2012-03-15T09:23:22-05:00 2011-03-31 HEMMING MORSE CPA'S AND CONSULTANTS 160 SPEAR STREET SUITE 1900 SAN FRANCISCO CA 94105 990 2010-04-01 952301788 UNITED FOOD & COMMERCIAL WORKERS UNIONS & FOOD EMPLOYERS BEN FUND UNIT 7142202297 6425 KATELLA AVE CYPRESS CA 90630 ADMINISTRATOR 7142202297 2012-03-15 1 4158364000 2010 2016-02-24 21:20:13Z ADMINISTRATOR 6425 KATELLA AVE CYPRESS CA 90630 2469077129 0 X N/A X 1964 CA TO PROVIDE HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS 10 10 0 0 0 0 0 0 321364408 454314794 3016997 1196824 9320747 4723529 333702152 460235147 0 0 471658321 507608563 0 0 0 0 0 27161781 27143710 498820102 534752273 -165117950 -74517126 338114217 337282112 147937233 221910180 190176984 115371932 NONE 0 0 THE PLAN IS A MULTI-EMPLOYER WELFARE BENEFIT PLAN PROVIDING HOSPITAL, MEDICAL, PSYCHIATRIC, PREVENTIVE MEDICINE, DENTAL ORTHODONTIA, PRESCRIPTION DRUG, DEATH, INDUSTRY VACATION AND VISION CARE BENEFITS 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 17062 0 0 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 X JOEL MELTZ 7142202297 6425 KATELLA AVENUE CYPRESS CA 90630 X GREG CONGER 5.00 X 0 0 0 RICARDO ICAZA 5.00 X 0 0 0 BILL LATHROP 5.00 X 0 0 0 CONNIE LEYVA 5.00 X 0 0 0 MICHAEL KASPARIAN 5.00 X 0 0 0 MICHAEL STRAETER 5.00 X 0 0 0 KATHLEEN A FINAZZO 5.00 X 0 0 0 FRANK JORGENSEN 5.00 X 0 0 0 BRENT BOHN 5.00 X 0 0 0 LEROY WESTMORELAND 5.00 X 0 0 0 0 0 0 0 0 0 0 SC UFCW ADMINISTRATION LLC 6425 KATELLA AVE CYPRESS CA 90630 CONTRACT ADMINISTRATOR 17059156 SEYFARTH SHAW LLP ONE CENTURY PLAZA SUITE 3500 LOS ANGELES CA 900673021 LEGAL COUNSEL 530214 THE SEGAL COMPANY 100 MONTGOMERY STREET SUITE 500 SAN FRANCISCO CA 94104 ACTUARY/CONSULTANT 493603 HEALTH MANAGEMENT CONCEPTS 630 SHATTO PLACE LOS ANGELES CA 90005 CONSULTANT 413213 CREWS MACQUARRIE & ASSOCIATES 6300 WILSHIRE BOULEVARD SUITE 2000 LOS ANGELES CA 900485268 ACTUARY/CONSULTANT 332285 7 EMPLOYER CONTRIBUTIONS 900099 422490583 422490583 PARTICIPANT CONT. 900099 31737215 31737215 COBRA SUBSIDY 900099 86996 86996 454314794 1347950 1347950 2008690856 2008841982 -151126 -151126 -151126 MEDICARE PART D SUBSID 900099 4556173 4556173 OTHER INCOME 900099 167356 167356 4723529 460235147 458887197 0 1347950 507608563 17059156 857439 60758 84193 526 232920 COST CONTAINMENT FEES 5852836 ACTUARIAL CONSULTANTS 1421085 PRINTING 567802 POSTAGE 433662 BANK FEES 273196 300137 534752273 101345515 69167819 33687432 36063689 204818 213268 199420315 229656627 3456137 2180709 338114217 337282112 829824 376696 147107409 221533484 147937233 221910180 X 0 0 0 0 190176984 115371932 190176984 115371932 338114217 337282112 X -74517126 -287926 X X 0 1 1 X 0 0 GROUP INSURANCE PREMIUMS AND CLAIMS PAYABLE 75336928 CLAIMS INCURRED BUT NOT REPORTED 43902000 ANCILLARY AWARDS AND GRANTS NOT USED 227000 CASH - OPERATING ACCOUNTS (OVERDRAFT) 9823877 LIABILITY TO RETURN COLLATERAL FOR SECURITY ON LOAN 92243679 221533484 460235147 534752273 -74517126 -287926 -287926 -74805052 459947221 -287926 -287926 460235147 0 460235147 534752273 0 534752273 0 534752273 FORM 990, PART VI, SECTION B, LINE 11 THE TRUSTEES DESIGNATE THE ADMINISTRATOR TO REVIEW THE FORM. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST AND VIA 5500 FILING. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -287,926. FORM 990, PART XI, LINE 2C: THE BOARD OF TRUSTEES ASSUMES RESPONSIBILITY FOR OVERSEEING THE AUDIT OF THE ORGANIZATION'S FINANCIAL STATEMENTS AND FOR SELECTING THE INDEPENDENT AUDITOR. SO CA UFCW UNIONS & FOOD EMPLOYERS JOINT PENSION TRUST FUND 6425 KATELLA AVENUE CYPRESS CA 90630 951939092 TO PROVIDE PENSION BENEFITS TO ELIGIBLE PARTICIPANTS CA 401A 0 SO CA UNITED FOOD & COMM WORKERS UNIONS & FOOD EMPOYERS INDIV ACCT 6425 KATELLA AVENUE CYPRESS CA 90630 330548757 TO PROVIDE ANNUITY PENSION BENEFITS TO ELIGBLE PARTICIPANTS CA 401A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0