TEAMSTERS AND FOOD EMPLOYERS SECURITY TRUST FUND: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization: TEAMSTERS AND FOOD EMPLOYERS SECURITY TRUST FUND (EIN 95-6048844)
Tax period: 2021-01-01 to 2021-12-31
Filed: 2022-10-12
IRS object ID: 202212869349300526
Schema version: 2021v4.2
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
Form 990
Schedule D
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2022-10-12T21:14:42-05:00	ReturnTs
Tax Period End	2021-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	542189926	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	Henningfield & Associates Inc	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	28296 Constellation Road	AddressLine1Txt
City	Valencia	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	91355	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2021-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	956048844	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	TEAMSTERS AND FOOD EMPLOYERS SECURITY	BusinessNameLine1Txt
Business Name Line2	TRUST FUND	BusinessNameLine2Txt

Field	Value	IRS element (for citing)
Business Name Control	TEAM	BusinessNameControlTxt
Phone	6266461075	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1050 LAKES DRIVE SUITE 120	AddressLine1Txt
City	WEST COVINA	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	91790	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	RICK MIDDLETON	PersonNm
Person Title	TRUSTEE	PersonTitleTxt
Phone	6266461075	PhoneNum
Signature	2022-10-12	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	RICK	PersonFirstNm
Person Last	MIDDLETON	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	RANDY D HENNINGFIELD	PreparerPersonNm
PTIN	P01364367	PTIN
Phone	6612953363	PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	3	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2021	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	RICK MIDDLETON	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	450 CARSON PLAZA DRIVE	AddressLine1Txt
City	CARSON	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	90746	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$145,796,443	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c	Yes (X)	Organization501cInd
Website Address	N/A	WebsiteAddressTxt
Type Of Organization Trust	Yes (X)	TypeOfOrganizationTrustInd
Formation	1950	FormationYr
Legal Domicile State	CA	LegalDomicileStateCd
Activity Or Mission	HEALTH & WELFARE BENEFITS PROVIDED TO MEMBERS WHO ARE COVERED BY COLLECTIVE BARGAINING AGREEMENTS BETWEEN UNION AND EMPLOYERS.	ActivityOrMissionDesc
Voting Members Governing Body	6	VotingMembersGoverningBodyCnt
Voting Members Independent	6	VotingMembersIndependentCnt
Total Employee	0	TotalEmployeeCnt
Total Volunteers	0	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$0	PYContributionsGrantsAmt
CY Contributions Grants	$0	CYContributionsGrantsAmt
PY Program Service Revenue	$133,396,586	PYProgramServiceRevenueAmt
CY Program Service Revenue	$137,543,255	CYProgramServiceRevenueAmt
PY Investment Income	$389,791	PYInvestmentIncomeAmt
CY Investment Income	$210,435	CYInvestmentIncomeAmt
PY Other Revenue	$9,365,668	PYOtherRevenueAmt
CY Other Revenue	$8,042,753	CYOtherRevenueAmt
PY Total Revenue	$143,152,045	PYTotalRevenueAmt
CY Total Revenue	$145,796,443	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$137,072,362	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$125,640,457	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$0	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$0	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$6,354,837	PYOtherExpensesAmt
CY Other Expenses	$6,171,492	CYOtherExpensesAmt
PY Total Expenses	$143,427,199	PYTotalExpensesAmt
CY Total Expenses	$131,811,949	CYTotalExpensesAmt
PY Revenues Less Expenses	-$275,154	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$13,984,494	CYRevenuesLessExpensesAmt
Total Assets BOY	$40,560,259	TotalAssetsBOYAmt
Total Assets EOY	$52,333,159	TotalAssetsEOYAmt
Total Liabilities BOY	$10,759,693	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$8,763,697	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$29,800,566	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$43,569,462	NetAssetsOrFundBalancesEOYAmt
Mission	HEALTH & WELFARE BENEFITS PROVIDED TO MEMBERS WHO ARE COVERED BY COLLECTIVE BARGAINING AGREEMENTS BETWEEN UNION AND EMPLOYERS	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$131,811,949	ExpenseAmt
Desc	HEALTH & WELFARE BENEFITS PROVIDED TO MEMBERS WHO ARE COVERED BY COLLECTIVE BARGAINING AGREEMENTS BETWEEN UNION AND EMPLOYERS	Desc
Total Program Service Expenses	$131,811,949	TotalProgramServiceExpensesAmt
Described In Section501c3	0	DescribedInSection501c3Ind
Schedule B Required	0	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	0	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	0	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (1)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	0	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	0	OperateHospitalInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	0	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	0	RelatedOrganizationCtrlEntInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	12	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	0	EmployeeCnt
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	6	GoverningBodyVotingMembersCnt
Independent Voting Member	6	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	Yes (1)	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	0	ConflictOfInterestPolicyInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	0	CompensationProcessCEOInd
Compensation Process Other	0	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	CA	StatesWhereCopyOfReturnIsFldCd
Other Website	Yes (X)	OtherWebsiteInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MR BARRY OSHAROW	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	6266461090	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1050 LAKES DRIVE SUITE 120	AddressLine1Txt
City	WEST COVINA	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	91790	ZIPCd

Field	Value	IRS element (for citing)
No Listed Persons Compensated	Yes (X)	NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (6 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt
BRENT BOHN
TRUSTEE	10.00	Yes (X)	$0	$0	$0
FRANK AFOA
TRUSTEE	10.00	Yes (X)	$0	$0	$0
RICK MIDDLETON
TRUSTEE	10.00	Yes (X)	$0	$0	$0
ERIC TATE
TRUSTEE	10.00	Yes (X)	$0	$0	$0
SONYA MUNOZ
TRUSTEE	10.00	Yes (X)	$0	$0	$0
LEROY WESTMORELAND
TRUSTEE	10.00	Yes (X)	$0	$0	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$0	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$0	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	0	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	0	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
BENESYS ADMINISTRATORS
1050 LAKES DR SUITE 120	WEST COVINA	CA	91790	CONTRACT ADMINISTRATION	$2,946,314
BROADREACH MEDICAL RESOURCES
1350 BROADWAY SUITE 410	NEW YORK	NY	10018	CLAIMS PROCESSING	$1,550,710
ANTHEM BLUE CROSS
11030 WHITE ROCK ROAD	RANCHO CORDOVA	CA	95670	NETWORK ACCESS FEES	$381,961
SEYFARTH SHAW
2029 CENTURY PARK EAST STE 3500	LOS ANGELES	CA	90067	LEGAL	$130,594
HORIZON ACTUARIAL SERVICES
420 EXCHANGE SUITE 260	IRVINE	CA	92602	CONSULTING	$109,190

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	6	CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
EMPLOYER CONTRIBUTIONS	445100	$131,127,646	$131,127,646
RETIREE CONTRIBUTIONS	445100	$6,078,635	$6,078,635
COBRA CONTRIBUTIONS	445100	$336,974	$336,974

Field	Value	IRS element (for citing)
Total Program Service Revenue	$137,543,255	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$210,435	TotalRevenueColumnAmt
Exclusion	$210,435	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PRESCRIPTION REBATES	445100	$6,336,691	$6,336,691
RETIREE PRESCRIPTION SUBSIDY	445100	$1,565,798	$1,565,798
COBRA SUBSIDY INCOME	445100	$112,248	$112,248

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$28,016	TotalRevenueColumnAmt
Related Or Exempt Func Income	$28,016	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$8,042,753	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$145,796,443	TotalRevenueColumnAmt
Related Or Exempt Func Income	$145,586,008	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$210,435	ExclusionAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$125,640,457	TotalAmt
Program Services	$125,640,457	ProgramServicesAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$2,990,557	TotalAmt
Program Services	$2,990,557	ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$211,286	TotalAmt
Program Services	$211,286	ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$24,000	TotalAmt
Program Services	$24,000	ProgramServicesAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$261,949	TotalAmt
Program Services	$261,949	ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$1,285	TotalAmt
Program Services	$1,285	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$57,277	TotalAmt
Program Services	$57,277	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt
ADMINISTRATION - RX	$1,550,710	$1,550,710
PPO NETWORK	$537,414	$537,414
CONSULTANTS	$296,921	$296,921
ADMINISTRATION - VSP	$71,974	$71,974

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$168,119	TotalAmt
Program Services	$168,119	ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$131,811,949	TotalAmt
Program Services	$131,811,949	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$3,421,504	BOYAmt
EOY	$17,795,235	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$9,969,956	BOYAmt
EOY	$7,366,609	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$36,838	BOYAmt
EOY	$44,516	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$27,131,961	BOYAmt
EOY	$27,126,799	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$40,560,259	BOYAmt
EOY	$52,333,159	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$337,947	BOYAmt
EOY	$293,633	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$10,421,746	BOYAmt
EOY	$8,470,064	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$10,759,693	BOYAmt
EOY	$8,763,697	EOYAmt

Field	Value	IRS element (for citing)
Org Does Not Follow FASB117	Yes (X)	OrgDoesNotFollowFASB117Ind

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

Field	Value	IRS element (for citing)
BOY	$29,800,566	BOYAmt
EOY	$43,569,462	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$29,800,566	BOYAmt
EOY	$43,569,462	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$40,560,259	BOYAmt
EOY	$52,333,159	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$13,984,494	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$215,598	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$0	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Separate Basis Fincl Stmt	Yes (X)	SeparateBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule D IRS990ScheduleD

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

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
PREMIUMS PAYABLE, IBNR AND ACCUMULATED ELIG.	$7,919,481
DEFERRED RETIREE CONTRIBUTIONS	$550,583

Field	Value	IRS element (for citing)
Total Liability	$8,470,064	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$145,580,845	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	-$215,598	NetUnrealizedGainsInvstAmt
Revenue Not Reported	-$215,598	RevenueNotReportedAmt
Revenue Subtotal	$145,796,443	RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt	$0	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$145,796,443	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$133,661,050	TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$133,661,050	ExpensesSubtotalAmt
Other Expenses Not Included	-$1,849,101	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	-$1,849,101	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$131,811,949	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part XII, Line 4b - Other Adjustments:	FormAndLineReferenceDesc
Explanation	CHANGE IN PREMIUMS PAYABLE, IBNR & ACCUM. ELIGIBILITY -1,849,101.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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. RICK MIDDLETON - 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.

Schedule R IRS990ScheduleR

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd
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

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	0	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	0	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	0	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd