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U F C W UNIONS & EMPLOYERS MIDWEST HEALTH BENEFITS FUND: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
U F C W UNIONS & EMPLOYERS MIDWEST HEALTH BENEFITS FUND (EIN 36-2440523)
Tax period
2010-12-01 to 2011-11-30
Filed
2012-04-13
IRS object ID
201231049349300223
Schema version
2010v3.4
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)
Timestamp2012-04-13T11:59:25-05:00Timestamp
Tax Period End Date2011-11-30TaxPeriodEndDate

Preparer Firm PreparerFirm

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 Date2010-12-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN362440523EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1U F C W UNIONS & EMPLOYERS MIDWESTBusinessNameLine1
Business Name Line2HEALTH BENEFITS FUNDBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlUFCWNameControl
Phone8473847000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11300 HIGGINS ROAD NO 300AddressLine1
CityPARK RIDGECity
StateILState
ZIP Code60068ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDAN RYANName
TitleADMINISTRATORTitle
Phone8473847000Phone
Date Signed2012-04-13DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameLEGACY PROFESSIONALS LLPName
Phone3123680500Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonDAN RYANNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11300 HIGGINS ROAD NO 300AddressLine1
CityPARK RIDGECity
StateILState
ZIP Code60068ZIPCode
FieldValueIRS element (for citing)
Gross Receipts134664496GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteWWW.UFCWMIDWEST.ORGWebSite
Type Of Organization TrustXTypeOfOrganizationTrust
Year Formation1960YearFormation
State Legal DomicileILStateLegalDomicile
Activity Or Mission DescriptionPROVIDE HEALTH BENEFITSActivityOrMissionDescription
Nbr Voting Members Governing Body6NbrVotingMembersGoverningBody
Nbr Independent Voting Members6NbrIndependentVotingMembers
Total Nbr Employees87TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year48158438ProgramServiceRevenuePriorYear
Program Service Revenue CY43073797ProgramServiceRevenueCY
Investment Income Prior Year2925960InvestmentIncomePriorYear
Investment Income Current Year1517123InvestmentIncomeCurrentYear
Other Revenue Prior Year83740OtherRevenuePriorYear
Other Revenue Current Year98202OtherRevenueCurrentYear
Total Revenue Prior Year51168138TotalRevenuePriorYear
Total Revenue Current Year44689122TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year54377672BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY63508916BenefitsPaidToMembersCY
Salaries Etc Prior Year7275305SalariesEtcPriorYear
Salaries Etc Current Year6619667SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year2527209OtherExpensePriorYear
Other Expenses Current Year2427928OtherExpensesCurrentYear
Total Expenses Prior Year64180186TotalExpensesPriorYear
Total Expenses Current Year72556511TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-13012048RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-27867389RevenuesLessExpensesCY
Total Assets BOY88626318TotalAssetsBOY
Total Assets EOY52247171TotalAssetsEOY
Total Liabilities BOY26606935TotalLiabilitiesBOY
Total Liabilities EOY17094448TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY62019383NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY35152723NetAssetsOrFundBalancesEOY
Mission DescriptionPROVIDE HEALTH BENEFITSMissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
DescriptionTO PROVIDE HEALTH CARE, DEATH AND DISABILITY BENEFITS FOR ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS.Description
Described In501 C30DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
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 Required1ScheduleJRequired
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 With10961471NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees87NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
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 Committees0MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons0AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement0RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy0DocumentRetentionPolicy
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 Line1JOE CALIBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number8473847000TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11300 HIGGINS ROAD SUITE 300AddressLine1
CityPARK RIDGECity
StateILState
ZIP Code60068ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (9 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
BRIAN JORDAN
TRUSTEE3.00X000
JOHN DOUGHERTY
TRUSTEE3.00X000
KENNETH R BOYD
TRUSTEE3.00X000
TERRY KRAMER
TRUSTEE3.00X000
STEVEN M POWELL
TRUSTEE3.00X000
JAMES V MORGAN
TRUSTEE3.00X000
DANIEL W RYAN
ADMINISTRATOR40.001444620111807X
RON LAMKEY
DATA PROCESSING SUPERVISOR40.00114401032404X
JOSEPH R CALI
FINANCIAL DIRECTOR40.00106031024477X
FieldValueIRS element (for citing)
Total Reportable Comp From Org364894TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation168688TotalOtherCompensation
Number Individuals GT100 K3NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
BLUE CROSS BLUE SHIELD
300 EAST RANDOLPH STCHICAGOIL60601PPO PROVIDER2705096
MEDICAL INSURANCE CONSULTING GROUP INC
4949 N WESTERN AVENUECHICAGOIL60625MEDICAL CONSULTANT238518
THE SEGAL COMPANY
PO BOX 4092 CHURCH STREET STATIONNEW YORKNY10261ACTUARY231445
QUEST DIAGNOSTICS INC LLC
1355 MITTEL BLVDWOOD DALEIL60191HEALTHCARE PROVIDER197990
LEGACY PROFESSIONALS LLP
311 SOUTH WACKER STE 4000CHICAGOIL60602AUDITOR109106
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
EMPL. CONTRIBUTIONS9000993887413938874139
REIMB EXP UFCW MW PENS90009926282552628255
PART. CONTRIBUTIONS900099597793597793
PERSCRIPTION DRUG REBA900099594260594260
REIMB EXPS UFCW CALUME900099284060284060

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column95290TotalRevenueColumn
Related Or Exempt Function Income95290RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue43073797TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1562126TotalRevenueColumn
Exclusion$1,562,126ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities89930371Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities89975374Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-45003Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-45003TotalRevenueColumn
Exclusion-$45,003ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
CLASS ACTION RECOVERY90009994103$94,103
MISCELLANEOUS INCOME9000994099$4,099
FieldValueIRS element (for citing)
Total Other Revenue98202TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column44689122TotalRevenueColumn
Related Or Exempt Function Income43073797RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$1,615,325ExclusionAmount

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total63508916Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total167206Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total4716923Total

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total986491Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total387950Total

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total361097Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total74948Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total88428Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total151383Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total359338Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total366110Total

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total144400Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total758097Total

Travel Travel

FieldValueIRS element (for citing)
Total8911Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total33924Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total131445Total

Insurance Insurance

FieldValueIRS element (for citing)
Total111646Total

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotal
MISCELLANEOUS PERSONNEL96240
DOCUMENT STORAGE EXPENS54989
WEB CLAIMS SERVICE FEE48069

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total72556511Total

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY-467228BOY
EOY2401033EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY14754449BOY
EOY4116403EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY5649153BOY
EOY5483711EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY146794BOY
EOY248268EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis1044676LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec692206LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY400865BOY
EOY352470EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY67778838BOY
EOY39459363EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY363447BOY
EOY185923EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY88626318BOY
EOY52247171EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY361516BOY
EOY274799EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY26245419BOY
EOY16819649EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY26606935BOY
EOY17094448EOY
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)
BOY62019383BOY
EOY35152723EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY62019383BOY
EOY35152723EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY88626318BOY
EOY52247171EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-27867389ReconcilationRevenueExpenses
Reconcilation Other Changes1000729ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule D IRS990ScheduleD

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1044676OtherCostOrOtherBasis
Depreciation692206Depreciation
Book Value352470BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings352470TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
DUE TO PARTICIPANTS OF DEFERRED COMPENSATION PLANS$234,728
MAINTENANCE OF RESERVE POLICY REFUNDS$16,559,951
DUE TO BROKER$24,970
FieldValueIRS element (for citing)
Total Of Amounts16819649TotalOfAmounts
Total Revenue44689122TotalRevenue
Total Expenses72556511TotalExpenses
Excess Or Deficit For Year-27867389ExcessOrDeficitForYear
Net Unrealized GL On Investments1000729NetUnrealizedGLOnInvestments
Total Adjustments1000729TotalAdjustments
Excess Or Deficit Per FS-26866660ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt42910213TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments1000729NetUnrealizedGainsInvestments
Revenue Not Rptd F9901000729RevenueNotRptdF990
Revenue Subtotal41909484RevenueSubtotal
Investment Expenses Not Included151383InvestmentExpensesNotIncluded
Other Revenues Not Included2628255OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt2779638RevenueNotRptdOnFinStmt
Total Revenue Per Form99044689122TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt69776873TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal69776873ExpensesSubtotal
Investment Expenses Not Included2151383InvestmentExpensesNotIncluded2
Other Expenses Not Included2628255OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt2779638ExpensesNotRptdOnFinStmt
Total Expenses Per Form99072556511TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X:THE PLAN FILES FORM 990, RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX AND FORM 5500, ANNUAL RETURN/REPORT OF EMPLOYEE BENEFIT PLAN. THE PLAN'S RETURNS ARE SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE UNTIL THE APPLICABLE STATUTE OF LIMITATION EXPIRES.
PART XII, LINE 4B - OTHER ADJUSTMENTS:REIMBURSED ADMIN EXPENSE - UFCW PENSION FUND 2,628,255.
PART XIII, LINE 4B - OTHER ADJUSTMENTS:REIMBURSED ADMIN EXPENSE - UFCW PENSION FUND 2,628,255.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonDANIEL W RYANNamePerson
Base Compensation Filing Org144462BaseCompensationFilingOrg
Comp Based On Related Orgs0CompBasedOnRelatedOrgs
Bonus Filing Org0BonusFilingOrg
Bonus Related Orgs0BonusRelatedOrgs
Other Compensation Filing Org0OtherCompensationFilingOrg
Other Compensation Related Orgs0OtherCompensationRelatedOrgs
Deferred Comp Filing Org103534DeferredCompFilingOrg
Deferred Comp Related Orgs0DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org8273NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs0NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org256269TotalCompensationFilingOrg
Total Compensation Related Orgs0TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION A, LINE 8BTHE PLAN DOES NOT HAVE ANY SEPARATE COMMITTEES WITH THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BOARD.
FORM 990, PART VI, SECTION B, LINE 11THE FORM 990 IS PROVIDED TO THE ENTIRE BOARD OF TRUSTEES FOR REVIEW AND APPROVAL BEFORE IT IS SIGNED AND FILED.
SALARIES ARE ANNUALLY REVIEWED AND APPROVED BY THE BOARD OF TRUSTEES.FORM 990, PART VI, SECTION B, LINE 15A
GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST AT THE FUND OFFICE.FORM 990, PART VI, SECTION C, LINE 19
RETIREMENT AND OTHER DEFERRED COMPENSATION INCLUDES THE INCREASE IN THE PRESENT VALUE OF A DEFINED BENEFIT PENSION PLAN AS DETERMINED BY THE FUND'S ACTUARY.FORM 990, SCHEDULE J, PART II, COLUMN C:
NON-TAXABLE BENEFITS INCLUDE THE VALUE OF HEALTH AND WELFARE PREMIUMS PAID ON BEHALF OF THE INDIVIDUALS.FORM 990, SCHEDULE J, PART II, COLUMN D:
CHANGES IN NET ASSETS OR FUND BALANCES:NET UNREALIZED GAINS ON INVESTMENTS: 1,000,729.FORM 990, PART XI, LINE 5:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1UNITED FOOD & COMERCIAL WKRS UNIONS & EMPRS MW PENSION FUNDBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11300 HIGGINS ROAD SUITE 300AddressLine1
CityPARK RIDGECity
StateILState
ZIP Code60068ZIPCode
FieldValueIRS element (for citing)
EIN366508328EIN
Primary ActivitiesRETIREMENT BENEFITS FOR ELIGIBLE PARTICIPANTSPrimaryActivities
Legal Domicile StateILLegalDomicileState
Exempt Code Section501(A)ExemptCodeSection
Public Charity StatusN/APublicCharityStatus
Direct Controlling Entity NAN/ADirectControllingEntityNA
Controlled Org0ControlledOrg
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 Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
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 InvolvedAmountInvolved
UNITED FOOD AND COMMERICAL WORKERS UNIONS & EMPLOYERS MIDWEST PENSION FUND
M400901
UNITED FOOD AND COMMERICAL WORKERS UNIONS & EMPLOYERS MIDWEST PENSION FUND
N2227354
UNITED FOOD AND COMMERICAL WORKERS UNIONS & EMPLOYERS MIDWEST PENSION FUND
P2634194