2024-10-11T12:33:01-05:00 2023-12-31 542189926 Henningfield & Associates Inc 28296 Constellation Road Valencia CA 91355 990 2023-01-01 956048844 TEAMSTERS AND FOOD EMPLOYERS SECURITY TRUST FUND TEAM 6266461075 1050 LAKES DRIVE SUITE 120 WEST COVINA CA 91790 BRENT BOHN TRUSTEE 6266461075 2024-10-10 1 0 RANDY D HENNINGFIELD P01364367 6612953363 2023 2024-10-15 13:58:12Z BRENT BOHN 1421 SOUTH MANHATTAN AVENUE FULLERTON CA 92831 137053618 0 X N/A X 1950 CA HEALTH & WELFARE BENEFITS PROVIDED TO MEMBERS WHO ARE COVERED BY COLLECTIVE BARGAINING AGREEMENTS BETWEEN UNION AND EMPLOYERS. 6 6 0 0 0 0 0 0 129684727 126628515 373634 1458118 6937184 8966985 136995545 137053618 0 0 121992537 120517507 0 0 0 0 0 6287591 6051745 128280128 126569252 8715417 10484366 61363473 73749659 9727562 10841517 51635911 62908142 HEALTH & WELFARE BENEFITS PROVIDED TO MEMBERS WHO ARE COVERED BY COLLECTIVE BARGAINING AGREEMENTS BETWEEN UNION AND EMPLOYERS 0 0 126569252 HEALTH & WELFARE BENEFITS PROVIDED TO MEMBERS WHO ARE COVERED BY COLLECTIVE BARGAINING AGREEMENTS BETWEEN UNION AND EMPLOYERS 126569252 0 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 1 0 0 1 6 0 1 0 0 0 0 0 0 0 0 0 0 0 X 6 6 0 1 0 0 0 0 0 1 1 0 0 1 0 1 1 0 0 0 CA X X MR BARRY OSHAROW 6266461090 1050 LAKES DRIVE SUITE 120 WEST COVINA CA 91790 X BRENT BOHN TRUSTEE 10.00 X 0 0 0 FRANK AFOA TRUSTEE 10.00 X 0 0 0 LOURDES GARCIA TRUSTEE 10.00 X 0 0 0 ERIC TATE TRUSTEE 10.00 X 0 0 0 SONYA MUNOZ TRUSTEE 10.00 X 0 0 0 LEROY WESTMORELAND TRUSTEE 10.00 X 0 0 0 0 0 0 0 0 0 0 BENESYS ADMINISTRATORS 1050 LAKES DR SUITE 120 WEST COVINA CA 91790 CONTRACT ADMINISTRATION 2933229 BROADREACH MEDICAL RESOURCES 1350 BROADWAY SUITE 410 NEW YORK NY 10018 CLAIMS PROCESSING 1436415 ANTHEM BLUE CROSS 11030 WHITE ROCK ROAD RANCHO CORDOVA CA 95670 NETWORK ACCESS FEES 471192 RAEL & LETSON 35 NORTH LAKE AVE STE 900 PASADENA CA 91101 CONSULTING 149797 SEYFARTH SHAW 2029 CENTURY PARK EAST STE 3500 LOS ANGELES CA 90067 LEGAL 125660 6 EMPLOYER CONTRIBUTIONS 445100 120869847 120869847 RETIREE CONTRIBUTIONS 445100 5576748 5576748 COBRA CONTRIBUTIONS 445100 181920 181920 126628515 1458118 1458118 PRESCRIPTION REBATES 445100 7803397 7803397 RETIREE PRESCRIPTION SUBSIDY 445100 1022244 1022244 STOP LOSS RECOVERIES 445100 141344 141344 8966985 137053618 135595500 0 1458118 120517507 120517507 2933229 2933229 212647 212647 25000 25000 333748 333748 7869 7869 58668 58668 ADMINISTRATION - RX 1436415 1436415 PPO NETWORK 619295 619295 CONSULTANTS 272435 272435 ADMINISTRATION - VSP 67352 67352 85087 85087 126569252 126569252 0 0 28047090 10967172 6457810 10334296 7108 50743 26851465 52397448 61363473 73749659 346653 525227 9380909 10316290 9727562 10841517 X 0 0 0 0 51635911 62908142 51635911 62908142 61363473 73749659 10484366 787865 0 X 0 1 X 1 0 0 PREMIUMS PAYABLE, IBNR AND ACCUMULATED ELIG. 9811376 DEFERRED RETIREE CONTRIBUTIONS 504914 10316290 137841483 787865 787865 137053618 0 137053618 125623066 0 125623066 946186 946186 126569252 Part XII, Line 4b - Other Adjustments: CHANGE IN PREMIUMS PAYABLE, IBNR & ACCUM. ELIGIBILITY 946,186. 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 11b 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. Form 990, Part VII Contact Addresses for Officers, Directors, Etc BRENT BOHN - 1421 SOUTH MANHATTAN AVENUE, FULLERTON, CA XXX-XX-XXXX. FRANK AFOA - 750 S. STANFORD AVENUE, LOS ANGELES, CA 90021. LOURDES GARCIA - 450 CARSON PLAZA DRIVE, STE A, CARSON, CA 90746. ERIC TATE - 731 EAST ARROW HIGHWAY, GLENDORA, CA 91740. SONYA MUNOZ - 301 SOUTH TIPPECANOE AVE, SAN BERNARDINO, CA 92408. LEROY WESTMORELAND - 1100 WEST ARTESIA BLVD, COMPTON, CA 90220. ALBERTSON'S 1421 SOUTH MANHATTAN AVE FULLERTON CA 92831 204057706 RETAIL GROCERS CA C 0 STATER BROS 301 S TIPPECANOE SAN BERNARDINO CA 92408 RETAIL GROCERS CA C 0 RALPH'S 1100 W ARTESIA BLVD COMPTON CA 90220 870258768 RETAIL GROCERS CA C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0