2023-11-02T13:00:31-05:00 2022-12-31 222951202 MSPC CPAS & ADVISORS PC 340 NORTH AVENUE EAST CRANFORD NJ 070162496 990 2022-01-01 210681336 UFCW LOCAL 152 HEALTH & WELFARE FUND C/O TRI-STATE ADMINISTRATORS UFCW 8567931598 27 ROLAND AVENUE SUITE 100 MOUNT LAUREL NJ 08054 BRIAN STRING CHAIRMAN 8567931598 2023-11-02 1 BRIAN STRING 999009999 1 PATRICK M TROMBETTA CPA P00450410 9082727000 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z BRIAN STRING 27 ROLAND AVENUE SUITE 100 MOUNT LAUREL NJ 08054 124273352 0 X N/A X 1956 NJ PROVIDE HEALTH AND WELFARE BENEFITS FOR ELIGIBLE MEMBERS 8 0 0 0 0 0 0 0 124539327 123024398 172481 357916 656903 891038 125368711 124273352 0 0 111592806 102114323 0 0 0 0 0 9823798 10336984 121416604 112451307 3952107 11822045 56654748 63448584 13495726 11114692 43159022 52333892 THE ORGANIZATION IS THE TRUST FOR A MULTIEMPLOYER WELFARE BENEFIT PLAN THAT COVERS ELIGIBLE MEMBERS AND THEIR DEPENDENTS, ESTABLISHED PURSUANT TO VARIOUS COLLECTIVE BARGAINING AGREEMENTS. 0 0 HEALTH AND WELFARE BENEFITS FOR ELIGIBLE MEMBERS 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 13 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 8 0 0 0 0 0 0 1 0 1 0 0 0 1 1 1 1 1 1 0 0 0 X TRI-STATE ADMINISTRATORS 8566625757 27 ROLAND AVENUE SUITE 100 MOUNT LAUREL NJ 08054 BRIAN STRING UNION TRUSTEE/PRESIDENT 1.00 39.00 X X 0 466847 41246 CARMINE DELVICARIO FORMER UNION TRUSTEE 1.00 39.00 X 0 148493 43093 DANIEL J ROSS JR UNION TRUSTEE 1.00 39.00 X 0 166226 40863 NELSON HILL UNION TRUSTEE 1.00 39.00 X 0 0 0 DAN DOSENBACH EMPLOYER TRUSTEE/SECRETARY 1.00 39.00 X X 0 0 0 JOAN WILLIAMS EMPLOYER TRUSTEE 1.00 39.00 X 0 0 0 PAT DURNING EMPLOYER TRUSTEE 1.00 39.00 X 0 0 0 ALEXANDER VOITOVICH EMPLOYER TRUSTEE 1.00 39.00 X 0 0 0 LISA SANDERS UNION TRUSTEE 1.00 39.00 X 0 0 0 0 781566 125202 0 0 1 0 TRI-STATE ADMINISTRATORS INC 27 ROLAND AVENUE SUITE 100 MOUNT LAUREL NJ 08054 PLAN ADMINISTRATOR 4486743 HORIZON BLUE CROSS BLUE SHIELD THREE PENN PLAZA EAST NEWARK NJ 07105 ADMINISTRATOR FEE 3947794 EXPRESS SCRIPTS (ESI) 21653 NETWORK PLACE CHICAGO IL 60673 ADMINISTRATOR FEE 1434834 3 EMPLOYER CONTRIBUTIONS 900099 123024398 123024398 123024398 357916 357916 COBRA 900099 878129 878129 OTHER INCOME 900099 12909 12909 891038 124273352 123915436 0 357916 102114323 168384 45000 10000 9977546 43514 36149 PCORI 45670 DUES & SUBSCRIPTIONS 5850 TRUSTEE MEETING 4871 112451307 25498451 21056009 6416970 5902402 146491 49932 17581532 29875442 7011304 6564799 56654748 63448584 419726 474692 13076000 10640000 13495726 11114692 X 0 0 0 0 43159022 52333892 43159022 52333892 56654748 63448584 11822045 -2647175 0 X X 0 1 X 1 0 0 REBATE RECEIVABLE 3706823 ADVANCE DEPOSITS 2819097 ACCRUED INTEREST & DIVIDENDS 38879 6564799 BENEFIT CLAIMS PAYABLE 10640000 10640000 X 121626177 -2647175 -2647175 124273352 0 124273352 114887307 0 114887307 -2436000 -2436000 112451307 PART X, LINE 2: THE TRUST ESTABLISHED UNDER THE PLAN TO HOLD THE PLANS NET ASSETS IS QUALIFIED PURSUANT TO SECTION 501(C)(9) OF THE INTERNAL REVENUE CODE ("IRC") AND, ACCORDINGLY, THE TRUSTS NET INVESTMENT INCOME IS EXEMPT FROM INCOME TAXES. THE PLAN HAS OBTAINED A FAVORABLE TAX DETERMINATION LETTER FROM THE INTERNAL REVENUE SERVICE AND THE PLANS MANAGEMENT BELIEVES THAT THE TRUST, AS AMENDED, CONTINUES TO OPERATE AS DESIGNED. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE PLAN MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE PLAN AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF THE PLAN HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE. THE PLAN ADMINISTRATOR HAS ANALYZED THE TAX POSITIONS TAKEN BY THE PLAN, AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2022 THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. PART XII, LINE 4B - OTHER ADJUSTMENTS: CHANGE IN BENEFIT CLAIMS PAYABLE -2,436,000. X 0 0 0 BRIAN STRING UNION TRUSTEE/PRESIDENT 0 466847 0 0 0 0 0 4274 0 36972 0 508093 0 0 DANIEL J ROSS JR UNION TRUSTEE 0 166226 0 0 0 0 0 12238 0 28625 0 207089 0 0 CARMINE DELVICARIO FORMER UNION TRUSTEE 0 148493 0 0 0 0 0 6121 0 36972 0 191586 0 0 FORM 990, PART VI, SECTION A, LINE 7A EMPLOYER TRUSTEES ARE DESIGNATED BY A MAJORITY OF CURRENT SEATED EMPLOYER TRUSTEES. UNION TRUSTEES ARE DESIGNATED BY THE UNION. FORM 990, PART VI, SECTION A, LINE 8B THE HEALTH AND WELFARE FUND DOES NOT HAVE ANY OTHER COMMITTEE THAT MAY ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY AN INDEPENDENT CERTIFIED PUBLIC ACCOUNTING FIRM, ENGAGED BY THE BOARD OF TRUSTEES, IN WHICH A DRAFT COPY OF THE FORM 990 IS ROUTED TO THE BOARD OF TRUSTEES FOR REVIEW AND COMMENT PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C THE PLAN IS MAINTAINED AND ADMINISTERED IN ACCORDANCE WITH ERISA SECTIONS 404 AND 406 AND THE PLANS CONFLICT OF INTEREST POLICY IS DESCRIBED IN ERISA SECTIONS 404 AND 406. THE TRUSTEES MONITOR AND ENFORCE THE FUNDS COMPLIANCE WITH ERISA WITH THE ASSISTANCE OF THE FUNDS PROFESSIONALS. FORM 990, PART VI, SECTION B, LINE 15 THE FUNDS GOVERNING BODY RETAINS THE SERVICES OF A THIRD PARTY ADMINISTRATIVE CONSULTANT WHO HAS THE ULTIMATE RESPONSIBILITY FOR IMPLEMENTING THE DECISION OF THE ORGANIZATIONS GOVERNING BODY, AND THE FULL GOVERNING BODY REVIEWS AND APPROVES THE FUNDS AGREEMENT WITH THE THIRD PARTY ADMINISTRATIVE CONSULTANTS COMPANY. FORM 990, PART VI, SECTION C, LINE 18 THE FORM 990 IS AVAILABLE UPON REQUEST FOR A PERIOD OF THREE YEARS FROM THE DUE DATE OF THE RETURN. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION DOES NOT GENERALLY MAKE ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. FORM 990, PART XII, LINE 2C THE ORGANIZATION HAS A BOARD OF TRUSTEES THAT ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT AND THE ELECTION OF INDEPENDENT ACCOUNTANTS. THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. UFCW LOCAL 152 3120 FIRE ROAD STE 201 EGG HARBOR TWP NJ 08234 203953178 LABOR TRADE UNION REPRESENTING ITS MEMBERS NJ 501C5 0 UFCW LOCAL 152 RETAIL MEAT PENSION FUND 27 ROLAND AVENUE STE 100 MOUNT LAUREL NJ 08054 236209656 TO PROVIDE PENSION BENEFITS NJ 401A 0 UFCW LOCAL 27 AFLCIO 21 WEST ROAD BALTIMORE MD 21204 521265190 TO IMPROVE WAGES, HOUSE & BENEFITS, & WORKING CONDITIONS MD 501C5 0 UFCW LOCAL 152 SAVINGS PLAN 27 ROLAND AVENUE STE 100 MOUNT LAUREL NJ 08054 236421914 TO PROVIDE 401(K) RETIREMENT BENEFITS NJ 401A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0