2014-08-14T15:04:21-05:00 2013-09-30 464001827 SAXBST LLP 28 WEST 44TH STREET NEW YORK NY 10036 990 2012-10-01 226137317 UNITED FOOD & COMMERCIAL WORKERS UNION LOCAL 1262 EMPLOYERS WELFARE FUND UNIT 9737785800 1389 BROAD ST CLIFTON NJ 07013 MATTHEW MOLINARO 9737785800 2014-08-14 1 DAVID C LEE P00178190 2126618640 2012 2015-11-30 17:44:51Z MATTHEW MOLINARO 1389 BROAD STREET CLIFTON NJ 07013 78267550 0 X N/A X 1969 NJ TO PROVIDE HOSPITAL, MAJOR MEDICAL, DENTAL, PRESCRIPTION DRUG, VISION, LIFE INSURANCE AND OTHER MEDICAL BENEFITS TO APPROXIMATELY 14,000 ELIGIBLE PARTICIPANTS. 6 0 0 0 0 0 0 0 79369056 76408910 601618 974288 90 32 79970764 77383230 0 0 80620789 73751918 824386 760071 0 0 0 4976311 856120 86421486 75368109 -6450722 2015121 24650729 27614592 4497454 465214 20153275 27149378 TO PROVIDE HOSPITAL, MAJOR MEDICAL, DENTAL, PRESCRIPTION DRUG, VISION, LIFE INSURANCE AND OTHER MEDICAL BENEFITS TO ELIGIBLE PARTICIPANTS. 0 0 TO PROVIDE HOSPITAL, MAJOR MEDICAL, DENTAL, PRESCRIPTION DRUG, VISION, LIFE INSURANCE AND OTHER MEDICAL BENEFITS TO APPROXIMATELY 14,000 ELIGIBLE PARTICIPANTS. 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 7 0 1 0 0 0 0 0 0 0 0 0 X 6 0 0 1 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 X MATTHEW MOLINARO TRUSTEE 9737785800 1389 BROAD STREET CLIFTON NJ 07013 PATRICK DURNING 5.00 X 0 0 0 DEWEY CANELLA 5.00 X 0 0 0 MICHAEL DEMARTINO 5.00 X 0 145903 19646 JOHN DURKIN - RETIRED 1212 5.00 X 0 0 0 MATTHEW MOLINARO 5.00 X 0 275837 21987 HARVEY WHILLE 5.00 X 0 314018 21987 MICHAEL FREDERICKS 5.00 X 0 0 0 FRANK VACCARO 5.00 X 171777 180304 0 171777 916062 63620 1 0 1 0 HORIZON BCBS OF NJ 3 PONY LANE FLEMINGTON NJ 08822 CLAIMS ADMINISTRATION 3408192 PROSKAUER ROSE LLP ELEVEN TIMES SQUARE NEW YORK NY 10036 ATTORNEY 303770 HORIZON HEALTHCARE DENTAL SERVICES PO BOX 1938 NEWARK NJ 07101 CLAIMS ADMINISTRATION 276447 FRANK M VACCARO & ASSOCIATES INC 27 ROLAND AVE SUITE 200 MOUNT LAUREL NJ 08054 THIRD-PARTY ADMINISTRATOR 171777 VALUE OPTIONS THREE PENN PLAZA NEWARK NJ 07105 CLAIMS ADMINISTRATION 129614 7 EMPLOYER'S CONTRIBUTIONS 900099 74897158 74897158 RETIREE CO-PAY CONTRIBUTIONS 900099 1033653 1033653 COBRA CONTRIBUTIONS 900099 478099 478099 76408910 802401 802401 1056207 884320 171887 171887 171887 INTEREST ON DELINQUENT CONTRIBUTI 900099 32 32 32 77383230 76408942 0 974288 73751918 537712 173942 48417 303770 55000 11991 12255 39257 2064 788 19061 THIRD-PARTY ADMINISTRAT 175403 ACTUARIAL AND OTHER CON 140912 COMPUTER SERVICES 122360 COMMUNICATION TO PARTIC 69422 -96163 75368109 X 255824 255709 479427 1247219 3246055 4608471 14082 14217 172045 171375 1458 670 19724291 20623048 929592 865258 24650729 27614592 156441 166519 4341013 298695 4497454 465214 X 0 0 0 0 20153275 27149378 20153275 27149378 24650729 27614592 X 2015121 980982 4000000 X 0 1 X 0 0 4867 4709 158 161973 161461 512 5205 5205 0 670 DUE TO AFFILIATES 233864 SERP LIABILITY 64831 298695 X 78352218 980982 980982 77371236 11991 3 11994 77383230 75356118 0 75356118 11991 11991 75368109 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: ART X: ON OCTOBER 1, 2009, THE PLAN ADOPTED ASC 740-10-25, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. THIS STANDARD PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF AN INCOME TAX POSITION TAKEN OR EXPECTED TO BE TAKEN ON AN INCOME TAX RETURN. THE BENEFIT OF AN UNCERTAIN TAX POSITION MAY BE RECOGNIZED IN THE FINANCIAL STATEMENTS ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED, BASED ON ITS TECHNICAL MERITS, UPON EXAMINATION, INCLUDING THE RESOLUTION OF APPEALS OR LITIGATION PROCESSES, IF ANY. THE PLAN IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR TAX YEARS PRIOR TO SEPTEMBER 30, 2010. PART XI, LINE 4B - OTHER ADJUSTMENTS: ROUNDING 3. 0 0 0 MICHAEL DEMARTINO 0 145903 0 0 0 0 0 6182 0 13464 0 165549 0 0 MATTHEW MOLINARO 0 275837 0 0 0 0 0 8372 0 13615 0 297824 0 0 HARVEY WHILLE 0 314018 0 0 0 0 0 8372 0 13615 0 336005 0 0 FRANK VACCARO 171777 180304 0 0 0 0 0 0 0 0 171777 180304 0 0 FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION ENGAGES A MANAGEMENT COMPANY TO PERFORM ADMINISTRATIVE SERVICES INCLUDING OVERSIGHT OF CERTAIN PERSONNEL AND EXECUTING FINANCIAL OPERATIONS ON A LIMITED BASIS. THE SERVICES ARE PERFORMED UNDER THE TERMS OF A WRITTEN CONTRACT. FORM 990, PART VI, SECTION A, LINE 8B THE ORGANIZATION HAS NO SUBCOMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11 THE FUND'S 990 IS PREPARED BY ITS OUTSIDE AUDITOR AND IS SUBMITTED AND REVIEWED WITH THE ADMINISTRATOR. THE ADMINISTRATOR THEN REVIEWS IT WITH THE CHAIRPERSON OF THE BOARD OF TRUSTEES. A COPY OF THE RETURN IS AVAILABLE TO THE EXECUTIVE BOARD MEMBERS UPON REQUEST. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, POLICIES AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST AND MAY BE EXAMINED AT THE ORGANIZATION'S OFFICE. FORM 990, PART X, LINE 33: GENERALLY ACCEPTED ACCOUNTING PRINCIPLES ALLOW FOR PRESENTATION OF ESTIMATED CURRENT CLAIMS OBLIGATIONS ON A SEPARATE STATEMENT IN THE FUND'S AUDITED FINANCIAL STATEMENTS. FOR CONSISTENCY, THE BALANCE SHEET FOR FORM 990 WILL ALSO NOT INCLUDE LIABILITIES FOR ESTIMATED CURRENT CLAIMS OBLIGATIONS. NET ASSETS PER THE AUDITED FINANCIAL STATEMENTS DO NOT INCLUDE ESTIMATED CURRENT CLAIMS OBLIGATIONS OF $10,161,744 AND ESTIMATED POST RETIREMENT OBLIGATIONS OF $21,414,417 CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: TRANSFER FROM SPUN-OFF PLAN 4,000,000. UNITED FOOD AND COMMERCIAL WORKERS LOCAL 1262 AND EMPLOYERS PENSION FUND 1389 BROAD STREET CLIFTON NJ 07013 226074414 TO PROVIDE PENSION BENEFITS TO ELIGIBLE MEMBERS AND THEIR BENEFICIARIES. NJ 501(A) 0 UNITED FOOD AND COMMERCIAL WORKERS LOCAL 1262 AND EMPLOYERS LEGAL FUND 1389 BROAD STREET CLIFTON NJ 07013 222238707 TO PROVIDE LEGAL BENEFITS TO ELIGIBLE MEMBERS. NJ 501(C)9 0 UNITED FOOD AND COMMERCIAL WORKERS LOCAL 1262 & EMPLOYERS HLTH & WELFARE FD 1389 BROAD STREET CLIFTON NJ 07013 237042767 TO PROVIDE HEALTH AND WELFARE BENEFITS TO ELIGIBLE MEMBERS. NJ 501(C)9 0 UNITED FOOD AND COMMERCIAL WORKERS LOCAL 1262 & EMPLOYERS NONFOOD PENSION F 1389 BROAD STREET CLIFTON NJ 07013 226181292 TO PROVIDE PENSION BENEFITS TO ELIGIBLE MEMBERS AND THEIR BENEFICIARIES. NJ 501(C)9 0 UNITED FOOD AND COMMERCIAL WORKERS LOCAL 1262 1389 BROAD STREET CLIFTON NJ 07013 221339607 TO REPRESENT UNION MEMBERS IN COLLECTIVE BARGAINING MATTERS WITH EMPLOYERS NJ 501(C)5 0 UNITED FOOD AND COMMERCIAL WORKERS LOCAL 1262 PATHMARK HEALTH & WELFARE FUN 1389 BROAD STREET CLIFTON NJ 07013 371664252 TO PROVIDE WELFARE BENEFITS TO ELIGIBLE MEMBERS. NJ 501(C)9 0 WAKEFERN CORPORATION NJ FOODTOWN SUPERMARKETS NJ A&P PATHMARK NJ 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 0 0 0 UFCW LOCAL 1262 AND EMPLOYERS' PENSION FUND O 1098869 CASH UFCW LOCAL 1262 AND EMPLOYERS' PENSION FUND M 172181 CASH UFCW LOCAL 1262 AND EMPLOYERS' PENSION FUND N 760071 CASH UFCW LOCAL 1262 J 39257 CASH UFCW LOCAL 1262 N 123682 CASH UFCW LOCAL 1262 M 3678 CASH