FELRA AND UFCW HEALTH AND WELFARE FUND: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
FELRA AND UFCW HEALTH AND WELFARE FUND (EIN 52-1036978)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-14
IRS object ID
201143189349304739
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)
Timestamp2011-11-14T14:00:40-06:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1SALTER & COMPANY LLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line14600 EAST-WEST HIGHWAY SUITE 300AddressLine1
CityBETHESDACity
StateMDState
ZIP Code208143415ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN521036978EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1FOOD EMPLOYERS LABOR RELATIONS ASSOC ANDBusinessNameLine1
Business Name Line2UNITED FOOD & COMMERCIAL WRKS H&W FUNDBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlFOODNameControl
Phone4106836500Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1911 RIDGEBROOK ROADAddressLine1
CitySPARKSCity
StateMDState
ZIP Code211529459ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameD GWIN - EMPL T MCNUTT -UNIONName
TitleTRUSTEESTitle
Phone4106836500Phone
Date Signed2011-11-14DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameJOSEPH M HERISHEN CPAName
Phone3018307400Phone
Date Prepared2011-11-14DatePrepared
Self EmployedXSelfEmployed
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonBOARD OF TRUSTEES OF FELRNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1911 RIDGEBROOK ROADAddressLine1
CitySPARKSCity
StateMDState
ZIP Code211529459ZIPCode
FieldValueIRS element (for citing)
Gross Receipts217066237GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteN/AWebSite
Type Of Organization TrustXTypeOfOrganizationTrust
Year Formation1973YearFormation
State Legal DomicileMDStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE HEALTH AND WELFARE BENEFITS TO PARTICIPANTS, THEIR DEPENDENTS AND BENEFICIARIES.ActivityOrMissionDescription
Nbr Voting Members Governing Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
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 Year172051641ProgramServiceRevenuePriorYear
Program Service Revenue CY168030243ProgramServiceRevenueCY
Investment Income Prior Year-75967InvestmentIncomePriorYear
Investment Income Current Year4314804InvestmentIncomeCurrentYear
Other Revenue Prior Year243212OtherRevenuePriorYear
Other Revenue Current Year93209OtherRevenueCurrentYear
Total Revenue Prior Year172218886TotalRevenuePriorYear
Total Revenue Current Year172438256TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year163321225BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY164339462BenefitsPaidToMembersCY
Salaries Etc Prior Year0SalariesEtcPriorYear
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year11118441OtherExpensePriorYear
Other Expenses Current Year11362060OtherExpensesCurrentYear
Total Expenses Prior Year174439666TotalExpensesPriorYear
Total Expenses Current Year175701522TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-2220780RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-3263266RevenuesLessExpensesCY
Total Assets BOY121435838TotalAssetsBOY
Total Assets EOY123466743TotalAssetsEOY
Total Liabilities BOY1089527TotalLiabilitiesBOY
Total Liabilities EOY2081454TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY120346311NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY121385289NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE 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.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
DescriptionSERVED 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.Description
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 Equip0ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
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 Required0ScheduleJRequired
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 With10960NumberFormsTransmittedWith1096
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 Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
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 Line1ASSOCIATED ADMINISTRATORS LLCBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number4106836500TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1911 RIDGEBROOK ROADAddressLine1
CitySPARKSCity
StateMDState
ZIP Code21152ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (9 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
J PARADIS
CHAIRMAN/EMPLOYER TRUSTEE5.00X000
C JAMES LOWTHERS
UNION TRUSTEE1.00X000
E MASTEN
UNION TRUSTEE1.00X000
T MCNUTT
UNION TRUSTEE1.00X000
GEORGE MURPHY JR
SECRETARY/UNION TRUSTEE2.00X000
M BOYLE
UNION TRUSTEE1.00X000
FRANK STEGMEN
EMPLOYER TRUSTEE1.00X000
D GWIN
EMPLOYER TRUSTEE1.00X000
I KRESS
EMPLOYER TRUSTEE1.00X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
ASSOCIATED ADMINISTRATORS
911 RIDGEBROOK ROADSPARKSMD21152CONTRACT ADMINISTRATION5803751
ROBERT A ADES & ASSOCIATES PC
1140 CONNECTICUT AVENUE NWWASHINGTONDC20036LEGAL BENEFITS2848857
AKMAN & ASSOCIATES
1402 FRONT AVENUELUTHERVILLEMD21093LEGAL BENEFITS1724901
VALUE OPTIONS INC
45861 ALPHA DRIVE SUITE 150WIXOMMI48393INSURANCE764753
HEALTH DIALOG SERVICES CORPORATION
60 STATE STREET SUITE 1100BOSTONMA02109CLAIMS ADMINISTRATION720000
FieldValueIRS element (for citing)
Number Of Contractors GT100 K9NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
EMPLOYER CONTRIBUTIONS525100158528557158528557
PARTICIPANT CONTRIBUTI52510095016869501686
FieldValueIRS element (for citing)
Total Program Service Revenue168030243TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column2061171TotalRevenueColumn
Exclusion$2,061,171ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities46881614Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities44627981Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities2253633Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column2253633TotalRevenueColumn
Related Or Exempt Function Income2253633RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionOTHER INCOMEDescription
Business Code900099BusinessCode
Total Revenue Column93209TotalRevenueColumn
Exclusion$93,209ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue93209TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column172438256TotalRevenueColumn
Related Or Exempt Function Income170283876RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$2,154,380ExclusionAmount

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total164339462Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total735465Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total75244Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total462916Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total3771235Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total222744Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total20995Total

Insurance Insurance

FieldValueIRS element (for citing)
Total52639Total

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotal
MEDICAL CLAIMS ADMIN. F5866053
PRESCRIPTION ADMIN. FEE116488
HOSPITAL AUDITS38281

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total175701522Total

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1177976BOY
EOY2444318EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY32293287BOY
EOY35241229EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY14491371BOY
EOY13979398EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY43968343BOY
EOY44354050EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY29153044BOY
EOY24078383EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY351817BOY
EOY3369365EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY121435838BOY
EOY123466743EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1058732BOY
EOY2077097EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY30795BOY
EOY4357EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1089527BOY
EOY2081454EOY
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)
BOY120346311BOY
EOY121385289EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY120346311BOY
EOY121385289EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY121435838BOY
EOY123466743EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-3263266ReconcilationRevenueExpenses
Reconcilation Other Changes4302244ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement BothXFinancialStatementBoth
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Total Of Book Value Land Buildings0TotalOfBookValueLandBuildings

Other Securities OtherSecurities

FieldValueIRS element (for citing)
DescriptionLIMITED PARTNERSHIPS AND COMMON COLLECTIVE TRUSTSDescription
Book Value24078383BookValue
Method Of ValuationFMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities24078383TotalOfBookValueSecurities

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDUE TO BROKER-PURCHASESDescription
Amount$4,357Amount
FieldValueIRS element (for citing)
Total Of Amounts4357TotalOfAmounts
Total Revenue172438256TotalRevenue
Total Expenses175701522TotalExpenses
Excess Or Deficit For Year-3263266ExcessOrDeficitForYear
Other$4,302,244OtherAmount
Total Adjustments4302244TotalAdjustments
Excess Or Deficit Per FS1038978ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt176277584TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments4302244NetUnrealizedGainsInvestments
Revenue Not Rptd F9904302244RevenueNotRptdF990
Revenue Subtotal171975340RevenueSubtotal
Investment Expenses Not Included462916InvestmentExpensesNotIncluded
Revenue Not Rptd On Fin Stmt462916RevenueNotRptdOnFinStmt
Total Revenue Per Form990172438256TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt175238606TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal175238606ExpensesSubtotal
Investment Expenses Not Included2462916InvestmentExpensesNotIncluded2
Expenses Not Rptd On Fin Stmt462916ExpensesNotRptdOnFinStmt
Total Expenses Per Form990175701522TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierPART XI, LINE 8 - OTHER ADJUSTMENTS:Identifier
ExplanationUNREALIZED GAIN ON INVESTMENTS 4,302,244.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION A, LINE 7AWHEN 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 11THE BOARD OF TRUSTEES IS PROVIDED A DRAFT OF THE FORM 990 FOR REVIEW PRIOR TO THE SUBMISSION OF THE FORM 990.
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 B, LINE 12C
THE FUND MAKES ITS GOVERNING DOCUMENTS, POLICIES AND FINANCIAL STATEMENTS AVAILABLE TO PARTICIPANTS AND BENEFICIARIES AS REQUIRED BY ERISA.FORM 990, PART VI, SECTION C, LINE 19
CHANGES IN NET ASSETS OR FUND BALANCES:UNREALIZED GAIN ON INVESTMENTS 4,302,244. TOTAL TO FORM 990, PART XI, LINE 5: 4,302,244.FORM 990, PART XI, LINE 5:
THE FUNDS BOARD OF TRUSTEES ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND THE SELECTION OF ITS INDEPENDENT ACCOUNTANT.FORM 990, PART XII, LINE 2C:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionControlled OrgControlledOrg
FOOD EMPLOYERS LABOR RELATIONS ASSOCIATION & UFCW PENSION PLAN
911 RIDGEBROOK ROADSPARKSMD21152526128473PENSION FUNDMD401(A)0
MID-ATLANTIC RETAIL FOOD INDUSTRY JOINT LABOR MANAGEMENT FUND
911 RIDGEBROOK ROADSPARKSMD21152522249730PROMOTE UNION LABOR AND IMPROVE JOB SECURITYMD501(C)(5)0

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateType Of EntityTypeOfEntity
SAFEWAY INC
5918 STONERIDGE MALL ROADPLEASANTONCA94588943019135EMPLOYERCAC
GIANT FOOD LLC
8301 PROFESSIONAL PLACE SUITE 115LANDOVERMD20785EMPLOYERMDC
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 Org0LoansOrGuaranteesFromOtherOrg
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 Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

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