2011-05-12T14:51:01-05:00 2010-10-31 SASLOW LUFKIN & BUGGY LLP TEN TOWER LANE AVON CT 06001 990 2009-11-01 222507311 UFCW LOCAL 1459 & CONTRIBUTING EMPLOYERS HEALTH & WELFARE FUND UNIT 4137331197 33 EASTLAND STREET SPRINGFIELD MA 011092348 DANIEL P CLIFFORD 4137331197 2011-05-09 1 Richard Buggy 8606789200 2009 2016-02-24 21:20:13Z DANIEL P CLIFFORD 33 EASTLAND STREET SPRINGFIELD MA 011092348 8134614 0 X N/A X 1983 MA PROVIDING ELIGIBLE PARTICIPANTS WITH VARIOUS HEALTH AND WELFARE BENEFITS. 4 4 0 0 0 0 0 6266095 6727179 251701 325692 0 6517796 7052871 0 4047780 5107493 0 0 0 883195 1012949 4930975 6120442 1586821 932429 7263258 8436968 551000 749125 6712258 7687843 PROVIDING ELIGIBLE PARTICIPANTS WITH VARIOUS EMPLOYEE WELFARE BENEFITS, INCLUDING HEALTH, HOSPITALIZATION, PRESCRIPTION, DISABILITY AND LIFE. 0 0 5864507 6727179 TO OBTAIN AND ADMINISTER THE HEALTH AND WELFARE PROGRAM FOR ALL ELIGIBLE PARTICIPANTS. 5864507 0 0 0 0 0 0 0 0 1 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 1 0 0 1 0 0 0 0 0 0 0 0 4 4 1 1 0 0 0 1 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X ZENITH ADMINISTRATORS 4137331197 33 EASTLAND STREET SPRINGFIELD MA 01109 X SCOTT L MACEY 2.00 X X 0 0 0 JOEL A BOONE 2.00 X X 0 0 0 DANIEL P CLIFFORD 2.00 X 0 0 0 TIMOTHY KITTREDGE 2.00 X 0 0 0 RICHARD BROWN 2.00 X 0 0 0 JASON PARADIS 2.00 X 0 0 0 0 0 0 0 0 0 0 CONNECTICUT GENERAL LIFE INSURANCE COTTAGE GROVE ROAD BLOOMFIELD CT 06002 ASO CONTRACT ADMINISTRATOR 374869 ZENITH ADMINISTRATORS 33 EASTLAND STREET SPRINGFIELD CT 01109 THIRD PARTY CONTRACT ADMINISTRATOR 333191 2 EMPLOYER CONTRIBUTIONS 525100 6544119 6544119 EMPLOYEE CONTRIBUTIONS 525100 183060 183060 6727179 313870 313870 1093565 1081743 11822 11822 11822 7052871 6727179 0 325692 5107493 5107493 83109 83109 13000 13000 26759 26759 439869 374869 65000 13362 13362 4950 4950 17884 17884 20016 20016 CONTRACT ADMINISTRATOR 333191 333191 MASS. UNCOMPENSATED CAR 48954 48954 DUES (IFEBP) 7016 7016 BANK FEES 4839 4839 6120442 5864507 255935 0 952245 747535 76604 80963 26900 31938 6207509 7451433 0 125099 7263258 8436968 29300 70125 521700 679000 551000 749125 X 6712258 7687843 0 0 0 0 6712258 7687843 7263258 8436968 X 0 1 1 X 0 0 U.S. GOVERNMENT SECURITIES 4089387 F FOREIGN AND CORPORATE BONDS 3334735 F MUTUAL FUNDS 27311 F 7451433 HEALTH CLAIMS PAYABLE 121760 ESTIMATED CLAIMS INCURRED BUT NOT REPORTED 557240 679000 7052871 6120442 932429 43156 43156 975585 7096027 43156 43156 7052871 0 7052871 6120442 0 6120442 0 6120442 Part X: Description of Uncertain Tax Positions Under FIN 48: As of November 1, 2009, the Fund adopted certain provisions of FASB ASC 740, "Income Taxes" which provide a framework for how companies should recognize, measure, present and disclose uncertain tax positions in their financial statements. Under FASB ASC 740, the Fund may recognize the tax benefit from an uncertain tax position only if it is more likely than not that the tax position will be sustained on examination by the taxing authorities, based on the technical merits of the position. The tax benefits recognized in the financial statements from such position are measured based on the largest benefit that has a greater than 50% likelihood of being realized upon ultimate settlement. The Fund did not record any unrecognized tax benefits for the year ended October 31, 2010. Therefore, FASB ASC 740 had no impact on the 2010 financial statements. The fund anticipates that it will not have a change in unrecognized tax benefits during the next twelve months that would have a material impact on the Fund's financial statements. The Fund's policy is to recognize interest and penalties related to income taxes as a component of interest and penalty expense. As of and for the year ended October 31, 2010, the Fund did not record any penalties or interest associated with unrecognized tax benefits. The Fund's prior three tax years are open and are subject to examination by the Internal Revenue Service. Form 990, Part VI, Section A, line 2 SCOTT MACEY, DANIEL CLIFFORD AND RICHARD BROWN ARE OFFICERS OF THE UNITED FOOD & COMMERCIAL WORKERS UNION LOCAL 1459, WHICH IS A SPONSORING ORGANIZATION FOR THE UFCW UNION LOCAL 1459 & CONTRIBUTING EMPLOYERS' HEALTH & WELFARE FUND. Form 990, Part VI, Section A, line 3 THE ORGANIZATION CONTRACTS WITH ZENITH ADMINISTRATORS, AN INDEPENDENT THIRD PARTY ADMINISTRATOR, TO CONDUCT THE DAY-TO-DAY OPERATIONS OF THE FUND. ZENITH ADMINISTRATORS IS ENGAGED BY AND REPORTS DIRECTLY TO THE BOARD OF TRUSTEES. Form 990, Part VI, Section A, line 7a AS A SPONSORING ORGANIZATION, THE UNITED FOOD & COMMERCIAL WORKERS UNION LOCAL 1459 HAS THE AUTHORITY TO APPOINT TWO TRUSTEES AND ONE OR MORE ALTERNATE TRUSTEES TO THE ORGANIZATION'S BOARD. SIMILARLY, AS A SPONSORING ORGANIZATION AND A PARTICIPATING EMPLOYER, THE STOP & SHOP SUPERMARKET COMPANY HAS THE AUTHORITY TO APPOINT TWO TRUSTEES AND ONE OR MORE ALTERNATE TRUSTEES TO THE ORGANIZATION'S BOARD. Form 990, Part VI, Section B, line 11 A COPY OF FORM 990 IS PROVIDED TO THE ORGANIZATION'S LEGAL COUNSEL FOR REVIEW AND COMMENT PRIOR TO FILING. FORM 990 IS REVIEWED BY THE FULL BOARD, APPROVED AND ACCEPTED AT THE FIRST BOARD MEETING SUBSEQUENT TO THE PREPARATION AND FILING OF THE RETURN. Form 990, Part VI, Section B, line 12c THE BOARD REQUIRES ALL TRUSTEES TO REPORT ANY POTENTIAL CONFLICTS OF INTEREST AT LEAST ANNUALLY. ANY POTENTIAL CONFLICTS OF INTEREST ARE BROUGHT TO THE BOARD FOR DISCUSSION AND RESOLUTION. FORM 990, PART VI, SEC. B, LINE 15: DAY-TO-DAY MANAGEMENT OF THE FUND IS CONTRACTED TO ZENITH ADMINISTRATORS, A THIRD PARTY CONTRACT ADMINISTRATOR. CONTRACTUAL TERMS AND CONDITIONS ARE EVALUATED AND NEGOTIATED BY THE BOARD ON AN ANNUAL BASIS. Form 990, Part VI, Section C, line 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, TAX RETURNS AND AUDITED FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST TO THE BENEFITS OFFICE. FORM 990, PART XI, LINE 2C: THE BOARD OF TRUSTEES IS RESPONSIBLE FOR THE SELECTION OF AN INDEPENDENT ACCOUNTANT AND IS RESPONSIBLE FOR THE OVERSIGHT OF THE FINANCIAL STATEMENT AUDIT PROCESS. THERE HAS BEEN NO CHANGE FROM THE PRIOR YEAR IN HOW THESE RESPONSIBILITIES ARE ADMINISTERED. FORM 990, SCHEDULE R, PART V, LINE 2A: THE ORGANIZATION SHARES OFFICE SPACE WITH TWO RELATED BUT INDEPENDENT MULTIEMPLOYER BENEFIT FUNDS, AND UTILIZES THE SAME THIRD PARTY ADMINISTRATOR. EACH ORGANIZATION IS CHARGED FOR AND PAYS ALL OF ITS OWN COSTS. UFCW LOCAL 1459 AND CONTRIBUTING EMPLOYERS LEGAL BENEFIT FUND 33 EASTLAND STREET SPRINGFIELD MA 01109 222507618 MULTIEMPLOYER LEGAL BENEFIT FUND MA 501(c)(9) N/A UFCW LOCAL 1459 EDUCATION SAFETY & INDUSTRY TRUST FUND 33 EASTLAND STREET SPRINGFIELD MA 01109 522331090 MULTIEMPLOYER EDUCATION & SAFETY FUND MA 501(c)(9) N/A 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 UFCW UNION 1459 & CONTRIBUTING EMPLOYERS HEALTH & WELFARE FUND M UFCW UNION 1459 & CONTRIBUTING EMPLOYERS LEGAL BENEFIT FUND M (SEE SCHEDULE O FOR ADDITIONAL DISCLOSURE)