2014-11-12T11:09:37-06:00 2013-12-31 222212404 BARATZ & ASSOCIATES PA 7 EVES DRIVE SUITE 100 MARLTON NJ 080533196 990 2013-01-01 236449794 UFCW UNION & PARTICIPATING FOOD IND EMPLOYERS TRI-STATE HEALTH-WELFARE UFCW 8567932500 27 ROLAND AVENUE MT LAUREL NJ 08054 BRIAN STRING TRUSTEE 8567932500 2014-09-11 true JOHN FEKETE CPA P00956964 8569855688 2014-11-12 2013 2015-11-30 17:44:51Z FRANK VACCARO 27 ROLAND AVE MT LAUREL NJ 08054 37824989 false X X HEALTH FUND 1967 NJ TO PROVIDE HEALTH BENEFITS TO PARTICIPANTS WHOSE EMPLOYERS HAVE ENTERED INTO COLLECTIVE BARGAINING AGREEMENTS WITH VARIOUS LOCAL AFFILIATES OF THE UNITED FOOD AND COMMERCIAL WORKERS UNION. 7 7 0 0 0 35929687 35412235 215210 215940 4448 0 36149345 35628175 0 33851467 35489642 0 0 0 2464178 2491956 36315645 37981598 -166300 -2353423 12339299 9100008 8160708 7112228 4178591 1987780 X TO PROVIDE HEALTH BENEFITS TO PARTICIPANTS WHOSE EMPLOYERS HAVE ENTERED INTO COLLECTIVE BARGAINING AGREEMENTS WITH VARIOUS LOCAL AFFILIATES OF THE UNITED FOOD AND COMMERCIAL WORKERS UNION. false false PROVIDED HEALTH BENEFITS TO ELIGIBLE PARTICIPANTS. TO PROVIDE HEALTH AND RELATED BENEFITS FOR ELIGIBLE PARTICIPANTS. false false false false false false false false false true false false true true false true false false false false false false false false false false false false false false false false false false false false false false false false true false false true 530 0 true 0 false false false false false false X 7 7 false true false false false false false true true false false true false true true false false false X FUND ADMINISTRATOR 8567932500 27 ROLAND AVENUE MT LAUREL NJ 08054 X DANIEL DOSENBACH DANIEL DOSENBACH TRUSTEE 1.00 X 0 0 0 GREGORY QUAGLIATO GREGORY QUAGLIATO TRUSTEE 1.00 X 0 0 0 DANIEL KONCZYK DANIEL KONCZYK TRUSTEE 1.00 X 0 0 0 BRIAN STRING BRIAN STRING TRUSTEE 1.00 X 0 0 0 TIM TERIFAY TIM TERIFAY TRUSTEE 1.00 X 0 0 0 MITCHELL SCHAFER MITCHELL SCHAFER TRUSTEE 1.00 X 0 0 0 DANA GENTILE TRUSTEE 1.00 X 0 0 0 false false false TRI-STATE ADMINISTRATORS INC 27 ROLAND AVE 27 ROLAND AVE MT LAUREL NJ 08054 ADMINISTRATIVE 2161974 AMERIHEALTH ADMINISTRATORS 720 BLAIR MILL RD 720 BLAIR MILL RD HORSHAM PA 19044 HEALTH BENEFITS 437809 SPEAR WILDERMAN PC 230 S BROAD ST 230 S BROAD ST PHILADELPHIA PA 19102 LEGAL 196440 HEALTH MAP INC 1 CLEMENTS COURT 1 CLEMENTS COURT MT LAUREL NJ 08054 STAFFING CO 188411 HEALTH PLAN SYSTEMS INC 1 WOODBRIDGE CENTER STE220 1 WOODBRIDGE CENTER STE 220 WOODBRIDGE TWP NJ 07095 COMPUTER 170380 6 EMPLOYER CONTRIBUTIONS 35033857 35033857 EMPLOYEE CONTRIBUTIONS 378378 378378 35412235 162754 162754 2250000 2196814 53186 53186 53186 35628175 35465421 162754 35489642 54155 23500 16951 1319 52335 39795 ADMINISTRATOR FEES 2087823 DATA PROCESSING 123689 SPECIAL PROJECT FEES 50258 NEWSLETTER 22881 19250 37981598 0 0 0 3848324 3066353 2185586 2074190 56559 72264 277543 125853 204026 151690 4777958 2906511 1266846 829000 12339299 9100008 152711 107106 8007997 7005122 8160708 7112228 X 4178591 1987780 4178591 1987780 12339299 9100008 -2353423 162612 X false true X true 277543 125853 151690 151690 BLUE CROSS DEPOSIT 829000 829000 ACCRUED BENEFIT LIABILITIES 7005122 7005122 35782787 162612 162612 35620175 8000 8000 35628175 38976473 38976473 8000 -1002875 -994875 37981598 SCHEDULE D, PAGE 4, PART XII, LINE 4B BENEFITS PAYABLE ADJUSTMENT -1,002,875 FORM 990, PAGE 2, PART III, LINE 4D TO PROVIDE HEALTH AND RELATED BENEFITS FOR ELIGIBLE PARTICIPANTS. FORM 990, PAGE 6, PART VI, LINE 3 THE TRUSTEES HAVE DELEGATED MANAGEMENT AUTHORITY OVER DAY-TO-DAY OPERATIONS TO A THIRD-PARTY ADMINISTRATOR. FORM 990, PAGE 6, PART VI, LINE 11B THE FORM 990 WAS REVIEWED WITH 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 INTO THE ADMINISTRATIVE OFFICE AND REQUEST AN OPPORTUNITY TO REVIEW THE FORMS. WEPCO FEDERAL CREDIT UNION PO BOX 157 BLOOMINGTON MD 21523 520627367 FINL SVCS MD 501C1 N/A false FIRST PEOPLES COMMUNITY FCU 153 BALTIMORE ST CUMBERLAND MD 21502 520905189 FINL SVCS MD 501C1 N/A false CHESSIE FCU PO BOX 689 CUMBERLAND MD 215010689 520580973 FINL SVCS MD 501C1 N/A false HUMAN RESOURCERS DEVELOPMENT COMM 125 VIRGINIA AVE CUMBERLAND MD 21502 526065754 CHARITY MD 501C3 N/A false THE LIONS CENTER FOR REHABILITATION 901 SETON DR CUMBERLAND MD 21502 520812302 NURSINGSVC MD 115 N/A false TOWNSHIP OF WATERFORD 2131 AUBURN AVE ATCO NJ 08004 216001341 GOVT AGENC NJ 170C1 N/A false CAMDEN COUNTY MUA 1645 FERRY AVE CAMDEN NJ 08104 222003702 WATERTREAT NJ 115 N/A false FROSTBURG FACILITY OPERATIONS LLC ONE KAYLOR CIRCLE FROSTBURG MD 21532 205111843 MD N/A false false ASSISTED LIVING AT FROSTBURG VILLAG 100 VILLAGE PARKWAY FROSTBURG MD 21532 205103941 MD N/A false false AVISTA HEALTHCARE LLC 3025 CHAPEL AVE WEST CHERRY HILL NJ 08002 205274922 NJ N/A false false ACME MARKETS INC 11840 VALLEY VIEW RD EDEN PRAIRIE MN 55344 870440072 FOOD STORE MN SUPERVALUE C CORP false ALLEGHANEY COUNTY HUMAN RESOURCES ALLEGHANEY COUNTY HUMAN RESOURCES 125 VIRGINIA AVE CUMBERLAND MD 21502 526065754 MD N/A C CORP false ARAMARK CORRECTIONAL SERVICES PO BOX 34 TITUSVILLE NJ 08560 232778485 FOOD SERV NJ N/A C CORP false AVON FOODS INC AVON FOODS INC 1275 HORNBERGER AVE ROEBLING NJ 08554 562628476 GROCERY ST NJ N/A S CORP false CAPE REGIONAL MEDICAL CENTER 2 STONE HARBOR BLVD CAPE MAY CO COURTHOUSE NJ 08210 210662542 HEALTHCARE NJ N/A C CORP false CROTHALL HEALTHCARE 2 STONE HARBOR BLVD CAPE MAY CO COURTHOUSE NJ 08210 510386133 HEALTHCARE NJ N/A C CORP false GENESIS HEALTHCARE 515 FAIRMONT AVE TOWSON MD 21286 HEALTHCARE NJ N/A C CORP false HEALTH FACILITIES INC HEALTH FACILITIES INC 2629 TRENTON RD LEVITTOWN PA 19056 391406172 PA N/A C CORP false HEALTHCARE SERVICES GROUP INC 3220 TILLMAN DR SUITE 300 BENSALEM PA 19020 232018365 PA N/A C CORP false INCOLLINGO'S EGG HARBOR CITY MARKET 810 WHITE HORSE PK EGG HARBOR CITY NJ 08215 205776050 FOOD STORE NJ N/A S CORP false INCOLLINGO'S HOLDING CO INCOLLINGO'S HOLDING CO 457 CAST BROADWAY SALEM NJ 08079 223813956 NJ N/A S CORP false NURSING HOME BOARD OF ALLEGHANEY NURSING HOME BOARD OF ALLEGHANEY 901 SETON DR CUMBERLAND MD 21502 520812302 HELATHCARE N/A C CORP false PATHMARK 2 PARAGON DR MONTVALE NJ 07645 222879612 GROCERY ST NJ GREAT ATLANTIC & PACIFIC TEA COMPANY C CORP false VIW-IWCO ENT INC VIW-IWCO ENT INC 1 N VIRGINIA AVE PENNSGROVE NJ 08069 222478138 NJ N/A S CORP false WILLSE & ASSOCIATES INC WILLSE & ASSOCIATES INC 1501 S CLINTON ST 7TH FLOOR BALTIMORE MD 21224 521187907 GROCERY ST MD N/A C CORP false SUPER FRESH 2 PARAGON DR MONTVALE NJ 07645 222402491 GROCERY ST NJ GREAT ATLANTIC & PACIFIC TEA COMPANY false false false false false false false false false false false false false false false false false false false false