STRATEGY STUDIO / PUBLIC DATA EXPLORER

UFCW LOCAL 546 FOOD HANDLERS WELFARE FUND: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
UFCW LOCAL 546 FOOD HANDLERS WELFARE FUND (EIN 36-2365968)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-07-11
IRS object ID
201201939349300765
Schema version
2011v1.2
Note
A later return for the same period supersedes this one.
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)
Timestamp2012-07-11T15:09:23-05:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN320043599EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1LEGACY PROFESSIONALS LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1311 S WACKER DRIVE STE 4000AddressLine1
CityCHICAGOCity
StateILState
ZIP Code60606ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN362365968EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1UFCW L1546 FOOD HANDLERS WELFARE FUNDBusinessNameLine1
Business Name Line2C/O ZENITH ADMINISTRATORSBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlUFCWNameControl
Phone3126491200Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line118861 90TH AVENUE NO AAddressLine1
CityMOKENACity
StateILState
ZIP Code60448ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameKENNETH BOYDName
TitleBOARD CHAIRMANTitle
Phone3126491200Phone
Date Signed2012-07-11DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameTIMOTHY CIBULKAName
PTINP00841100PTIN
Phone3123680500Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonKENNETH BOYDNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line118861 90TH AVENUE NO AAddressLine1
CityMOKENACity
StateILState
ZIP Code60448ZIPCode
FieldValueIRS element (for citing)
Gross Receipts74742085GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteN/AWebSite
Type Of Organization TrustXTypeOfOrganizationTrust
Year Formation1956YearFormation
State Legal DomicileILStateLegalDomicile
Activity Or Mission DescriptionPROVIDE HEALTH BENEFITS.ActivityOrMissionDescription
Nbr Voting Members Governing Body6NbrVotingMembersGoverningBody
Nbr Independent Voting Members6NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year12529683ProgramServiceRevenuePriorYear
Program Service Revenue CY12450993ProgramServiceRevenueCY
Investment Income Prior Year1752655InvestmentIncomePriorYear
Investment Income Current Year1344122InvestmentIncomeCurrentYear
Other Revenue Prior Year5368OtherRevenuePriorYear
Other Revenue Current Year13OtherRevenueCurrentYear
Total Revenue Prior Year14287706TotalRevenuePriorYear
Total Revenue Current Year13795128TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year11318838BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY10678243BenefitsPaidToMembersCY
Salaries Etc Prior Year0SalariesEtcPriorYear
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year1204010OtherExpensePriorYear
Other Expenses Current Year1193880OtherExpensesCurrentYear
Total Expenses Prior Year12522848TotalExpensesPriorYear
Total Expenses Current Year11872123TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1764858RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1923005RevenuesLessExpensesCY
Total Assets BOY25241599TotalAssetsBOY
Total Assets EOY27073530TotalAssetsEOY
Total Liabilities BOY584304TotalLiabilitiesBOY
Total Liabilities EOY131520TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY24657295NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY26942010NetAssetsOrFundBalancesEOY
Mission DescriptionPROVIDE HEALTH BENEFITSMissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
DescriptionTO PROVIDE MEDICAL, DENTAL, VISION, TEMPORARY DISABILITY, AND ACCIDENTAL DEATH BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS.Description
Described In501 C30DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip0ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members6NbrVotingGoverningBodyMembers
Number Independent Voting Members6NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties1DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees0MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons0AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy0WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1ZENITH ADMINISTRATORSBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number3126491200TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line118861 90TH AVENUE SUITE AAddressLine1
CityMOKENACity
StateILState
ZIP Code60448ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (6 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
KENNETH BOYD
TRUSTEE1.00X000
GERALD M KOLB
TRUSTEE1.00X000
CHRISTINE BARTHOLMEY
TRUSTEE0.50X000
WAYNE CLAVIO
TRUSTEE0.50X000
DAVID KALUZNY II
TRUSTEE0.50X000
JAMES GOW
TRUSTEE0.50X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
BLUE CROSS BLUE SHIELD
300 EAST RANDOLPH STCHICAGOIL60601PPO PROVIDER438028
ZENITH ADMINISTRATORS
18861 90TH AVE SUITE AMOKENAIL60448CONTRACT ADMINISTRATOR415821
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
EMPLOYER CONTRIBUTIONS9000991238510712385107
SUBROGATION REFUNDS9000993437434374
PARTICIPANTS CONTRIB.9000993151231512
FieldValueIRS element (for citing)
Total Program Service Revenue12450993TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column896930TotalRevenueColumn
Exclusion$896,930ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities61394149Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities60946957Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities447192Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column447192TotalRevenueColumn
Exclusion$447,192ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionSECURITIES LITIGATIONDescription
Business Code900099BusinessCode
Total Revenue Column13TotalRevenueColumn
Exclusion$13ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue13TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column13795128TotalRevenueColumn
Related Or Exempt Function Income12450993RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$1,344,135ExclusionAmount

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total10678243Total

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total313522Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total44586Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total39726Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total109183Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total495875Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total52540Total

Travel Travel

FieldValueIRS element (for citing)
Total5039Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total11603Total

Insurance Insurance

FieldValueIRS element (for citing)
Total16596Total

Other Expenses OtherExpenses (2 entries)

DescriptionDescriptionTotalTotal
FIELD REPRESENTATIVE EX67315
COST CONTAINMENT FEES37895

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total11872123Total

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY317936BOY
EOY284728EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY875701BOY
EOY1041465EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY17456BOY
EOY108579EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY24285BOY
EOY40690EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY23830521BOY
EOY25335347EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY175700BOY
EOY262721EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY25241599BOY
EOY27073530EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY117638BOY
EOY113301EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY8848BOY
EOY18219EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY457818BOY
EOY0EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY584304BOY
EOY131520EOY
FieldValueIRS element (for citing)
Do Not Follow SFAS117XDoNotFollowSFAS117

Cap Stck Trst Prin Current Funds CapStckTrstPrinCurrentFunds

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Paid In Cap Srpls Land Bldg Eqp Fund PaidInCapSrplsLandBldgEqpFund

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc

FieldValueIRS element (for citing)
BOY24657295BOY
EOY26942010EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY24657295BOY
EOY26942010EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY25241599BOY
EOY27073530EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses1923005ReconcilationRevenueExpenses
Reconcilation Other Changes361710ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Total Of Book Value Land Buildings0TotalOfBookValueLandBuildings
Total Revenue13795128TotalRevenue
Total Expenses11872123TotalExpenses
Excess Or Deficit For Year1923005ExcessOrDeficitForYear
Net Unrealized GL On Investments361710NetUnrealizedGLOnInvestments
Total Adjustments361710TotalAdjustments
Excess Or Deficit Per FS2284715ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt14047655TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments361710NetUnrealizedGainsInvestments
Revenue Not Rptd F990361710RevenueNotRptdF990
Revenue Subtotal13685945RevenueSubtotal
Investment Expenses Not Included109183InvestmentExpensesNotIncluded
Revenue Not Rptd On Fin Stmt109183RevenueNotRptdOnFinStmt
Total Revenue Per Form99013795128TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt11762940TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal11762940ExpensesSubtotal
Investment Expenses Not Included2109183InvestmentExpensesNotIncluded2
Expenses Not Rptd On Fin Stmt109183ExpensesNotRptdOnFinStmt
Total Expenses Per Form99011872123TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X:ReturnReference
ExplanationTHE PLAN FILES FORM 990, RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX AND FORM 5500, ANNUAL RETURN/REPORT OF EMPLOYEE BENEFIT PLAN. THE PLANS RETURNS ARE SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE UNTIL THE APPLICABLE STATUTE OF LIMITATIONS EXPIRE.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 3THE PLAN IS ADMINISTERED AND MANAGED BY ZENITH ADMINISTRATORS, A THIRD PARTY ADMINISTRATOR AS DIRECTED BY THE BOARD OF TRUSTEES.
FORM 990, PART VI, SECTION A, LINE 8BTHE ORGANIZATION HAS NO COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY.
FORM 990, PART VI, SECTION B, LINE 11THE FORM 990 IS PROVIDED TO THE ENTIRE BOARD OF TRUSTEES PRIOR TO FILING. AFTER THE BOARDS' THROUGH REVIEW THE FORM IS APPROVED, SIGNED AND FILED.
FORM 990, PART VI, SECTION B, LINE 12CA FIDUCIARY TO THE FUND IS REQUIRED TO DISCLOSE ANY POSSIBLE CONFLICTS OF INTEREST TO BOTH THE FUND ADMINISTRATOR AND THE TRUSTEES.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES THE INFORMATION IN QUESTION 19 AVAILABLE UPON REQUEST THROUGH THE FUND'S THIRD PARTY ADMINISTRATOR.
FORM 990, PART XI, LINE 5:NET UNREALIZED GAINS ON INVESTMENTS: 361,710.CHANGES IN NET ASSETS OR FUND BALANCES: