2012-04-06T14:37:51-07:00 2011-08-31 MENDEZ PETTY LLP 1400 EASTON DRIVE SUITE 139-A BAKERSFIELD CA 93309 990 2010-09-01 946186170 ROBERT F KENNEDY FARM WORKERS MEDICAL PLAN ROBE 6618236900 P O BOX 47 KEENE CA 93531 PATRICK PINE 2012-03-30 Nathan J Petty CPA 6613342787 2010 2016-02-24 21:20:13Z 26884894 false false X N/A X CA PROVIDE HEALTH AND WELFARE BENEFITS 5 5 10 0 0 15029674 15069936 553084 106109 0 15582758 15176045 0 17178006 14488552 161594 218756 0 0 473496 425383 17813096 15132691 -2230338 43354 6964280 5711751 4708495 3412612 2255785 2299139 PROVIDE HEALTH AND WELFARE BENEFITS false false THE ORGANIZATION PROVIDED HEALTH AND WELFARE BENEFITS TO AN ESTIMATED 2,722 PARTICIPANTS. MOST PARTICIPANTS WERE LOW PAID FARM WORKERS. false false false false false false false false false false true false false false 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 false false false false false false false true false false false false true 565 0 true 10 true false false false false false false false false false false false false false false false X 5 5 false false false false false false false true true false false false true true false false false false true true false false CA X PATRICK PINE 6618236900 P O BOX 47 KEENE CA 93531 TANIS YBARRA 1.00 X 0 55040 0 SHAH KAZEMI 1.00 X 0 0 0 PATRICK PINE 0.00 X X 6762 0 0 MERCEDES MARTINEZ 15.00 X X 5538 0 0 EFREN BARAJAS 1.00 X 0 74910 0 DANIEL URBANO 1.00 X 0 0 0 ARTURO RODRIGUEZ 1.00 X 0 76449 0 12300 206399 0 false false false VISION SERVICE PLAN PO BOX 45210 SAN FRANCISCO CA 94145 MEDICAL SERVICES 311071 UNITED HEALTHCARE INSURANCE COMPANY 5670 N FRESNO 106 FRESNO CA 93710 MEDICAL SERVICES 1238847 FARMACIA PEDREGAL DE MEXICALI AVENIDA MARIA 402 MEXICALI BAJA MEXICO MX 21280 PRESCRIPTION 104940 EXPRESS SCRIPTS ONE EXPRESS WAY ST LOUIS MO 63121 PRESCRIPTION 1477033 ANTHEM BLUE CROSS INC PO BOX 27401 RICHMOND VA 23279 MEDICAL SERVICES 396900 10 0 MISC. INCOME - CALXICO 15688 15688 EMPLOYER CONTRIBUTIONS 13742659 13742659 EMPLOYEE CONTRIBUTIONS 204925 204925 COBRA SUBSIDIE 73543 73543 CHANGE IN ESTIMATES 1033121 1033121 15069936 -12574 -12574 0 0 0 11827532 11708849 118683 118683 118683 0 0 0 0 15176045 15176045 0 0 0 14488552 14488552 12300 12300 0 160352 160352 1413 1413 30004 30004 14687 14687 0 52253 52253 0 0 0 0 0 0 74102 74102 0 0 0 12489 12489 0 0 0 0 0 18279 18279 OUTSIDE SERVICES 30000 30000 FIELD OFFICE SERVICES 59379 59379 COMPUTER EXPENSES 48195 48195 AUDIT 26013 26013 ACTUARIAL SERVICES 58671 58671 46002 46002 15132691 15132691 0 0 0 2166852 1574830 0 2052157 1633362 0 0 0 0 161 4778 199362 185024 5132 14338 2739715 2484441 0 0 0 263 2 6964280 5711751 4708495 3412611 1 4708495 3412612 X 2255785 2299139 2255785 2299139 6964280 5711751 43354 X false true false false false 1627 1627 152382 139746 12636 45353 43651 1702 14338 Rounding 1 1 Form 990, Part VI, Line 19 Form 990, Part VI, Line 19: Other Organization Documents Publicly Available The Plan has always maintained a policy of providing governing documents, policies and financial statement information to those requesting such information. Form 990, Part VI, Line 11 Form 990, Part VI, Line 11: Form 990 Review Process A electronic copy of the Form 990 was sent to all trustees and the administrator for review and comment before filing with the IRS. The administrator of the Plan performed a detailed review of the Form 990 including reconciliation with the audited financial statements, before filing it with the IRS. The Plan management expects to formally present the Form 990 to the Board of Trustees at their next regularly schedule board meeting for their approval. UNITED FARM WORKERS OF AMERICA P O BOX 62 KEENE CA 93531 941448579 LABOR UNION CA 501(C)(5) N/A false JUAN DE LA CRUZ FARMWORKERS PENSION PLAN P O BOX 36 KEENE CA 93531 956454441 MULTIEEMPLOYER RETIREMENT PLAN PROVIDING PENSIONS CA 501(C)(9) N/A false false false false false false false false false false false false false false false false false false false The return is being filed between March 1,2012 and March 30,2012 as directed by the IRS in Notice 2012-4, because electronic filing was not available January 1,2012 through February 29,2012. We request that penalties be waived because it would be inwquitable to impose a penalty on us due to the unusual circumsatnaces requiring us to delay the filing of this return. In addition we attempted to e-file the return on 3/30/2012 various times. The e-file error could not be corrected and so this resulted in the return being paper filed.