STRATEGY STUDIO / PUBLIC DATA EXPLORER

UNITED FOOD & COMMERCIAL WORKERS UNION 711 FOOD EMPLYRS BENE FUND: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization
UNITED FOOD & COMMERCIAL WORKERS UNION 711 FOOD EMPLYRS BENE FUND (EIN 23-7100610)
Tax period
2023-01-01 to 2023-12-31
Filed
2024-10-14
IRS object ID
202402889349301135
Schema version
2023v5.1
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)
Return2024-10-14T18:34:55-05:00ReturnTs
Tax Period End2023-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN542189926PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Henningfield & Associates IncBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line128296 Constellation RoadAddressLine1Txt
CityValenciaCityNm
State AbbreviationCAStateAbbreviationCd
ZIP91355ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2023-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN237100610EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1UNITED FOOD & COMMERCIAL WORKERS UNIONBusinessNameLine1Txt
Business Name Line2LOCAL 711 FOOD EMPLOYERS BENEFIT FUNDBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlUNITBusinessNameControlTxt
Phone8004534584PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line15251 GREEN STREET 200AddressLine1Txt
CityMURRAYCityNm
State AbbreviationUTStateAbbreviationCd
ZIP84123ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonIAN ADAMSPersonNm
Person TitleTRUSTEEPersonTitleTxt
Phone8004534584PhoneNum
Signature2024-10-14SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info Curr0IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonRANDY D HENNINGFIELDPreparerPersonNm
PTINP01364367PTIN
Phone6612953363PhoneNum
FieldValueIRS element (for citing)
Tax2023TaxYr
Build TS2024-10-15 13:58:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerIAN ADAMSPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line15251 GREEN STREET SUITE 200AddressLine1Txt
CityMURRAYCityNm
State AbbreviationUTStateAbbreviationCd
ZIP84123ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$73,490,023GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501cYes (X)Organization501cInd
Website AddressN/AWebsiteAddressTxt
Type Of Organization TrustYes (X)TypeOfOrganizationTrustInd
Formation1970FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionHEALTH & WELFARE BENEFITS PROVIDED TO MEMBERS WHO ARE COVERED BY COLLECTIVE BARGAINING AGREEMENTS BETWEEN UNION AND EMPLOYERSActivityOrMissionDesc
Voting Members Governing Body6VotingMembersGoverningBodyCnt
Voting Members Independent6VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$42,363,405PYProgramServiceRevenueAmt
CY Program Service Revenue$60,664,790CYProgramServiceRevenueAmt
PY Investment Income$695,735PYInvestmentIncomeAmt
CY Investment Income$1,499,161CYInvestmentIncomeAmt
PY Other Revenue$2,060,315PYOtherRevenueAmt
CY Other Revenue$3,653,115CYOtherRevenueAmt
PY Total Revenue$45,119,455PYTotalRevenueAmt
CY Total Revenue$65,817,066CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$51,474,194PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$46,182,384CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$5,229,999PYOtherExpensesAmt
CY Other Expenses$5,256,234CYOtherExpensesAmt
PY Total Expenses$56,704,193PYTotalExpensesAmt
CY Total Expenses$51,438,618CYTotalExpensesAmt
PY Revenues Less Expenses-$11,584,738PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$14,378,448CYRevenuesLessExpensesAmt
Total Assets BOY$54,065,861TotalAssetsBOYAmt
Total Assets EOY$67,335,865TotalAssetsEOYAmt
Total Liabilities BOY$18,257,100TotalLiabilitiesBOYAmt
Total Liabilities EOY$16,216,426TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$35,808,761NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$51,119,439NetAssetsOrFundBalancesEOYAmt
MissionHEALTH & WELFARE BENEFITS PROVIDED TO MEMBERS WHO ARE COVERED BY COLLECTIVE BARGAINING AGREEMENTS BETWEEN UNION AND EMPLOYERSMissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$51,438,618ExpenseAmt
DescHEALTH & WELFARE BENEFITS PROVIDED TO MEMBERS WHO ARE COVERED BY COLLECTIVE BARGAINING AGREEMENTS BETWEEN UNION AND EMPLOYERS.Desc
Total Program Service Expenses$51,438,618TotalProgramServiceExpensesAmt
Described In Section501c30DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment0ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document536IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members6GoverningBodyVotingMembersCnt
Independent Voting Member6IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy0ConflictOfInterestPolicyInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SOUTHWEST SERVICE ADMINISTRATORS INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8004534584PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line15251 GREEN STREET SUITE 200AddressLine1Txt
CityMURRAYCityNm
State AbbreviationUTStateAbbreviationCd
ZIP84123ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (6 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
IAN ADAMS
TRUSTEE10.00Yes (X)$0$0$0
ANDY LUKES
TRUSTEE10.00Yes (X)$0$0$0
DEANNA LEIVAS
TRUSTEE10.00Yes (X)$0$0$0
MICHAEL GITTINGS
TRUSTEE10.00Yes (X)$0$0$0
RUBEN PEREZ
TRUSTEE10.00Yes (X)$0$0$0
DIONNE KLUG
TRUSTEE10.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
ANTHEM BLUE CROSS
25500 COMMERCENTRE DRIVELAKE FORRESTCA92630CASE MANAGEMENT AND UTILIZATION REVIEW$1,697,534
SOUTHWEST SERVICE ADMINISTRATORS INC
5251 GREEN STREET SUITE 200MURRAYUT84123CONTRACT ADMINISTRATION$1,478,163
DATA ISIGHT
25500 COMMERCENTRE DRIVE STE 200LAKE FORRESTCA92630COST CONTAINMENT$470,337
HORIZON ACTUARIAL SERVICES
420 EXCHANGE SUITE 260IRVINECA92602CONSULTANT$223,180
SEYFARTH SHAW
229 CENTURY PARK EAST SUITE 3500LOS ANGELESCA90067LEGAL$163,813
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K7CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
EMPLOYER CONTRIBUTIONS445100$56,654,558$56,654,558
PARTICIPANT CONTRIBUTIONS445100$3,691,869$3,691,869
SUBROGATIONS445100$318,363$318,363
FieldValueIRS element (for citing)
Total Program Service Revenue$60,664,790TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,672,118TotalRevenueColumnAmt
Exclusion$1,672,118ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$7,500,000SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$7,672,957SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$172,957SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$172,957TotalRevenueColumnAmt
Exclusion-$172,957ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PRESCRIPTION REBATES445100$3,598,630$3,598,630
STOP LOSS RECOVERIES445100$54,485$54,485
FieldValueIRS element (for citing)
Other Revenue Total$3,653,115OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$65,817,066TotalRevenueColumnAmt
Related Or Exempt Func Income$64,317,905RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$1,499,161ExclusionAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$46,182,384TotalAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$1,478,163TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$243,633TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$54,360TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$3,000TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$159,486TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$33,776TotalAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$119,413TotalAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmt
MEDICAL COST CONTAINMEN$2,249,486
CONSULTING$462,397
ADMINISTRATION - DENTAL$173,226
ADMIN.-LAS VEGAS OFFICE$115,743

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$163,551TotalAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$51,438,618TotalAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,048,168BOYAmt
EOY$14,522,682EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,654,575BOYAmt
EOY$7,488,317EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$58,109BOYAmt
EOY$94,411EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$50,305,009BOYAmt
EOY$45,230,455EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$54,065,861BOYAmt
EOY$67,335,865EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$389,100BOYAmt
EOY$148,426EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$17,868,000BOYAmt
EOY$16,068,000EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$18,257,100BOYAmt
EOY$16,216,426EOYAmt
FieldValueIRS element (for citing)
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

FieldValueIRS element (for citing)
BOY$35,808,761BOYAmt
EOY$51,119,439EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$35,808,761BOYAmt
EOY$51,119,439EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$54,065,861BOYAmt
EOY$67,335,865EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$14,378,448ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$932,230NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
IBNR PAYABLE$7,832,000
ACCUM ELIG CREDITS PAYABLE$8,236,000
FieldValueIRS element (for citing)
Total Liability$16,068,000TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$66,746,296TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$932,230NetUnrealizedGainsInvstAmt
Revenue Not Reported$932,230RevenueNotReportedAmt
Revenue Subtotal$65,814,066RevenueSubtotalAmt
Investment Expenses Not Incld$3,000InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt$3,000RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$65,817,066TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$53,235,618TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$53,235,618ExpensesSubtotalAmt
Investment Expenses Not Incld2$3,000InvestmentExpensesNotIncld2Amt
Other Expenses Not Included-$1,800,000OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt-$1,797,000ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$51,438,618TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart XII, Line 4b - Other Adjustments:FormAndLineReferenceDesc
ExplanationCHANGE IN IBNR & EXTENDED ELIGIBILITY -1,800,000.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 3The trustees have contracted with a third party administrator to perform the everyday administration of the fund.
Form 990, Part VI, Section B, line 11bA copy of Form 990 was presented to the trustees for review and signatures.
Form 990, Part VI, Section C, line 19Summary 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.
Form 990, Part VII Contact Addresses for Officers, Directors, EtcIAN ADAMS - 5251 GREEN STREET, STE 200, MURRAY, UT 84123. ANDY LUKES - 5251 GREEN STREET, STE 200, MURRAY, UT 84123. DEANNA LEIVAS - 1201 N. DECATUR,, LAS VEGAS, NV 89108. MICHAEL GITTINGS - 1201 N. DECATUR,, LAS VEGAS, NV 89108. RUBEN PEREZ - 1201 N. DECATUR,, LAS VEGAS, NV 89108. DIONNE KLUG - 1201 N. DECATUR,, LAS VEGAS, NV 89108.

Schedule R IRS990ScheduleR

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
ALBERTSON'S
1421 S MANHATTAN AVEFULLERTONCA92831204057706RETAIL GROCERSCAC0
SMITH' FOOD 4 LESS
4885 S 900 EASTSALT LAKE CITYUT84117870258768RETAIL GROCERSCAC0
UFCW LOCAL 711
1201 NORTH DECATURLAS VEGASNV89108880057132LABOR UNIONNVC0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd