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UFCW LOCAL 1500 WELFARE PLAN 401k Plan overview

Plan NameUFCW LOCAL 1500 WELFARE PLAN
Plan identification number 501

UFCW LOCAL 1500 WELFARE PLAN Benefits

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

401k Sponsoring company profile

JOINT BOARD OF TRUSTEES OF UFCW LOCAL 1500 WELFARE FUND has sponsored the creation of one or more 401k plans.

Company Name:JOINT BOARD OF TRUSTEES OF UFCW LOCAL 1500 WELFARE FUND
Employer identification number (EIN):237176373
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 1500 WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-01-01
5012021-01-01
5012020-01-01
5012019-01-01
5012018-01-01
5012017-01-01ANTHONY SPEELMAN
5012016-01-01ANTHONY SPEELMAN
5012015-01-01ANTHONY SPEELMAN
5012014-01-01BRUCE BOTH
5012013-01-01BRUCE BOTH
5012012-01-01BRUCE BOTH
5012011-01-01BRUCE BOTH DOMINICK FORTUGNO2012-10-05
5012009-01-01BRUCE BOTH DOMINICK FORTUGNO2010-10-14
5012009-01-01BRUCE BOTH DOMINICK FORTUGNO2010-10-13

Plan Statistics for UFCW LOCAL 1500 WELFARE PLAN

401k plan membership statisitcs for UFCW LOCAL 1500 WELFARE PLAN

Measure Date Value
2022: UFCW LOCAL 1500 WELFARE PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-0114,275
Total number of active participants reported on line 7a of the Form 55002022-01-0113,060
Number of retired or separated participants receiving benefits2022-01-01797
Total of all active and inactive participants2022-01-0113,857
Number of employers contributing to the scheme2022-01-0133
2021: UFCW LOCAL 1500 WELFARE PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-0119,772
Total number of active participants reported on line 7a of the Form 55002021-01-0113,493
Number of retired or separated participants receiving benefits2021-01-01782
Total of all active and inactive participants2021-01-0114,275
Number of employers contributing to the scheme2021-01-0134
2020: UFCW LOCAL 1500 WELFARE PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-0119,099
Total number of active participants reported on line 7a of the Form 55002020-01-0118,791
Number of retired or separated participants receiving benefits2020-01-01981
Total of all active and inactive participants2020-01-0119,772
Number of employers contributing to the scheme2020-01-0135
2019: UFCW LOCAL 1500 WELFARE PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-0119,437
Total number of active participants reported on line 7a of the Form 55002019-01-0118,129
Number of retired or separated participants receiving benefits2019-01-01970
Total of all active and inactive participants2019-01-0119,099
Number of employers contributing to the scheme2019-01-0132
2018: UFCW LOCAL 1500 WELFARE PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-0120,288
Total number of active participants reported on line 7a of the Form 55002018-01-0118,835
Number of retired or separated participants receiving benefits2018-01-01602
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-0119,437
Number of employers contributing to the scheme2018-01-0135
2017: UFCW LOCAL 1500 WELFARE PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-0117,665
Total number of active participants reported on line 7a of the Form 55002017-01-0119,824
Number of retired or separated participants receiving benefits2017-01-01464
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-0120,288
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-0120,288
Number of participants with account balances2017-01-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010
Number of employers contributing to the scheme2017-01-0137
2016: UFCW LOCAL 1500 WELFARE PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-0120,690
Total number of active participants reported on line 7a of the Form 55002016-01-0116,801
Number of retired or separated participants receiving benefits2016-01-01864
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-0117,665
Number of employers contributing to the scheme2016-01-0137
2015: UFCW LOCAL 1500 WELFARE PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-0122,267
Total number of active participants reported on line 7a of the Form 55002015-01-0120,690
Number of retired or separated participants receiving benefits2015-01-01758
Number of other retired or separated participants entitled to future benefits2015-01-010
Total of all active and inactive participants2015-01-0121,448
Number of employers contributing to the scheme2015-01-0132
2014: UFCW LOCAL 1500 WELFARE PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-0118,746
Total number of active participants reported on line 7a of the Form 55002014-01-0122,267
Number of retired or separated participants receiving benefits2014-01-01697
Number of other retired or separated participants entitled to future benefits2014-01-010
Total of all active and inactive participants2014-01-0122,964
Number of employers contributing to the scheme2014-01-0134
2013: UFCW LOCAL 1500 WELFARE PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-0119,425
Total number of active participants reported on line 7a of the Form 55002013-01-0118,746
Number of retired or separated participants receiving benefits2013-01-01674
Number of other retired or separated participants entitled to future benefits2013-01-010
Total of all active and inactive participants2013-01-0119,420
Number of employers contributing to the scheme2013-01-0134
2012: UFCW LOCAL 1500 WELFARE PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-0120,213
Total number of active participants reported on line 7a of the Form 55002012-01-0119,425
Number of retired or separated participants receiving benefits2012-01-01749
Number of other retired or separated participants entitled to future benefits2012-01-010
Total of all active and inactive participants2012-01-0120,174
Number of employers contributing to the scheme2012-01-0132
2011: UFCW LOCAL 1500 WELFARE PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-0120,148
Total number of active participants reported on line 7a of the Form 55002011-01-0119,423
Number of retired or separated participants receiving benefits2011-01-01606
Number of other retired or separated participants entitled to future benefits2011-01-01184
Total of all active and inactive participants2011-01-0120,213
Total participants2011-01-0120,213
2009: UFCW LOCAL 1500 WELFARE PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-0118,934
Total number of active participants reported on line 7a of the Form 55002009-01-0120,432
Number of retired or separated participants receiving benefits2009-01-01602
Number of other retired or separated participants entitled to future benefits2009-01-010
Total of all active and inactive participants2009-01-0121,034
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-0121,034
Number of participants with account balances2009-01-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-010

Financial Data on UFCW LOCAL 1500 WELFARE PLAN

Measure Date Value
2022 : UFCW LOCAL 1500 WELFARE PLAN 2022 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$8,801,325
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$8,476,117
Total income from all sources (including contributions)2022-12-31$71,563,129
Total loss/gain on sale of assets2022-12-31$0
Total of all expenses incurred2022-12-31$69,610,351
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$65,992,837
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$75,112,031
Value of total assets at end of year2022-12-31$57,714,600
Value of total assets at beginning of year2022-12-31$55,436,614
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$3,617,514
Total interest from all sources2022-12-31$34,617
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$1,682,592
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2022-12-31$1,682,592
Administrative expenses professional fees incurred2022-12-31$225,114
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$1,000,000
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
Contributions received from participants2022-12-31$2,666,182
Participant contributions at end of year2022-12-31$26,267
Participant contributions at beginning of year2022-12-31$22,469
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2022-12-31$90,000
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-12-31$84,936
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-12-31$41,388
Other income not declared elsewhere2022-12-31$188,828
Administrative expenses (other) incurred2022-12-31$2,986,343
Liabilities. Value of operating payables at end of year2022-12-31$878,816
Liabilities. Value of operating payables at beginning of year2022-12-31$380,216
Total non interest bearing cash at end of year2022-12-31$843,017
Total non interest bearing cash at beginning of year2022-12-31$657,561
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$1,952,778
Value of net assets at end of year (total assets less liabilities)2022-12-31$48,913,275
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$46,960,497
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
Investment advisory and management fees2022-12-31$105,865
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$54,746,893
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$49,567,127
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-12-31$1,228,332
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-12-31$4,509,522
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-12-31$4,509,522
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-12-31$34,617
Expenses. Payments to insurance carriers foe the provision of benefits2022-12-31$581,556
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-5,454,939
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31Yes
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$72,445,849
Employer contributions (assets) at end of year2022-12-31$784,457
Employer contributions (assets) at beginning of year2022-12-31$636,452
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$65,321,281
Contract administrator fees2022-12-31$300,192
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$7,922,509
Liabilities. Value of benefit claims payable at beginning of year2022-12-31$8,095,901
Assets. Value of buildings and other operty used in plan operation at end of year2022-12-31$698
Assets. Value of buildings and other operty used in plan operation at beginning of year2022-12-31$2,095
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party 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
Aggregate proceeds on sale of assets2022-12-31$11,204,504
Aggregate carrying amount (costs) on sale of assets2022-12-31$11,204,504
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31BERDON LLP
Accountancy firm EIN2022-12-31130485070
2021 : UFCW LOCAL 1500 WELFARE PLAN 2021 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$8,476,117
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$11,005,893
Total income from all sources (including contributions)2021-12-31$76,530,118
Total loss/gain on sale of assets2021-12-31$0
Total of all expenses incurred2021-12-31$73,602,597
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$70,555,964
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$75,070,132
Value of total assets at end of year2021-12-31$55,436,614
Value of total assets at beginning of year2021-12-31$55,038,869
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$3,046,633
Total interest from all sources2021-12-31$19,954
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$896,523
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2021-12-31$896,523
Administrative expenses professional fees incurred2021-12-31$206,600
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$1,000,000
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
Contributions received from participants2021-12-31$2,841,362
Participant contributions at end of year2021-12-31$22,469
Participant contributions at beginning of year2021-12-31$14,056
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2021-12-31$87,957
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-12-31$41,388
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-12-31$44,659
Other income not declared elsewhere2021-12-31$68,906
Administrative expenses (other) incurred2021-12-31$2,461,258
Liabilities. Value of operating payables at end of year2021-12-31$380,216
Liabilities. Value of operating payables at beginning of year2021-12-31$382,204
Total non interest bearing cash at end of year2021-12-31$657,561
Total non interest bearing cash at beginning of year2021-12-31$1,745,849
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$2,927,521
Value of net assets at end of year (total assets less liabilities)2021-12-31$46,960,497
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$44,032,976
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
Investment advisory and management fees2021-12-31$109,175
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$49,567,127
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$50,302,015
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-12-31$4,509,522
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-12-31$2,575,876
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-12-31$2,575,876
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-12-31$19,954
Expenses. Payments to insurance carriers foe the provision of benefits2021-12-31$557,639
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$474,603
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31Yes
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$72,228,770
Employer contributions (assets) at end of year2021-12-31$636,452
Employer contributions (assets) at beginning of year2021-12-31$352,922
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$69,910,368
Contract administrator fees2021-12-31$269,600
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$8,095,901
Liabilities. Value of benefit claims payable at beginning of year2021-12-31$10,623,689
Assets. Value of buildings and other operty used in plan operation at end of year2021-12-31$2,095
Assets. Value of buildings and other operty used in plan operation at beginning of year2021-12-31$3,492
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party 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
Aggregate proceeds on sale of assets2021-12-31$4,109,288
Aggregate carrying amount (costs) on sale of assets2021-12-31$4,109,288
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31BERDON LLP
Accountancy firm EIN2021-12-31130485070
2020 : UFCW LOCAL 1500 WELFARE PLAN 2020 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$11,005,893
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$7,684,441
Total income from all sources (including contributions)2020-12-31$78,160,146
Total loss/gain on sale of assets2020-12-31$0
Total of all expenses incurred2020-12-31$81,033,921
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$78,517,075
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$74,733,710
Value of total assets at end of year2020-12-31$55,038,869
Value of total assets at beginning of year2020-12-31$54,591,192
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$2,516,846
Total interest from all sources2020-12-31$17,882
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$1,032,834
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2020-12-31$1,032,834
Administrative expenses professional fees incurred2020-12-31$194,167
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$1,000,000
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
Contributions received from participants2020-12-31$3,169,114
Participant contributions at end of year2020-12-31$14,056
Participant contributions at beginning of year2020-12-31$53,522
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2020-12-31$91,174
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-12-31$44,659
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-12-31$75,198
Other income not declared elsewhere2020-12-31$410,748
Administrative expenses (other) incurred2020-12-31$2,018,274
Liabilities. Value of operating payables at end of year2020-12-31$382,204
Liabilities. Value of operating payables at beginning of year2020-12-31$253,942
Total non interest bearing cash at end of year2020-12-31$1,745,849
Total non interest bearing cash at beginning of year2020-12-31$3,157,512
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$-2,873,775
Value of net assets at end of year (total assets less liabilities)2020-12-31$44,032,976
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$46,906,751
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
Investment advisory and management fees2020-12-31$105,151
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$50,302,015
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$47,377,460
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-12-31$2,575,876
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-12-31$2,628,607
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-12-31$2,628,607
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-12-31$17,882
Expenses. Payments to insurance carriers foe the provision of benefits2020-12-31$604,169
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$1,964,972
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$71,564,596
Employer contributions (assets) at end of year2020-12-31$352,922
Employer contributions (assets) at beginning of year2020-12-31$1,294,005
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$77,821,732
Contract administrator fees2020-12-31$199,254
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$10,623,689
Liabilities. Value of benefit claims payable at beginning of year2020-12-31$7,430,499
Assets. Value of buildings and other operty used in plan operation at end of year2020-12-31$3,492
Assets. Value of buildings and other operty used in plan operation at beginning of year2020-12-31$4,888
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party 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
Aggregate proceeds on sale of assets2020-12-31$103,831
Aggregate carrying amount (costs) on sale of assets2020-12-31$103,831
Opinion of an independent qualified public accountant for this plan2020-12-31Unqualified
Accountancy firm name2020-12-31BERDON LLP
Accountancy firm EIN2020-12-31130485070
2019 : UFCW LOCAL 1500 WELFARE PLAN 2019 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2019-12-31$0
Total unrealized appreciation/depreciation of assets2019-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$7,684,441
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$5,930,279
Total income from all sources (including contributions)2019-12-31$80,439,205
Total loss/gain on sale of assets2019-12-31$0
Total of all expenses incurred2019-12-31$74,160,816
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$71,734,588
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$75,965,024
Value of total assets at end of year2019-12-31$54,591,192
Value of total assets at beginning of year2019-12-31$46,558,641
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$2,426,228
Total interest from all sources2019-12-31$47,679
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$1,266,863
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$1,266,863
Administrative expenses professional fees incurred2019-12-31$230,763
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$1,000,000
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
Contributions received from participants2019-12-31$3,235,500
Participant contributions at end of year2019-12-31$53,522
Participant contributions at beginning of year2019-12-31$94,810
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2019-12-31$86,520
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$75,198
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$64,849
Other income not declared elsewhere2019-12-31$2,479
Administrative expenses (other) incurred2019-12-31$1,904,501
Liabilities. Value of operating payables at end of year2019-12-31$253,942
Liabilities. Value of operating payables at beginning of year2019-12-31$378,444
Total non interest bearing cash at end of year2019-12-31$3,157,512
Total non interest bearing cash at beginning of year2019-12-31$2,137,991
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$6,278,389
Value of net assets at end of year (total assets less liabilities)2019-12-31$46,906,751
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$40,628,362
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 leases to which the plan was party in default or uncollectible2019-12-31No
Investment advisory and management fees2019-12-31$97,515
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$47,377,460
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$40,059,019
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$2,628,607
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$3,680,432
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$3,680,432
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$47,679
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$574,353
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$3,157,160
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31Yes
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
Contributions received in cash from employer2019-12-31$72,729,524
Employer contributions (assets) at end of year2019-12-31$1,294,005
Employer contributions (assets) at beginning of year2019-12-31$515,255
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$71,073,715
Contract administrator fees2019-12-31$193,449
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$7,430,499
Liabilities. Value of benefit claims payable at beginning of year2019-12-31$5,551,835
Assets. Value of buildings and other operty used in plan operation at end of year2019-12-31$4,888
Assets. Value of buildings and other operty used in plan operation at beginning of year2019-12-31$6,285
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party 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
Aggregate proceeds on sale of assets2019-12-31$3,752,848
Aggregate carrying amount (costs) on sale of assets2019-12-31$3,752,848
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
Accountancy firm name2019-12-31BERDON LLP
Accountancy firm EIN2019-12-31130485070
2018 : UFCW LOCAL 1500 WELFARE PLAN 2018 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2018-12-31$269,839
Total unrealized appreciation/depreciation of assets2018-12-31$269,839
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$5,930,279
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$10,970,201
Total income from all sources (including contributions)2018-12-31$73,588,547
Total loss/gain on sale of assets2018-12-31$-428,200
Total of all expenses incurred2018-12-31$66,803,587
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$64,780,926
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$74,979,355
Value of total assets at end of year2018-12-31$46,558,641
Value of total assets at beginning of year2018-12-31$44,813,603
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$2,022,661
Total interest from all sources2018-12-31$59,496
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$1,114,010
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2018-12-31$1,114,010
Administrative expenses professional fees incurred2018-12-31$210,231
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$1,000,000
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
Contributions received from participants2018-12-31$1,949,284
Participant contributions at end of year2018-12-31$94,810
Participant contributions at beginning of year2018-12-31$85,285
Assets. Other investments not covered elsewhere at beginning of year2018-12-31$8,344,100
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2018-12-31$86,500
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-12-31$64,849
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-12-31$130,496
Other income not declared elsewhere2018-12-31$17,916
Administrative expenses (other) incurred2018-12-31$1,628,426
Liabilities. Value of operating payables at end of year2018-12-31$378,444
Liabilities. Value of operating payables at beginning of year2018-12-31$157,260
Total non interest bearing cash at end of year2018-12-31$2,137,991
Total non interest bearing cash at beginning of year2018-12-31$1,435,588
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$6,784,960
Value of net assets at end of year (total assets less liabilities)2018-12-31$40,628,362
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$33,843,402
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
Investment advisory and management fees2018-12-31$88,709
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$40,059,019
Income. Interest from US Government securities2018-12-31$10,063
Income. Interest from corporate debt instruments2018-12-31$3,733
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-12-31$3,680,432
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-12-31$15,250,595
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-12-31$15,250,595
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-12-31$45,700
Expenses. Payments to insurance carriers foe the provision of benefits2018-12-31$670,108
Asset value of US Government securities at end of year2018-12-31$0
Asset value of US Government securities at beginning of year2018-12-31$12,719,689
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$-2,423,869
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31Yes
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$73,030,071
Employer contributions (assets) at end of year2018-12-31$515,255
Employer contributions (assets) at beginning of year2018-12-31$368,214
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$64,024,318
Asset. Corporate debt instrument debt (other) at end of year2018-12-31$0
Asset. Corporate debt instrument debt (other) at beginning of year2018-12-31$6,470,631
Contract administrator fees2018-12-31$95,295
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$5,551,835
Liabilities. Value of benefit claims payable at beginning of year2018-12-31$10,812,941
Assets. Value of buildings and other operty used in plan operation at end of year2018-12-31$6,285
Assets. Value of buildings and other operty used in plan operation at beginning of year2018-12-31$9,005
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party 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
Aggregate proceeds on sale of assets2018-12-31$65,216,307
Aggregate carrying amount (costs) on sale of assets2018-12-31$65,644,507
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31No
Opinion of an independent qualified public accountant for this plan2018-12-31Unqualified
Accountancy firm name2018-12-31BERDON LLP
Accountancy firm EIN2018-12-31130485070
2017 : UFCW LOCAL 1500 WELFARE PLAN 2017 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2017-12-31$-309,780
Total unrealized appreciation/depreciation of assets2017-12-31$-309,780
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$10,970,201
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$1,332,862
Total income from all sources (including contributions)2017-12-31$73,914,991
Total loss/gain on sale of assets2017-12-31$350,937
Total of all expenses incurred2017-12-31$74,157,415
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$70,951,184
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$73,008,902
Value of total assets at end of year2017-12-31$44,813,603
Value of total assets at beginning of year2017-12-31$35,418,688
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$3,206,231
Total interest from all sources2017-12-31$796,022
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$278,980
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$1,000,000
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$1,972,393
Participant contributions at end of year2017-12-31$85,285
Participant contributions at beginning of year2017-12-31$0
Assets. Other investments not covered elsewhere at end of year2017-12-31$8,344,100
Assets. Other investments not covered elsewhere at beginning of year2017-12-31$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2017-12-31$84,440
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-12-31$130,496
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-12-31$0
Other income not declared elsewhere2017-12-31$68,910
Administrative expenses (other) incurred2017-12-31$1,618,438
Liabilities. Value of operating payables at end of year2017-12-31$157,260
Liabilities. Value of operating payables at beginning of year2017-12-31$0
Total non interest bearing cash at end of year2017-12-31$1,435,588
Total non interest bearing cash at beginning of year2017-12-31$1,315,592
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$-242,424
Value of net assets at end of year (total assets less liabilities)2017-12-31$33,843,402
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$34,085,826
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
Assets. partnership/joint venture interests at end of year2017-12-31$0
Assets. partnership/joint venture interests at beginning of year2017-12-31$5,076,563
Investment advisory and management fees2017-12-31$82,127
Interest earned on other investments2017-12-31$105,927
Income. Interest from US Government securities2017-12-31$464,342
Income. Interest from corporate debt instruments2017-12-31$160,046
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-12-31$15,250,595
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-12-31$12,168,361
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-12-31$12,168,361
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-12-31$65,707
Expenses. Payments to insurance carriers foe the provision of benefits2017-12-31$570,295
Asset value of US Government securities at end of year2017-12-31$12,719,689
Asset value of US Government securities at beginning of year2017-12-31$16,031,427
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31Yes
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$71,036,509
Employer contributions (assets) at end of year2017-12-31$368,214
Employer contributions (assets) at beginning of year2017-12-31$403,525
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$70,296,449
Asset. Corporate debt instrument debt (other) at end of year2017-12-31$6,470,631
Asset. Corporate debt instrument debt (other) at beginning of year2017-12-31$394,916
Contract administrator fees2017-12-31$1,226,686
Liabilities. Value of benefit claims payable at end of year2017-12-31$10,812,941
Liabilities. Value of benefit claims payable at beginning of year2017-12-31$1,332,862
Assets. Value of buildings and other operty used in plan operation at end of year2017-12-31$9,005
Assets. Value of buildings and other operty used in plan operation at beginning of year2017-12-31$28,304
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party 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
Aggregate proceeds on sale of assets2017-12-31$48,250,537
Aggregate carrying amount (costs) on sale of assets2017-12-31$47,899,600
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 name2017-12-31BERDON LLP
Accountancy firm EIN2017-12-31130485070
2016 : UFCW LOCAL 1500 WELFARE PLAN 2016 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2016-12-31$104,174
Total unrealized appreciation/depreciation of assets2016-12-31$104,174
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$1,332,862
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$889,751
Total income from all sources (including contributions)2016-12-31$73,556,600
Total loss/gain on sale of assets2016-12-31$-100,615
Total of all expenses incurred2016-12-31$73,027,934
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$68,625,743
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$71,560,332
Value of total assets at end of year2016-12-31$35,418,688
Value of total assets at beginning of year2016-12-31$34,446,911
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$4,402,191
Total interest from all sources2016-12-31$549,845
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$214,853
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$1,000,000
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
Contributions received from participants2016-12-31$1,306,313
Income. Received or receivable in cash from other sources (including rollovers)2016-12-31$685,689
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2016-12-31$84,000
Other income not declared elsewhere2016-12-31$1,442,864
Administrative expenses (other) incurred2016-12-31$2,949,869
Liabilities. Value of operating payables at beginning of year2016-12-31$4,687
Total non interest bearing cash at end of year2016-12-31$1,315,592
Total non interest bearing cash at beginning of year2016-12-31$632,899
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$528,666
Value of net assets at end of year (total assets less liabilities)2016-12-31$34,085,826
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$33,557,160
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
Assets. partnership/joint venture interests at end of year2016-12-31$5,076,563
Assets. partnership/joint venture interests at beginning of year2016-12-31$4,657,162
Investment advisory and management fees2016-12-31$67,150
Income. Interest from US Government securities2016-12-31$540,364
Income. Interest from corporate debt instruments2016-12-31$4,413
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-12-31$12,168,361
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-12-31$11,071,619
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-12-31$11,071,619
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-12-31$5,068
Expenses. Payments to insurance carriers foe the provision of benefits2016-12-31$602,176
Asset value of US Government securities at end of year2016-12-31$16,031,427
Asset value of US Government securities at beginning of year2016-12-31$17,602,674
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31Yes
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$69,568,330
Employer contributions (assets) at end of year2016-12-31$403,525
Employer contributions (assets) at beginning of year2016-12-31$464,029
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$67,939,567
Asset. Corporate debt instrument debt (other) at end of year2016-12-31$394,916
Contract administrator fees2016-12-31$1,170,319
Liabilities. Value of benefit claims payable at end of year2016-12-31$1,332,862
Liabilities. Value of benefit claims payable at beginning of year2016-12-31$885,064
Assets. Value of buildings and other operty used in plan operation at end of year2016-12-31$28,304
Assets. Value of buildings and other operty used in plan operation at beginning of year2016-12-31$18,528
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party 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
Aggregate proceeds on sale of assets2016-12-31$29,230,913
Aggregate carrying amount (costs) on sale of assets2016-12-31$29,331,528
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31No
Opinion of an independent qualified public accountant for this plan2016-12-31Unqualified
Accountancy firm name2016-12-31DAVID FISCH & CO CPAS PC
Accountancy firm EIN2016-12-31133624679
2015 : UFCW LOCAL 1500 WELFARE PLAN 2015 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2015-12-31$-110,942
Total unrealized appreciation/depreciation of assets2015-12-31$-110,942
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$889,751
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$7,670,708
Total income from all sources (including contributions)2015-12-31$75,253,431
Total loss/gain on sale of assets2015-12-31$-97,225
Total of all expenses incurred2015-12-31$57,104,687
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$52,862,468
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$74,993,908
Value of total assets at end of year2015-12-31$34,446,911
Value of total assets at beginning of year2015-12-31$23,079,124
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$4,242,219
Total interest from all sources2015-12-31$467,690
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$239,331
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$1,000,000
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
Contributions received from participants2015-12-31$1,194,845
Income. Received or receivable in cash from other sources (including rollovers)2015-12-31$1,604,143
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2015-12-31$84,000
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-12-31$287,082
Administrative expenses (other) incurred2015-12-31$2,789,790
Liabilities. Value of operating payables at end of year2015-12-31$4,687
Liabilities. Value of operating payables at beginning of year2015-12-31$1,765,529
Total non interest bearing cash at end of year2015-12-31$632,899
Total non interest bearing cash at beginning of year2015-12-31$603,656
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$18,148,744
Value of net assets at end of year (total assets less liabilities)2015-12-31$33,557,160
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$15,408,416
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
Assets. partnership/joint venture interests at end of year2015-12-31$4,657,162
Investment advisory and management fees2015-12-31$59,718
Income. Interest from US Government securities2015-12-31$467,295
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-12-31$11,071,619
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-12-31$9,871,759
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-12-31$9,871,759
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-12-31$395
Expenses. Payments to insurance carriers foe the provision of benefits2015-12-31$711,143
Asset value of US Government securities at end of year2015-12-31$17,602,674
Asset value of US Government securities at beginning of year2015-12-31$11,842,534
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31Yes
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$72,194,920
Employer contributions (assets) at end of year2015-12-31$464,029
Employer contributions (assets) at beginning of year2015-12-31$455,565
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$52,067,325
Contract administrator fees2015-12-31$1,153,380
Liabilities. Value of benefit claims payable at end of year2015-12-31$885,064
Liabilities. Value of benefit claims payable at beginning of year2015-12-31$5,905,179
Assets. Value of buildings and other operty used in plan operation at end of year2015-12-31$18,528
Assets. Value of buildings and other operty used in plan operation at beginning of year2015-12-31$18,528
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
Aggregate proceeds on sale of assets2015-12-31$22,246,286
Aggregate carrying amount (costs) on sale of assets2015-12-31$22,343,511
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31No
Opinion of an independent qualified public accountant for this plan2015-12-31Unqualified
Accountancy firm name2015-12-31DAVID FISCH & CO CPAS PC
Accountancy firm EIN2015-12-31133624679
2014 : UFCW LOCAL 1500 WELFARE PLAN 2014 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2014-12-31$-71,945
Total unrealized appreciation/depreciation of assets2014-12-31$-71,945
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$7,670,708
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$6,307,084
Total income from all sources (including contributions)2014-12-31$68,777,714
Total loss/gain on sale of assets2014-12-31$-241,123
Total of all expenses incurred2014-12-31$63,521,477
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$59,526,733
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$67,380,284
Value of total assets at end of year2014-12-31$23,079,124
Value of total assets at beginning of year2014-12-31$16,459,263
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$3,994,744
Total interest from all sources2014-12-31$464,920
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$309,310
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$1,000,000
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
Contributions received from participants2014-12-31$775,636
Income. Received or receivable in cash from other sources (including rollovers)2014-12-31$365,113
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2014-12-31$82,301
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-12-31$287,082
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-12-31$308,105
Other income not declared elsewhere2014-12-31$1,245,578
Administrative expenses (other) incurred2014-12-31$2,435,399
Liabilities. Value of operating payables at end of year2014-12-31$1,765,529
Liabilities. Value of operating payables at beginning of year2014-12-31$1,886,926
Total non interest bearing cash at end of year2014-12-31$603,656
Total non interest bearing cash at beginning of year2014-12-31$154,935
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$5,256,237
Value of net assets at end of year (total assets less liabilities)2014-12-31$15,408,416
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$10,152,179
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
Investment advisory and management fees2014-12-31$52,941
Income. Interest from US Government securities2014-12-31$464,917
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-12-31$9,871,759
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-12-31$3,402,020
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-12-31$3,402,020
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-12-31$3
Expenses. Payments to insurance carriers foe the provision of benefits2014-12-31$36,596,615
Asset value of US Government securities at end of year2014-12-31$11,842,534
Asset value of US Government securities at beginning of year2014-12-31$11,891,009
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$66,239,535
Employer contributions (assets) at end of year2014-12-31$455,565
Employer contributions (assets) at beginning of year2014-12-31$684,666
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$22,847,817
Contract administrator fees2014-12-31$1,197,094
Liabilities. Value of benefit claims payable at end of year2014-12-31$5,905,179
Liabilities. Value of benefit claims payable at beginning of year2014-12-31$4,420,158
Assets. Value of buildings and other operty used in plan operation at end of year2014-12-31$18,528
Assets. Value of buildings and other operty used in plan operation at beginning of year2014-12-31$18,528
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
Aggregate proceeds on sale of assets2014-12-31$11,978,799
Aggregate carrying amount (costs) on sale of assets2014-12-31$12,219,922
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31No
Opinion of an independent qualified public accountant for this plan2014-12-31Unqualified
Accountancy firm name2014-12-31DAVID FISCH & CO CPAS PC
Accountancy firm EIN2014-12-31133624679
2013 : UFCW LOCAL 1500 WELFARE PLAN 2013 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2013-12-31$-23,660
Total unrealized appreciation/depreciation of assets2013-12-31$-23,660
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$7,903,282
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$10,540,699
Total income from all sources (including contributions)2013-12-31$65,358,555
Total loss/gain on sale of assets2013-12-31$-445,849
Total of all expenses incurred2013-12-31$66,867,809
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$65,134,811
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$64,300,615
Value of total assets at end of year2013-12-31$16,456,134
Value of total assets at beginning of year2013-12-31$20,602,805
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$1,732,998
Total interest from all sources2013-12-31$654,716
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Administrative expenses professional fees incurred2013-12-31$262,694
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$1,000,000
If this is an individual account plan, was there a blackout period2013-12-31No
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$464,007
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2013-12-31$81,102
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-12-31$308,105
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-12-31$136,084
Other income not declared elsewhere2013-12-31$872,733
Administrative expenses (other) incurred2013-12-31$263,270
Liabilities. Value of operating payables at end of year2013-12-31$1,886,926
Liabilities. Value of operating payables at beginning of year2013-12-31$4,524,343
Total non interest bearing cash at end of year2013-12-31$151,806
Total non interest bearing cash at beginning of year2013-12-31$141,502
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$-1,509,254
Value of net assets at end of year (total assets less liabilities)2013-12-31$8,552,852
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$10,062,106
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Investment advisory and management fees2013-12-31$68,723
Income. Interest from US Government securities2013-12-31$654,408
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-12-31$3,402,020
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-12-31$2,858,554
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-12-31$2,858,554
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-12-31$308
Expenses. Payments to insurance carriers foe the provision of benefits2013-12-31$51,762,701
Asset value of US Government securities at end of year2013-12-31$11,891,009
Asset value of US Government securities at beginning of year2013-12-31$17,448,137
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$63,836,608
Employer contributions (assets) at end of year2013-12-31$684,666
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$13,291,008
Contract administrator fees2013-12-31$1,138,311
Liabilities. Value of benefit claims payable at end of year2013-12-31$6,016,356
Liabilities. Value of benefit claims payable at beginning of year2013-12-31$6,016,356
Assets. Value of buildings and other operty used in plan operation at end of year2013-12-31$18,528
Assets. Value of buildings and other operty used in plan operation at beginning of year2013-12-31$18,528
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Aggregate proceeds on sale of assets2013-12-31$29,012,617
Aggregate carrying amount (costs) on sale of assets2013-12-31$29,458,466
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31No
Opinion of an independent qualified public accountant for this plan2013-12-31Unqualified
Accountancy firm name2013-12-31DAVID FISCH & CO CPAS PC
Accountancy firm EIN2013-12-31133624679
2012 : UFCW LOCAL 1500 WELFARE PLAN 2012 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2012-12-31$19,710
Total unrealized appreciation/depreciation of assets2012-12-31$19,710
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$10,540,699
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$9,310,082
Total income from all sources (including contributions)2012-12-31$64,354,217
Total loss/gain on sale of assets2012-12-31$-513,985
Total of all expenses incurred2012-12-31$70,509,766
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$68,895,537
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$63,571,261
Value of total assets at end of year2012-12-31$20,602,805
Value of total assets at beginning of year2012-12-31$25,527,737
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$1,614,229
Total interest from all sources2012-12-31$814,124
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Administrative expenses professional fees incurred2012-12-31$205,748
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$1,000,000
If this is an individual account plan, was there a blackout period2012-12-31No
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$480,055
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2012-12-31$78,740
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-12-31$136,084
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-12-31$8,640
Other income not declared elsewhere2012-12-31$463,107
Administrative expenses (other) incurred2012-12-31$241,505
Liabilities. Value of operating payables at end of year2012-12-31$4,524,343
Liabilities. Value of operating payables at beginning of year2012-12-31$3,293,726
Total non interest bearing cash at end of year2012-12-31$141,502
Total non interest bearing cash at beginning of year2012-12-31$133,943
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$-6,155,549
Value of net assets at end of year (total assets less liabilities)2012-12-31$10,062,106
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$16,217,655
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Investment advisory and management fees2012-12-31$79,680
Income. Interest from US Government securities2012-12-31$813,729
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-12-31$2,858,554
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-12-31$6,280,800
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-12-31$6,280,800
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-12-31$395
Expenses. Payments to insurance carriers foe the provision of benefits2012-12-31$56,138,846
Asset value of US Government securities at end of year2012-12-31$17,448,137
Asset value of US Government securities at beginning of year2012-12-31$19,085,826
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31No
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$63,091,206
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$12,677,951
Contract administrator fees2012-12-31$1,087,296
Liabilities. Value of benefit claims payable at end of year2012-12-31$6,016,356
Liabilities. Value of benefit claims payable at beginning of year2012-12-31$6,016,356
Assets. Value of buildings and other operty used in plan operation at end of year2012-12-31$18,528
Assets. Value of buildings and other operty used in plan operation at beginning of year2012-12-31$18,528
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Aggregate proceeds on sale of assets2012-12-31$26,227,052
Aggregate carrying amount (costs) on sale of assets2012-12-31$26,741,037
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31No
Opinion of an independent qualified public accountant for this plan2012-12-31Unqualified
Accountancy firm name2012-12-31DAVID FISCH & CO CPAS PC
Accountancy firm EIN2012-12-31133624679
2011 : UFCW LOCAL 1500 WELFARE PLAN 2011 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2011-12-31$-85,910
Total unrealized appreciation/depreciation of assets2011-12-31$-85,910
Total transfer of assets from this plan2011-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$9,310,082
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$8,900,627
Total income from all sources (including contributions)2011-12-31$61,173,784
Total loss/gain on sale of assets2011-12-31$-465,659
Total of all expenses incurred2011-12-31$65,121,958
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$63,520,942
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$60,398,715
Value of total assets at end of year2011-12-31$25,527,737
Value of total assets at beginning of year2011-12-31$29,066,456
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$1,601,016
Total interest from all sources2011-12-31$890,637
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$0
Administrative expenses professional fees incurred2011-12-31$161,214
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$1,000,000
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$574,412
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2011-12-31$78,740
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-12-31$8,640
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-12-31$121,325
Other income not declared elsewhere2011-12-31$436,001
Administrative expenses (other) incurred2011-12-31$206,160
Liabilities. Value of operating payables at end of year2011-12-31$3,293,726
Liabilities. Value of operating payables at beginning of year2011-12-31$3,051,553
Total non interest bearing cash at end of year2011-12-31$133,943
Total non interest bearing cash at beginning of year2011-12-31$64,826
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$-3,948,174
Value of net assets at end of year (total assets less liabilities)2011-12-31$16,217,655
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$20,165,829
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Investment advisory and management fees2011-12-31$83,454
Income. Interest from US Government securities2011-12-31$890,344
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-12-31$6,280,800
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-12-31$9,906,090
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-12-31$9,906,090
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-12-31$293
Expenses. Payments to insurance carriers foe the provision of benefits2011-12-31$50,257,421
Asset value of US Government securities at end of year2011-12-31$19,085,826
Asset value of US Government securities at beginning of year2011-12-31$18,953,044
Net investment gain or loss from common/collective trusts2011-12-31$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31Yes
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$59,824,303
Employer contributions (assets) at beginning of year2011-12-31$21,171
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$13,184,781
Contract administrator fees2011-12-31$1,150,188
Liabilities. Value of benefit claims payable at end of year2011-12-31$6,016,356
Liabilities. Value of benefit claims payable at beginning of year2011-12-31$5,849,074
Assets. Value of buildings and other operty used in plan operation at end of year2011-12-31$18,528
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Aggregate proceeds on sale of assets2011-12-31$24,892,433
Aggregate carrying amount (costs) on sale of assets2011-12-31$25,358,092
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31No
Opinion of an independent qualified public accountant for this plan2011-12-31Unqualified
Accountancy firm name2011-12-31DAVID FISCH & CO CPAS PC
Accountancy firm EIN2011-12-31133624679
2010 : UFCW LOCAL 1500 WELFARE PLAN 2010 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2010-12-31$672
Total unrealized appreciation/depreciation of assets2010-12-31$672
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$8,900,627
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$8,515,571
Total income from all sources (including contributions)2010-12-31$1,082,826
Total loss/gain on sale of assets2010-12-31$-275,400
Total of all expenses incurred2010-12-31$61,940,363
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$60,418,489
Value of total assets at end of year2010-12-31$29,066,456
Value of total assets at beginning of year2010-12-31$26,327,734
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$1,521,874
Total interest from all sources2010-12-31$887,379
Administrative expenses professional fees incurred2010-12-31$145,356
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$1,000,000
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2010-12-31$75,712
Value of other receiveables (less allowance for doubtful accounts) at end of year2010-12-31$121,325
Other income not declared elsewhere2010-12-31$470,175
Administrative expenses (other) incurred2010-12-31$124,466
Liabilities. Value of operating payables at end of year2010-12-31$3,051,553
Liabilities. Value of operating payables at beginning of year2010-12-31$3,014,913
Total non interest bearing cash at end of year2010-12-31$64,826
Total non interest bearing cash at beginning of year2010-12-31$88,663
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$-60,857,537
Value of net assets at end of year (total assets less liabilities)2010-12-31$20,165,829
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$17,812,163
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Investment advisory and management fees2010-12-31$76,586
Income. Interest from US Government securities2010-12-31$886,625
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2010-12-31$9,906,090
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2010-12-31$8,541,398
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2010-12-31$8,541,398
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2010-12-31$754
Expenses. Payments to insurance carriers foe the provision of benefits2010-12-31$48,490,750
Asset value of US Government securities at end of year2010-12-31$18,953,044
Asset value of US Government securities at beginning of year2010-12-31$17,641,118
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31No
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Employer contributions (assets) at end of year2010-12-31$21,171
Employer contributions (assets) at beginning of year2010-12-31$48,801
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$11,852,027
Asset. Corporate debt instrument debt (other) at beginning of year2010-12-31$7,754
Contract administrator fees2010-12-31$1,175,466
Liabilities. Value of benefit claims payable at end of year2010-12-31$5,849,074
Liabilities. Value of benefit claims payable at beginning of year2010-12-31$5,500,658
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Aggregate proceeds on sale of assets2010-12-31$32,433,191
Aggregate carrying amount (costs) on sale of assets2010-12-31$32,708,591
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31No
Opinion of an independent qualified public accountant for this plan2010-12-31Unqualified
Accountancy firm name2010-12-31DAVID FISCH & CO CPAS PC
Accountancy firm EIN2010-12-31133624679

Form 5500 Responses for UFCW LOCAL 1500 WELFARE PLAN

2022: UFCW LOCAL 1500 WELFARE PLAN 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 – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: UFCW LOCAL 1500 WELFARE PLAN 2021 form 5500 responses
2021-01-01Type of plan entityMulti-employer plan
2021-01-01Plan is a collectively bargained planYes
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: UFCW LOCAL 1500 WELFARE PLAN 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 – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: UFCW LOCAL 1500 WELFARE PLAN 2019 form 5500 responses
2019-01-01Type of plan entityMulti-employer plan
2019-01-01Plan is a collectively bargained planYes
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: UFCW LOCAL 1500 WELFARE PLAN 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 – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: UFCW LOCAL 1500 WELFARE PLAN 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 – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: UFCW LOCAL 1500 WELFARE PLAN 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 – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: UFCW LOCAL 1500 WELFARE PLAN 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 – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: UFCW LOCAL 1500 WELFARE PLAN 2014 form 5500 responses
2014-01-01Type of plan entityMulti-employer plan
2014-01-01Plan is a collectively bargained planYes
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: UFCW LOCAL 1500 WELFARE PLAN 2013 form 5500 responses
2013-01-01Type of plan entityMulti-employer plan
2013-01-01Submission has been amendedYes
2013-01-01Plan is a collectively bargained planYes
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: UFCW LOCAL 1500 WELFARE PLAN 2012 form 5500 responses
2012-01-01Type of plan entityMulti-employer plan
2012-01-01Plan is a collectively bargained planYes
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: UFCW LOCAL 1500 WELFARE PLAN 2011 form 5500 responses
2011-01-01Type of plan entityMulti-employer plan
2011-01-01Plan is a collectively bargained planYes
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2009: UFCW LOCAL 1500 WELFARE PLAN 2009 form 5500 responses
2009-01-01Type of plan entityMulti-employer plan
2009-01-01Submission has been amendedYes
2009-01-01Plan is a collectively bargained planYes
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

ANTHEM LIFE & DISABILITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 13573 )
Policy contract numberAL00006573
Policy instance 1
Insurance contract or identification numberAL00006573
Number of Individuals Covered13510
Insurance policy start date2021-09-01
Insurance policy end date2022-08-31
Total amount of commissions paid to insurance brokerUSD $5,488
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $595,260
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,488
Insurance broker organization code?3
ANTHEM LIFE & DISABILITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 13573 )
Policy contract numberAL00006573
Policy instance 1
Insurance contract or identification numberAL00006573
Number of Individuals Covered14906
Insurance policy start date2020-09-01
Insurance policy end date2021-08-31
Total amount of commissions paid to insurance brokerUSD $6,058
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $553,493
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,058
Insurance broker organization code?3
ANTHEM LIFE & DISABILITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 13573 )
Policy contract numberAL00006573
Policy instance 2
Insurance contract or identification numberAL00006573
Number of Individuals Covered223
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $206
Total amount of fees paid to insurance companyUSD $0
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $21,605
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $206
Amount paid for insurance broker fees0
Insurance broker organization code?3
ANTHEM LIFE & DISABILITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 13573 )
Policy contract numberAL00006573
Policy instance 1
Insurance contract or identification numberAL00006573
Number of Individuals Covered15914
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $5,660
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $585,750
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,660
Amount paid for insurance broker fees0
Insurance broker organization code?3
ANTHEM LIFE & DISABILITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 13573 )
Policy contract numberAL00006573
Policy instance 2
Insurance contract or identification numberAL00006573
Number of Individuals Covered288
Insurance policy start date2018-09-01
Insurance policy end date2019-08-31
Total amount of commissions paid to insurance brokerUSD $209
Total amount of fees paid to insurance companyUSD $1,367
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $29,954
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $209
Amount paid for insurance broker fees1367
Additional information about fees paid to insurance brokerFEES INCLUDE BONUS, OVERRIDE AND NON MONETARY COMPENSATION. PURPOSE O
Insurance broker organization code?3
ANTHEM LIFE & DISABILITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 13573 )
Policy contract numberAL00006573
Policy instance 1
Insurance contract or identification numberAL00006573
Number of Individuals Covered16522
Insurance policy start date2018-09-01
Insurance policy end date2019-08-31
Total amount of commissions paid to insurance brokerUSD $3,277
Total amount of fees paid to insurance companyUSD $21,412
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $465,340
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,277
Amount paid for insurance broker fees21412
Additional information about fees paid to insurance brokerFEES INCLUDE BONUS, OVERRIDE AND NON MONETARY COMPENSATION. PURPOSE O
Insurance broker organization code?3
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number09468
Policy instance 1
Insurance contract or identification number09468
Number of Individuals Covered19688
Insurance policy start date2018-01-01
Insurance policy end date2018-08-31
Total amount of commissions paid to insurance brokerUSD $2,099
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Other welfare benefits providedPAID LEAVE, AD&D
Welfare Benefit Premiums Paid to CarrierUSD $476,686
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,099
Insurance broker organization code?3
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number09468
Policy instance 4
Insurance contract or identification number09468
Number of Individuals Covered281
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $42
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $17,916
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $42
Insurance broker organization code?3
Insurance broker nameARIA INSURANCE BROKERAGE INC
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number09468
Policy instance 3
Insurance contract or identification number09468
Number of Individuals Covered18819
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $109
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $46,324
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $109
Insurance broker organization code?3
Insurance broker nameARIA INSURANCE BROKERAGE INC.
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number09468
Policy instance 2
Insurance contract or identification number09468
Number of Individuals Covered18819
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $1,187
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $506,054
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,187
Insurance broker organization code?3
Insurance broker nameARIA INSURANCE BROKERAGE INC
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number09468
Policy instance 1
Insurance contract or identification number09468
Number of Individuals Covered18819
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $1,338
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $570,295
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,338
Insurance broker organization code?3
Insurance broker nameARIA INSURANCE BROKERAGE INC
EMPIRE HEALTHCHOICE ASSURANCE, INC. (National Association of Insurance Commissioners NAIC id number: 55093 )
Policy contract number375723
Policy instance 1
Insurance contract or identification number375723
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number09468
Policy instance 2
Insurance contract or identification number09468
Number of Individuals Covered18939
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $3,407
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $584,541
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,407
Additional information about fees paid to insurance brokerSALES AND SERVICE COMPENSATION
Insurance broker organization code?3
Insurance broker nameARIA INS BROKERAGE INC
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number09468
Policy instance 3
Insurance contract or identification number09468
Number of Individuals Covered18939
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Other welfare benefits providedAD&D INSURANCE
Welfare Benefit Premiums Paid to CarrierUSD $101,023
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number09468
Policy instance 4
Insurance contract or identification number09468
Number of Individuals Covered351
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $25,579
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number09468
Policy instance 3
Insurance contract or identification number09468
Number of Individuals Covered19525
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Other welfare benefits providedAD&D INSURANCE
Welfare Benefit Premiums Paid to CarrierUSD $101,094
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EMPIRE HEALTHCHOICE ASSURANCE, INC. (National Association of Insurance Commissioners NAIC id number: 55093 )
Policy contract number375723
Policy instance 1
Insurance contract or identification number375723
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number09468
Policy instance 2
Insurance contract or identification number09468
Number of Individuals Covered19577
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $3,469
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $586,076
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $292
Additional information about fees paid to insurance brokerSALES AND SERVICE COMMISSION
Insurance broker organization code?3
Insurance broker nameARIA INS BROKERAGE INC
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number09468
Policy instance 4
Insurance contract or identification number09468
Number of Individuals Covered346
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $27,680
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number09468
Policy instance 4
Insurance contract or identification number09468
Number of Individuals Covered372
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $31,395
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number09468
Policy instance 3
Insurance contract or identification number09468
Number of Individuals Covered19525
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Other welfare benefits providedAD&D INSURANCE
Welfare Benefit Premiums Paid to CarrierUSD $102,743
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number09468
Policy instance 2
Insurance contract or identification number09468
Number of Individuals Covered19525
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $3,651
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $605,876
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,651
Additional information about fees paid to insurance brokerSALES AND SERVICE COMMISSION
Insurance broker organization code?3
Insurance broker nameJOHN MALONEY ASSOCIATES INC
EMPIRE HEALTHCHOICE ASSURANCE, INC. (National Association of Insurance Commissioners NAIC id number: 55093 )
Policy contract number375723
Policy instance 1
Insurance contract or identification number375723
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $4,583
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $4,583
Additional information about fees paid to insurance brokerSALES AND SERVICE COMPENSATION
Insurance broker organization code?3
Insurance broker nameJOHN H MALONEY ASSOCIATES
EMPIRE HEALTHCHOICE ASSURANCE, INC. (National Association of Insurance Commissioners NAIC id number: 55093 )
Policy contract number375723
Policy instance 1
Insurance contract or identification number375723
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $13,750
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $13,750
Additional information about fees paid to insurance brokerSALES AND SERVICE COMPENSATION
Insurance broker organization code?3
Insurance broker nameJOHN H MALONEY ASSOCIATES
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number09468
Policy instance 2
Insurance contract or identification number09468
Number of Individuals Covered19684
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $3,822
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $616,449
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,822
Additional information about fees paid to insurance brokerSALES AND SERVICE COMMISSION
Insurance broker organization code?3
Insurance broker nameJOHN MALONEY ASSOCIATES INC
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number09468
Policy instance 3
Insurance contract or identification number09468
Number of Individuals Covered19684
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Other welfare benefits providedAD&D INSURANCE
Welfare Benefit Premiums Paid to CarrierUSD $104,042
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number09468
Policy instance 4
Insurance contract or identification number09468
Number of Individuals Covered399
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $36,171
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number09468
Policy instance 4
Insurance contract or identification number09468
Number of Individuals Covered820
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $77,539
EMPIRE HEALTHCHOICE ASSURANCE, INC. (National Association of Insurance Commissioners NAIC id number: 55093 )
Policy contract number375723
Policy instance 1
Insurance contract or identification number375723
Number of Individuals Covered10107
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Health Insurance Welfare BenefitYes
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number09468
Policy instance 2
Insurance contract or identification number09468
Number of Individuals Covered15750
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $764,970
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number09468
Policy instance 3
Insurance contract or identification number09468
Number of Individuals Covered15750
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Other welfare benefits providedBASIC AD&D INSURANCE
Welfare Benefit Premiums Paid to CarrierUSD $137,760
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number09468
Policy instance 3
Insurance contract or identification number09468
Number of Individuals Covered15750
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Other welfare benefits providedBASIC AD&D INSURANCE
Welfare Benefit Premiums Paid to CarrierUSD $137,760
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number09468
Policy instance 4
Insurance contract or identification number09468
Number of Individuals Covered820
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $77,539
EMPIRE HEALTHCHOICE ASSURANCE, INC. (National Association of Insurance Commissioners NAIC id number: 55093 )
Policy contract number375723
Policy instance 1
Insurance contract or identification number375723
Number of Individuals Covered10457
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Health Insurance Welfare BenefitYes
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number09468
Policy instance 2
Insurance contract or identification number09468
Number of Individuals Covered15750
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $5,627
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $764,970

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