UFCW LOCAL ONE HEALTH CARE FUND: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- UFCW LOCAL ONE HEALTH CARE FUND (EIN 16-0915820)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-11-15
- IRS object ID
- 201323199349309432
- Schema version
- 2012v2.1
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-11-15T16:00:08-06:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 510545975 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PETER DECARLO CPA PLLC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 112 WEST 34TH STREET 18TH FLOOR | AddressLine1 |
| City | NEW YORK | City |
| State | NY | State |
| ZIP Code | 10120 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 160915820 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | UFCW LOCAL ONE HEALTH CARE FUND | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | UFCW | NameControl |
| Phone | 3157979600 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5911 AIRPORT ROAD | AddressLine1 |
| City | ORISKANY | City |
| State | NY | State |
| ZIP Code | 13424 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | FRANK C DERISO | Name |
| Title | TRUSTEE | Title |
| Phone | 3157979600 | Phone |
| Date Signed | 2013-11-15 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | PETER DECARLO CPA | Name |
| PTIN | P00851470 | PTIN |
| Phone | 2129464907 | Phone |
| Self Employed | X | SelfEmployed |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | FRANK C DERISO | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5911 AIRPORT ROAD | AddressLine1 |
| City | ORISKANY | City |
| State | NY | State |
| ZIP Code | 13424 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 74206987 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| Web Site | WWW.UFCWONE.ORG | WebSite |
| Type Of Organization Trust | X | TypeOfOrganizationTrust |
| Year Formation | 1959 | YearFormation |
| State Legal Domicile | NY | StateLegalDomicile |
| Activity Or Mission Description | PROVIDE CERTAIN HEALTH AND WELFARE BENEFITS TO PLAN PARTICIPANTS. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 8 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 0 | NbrIndependentVotingMembers |
| Total Nbr Employees | 27 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 0 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 64871237 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 66997823 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 1074821 | InvestmentIncomePriorYear |
| Investment Income Current Year | 979510 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 0 | OtherRevenuePriorYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 65946058 | TotalRevenuePriorYear |
| Total Revenue Current Year | 67977333 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 60231122 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 55712529 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 1198764 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 1217838 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 1248559 | OtherExpensePriorYear |
| Other Expenses Current Year | 1219448 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 62678445 | TotalExpensesPriorYear |
| Total Expenses Current Year | 58149815 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 3267613 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 9827518 | RevenuesLessExpensesCY |
| Total Assets BOY | 35061180 | TotalAssetsBOY |
| Total Assets EOY | 48387912 | TotalAssetsEOY |
| Total Liabilities BOY | 292138 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 1010400 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 34769042 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 47377512 | NetAssetsOrFundBalancesEOY |
| Mission Description | THE OBJECTIVE OF THE FUND IS TO PROVIDE CERTAIN HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS, WHO ARE MEMBERS OF UFCW DISTRICT UNION LOCAL ONE, AND THEIR COVERED DEPENDENTS. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Description | THE PLAN PROVIDED CERTAIN HEALTH AND WELFARE BENEFITS TO APPROXIMATELY 13,050 ELIGIBLE PARTICIPANTS AND THEIR COVERED DEPENDENTS. | Description |
| Described In501 C3 | 0 | DescribedIn501C3 |
| Schedule B Required | 0 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 160 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 27 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 8 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 0 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 0 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 0 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 0 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 0 | RegularMonitoringEnforcement |
| Whistleblower Policy | 0 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 0 | CompensationProcessCEO |
| Compensation Process Other | 0 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ANDREA GOLDBERGER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 3157979600 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5911 AIRPORT ROAD | AddressLine1 |
| City | ORISKANY | City |
| State | NY | State |
| ZIP Code | 13424 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (10 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|
| FRANK C DERISO | ||||||
| TRUSTEE | 1.00 | X | 0 | 252111 | 21913 | |
| ERIC A GLATHAR | ||||||
| TRUSTEE | 1.00 | X | 0 | 198855 | 20484 | |
| GREGORY P GOREA | ||||||
| TRUSTEE | 1.00 | X | 0 | 181648 | 20251 | |
| DONALD ELIASON | ||||||
| TRUSTEE | 1.00 | X | 0 | 132786 | 18611 | |
| JOHN BARRETT | ||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |
| RAYMOND WARDYNSKI | ||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |
| I STEPHEN DAVIS | ||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |
| KRISTINE WYDRO | ||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |
| ANDREA GOLDBERGER | ||||||
| ADMINISTRATIVE DIRECTOR | 22.00 | 131864 | 0 | 29615 | X | |
| MICHAEL CIANCAGLINI | ||||||
| EMPLOYEE | 40.00 | 106212 | 0 | 27661 | X | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 238076 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 765400 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 138535 | TotalOtherCompensation |
| Number Individuals GT100 K | 2 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation
Name Of Contractor NameOfContractor
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SLEVIN & HART PC | BusinessNameLine1 |
Address Of Contractor AddressOfContractor
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1625 MASSACHUSETTS AVENUE NW | AddressLine1 |
| City | WASHINGTON | City |
| State | DC | State |
| ZIP Code | 20036 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Of Services | LEGAL | DescriptionOfServices |
| Compensation | 123489 | Compensation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 1 | NumberOfContractorsGT100K |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| EMPLOYER CONTRIBUTIONS | 525100 | 64632342 | 64632342 |
| PARTICIPANT CONTRIBUTIONS | 525100 | 2358747 | 2358747 |
| LIQUIDATED DAMAGES | 525100 | 6734 | 6734 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 66997823 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1017926 | TotalRevenueColumn |
| Exclusion | $1,017,926 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 6191238 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 6229654 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -38416 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -38416 | TotalRevenueColumn |
| Exclusion | -$38,416 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 67977333 | TotalRevenueColumn |
| Related Or Exempt Function Income | 66997823 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $979,510 | ExclusionAmount |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 55712529 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 839128 | Total |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 117772 | Total |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 191789 | Total |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 69149 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 139399 | Total |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 56000 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 83618 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 165967 | Total |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 96728 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 153128 | Total |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 24952 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 24445 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 17434 | Total |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 54437 | Total |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal |
|---|---|
| COMPUTER EXPENSE | 283644 |
| OPERATIONS EXPENSE | 52181 |
| PRINTING & PUBLICATIONS | 31721 |
| AFFORDABLE CARE ACT PRE | 18110 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 17684 | Total |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 58149815 | Total |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18170 | BOY |
| EOY | 10145 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4860949 | BOY |
| EOY | 10178912 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4839650 | BOY |
| EOY | 6848751 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 25675 | BOY |
| EOY | 268010 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 2031505 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 2018801 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 25796 | BOY |
| EOY | 12704 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 24140334 | BOY |
| EOY | 29918784 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1150606 | BOY |
| EOY | 1150606 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 35061180 | BOY |
| EOY | 48387912 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 203586 | BOY |
| EOY | 185624 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 88552 | BOY |
| EOY | 824776 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 292138 | BOY |
| EOY | 1010400 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Do Not Follow SFAS117 | X | DoNotFollowSFAS117 |
Cap Stck Trst Prin Current Funds CapStckTrstPrinCurrentFunds
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Paid In Cap Srpls Land Bldg Eqp Fund PaidInCapSrplsLandBldgEqpFund
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 34769042 | BOY |
| EOY | 47377512 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 34769042 | BOY |
| EOY | 47377512 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 35061180 | BOY |
| EOY | 48387912 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 9827518 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 280836 | ReconciliationUnrealizedInvest |
| Reconcilation Prior Adjustment | 2500116 | ReconcilationPriorAdjustment |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Separate | X | FinancialStatementSeparate |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 28682 | OtherCostOrOtherBasis |
| Depreciation | 28682 | Depreciation |
| Book Value | 0 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 668985 | OtherCostOrOtherBasis |
| Depreciation | 659790 | Depreciation |
| Book Value | 9195 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1333838 | OtherCostOrOtherBasis |
| Depreciation | 1330329 | Depreciation |
| Book Value | 3509 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 12704 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (3 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| DUE TO BROKER FOR SECURITIES PURCHASED | $712,191 |
| DUE TO UFCW LOCAL ONE PENSION FUND | $90,587 |
| DUE TO UFCW DISTRICT UNION LOCAL ONE | $21,998 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 824776 | TotalOfAmounts |
| Tot Revenue Etc Audited Fincl Stmt | 68174551 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 280836 | NetUnrealizedGainsInvestments |
| Revenue Not Rptd F990 | 280836 | RevenueNotRptdF990 |
| Revenue Subtotal | 67893715 | RevenueSubtotal |
| Investment Expenses Not Included | 83618 | InvestmentExpensesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 83618 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 67977333 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 58066197 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 58066197 | ExpensesSubtotal |
| Investment Expenses Not Included2 | 83618 | InvestmentExpensesNotIncluded2 |
| Expenses Not Rptd On Fin Stmt | 83618 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 58149815 | TotalExpensesPerForm990 |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
Form990 Schedule J Part II Form990ScheduleJPartII (5 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| FRANK C DERISO | ||||||||||||||
| TRUSTEE | 0 | 252111 | 0 | 0 | 0 | 0 | 0 | 9401 | 0 | 12512 | 0 | 274024 | 0 | 0 |
| ERIC A GLATHAR | ||||||||||||||
| TRUSTEE | 0 | 198855 | 0 | 0 | 0 | 0 | 0 | 7972 | 0 | 12512 | 0 | 219339 | 0 | 0 |
| GREGORY P GOREA | ||||||||||||||
| TRUSTEE | 0 | 181648 | 0 | 0 | 0 | 0 | 0 | 7740 | 0 | 12511 | 0 | 201899 | 0 | 0 |
| DONALD ELIASON | ||||||||||||||
| TRUSTEE | 0 | 132786 | 0 | 0 | 0 | 0 | 0 | 6332 | 0 | 12279 | 0 | 151397 | 0 | 0 |
| ANDREA GOLDBERGER | ||||||||||||||
| ADMINISTRATIVE DIRECTOR | 131864 | 0 | 0 | 0 | 0 | 0 | 10451 | 0 | 19164 | 0 | 161479 | 0 | 0 | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (4 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 8B | NO COMMITTEE HAS THE AUTHORITY TO ACT ON BEHALF OF THE BOARD OF TRUSTEES |
| FORM 990, PART VI, SECTION B, LINE 11 | NO REVIEW WAS CONDUCTED. |
| FORM 990, PART VI, SECTION C, LINE 19 | DISCLOSURES REQUIRED BY LAW ARE AVAILABLE TO THE PUBLIC AT THE FUND'S OFFICE, UPON REQUEST. |
| FORM 990, PART XII, LINE 2C | THE FUND'S BOARD OF TRUSTEES ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND SELECTION OF THE INDEPENDENT ACCOUNTANT. THERE WAS NO CHANGE DURING THE TAX YEAR IN EITHER THE FUND'S OVERSIGHT OR SELECTION PROCESS. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (6 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|
| UFCW DISTRICT UNION LOCAL ONE | ||||||||
| 5911 AIRPORT ROAD | ORISKANY | NY | 13424 | 150559586 | LABOR UNION | NY | 501(C)(5) | 0 |
| UFCW LOCAL ONE PENSION FUND | ||||||||
| 5911 AIRPORT ROAD | ORISKANY | NY | 13424 | 166144007 | PENSION PLAN | NY | 501(A) | 0 |
| UFCW LOCAL ONE 401(K) SAVINGS PLAN | ||||||||
| 5911 AIRPORT ROAD | ORISKANY | NY | 13424 | 166184130 | PENSION PLAN | NY | 501(A) | 0 |
| LUTHERAN HOMES | ||||||||
| 0 | ||||||||
| ADIRONDACK MEDICAL CENTER | ||||||||
| 0 | ||||||||
| ST ELIZABETH MEDICAL CENTER | ||||||||
| 0 | ||||||||
Form990 Schedule R Part IV Form990ScheduleRPartIV (41 entries)
| Controlled OrgControlledOrg |
|---|
| TOPS MARKETS INC |
| 0 |
| EMPIRE MERCHANTS NORTH ALBANY |
| 0 |
| KRAFT FOODS INC |
| 0 |
| GREAT AMERICAN STORES |
| 0 |
| HERITAGE HEALTH CARE CENTER |
| 0 |
| GRAND UNION FAMILY MARKETS |
| 0 |
| SILGAN CONTAINERS MANUFACTURING CORP |
| 0 |
| SAHLEN PACKING CORP |
| 0 |
| G&L DAVIS MEAT CO |
| 0 |
| HOMETOWN MARKETS LLC |
| 0 |
| THORNES OF WARREN |
| 0 |
| SPECIALTY STEAK |
| 0 |
| EMPIRE MERCHANTS NORTH BUFFALO |
| 0 |
| SHOP RITE SUPERMARKETS INC |
| 0 |
| CHANATRY'S FRENCH ROAD MARKET |
| 0 |
| ZWEIGLES INC |
| 0 |
| GIANT EAGLE INC |
| 0 |
| SODEXO INC |
| 0 |
| WELCH FOODS INC |
| 0 |
| CARRIER COACH |
| 0 |
| BREENS FAMILY INC |
| 0 |
| FORT'S GROCERY INC |
| 0 |
| SMITH PACKING COMPANY |
| 0 |
| WALTON'S BIG M |
| 0 |
| HOFMANN SAUSAGE CO INC |
| 0 |
| OLD WORLD PROVISION CO INC |
| 0 |
| LR BRASS INC |
| 0 |
| COUDERSPORT JUBILEE |
| 0 |
| SMYD CORP |
| 0 |
| DIVERSE FOOD PRODUCTS LLC |
| 0 |
| PROVIDENTIAL FOODS CORP |
| 0 |
| VANCHLOR CO |
| 0 |
| FRANK WARDYNSKI & SONS INC |
| 0 |
| PARKVIEW SUPERMARKET |
| 0 |
| SMITH PROVISION CO INC |
| 0 |
| PORT ALLEGANY JUBILEE |
| 0 |
| TN HARVEY INC |
| 0 |
| PAWLAKS FOOD CENTER |
| 0 |
| FILLMORE JUBILEE |
| 0 |
| GALETON IGA |
| 0 |
| INDELICATO'S MARKET |
| 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 1 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (48 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| UFCW DISTRICT UNION LOCAL ONE | ||
| P | 335825 | ALLOCATION |
| UFCW LOCAL ONE PENSION FUND | ||
| Q | 888918 | ALLOCATION |
| UFCW LOCAL ONE 401(K) SAVINGS PLAN | ||
| Q | 141749 | ALLOCATION |
| LUTHERAN HOMES | ||
| S | 1399629 | CONTRACT |
| ADIRONDACK MEDICAL CENTER | ||
| S | 1126791 | CONTRACT |
| ST ELIZABETH MEDICAL CENTER | ||
| S | 1055693 | CONTRACT |
| UFCW DISTRICT UNION LOCAL ONE | ||
| S | 467031 | CONTRACT |
| TOPS MARKETS INC | ||
| S | 44821528 | CONTRACT |
| EMPIRE MERCHANTS NORTH ALBANY | ||
| S | 1558075 | CONTRACT |
| KRAFT FOODS INC | ||
| S | 1259168 | CONTRACT |
| GREAT AMERICAN STORES | ||
| S | 948119 | CONTRACT |
| HERITAGE HEALTH CARE CENTER | ||
| S | 746264 | CONTRACT |
| GRAND UNION FAMILY MARKETS | ||
| S | 740269 | CONTRACT |
| SILGAN CONTAINERS MANUFACTURING CORP | ||
| S | 685807 | CONTRACT |
| SAHLEN PACKING CORP | ||
| S | 662628 | CONTRACT |
| G&L DAVIS MEAT CO | ||
| S | 615360 | CONTRACT |
| HOMETOWN MARKETS LLC | ||
| S | 584621 | CONTRACT |
| THORNES OF WARREN | ||
| S | 512754 | CONTRACT |
| SPECIALTY STEAK | ||
| S | 461836 | CONTRACT |
| EMPIRE MERCHANTS NORTH BUFFALO | ||
| S | 442327 | CONTRACT |
| SHOP RITE SUPERMARKETS INC | ||
| S | 388621 | CONTRACT |
| CHANATRY'S FRENCH ROAD MARKET | ||
| S | 313210 | CONTRACT |
| ZWEIGLES INC | ||
| S | 259381 | CONTRACT |
| GIANT EAGLE INC | ||
| S | 243219 | CONTRACT |
| SODEXO INC | ||
| S | 230593 | CONTRACT |
| WELCH FOODS INC | ||
| S | 227692 | CONTRACT |
| CARRIER COACH | ||
| S | 204868 | CONTRACT |
| BREENS FAMILY INC | ||
| S | 201537 | CONTRACT |
| FORT'S GROCERY INC | ||
| S | 195528 | CONTRACT |
| SMITH PACKING COMPANY | ||
| S | 185164 | CONTRACT |
| WALTON'S BIG M | ||
| S | 177675 | CONTRACT |
| HOFMANN SAUSAGE CO INC | ||
| S | 174692 | CONTRACT |
| OLD WORLD PROVISION CO INC | ||
| S | 157785 | CONTRACT |
| LR BRASS INC | ||
| S | 142470 | CONTRACT |
| COUDERSPORT JUBILEE | ||
| S | 142010 | CONTRACT |
| SMYD CORP | ||
| S | 132626 | CONTRACT |
| DIVERSE FOOD PRODUCTS LLC | ||
| S | 128322 | CONTRACT |
| PROVIDENTIAL FOODS CORP | ||
| S | 116045 | CONTRACT |
| VANCHLOR CO | ||
| S | 102852 | CONTRACT |
| FRANK WARDYNSKI & SONS INC | ||
| S | 93467 | CONTRACT |
| PARKVIEW SUPERMARKET | ||
| S | 92286 | CONTRACT |
| SMITH PROVISION CO INC | ||
| S | 88180 | CONTRACT |
| PORT ALLEGANY JUBILEE | ||
| S | 85556 | CONTRACT |
| TN HARVEY INC | ||
| S | 61734 | CONTRACT |
| PAWLAKS FOOD CENTER | ||
| S | 60610 | CONTRACT |
| FILLMORE JUBILEE | ||
| S | 57127 | CONTRACT |
| GALETON IGA | ||
| S | 56459 | CONTRACT |
| INDELICATO'S MARKET | ||
| S | 50016 | CONTRACT |
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