2022-04-05T11:48:55-05:00 2021-06-30 542189926 HENNINGFIELD & ASSOCIATES INC 28296 CONSTELLATION ROAD VALENCIA CA 91355 990 2020-07-01 956134346 FOOD EMPLOYERS & BAKERY & CONFECTIONERY WORKERS BENEFIT FUND OF SOUTHERN CALIF FOOD 6267324500 1325 NORTH GRAND AVENUE COVINA CA 91724 DOYLE TOWNSON TRUSTEE 6267324500 2022-04-04 1 DOYLE TOWNSON 999009999 RANDY D HENNINGFIELD P01364367 6612953363 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z DOYLE TOWNSON 450 CARSON PLAZA CARSON CA 90746 13089064 0 X N/A X 1965 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 12989338 12688693 134211 79857 1238288 320514 14361837 13089064 0 0 11097379 10499904 0 0 0 0 0 668983 685774 11766362 11185678 2595475 1903386 13013542 14730506 2608104 2449738 10405438 12280768 HEALTH & WELFARE BENEFITS PROVIDED TO MEMBERS WHO ARE COVERED BY COLLECTIVE BARGAINING AGREEMENTS BETWEEN UNION AND EMPLOYERS. 0 0 11185678 HEALTH & WELFARE BENEFITS PROVIDED TO MEMBERS WHO ARE COVERED BY COLLECTIVE BARGAINING AGREEMENTS BETWEEN UNION AND EMPLOYERS. 11185678 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 15 0 1 0 0 0 0 0 0 0 0 0 X 6 6 0 1 0 0 0 0 0 1 1 0 0 1 1 0 0 1 1 0 0 0 CA X X MS NATASHA SCHUMAN 6267322502 1325 NORTH GRAND AVENUE COVINA CA 91724 X SONIA MUNOZ TRUSTEE 5.00 X 0 0 0 STEFANIE GUSHA TRUSTEE 5.00 X 0 0 0 DOYLE TOWNSON TRUSTEE 5.00 X 0 0 0 KARRIE SETTERS TRUSTEE 5.00 X 0 0 0 LEROY WESTMORELAND TRUSTEE 5.00 X 0 0 0 0 0 0 0 0 0 0 ZENITH AMERICAN SOLUTIONS 1325 N GRAND AVE COVINA CA 91724 ADMINISTRATOR 254737 BLUE CROSS 21555 OXNARD STREET WOODLAND HILLS CA 91365 COST CONTAINMENT 127222 2 EMPLOYER CONTRIBUTIONS 445100 12142802 12142802 RETIREE CONTRIBUTIONS 445100 543630 543630 COBRA CONTRIBUTIONS 445100 2261 2261 12688693 79857 79857 STOP LOSS RECOVERIES 445100 258036 258036 PRESCRIPTION REBATES 445100 38199 38199 RETIREE PRESCRIPTIONS 445100 17913 17913 6366 6366 320514 13089064 13009207 0 79857 10499904 254737 106685 23445 32360 1646 9004 COST CONTAINMENT FEES 125853 CONSULTANTS FEES 96480 DENTAL CLAIMS CONSULTAN 10297 BANK CHARGES 9970 15297 11185678 709060 241303 3414282 3971676 1030270 985056 418457 32131 8793 7886 7432680 9492454 13013542 14730506 36104 61738 2572000 2388000 2608104 2449738 X 0 0 0 0 10405438 12280768 10405438 12280768 13013542 14730506 1903386 -28056 0 X 0 1 X 1 0 0 IBNR & ACCUM. ELIGIBILITY 2388000 2388000 13061008 -28056 -28056 13089064 0 13089064 11369678 0 11369678 -184000 -184000 11185678 PART XII, LINE 4B - OTHER ADJUSTMENTS: CHANGE IN ACCUMULATED ELIGIBILITY AND IBNR AND PREMIUMS PAYABLE 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 AND SPDS ARE AVAILABLE FROM THE ADMINISTRATOR UPON REQUEST. AUDITED FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC BY REQUEST OF THE DOL OR THE ADMINISTRATION AS WELL AS THE DOL WEBSITE. FORM 990, PART VII CONTACT ADDRESSES FOR OFFICERS, DIRECTORS, ETC SONIA MUNOZ - 301 S. TIPPECANOE, SAN BERNARDINO, CA 92408. STEFANIE GUSHA - 1421 S. MANHATTAN AVE., FULLERTON, CA 92831. DOYLE TOWNSON - 450 CARSON PLAZA, CARSON, CA 90746. KARRIE SETTERS - 6801 E. WASHINGTON BLVD., COMMERCE, CA 90040. LEROY WESTMORELAND - 1100 W ARTESIA BLVD, COMPTON, CA 90220. ALBERTSON'S 1421 S MANHATTAN AVE FULLERTON CA 92831 204057706 RETAIL GROCERS CA C 0 VONS SAFEWAY 618 MICHILLINDA AVE ARCADIA CA 91007 381623900 RETAIL GROCERS CA C 0 RALPHS 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