UNITED FOOD AND COMMERCIAL WORKERS UNION LOCAL 1262 AND EMPLOYERS HEA: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
UNITED FOOD AND COMMERCIAL WORKERS UNION LOCAL 1262 AND EMPLOYERS HEA (EIN 23-7042767)
Tax period
2010-12-01 to 2011-11-30
Filed
2012-10-11
IRS object ID
201202859349300410
Schema version
2010v3.4
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)
Timestamp2012-10-11T08:17:05-05:00Timestamp
Tax Period End Date2011-11-30TaxPeriodEndDate

Preparer Firm PreparerFirm

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 Date2010-12-01TaxPeriodBeginDate

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 Signed2012-10-10DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameDAVID C LEEName
Phone2126618640Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

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 Receipts29640577GrossReceipts
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 OTHER MEDICAL BENEFITS TO ELIGIBLE MEMBERS AND THEIR DEPENDENTS.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 Year21339170ProgramServiceRevenuePriorYear
Program Service Revenue CY24556355ProgramServiceRevenueCY
Investment Income Prior Year592638InvestmentIncomePriorYear
Investment Income Current Year607432InvestmentIncomeCurrentYear
Other Revenue Prior Year473193OtherRevenuePriorYear
Other Revenue Current Year715934OtherRevenueCurrentYear
Total Revenue Prior Year22405001TotalRevenuePriorYear
Total Revenue Current Year25879721TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year20957412BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY24493462BenefitsPaidToMembersCY
Salaries Etc Prior Year457788SalariesEtcPriorYear
Salaries Etc Current Year481569SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year544000OtherExpensePriorYear
Other Expenses Current Year564662OtherExpensesCurrentYear
Total Expenses Prior Year21959200TotalExpensesPriorYear
Total Expenses Current Year25539693TotalExpensesCurrentYear
Revenues Less Expenses Prior Year445801RevenuesLessExpensesPriorYear
Revenues Less Expenses CY340028RevenuesLessExpensesCY
Total Assets BOY13709298TotalAssetsBOY
Total Assets EOY14041490TotalAssetsEOY
Total Liabilities BOY706616TotalLiabilitiesBOY
Total Liabilities EOY995206TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY13002682NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY13046284NetAssetsOrFundBalancesEOY
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
Expense25539693Expense
Revenue25556355Revenue
DescriptionTO PROVIDE HOSPITAL, SURGICAL, MAJOR MEDICAL, DENTAL, PRESCRIPTION DRUG, VISION, LIFE INSURANCE AND OTHER MEDICAL BENEFITS TO APPROXIMATELY 4,600 ELIGIBLE MEMBERS AND THEIR DEPENDENTS.Description
Total Program Service Expense25539693TotalProgramServiceExpense
Described In501 C30DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
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 With10967NumberFormsTransmittedWith1096
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 Duties0DelegationOfManagementDuties
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 Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy0ConflictOfInterestPolicy
Whistleblower Policy0WhistleblowerPolicy
Document Retention Policy0DocumentRetentionPolicy
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 (6 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
JASON PARADIS
TRUSTEE0.50X000
HARVEY WHILLE
TRUSTEE0.50X030301814352
WILLIAM ROVENSKY
TRUSTEE0.50X013568314352
MATTHEW MOLINARO
TRUSTEE0.50X027424314352
KATHY RUSSELLO
TRUSTEE0.50X000
DAVID GILLIS
TRUSTEE0.50X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs712944TotalReportableCompFrmRltdOrgs
Total Other Compensation43056TotalOtherCompensation
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
Compensation1094908Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
EMPLOYER CONTRIBUTIONS9000992363366623633666
RETIREE CO-PAY CONTRIB900099710271710271
COBRA CONTRIBUTIONS900099212418212418
FieldValueIRS element (for citing)
Total Program Service Revenue24556355TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column435682TotalRevenueColumn
Exclusion$435,682ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities3932606Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities3760856Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities171750Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column171750TotalRevenueColumn
Exclusion$171,750ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MEDICAL REBATES900099712192712192
INTEREST ON DELINQUENT90009937423742
FieldValueIRS element (for citing)
Total Other Revenue715934TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column25879721TotalRevenueColumn
Related Or Exempt Function Income25272289RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$607,432ExclusionAmount

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total24493462Total
Program Services24493462ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total365554Total
Program Services365554ProgramServices

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total17931Total
Program Services17931ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total65938Total
Program Services65938ProgramServices

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total32146Total
Program Services32146ProgramServices

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total92260Total
Program Services92260ProgramServices

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total59422Total
Program Services59422ProgramServices

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total31911Total
Program Services31911ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total4641Total
Program Services4641ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total18342Total
Program Services18342ProgramServices

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total3363Total
Program Services3363ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total622Total
Program Services622ProgramServices

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
COMPUTER SERVICES142870142870
ACTUARY & CONSULTING7275372753
THIRD PARTY ADMINISTRAT6931369313
MISCELLANEOUS5007550075
COMMUNICATION TO PARTIC1909019090

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total25539693Total
Program Services25539693ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY112146BOY
EOY201889EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1889928BOY
EOY839210EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1419860BOY
EOY1848434EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1645BOY
EOY6687EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis53011LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec52133LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY1086BOY
EOY878EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY10256312BOY
EOY11115761EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY28321BOY
EOY28631EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY13709298BOY
EOY14041490EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY153130BOY
EOY199161EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY553486BOY
EOY796045EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY706616BOY
EOY995206EOY
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)
BOY13002682BOY
EOY13046284EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY13002682BOY
EOY13046284EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY13709298BOY
EOY14041490EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses340028ReconcilationRevenueExpenses
Reconcilation Other Changes-296426ReconcilationOtherChanges
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
Depreciation2054Depreciation
Book Value474BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis50483OtherCostOrOtherBasis
Depreciation50079Depreciation
Book Value404BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings878TotalOfBookValueLandBuildings

Other Securities OtherSecurities (4 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
CORPORATE BONDS -VAR4843514F
STATE & LOCAL OBLIGATIONS648966F
MORTGAGE-BACKED SECURITIES3238560F
U.S. TREASURIES2384721F
FieldValueIRS element (for citing)
Total Of Book Value Securities11115761TotalOfBookValueSecurities

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
STOP-LOSS INSURANCE RESERVE$349,751
SERP LIABILITY$37,050
DUE TO RELATED PARTIES$353,252
DUE TO BROKER$55,992
FieldValueIRS element (for citing)
Total Of Amounts796045TotalOfAmounts
Total Revenue25879721TotalRevenue
Total Expenses25539693TotalExpenses
Excess Or Deficit For Year340028ExcessOrDeficitForYear
Net Unrealized GL On Investments-149955NetUnrealizedGLOnInvestments
Other-$146,471OtherAmount
Total Adjustments-296426TotalAdjustments
Excess Or Deficit Per FS43602ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt24985663TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-149955NetUnrealizedGainsInvestments
Revenue Not Rptd F990-149955RevenueNotRptdF990
Revenue Subtotal25135618RevenueSubtotal
Investment Expenses Not Included31911InvestmentExpensesNotIncluded
Other Revenues Not Included712192OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt744103RevenueNotRptdOnFinStmt
Total Revenue Per Form99025879721TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt24942061TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal24942061ExpensesSubtotal
Investment Expenses Not Included231911InvestmentExpensesNotIncluded2
Other Expenses Not Included565721OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt597632ExpensesNotRptdOnFinStmt
Total Expenses Per Form99025539693TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X: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 2007.
PART XI, LINE 8 - OTHER ADJUSTMENTS:CHANGE IN BENEFIT OBLIGATION -146,471.
PART XII, LINE 4B - OTHER ADJUSTMENTS:MEDICAL REBATES 712,192.
PART XIII, LINE 4B - OTHER ADJUSTMENTS:MEDICAL REBATES 712,192. CHANGE IN BENEFIT OBLIGATIONS -146,471.

Schedule J IRS990ScheduleJ

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

Form990 Schedule J Part II Form990ScheduleJPartII (3 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
0303018000003456010896031737000
WILLIAM ROVENSKY
0135683000003456010896015003500
MATTHEW MOLINARO
0274243000003456010896028859500

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
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, WHO THEN REVIEWS IT WITH THE CHAIRPERSON OF THE BOARD OF TRUSTEES.
THE FUND'S GOVERNING DOCUMENTS, POLICIES AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST AND MAY BE VIEWED AT THE FUND OFFICE.FORM 990, PART VI, SECTION C, LINE 19
CHANGES IN NET ASSETS OR FUND BALANCES:NET UNREALIZED LOSSES ON INVESTMENTS: -149,955. CHANGE IN BENEFIT OBLIGATION -146,471. TOTAL TO FORM 990, PART XI, LINE 5: -296,426.FORM 990, PART XI, LINE 5:
THE PROCESS FOR OVERSEEING THE AUDIT AND FOR SELECTING AN INDEPENDENT ACCOUNTANT HAS NOT CHANGED SINCE THE PRIOR YEAR.FORM 990, PART XI, LINE 2C

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (4 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
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 (5 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
UFCW LOCAL 1262 & EMPLOYERS PENSION FUND
O205831CASH
UFCW LOCAL 1262
O139770CASH
UFCW LOCAL 1262 & EMPLOYERS WELFARE FUND
E144531CASH
UFCW LOCAL 1262
E102466CASH
UFCW LOCAL 1262 & EMPLOYERS PENSION FUND
N397700CASH

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.