UFCW LOCAL ONE HEALTH CARE FUND: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- UFCW LOCAL ONE HEALTH CARE FUND (EIN 16-0915820)
- Tax period
- 2017-01-01 to 2017-12-31
- Filed
- 2018-11-15
- IRS object ID
- 201843199349317569
- Schema version
- 2017v2.3
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-11-15T17:09:02-06:00 | ReturnTs |
| Tax Period End | 2017-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 510545975 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PETER DECARLO CPA PLLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 112 WEST 34TH STREET 18TH FLOOR | AddressLine1Txt |
| City | NEW YORK | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10120 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2017-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 160915820 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | UFCW LOCAL ONE HEALTH CARE FUND | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | UFCW | BusinessNameControlTxt |
| Phone | 3157979600 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5911 AIRPORT ROAD | AddressLine1Txt |
| City | ORISKANY | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 13424 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | FRANK C DERISO | PersonNm |
| Person Title | TRUSTEE | PersonTitleTxt |
| Phone | 3157979600 | PhoneNum |
| Signature | 2018-11-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | PETER DECARLO CPA | PreparerPersonNm |
| PTIN | P00851470 | PTIN |
| Phone | 2129464907 | PhoneNum |
| Self Employed | Yes (X) | SelfEmployedInd |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 24.103.29.42 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2018-11-15 | IPDt |
| IP Tm | 17:59:40 | IPTm |
| IP Timezone | ES | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | C9F70DB8D82EB9DFE76578BB8F5B4B88DCB01883 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | C9F70DB8D82EB9DFE76578BB8F5B4B88DCB01883 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | FRANK C DERISO | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5911 AIRPORT ROAD | AddressLine1Txt |
| City | ORISKANY | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 13424 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $80,631,626 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c | Yes (X) | Organization501cInd |
| Website Address | WWW.UFCWONE.ORG | WebsiteAddressTxt |
| Type Of Organization Trust | Yes (X) | TypeOfOrganizationTrustInd |
| Formation | 1959 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | PROVIDE CERTAIN HEALTH AND WELFARE BENEFITS TO PLAN PARTICIPANTS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 0 | VotingMembersIndependentCnt |
| Total Employee | 22 | 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 | $71,217,799 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $74,760,559 | CYProgramServiceRevenueAmt |
| PY Investment Income | $150,275 | PYInvestmentIncomeAmt |
| CY Investment Income | $103,253 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,144,189 | PYOtherRevenueAmt |
| CY Other Revenue | $4,257,891 | CYOtherRevenueAmt |
| PY Total Revenue | $72,512,263 | PYTotalRevenueAmt |
| CY Total Revenue | $79,121,703 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $78,533,549 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $80,060,012 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $1,262,235 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $1,111,989 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,783,952 | PYOtherExpensesAmt |
| CY Other Expenses | $1,505,863 | CYOtherExpensesAmt |
| PY Total Expenses | $81,579,736 | PYTotalExpensesAmt |
| CY Total Expenses | $82,677,864 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$9,067,473 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$3,556,161 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $20,701,792 | TotalAssetsBOYAmt |
| Total Assets EOY | $17,244,423 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $140,853 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $226,736 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $20,560,939 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $17,017,687 | NetAssetsOrFundBalancesEOYAmt |
| Mission | THE OBJECTIVE OF THE FUND IS TO PROVIDE CERTAIN HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS, WHO ARE MEMBERS OF UFCW DISTRICT UNION LOCAL ONE, AND THEIR COVERED DEPENDENTS. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Desc | THE PLAN PROVIDED CERTAIN HEALTH AND WELFARE BENEFITS TO APPROXIMATELY 11,390 ELIGIBLE PARTICIPANTS AND THEIR COVERED DEPENDENTS. | Desc |
| 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 |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | 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 | Yes (1) | 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 With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| 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 | 7 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 22 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| 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 |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 0 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | 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 | 0 | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | 0 | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | 0 | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | 0 | RegularMonitoringEnfrcInd |
| Whistleblower Policy | 0 | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MICHAEL CIANCAGLINI | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3157979600 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5911 AIRPORT ROAD | AddressLine1Txt |
| City | ORISKANY | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 13424 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (12 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| FRANK C DERISO | |||||||
| TRUSTEE | 1.00 | 49.00 | Yes (X) | $0 | $288,852 | $36,479 | |
| GREGORY P GOREA | |||||||
| TRUSTEE | 1.00 | 49.00 | Yes (X) | $0 | $220,590 | $32,756 | |
| ROBERT CIANCAGLINI | |||||||
| TRUSTEE | 1.00 | 49.00 | Yes (X) | $0 | $108,130 | $25,927 | |
| ROGER HEMMITT | |||||||
| TRUSTEE | 1.00 | 49.00 | Yes (X) | $0 | $107,357 | $26,055 | |
| DAVID PARDI | |||||||
| TRUSTEE | 1.00 | 49.00 | Yes (X) | $0 | $129,687 | $27,490 | |
| JOHN BARRETT | |||||||
| TRUSTEE | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |
| I STEPHEN DAVIS | |||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JOSEPH SAHLEN | |||||||
| TRUSTEE | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |
| RAYMOND WARDYNSKI | |||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| KRISTINE WYDRO | |||||||
| TRUSTEE | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |
| ERIC A GLATHAR | |||||||
| TRUSTEE - PAST | 1.00 | 49.00 | Yes (X) | $0 | $110,275 | $3,654 | |
| MICHAEL CIANCAGLINI | |||||||
| ADMINISTRATIVE DIRECTOR | 22.00 | 18.00 | $0 | $128,664 | $36,002 | Yes (X) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,093,555 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $188,363 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (2 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| THE SEGAL COMPANY | |||||
| 101 NORTH WACKER DRIVE SUITE 500 | CHICAGO | IL | 60606 | BENEFITS CONSULTING AND ACTUARIAL | $208,854 |
| SLEVIN & HART PC | |||||
| 1625 MASSACHUSETTS AVENUE NW | WASHINGTON | DC | 20036 | LEGAL | $195,087 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 2 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| EMPLOYER CONTRIBUTIONS | 525100 | $73,013,121 | $73,013,121 |
| PARTICIPANT CONTRIBUTIONS | 525100 | $1,747,438 | $1,747,438 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $74,760,559 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $73,420 | TotalRevenueColumnAmt |
| Exclusion | $73,420 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,511,919 | SecuritiesAmt |
| Other | $27,837 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,509,923 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,996 | SecuritiesAmt |
| Other | $27,837 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $29,833 | TotalRevenueColumnAmt |
| Exclusion | $29,833 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PRESCRIPTION DRUG REBATES | 525100 | $3,812,386 | $3,812,386 |
| PRESCRIPTION DRUG PERFORMANCE CRE | 525100 | $439,185 | $439,185 |
| INTEREST & LIQUIDATED DAMAGES | 525100 | $6,320 | $6,320 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $4,257,891 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $79,121,703 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $79,018,450 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $103,253 | ExclusionAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $80,060,012 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $721,902 | TotalAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $133,127 | TotalAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $199,824 | TotalAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $57,136 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $196,455 | TotalAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $60,524 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,123 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $210,814 | TotalAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $76,306 | TotalAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $211,935 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $151,117 | TotalAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,130 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $38,823 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,974 | TotalAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $54,575 | TotalAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt |
|---|---|
| AFFORDABLE CARE ACT TAX | $388,945 |
| OPERATIONS EXPENSE | $27,390 |
| PRINTING & PUBLICATIONS | $22,388 |
| FIELD AUDITS | $1,364 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $82,677,864 | TotalAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $731,496 | BOYAmt |
| EOY | $692,807 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,200,597 | BOYAmt |
| EOY | $3,932,384 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,297,485 | BOYAmt |
| EOY | $8,263,530 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,580 | BOYAmt |
| EOY | $89,077 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $2,090,219 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $1,992,521 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $64,177 | BOYAmt |
| EOY | $97,698 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,288,057 | BOYAmt |
| EOY | $2,081,527 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,087,400 | BOYAmt |
| EOY | $2,087,400 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,701,792 | BOYAmt |
| EOY | $17,244,423 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $140,147 | BOYAmt |
| EOY | $226,736 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $706 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $140,853 | BOYAmt |
| EOY | $226,736 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Org Does Not Follow SFAS117 | Yes (X) | OrgDoesNotFollowSFAS117Ind |
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 | $20,560,939 | BOYAmt |
| EOY | $17,017,687 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,560,939 | BOYAmt |
| EOY | $17,017,687 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,701,792 | BOYAmt |
| EOY | $17,244,423 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$3,556,161 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $12,909 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| 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
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $75,381 | OtherCostOrOtherBasisAmt |
| Depreciation | $42,692 | DepreciationAmt |
| Book Value | $32,689 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $678,059 | OtherCostOrOtherBasisAmt |
| Depreciation | $675,216 | DepreciationAmt |
| Book Value | $2,843 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,336,779 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,274,613 | DepreciationAmt |
| Book Value | $62,166 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $97,698 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | RESERVES HELD BY INSURANCE COMPANY | Desc |
| Book Value | $2,087,400 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $2,087,400 | TotalBookValueOtherAssetsAmt |
| Total Rev Etc Audited Fincl Stmt | $79,114,489 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $12,909 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | $12,909 | RevenueNotReportedAmt |
| Revenue Subtotal | $79,101,580 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $20,123 | InvestmentExpensesNotIncldAmt |
| Revenue Not Reported Fincl Stmt | $20,123 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $79,121,703 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $82,657,741 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $82,657,741 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $20,123 | InvestmentExpensesNotIncld2Amt |
| Expenses Not Rpt Fincl Stmt | $20,123 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $82,677,864 | TotalExpensesPerForm990Amt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (4 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| FRANK C DERISO | ||||||||||||||
| TRUSTEE | $0 | $288,852 | $0 | $0 | $0 | $0 | $0 | $12,273 | $0 | $24,206 | $0 | $325,331 | $0 | $0 |
| GREGORY P GOREA | ||||||||||||||
| TRUSTEE | $0 | $220,590 | $0 | $0 | $0 | $0 | $0 | $10,660 | $0 | $22,096 | $0 | $253,346 | $0 | $0 |
| DAVID PARDI | ||||||||||||||
| TRUSTEE | $0 | $129,687 | $0 | $0 | $0 | $0 | $0 | $8,435 | $0 | $19,055 | $0 | $157,177 | $0 | $0 |
| MICHAEL CIANCAGLINI | ||||||||||||||
| ADMINISTRATIVE DIRECTOR | $0 | $128,664 | $0 | $0 | $0 | $0 | $0 | $12,327 | $0 | $23,675 | $0 | $164,666 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 8B | NO COMMITTEE HAS THE AUTHORITY TO ACT ON BEHALF OF THE BOARD OF TRUSTEES. |
| FORM 990, PART VI, SECTION B, LINE 11B | NO REVIEW WAS CONDUCTED. |
| FORM 990, PART VI, SECTION C, LINE 19 | DISCLOSURES REQUIRED BY LAW ARE AVAILABLE TO THE PUBLIC AT THE FUND'S OFFICE, UPON REQUEST. |
| FORM 990, PART XII, LINE 2C | THE FUND'S BOARD OF TRUSTEES ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND SELECTION OF THE INDEPENDENT ACCOUNTANT. THERE WAS NO CHANGE DURING THE TAX YEAR IN EITHER THE FUND'S OVERSIGHT OR SELECTION PROCESS. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (10 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|
| UFCW DISTRICT UNION LOCAL ONE | ||||||||
| 5911 AIRPORT ROAD | ORISKANY | NY | 13424 | 150559586 | LABOR UNION | NY | 501(C)(5) | 0 |
| UFCW LOCAL ONE PENSION FUND | ||||||||
| 5911 AIRPORT ROAD | ORISKANY | NY | 13424 | 166144007 | PENSION PLAN | NY | 501(A) | 0 |
| UFCW LOCAL ONE 401(K) SAVINGS PLAN | ||||||||
| 5911 AIRPORT ROAD | ORISKANY | NY | 13424 | 166184130 | PENSION PLAN | NY | 501(A) | 0 |
| THE LUTHERAN HOMES | ||||||||
| ADIRONDACK MEDICAL CENTER | ||||||||
| ST ELIZABETH MEDICAL CENTER | ||||||||
| EVERGREEN VALLEY NURSING HOME | ||||||||
| NIAGRA GERIATRIC CENTER | ||||||||
| STAMFORD HEALTH CARE | ||||||||
| HERITAGE HEALTH CARE CENTER | ||||||||
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (46 entries)
| TOPS MARKETS INC |
| EMPIRE MERCHANTS NORTH ALBANY |
| KRAFT INC DAIRY GROUP |
| GREAT AMERICAN STORES |
| SILGAN CONTAINERS MANUFACTURING CORP |
| SAHLEN PACKING CORP |
| G&L DAVIS MEAT CO |
| HOMETOWN MARKETS LLC |
| THORNES OF WARREN |
| SPECIALTY STEAK |
| EMPIRE MERCHANTS NORTH BUFFALO |
| SHOP RITE CAPITAL DISTRICT |
| CHANATRY'S FRENCH ROAD MARKET |
| ZWEIGLES INC |
| RETAIL MARKETSGIANT EAGLE INC |
| SODEXO INCPAUL SMITH COLLEGE |
| WELCH FOODS INC |
| BREEN FAMILY INC |
| FORT'S GROCERY INC |
| SMITH PACKING COMPANY |
| WALTON'S BIG M |
| HOFMANN SAUSAGE CO INC |
| OLD WORLD PROVISION CO INC |
| LR BRASS INC |
| COUDERSPORT JUBILEE |
| SMYD CORP |
| DIVERSE FOOD PRODUCTS LLC |
| VANCHLOR CO |
| FRANK WARDYNSKI & SONS INC |
| TN HARVEY INC |
| PAWLAKS FOOD CENTER |
| FILLMORE JUBILEE |
| GALETON IGA |
| FIBERCELL PACKAGING LLC |
| BIG V CORPSHOP RITE |
| MILWARD ALLOYS INC |
| THE WINE GROUPMOGEN DAVID |
| ELDERWOOD AT LAKE PLACID |
| GATES BIG M |
| CAPITAL DISTRICT AREA LABOR FEDERATION |
| CAMELLIA GENERAL PROVISION CO |
| CENTRAL NEW YORK LABOR AGENCY |
| INDELICATO'S MARKET |
| MUGG PHOTOGRAPHY |
| PENNSYLVANIA AFL-CIO |
| TOWN OF WHITESTOWN |
| 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 | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (47 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| UFCW DISTRICT UNION LOCAL ONE | ||
| P | $258,489 | ALLOCATION |
| UFCW LOCAL ONE PENSION FUND | ||
| Q | $823,602 | ALLOCATION |
| UFCW LOCAL ONE 401(K) SAVINGS PLAN | ||
| Q | $240,202 | ALLOCATION |
| UFCW DISTRICT UNION LOCAL ONE | ||
| S | $551,480 | CONTRACT |
| THE LUTHERAN HOMES | ||
| S | $2,300,927 | CONTRACT |
| ADIRONDACK MEDICAL CENTER | ||
| S | $1,240,347 | CONTRACT |
| ST ELIZABETH MEDICAL CENTER | ||
| S | $1,014,694 | CONTRACT |
| EVERGREEN VALLEY NURSING HOME | ||
| S | $85,247 | CONTRACT |
| NIAGRA GERIATRIC CENTER | ||
| S | $140,725 | CONTRACT |
| STAMFORD HEALTH CARE | ||
| S | $769,405 | CONTRACT |
| HERITAGE HEALTH CARE CENTER | ||
| S | $1,039,518 | CONTRACT |
| TOPS MARKETS INC | ||
| S | $52,455,305 | CONTRACT |
| EMPIRE MERCHANTS NORTH ALBANY | ||
| S | $2,096,496 | CONTRACT |
| KRAFT INC DAIRY GROUP | ||
| S | $1,573,224 | CONTRACT |
| GREAT AMERICAN STORES | ||
| S | $303,584 | CONTRACT |
| SILGAN CONTAINERS MANUFACTURING CORP | ||
| S | $885,281 | CONTRACT |
| SAHLEN PACKING CORP | ||
| S | $577,601 | CONTRACT |
| G&L DAVIS MEAT CO | ||
| S | $789,736 | CONTRACT |
| HOMETOWN MARKETS LLC | ||
| S | $501,906 | CONTRACT |
| SPECIALTY STEAK | ||
| S | $428,392 | CONTRACT |
| EMPIRE MERCHANTS NORTH BUFFALO | ||
| S | $589,950 | CONTRACT |
| SHOP RITE CAPITAL DISTRICT | ||
| S | $668,392 | CONTRACT |
| CHANATRY'S FRENCH ROAD MARKET | ||
| S | $193,535 | CONTRACT |
| ZWEIGLES INC | ||
| S | $267,299 | CONTRACT |
| RETAIL MARKETSGIANT EAGLE INC | ||
| S | $188,737 | CONTRACT |
| SODEXOPAUL SMITH COLLEGE | ||
| S | $190,221 | CONTRACT |
| WELCH FOODS INC | ||
| S | $286,936 | CONTRACT |
| BREEN FAMILY INC | ||
| S | $162,749 | CONTRACT |
| FORT'S GROCERY INC | ||
| S | $177,336 | CONTRACT |
| SMITH PACKING COMPANY | ||
| S | $198,188 | CONTRACT |
| WALTON'S BIG M | ||
| S | $164,605 | CONTRACT |
| HOFMANN SAUSAGE CO INC | ||
| S | $368,932 | CONTRACT |
| OLD WORLD PROVISION CO INC | ||
| S | $194,713 | CONTRACT |
| LR BRASS INC | ||
| S | $134,156 | CONTRACT |
| COUDERSPORT JUBILEE | ||
| S | $169,431 | CONTRACT |
| SMYD CORP | ||
| S | $162,739 | CONTRACT |
| DIVERSE FOOD PRODUCTS LLC | ||
| S | $161,710 | CONTRACT |
| VANCHLOR CO | ||
| S | $220,390 | CONTRACT |
| FRANK WARDYNSKI & SONS INC | ||
| S | $97,408 | CONTRACT |
| TN HARVEY INC | ||
| S | $56,560 | CONTRACT |
| FILLMORE JUBILEE | ||
| S | $64,661 | CONTRACT |
| GALETON IGA | ||
| S | $62,764 | CONTRACT |
| FIBERCELL PACKAGING LLC | ||
| S | $329,528 | CONTRACT |
| BIG V CORPSHOP RITE | ||
| S | $226,387 | CONTRACT |
| MILWARD ALLOYS INC | ||
| S | $183,422 | CONTRACT |
| THE WINE GROUPMOGEN DAVID | ||
| S | $347,340 | CONTRACT |
| ELDERWOOD AT LAKE PLACID | ||
| S | $418,227 | CONTRACT |