2013-07-15T09:12:36-07:00 2012-08-31 MENDEZ PETTY LLP 1400 EASTON DRIVE SUITE 139-A BAKERSFIELD CA 93309 990 2011-09-01 946186170 ROBERT F KENNEDY FARM WORKERS MEDICAL PLAN ROBE 6618236900 P O BOX 47 KEENE CA 93531 PATRICK PINE 2013-07-15 true Donald R Mendez CPA 6613342779 2011 2016-02-24 21:20:13Z 14529632 false false X N/A X CA PROVIDE HEALTH AND WELFARE BENEFITS TO FARMWORKERS AND FARMWORKER AFFILIATED ORGANIZATIONS. 5 5 7 0 0 15069936 14280078 106109 249554 0 15176045 14529632 0 14488552 13537450 218756 215798 0 0 425383 420547 15132691 14173795 43354 355837 5711751 6127514 3412612 3450762 2299139 2676752 PROVIDE HEALTH AND WELFARE BENEFITS TO FARMWORKERS AND FARMWORKER AFFILIATED ORGANIZATIONS. false false 14173795 14529632 THE ORGANIZATION PROVIDED HEALTH AND WELFARE BENEFITS TO AN ESTIMATED 2,722 PARTICIPANTS. MOST PARTICIPANTS WERE LOW PAID FARM WORKERS. 14173795 false false false false false false false false false 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 false false false false false false false false false false false true true true false false true 0 0 false 7 true false false false false false false false false false false false false false false false X 5 5 false false false false false false false true true false false false true true false false false false true true false false X PATRICK PINE 6618236900 P O BOX 47 KEENE CA 93531 DANIEL URBANO 1.00 X 0 0 0 SHAH KAZEMI 1.00 X 0 0 0 TANIS YBARRA 1.00 X 0 46168 0 EFREN BARAJAS 1.00 X 0 44205 0 ARTURO RODRIGUEZ 1.00 X 0 77657 0 RICHARD VERA 15.00 X 0 0 0 MERCEDES MARTINEZ FARMER 15.00 X 0 0 0 168030 0 false false false VISION SERVICE PLAN PO BOX 45210 SAN FRANCISCO CA 941455210 VISION SERVICES 333837 UNITED HEALTHCARE INSURANCE COMPANY 22561 NETWORKK PLACE CHICAGO IL 606731225 DENTAL SERVICES 1195472 EXPRESS SCRIPTS 21653 NETWORK PLACE CHICAGO IL 606731216 PRESCRIPTIONS 1895369 ANTHEM BLUE CROSS DEPT 5812 LOS ANGELES CA 900745812 MEDICAL BENEFITS 10093695 4 0 MISC. INCOME 5261 5261 LEGAL RECOVERIES EMPLOYER CONTRIBUTIONS 14059615 14059615 EMPLOYEE CONTRIBUTIONS 215202 215202 14280078 249554 249554 0 0 0 0 0 0 0 0 14529632 14529632 0 0 0 13537450 13537450 0 0 164095 164095 0 35750 35750 15953 15953 0 23920 23920 0 0 0 11495 11495 0 0 73162 73162 0 0 0 9202 9202 0 0 0 0 0 18230 18230 EQUIPMENT 35016 35016 AUDIT 48820 48820 FIELD OFFICE SERVICES 59928 59928 MEDICAL BENEFITS CONSULTING 71292 71292 69482 69482 14173795 14173795 0 0 1574830 1555843 0 0 1633362 1407119 0 0 0 0 4778 6815 213996 190234 14338 23762 2484441 3126452 0 0 0 2 7523 5711751 6127514 3412611 3450762 1 3412612 3450762 X 2299139 2676752 2299139 2676752 5711751 6127514 X 355837 21776 X false true false false false 1627 1627 152382 144195 8187 59987 44412 15575 23762 Part XI, Line 8 Part XI, Line 8: Other Changes in Net Assets or Fund Balances Decrease in accumulated liability $21776 Form 990, Part VI, Line 19 Form 990, Part VI, Line 19: Other Organization Documents Publicly Available The Plan has always maintained a policy of providing governing documents, policies and financial statement information to those requesting such information. Form 990, Part VI, Line 11 Form 990, Part VI, Line 11: Form 990 Review Process A electronic copy of the Form 990 was sent to all trustees and the administrator for review and comment before filing with the IRS. The administrator of the Plan performed a detailed review of the Form 990 including reconciliation with the audited financial statements, before filing it with the IRS. The Plan management expects to formally present the Form 990 to the Board of Trustees at their next regularly schedule board meeting for their approval. CESAR CHAVEZ FOUNDATION PO BOX 62 KEENE CA 93531 952466747 PROVIDES SERVICES TO FARMWORKER CA 501(C)(3) PUBLIC CHARITY N/A false UNITED FARM WORKERS OF AMERICA P O BOX 62 KEENE CA 93531 941448579 LABOR UNION / PLAN SPONSOR CA 501(C)(5) N/A false JUAN DE LA CRUZ FARMWORKERS PENSION PLAN P O BOX 36 KEENE CA 93531 956454441 MULTIEEMPLOYER RETIREMENT PLAN PROVIDING PENSIONS CA 501(C)(9) N/A false NATIONAL CHAVEZ CENTER P O BOX 62 KEENE CA 93531 770159465 PERFORM CHARITABLE ACTIVIES THAT SUPPORT FARM WORKERS CA 501(C) (3) PUBLIC CHARITY N/A false LAW OFFICE OF MARCOS CAMACHO 1227 CALIFORNIA AVE BAKERSFIELD CA 93304 931020541 LAW FIRM CA N/A S CORP false false false false false false false false false false true true false false false false false false LAW OFFICE OF MARCOS CAMACHO l 21713 CASH LAW OFFICE OF MARCOS CAMACHO k 7500 CASH CESAR CHAVEZ FOUNDATION l 1026157 CASH CESAR CHAVEZ FOUNDATION k 6051 CASH UNITED FARM WORKERS OF AMERICA l 427722 CASH UNITED FARM WORKERS OF AMERICA k 92901 CASH JUAN DE LA CRUZ FARMWORKERS PENSION PLAN l 46532 CASH JUAN DE LA CRUZ FARMWORKERS PENSION PLAN k 1640 CASH NATIONAL CHAVEZ CENTER l 57205 CASH NATIONAL CHAVEZ CENTER k 20652 CASH