2012-11-13T13:45:14-06:00 2011-12-31 208078757 SALTER & COMPANY LLC 4600 EAST-WEST HIGHWAY SUITE 300 BETHESDA MD 208143415 990 2011-01-01 521036978 FOOD EMPLOYERS LABOR RELATIONS ASSOC AND UNITED FOOD & COMMERCIAL WRKS H&W FUND FOOD 4106836500 911 RIDGEBROOK ROAD SPARKS MD 211529459 T MCNUTT -UNIONI KRESS -EMPLOYER 4106836500 2012-11-13 JOSEPH M HERISHEN CPA P00361968 3018307400 2012-11-13 X 2011 2016-02-24 21:20:13Z BOARD OF TRUSTEES OF FELR 911 RIDGEBROOK ROAD SPARKS MD 211529459 210048921 0 X N/A X 1973 MD TO PROVIDE HEALTH AND WELFARE BENEFITS TO PARTICIPANTS, THEIR DEPENDENTS AND BENEFICIARIES. 8 0 0 0 0 0 0 0 168030243 163680294 4314804 1172432 93209 1666441 172438256 166519167 0 0 164339462 164456145 0 0 0 0 0 11362060 11058824 175701522 175514969 -3263266 -8995802 123466743 115812440 2081454 2087526 121385289 113724914 X THE FOOD EMPLOYERS LABOR RELATIONS ASSOCIATION AND UNITED FOOD AND COMMERCIAL WORKERS HEALTH AND WELFARE FUND IS A MULTIEMPLOYER, COLLECTIVELY-BARGAINED EMPLOYEE WELFARE BENEFIT TRUST, WHICH PROVIDES MEDICAL, HOSPITAL, ACCIDENT AND SICKNESS, PRESCRIPTION DRUG, DENTAL, VISION, SEVERANCE, LEGAL ASSISTANCE, LIFE INSURANCE, AND ACCIDENTAL DEATH AND DISMEMBERMENT BENEFITS TO PARTICIPANTS, THEIR DEPENDENTS AND BENEFICIARIES COVERED UNDER THE FUND'S PLAN OF BENEFITS. 0 0 SERVED AS THE TRUST FOR A MULTIEMPLOYER WELFARE BENEFIT PLAN THAT PROVIDED MEDICAL, HOSPITAL, ACCIDENT, AND SICKNESS, PRESCRIPTION DRUG, DENTAL, VISION, SEVERANCE, LEGAL ASSISTANCE, LIFE INSURANCE AND ACCIDENTAL DEATH AND DISMEMBERMENT BENEFITS TO PARTICIPANTS AND THEIR DEPENDENTS COVERED BY COLLECTIVE BARGAINING AGREEMENTS. 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 X 8 0 0 0 0 0 0 1 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X ASSOCIATED ADMINISTRATORS LLC 4106836500 911 RIDGEBROOK ROAD SPARKS MD 21152 J PARADIS 5.00 X 0 0 0 E MASTEN 1.00 X 0 145222 17930 T MCNUTT 1.00 X 0 249895 16993 G MURPHY JR 2.00 X 0 170948 18130 M BOYLE 1.00 X 0 125776 16993 F STEGMEN 1.00 X 0 0 0 D GWIN 1.00 X 0 0 0 I KRESS 1.00 X 0 0 0 0 691841 70046 0 0 1 0 ASSOCIATED ADMINISTRATORS 911 RIDGEBROOK ROAD SPARKS MD 21152 CONTRACT ADMINISTRATION 5896025 ROBERT A ADES & ASSOCIATES PC 1140 CONNECTICUT AVENUE NW WASHINGTON DC 20036 LEGAL BENEFITS 2904632 AKMAN & ASSOCIATES 1402 FRONT AVENUE LUTHERVILLE MD 21093 LEGAL BENEFITS 1674392 VALUE OPTIONS INC 45861 ALPHA DRIVE SUITE 150 WIXOM MI 48393 INSURANCE 749658 HEALTH DIALOG SERVICES CORPORATION 60 STATE STREET SUITE 1100 BOSTON MA 02109 CLAIMS ADMINISTRATION 720000 9 EMPLOYER CONTRIBUTIONS 525100 154781954 154781954 PARTICIPANT CONTRIBUTI 525100 8898340 8898340 163680294 1936622 1936622 42765564 43529754 -764190 -764190 -764190 ERRP 900099 1420919 1420919 OTHER INCOME 900099 245522 245522 1666441 166519167 164337023 0 2182144 164456145 545825 73472 321780 3852352 264095 18515 51752 MEDICAL CLAIMS ADMIN. F 5820765 PRESCRIPTION ADMIN. FEE 84133 HOSPITAL AUDITS 26135 175514969 2444318 2119479 35241229 41231963 13979398 13065639 44354050 43955628 24078383 14990706 3369365 449025 123466743 115812440 2077097 1750205 4357 337321 2081454 2087526 X 0 0 0 0 121385289 113724914 121385289 113724914 123466743 115812440 X -8995802 1335427 X X 0 1 1 X 0 0 LIMITED PARTNERSHIPS AND COMMON COLLECTIVE TRUSTS 14990706 F 14990706 DUE TO BROKER-PURCHASES 337321 337321 166519167 175514969 -8995802 1335427 1335427 -7660375 167532813 1335426 1335426 166197387 321780 321780 166519167 175193189 0 175193189 321780 321780 175514969 PART XI, LINE 8 - OTHER ADJUSTMENTS: UNREALIZED GAIN ON INVESTMENTS 1,335,427. 0 0 0 E MASTEN 0 145222 0 0 0 0 0 3136 0 14794 0 163152 0 0 T MCNUTT 0 225710 0 0 0 24185 0 2567 0 14426 0 266888 0 0 G MURPHY JR 0 170948 0 0 0 0 0 3136 0 14994 0 189078 0 0 FORM 990, PART VI, SECTION A, LINE 7A WHEN A TRUSTEE VACANCY ARISES, THE UNITED FOOD AND COMMERCIAL WORKERS, INTERNATIONAL UNION, AFL-CIO, LOCALS 27 AND 400 HAVE THE POWER TO APPOINT UNION TRUSTEES FOR THE FUND, EMPLOYER TRUSTEE APPOINTMENTS ARE MADE BY THE FOOD EMPLOYERS LABOR RELATIONS ASSOCIATION. FORM 990, PART VI, SECTION B, LINE 11 THE BOARD OF TRUSTEES IS PROVIDED A DRAFT OF THE FORM 990 FOR REVIEW PRIOR TO THE SUBMISSION OF THE FORM 990. FORM 990, PART VI, SECTION B, LINE 12C THE FUND IS MAINTAINED AND ADMINISTERED IN ACCORDANCE WITH ERISA SECTIONS 404 AND 406 AND THE FUND'S CONFLICT OF INTEREST POLICY IS SET FORTH IN ERISA SECTIONS 404 AND 406. THE BOARD OF TRUSTEES MONITORS AND ENFORCES THE FUND'S COMPLIANCE WITH ERISA, WITH THE ASSISTANCE OF THE FUND'S PROFESSIONALS. FORM 990, PART VI, SECTION C, LINE 19 THE FUND MAKES ITS GOVERNING DOCUMENTS, POLICIES AND FINANCIAL STATEMENTS AVAILABLE TO PARTICIPANTS AND BENEFICIARIES AS REQUIRED BY ERISA. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: UNREALIZED GAIN ON INVESTMENTS 1,335,427. TOTAL TO FORM 990, PART XI, LINE 5: 1,335,427. FORM 990, PART XII, LINE 2C: THE FUNDS' BOARD OF TRUSTEES ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND THE SELECTION OF ITS INDEPENDENT ACCOUNTANT. FOOD EMPLOYERS LABOR RELATIONS ASSOCIATION & UFCW PENSION PLAN 911 RIDGEBROOK ROAD SPARKS MD 21152 526128473 PENSION FUND MD 401(A) 0 MID-ATLANTIC RETAIL FOOD INDUSTRY JOINT LABOR MANAGEMENT FUND 911 RIDGEBROOK ROAD SPARKS MD 21152 522249730 PROMOTE UNION LABOR AND IMPROVE JOB SECURITY MD 501(C)(5) 0 UFCW LOCAL 400 4301 GARDEN CITY DRIVE LANDOVER MD 20785 530241580 LABOR UNION MD 501(C)(5) 0 UFCW LOCAL 27 21 WEST ROAD TOWSON MD 21204 521265190 LABOR UNION MD 501(C)(5) 0 SAFEWAY STORES INC PO BOX 52035 PHOENIX AZ 85038 943019135 EMPLOYER AZ C STOP & SHOP SUPERMARKETS (GIANT) CO 1385 HANCOCK STREET QUINCY MA 02169 530073545 EMPLOYER MA C EDDIES ST PAUL 3117 ST PAUL STREET BALTIMORE MD 21208 EMPLOYER MD C SUPER FRESH STORES INC TWO PARAGON DRIVE MONTVALE NJ 07645 131890974 EMPLOYER NJ C FRESH & GREENS 1238 BAY DALE DRIVE ARNOLD MD 21012 220224016 EMPLOYER MD C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0