2018-04-16T18:02:50-05:00 2017-06-30 MILLER KAPLAN ARASE LLP 4123 LANKERSHIM BLVD NORTH HOLLYWOOD CA 916022828 990 2016-07-01 956474516 SOUTHERN CALIFORNIA DRUG BENEFIT FUND % TRACY SHANNON SOUT 3236668910 2220 HYPERION AVE LOS ANGELES CA 90027 STEPHANIE SCIURBA trustee 3236668910 2018-04-13 true Douglas Waite P00350864 8187692010 204.1.171.253 95416620181065000130 2018-04-16 P 895BD3731299A8643050337F2A99E55EAEE1AC5E 895BD3731299A8643050337F2A99E55EAEE1AC5E 2016 2021-01-29 14:40:06Z ANDREA ZINDER 2220 HYPERION AVE LOS ANGELES CA 90027 95773896 false X WWW.UFCWDRUGTRUST.ORG X 1974 CA SEE SCHEDULE O 9 0 6 0 0 0 0 0 110118744 94799671 975024 974225 0 0 111093768 95773896 0 0 89544846 95382454 2396068 2383812 0 0 0 3356306 3486220 95297220 101252486 15796548 -5478590 76074720 71760791 29772414 30181350 46302306 41579441 X SEE SCHEDULE O false false SEE SCHEDULE O false false false false false false false false false false false false false true true true false false false false false false false false false false false false false false false false false false false false false false false false true false false true 17 0 true 6 true false false false false false false 9 0 false false false false false false false true true false false true false false true false false false X TRACY SHANNON 3236668910 2220 HYPERION AVE LOS ANGELES CA 90027 X X MARYANNE MALZONE-MILLER EMPLOYER TRUSTEE 1.0 0.0 X 0 0 0 ABRAHAM BRESLIN EMPLOYER TRUSTEE 1.0 0.0 X 0 0 0 STEPHANIE SCIURBA EMPLOYER TRUSTEE 1.0 0.0 X 0 0 0 RICK BRUER UNION TRUSTEE 1.0 0.0 X 0 0 0 KATHY FINN UNION TRUSTEE 1.0 0.0 X 0 0 0 MICKEY KASPARIAN UNION TRUSTEE 1.0 0.0 X 0 0 0 MICHAEL A STRAETER UNION TRUSTEE 1.0 0.0 X 0 0 0 ANDREA ZINDER UNION TRUSTEE 1.0 0.0 X 0 0 0 mark ramos union trustee 1.0 0.0 X 0 0 0 0 0 0 0 false false false schwartz steinsapir dohrmann somm 6300 WILSHIRE BLVD LOS ANGELES CA 90048 ATTORNEY 439523 TRANSOMATIC CORPORATION 1010 N CENTRAL AVE GLENDALE CA 91202 COMPUTER CONSULTANT 162479 MILLER KAPLAN ARASE LLP 4123 LANKERSHIM BLVD NORTH HOLLYWOOD CA 91602 AUDITOR 151314 INNOVATIVE SOFTWARE SYSTEMS INC 3000 S LENOLA RD MAPLE SHADE NJ 08052 COMPUTER CONSULTANT 108590 4 0 EMPLOYER CONTRIBUTIONS 900099 90333168 90333168 EMPLOYEE SELF-PAYMENTS 900099 3497295 3497295 RETIREE SELF-PAYMENTS 900099 969208 969208 94799671 974225 974225 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 95773896 94799671 974225 0 0 0 95382454 0 0 1655683 87072 511385 129672 0 446843 162484 0 0 27392 1728191 0 325838 0 0 108508 0 0 11332 0 0 0 90614 LOC. UN. INS. DEP. ADM. EXP. 479251 ALLOCATED DEPRECIATION EXP. 54251 PCORI FEES 44535 EMPLOYEES' EXPENSES 6981 101252486 2811 1295 18255759 12485653 0 0 9247260 9080142 0 0 0 0 0 0 0 0 17627 17326 0 0 48551263 50176375 0 0 0 0 0 0 0 0 76074720 71760791 1041060 1578896 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28731354 28602454 29772414 30181350 X 0 0 0 0 46302306 41579441 46302306 41579441 76074720 71760791 -5478590 755725 X false true X true false 0 PREMIUMS PAYABLE 42155 CLAIMS PAYABLE 2290000 EST. CLAIMS INCURRED BUT NOT 0 REPORTED 4557000 EST. FUTURE BENEFITS BASED ON PART. 0 ACCUM. ELIGIBILITY 21713299 28602454 X 96529621 755725 755725 95773896 95773896 101381386 28731354 28731354 72650032 28602454 28602454 101252486 PART X, LINE 2: Accounting principles generally accepted in the United States of America require management to evaluate tax positions taken by the Plan and recognize a tax liability if the Plan has taken a tax position that more likely than not would not be sustained upon examination by a tax authority. The Plan is subject to routine audits by taxing jurisdictions; however, there are currently no audits for any tax periods in progress. part xii, line 2d: june 30, 2016 benefit obligations $28,731,354 part xii, line 4b: june 30, 2017 benefit obligations $28,602,454 PART I, LINE 1 AND PART III, LINES 1 AND 4A: THE SOUTHERN CALIFORNIA DRUG BENEFIT FUND IS A MULTIEMPLOYER WELFARE BENEFIT PLAN PROVIDING HOSPITAL - MEDICAL, CHEMICAL DEPENDENCY TREATMENT, DENTAL, ORTHODONTIC, PSYCHIATRIC, PRESCRIPTION, PREDICTIVE MEDICINE, DEATH, SUPPLEMENTAL UNEMPLOYMENT AND DISABILITY, INDUSTRY VACATION, VISION AND OTHER BENEFITS TO ACTIVE EMPLOYEES AND THEIR DEPENDENTS; AND HOSPITAL - MEDICAL, PRESCRIPTION AND DEATH BENEFITS TO RETIRED EMPLOYEES AND THEIR DEPENDENTS. PART I, LINE 5; PART V, LINES 2A AND 2B; PART IX, LINES 7-10: THE PLAN HAS NO STATUTORY EMPLOYEES, HOWEVER, FORMS W-2/W-3 WERE FILED FOR PLAN PARTICIPANTS WHOSE REGISTERED DOMESTIC PARTNERS RECEIVED BENEFITS FROM THE PLAN. THE SALARIES AND WAGES, PENSION PLAN CONTRIBUTIONS, OTHER EMPLOYEE BENEFITS AND PAYROLL TAX REPORTED IN PART IX WERE ALLOCATED TO THIS PLAN BY A RELATED ORGANIZATION, SEE SCHEDULE R. PART VI, LINE 11B: THE BOARD OF TRUSTEES REVIEWS THE FORM 990 AND UPON APPROVAL, DESIGNATES AND AUTHORIZES AN INDIVIDUAL TO SIGN THE RETURN. PART VI, LINE 12A: THE PLAN IS AN EMPLOYEE BENEFIT TRUST SUBJECT TO THE FIDUCIARY AND PROHIBITED TRANSACTION RULES OF ERISA SECTIONS 404 AND 406, 29 U.S.C. SECTIONS 1104 AND 1106. PART VI, LINES 15A AND 15B: MEMBERS OF THE BOARD OF TRUSTEES RECEIVE NO COMPENSATION. THE PLAN DOES NOT HAVE OTHER OFFICERS OR KEY EMPLOYEES. PART VI, LINE 19: THE PLAN MAKES ITS GOVERNING DOCUMENTS AVAILABLE UPON REQUEST. THE SUMMARY PLAN DESCRIPTION IS DISTRIBUTED TO ALL PARTICIPANTS. THE FINANCIAL STATEMENTS ARE DISTRIBUTED TO ALL TRUSTEES AND PROFESSIONAL ADVISORS AND UPON REQUEST TO OTHER INTERESTED PARTIES. THE SUMMARY ANNUAL REPORT WITH ERISA - REQUIRED FINANCIAL INFORMATION IS PROVIDED TO ALL PARTICIPANTS ANNUALLY. PART VII, COLUMNS (E) AND (F): ANY TRUSTEES' COMPENSATION AND/OR BENEFITS FROM RELATED TAX-EXEMPT ORGANIZATIONS IS AVAILABLE ON THOSE ORGANZATIONS' FORM 990. SC UFCW UNIONS AND DRUG EMP PENSION FD 2220 HYPERION AVE LOS ANGELES CA 90027 516029925 EE BENEFIT PL CA 501(A) N/A NA false SEE SUPPLEMENTAL INFORMATION SEE SUPPLEMENTAL INFORMATION false false false false false false false false false false false false false true true true false false false SC UFCW UNIONS & DRUG EMPLOYERS PENSION FUND N 108508 ACTUAL COST SC UFCW UNIONS & DRUG EMPLOYERS PENSION FUND O 1578234 ACTUAL COST SC UFCW UNIONS & DRUG EMPLOYERS PENSION FUND P 1651394 ACTUAL COST PART III AND PART IV, LINE 1: THE PLAN HAS FORTY-NINE CONTRIBUTING EMPLOYERS WHOSE INFORMATION IS AVAILABLE AT THE ADMINISTRATIVE OFFICE.