2012-05-14T09:45:12-05:00 2011-10-31 SASLOW LUFKIN & BUGGY LLP TEN TOWER LANE AVON CT 06001 990 2010-11-01 222507311 UFCW LOCAL 1459 & CONTRIBUTING EMPLOYERS HEALTH & WELFARE FUND UNIT 4137331197 33 EASTLAND STREET SPRINGFIELD MA 011092348 DANIEL P CLIFFORD 4137331197 2012-05-09 1 RICHARD BUGGY 8606789200 2010 2016-02-24 21:20:13Z DANIEL P CLIFFORD 33 EASTLAND STREET SPRINGFIELD MA 011092348 10533008 0 X N/A X 1983 MA PROVIDING ELIGIBLE PARTICIPANTS WITH VARIOUS HEALTH AND WELFARE BENEFITS. 4 4 0 0 0 0 0 0 6727179 6802882 325692 281038 0 0 7052871 7083920 0 0 5107493 5962702 0 0 0 0 0 1012949 1081011 6120442 7043713 932429 40207 8436968 8470377 749125 894460 7687843 7575917 PROVIDING ELIGIBLE PARTICIPANTS WITH VARIOUS EMPLOYEE WELFARE BENEFITS, INCLUDING HEALTH, HOSPITALIZATION, PRESCRIPTION, DISABILITY AND LIFE. 0 0 6757861 6802882 TO OBTAIN AND ADMINISTER THE HEALTH AND WELFARE PROGRAM FOR ALL ELIGIBLE PARTICIPANTS. 6757861 0 0 0 0 0 0 0 0 0 1 0 0 1 1 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 0 0 0 0 0 0 0 0 0 X 4 4 1 1 0 0 0 1 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X X ZENITH AMERICAN SOLUTIONS 4137331197 33 EASTLAND STREET SPRINGFIELD MA 01109 X ROSS KIELY 2.00 X 0 0 0 JOEL A BOONE 2.00 X X 0 0 0 DANIEL P CLIFFORD 2.00 X X 0 0 0 TIMOTHY KITTREDGE 2.00 X 0 0 0 RICHARD BROWN 2.00 X 0 0 0 JASON PARADIS 2.00 X 0 0 0 0 0 0 0 0 0 0 CONNECTICUT GENERAL LIFE INSURANCE COTTAGE GROVE ROAD BLOOMFIELD CT 06002 ASO CONTRACT ADMINISTRATOR 402031 ZENITH AMERICAN SOLUTIONS 33 EASTLAND STREET SPRINGFIELD CT 01109 THIRD PARTY CONTRACT ADMINISTRATOR 341296 2 EMPLOYER CONTRIBUTIONS 525100 6603306 6603306 EMPLOYEE CONTRIBUTIONS 525100 199576 199576 6802882 321416 321416 3408710 3449088 -40378 -40378 -40378 7083920 6802882 0 281038 5962702 5962702 99382 99382 22034 22034 16721 16721 462031 402031 60000 20125 20125 19005 19005 19677 19677 14154 14154 CONTRACT ADMINISTRATOR 341296 341296 MASS. UNCOMPENSATED CAR 51832 51832 BANK FEES 9430 9430 DUES (IFEBP) 5324 5324 7043713 6757861 285852 0 747535 904730 80963 84518 31938 81962 7451433 7351651 125099 47516 8436968 8470377 70125 86360 679000 808100 749125 894460 X 7687843 7575917 0 0 0 0 7687843 7575917 8436968 8470377 X 40207 -152133 X X 0 1 1 X 0 0 U.S. GOVERNMENT SECURITIES 4049635 F FOREIGN AND CORPORATE BONDS 3273831 F MUTUAL FUNDS 28185 F 7351651 HEALTH CLAIMS PAYABLE 152351 ESTIMATED CLAIMS INCURRED BUT NOT REPORTED 655749 808100 7083920 7043713 40207 -152133 -152133 -111926 6931787 -152133 -152133 7083920 0 7083920 7043713 0 7043713 0 7043713 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: THE FUND ACCOUNTS FOR UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH PROVISIONS OF FASB ASC 740, INCOME TAXES, WHICH PROVIDE A FRAMEWORK FOR HOW COMPANIES SHOULD RECOGNIZE, MEASURE, PRESENT AND DISCLOSE UNCERTAIN TAX POSITIONS IN THEIR FINANCIAL STATEMENTS. UNDER FASB ASC 740, THE FUND MAY RECOGNIZE THE TAX BENEFIT FROM AN UNCERTAIN TAX POSITION ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY THE TAXING AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFITS RECOGNIZED IN THE FINANCIAL STATEMENTS FROM SUCH POSITION ARE MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. THE FUND DID NOT RECORD ANY UNRECOGNIZED TAX BENEFITS FOR THE YEARS ENDED OCTOBER 31, 2011 AND 2010. THEREFORE, FASB ASC 740 HAD NO IMPACT ON THE 2011 OR 2010 FINANCIAL STATEMENTS. THE FUND ANTICIPATES THAT IT WILL NOT HAVE A CHANGE IN UNRECOGNIZED TAX BENEFITS DURING THE NEXT TWELVE MONTHS THAT WOULD HAVE A MATERIAL IMPACT ON THE FUNDS FINANCIAL STATEMENTS. THE FUNDS POLICY IS TO RECOGNIZE INTEREST AND PENALTIES RELATED TO INCOME TAXES AS A COMPONENT OF INTEREST AND PENALTY EXPENSE. AS OF AND FOR THE YEAR ENDED OCTOBER 31, 2011, THE FUND DID NOT RECORD ANY PENALTIES OR INTEREST ASSOCIATED WITH UNRECOGNIZED TAX BENEFITS. THE FUNDS PRIOR THREE TAX YEARS ARE OPEN AND ARE SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION A, LINE 2 DANIEL CLIFFORD AND RICHARD BROWN ARE OFFICERS OF THE UNITED FOOD & COMMERCIAL WORKERS UNION LOCAL 1459, WHICH IS A SPONSORING ORGANIZATION FOR THE UFCW UNION LOCAL 1459 & CONTRIBUTING EMPLOYERS' HEALTH & WELFARE FUND. FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION CONTRACTS WITH ZENITH AMERICAN SOLUTIONS, AN INDEPENDENT THIRD PARTY ADMINISTRATOR, TO CONDUCT THE DAY-TO-DAY OPERATIONS OF THE FUND. ZENITH AMERICAN SOLUTIONS IS ENGAGED BY AND REPORTS DIRECTLY TO THE BOARD OF TRUSTEES. FORM 990, PART VI, SECTION A, LINE 7A AS A SPONSORING ORGANIZATION, THE UNITED FOOD & COMMERCIAL WORKERS UNION LOCAL 1459 HAS THE AUTHORITY TO APPOINT TWO TRUSTEES AND ONE OR MORE ALTERNATE TRUSTEES TO THE ORGANIZATION'S BOARD. SIMILARLY, AS A SPONSORING ORGANIZATION AND A PARTICIPATING EMPLOYER, THE STOP & SHOP SUPERMARKET COMPANY HAS THE AUTHORITY TO APPOINT TWO TRUSTEES AND ONE OR MORE ALTERNATE TRUSTEES TO THE ORGANIZATION'S BOARD. FORM 990, PART VI, SECTION B, LINE 11 A COPY OF FORM 990 IS PROVIDED TO THE ORGANIZATION'S LEGAL COUNSEL FOR REVIEW AND COMMENT PRIOR TO FILING. FORM 990 IS REVIEWED BY THE FULL BOARD, APPROVED AND ACCEPTED AT THE FIRST BOARD MEETING SUBSEQUENT TO THE PREPARATION AND FILING OF THE RETURN. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD REQUIRES ALL TRUSTEES TO REPORT ANY POTENTIAL CONFLICTS OF INTEREST AT LEAST ANNUALLY. ANY POTENTIAL CONFLICTS OF INTEREST ARE BROUGHT TO THE BOARD FOR DISCUSSION AND RESOLUTION. FORM 990, PART VI, SEC. B, LINE 15: DAY-TO-DAY MANAGEMENT OF THE FUND IS CONTRACTED TO ZENITH AMERICAN SOLUTIONS, A THIRD PARTY CONTRACT ADMINISTRATOR. CONTRACTUAL TERMS AND CONDITIONS ARE EVALUATED AND NEGOTIATED BY THE BOARD ON AN ANNUAL BASIS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, TAX RETURNS AND AUDITED FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST TO THE BENEFITS OFFICE. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -152,133. FORM 990, PART XI, LINE 2C: THE BOARD OF TRUSTEES IS RESPONSIBLE FOR THE SELECTION OF AN INDEPENDENT ACCOUNTANT AND IS RESPONSIBLE FOR THE OVERSIGHT OF THE FINANCIAL STATEMENT AUDIT PROCESS. THERE HAS BEEN NO CHANGE FROM THE PRIOR YEAR IN HOW THESE RESPONSIBILITIES ARE ADMINISTERED. UFCW LOCAL 1459 AND CONTRIBUTING EMPLOYERS LEGAL BENEFIT FUND 33 EASTLAND STREET SPRINGFIELD MA 01109 222507618 MULTIEMPLOYER LEGAL BENEFIT FUND MA 501(C)(9) N/A 0 UFCW LOCAL 1459 EDUCATION SAFETY & INDUSTRY TRUST FUND 33 EASTLAND STREET SPRINGFIELD MA 01109 522331090 MULTIEMPLOYER EDUCATION & SAFETY FUND MA 501(C)(9) N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 UFCW UNION 1459 & CONTRIBUTING EMPLOYERS HEALTH & WELFARE FUND M COST UFCW UNION 1459 & CONTRIBUTING EMPLOYERS LEGAL BENEFIT FUND M COST (SEE PART VII FOR ADDITIONAL DISCLOSURE) FORM 990, SCHEDULE R, PART V THE ORGANIZATION SHARES OFFICE SPACE WITH TWO RELATED BUT INDEPENDENT MULTIEMPLOYER BENEFIT FUNDS, AND UTILIZES THE SAME THIRD PARTY ADMINISTRATOR. EACH ORGANIZATION IS CHARGED FOR AND PAYS ALL OF ITS OWN COSTS.