2021-03-01T09:40:53-06:00 2020-04-30 611436956 NOVAK FRANCELLA LLC ONE PRESIDENTIAL BLVD SUITE 330 BALA CYNWYD PA 19004 990 2019-05-01 042433313 UFCW AND PARTICIPATING EMPLOYERS INTERSTATE HEALTH & WELFARE FUND RETA 4014354700 40 COMMERCIAL WAY EAST PROVIDENCE RI 02914 RICHARD CHARETTE CHAIRMAN 4014354700 2021-03-01 1 LOUIS VERZELLA CPA P00360279 6106689400 2021-02-11 2019 2022-09-23 18:48:47Z RICHARD CHARETTE 40 COMMERCIAL WAY EAST PROVIDENCE RI 02914 86952134 0 X N/A X 1967 RI TO PROVIDE MEDICAL, DENTAL, VISION, HEARING, PRESCRIPTION, DISABILITY, LIFE AND ACCIDENTAL DEATH AND DISMEMBERMENT BENEFITS TO ELIGIBLE PARTICIPANTS. 6 0 0 0 0 0 0 0 75562737 69307510 847442 1032194 169745 85266 76579924 70424970 0 0 64896814 66195376 12000 12000 0 0 0 5625188 5844736 70534002 72052112 6045922 -1627142 48951440 48104486 6028753 6150178 42922687 41954308 TO PROVIDE MEDICAL, DENTAL, VISION, HEARING, PRESCRIPTION, DISABILITY, LIFE AND ACCIDENTAL DEATH AND DISMEMBERMENT BENEFITS TO ELIGIBLE PARTICIPANTS. 0 0 TO PROVIDE MEDICAL, DENTAL, VISION, HEARING, PRESCRIPTION, DISABILITY, LIFE AND ACCIDENTAL DEATH AND DISMEMBERMENT BENEFITS TO ELIGIBLE PARTICIPANTS. 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 0 0 0 0 0 0 0 0 0 0 X 6 0 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X SARA COTE CO LONDON HEALTH ADMINISTRATORS 4014354700 40 COMMERCIAL WAY EAST PROVIDENCE RI 02914 CYNDIE ESTEVAO UNION - ALTERNATE TRUSTEE 2.00 40.00 X 0 131476 30488 DOMENIC PONTARELLI UNION - ALTERNATE TRUSTEE 2.00 40.00 X 0 142142 30547 GENE DEL ROSARIO EMPLOYER - ALTERNATE TRUST 2.00 X 0 0 0 JAMES RONAYNE UNION TRUSTEE 2.00 40.00 X 0 92400 17191 JASON PARADIS EMPLOYER TRUSTEE 2.00 X 0 0 0 JEFF BOLLEN UNION TRUSTEE 2.00 40.00 X 0 156000 20371 SUSAN SANVILLE EMPLOYER TRUSTEE 2.00 X 0 0 0 TIMOTHY MELIA UNION TRUSTEE 2.00 40.00 X 0 177846 30742 TOM BROWN UNION - ALTERNATE TRUSTEE 2.00 40.00 X 0 134750 19309 ROBERT SPINELLA EMPLOYER TRUSTEE 2.00 X 0 0 0 CHRISTA KRAMER EMPLOYER - ALTERNATE TRUST 2.00 X 0 0 0 RICHARD CHARETTE CHAIRMAN/PROFESSIONAL TRUS 10.00 X 12000 0 0 12000 834614 148648 0 0 1 0 BLUE CROSSBLUE SHIELD OF RI 500 EXCHANGE STREET PROVIDENCE RI 029032699 CLAIMS ADMINISTRATOR 2844971 LONDON HEALTH ADMINISTRATORS 40 COMMERCIAL WAY EAST PROVIDENCE RI 02914 THIRD PARTY ADMINISTRATOR 2062844 THE SEGAL COMPANY 30 WATERSIDE DRIVE -SUITE 300 FARMINGTON CT 06032 CONSULTANT 194496 MURPHY HESSE TOOMEY & LEHANE 300 CROWN COLONY DRIVE SUITE 410 QUINCY MA 021699126 ATTORNEY 102534 4 EMPLOYER CONTRIBUTIONS 900099 62820234 62820234 PARTICIPANT AND RETIREE CONTRIBUT 900099 6487276 6487276 69307510 924510 924510 16634848 16527164 107684 107684 107684 BENEFITS RECOVERED 900099 85266 85266 85266 70424970 69392776 0 1032194 X 66195376 12000 2062844 133559 109319 102184 3218747 177197 22083 18803 72052112 1297240 2549840 31439355 28741127 1238909 1455627 14023223 14405179 952713 952713 48951440 48104486 51720 164194 5977033 5985984 6028753 6150178 X 42922687 41954308 0 0 0 0 42922687 41954308 48951440 48104486 -1627142 658763 0 X X 0 1 X 1 0 0 CURRENTLY PAYABLE BENEFIT OBLIGATIONS 5985984 5985984 X 70981549 658763 658763 70322786 102184 102184 70424970 71940977 0 71940977 102184 8951 111135 72052112 PART X, LINE 2: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE FUND MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE FUND AND RECOGNIZE A TAX LIABILITY IF THE FUND HAS TAKEN AN UNCERTAIN POSITION THAT, MORE LIKELY THAN NOT, WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE U.S. FEDERAL, STATE, OR LOCAL TAXING AUTHORITIES. THE FUND IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. TYPICALLY, PLAN TAX YEARS WILL REMAIN OPEN FOR THREE YEARS; HOWEVER, THIS MAY DIFFER DEPENDING UPON THE CIRCUMSTANCES OF THE PLAN. PART XII, LINE 4B - OTHER ADJUSTMENTS: CHANGES IN CURRENTLY PAYABLE BENEFIT OBLIGATIONS 8,951. 0 0 0 CYNDIE ESTEVAO UNION - ALTERNATE TRUSTEE 0 131476 0 0 0 0 0 16252 0 14236 0 161964 0 0 DOMENIC PONTARELLI UNION - ALTERNATE TRUSTEE 0 142142 0 0 0 0 0 16252 0 14295 0 172689 0 0 JEFF BOLLEN UNION TRUSTEE 0 156000 0 0 0 0 0 7800 0 12571 0 176371 0 0 TIMOTHY MELIA UNION TRUSTEE 0 177846 0 0 0 0 0 16252 0 14490 0 208588 0 0 TOM BROWN UNION - ALTERNATE TRUSTEE 0 134750 0 0 0 0 0 6738 0 12571 0 154059 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE FUND'S FORM 990 IS PREPARED BY THE INDEPENDENT ACCOUNTANT WHO THEN PROVIDES A COPY TO ALL MEMBERS OF THE GOVERNING BODY FOR THEIR APPROVAL AND SIGNATURE PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICT OF INTEREST, TRUSTEES, FUND EMPLOYEES AND OTHER INTERESTED PERSONS MUST DISCLOSE THE EXISTENCE OF A FINANCIAL INTEREST AND BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE BOARD OF TRUSTEES AND COMMITTEES WITH BOARD OF TRUSTEES' DELEGATED POWERS. CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT AFTER SUCH DISCLOSURE, AND AFTER DISCUSSION WITH THE INTERESTED PERSON, THE BOARD OF TRUSTEES SHALL DECIDE IF A CONFLICT OF INTEREST EXISTS. THE CHAIRPERSON OF THE BOARD OF TRUSTEES SHALL, IF APPROPRIATE, APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT. IF THE BOARD OF TRUSTEES HAS REASONABLE CAUSE TO BELIEVE A PERSON HAS FAILED TO DISCLOSE ACTUAL OR POTENTIAL CONFLICTS OF INTEREST, IT SHALL AFFORD THE PERSON THE OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE, AND IF WARRANTED, TAKE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION. THE MINUTES OF THE BOARD OF TRUSTEES SHALL REFLECT ANY DISCLOSABLE OR DISCOVERED POTENTIAL OR ACTUAL CONFLICTS OF INTEREST, AS WELL AS ACTIONS TAKEN REGARDING SUCH MATTERS. FORM 990, PART VI, SECTION C, LINE 19 THE FUND PROVIDES TO EACH OF ITS PARTICIPANTS ON AN ANNUAL BASIS, A SUMMARY OF THE FUND'S FINANCIAL STATUS, AND MAKES AVAILABLE, UPON REQUEST, ANY OTHER GOVERNING DOCUMENTS OR POLICIES AS REQUIRED BY ERISA AND THE INTERNAL REVENUE SERVICE. FORM 990, PART IX, LINE 11G BENEFITS ADMINISTRATION FEES 3,024,251. BENEFITS CONSULTANT 194,496. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED. UFCW LOCAL UNION NO 1445 30 STERGIS WAY DEDHAM MA 02026 041768085 LABOR UNION MA 501(C)(5) 0 UFCW LOCAL UNION NO 328 278 SILVER SPRING STREET PROVIDENCE RI 02904 050227658 LABOR UNION RI 501(C)(5) 0 STOP AND SHOP COMPANIES INC WEETABIX GORTON'S SEAFOOD BAKER COMMODITIES INC SPORTS SERVICE MEDICAL AND LIFE ROBBINS BEEF COMPANY INC CITY PACKING 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0