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UFCW LOCAL ONE RETIREE HEALTH CARE FUND 401k Plan overview

Plan NameUFCW LOCAL ONE RETIREE HEALTH CARE FUND
Plan identification number 502

UFCW LOCAL ONE RETIREE HEALTH CARE FUND Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Vision
  • Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

BRD OF TTEES UFCW LOCAL ONE ACTIVE HEALTH CARE FUND has sponsored the creation of one or more 401k plans.

Company Name:BRD OF TTEES UFCW LOCAL ONE ACTIVE HEALTH CARE FUND
Employer identification number (EIN):160915820
NAIC Classification:445110
NAIC Description:Supermarkets and Other Grocery (except Convenience) Stores

Form 5500 Filing Information

Submission information for form 5500 for 401k plan UFCW LOCAL ONE RETIREE HEALTH CARE FUND

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022022-01-01
5022021-01-01
5022020-01-01
5022019-01-01
5022019-01-01
5022018-01-01
5022017-01-01FRANK DERISO RAYMOND WARDYNSKI2018-10-15
5022016-01-01FRANK DERISO JOHN BARRETT2017-10-15
5022015-01-01FRANK DERISO JOHN BARRETT2016-10-17
5022014-01-01FRANK DERISO JOHN BARRETT2015-10-14

Plan Statistics for UFCW LOCAL ONE RETIREE HEALTH CARE FUND

401k plan membership statisitcs for UFCW LOCAL ONE RETIREE HEALTH CARE FUND

Measure Date Value
2022: UFCW LOCAL ONE RETIREE HEALTH CARE FUND 2022 401k membership
Total participants, beginning-of-year2022-01-011,279
Number of retired or separated participants receiving benefits2022-01-0168
Number of other retired or separated participants entitled to future benefits2022-01-011,127
Total of all active and inactive participants2022-01-011,195
Number of employers contributing to the scheme2022-01-0152
2021: UFCW LOCAL ONE RETIREE HEALTH CARE FUND 2021 401k membership
Total participants, beginning-of-year2021-01-011,293
Number of retired or separated participants receiving benefits2021-01-0163
Number of other retired or separated participants entitled to future benefits2021-01-011,216
Total of all active and inactive participants2021-01-011,279
Number of employers contributing to the scheme2021-01-0151
2020: UFCW LOCAL ONE RETIREE HEALTH CARE FUND 2020 401k membership
Total participants, beginning-of-year2020-01-011,264
Number of retired or separated participants receiving benefits2020-01-0176
Number of other retired or separated participants entitled to future benefits2020-01-011,217
Total of all active and inactive participants2020-01-011,293
Number of employers contributing to the scheme2020-01-0155
2019: UFCW LOCAL ONE RETIREE HEALTH CARE FUND 2019 401k membership
Total participants, beginning-of-year2019-01-011,236
Number of retired or separated participants receiving benefits2019-01-0192
Number of other retired or separated participants entitled to future benefits2019-01-011,172
Total of all active and inactive participants2019-01-011,264
Number of employers contributing to the scheme2019-01-0158
2018: UFCW LOCAL ONE RETIREE HEALTH CARE FUND 2018 401k membership
Total participants, beginning-of-year2018-01-011,260
Number of retired or separated participants receiving benefits2018-01-0188
Number of other retired or separated participants entitled to future benefits2018-01-011,148
Total of all active and inactive participants2018-01-011,236
Number of employers contributing to the scheme2018-01-0158
2017: UFCW LOCAL ONE RETIREE HEALTH CARE FUND 2017 401k membership
Total participants, beginning-of-year2017-01-011,289
Number of retired or separated participants receiving benefits2017-01-0194
Number of other retired or separated participants entitled to future benefits2017-01-011,166
Total of all active and inactive participants2017-01-011,260
Number of employers contributing to the scheme2017-01-0160
2016: UFCW LOCAL ONE RETIREE HEALTH CARE FUND 2016 401k membership
Total participants, beginning-of-year2016-01-011,230
Number of retired or separated participants receiving benefits2016-01-01139
Number of other retired or separated participants entitled to future benefits2016-01-011,150
Total of all active and inactive participants2016-01-011,289
Number of employers contributing to the scheme2016-01-0160
2015: UFCW LOCAL ONE RETIREE HEALTH CARE FUND 2015 401k membership
Total participants, beginning-of-year2015-01-011,250
Number of retired or separated participants receiving benefits2015-01-01117
Number of other retired or separated participants entitled to future benefits2015-01-011,113
Total of all active and inactive participants2015-01-011,230
Number of employers contributing to the scheme2015-01-0161
2014: UFCW LOCAL ONE RETIREE HEALTH CARE FUND 2014 401k membership
Total participants, beginning-of-year2014-01-010
Total number of active participants reported on line 7a of the Form 55002014-01-010
Number of retired or separated participants receiving benefits2014-01-0187
Number of other retired or separated participants entitled to future benefits2014-01-011,163
Total of all active and inactive participants2014-01-011,250
Number of employers contributing to the scheme2014-01-0157

Financial Data on UFCW LOCAL ONE RETIREE HEALTH CARE FUND

Measure Date Value
2022 : UFCW LOCAL ONE RETIREE HEALTH CARE FUND 2022 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$485,265
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$453,175
Total income from all sources (including contributions)2022-12-31$50,876
Total of all expenses incurred2022-12-31$79,992
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$50,865
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$50,876
Value of total assets at end of year2022-12-31$676,122
Value of total assets at beginning of year2022-12-31$673,148
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$29,127
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Administrative expenses professional fees incurred2022-12-31$27,349
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$500,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-12-31$1,242
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-12-31$1,242
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-12-31$463,465
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-12-31$423,228
Administrative expenses (other) incurred2022-12-31$1,778
Liabilities. Value of operating payables at end of year2022-12-31$12,000
Liabilities. Value of operating payables at beginning of year2022-12-31$12,147
Total non interest bearing cash at end of year2022-12-31$674,880
Total non interest bearing cash at beginning of year2022-12-31$671,906
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-29,116
Value of net assets at end of year (total assets less liabilities)2022-12-31$190,857
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$219,973
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$50,876
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$50,865
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32022-12-31No
Liabilities. Value of benefit claims payable at end of year2022-12-31$9,800
Liabilities. Value of benefit claims payable at beginning of year2022-12-31$17,800
Did the plan have assets held for investment2022-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31BUCHBINDER TUNICK & COMPANY LLP
Accountancy firm EIN2022-12-31131578842
2021 : UFCW LOCAL ONE RETIREE HEALTH CARE FUND 2021 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$453,175
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$410,257
Total income from all sources (including contributions)2021-12-31$51,464
Total of all expenses incurred2021-12-31$104,783
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$70,921
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$51,464
Value of total assets at end of year2021-12-31$673,148
Value of total assets at beginning of year2021-12-31$683,549
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$33,862
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Administrative expenses professional fees incurred2021-12-31$32,084
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$500,000
If this is an individual account plan, was there a blackout period2021-12-31No
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-12-31$1,242
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-12-31$5,523
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2021-12-31$423,228
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2021-12-31$385,811
Administrative expenses (other) incurred2021-12-31$1,778
Liabilities. Value of operating payables at end of year2021-12-31$12,147
Liabilities. Value of operating payables at beginning of year2021-12-31$12,046
Total non interest bearing cash at end of year2021-12-31$671,906
Total non interest bearing cash at beginning of year2021-12-31$678,026
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$-53,319
Value of net assets at end of year (total assets less liabilities)2021-12-31$219,973
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$273,292
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$51,464
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$70,921
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32021-12-31No
Liabilities. Value of benefit claims payable at end of year2021-12-31$17,800
Liabilities. Value of benefit claims payable at beginning of year2021-12-31$12,400
Did the plan have assets held for investment2021-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31BUCHBINDER TUNICK & CO. LLP
Accountancy firm EIN2021-12-31131578842
2020 : UFCW LOCAL ONE RETIREE HEALTH CARE FUND 2020 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$410,257
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$370,811
Total income from all sources (including contributions)2020-12-31$53,236
Total of all expenses incurred2020-12-31$106,302
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$67,673
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$53,236
Value of total assets at end of year2020-12-31$683,549
Value of total assets at beginning of year2020-12-31$697,169
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$38,629
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Administrative expenses professional fees incurred2020-12-31$37,016
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$500,000
If this is an individual account plan, was there a blackout period2020-12-31No
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-12-31$5,523
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-12-31$1,042
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-12-31$385,811
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-12-31$348,811
Administrative expenses (other) incurred2020-12-31$1,613
Liabilities. Value of operating payables at end of year2020-12-31$12,046
Liabilities. Value of operating payables at beginning of year2020-12-31$10,000
Total non interest bearing cash at end of year2020-12-31$678,026
Total non interest bearing cash at beginning of year2020-12-31$696,127
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$-53,066
Value of net assets at end of year (total assets less liabilities)2020-12-31$273,292
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$326,358
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$53,236
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$67,673
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32020-12-31No
Liabilities. Value of benefit claims payable at end of year2020-12-31$12,400
Liabilities. Value of benefit claims payable at beginning of year2020-12-31$12,000
Did the plan have assets held for investment2020-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Unqualified
Accountancy firm name2020-12-31BUCHBINDER TUNICK & COMPANY LLP
Accountancy firm EIN2020-12-31131578842
2019 : UFCW LOCAL ONE RETIREE HEALTH CARE FUND 2019 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$370,811
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$370,811
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$341,268
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$341,268
Total income from all sources (including contributions)2019-12-31$55,166
Total income from all sources (including contributions)2019-12-31$55,166
Total of all expenses incurred2019-12-31$74,799
Total of all expenses incurred2019-12-31$74,799
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$53,819
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$53,819
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$55,166
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$55,166
Value of total assets at end of year2019-12-31$697,169
Value of total assets at end of year2019-12-31$697,169
Value of total assets at beginning of year2019-12-31$687,259
Value of total assets at beginning of year2019-12-31$687,259
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$20,980
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$20,980
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Administrative expenses professional fees incurred2019-12-31$18,782
Administrative expenses professional fees incurred2019-12-31$18,782
Was this plan covered by a fidelity bond2019-12-31Yes
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$500,000
Value of fidelity bond cover2019-12-31$500,000
If this is an individual account plan, was there a blackout period2019-12-31No
If this is an individual account plan, was there a blackout period2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$1,042
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$1,042
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$1,042
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$1,042
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-12-31$348,811
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-12-31$348,811
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-12-31$307,268
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-12-31$307,268
Administrative expenses (other) incurred2019-12-31$2,198
Administrative expenses (other) incurred2019-12-31$2,198
Liabilities. Value of operating payables at end of year2019-12-31$10,000
Liabilities. Value of operating payables at beginning of year2019-12-31$8,000
Liabilities. Value of operating payables at beginning of year2019-12-31$8,000
Total non interest bearing cash at end of year2019-12-31$696,127
Total non interest bearing cash at end of year2019-12-31$696,127
Total non interest bearing cash at beginning of year2019-12-31$686,217
Total non interest bearing cash at beginning of year2019-12-31$686,217
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$-19,633
Value of net income/loss2019-12-31$-19,633
Value of net assets at end of year (total assets less liabilities)2019-12-31$326,358
Value of net assets at end of year (total assets less liabilities)2019-12-31$326,358
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$345,991
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$345,991
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$55,166
Contributions received in cash from employer2019-12-31$55,166
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$53,819
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$53,819
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32019-12-31No
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32019-12-31No
Liabilities. Value of benefit claims payable at end of year2019-12-31$12,000
Liabilities. Value of benefit claims payable at end of year2019-12-31$12,000
Liabilities. Value of benefit claims payable at beginning of year2019-12-31$26,000
Liabilities. Value of benefit claims payable at beginning of year2019-12-31$26,000
Did the plan have assets held for investment2019-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31No
Opinion of an independent qualified public accountant for this plan2019-12-31Unqualified
Opinion of an independent qualified public accountant for this plan2019-12-31Unqualified
Accountancy firm name2019-12-31BUCHBINDER TUNICK & CO. LLP
Accountancy firm name2019-12-31BUCHBINDER TUNICK & CO. LLP
Accountancy firm EIN2019-12-31131578842
Accountancy firm EIN2019-12-31131578842
2018 : UFCW LOCAL ONE RETIREE HEALTH CARE FUND 2018 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$341,268
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$287,870
Total income from all sources (including contributions)2018-12-31$55,697
Total of all expenses incurred2018-12-31$112,598
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$92,129
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$55,697
Value of total assets at end of year2018-12-31$687,259
Value of total assets at beginning of year2018-12-31$690,762
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$20,469
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Administrative expenses professional fees incurred2018-12-31$19,021
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$500,000
If this is an individual account plan, was there a blackout period2018-12-31No
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-12-31$1,042
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-12-31$5,601
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2018-12-31$307,268
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-12-31$257,379
Administrative expenses (other) incurred2018-12-31$1,448
Liabilities. Value of operating payables at end of year2018-12-31$8,000
Liabilities. Value of operating payables at beginning of year2018-12-31$5,491
Total non interest bearing cash at end of year2018-12-31$686,217
Total non interest bearing cash at beginning of year2018-12-31$685,161
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-56,901
Value of net assets at end of year (total assets less liabilities)2018-12-31$345,991
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$402,892
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$55,697
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$92,129
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32018-12-31No
Liabilities. Value of benefit claims payable at end of year2018-12-31$26,000
Liabilities. Value of benefit claims payable at beginning of year2018-12-31$25,000
Did the plan have assets held for investment2018-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31No
Opinion of an independent qualified public accountant for this plan2018-12-31Unqualified
Accountancy firm name2018-12-31PETER DECARLO C.P.A., PLLC
Accountancy firm EIN2018-12-31510545975
2017 : UFCW LOCAL ONE RETIREE HEALTH CARE FUND 2017 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$287,870
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$241,571
Total income from all sources (including contributions)2017-12-31$58,421
Total of all expenses incurred2017-12-31$135,082
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$118,819
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$58,421
Value of total assets at end of year2017-12-31$690,762
Value of total assets at beginning of year2017-12-31$721,124
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$16,263
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Administrative expenses professional fees incurred2017-12-31$14,873
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$500,000
If this is an individual account plan, was there a blackout period2017-12-31No
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-12-31$5,601
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-12-31$5,727
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2017-12-31$257,379
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2017-12-31$216,506
Administrative expenses (other) incurred2017-12-31$1,390
Liabilities. Value of operating payables at end of year2017-12-31$5,491
Liabilities. Value of operating payables at beginning of year2017-12-31$4,065
Total non interest bearing cash at end of year2017-12-31$685,161
Total non interest bearing cash at beginning of year2017-12-31$715,397
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$-76,661
Value of net assets at end of year (total assets less liabilities)2017-12-31$402,892
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$479,553
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$58,421
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$118,819
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32017-12-31No
Liabilities. Value of benefit claims payable at end of year2017-12-31$25,000
Liabilities. Value of benefit claims payable at beginning of year2017-12-31$21,000
Did the plan have assets held for investment2017-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31No
Opinion of an independent qualified public accountant for this plan2017-12-31Unqualified
Accountancy firm name2017-12-31PETER DECARLO C.P.A., PLLC
Accountancy firm EIN2017-12-31510545975
2016 : UFCW LOCAL ONE RETIREE HEALTH CARE FUND 2016 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$241,571
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$188,120
Total income from all sources (including contributions)2016-12-31$60,753
Total of all expenses incurred2016-12-31$152,676
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$128,345
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$60,753
Value of total assets at end of year2016-12-31$721,124
Value of total assets at beginning of year2016-12-31$759,596
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$24,331
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Administrative expenses professional fees incurred2016-12-31$22,998
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$500,000
If this is an individual account plan, was there a blackout period2016-12-31No
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-12-31$5,727
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-12-31$5,772
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2016-12-31$216,506
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-12-31$167,089
Administrative expenses (other) incurred2016-12-31$1,333
Liabilities. Value of operating payables at end of year2016-12-31$4,065
Liabilities. Value of operating payables at beginning of year2016-12-31$4,031
Total non interest bearing cash at end of year2016-12-31$715,397
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$-91,923
Value of net assets at end of year (total assets less liabilities)2016-12-31$479,553
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$571,476
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-12-31$753,824
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-12-31$753,824
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$60,753
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$128,345
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-12-31No
Liabilities. Value of benefit claims payable at end of year2016-12-31$21,000
Liabilities. Value of benefit claims payable at beginning of year2016-12-31$17,000
Did the plan have assets held for investment2016-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31No
Opinion of an independent qualified public accountant for this plan2016-12-31Unqualified
Accountancy firm name2016-12-31PETER DECARLO C.P.A., PLLC
Accountancy firm EIN2016-12-31510545975
2015 : UFCW LOCAL ONE RETIREE HEALTH CARE FUND 2015 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$188,120
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$122,398
Total income from all sources (including contributions)2015-12-31$61,207
Total of all expenses incurred2015-12-31$130,825
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$118,224
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$60,906
Value of total assets at end of year2015-12-31$759,596
Value of total assets at beginning of year2015-12-31$763,492
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$12,601
Total interest from all sources2015-12-31$301
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Administrative expenses professional fees incurred2015-12-31$10,403
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$500,000
If this is an individual account plan, was there a blackout period2015-12-31No
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-12-31$5,772
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-12-31$20,587
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2015-12-31$167,089
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-12-31$109,089
Administrative expenses (other) incurred2015-12-31$2,198
Liabilities. Value of operating payables at end of year2015-12-31$4,031
Liabilities. Value of operating payables at beginning of year2015-12-31$1,309
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$-69,618
Value of net assets at end of year (total assets less liabilities)2015-12-31$571,476
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$641,094
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-12-31$753,824
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-12-31$742,905
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-12-31$742,905
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-12-31$301
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$60,906
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$118,224
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32015-12-31No
Liabilities. Value of benefit claims payable at end of year2015-12-31$17,000
Liabilities. Value of benefit claims payable at beginning of year2015-12-31$12,000
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31No
Opinion of an independent qualified public accountant for this plan2015-12-31Unqualified
Accountancy firm name2015-12-31PETER DECARLO C.P.A., PLLC
Accountancy firm EIN2015-12-31510545975
2014 : UFCW LOCAL ONE RETIREE HEALTH CARE FUND 2014 401k financial data
Total transfer of assets to this plan2014-12-31$742,900
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$122,398
Total income from all sources (including contributions)2014-12-31$19,925
Total of all expenses incurred2014-12-31$121,731
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$108,606
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$19,920
Value of total assets at end of year2014-12-31$763,492
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$13,125
Total interest from all sources2014-12-31$5
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Administrative expenses professional fees incurred2014-12-31$12,459
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$500,000
If this is an individual account plan, was there a blackout period2014-12-31No
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-12-31$20,587
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2014-12-31$109,089
Administrative expenses (other) incurred2014-12-31$666
Liabilities. Value of operating payables at end of year2014-12-31$1,309
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$-101,806
Value of net assets at end of year (total assets less liabilities)2014-12-31$641,094
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-12-31$742,905
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-12-31$5
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31No
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$19,920
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$108,606
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32014-12-31No
Liabilities. Value of benefit claims payable at end of year2014-12-31$12,000
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31No
Opinion of an independent qualified public accountant for this plan2014-12-31Unqualified
Accountancy firm name2014-12-31PETER DECARLO C.P.A., PLLC
Accountancy firm EIN2014-12-31510545975

Form 5500 Responses for UFCW LOCAL ONE RETIREE HEALTH CARE FUND

2022: UFCW LOCAL ONE RETIREE HEALTH CARE FUND 2022 form 5500 responses
2022-01-01Type of plan entityMulti-employer plan
2022-01-01Plan is a collectively bargained planYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement - TrustYes
2021: UFCW LOCAL ONE RETIREE HEALTH CARE FUND 2021 form 5500 responses
2021-01-01Type of plan entityMulti-employer plan
2021-01-01Submission has been amendedYes
2021-01-01Plan is a collectively bargained planYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement - TrustYes
2020: UFCW LOCAL ONE RETIREE HEALTH CARE FUND 2020 form 5500 responses
2020-01-01Type of plan entityMulti-employer plan
2020-01-01Plan is a collectively bargained planYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement - TrustYes
2019: UFCW LOCAL ONE RETIREE HEALTH CARE FUND 2019 form 5500 responses
2019-01-01Type of plan entityMulti-employer plan
2019-01-01Submission has been amendedYes
2019-01-01Plan is a collectively bargained planYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement - TrustYes
2018: UFCW LOCAL ONE RETIREE HEALTH CARE FUND 2018 form 5500 responses
2018-01-01Type of plan entityMulti-employer plan
2018-01-01Plan is a collectively bargained planYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement - TrustYes
2017: UFCW LOCAL ONE RETIREE HEALTH CARE FUND 2017 form 5500 responses
2017-01-01Type of plan entityMulti-employer plan
2017-01-01Plan is a collectively bargained planYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement - TrustYes
2016: UFCW LOCAL ONE RETIREE HEALTH CARE FUND 2016 form 5500 responses
2016-01-01Type of plan entityMulti-employer plan
2016-01-01Plan is a collectively bargained planYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement - TrustYes
2015: UFCW LOCAL ONE RETIREE HEALTH CARE FUND 2015 form 5500 responses
2015-01-01Type of plan entityMulti-employer plan
2015-01-01Plan is a collectively bargained planYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement - TrustYes
2014: UFCW LOCAL ONE RETIREE HEALTH CARE FUND 2014 form 5500 responses
2014-01-01Type of plan entityMulti-employer plan
2014-01-01First time form 5500 has been submittedYes
2014-01-01Plan is a collectively bargained planYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement - TrustYes

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