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UFCW UNIONS & EMPLOYERS HEALTH & WELFARE: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
UFCW UNIONS & EMPLOYERS HEALTH & WELFARE (EIN 31-0656412)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-15
IRS object ID
201203209349301955
Schema version
2011v1.2
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)
Timestamp2012-11-15T09:02:29-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN391531945EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1FREYBERG HINKLE ASHLAND POWERS & STOWELLBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line115420 W CAPITOL DRAddressLine1
CityBROOKFIELDCity
StateWIState
ZIP Code530052621ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN310656412EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1UFCW UNIONS & EMPLOYERS HEALTH & WELFAREBusinessNameLine1
Business Name Line2PLAN OF CENTRAL OHIOBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlUFCWNameControl
Phone6142377618Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line14150 EAST MAIN STREETAddressLine1
CityCOLUMBUSCity
StateOHState
ZIP Code43213ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameRANDY QUICKELName
TitleCHAIRMANTitle
Phone6142377618Phone
Date Signed2012-11-15DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameTHOMAS M POWERS CPAName
PTINP00241729PTIN
Phone2627846210Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonRANDY QUICKELNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line14150 EAST MAIN STREETAddressLine1
CityCOLUMBUSCity
StateOHState
ZIP Code43213ZIPCode
FieldValueIRS element (for citing)
Gross Receipts88049071GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteWWW.UFCWCENTRALOHIOHW.COMWebSite
Type Of Organization TrustXTypeOfOrganizationTrust
Year Formation1956YearFormation
State Legal DomicileOHStateLegalDomicile
Activity Or Mission DescriptionPROVIDE INSURANCE BENEFITS FOR MEMBERSActivityOrMissionDescription
Nbr Voting Members Governing Body6NbrVotingMembersGoverningBody
Nbr Independent Voting Members6NbrIndependentVotingMembers
Total Nbr Employees18TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year47899794ProgramServiceRevenuePriorYear
Program Service Revenue CY42194943ProgramServiceRevenueCY
Investment Income Prior Year1356639InvestmentIncomePriorYear
Investment Income Current Year997174InvestmentIncomeCurrentYear
Other Revenue Prior Year708204OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year49964637TotalRevenuePriorYear
Total Revenue Current Year43192117TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year41526733BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY47106150BenefitsPaidToMembersCY
Salaries Etc Prior Year799723SalariesEtcPriorYear
Salaries Etc Current Year847218SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year3533259OtherExpensePriorYear
Other Expenses Current Year3146121OtherExpensesCurrentYear
Total Expenses Prior Year45859715TotalExpensesPriorYear
Total Expenses Current Year51099489TotalExpensesCurrentYear
Revenues Less Expenses Prior Year4104922RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-7907372RevenuesLessExpensesCY
Total Assets BOY36588742TotalAssetsBOY
Total Assets EOY28682609TotalAssetsEOY
Total Liabilities BOY2513305TotalLiabilitiesBOY
Total Liabilities EOY2513312TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY34075437NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY26169297NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE FOR A UNIFORM HEALTH AND WELFARE PROGRAM FOR EMPLOYEES EMPLOYED UNDER CERTAIN COLLECTIVE BARGAINING AGREEMENTS.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense49371580Expense
DescriptionBENEFITS PAID TO OR FOR MEMBERS CONSIST OF ACCIDENT, HEALTH, DENTAL, LOSS OF TIME, VISION CARE, PRESCRIPTION DRUG AND LIFE. ALSO INCLUDED ARE THE RELATED ADMINISTRATION FEES CHARGED BY THE BENEFIT PROVIDERS AND COST CONTROLS.Description
Total Program Service Expense49371580TotalProgramServiceExpense
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 Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
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 Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109688NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees18NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
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 Duties0DelegationOfManagementDuties
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 Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons0AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
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 Line1DAVE MCALLISTERBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number6142377618TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line14150 E MAIN STAddressLine1
CityCOLUMBUSCity
StateOHState
ZIP Code43213ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (7 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
RANDY QUICKEL
CHAIRMAN2.00XX000
STEVE LOEFFLER
SECRETARY2.00XX000
GREGORY BEHNKE
TRUSTEE2.00X000
LANCE CAMPBELL
TRUSTEE2.00X000
REBECCA A BERROYER
TRUSTEE2.00X000
SUE VANDERSALL
TRUSTEE2.00X000
MARK KNIGHT
TRUSTEE2.00X000
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 (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
ANTHEM INSURANCE COMPANY INC
PO BOX 182361COLUMBUSOH432182361CLAIMS PROCESSING1614759
HEALTH SERVICE REVIEW INC
6730 ROOSEVELTFRANKLINOH45005MEDICAL CASE MANAGEMENT207857
ALERE HEALTH IMPROVEMENT CO
PO BOX 403393ATLANTAGA303843393DISEASE MANAGEMENT200377
REINHART BOERNER VAN DEUREN SC
PO BOX 2965MILWAUKEEWI532012965ATTORNEY194987
DELTA DENTAL
1300 EAST 9TH STREETCLEVELANDOH44114CLAIMS PROCESSING170594
FieldValueIRS element (for citing)
Number Of Contractors GT100 K6NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
EMPLOYER CONTRIBUTIONS9000994175450141754501
SELF-PAYMENT CONTRIBUT900099440442440442
FieldValueIRS element (for citing)
Total Program Service Revenue42194943TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column758173TotalRevenueColumn
Exclusion$758,173ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities45095955Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities44856954Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities239001Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column239001TotalRevenueColumn
Exclusion$239,001ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column43192117TotalRevenueColumn
Related Or Exempt Function Income42194943RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$997,174ExclusionAmount

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total47106150Total
Program Services47106150ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total546199Total
Management And General546199ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total31690Total
Management And General31690ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total221281Total
Management And General221281ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total48048Total
Management And General48048ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total192138Total
Management And General192138ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total30500Total
Management And General30500ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total28898Total
Management And General28898ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total137168Total
Management And General137168ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total187195Total
Management And General187195ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total205029Total
Management And General205029ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total38626Total
Management And General38626ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total11625Total
Management And General11625ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total18938Total
Management And General18938ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total19914Total
Management And General19914ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
ACCIDENT, HEALTH AND DE17849991784999
MEDICAL REVIEW SERVICES264949264949
DISEASE MANAGEMENT166977166977
VISION CARE FEES4850548505

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total10660Total
Management And General10660ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total51099489Total
Program Services49371580ProgramServices
Management And General1727909ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY6960955BOY
EOY4114064EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY940216BOY
EOY1179343EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1290849BOY
EOY798689EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY21016BOY
EOY30469EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis328813LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec278464LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY76973BOY
EOY50349EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY27298733BOY
EOY22509695EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY36588742BOY
EOY28682609EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1697305BOY
EOY1593916EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
EOY396EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY816000BOY
EOY919000EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY2513305BOY
EOY2513312EOY
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)
BOY34075437BOY
EOY26169297EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY34075437BOY
EOY26169297EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY36588742BOY
EOY28682609EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-7907372ReconcilationRevenueExpenses
Reconcilation Other Changes1232ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule D IRS990ScheduleD

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis328813OtherCostOrOtherBasis
Depreciation278464Depreciation
Book Value50349BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings50349TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionCLAIMS PAYABLEDescription
Amount$919,000Amount
FieldValueIRS element (for citing)
Total Of Amounts919000TotalOfAmounts
Total Revenue43192117TotalRevenue
Total Expenses51099489TotalExpenses
Excess Or Deficit For Year-7907372ExcessOrDeficitForYear
Net Unrealized GL On Investments2529NetUnrealizedGLOnInvestments
Other-$1,297OtherAmount
Total Adjustments1232TotalAdjustments
Excess Or Deficit Per FS-7906140ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt43165748TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments2529NetUnrealizedGainsInvestments
Revenue Not Rptd F9902529RevenueNotRptdF990
Revenue Subtotal43163219RevenueSubtotal
Investment Expenses Not Included28898InvestmentExpensesNotIncluded
Revenue Not Rptd On Fin Stmt28898RevenueNotRptdOnFinStmt
Total Revenue Per Form99043192117TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt50968888TotExpensesEtcAuditedFinclStmt
Losses Reported1297LossesReported
Expenses Not Rptd F9901297ExpensesNotRptdF990
Expenses Subtotal50967591ExpensesSubtotal
Investment Expenses Not Included228898InvestmentExpensesNotIncluded2
Other Expenses Not Included103000OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt131898ExpensesNotRptdOnFinStmt
Total Expenses Per Form99051099489TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X:U.S. GENERALLY ACCEPTED ACCOUNTING PRINCIPLES REQUIRE PLAN MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE PLAN AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF THE PLAN HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS. THE PLAN MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE PLAN, AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2011 THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX YEARS IN PROGRESS. PLAN MANAGEMENT BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO 2008.
PART XI, LINE 8 - OTHER ADJUSTMENTS:LOSS ON DISPOSAL OF FURNITURE & EQUIPMENT -1,297.
PART XIII, LINE 4B - OTHER ADJUSTMENTS:CURRENT YEAR INCREASE IN CLAIMS PAYABLE 103,000.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION B, LINE 11THE FORM 990 GOES THROUGH A PRELIMINARY REVIEW BY THE ADMINISTRATIVE MANAGER AND DIRECTOR OF FINANCE. ONCE THEY APPROVE THE FORM 990 IT IS PRESENTED TO A COMMITTEE OF TRUSTEES FOR APPROVAL PRIOR TO SIGNING AND FILING.
FORM 990, PART VI, SECTION B, LINE 12CTRUSTEES ARE EXPECTED TO FULLY DISCLOSE ANY OWNERSHIP OR OTHER FINANCIAL RELATIONSHIPS THEY HAVE WITH OTHER PARTIES THAT DEAL WITH THE PLAN.
FORM 990, PART VI, SECTION B, LINE 15ATHE CHAIRMAN OF THE BOARD OF TRUSTEES EVALUATES THE ADMINISTRATIVE MANAGER AND DETERMINES COMPENSATION.
FORM 990, PART VI, SECTION C, LINE 19THE PLAN MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XI, LINE 5:NET UNREALIZED GAINS ON INVESTMENTS: 2,529. LOSS ON DISPOSAL OF FURNITURE & EQUIPMENT -1,297. TOTAL TO FORM 990, PART XI, LINE 5: 1,232.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XII, LINE 2CTHE BOARD OF TRUSTEES IS RESPONSIBLE FOR THE SELECTION OF AN INDEPENDENT ACCOUNTANT TO PERFORM THE AUDIT OF THE PLAN'S FINANCIAL STATEMENTS.
FORM 990, SCHEDULE R, PARTS II-IV:ALL EMPLOYER INFORMATION IS AVAILABLE AT THE PLAN OFFICE UPON REQUEST.
FORM 990, SCHEDULE D, PART XI, LINE 10:THE $-7,906,140 REPORTED HERE DOES NOT AGREE WITH THE NET DECREASE IN NET ASSETS AVAILABLE FOR BENEFITS PER THE AUDITED FINANCIAL STATEMENTS AMOUNT OF $-7,803,140. THE DIFFERENCE OF $103,000 IS THE CHANGE IN BENEFITS PAYABLE. THE BENEFITS PAYABLE ARE INCLUDED IN THE FORM 990, BUT ARE ONLY DISCLOSED IN THE NOTES TO THE AUDITED FINANCIAL STATEMENTS.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrg
UNITED FOOD & COMMERCIAL WORKERS UNION LOCAL 1059
4150 E MAIN STREETCOLUMBUSOH43213314392482LABOR UNIONOH501(C)(5)N/A0
UFCW UNIONS AND FOOD EMPLOYERS PENSION PLAN OF CENTRAL OHIO
4150 E MAIN STREETCOLUMBUSOH43213316089168MULTIEMPLOYER PENSION PLANOH401(A)N/A0
CENTRAL OHIO UFCW UNIONS AND RETAIL EMPLOYERS PENSION PLAN
4150 E MAIN STREETCOLUMBUSOH43213316089169MULTIEMPLOYER PENSION PLANOH401(A)N/A0
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
UNITED FOOD & COMMERCIAL WORKERS UNION LOCAL 1059
J58368FAIR MARKET VALUE
UFCW UNIONS AND FOOD EMPLOYERS PENSION PLAN OF CENTRAL OHIO
P268899ACTUAL EXPENSE REIMBURSEMENTS
CENTRAL OHIO UFCW UNIONS AND RETAIL EMPLOYERS PENSION PLAN
P79860ACTUAL EXPENSE REIMBURSEMENTS