2012-11-15T17:08:02-06:00 2011-12-31 BOND BEEBE 4600 EAST-WEST HIGHWAY SUITE 900 BETHESDA MD 208143423 990 2011-01-01 210681336 UFCW LOCAL 152 HEALTH AND WELFARE FUND % FRANK VACCARO UFCW 8567931598 27 ROLAND AVENUE MOUNT LAUREL NJ 08054 BRIAN STRING 2012-11-15 true BRIAN GARSTECKI 3012726000 2011 2016-02-24 21:20:13Z X brian string 27 ROLAND AVE STE 100 mount laurel NJ 08054 94145121 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. 11 0 0 0 0 0 0 89016976 93823173 296706 321948 1045057 0 90358739 94145121 0 0 77417915 85108049 72 0 0 0 0 8943319 8783447 86361306 93891496 3997433 253625 33216911 34646285 3110827 4212745 30106084 30433540 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 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 false true 16 0 true 0 false false false false false false X 11 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 X X 0 0 0 DEREK KINNEY 1.0 X 0 0 0 PATRICK J DURNING 1.0 X 0 0 0 DEWEY CANNELLA 1.0 X 0 0 0 JOAN WILLIAMS 1.0 X 0 0 0 BRIAN STRING 1.0 X X 0 264106 23420 MICHAEL MCWILLIAMS 1.0 X 0 132835 0 ALI RIVZI 1.0 X 0 0 0 ANTHONY BENIGNO 1.0 X 0 221813 22816 JOHN ROBBINS 1.0 X 0 101582 0 GEORGE MURPHY JR 1.0 X 0 170948 18130 LARRY LUCENTE 1.0 X 0 101582 0 0 992866 64366 0 false true false TRI-STATE ADMINISTRATORS INC 27 ROLAND AVENUE STE 100 MOUNT LAUREL NJ 08054 PLAN ADMINISTRATOR 3118349 HORIZON BLUE CROSS BLUE SHIELD OF N THREE PENN PLAZA EAST NEWARK NJ 08105 ADMINISTRATOR FEE 5041501 2 0 EMPLOYERS 525100 92739357 92739357 PARTICIPANTS (COBRA) 525100 1083816 1083816 93823173 321948 321948 0 0 0 0 0 0 0 94145121 93823173 321948 0 0 0 85108049 0 0 0 0 0 0 0 203618 48056 0 0 4902 8241176 0 26726 0 0 0 0 0 5497 198454 0 6390 47791 DUES AND MEMBERSHIP 837 93891496 0 0 16904464 18338377 0 0 3568234 4294238 0 0 0 0 0 0 0 0 37642 34329 23961 15175 15175 8786 8170931 8558785 0 0 0 0 0 0 4520465 3411770 33216911 34646285 574730 1826934 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2536097 2385811 3110827 4212745 X 0 0 0 0 30106084 30433540 30106084 30433540 33216911 34646285 X 253625 73831 X false true false X false 23961 15175 8786 8786 DUE FROM RELATED ENTITIES 834915 HOSPITALIZATION DEPOSITS 1692465 OTHER RECEIVABLES 884390 3411770 0 DUE TO RELATED ENTITIES 2385811 2385811 94145121 93891496 253625 73831 73831 327456 94214050 73831 73831 94140219 4902 4902 94145121 93886594 93886594 4902 4902 93891496 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, 2011, 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 2008. false false false BRIAN STRING 0 264106 0 0 0 0 0 0 0 23420 0 287526 0 0 ANTHONY BENIGNO 0 221813 0 0 0 0 0 0 0 22816 0 244629 0 0 GEORGE MURPHY JR 0 170948 0 0 0 0 0 3136 0 14994 0 189078 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. ________________________________________ NET CHANGES IN NET ASSETS OR FUND BALANCES PART XI, LINE 5 $73,831 UNREALIZED GAIN ON INVESTMENTS CONTRIBUTING EMPLOYER RECEIVABLES AT YEAR-END PART X Contributions receivable outstanding at the plan's year-end from contributing employers represent amounts due for the last month of the fiscal year. These contributions are requirements, as stipulated under terms of written agreements and, approved by the governing board, with the employers that must be remitted to the plan on a timely basis. These amounts constitute receivables that were created in the ordinary course of the plan's business. HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:DANIEL DOSENBACH TITLE:EMPLOYER TRUSTEE/SECRETARY HOURS:39 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:DEREK KINNEY TITLE:EMPLOYER TRUSTEE HOURS:39 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:PATRICK J DURNING TITLE:EMPLOYER TRUSTEE HOURS:39 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:DEWEY CANNELLA TITLE:EMPLOYER TRUSTEE HOURS:39 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:JOAN WILLIAMS TITLE:EMPLOYER TRUSTEE (RESIGNED) HOURS:39 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:BRIAN STRING TITLE:UNION TRUSTEE/CHAIRMAN HOURS:39 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:MICHAEL MCWILLIAMS TITLE:UNION TRUSTEE HOURS:39 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:ALI RIVZI TITLE:EMPLOYER TRUSTEE HOURS:39 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:ANTHONY BENIGNO TITLE:UNION TRUSTEE HOURS:39 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:JOHN ROBBINS TITLE:UNION TRUSTEE HOURS:39 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:GEORGE MURPHY JR TITLE:UNION TRUSTEE HOURS:39 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:LARRY LUCENTE TITLE:UNION TRUSTUEE HOURS:39 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 210634535 nursery home NJ 501(c)(3) Diocese Camd false 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 202772801 Grocery Retail PA none 0 0 false ACME MARKETS 11840 Valley View Road Eden Prairie MN 55344 870440072 GROCERY RETAILER MN Supervalu C CORP 21st Century Pro Management Group 660 Kings Highway Suite 203 Cherry Hill NJ 08003 N/A ABM Industries Inc 420 Feheley Drive King of Prussia PA 19406 N/A Allied Specialty Foods Inc 313 Hickory PL Vineland NJ 08360 231543124 Protein process PA N/A C corp 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 221850686 Poultry processin NJ N/A S-corp Beef International Inc 7010 Central HWY Pennsauken NJ 08109 222462172 Deli products NJ N/A S-corp Berks Packing Company Inc 307-323 Bingaman Street Reading PA 19610 N/A Bevco Service Inc 1805 Bridgeboro RD Edgewater Park NJ 08010 222242665 Vending services NJ N/A S-corp 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 220421718 pork Manufacturer NJ 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 210648161 food manufacturer NJ Pappas Lassonde C-corp Coastal Pools & Spa 508 W Patcong Ave Linwood NJ 08221 223284541 Pool/Spa Service NJ N/A S-corp 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 supermarket 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 231538047 Seafood Distrib. PA N/A S-corp Eickhoff Shop Rites 1310 Fairview BLVD Delran NJ 08075 N/A EG Emil & Son Inc 1344 N American St Philadelphia PA 19122 232482702 Deli meat produce PA N/A S-corp 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 953547475 manufacturer NJ N/A S-corp General Mills 1 General Mills Boulevard Minneapolis MN 55426 410274440 food manufacturer DE N/A c corp 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 food manufacturer N/A GMS Zallie's Holding 1239 Blackwood Clementon Road Clementon NJ 08021 205804490 Grocery markets NJ N/A S-corp Healthcare Services Group Inc 3220 tillman dr ste 300 bensalem PA 19020 232018365 PA N/A c corp 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 210684212 Pickle Packing NJ N/A Keystone Foods 905 Airport Rd STE 400 West Chester PA 19380 N/A Kraft Foods 1250 W North St Dover DE 199047756 food manufacturer N/A c corp Kunzler & Company Inc 652 Manor Street Lancaster PA 17603 230780130 Meat processing PA N/A C-corp 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 232409332 Meat processing PA N/A S-corp Liberty Food Stores Inc 3100 Quakerbridge Road Mercerville NJ 08619 N/A Meadow Lakes Facility 300 Meadow Lakes East Windsor NJ 08620 210643358 senior housing NJ Springpoint Sr 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 supermarket a&p tea company 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 160836600 wholesaler NY N/A C-corp Shieldalloy 35 S WEST BLVD NEWFIELD NJ 08344 N/A Shoprite of Manahawkin 297 Route 72 Manahawkin NJ 08050 222662417 Supermarket NJ Pelmart Inc S-corp ShopRite of Mullica Hill 143 Bridgeton Pike Mullica Hill NJ 08062 supermarket N/A ShopRite of West Chester 236 Raritan Center PKWY Edison NJ 08837 supermarket 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 113788506 Grocery Markets NJ 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 161171179 mgt company DE N/A C-corp 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 supermarket a&p tea company Supermarkets of Cherry Hill Inc 600 Kings Highway North Cherry Hill NJ 08034 supermarket 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 223478819 third party admin NJ 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 222385129 Grocery Markets NJ N/A S-corp Lawrence Warehousing 3101 south lawrence street philadelphia PA 19148 N/A false false false false false false false false false false false true true false false false true true RELATED PARTY DATA PART II - IV UFCW LOCAL 152 HEALTH AND WELFARE FUND MADE A REASONABLE EFFORT TO COLLECT DATA REGARDING THE CONTRIBUTING EMPLOYERS TO THE PLAN PRIOR TO THE FILING OF THE RETURN.