2019-09-16T09:46:52-05:00 2018-11-30 611436956 NOVAK FRANCELLA LLC ONE PRESIDENTIAL BLVD SUITE 330 BALA CYNWYD PA 19004 990 2017-12-01 237042767 UNITED FOOD AND COMMERCIAL WORKERS UNION LOCAL 1262 & EMPLOYERS HEALTH & WELFARE UNIT 9737785800 1389 BROAD ST CLIFTON NJ 07013 HARVEY WHILLE TRUSTEE 9737785800 2019-09-16 LOUIS VERZELLA CPA P00360279 6106689400 2019-09-06 162.211.205.39 2019-09-16 09:46:16 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 214E2DE4754F8F73DD572B34B07E6CCBC316F7C9 2017 2019-02-21 02:37:17Z HARVEY WHILLE 1389 BROAD ST CLIFTON NJ 07013 76366527 0 X WWW.UFCW1262.ORG X 1968 NJ TO PROVIDE HOSPITAL, SURGICAL, MAJOR MEDICAL, DENTAL, PRESCRIPTION DRUG, VISION, LIFE INSURANCE AND MEDICAL BENEFITS TO ELIGIBLE PARTICIPANTS. 6 3 0 0 0 0 0 0 29404660 33315192 260682 291981 0 0 29665342 33607173 0 0 28529771 31125224 550822 543497 0 0 0 750212 999054 29830805 32667775 -165463 939398 13958466 14605005 487132 408472 13471334 14196533 TO PROVIDE HOSPITAL, SURGICAL, MAJOR MEDICAL, DENTAL, PRESCRIPTION DRUG, VISION, LIFE INSURANCE AND MEDICAL BENEFITS TO ELIGIBLE PARTICIPANTS. 0 0 TO PROVIDE HOSPITAL, SURGICAL, MAJOR MEDICAL, DENTAL, PRESCRIPTION DRUG, VISION, LIFE INSURANCE AND MEDICAL BENEFITS TO ELIGIBLE PARTICIPANTS. 0 0 0 0 0 0 0 0 0 1 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 5 0 0 0 0 0 0 0 0 X 6 3 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 X ROBERT GEREMINO CONTROLLER 9737785800 1389 BROAD ST CLIFTON NJ 07013 HARVEY WHILLE UNION TRUSTEE - CHAIRMAN 0.50 40.00 X 0 368912 21225 JOHN COLELLA UNION TRUSTEE 0.50 40.00 X 0 321912 21225 MICHAEL GROSSO EMPLOYER TRUSTEE (P) 0.50 X 0 0 0 ANN NICHOLS EMPLOYER TRUSTEE 0.50 X 0 0 0 GENE DEL ROSARIO EMPLOYER TRUSTEE 0.50 X 0 0 0 DONALD MERRITT UNION TRUSTEE 0.50 40.00 X 0 164892 21225 MICHELLE CASTELLANA EMPLOYER TRUSTEE 0.50 X 0 0 0 0 855716 63675 0 0 1 0 HORIZON BCBS OF NJ 3 PONY LANE FLEMINGTON NJ 08822 CLAIMS ADMINISTRATOR 1087582 MORGAN LEWIS & BOCKIUS LLP 1701 MARKET STREET PHILADELPHIA PA 19103 LEGAL 249805 FRANK VACARRO & ASSOCIATES INC 27 ROLAND AVE 200 MOUNT LAUREL NJ 08054 THIRD PARTY ADMINISTRATOR 199368 MURPHY ANDERSON PLLC 1401 K STREET NW STE 300 WASHINGTON DC 20005 LEGAL 102909 4 EMPLOYER CONTRIBUTIONS 900099 32373535 32373535 RETIREE CONTRIBUTIONS 900099 519648 519648 LEGAL CONTRIBUTIONS 900099 215253 215253 COBRA CONTRIBUTIONS 900099 206756 206756 33315192 402369 402369 42648966 42759354 -110388 -110388 -110388 33607173 33315192 0 291981 31125224 389544 27827 93604 32522 199368 352714 43053 37887 106034 86971 101853 28391 12863 880 18421 FEES MANDATED BY THE AF 10619 32667775 72431 68977 603795 472046 2115125 2875178 9884 10153 58974 57946 1440 1028 10662317 10684149 493474 493474 13958466 14605005 314989 214547 172143 193925 487132 408472 X 0 0 0 0 13471334 14196533 13471334 14196533 13958466 14605005 939398 -214199 0 X X 0 1 X 1 0 2528 2481 47 36875 36614 261 19571 18851 720 1028 SERP LIABILITY 41054 DUE TO RELATED PARTIES 132117 SECURITIES PURCHASED AND NOT SETTLED 20754 193925 X 33355087 -214199 -214199 33569286 37887 37887 33607173 32629888 0 32629888 37887 37887 32667775 PART X, LINE 2: THE PLAN OBTAINED ITS LATEST EXEMPTION LETTER DATED MAY 8, 1970 IN WHICH THE INTERNAL REVENUE SERVICE STATED THAT THE PLAN, AS THEN DESIGNED, WAS IN COMPLIANCE WITH THE APPLICABLE REQUIREMENTS OF THE INTERNAL REVENUE CODE AND WAS, THEREFORE, EXEMPT FROM FEDERAL INCOME TAXES UNDER THE PROVISIONS OF SECTION 501(C)(9). THE PLAN HAS BEEN AMENDED SINCE RECEIVING THE EXEMPTION LETTER. THE PLAN'S ADMINISTRATOR AND THE PLAN'S COUNSEL BELIEVE THAT THE PLAN IS CURRENTLY DESIGNED AND BEING OPERATED IN COMPLIANCE WITH THE APPLICABLE REQUIREMENTS OF THE INTERNAL REVENUE CODE. 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 IF THE PLAN 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 PLAN 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. 0 0 0 HARVEY WHILLE UNION TRUSTEE - CHAIRMAN 0 368912 0 0 0 0 0 4209 0 17016 0 390137 0 0 JOHN COLELLA UNION TRUSTEE 0 321912 0 0 0 0 0 4209 0 17016 0 343137 0 0 DONALD MERRITT UNION TRUSTEE 0 164892 0 0 0 0 0 4209 0 17016 0 186117 0 0 FORM 990, PART VI, SECTION A, LINE 8B THE ORGANIZATION HAS NO SUBCOMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B THE UFCW LOCAL 1262 AND EMPLOYERS HEALTH AND WELFARE FORM 990 IS PREPARED BY ITS INDEPENDENT ACCOUNTANT AND IS SUBMITTED AND REVIEWED WITH THE ADMINISTRATOR. THE ADMINISTRATOR THEN REVIEWS IT WITH THE CHAIRPERSON OF THE BOARD OF TRUSTEES FOR THEIR APPROVAL PRIOR TO FILING. A COPY OF THE FORM 990 IS AVAILABLE TO THE EXECUTIVE BOARD MEMBERS UPON REQUEST. FORM 990, PART VI, SECTION C, LINE 19 THE FUND'S GOVERNING DOCUMENTS, POLICIES AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST AND MAY BE VIEWED AT THE FUND OFFICE. FORM 990, PART VII CONTACT ADDRESSES FOR OFFICERS, DIRECTORS, ETC MICHAEL GROSSO - 287 BOWMAN AVENUE, PURCHASE, NY 10577. ANN NICHOLS - 1129 ROUTE 34 NORTH, ABERDEEN, NJ 07747. GENE DEL ROSARIO - 1129 ROUTE 34 NORTH, ABERDEEN, NJ 07747. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED. UFCW LOCAL 1262 & EMPLOYERS PENSION FUND 1389 BROAD STREET CLIFTON NJ 07013 226074414 TO PROVIDE PENSION BENEFITS TO ELIGIBLE MEMBERS AND THEIR BENEFICIARIES NJ 501(A) 0 UFCW LOCAL 1262 & EMPLOYERS LEGAL SERVICES FUND 1389 BROAD STREET CLIFTON NJ 07013 222238707 TO PROVIDE LEGAL BENEFITS TO ELIGIBLE MEMBERS NJ 501(C)(9) 0 UFCW LOCAL 1262 & EMPLOYERS WELFARE FUND 1389 BROAD STREET CLIFTON NJ 07013 226137317 TO PROVIDE HEALTH, MEDICAL & OTHER BENEFITS TO ELIGIBLE MEMBERS NJ 501(C)(9) 0 UFCW LOCAL 1262 1389 BROAD STREET CLIFTON NJ 07013 221339607 REPRESENTS MEMBERS IN COLLECTIVE BARGAINING MATTERS WITH EMPLOYERS NJ 501(C)(5) 0 UFCW LOCAL 1262 & EMPLOYERS RETAIL NON-FOOD PENSION FUND 1389 BROAD STREET CLIFTON NJ 07013 226181292 TO PROVIDE PENSION BENEFITS TO ELIGIBLE MEMBERS AND THEIR BENEFICIARIES NJ 501(A) 0 UFCW LOCAL 1262 PATHMARK HEALTH & WELFARE FUND 1389 BROAD STREET CLIFTON NJ 07013 371664252 TO PROVIDE HEALTH, MEDICAL & OTHER BENEFITS TO ELIGIBLE MEMBERS NJ 501(C)(9) 0 UFCW LOCAL 1262 & EMPLOYERS HEALTH FUND 1389 BROAD STREET CLIFTON NJ 07013 463496310 TO PROVIDE HEALTH, MEDICAL & OTHER BENEFITS TO ELIGIBLE MEMBERS NJ 501(C)(9) 0 STOP AND SHOP NJ TOPS MARKETS NY MORTAN WILLIAMS NY 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0 0 UFCW LOCAL 1262 & EMPLOYERS PENSION FUND O 543496 FMV UFCW LOCAL 1262 & EMPLOYERS PENSION FUND P 202145 FMV UFCW LOCAL 1262 K 28391 FMV UFCW LOCAL 1262 P 116149 FMV