STRATEGY STUDIO / PUBLIC DATA EXPLORER

TEAMSTERS AND FOOD EMPLOYERS SECURITY TRUST FUND: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
TEAMSTERS AND FOOD EMPLOYERS SECURITY TRUST FUND (EIN 95-6048844)
Tax period
2017-01-01 to 2017-12-31
Filed
2018-08-24
IRS object ID
201832369349300733
Schema version
2017v2.2
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

FieldValueIRS element (for citing)
Return2018-08-24T15:20:59-05:00ReturnTs
Tax Period End2017-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN542189926PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Henningfield & Associates IncBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line127913 Smyth DriveAddressLine1Txt
CityValenciaCityNm
State AbbreviationCAStateAbbreviationCd
ZIP91355ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN956048844EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1TEAMSTERS AND FOOD EMPLOYERS SECURITYBusinessNameLine1Txt
Business Name Line2TRUST FUNDBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlTEAMBusinessNameControlTxt
Phone6266461075PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11050 LAKES DRIVE SUITE 120AddressLine1Txt
CityWEST COVINACityNm
State AbbreviationCAStateAbbreviationCd
ZIP91790ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonRICK MIDDLETONPersonNm
Person TitleTRUSTEEPersonTitleTxt
Phone6266461075PhoneNum
Signature2018-08-24SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonRANDY D HENNINGFIELDPreparerPersonNm
PTINP01364367PTIN
Phone6612953363PhoneNum
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerRICK MIDDLETONPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1450 CARSON PLAZA DRIVEAddressLine1Txt
CityCARSONCityNm
State AbbreviationCAStateAbbreviationCd
ZIP90746ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$141,637,757GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501cYes (X)Organization501cInd
Website AddressN/AWebsiteAddressTxt
Type Of Organization TrustYes (X)TypeOfOrganizationTrustInd
Formation1950FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionHEALTH & WELFARE BENEFITS PROVIDED TO MEMBERS WHO ARE COVERED BY COLLECTIVE BARGAINING AGREEMENTS BETWEEN UNION AND EMPLOYERS.ActivityOrMissionDesc
Voting Members Governing Body7VotingMembersGoverningBodyCnt
Voting Members Independent7VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$139,607,434PYProgramServiceRevenueAmt
CY Program Service Revenue$137,017,065CYProgramServiceRevenueAmt
PY Investment Income$280,097PYInvestmentIncomeAmt
CY Investment Income$351,498CYInvestmentIncomeAmt
PY Other Revenue$2,126,794PYOtherRevenueAmt
CY Other Revenue$4,269,194CYOtherRevenueAmt
PY Total Revenue$142,014,325PYTotalRevenueAmt
CY Total Revenue$141,637,757CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$129,537,625PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$135,381,531CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$6,129,167PYOtherExpensesAmt
CY Other Expenses$6,479,052CYOtherExpensesAmt
PY Total Expenses$135,666,792PYTotalExpensesAmt
CY Total Expenses$141,860,583CYTotalExpensesAmt
PY Revenues Less Expenses$6,347,533PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$222,826CYRevenuesLessExpensesAmt
Total Assets BOY$50,596,003TotalAssetsBOYAmt
Total Assets EOY$49,162,840TotalAssetsEOYAmt
Total Liabilities BOY$11,861,379TotalLiabilitiesBOYAmt
Total Liabilities EOY$10,712,702TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$38,734,624NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$38,450,138NetAssetsOrFundBalancesEOYAmt
MissionHEALTH & WELFARE BENEFITS PROVIDED TO MEMBERS WHO ARE COVERED BY COLLECTIVE BARGAINING AGREEMENTS BETWEEN UNION AND EMPLOYERSMissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$141,860,583ExpenseAmt
DescHEALTH & WELFARE BENEFITS PROVIDED TO MEMBERS WHO ARE COVERED BY COLLECTIVE BARGAINING AGREEMENTS BETWEEN UNION AND EMPLOYERSDesc
Total Program Service Expenses$141,860,583TotalProgramServiceExpensesAmt
Described In Section501c30DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building Equipment0ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document1534IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members7GoverningBodyVotingMembersCnt
Independent Voting Member7IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy0ConflictOfInterestPolicyInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MR BARRY OSHAROWBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone6266461090PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11050 LAKES DRIVE SUITE 120AddressLine1Txt
CityWEST COVINACityNm
State AbbreviationCAStateAbbreviationCd
ZIP91790ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (7 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
BRENT BOHN
TRUSTEE10.00Yes (X)$0$0$0
PATRICK KELLY
TRUSTEE10.00Yes (X)$0$0$0
RICK MIDDLETON
TRUSTEE10.00Yes (X)$0$0$0
ERIC TATE
TRUSTEE10.00Yes (X)$0$0$0
DOUGLAS RUYGROK
TRUSTEE10.00Yes (X)$0$0$0
LEROY WESTMORELAND
TRUSTEE10.00Yes (X)$0$0$0
DUANE SNIDER
TRUSTEE10.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
BENESYS ADMINISTRATORS
1050 LAKES DR SUITE 120WEST COVINACA91790CONTRACT ADMINISTRATION$2,866,191
BROADREACH MEDICAL RESOURCES
1350 BROADWAY SUITE 410NEW YORKNY10018CLAIMS PROCESSING$1,693,987
PART D ADVISORS INC
17199 N LAUREL PARK DRIVE STE 400LIVONIAMI48152PRESCRIPTION AUDIT$444,495
ANTHEM BLUE CROSS
32 HAMPDEN STREETSPRINGFIELDMA01103NETWORK ACCESS FEES$344,842
SEYFARTH SHAW
ONE CENTURY PARK EAST STE 3500LOS ANGELESCA90067LEGAL$106,929
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K6CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
EMPLOYER CONTRIBUTIONS445100$129,609,177$129,609,177
RETIREE CONTRIBUTIONS445100$7,083,582$7,083,582
COBRA CONTRIBUTIONS445100$324,306$324,306
FieldValueIRS element (for citing)
Total Program Service Revenue$137,017,065TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$351,498TotalRevenueColumnAmt
Exclusion$351,498ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
RETIREE PRESCRIPTION SUBSIDY445100$2,429,733$2,429,733
PRESCRIPTION REBATES445100$1,804,177$1,804,177
STOP LOSS RECOVERIES445100$35,284$35,284
FieldValueIRS element (for citing)
Other Revenue Total$4,269,194OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$141,637,757TotalRevenueColumnAmt
Related Or Exempt Func Income$141,286,259RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$351,498ExclusionAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$135,381,531TotalAmt
Program Services$135,381,531ProgramServicesAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$2,866,191TotalAmt
Program Services$2,866,191ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$168,842TotalAmt
Program Services$168,842ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$22,000TotalAmt
Program Services$22,000ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$238,669TotalAmt
Program Services$238,669ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$7,544TotalAmt
Program Services$7,544ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$58,373TotalAmt
Program Services$58,373ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
ADMINISTRATION - RX$1,693,987$1,693,987
PPO NETWORK$510,020$510,020
PRESCRIPTION AUDIT$444,495$444,495
CONSULTANTS$273,732$273,732

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$195,199TotalAmt
Program Services$195,199ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$141,860,583TotalAmt
Program Services$141,860,583ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$14,901,472BOYAmt
EOY$13,395,131EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$5,198,177BOYAmt
EOY$4,978,670EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$34,976BOYAmt
EOY$37,824EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$30,461,378BOYAmt
EOY$30,751,215EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$50,596,003BOYAmt
EOY$49,162,840EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$566,221BOYAmt
EOY$433,992EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$11,295,158BOYAmt
EOY$10,278,710EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$11,861,379BOYAmt
EOY$10,712,702EOYAmt
FieldValueIRS element (for citing)
Org Does Not Follow SFAS117Yes (X)OrgDoesNotFollowSFAS117Ind

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

FieldValueIRS element (for citing)
BOY$38,734,624BOYAmt
EOY$38,450,138EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$38,734,624BOYAmt
EOY$38,450,138EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$50,596,003BOYAmt
EOY$49,162,840EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$222,826ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$61,660NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
PREMIUMS PAYABLE, IBNR AND ACCUMULATED ELIG.$9,577,435
DEFERRED RETIREE CONTRIBUTIONS$701,275
FieldValueIRS element (for citing)
Total Liability$10,278,710TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$141,576,097TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$61,660NetUnrealizedGainsInvstAmt
Revenue Not Reported-$61,660RevenueNotReportedAmt
Revenue Subtotal$141,637,757RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$141,637,757TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$142,877,906TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$142,877,906ExpensesSubtotalAmt
Other Expenses Not Included-$1,017,323OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt-$1,017,323ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$141,860,583TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart XII, Line 4b - Other Adjustments:FormAndLineReferenceDesc
ExplanationCHANGE IN PREMIUMS PAYABLE, IBNR & ACCUM. ELIGIBILITY -1,017,323.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 3The Trustees have contracted with a third party administrator to perform the everyday administration of the fund.
Form 990, Part VI, Section B, line 11bA copy of Form 990 was presented to the trustees for review and signatures.
Form 990, Part VI, Section C, line 19Summary Annual Reports are provided to all participants annually. SPDs and audited financial statements are available from the administrator upon request, as well as the DOL website.
Form 990, Part VII Contact Addresses for Officers, Directors, EtcBRENT BOHN - 1421 SOUTH MANHATTAN AVENUE, FULLERTON, CA XXX-XX-XXXX. PATRICK KELLY - 140 SOUTH MARKS WAY, ORANGE, CA 92868. RICK MIDDLETON - 450 CARSON PLAZA DRIVE, STE A, CARSON, CA 90746. ERIC TATE - 731 EAST ARROW HIGHWAY, GLENDORA, CA 91740. DOUGLAS RUYGROK - 1421 SOUTH MANHATTAN AVENUE, FULLERTON, CA XXX-XX-XXXX. LEROY WESTMORELAND - 1100 W ARTESIA BLVD., COMPTON, CA 90220. DUANE SNIDER - 301 SOUTH TIPPECANOE AVE, SAN BERNARDINO, CA 92408.

Schedule R IRS990ScheduleR

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndEINEIN
ALBERTSON'S LLC
1421 SOUTH MANHATTAN AVEFULLERTONCA92831RETAIL GROCERSCAC0
STATER BROS
301 S TIPPECANOESAN BERNARDINOCA92408RETAIL GROCERSCAC0
VONS SAFEWAY
618 MICHILLINDA AVENUEARCADIACA91007RETAIL GROCERSCAC0381623900
RALPH'S
1100 W ARTESIA BLVDCOMPTONCA90220RETAIL GROCERSCAC0870258768
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd