2013-11-07T14:19:11-06:00 2012-12-31 BOND BEEBE PC 4600 EAST-WEST HIGHWAY SUITE 900 BETHESDA MD 208143423 990 2012-01-01 210681336 UFCW LOCAL 152 HEALTH AND WELFARE FUND % FRANK VACCARO UFCW 8567931598 27 ROLAND AVENUE Suite 100 MOUNT LAUREL NJ 08054 BRIAN STRING 8567931598 2013-11-07 true BRIAN GARSTECKI 3012726000 2012 2016-02-25 16:41:14Z brian string 27 ROLAND AVE STE 100 mount laurel NJ 08054 100394433 false X N/A X 1956 NJ THE ORGANIZATION IS THE TRUST FOR A MULTIEMPLOYER WELFARE BENEFIT PLAN THAT COVERS ELIGIBLE MEMBERS OF THE UNITED FOOD AND COMMERCIAL WORKERS LOCAL NO. 152 AND LOCAL NO. 27. 10 0 0 0 0 0 0 93823173 100084066 321948 308653 0 1714 94145121 100394433 0 0 85108049 101789169 0 0 0 0 0 8783447 8884780 93891496 110673949 253625 -10279516 34646285 23392081 4212745 2853939 30433540 20538142 THE ORGANIZATION IS THE TRUST FOR A MULTIEMPLOYER WELFARE BENEFIT PLAN THAT COVERS ELIGIBLE MEMBERS OF THE UNITED FOOD AND COMMERCIAL WORKERS LOCAL NO. 152 AND LOCAL NO. 27. false false SERVES AS THE INVESTMENT TRUST TO FUND MEDICAL, HOSPITAL, PRESCRIPTION DRUG, DENTAL, VISION, HEALTH SCREENING, DISABILITY INCOME, LEGAL, AND LIFE INSURANCE BENEFITS FOR PARTICIPANTS THEIR ELIGIBLE DEPENDENTS AND BENEFICIARIES. false false false false false false false false false true false false true true true true false false false false false false false false false false false false true false false false false false false false false false false false true false false true 15 0 true 0 false false false false false false X 10 0 false false false false false true false true false false false true true true true true true false X FRANK VACCARO 8566625757 27 ROLAND AVENUE STE 100 MOUNT LAUREL NJ 08054 X DANIEL DOSENBACH 1.0 39.0 X X 0 0 DEREK KINNEY 1.0 39.0 X 0 0 PATRICK J DURNING 1.0 39.0 X 0 0 DEWEY CANNELLA 1.0 39.0 X 0 0 BRIAN STRING 1.0 39.0 X X 0 264953 23200 MICHAEL MCWILLIAMS 1.0 39.0 X 0 132835 25936 ALI RIVZI 1.0 39.0 X 0 0 ANTHONY BENIGNO 1.0 39.0 X 0 221015 22804 JOHN ROBBINS 1.0 39.0 X 0 98023 20740 GEORGE MURPHY JR 1.0 39.0 X 0 182650 18229 LARRY LUCENTE 1.0 39.0 X 0 98023 23907 0 997499 134816 0 false true false TRI-STATE ADMINISTRATORS INC 27 ROLAND AVENUE STE 100 MOUNT LAUREL NJ 08054 PLAN ADMINISTRATOR 3341664 HORIZON BLUE CROSS BLUE SHIELD OF N THREE PENN PLAZA EAST NEWARK NJ 08105 ADMINISTRATOR FEE 4922853 2 0 EMPLOYERS 525100 98931973 98931973 PARTICIPANTS (COBRA) 525100 1152093 1152093 100084066 308653 308653 0 0 0 0 0 0 0 0 0 CLASS ACTION SETTLEMENTS 900099 1714 1714 1714 100394433 100084066 310367 0 0 0 101789169 0 0 0 0 0 0 0 132742 48736 0 0 6880 8349185 0 43542 0 0 0 0 0 4608 186065 0 6390 43426 DUES AND MEMBERSHIP 1405 BAD DEBT EXPENSE 61801 110673949 X 0 0 18338377 5862242 0 0 4294238 4577010 0 0 0 0 0 0 0 0 34329 39752 23961 21565 8786 2396 8558785 9246400 0 0 0 0 0 0 3411770 3664281 34646285 23392081 1826934 630803 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2385811 2223136 4212745 2853939 X 0 0 0 0 30433540 20538142 30433540 20538142 34646285 23392081 -10279516 384118 X false true X false false 0 23961 21565 2396 2396 DUE FROM RELATED ENTITIES 721437 HOSPITALIZATION DEPOSITS 2101292 OTHER RECEIVABLES 841552 3664281 0 DUE TO RELATED ENTITIES 2223136 2223136 X 100771671 384118 384118 100387553 6880 6880 100394433 110667069 110667069 6880 6880 110673949 FIN 48 FOOTNOTE PART X, LINE 2 Accounting principles generally accepted in the United States of America require management of an entity to evaluate tax positions taken by the entity and recognize a tax liability if the entity has taken an uncertain position that more likely than not would not be sustained upon examination by the Internal Revenue Service. Management has analyzed the tax positions taken by the Plan, and has concluded that as of December 31, 2012, there are no uncertain positions taken or expected to be taken that would require recognition of a liability or disclosure in the financial statements. Management believes that the Plan is no longer subject to tax examinations for years prior 2009. false false false BRIAN STRING 0 264953 0 0 0 23200 0 288153 0 0 MICHAEL MCWILLIAMS 0 132835 0 0 0 25936 0 158771 0 0 ANTHONY BENIGNO 0 221015 0 0 0 22804 0 243819 0 0 GEORGE MURPHY JR 0 182650 0 3126 0 15103 0 200879 0 0 PUBLIC AVAILABILITY OF GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS PART VI, SECTION C, LINE 19 THE ORGANIZATION DOES NOT GENERALLY MAKE ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. REVIEW PROCESS OF FORM 990 PART VI, SECTION B, LINE 11B The FORM 990 is routed to the Board of Trustees for review prior to filing. SELECTION OF TRUSTEES PART VI, SECTION A, LINE 7A Employer Trustees are designated by a majority of current seated Employer Trustees. Union Trustees are designated by the Union. OTHER COMMITTEES WITH AUTHORITY TO ACT PART VI, SECTION A, LINE 8B THE HEALTH AND WELFARE FUND DOES NOT HAVE ANY OTHER COMMITTEE THAT MAY ACT ON BEHALF OF THE GOVERNING BODY. MONITOR AND COMPLIANCE OF CONFLICT OF INTEREST POLICY PART VI, SECTION B, LINE 12C The Plan is maintained and administered in accordance with ERISA Sections 404 and 406 and the plan's conflict of interest policy is described in ERISA Sections 404 and 406. The Trustees monitor and enforce the Fund's compliance with ERISA with the assistance of the Fund's professionals. FORM 990 AVAILABILITY TO OTHERS PART VI, SECTION C, LINE 18 The Form 990 is available upon request for a period of three years from the due date of the return. COMPENSATION REVIEW PROCESS PART VI, SECTION B, LINES 15A & 15B the Fund's governing body retains the services of a third party administative consultant who has the ultimate responsibility for implementing the decision of the organizations governing body, and the full governing body reviews and approves the Fund's agreement with the third party administrative consultant's company. ________________________________________ UFCW LOCAL 152 SAVINGS PLAN 27 ROLAND AVENUE STE 100 MOUNT LAUREL NJ 08054 236421914 PENSION NJ 401(A) N/A false UFCW LOCAL 152 RETAIL MEAT PENSION FUND 27 ROLAND AVENUE STE 100 MOUNT LAUREL NJ 08054 236209656 PENSION NJ 401(A) N/A false St Mary's Catholic Home 210 St Marys Drive Cherry Hill NJ 08003 N/A UFCW LOCAL 152 1 N WHITE HORSE PIKE HAMMONTON NJ 08037 203953178 LABOR ORG NJ 501(c)(5) N/A false UFCW LOCAL 27 AFL-CIO 21 WEST ROAD BALTIMORE MD 21204 521265190 LABOR ORG MD 501(c)(5) N/A false Colligas Family Market 29 Snyder Ave Philadelphia PA 19148 ACME MARKETS 11840 Valley View Road Eden Prairie MN 55344 N/A 21st Century Pro Management Group 660 Kings Highway Suite 203 Cherry Hill NJ 08003 N/A Allied Specialty Foods Inc 313 Hickory PL Vineland NJ 08360 N/A Aunt Kitty's Food 270 N Mill RD Vineland NJ 08360 N/A Avon Foods Inc 1275 Hornberger Ave Roebling NJ 08554 N/A Barry Callebaut USA 1500 Suckle HWY Pennsauken NJ 08110 N/A B&A Seafood Inc 3419 S Lawrence St Philadelphia PA 19148 N/A B&B Poultry Co Inc PO Box 307 Norma NJ 08347 N/A Beef International Inc 7010 Central HWY Pennsauken NJ 08109 N/A Berks Packing Company Inc 307-323 Bingaman Street Reading PA 19610 N/A Bevco Service Inc 1805 Bridgeboro RD Edgewater Park NJ 08010 N/A Bishop McCarthy Residence 1045 E Chestnut Ave Vineland NJ 08360 N/A Blue Crab Seafood Inc 3441 S Lawrence St Philadelphia PA 19148 N/A Borough of Bradley Beach 701 Main St Bradley Beach NJ 07720 N/A Bottino's 1000 N Pearl St Bridgeton NJ 08302 N/A Brown's Superstores 700 Delsea DR Westville NJ 08093 N/A Case Pork Roll Copmany Inc 644 Washington St Trenton NJ 08611 N/A Catteli Brothers 50 Ferry Ave Collingswood NJ 08103 N/A Century 21 CGW Realty 2167 Route 70 W Cherry Hill NJ 08002 N/A Clement Pappas & Co Inc 1045 Parsonage Rd Seabrook NJ 08302 N/A Coastal Pools & Spa 508 W Patcong Ave Linwood NJ 08221 N/A Collingswood Manor 3311 Route 33 Neptune NJ 07753 N/A Collins Family Markets Inc 1568 Chester Pike Eddystone PA 19022 N/A County of Monmouth 1 E Main St Freehold NJ 07728 N/A Dallas Airmotive Inc 900 Nolen Dr STE 100 Grapevine TX 76051 N/A D S Waters of America Inc 1761 Newport Road Ephrata PA 17522 N/A David Mitchell Inc 210 Park DR Voorhees NJ 08043 N/A Delaware Supermarkets 1600 W Newport Pike Wilmington DE 19804 N/A Dowling Food Service PO Box 154 Layton NJ 07851 N/A Drexeline Supervalu PO Box 306 Drexel Hill PA 19026 N/A Eatmor Market 856 Landis Ave Pittsgrove NJ 08318 N/A E Frank Hopkins Co Inc 3427 S Lawrence St Philadelphia PA 19148 N/A Eickhoff Shop Rites 1310 Fairview BLVD Delran NJ 08075 N/A EG Emil & Son Inc 1344 N American St Philadelphia PA 19122 N/A Environmental Service Concepts 780 East Market Street Suite 275 West Chester PA 19382 N/A European Coffee Classics 1401 Berlin Rd STE A Cherry Hill NJ 08034 N/A Excel Welding & Ind Supply Inc Philadelphia Naval Business CtrBld Philadelphia PA 19112 N/A Family Food Products Inc 1271 Ford Rd Bensalem PA 19020 N/A Foote & Jenks Corp 1420 Crestmont Ave Camden NJ 08103 N/A General Mills 1 General Mills Boulevard Minneapolis MN 55426 N/A George's Dreshertown Shop N Bag 1650 Limekiln Pike STE 29 Dresher PA 19025 N/A George L Wells Meat Company 982 N Delaware Ave Philadelphia PA 19123 N/A Goya Foods Inc 100 Seaview Drive Secaucus NJ 07094 N/A GMS Zallie's Holding 1239 Blackwood Clementon Road Clementon NJ 08021 N/A Healthcare Services Group Inc 3220 tillman dr ste 300 bensalem PA 19020 N/A Holiday Markets 6499 Sackett Street Philadelphia PA 19149 N/A Incollingo's Family Market 1 North Virginia Avenue Suite 1 Penns Grove NJ 08069 N/A J&J Snack Foods Corp 6000 Central HWY Pennsauken NJ 08109 N/A Johanaa Foods Inc Johanna Farms Road Flemington NJ 08822 N/A Kaplan & Zubrin Inc PO Box 1006 Camden NJ 08101 N/A Keystone Foods 905 Airport Rd STE 400 West Chester PA 19380 N/A Kraft Foods 1250 W North St Dover DE 199047756 N/A Kunzler & Company Inc 652 Manor Street Lancaster PA 17603 N/A Lawrence Street Seafood 3101 South Lawrence Street Philadelphia PA 19148 N/A LFM Food Cart 31 E Broad Street Bridgeton NJ 08302 N/A Liberty Bell Steak Company 3457 Janney St Philadelphia PA 19134 N/A Liberty Food Stores Inc 3100 Quakerbridge Road Mercerville NJ 08619 N/A Meadow Lakes Facility 300 Meadow Lakes East Windsor NJ 08620 N/A Murphys of S Jersey 381 Medford Lakes Rd Tabernacle NJ 08088 N/A Mystic Island Shop 'n Bag 200 Mathistown Rd Little Egg Harbor TWP NJ 08087 N/A Ocean View Nursing & Rehab 2721 N Route 9 Ocean View NJ 08230 N/A Oceana Rehabilitation & Nursing Center 1 University PLZ STE 206 Hackensack NJ 07601 N/A Old Fashioned Kitchen Inc 1045 Towbin Avenue Lakewood NJ 08701 N/A Otto C Rode Inc 50 Paulsboro RD Swedesboro NJ 08085 N/A Our Lady's Residence 1100 Clematis Ave Pleasantville NJ 08232 N/A Pathmark 2 Paragon DR Montvale NJ 07645 N/A Plumrose USA Inc 7 Lexington Ave East Brunswick NJ 08816 N/A Puratos Corp 1941 Old Cuthbert Rd Cherry Hill NJ 08034 N/A R&R Shoprite 9910 Frankford Ave Philadelphia PA 19114 N/A Reed & Perrine Inc Main Street PO Box 100 Tennent NJ 07763 N/A Saker Supermarkets 922 Highway 33 Building 6 Suite 1 Freehold NJ 07728 N/A Samuels & Son Seafood Company Inc 3400 S Lawrence St Philadelphia PA 19148 N/A Sellmore Industries Inc 815 Smith St Buffalo NY 14206 N/A Shieldalloy 35 S WEST BLVD NEWFIELD NJ 08344 N/A Shoprite of Manahawkin 297 Route 72 Manahawkin NJ 08050 N/A ShopRite of Mullica Hill 143 Bridgeton Pike Mullica Hill NJ 08062 N/A ShopRite of West Chester 236 Raritan Center PKWY Edison NJ 08837 N/A Simmon's Foods Inc 9130 Griffith Morgan LN Pennsauken NJ 08110 N/A Snow'sDoxsee Inc 994 Ocean Dr Cape May NJ 08204 N/A Solid Technologies 425 Whitehead Ave South River NJ 08882 N/A Somerset Stores LLC 1230 Blackwood Clementon Rd Clementon NJ 08021 N/A South Jersey Extended Care 1 University PLZ STE 206 Hackensack NJ 07601 N/A Standard Parking 900 N Michigan Ave STE 1600 Chicago IL 60655 N/A Starr Foods LLC 31 E Broad St STE 1 Bridgeton NJ 08302 N/A Super Fresh Food Markets Inc 2 Paragon Dr Montvale NJ 07645 N/A Supermarkets of Cherry Hill Inc 600 Kings Highway North Cherry Hill NJ 08034 N/A Sysco Philadelphia LLC PO Box 6499 Philadelphia PA 19145 N/A Taylor Provisions Company 63 Perrine Ave Trenton NJ 08638 N/A The Fresh Grocer PO Box 306 Drexel Hill PA 19026 N/A TRC Inc 3000 Hedley St Philadelphia PA 19137 N/A Tri-State Administrators Inc 27 Roland Ave Suite 100 Mt Laurel NJ 08054 N/A United Methodist Homes of NJ 3311 Route 33 Neptune NJ 07753 N/A Village Super Market Inc 733 Mountain Ave Springfield NJ 07081 N/A Wholesale Seafood Handling Inc 3400 S Lawrence St Philadelphia PA 19148 N/A Wilson Meats Inc 1 Abington Plaza Suite 403 Jenkintown PA 19046 N/A Zallies Supermarkets 1230 Blackwood Clementon Rd Clementon NJ 08021 N/A Lawrence Warehousing 3101 south lawrence street philadelphia PA 19148 N/A Murphy's by the Sea 9 SOUTH BAY AVE BEACH HAVEN NJ 08008 N/A Total Maintenance Management 570 Route 18 Monaca PA 15061 N/A false false false false false false false false false false false false true true false false false true true