2020-09-21T15:14:00-05:00 2019-11-30 320043599 LEGACY PROFESSIONALS LLP 4 WESTBROOK CORPORATE CTR 700 WESTCHESTER IL 60154 990 2018-12-01 362440523 U F C W UNIONS & EMPLOYERS MIDWEST HEALTH BENEFITS FUND UFCW 8006215133 18861 90TH AVENUE NO A MOKENA IL 60448 ROBERT O'TOOLE TRUSTEE 8006215133 2020-09-21 1 CRAIG RESCH P00844633 3123680500 2020-09-08 12.235.239.120 2020-09-21 15:13:54 CD P 4FACE35E664BE34504C05171139E07BD5A8DA47B 013BD4BEA457AB31DE8385915B9401809CC4B7ED 2018 2022-02-16 14:24:37Z ROBERT O'TOOLE 18861 90TH AVENUE NO A MOKENA IL 60448 25201496 0 X WWW.UFCWMIDWEST.ORG X 1960 IL PROVIDE HEALTH BENEFITS 6 3 40 0 0 0 0 0 24590227 16456348 316055 481087 610 11453 24906892 16948888 0 0 18822880 17098710 4176939 421010 0 0 0 3067356 4586849 26067175 22106569 -1160283 -5157681 18966192 17678417 279567 5250107 18686625 12428310 PROVIDE HEALTH BENEFITS 0 0 TO PROVIDE HEALTH CARE AND RELATED BENEFITS FOR ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS. 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 40 1 0 0 0 0 0 0 0 0 0 0 X 6 3 0 1 0 0 0 0 0 1 0 0 0 1 1 0 0 1 0 0 0 0 X ZENITH AMERICAN SOLUTIONS 8006215133 18861 90TH AVENUE SUITE A MOKENA IL 60448 ROBERT O'TOOLE TRUSTEE 1.00 55.00 X 0 182107 24203 KENNETH URZEDOWSKI TRUSTEE 1.00 45.00 X 0 174496 24006 STEVEN M POWELL TRUSTEE 1.00 40.00 X 0 273734 24427 BRIAN JORDAN TRUSTEE 1.00 X 0 0 0 WILLIAM R SEEHAFER TRUSTEE 1.00 X 0 0 0 DEREK KINNEY TRUSTEE 1.00 X 0 0 0 0 630337 72636 0 0 1 0 MEDICAL INSURANCE CONSULTING GROUP INC 4949 N WESTERN AVENUE CHICAGO IL 60625 MEDICAL CONSULTING 216585 THE SEGAL COMPANY 101 N WACKER DRIVE CHICAGO IL 60606 ACTUARIAL SERVICES 173028 2 EMPLOYER CONTRIBUTIONS 900099 15956501 15956501 PRESCRIPTION DRUG REBATES 900099 327944 327944 PARTICPANT CONTRIBUTIONS 900099 171903 171903 16456348 385682 385682 8348013 8252608 95405 95405 95405 MISCELLANEOUS INCOME 900099 11453 11453 11453 16948888 16456348 0 492540 17098710 385080 35930 456564 109980 149775 52674 330070 23355 91054 3564 128138 WITHDRAWAL LIABILITY & 1780127 CHANGE IN PENSION LIABI 1410955 WEB CLAIMS SERVICE FEE 44453 FEES MANDATED BY ACA 6140 22106569 897353 157761 678531 234662 1444347 1998877 15945961 15287117 18966192 17678417 279567 174066 0 5076041 279567 5250107 X 0 0 0 0 18686625 12428310 18686625 12428310 18966192 17678417 -5157681 848943 -1949577 0 X 0 1 X 1 0 0 WITHDRAWAL LIABILITY 1715509 ACCRUED PENSION LIABILITY 3360532 5076041 X 17745157 848943 848943 16896214 52674 52674 16948888 22053895 0 22053895 52674 52674 22106569 PART X, LINE 2: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE THE PLAN TO EVALUATE TAX POSITIONS TAKEN BY THE PLAN AND RECOGNIZE A TAX LIABILITY IF THE PLAN HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY TAX AUTHORITIES. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. 0 0 0 ROBERT O'TOOLE TRUSTEE 0 182107 0 0 0 0 0 8393 0 15810 0 206310 0 0 KENNETH URZEDOWSKI TRUSTEE 0 174496 0 0 0 0 0 8196 0 15810 0 198502 0 0 STEVEN M POWELL TRUSTEE 0 222511 0 9608 0 41615 0 3460 0 20967 0 298161 0 0 FORM 990, PART VI, SECTION A, LINE 3 WHILE THE TRUSTEES RETAIN THE ULTIMATE RESPONSIBILITY, THEY HAVE DELEGATED CONTROL OVER THE DAY-TO-DAY MANAGEMENT DUTIES TO ZENITH AMERICAN SOLUTIONS, A THIRD PARTY ADMINISTRATOR. FORM 990, PART VI, SECTION A, LINE 8B THE PLAN DOES NOT HAVE ANY SEPARATE COMMITTEES WITH THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BOARD. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PROVIDED TO THE ENTIRE BOARD OF TRUSTEES FOR REVIEW AND APPROVAL BEFORE IT IS SIGNED AND FILED. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST THROUGH THE FUND'S THIRD PARTY ADMINISTRATOR. FORM 990, PART XI, LINE 8 PRIOR PERIOD ADJUSTMENT: RESTATEMENT OF PRIOR PERIOD ACCURED PENSION LIABILITY - NET: $1,949,577 UNITED FOOD & COMMERICAL WORKERS & EMPRS MW PENSION FUND 18861 90TH AVE SUITE A MOKENA IL 60448 366508328 RETIREMENT BENEFITS FOR ELIGIBLE PARTICIPANTS IL 501(A) N/A 0 UNITED FOOD & COMMERICAL WORKERS LOCAL 881 CONTRIBUTING EMPLOYER 0 UNITED FOOD & COMMERICAL WORKERS LOCAL 1546 CONTRIBUTING EMPLOYER 0 UNITED FOOD & COMMERICAL WORKERS LOCAL 536 CONTRIBUTING EMPLOYER 0 UNITED STEEL WORKERS OF AMERICA LOCAL 6787 CONTRIBUTING EMPLOYER 0 ATHENA SCHOOL CONTRIBUTING EMPLOYER 0 LAKE AREA UNITED WAY CONTRIBUTING EMPLOYER 0 A & G LAUNDROMAT CONTRIBUTING EMPLOYER 0 A1 KOH ENTERPRISE CONTRIBUTING EMPLOYER 0 ANICHINI BROS INC CONTRIBUTING EMPLOYER 0 ANTON'S FRUIT RANCH CONTRIBUTING EMPLOYER 0 APPLE MARKET CONTRIBUTING EMPLOYER 0 ARAMARK UNIFORM SERVICES CONTRIBUTING EMPLOYER 0 ARLINGTON GOURMET MARKET CONTRIBUTING EMPLOYER 0 ARMITAGE HARDWARE & BUILDING SUPPLY CONTRIBUTING EMPLOYER 0 ASCOT MEATS INC CONTRIBUTING EMPLOYER 0 BLUE GOOSE STORE CONTRIBUTING EMPLOYER 0 C & F PACKING CO CONTRIBUTING EMPLOYER 0 CP MEAT MARKET CONTRIBUTING EMPLOYER 0 CHICAGOLAND HAM CONTRIBUTING EMPLOYER 0 COLORADO PREMIUM FOODS CONTRIBUTING EMPLOYER 0 CONSUMER'S PACKING CONTRIBUTING EMPLOYER 0 D & D FINER FOODS CONTRIBUTING EMPLOYER 0 D & S INC CONTRIBUTING EMPLOYER 0 D & S MEAT MARKET CONTRIBUTING EMPLOYER 0 DARLING INTERNATIONAL INC CONTRIBUTING EMPLOYER 0 DISCOUNT MEATS CONTRIBUTING EMPLOYER 0 DOMANI CNSTRCTN & DVLPMNT INC CONTRIBUTING EMPLOYER 0 EX-CEL CORNED BEEF INC CONTRIBUTING EMPLOYER 0 FARMER'S MARKET INC CONTRIBUTING EMPLOYER 0 FELICIA'S CONTRIBUTING EMPLOYER 0 GENE'S TIRE SERVICE INC CONTRIBUTING EMPLOYER 0 GEPPERTH'S MARKET CONTRIBUTING EMPLOYER 0 GLENVIEW GOURMET MEATS CONTRIBUTING EMPLOYER 0 GREAT WESTERN BEEF CONTRIBUTING EMPLOYER 0 HADDAD'S MARKET CONTRIBUTING EMPLOYER 0 HAPPY FOODS INC CONTRIBUTING EMPLOYER 0 HOME FURNITURE LLC CONTRIBUTING EMPLOYER 0 ILL FD RET ASSN CONTRIBUTING EMPLOYER 0 INDIANA GROCERY GROUP CONTRIBUTING EMPLOYER 0 INTERNATIONAL MEAT CO INC CONTRIBUTING EMPLOYER 0 JT AMUSEMENTS LTD CONTRIBUTING EMPLOYER 0 JACK & PAT'S CERT INC CONTRIBUTING EMPLOYER 0 JERRY'S QUALITY MEATS CONTRIBUTING EMPLOYER 0 JOHNNY G'S QUALITY MEATS CONTRIBUTING EMPLOYER 0 KINGDOM FARMS CONTRIBUTING EMPLOYER 0 KRAMER FOODS CONTRIBUTING EMPLOYER 0 MIKE'S MEAT MARKET CONTRIBUTING EMPLOYER 0 MINELLI DELI & MEATS CONTRIBUTING EMPLOYER 0 MR BEEF CONTRIBUTING EMPLOYER 0 MR CKGK INC CONTRIBUTING EMPLOYER 0 MURPHY & ASSOCIATES LTD CONTRIBUTING EMPLOYER 0 NAPERVILLE MEAT MARKET CONTRIBUTING EMPLOYER 0 ONE STOP FOOD & LIQUORS CONTRIBUTING EMPLOYER 0 ONE STOP PACEMAKER CONTRIBUTING EMPLOYER 0 ORCHARD PRIME MEATS CONTRIBUTING EMPLOYER 0 P & V CATERING CONTRIBUTING EMPLOYER 0 PARKSHORE MARKET LTD CONTRIBUTING EMPLOYER 0 PAULINA MARKET CONTRIBUTING EMPLOYER 0 PERSONAL CHEF SERVICES CONTRIBUTING EMPLOYER 0 PHYISCAL THERAPY CONTRIBUTING EMPLOYER 0 POTASH BROTHERS CONTRIBUTING EMPLOYER 0 PRIME'N TENDER MEATS CONTRIBUTING EMPLOYER 0 RABER PACKING CO CONTRIBUTING EMPLOYER 0 RIVERSIDE FOODS CONTRIBUTING EMPLOYER 0 RUSSO WHOLESALE CONTRIBUTING EMPLOYER 0 SNN INC CONTRIBUTING EMPLOYER 0 SAURO & ASSOC INC CONTRIBUTING EMPLOYER 0 SEGAL MARCO ADVISORS CONTRIBUTING EMPLOYER 0 STEINBACH MEATS CONTRIBUTING EMPLOYER 0 STRACK-ULTRA CONTRIBUTING EMPLOYER 0 SULLIVANS PROVISIONS CONTRIBUTING EMPLOYER 0 SUNSET FOOD MART CONTRIBUTING EMPLOYER 0 SUPERVALU CONTRIBUTING EMPLOYER 0 TED'S AUTO CLINIC CONTRIBUTING EMPLOYER 0 THE KROGER COMPANY CONTRIBUTING EMPLOYER 0 TREASURE ISLAND CONTRIBUTING EMPLOYER 0 TRISTATE SECURITY OF AMERICA CONTRIBUTING EMPLOYER 0 WELCH'S STOP & SHOP CONTRIBUTING EMPLOYER 0 WHEATON MEAT CO CONTRIBUTING EMPLOYER 0 WINSTON'S SAUSAGE CONTRIBUTING EMPLOYER 0 YESTER YEARS MEAT SHOPPE CONTRIBUTING EMPLOYER 0 ZENITH AMERICAN SOLUTIONS CONTRIBUTING EMPLOYER 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 UNITED FOOD AND COMMERICAL WORKERS UNIONS & EMPLOYERS MIDWEST PENSION FUND Q 363054