2011-10-14T16:56:25-05:00 2010-12-31 Henningfield & Associates Inc 27913 Smyth Drive Valencia CA 91355 990 2010-01-01 237100610 UNITED FOOD & COMMERCIAL WORKERS UNION 711 FOOD EMPLYRS BENE FUND UNIT 8004534584 4885 SOUTH 900 EAST No 202 SALT LAKE CITY UT 84117 TERRY RACHIELE 8004534584 2011-10-10 RANDY D HENNINGFIELD 6612953363 2010 2016-03-07 17:11:31Z TERRY RACHIELE 4885 SOUTH 900 EAST SALT LAKE CITY UT 84117 33898377 0 X N/A X 1970 CA HEALTH & WELFARE BENEFITS PROVIDED TO MEMBERS WHO ARE COVERED BY COLLECTIVE BARGAINING AGREEMENTS BETWEEN UNION AND EMPLOYERS 7 7 0 0 0 0 0 0 36228150 33877744 59842 20633 0 0 36287992 33898377 0 0 37770747 34830734 0 0 0 0 0 3027801 2955867 40798548 37786601 -4510556 -3888224 24520272 20080450 12986515 12434917 11533757 7645533 HEALTH & WELFARE BENEFITS PROVIDED TO MEMBERS WHO ARE COVERED BY COLLECTIVE BARGAINING AGREEMENTS BETWEEN UNION AND EMPLOYERS 0 0 HEALTH & WELFARE BENEFITS PROVIDED TO MEMBERS WHO ARE COVERED BY COLLECTIVE BARGAINING AGREEMENTS BETWEEN UNION AND EMPLOYERS. 37786601 37786601 37786601 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1701 0 0 0 0 0 0 0 0 0 0 0 0 X 7 7 0 1 0 0 0 0 0 1 1 0 0 1 0 1 1 0 0 0 X X JAS INC 8004534584 4885 SOUTH 900 EAST 202 SALT LAKE CITY UT 84117 X DAVID GOODALL 10.00 X 0 0 0 ROBERTA WEST 10.00 X 0 0 0 DEANNA LEIVAS 10.00 X 0 0 0 PETER BARTH 10.00 X 0 0 0 BRENT BOHN 10.00 X 0 0 0 TERRY RACHIELE 10.00 X 0 0 0 MICHAEL GITTINGS 10.00 X 0 0 0 0 0 0 0 0 0 0 JAS INC 4885 SOUTH 900 EAST SUITE 202 SALT LAKE CITY UT 84117 CONTRACT ADMINISTRATION 946213 BEECH STREET PO BOX 974616 DALLAS TX 75397 NETWORK ACCESS FEES 395717 SHPS 9200 SHELBYVILLE ROAD 440 LOUISVILLE KY 40222 CASE MANAGEMENT AND UTILIZATION REVIEW 218729 A&G 4885 SOUTH 900 EAST SUITE 202 SALT LAKE CITY UT 84117 NON PPO NEGOTIATED SAVINGS 194140 MINES & ASSOCIATES 4885 SOUTH 900 EAST SUITE 202 SALT LAKE CITY UT 84117 EAP SERVICES 168676 5 EMPLOYER CONTRIBUTIONS 445100 33201076 33201076 RETIREE CONTRIBUTIONS 445100 471100 471100 COBRA CONTRIBUTIONS 445100 112999 112999 SUBROGATIONS 445100 73481 73481 FEDERAL COBRA SUBSIDY 445100 19088 19088 33877744 20633 20633 33898377 33877744 0 20633 34830734 946213 144339 21541 21359 29060 MEDICAL COST CONTAINMEN 1171940 CONSULTING 161494 PRINTING AND POSTAGE 147471 ADMIN.-LAS VEGAS OFFICE 101647 ADMINISTRATION - RX 93860 116943 37786601 21482759 17174824 3023201 2895935 14312 9691 24520272 20080450 96515 118917 12890000 12316000 12986515 12434917 X 0 0 0 0 11533757 7645533 11533757 7645533 24520272 20080450 -3888224 0 X 0 1 1 X 0 0 IBNR PAYABLE 5960000 ACCUM ELIG CREDITS PAYABLE 6356000 12316000 33898377 37786601 -3888224 0 -3888224 33898377 0 33898377 0 33898377 38360601 0 38360601 -574000 -574000 37786601 Part XIII, Line 4b - Other Adjustments: CHANGE IN IBNR & EXTENDED ELIGIBILITY -574,000. Form 990, Part VI, Section A, line 3 The trustees have contracted with a third party administrator to perform the everyday administration of the fund. Form 990, Part VI, Section B, line 11 A copy of Form 990 was presented to the trustees for review and signatures. Form 990, Part VI, Section C, line 19 Summary Annual Reports are provided to all participants annually. SPDs and audited financial statements are available from the administrator upon request, as well as the DOL website. Contact Addresses for Officers, Directors, Etc Form 990, Part VII DAVID GOODALL - 618 Michillinda Ave.,, ARCADIA, CA 91007. ROBERTA WEST - 1201 N. DECATUR,, LAS VEGAS, NV 89108. DEANNA LEIVAS - 1201 N. DECATUR,, LAS VEGAS, NV 89108. PETER BARTH - 4885 So 900 East,, SALT LAKE CITY, UT 84117. BRENT BOHN - 1421 S. Manhattan Ave.,, FULLERTON, CA 92831. TERRY RACHIELE - 4885 So 900 East,, SALT LAKE CITY, UT 84117. MICHAEL GITTINGS - 1201 N. DECATUR,, LAS VEGAS, NV 89108.