2021-11-11T10:54:28-06:00 2020-12-31 222951202 MSPC CPAS & ADVISORS PC 340 NORTH AVENUE EAST CRANFORD NJ 070162496 990 2020-01-01 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 2021-11-11 1 BRIAN STRING 999009999 PATRICK M TROMBETTA P00450410 9082727000 0 AAL1 IAL1 2020 2022-09-23 18:48:47Z BRIAN STRING 27 ROLAND AVENUE SUITE 100 MOUNT LAUREL NJ 08054 131333351 0 X N/A X 1956 NJ PROVIDE HEALTH AND WELFARE BENEFITS FOR ELIGIBLE MEMBERS OF UFCW LOCAL 152 & LOCAL 27 8 0 0 0 0 0 0 0 127873146 130463876 298292 192152 0 677323 128171438 131333351 0 0 112908976 111898640 0 0 0 0 0 10212783 10802744 123121759 122701384 5049679 8631967 40069209 49682517 899124 11835704 39170085 37846813 THE ORGANIZATION IS THE TRUST FOR A MULTIEMPLOYER WELFARE BENEFIT PLAN THAT COVERS ELIGIBLE MEMBERS OF THE UFCW LOCAL 152 & LOCAL 27 AND THEIR DEPENDENTS, ESTABLISHED PURSUANT TO VARIOUS COLLECTIVE BARGAINING AGREEMENTS. 0 0 HEALTH AND WELFARE BENEFITS FOR ELIGIBLE MEMBERS OF UFCW LOCAL 152 & LOCAL 27 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 17 0 1 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/CHAIRMAN 1.00 39.00 X X 0 407616 50214 CARMINE DELVICARIO UNION TRUSTEE 1.00 39.00 X 0 135916 42631 DANIEL J ROSS JR UNION TRUSTEE 1.00 39.00 X 0 144196 40783 NELSON HILL UNION TRUSTEE 1.00 39.00 X 0 135311 35181 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 DEWEY CANNELLA EMPLOYER TRUSTEE 1.00 39.00 X 0 0 0 0 823039 168809 0 0 1 0 HORIZON BLUE CROSS BLUE SHIELD THREE PENN PLAZA EAST NEWARK NJ 07105 ADMINISTRATOR FEE 4694148 TRI-STATE ADMINISTRATORS INC 27 ROLAND AVENUE SUITE 100 MOUNT LAUREL NJ 08054 PLAN ADMINISTRATOR 4542327 EXPRESS SCRIPTS (ESI) 21653 NETWORK PLACE CHICAGO IL 60673 ADMINISTRATOR FEE 1105207 3 EMPLOYER CONTRIBUTIONS 900099 130463876 130463876 130463876 192152 192152 COBRA 900099 677323 677323 677323 131333351 131141199 0 192152 111898640 129721 67999 10451274 45715 21323 31030 PCORI 47333 TRUSTEE MEETING 6834 DUES & SUBSCRIPTIONS 1515 122701384 12571079 14751073 5926422 10715552 24298 25344 14710579 16049127 6836831 8141421 40069209 49682517 486084 547081 413040 11288623 899124 11835704 X 0 0 0 0 39170085 37846813 39170085 37846813 40069209 49682517 X 8631967 1153761 -11109000 X X 0 1 X 1 0 0 REBATE RECEIVABLE 5391863 HOSPITALIZATION DEPOSITS 2747808 DUE FROM RELATED FUNDS 1750 8141421 EMPLOYER WITHDRAWAL LIABILITY 85623 BENEFIT CLAIMS PAYABLE 11203000 11288623 X 132487112 1153761 1153761 131333351 0 131333351 122607384 0 122607384 94000 94000 122701384 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, 2020 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 94,000. X 0 0 0 BRIAN STRING UNION TRUSTEE/CHAIRMAN 0 407616 0 0 0 0 0 17406 0 32808 0 457830 0 0 DANIEL J ROSS JR UNION TRUSTEE 0 144196 0 0 0 0 0 7975 0 32808 0 184979 0 0 CARMINE DELVICARIO UNION TRUSTEE 0 135916 0 0 0 0 0 20213 0 22418 0 178547 0 0 NELSON HILL UNION TRUSTEE 0 135311 0 0 0 0 0 10825 0 24356 0 170492 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 XI, LINE 9: PRIOR PERIOD BENEFIT CLAIMS PAYABLE ADJUSTMENT -11,109,000. 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 NJ 501C5 0 UFCW LOCAL 152 RETAIL MEAT PENSION FUND 27 ROLAND AVENUE STE 100 MOUNT LAUREL NJ 08054 236209656 NJ 401A 0 UFCW LOCAL 27 AFLCIO 21 WEST ROAD BALTIMORE MD 21204 521265190 MD 501C5 0 UFCW LOCAL 152 SAVINGS PLAN 27 ROLAND AVENUE STE 100 MOUNT LAUREL NJ 08054 236421914 NJ 401A 0 BOROUGH OF BRADLEY BEACH CO OF MONMOUTH FIRST PEOPLES COMM FCU OUR LADYS CTR REHAB & HEALTH ST MARY'S CTR REHAB & HEALTH UNITED METHODIST AT BRISTOL GL BISHOP MCCARTHY CTR REHAB & HLT COLLIGAS FAMILY MARKET ACME PHARMACY ACME EASTERN SHORE AUNT KITTY'S FOODS AUTUMN LAKE HEALTHCARE AVON FOODS INC B & A SEAFOOD INC BARRY CALLEBAUT (USA BEEF INTERNATIONAL INC BERKS PACKING CO INC BEVCO SERVICE INC BOTTINO'S SUPERMARKETS BOTTINO'S SR LIQUOR BROWN'S SUPERSTORES BUMBLE BEE FOODS SNOW DOXEE CASE PORK ROLL CO INC CATELLI BROTHERS CHARTWELLS CHESAPEAKE OPTICAL LAB COASTAL POOLS & SPA COLLINGS WOOD MANOR CROTHALL HEALTH CARE INC DE SUPERMARKETS DELMAR NURSING & REHABILITATION DREXELINE SUPER VALUE DS SERVICES OF AMERICA INC E FRANK HOPKINS CO INC EAGLE VIEW HEALTH & REHABILITION EICKHOFF SUPERMARKETS EMPIRE CRAB INC ENVIROCHEM INC ENVIRONMENTAL SERV CONCEPTS EUROPEAN COFFEE CLASSICS FAMILY FOODS PRODUCTS INC FELRA FELRA UNITED AMERICA ONLY FOOD TOWN FOOD CIRCUS FOOD TOWN JACK'S SPMKTS FOODTOWN NICHOLAS MKTS FOODTOWN V & V MKTS FOOD TOWNE STEVE Z MKTS FROSTBURG HSG FROSTBURG NURSING FROSTBURG VIL ASST LIVING GEORGE L WELLS MEAT COMPANY GEORGE'S MARKET AT DRESHERTOWN GMS ZALLIE HOLDINGS INC GOYA FOODS INC INCOLLINGO'S INCOLLINGO'S IGA J & J SNACK FOODS CORP JOHANNA FOODS INC KRAFT HEINZ FOODS KUNZLER & COMPANY INC LASSONDE PAPPAS AND CO INC LAWRENCE STREET SEAFOOD LAWRENCE WAREHOUSING LFM FOOD CORP TA CTOWN SUPER LIBERTY BELL STEAK CO LIONS MANOR NURSING HOME MARYLAND PLASTICSINC MEADOW LAKES FACILITY MURPHY'S AT THE LAKES MURPHY'S BY THE SEA MURPHY'S MARKET PLACE THE PINES MURPHY'S OCEANA REHAB OLD FASHIONED KITCHEN INC OTTO C RODE INC PURATOS CORPORATION R & R SHOPRITE RALPH & PAUL ADAMS INC REED & PERRINE SAKER SHOPRITES SAMUELS & SON SEAFOOD CO INC SHOP RITE OF MANAHAWKIN SHOP RITE OF MULLICA HILL SHOP RITE OF WEST CHESTER SIMMONS PET FOOD INC SOMERSET SR LAWNS IDEGIBBSTOWN SOMERSETSR OF MEDFORD SUPERMARKETS OF CH SYSCO FOOD SERVICES OF PHILA TAYLOR PROVISIONS COMPANY THE FRESH GROCER TRISTATE ADMINISTRATORS INC TYSON VACCARO & ASSOCIATES VICTORIA COMMONS VICTORIA MANOR VILLAGE SUPERMARKETS WHEATON ZALLIE'S SUPERMARKETS 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 1