOOMFIELD CT 06002 ASO CONTRACT ADMINISTRATOR 392341 THE SEGAL COMPANY 30 WATERSIDE DRIVE SUITE 300 FARMINGTON CT 060323069 CONSULTING & ACTUARIAL 137167 3 EMPLOYER CONTRIBUTIONS 525100 6392557 6392557 EMPLOYEE CONTRIBUTIONS 525100 176593 176593 6569150 213567 213567 3536945 3486591 50354 50354 50354 LAWSUIT PROCEEDS 525100 45541 45541 45541 6878612 6614691 0 263921 5926334 5926334 58539 58539 14000 14000 54419 54419 529508 392341 137167 16471 16471 -350 -350 13876 13876 14509 14509 CONTRACT ADMINISTRATOR 400700 400700 MASS. UNCOMPENSATED CAR 117971 117971 BANK FEES 5009 5009 DUES (IFEBP) 4605 4605 5 5 7155596 6837346 318250 0 803900 1389032 354195 46779 18025 53041 6810537 6733318 44579 3377 8031236 8225547 82469 120938 683975 968219 766444 1089157 X 7264792 7136390 0 0 0 0 7264792 7136390 8031236 8225547 -276984 148582 0 X X 0 1 X 1 0 0 U.S. GOVERNMENT SECURITIES 2486425 F FOREIGN AND CORPORATE BONDS 2129525 F MUTUAL FUNDS 1171014 F COMMON STOCK 946354 F 6733318 HEALTH CLAIMS PAYABLE 187419 ESTIMATED CLAIMS INCURRED BUT NOT REPORTED 780800 968219 X 7027194 148582 148582 6878612 0 6878612 7155596 0 7155596 0 7155596 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: THE FUND ACCOUNTS FOR UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH PROVISIONS OF FASB ASC 740, "INCOME TAXES", WHICH PROVIDE A FRAMEWORK FOR HOW COMPANIES SHOULD RECOGNIZE, MEASURE, PRESENT AND DISCLOSE UNCERTAIN TAX POSITIONS IN THEIR FINANCIAL STATEMENTS. UNDER FASB ASC 740, THE FUND MAY RECOGNIZE THE TAX BENEFIT FROM AN UNCERTAIN TAX POSITION ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY THE TAXING AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFITS RECOGNIZED IN THE FINANCIAL STATEMENTS FROM SUCH POSITION ARE MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. THE FUND DID NOT RECORD ANY UNRECOGNIZED TAX BENEFITS FOR THE YEARS ENDED OCTOBER 31, 2013 AND 2012. THEREFORE, FASB ASC 740 HAD NO IMPACT ON THE 2013 OR 2012 FINANCIAL STATEMENTS. THE FUND ANTICIPATES THAT IT WILL NOT HAVE A CHANGE IN UNRECOGNIZED TAX BENEFITS DURING THE NEXT TWELVE MONTHS THAT WOULD HAVE A MATERIAL IMPACT ON THE FUND'S FINANCIAL STATEMENTS. THE FUND'S POLICY IS TO RECOGNIZE INTEREST AND PENALTIES RELATED TO INCOME TAXES AS A COMPONENT OF INTEREST AND PENALTY EXPENSE. AS OF AND FOR THE YEAR ENDED OCTOBER 31, 2013, THE FUND DID NOT RECORD ANY PENALTIES OR INTEREST ASSOCIATED WITH UNRECOGNIZED TAX BENEFITS. THE FUND'S PRIOR THREE TAX YEARS ARE OPEN AND ARE SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION A, LINE 2 DANIEL CLIFFORD, RICHARD BROWN (RESIGNED 11-15-2012) AND ROSS KIELY ARE OFFICERS OF THE UNITED FOOD & COMMERCIAL WORKERS UNION LOCAL 1459, WHICH IS A SPONSORING ORGANIZATION FOR THE UFCW UNION LOCAL 1459 & CONTRIBUTING EMPLOYERS' HEALTH & WELFARE FUND. FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION CONTRACTS WITH ZENITH AMERICAN SOLUTIONS, AN INDEPENDENT THIRD PARTY ADMINISTRATOR, TO CONDUCT THE DAY-TO-DAY OPERATIONS OF THE FUND. ZENITH AMERICAN SOLUTIONS IS ENGAGED BY AND REPORTS DIRECTLY TO THE BOARD OF TRUSTEES. FORM 990, PART VI, SECTION A, LINE 7A AS A SPONSORING ORGANIZATION, THE UNITED FOOD & COMMERCIAL WORKERS UNION LOCAL 1459 HAS THE AUTHORITY TO APPOINT TWO TRUSTEES AND ONE OR MORE ALTERNATE TRUSTEES TO THE ORGANIZATION'S BOARD. SIMILARLY, AS A SPONSORING ORGANIZATION AND A PARTICIPATING EMPLOYER, THE STOP & SHOP SUPERMARKET COMPANY HAS THE AUTHORITY TO APPOINT TWO TRUSTEES AND ONE OR MORE ALTERNATE TRUSTEES TO THE ORGANIZATION'S BOARD. FORM 990, PART VI, SECTION B, LINE 11 FORM 990 IS REVIEWED BY THE BOARD AND APPROVED AND ACCEPTED AT THE FIRST BOARD MEETING SUBSEQUENT TO THE PREPARATION AND FILING OF THE RETURN. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD REQUIRES ALL TRUSTEES TO REPORT ANY POTENTIAL CONFLICTS OF INTEREST AT LEAST ANNUALLY. ANY POTENTIAL CONFLICTS OF INTEREST ARE BROUGHT TO THE BOARD FOR DISCUSSION AND RESOLUTION. DAY-TO-DAY MANAGEMENT OF THE FUND IS CONTRACTED TO ZENITH AMERICAN SOLUTIONS, A THIRD PARTY CONTRACT ADMINISTRATOR. CONTRACTUAL TERMS AND CONDITIONS ARE EVALUATED AND NEGOTIATED BY THE BOARD ON AN ANNUAL BASIS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, TAX RETURNS AND AUDITED FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST TO THE BENEFITS OFFICE. FORM 990, PART XII, LINE 2C: THE BOARD OF TRUSTEES IS RESPONSIBLE FOR THE SELECTION OF AN INDEPENDENT ACCOUNTANT AND IS RESPONSIBLE FOR THE OVERSIGHT OF THE FINANCIAL STATEMENT AUDIT PROCESS. THERE HAS BEEN NO CHANGE FROM THE PRIOR YEAR IN HOW THESE RESPONSIBILITIES ARE ADMINISTERED. UFCW LOCAL 1459 AND CONTRIBUTING EMPLOYERS LEGAL BENEFIT FUND 33 EASTLAND STREET SPRINGFIELD MA 01109 222507618 MULTIEMPLOYER LEGAL BENEFIT FUND MA 501(C)(9) N/A 0 UFCW LOCAL 1459 EDUCATION SAFETY & INDUSTRY TRUST FUND 33 EASTLAND STREET SPRINGFIELD MA 01109 522331090 MULTIEMPLOYER EDUCATION & SAFETY FUND MA 501(C)(9) N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 UFCW UNION 1459 EDUCATION SAFETY AND INDUSTRY TRUST FUND N COST UFCW UNION 1459 & CONTRIBUTING EMPLOYERS LEGAL BENEFIT FUND N COST (SEE PART VII FOR ADDITIONAL DISCLOSURE) FORM 990, SCHEDULE R, PART V THE ORGANIZATION SHARES OFFICE SPACE WITH TWO RELATED BUT INDEPENDENT MULTIEMPLOYER BENEFIT FUNDS, AND UTILIZES THE SAME THIRD PARTY ADMINISTRATOR. EACH ORGANIZATION IS CHARGED FOR AND PAYS ALL OF ITS OWN COSTS.