UNITED FOOD AND COMMERCIAL WORKERS UNION LOCAL 1262 AND EMPLOYERS HEA: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
UNITED FOOD AND COMMERCIAL WORKERS UNION LOCAL 1262 AND EMPLOYERS HEA (EIN 23-7042767)
Tax period
2011-12-01 to 2012-11-30
Filed
2013-10-15
IRS object ID
201312909349300111
Schema version
2011v1.5
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)
Timestamp2013-10-15T09:18:03-05:00Timestamp
Tax Period End Date2012-11-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN542076905EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BST ADVISORS LLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line128 WEST 44TH STREETAddressLine1
CityNEW YORKCity
StateNYState
ZIP Code10036ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-12-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN237042767EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1UNITED FOOD AND COMMERCIAL WORKERS UNIONBusinessNameLine1
Business Name Line2LOCAL 1262 & EMPLOYERS HEALTH & WELFAREBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlUNITNameControl
Phone9737785800Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11389 BROAD STAddressLine1
CityCLIFTONCity
StateNJState
ZIP Code07013ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMATTHEW MOLINAROName
TitleTRUSTEETitle
Phone9737785800Phone
Date Signed2013-10-17DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameDAVID C LEEName
PTINP00178190PTIN
Phone2126618640Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMATTHEW MOLINARONameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11389 BROAD STAddressLine1
CityCLIFTONCity
StateNJState
ZIP Code07013ZIPCode
FieldValueIRS element (for citing)
Gross Receipts31277745GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteWWW.UFCW1262.ORGWebSite
Type Of Organization TrustXTypeOfOrganizationTrust
Year Formation1968YearFormation
State Legal DomicileNJStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE HOSPITAL, SURGICAL, MAJOR MEDICAL, DENTAL, PRESCRIPTION DRUG, VISION, LIFE INSURANCE AND MEDICAL BENEFITS TO APPROXIMATELY 5,000 ELIGIBLE PARTICIPANTS.ActivityOrMissionDescription
Nbr Voting Members Governing Body6NbrVotingMembersGoverningBody
Nbr Independent Voting Members6NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year24556355ProgramServiceRevenuePriorYear
Program Service Revenue CY26525295ProgramServiceRevenueCY
Investment Income Prior Year607432InvestmentIncomePriorYear
Investment Income Current Year557817InvestmentIncomeCurrentYear
Other Revenue Prior Year715934OtherRevenuePriorYear
Other Revenue Current Year5OtherRevenueCurrentYear
Total Revenue Prior Year25879721TotalRevenuePriorYear
Total Revenue Current Year27083117TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year24493462BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY25014030BenefitsPaidToMembersCY
Salaries Etc Prior Year481569SalariesEtcPriorYear
Salaries Etc Current Year497803SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year564662OtherExpensePriorYear
Other Expenses Current Year686191OtherExpensesCurrentYear
Total Expenses Prior Year25539693TotalExpensesPriorYear
Total Expenses Current Year26198024TotalExpensesCurrentYear
Revenues Less Expenses Prior Year340028RevenuesLessExpensesPriorYear
Revenues Less Expenses CY885093RevenuesLessExpensesCY
Total Assets BOY14041490TotalAssetsBOY
Total Assets EOY15131217TotalAssetsEOY
Total Liabilities BOY995206TotalLiabilitiesBOY
Total Liabilities EOY1162121TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY13046284NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY13969096NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE HOSPITAL, SURGICAL, MAJOR MEDICAL, DENTAL, PRESCRIPTION DRUG, VISION, LIFE INSURANCE AND OTHER MEDICAL BENEFITS TO ELIGIBLE MEMBERS AND THEIR DEPENDENTS.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense26198024Expense
Revenue26525300Revenue
DescriptionTO PROVIDE HOSPITAL, SURGICAL, MAJOR MEDICAL, DENTAL, PRESCRIPTION DRUG, VISION, LIFE INSURANCE AND OTHER MEDICAL BENEFITS TO APPROXIMATELY 5,000 ELIGIBLE MEMBERS AND THEIR DEPENDENTS.Description
Total Program Service Expense26198024TotalProgramServiceExpense
Described In501 C30DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10968NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members6NbrVotingGoverningBodyMembers
Number Independent Voting Members6NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties1DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees0MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy0ConflictOfInterestPolicy
Whistleblower Policy0WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1THE ORGANIZATIONBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number9737785800TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11389 BROAD STAddressLine1
CityCLIFTONCity
StateNJState
ZIP Code07013ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (7 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
JASON PARADIS
TRUSTEE0.50X000
HARVEY WHILLE
TRUSTEE0.50X031401822018
WILLIAM ROVENSKY
TRUSTEE0.50X013917116935
MATTHEW MOLINARO
TRUSTEE0.50X027583721836
DAVID GILLIS
TRUSTEE0.50X000
ROBERT SPINELLA
TRUSTEE0.50X000
FRANK VACCARO
OFFICER5.00510513276540X
FieldValueIRS element (for citing)
Total Reportable Comp From Org51051TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1056680TotalReportableCompFrmRltdOrgs
Total Other Compensation60789TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1HORIZON BCBS OF NJBusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line13 PONY LANEAddressLine1
CityFLEMINGTONCity
StateNJState
ZIP Code08822ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesCLAIMS ADMINISTRATORDescriptionOfServices
Compensation1156606Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
EMPLOYER CONTRIBUTIONS9000992570202125702021
RETIREE CO-PAY CONTRIB900099667625667625
COBRA CONTRIBUTIONS900099155649155649
FieldValueIRS element (for citing)
Total Program Service Revenue26525295TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column432384TotalRevenueColumn
Exclusion$432,384ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities4320061Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities4194628Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities125433Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column125433TotalRevenueColumn
Exclusion$125,433ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionINTEREST ON DELINQUENTDescription
Business Code900099BusinessCode
Total Revenue Column5TotalRevenueColumn
Related Or Exempt Function Income5RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue5TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column27083117TotalRevenueColumn
Related Or Exempt Function Income26525300RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$557,817ExclusionAmount

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total25014030Total
Program Services25014030ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total372107Total
Program Services372107ProgramServices

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total22481Total
Program Services22481ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total70129Total
Program Services70129ProgramServices

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total33086Total
Program Services33086ProgramServices

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total70388Total
Program Services70388ProgramServices

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total54103Total
Program Services54103ProgramServices

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total33832Total
Program Services33832ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total4305Total
Program Services4305ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total20112Total
Program Services20112ProgramServices

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total2329Total
Program Services2329ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total445Total
Program Services445ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total9777Total
Program Services9777ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
ALLOCATED EXPENSES216885216885
COMPUTER SERVICES8852688526
THIRD PARTY ADMINISTRAT7664776647
ACTUARY & CONSULTING5651456514

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total52328Total
Program Services52328ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total26198024Total
Program Services26198024ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY201889BOY
EOY95717EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY839210BOY
EOY866985EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1848434BOY
EOY2629180EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY6687BOY
EOY4429EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis53212LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec52578LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY878BOY
EOY634EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY11115761BOY
EOY11504190EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY28631BOY
EOY30082EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY14041490BOY
EOY15131217EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY199161BOY
EOY193301EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY796045BOY
EOY968820EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY995206BOY
EOY1162121EOY
FieldValueIRS element (for citing)
Do Not Follow SFAS117XDoNotFollowSFAS117

Cap Stck Trst Prin Current Funds CapStckTrstPrinCurrentFunds

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Paid In Cap Srpls Land Bldg Eqp Fund PaidInCapSrplsLandBldgEqpFund

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc

FieldValueIRS element (for citing)
BOY13046284BOY
EOY13969096EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY13046284BOY
EOY13969096EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY14041490BOY
EOY15131217EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses885093ReconcilationRevenueExpenses
Reconcilation Other Changes37719ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis2528OtherCostOrOtherBasis
Depreciation2212Depreciation
Book Value316BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis50684OtherCostOrOtherBasis
Depreciation50366Depreciation
Book Value318BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings634TotalOfBookValueLandBuildings

Other Securities OtherSecurities (4 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
CORPORATE BONDS -VAR6118559F
STATE & LOCAL OBLIGATIONS759986F
MORTGAGE-BACKED SECURITIES3046918F
U.S. TREASURIES1578727F
FieldValueIRS element (for citing)
Total Of Book Value Securities11504190TotalOfBookValueSecurities

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
STOP-LOSS INSURANCE RESERVE$349,751
SERP LIABILITY$41,054
DUE TO RELATED PARTIES$369,674
DUE TO BROKER$208,341
FieldValueIRS element (for citing)
Total Of Amounts968820TotalOfAmounts
Total Revenue27083117TotalRevenue
Total Expenses26198024TotalExpenses
Excess Or Deficit For Year885093ExcessOrDeficitForYear
Net Unrealized GL On Investments37719NetUnrealizedGLOnInvestments
Total Adjustments37719TotalAdjustments
Excess Or Deficit Per FS922812ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt27087004TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments37719NetUnrealizedGainsInvestments
Revenue Not Rptd F99037719RevenueNotRptdF990
Revenue Subtotal27049285RevenueSubtotal
Investment Expenses Not Included33832InvestmentExpensesNotIncluded
Revenue Not Rptd On Fin Stmt33832RevenueNotRptdOnFinStmt
Total Revenue Per Form99027083117TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt26164192TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal26164192ExpensesSubtotal
Investment Expenses Not Included233832InvestmentExpensesNotIncluded2
Expenses Not Rptd On Fin Stmt33832ExpensesNotRptdOnFinStmt
Total Expenses Per Form99026198024TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X:ReturnReference
ExplanationTHE PLAN RECEIVED ITS LATEST DETERMINATION LETTER ON MAY 8, 1970, IN WHICH THE INTERNAL REVENUE SERVICE (IRS) ADVISED THAT THE PLAN QUALIFIES UNDER SECTION 501(C)(9) OF THE INTERNAL REVENUE CODE (IRC) AND IS, THEREFORE, EXEMPT FROM FEDERAL INCOME TAXES UNDER THE PROVISIONS OF SECTION 501(A). THE PLAN HAS BEEN AMENDED SINCE RECEIVING THE DETERMINATION LETTER. HOWEVER, THE PLAN'S TRUSTEES AND THE PLAN'S COUNSEL BELIEVE THAT THE PLAN IS CURRENTLY DESIGNED AND BEING OPERATED IN COMPLIANCE WITH THE APPLICABLE REQUIREMENTS OF THE IRC. THE PLAN'S MANAGEMENT EVALUATES TAX POSITIONS TAKEN BY THE PLAN AND RECOGNIZES A TAX LIABILITY OR ASSET IF AN UNCERTAIN TAX POSITION WAS TAKEN AND IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WOULD NOT BE SUSTAINED UPON EXAMINATION BY TAXING AUTHORITIES. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS. THE PLAN IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR THE YEARS PRIOR TO 2008.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement

Form990 Schedule J Part II Form990ScheduleJPartII (4 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
HARVEY WHILLE
0314018000008372013646033603600
WILLIAM ROVENSKY
0139171000003471013464015610600
MATTHEW MOLINARO
0275837000008372013464029767300
FRANK VACCARO
51051327654000000005105132765400

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 3THE 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 8BTHE ORGANIZATION HAS NO SUBCOMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY.
FORM 990, PART VI, SECTION B, LINE 11THE 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 19THE FUND'S GOVERNING DOCUMENTS, POLICIES AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST AND MAY BE VIEWED AT THE FUND 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 $3,257,553 AND ESTIMATED POST RETIREMENT OBLIGATIONS OF $8,407,731.
FORM 990, PART XI, LINE 5:NET UNREALIZED GAINS ON INVESTMENTS: 37,719.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XI, LINE 2CTHE PROCESS FOR OVERSEEING THE AUDIT AND FOR SELECTING AN INDEPENDENT ACCOUNTANT HAS NOT CHANGED SINCE THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (6 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionControlled OrgControlledOrg
UFCW LOCAL 1262 & EMPLOYERS PENSION FUND
1389 BROAD STREETCLIFTONNJ07013226074414TO PROVIDE PENSION BENEFITS TO ELIGIBLE MEMBERS AND THEIR BENEFICIARIESNJ501(A)0
UFCW LOCAL 1262 & EMPLOYERS LEGAL SERVICES FUND
1389 BROAD STREETCLIFTONNJ07013222238707TO PROVIDE LEGAL BENEFITS TO ELIGIBLE MEMBERSNJ501(C)(9)0
UFCW LOCAL 1262 & EMPLOYERS WELFARE FUND
1389 BROAD STREETCLIFTONNJ07013226137317TO PROVIDE HEALTH, MEDICAL & OTHER BENEFITS TO ELIGIBLE MEMBERSNJ501(C)(9)0
UFCW LOCAL 1262
1389 BROAD STREETCLIFTONNJ07013221339607REPRESENTS MEMBERS IN COLLECTIVE BARGAINING MATTERS WITH EMPLOYERSNJ501(C)(5)0
UFCW LOCAL 1262 & EMPLOYERS RETAIL NON-FOOD PENSION FUND
1389 BROAD STREETCLIFTONNJ07013226181292TO PROVIDE PENSION BENEFITS TO ELIGIBLE MEMBERS AND THEIR BENEFICIARIESNJ501(A)0
UFCW LOCAL 1262 PATHMARK HEALTH & WELFARE FUND
1389 BROAD STREETCLIFTONNJ07013371664252TO PROVIDE HEALTH, MEDICAL & OTHER BENEFITS TO ELIGIBLE MEMBERS.NJ501(C)(9)0
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org1LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (6 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
UFCW LOCAL 1262 & EMPLOYERS PENSION FUND
M87327CASH
UFCW LOCAL 1262 & EMPLOYERS PENSION FUND
N493799CASH
UFCW LOCAL 1262 & EMPLOYERS PENSION FUND
O688358CASH
UFCW LOCAL 1262
J20112CASH
UFCW LOCAL 1262
M398CASH
UFCW LOCAL 1262
N86722CASH

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