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UFCW LOCAL 1262 AND EMPLOYERS HEALTH FUND 401k Plan overview

Plan NameUFCW LOCAL 1262 AND EMPLOYERS HEALTH FUND
Plan identification number 506

UFCW LOCAL 1262 AND EMPLOYERS HEALTH FUND Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Other welfare benefit cover

401k Sponsoring company profile

UFCW LOCAL 1262 AND EMPLOYERS HEALTH FUND has sponsored the creation of one or more 401k plans.

Company Name:UFCW LOCAL 1262 AND EMPLOYERS HEALTH FUND
Employer identification number (EIN):463496310
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 1262 AND EMPLOYERS HEALTH FUND

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5062016-10-01
5062015-10-01
5062014-10-01HARVEY WHILLE HARVEY WHILLE2016-07-14
5062013-10-01MATTHEW MOLINARO MATTHEW MOLINARO2015-07-15

Plan Statistics for UFCW LOCAL 1262 AND EMPLOYERS HEALTH FUND

401k plan membership statisitcs for UFCW LOCAL 1262 AND EMPLOYERS HEALTH FUND

Measure Date Value
2016: UFCW LOCAL 1262 AND EMPLOYERS HEALTH FUND 2016 401k membership
Total participants, beginning-of-year2016-10-0119
Total number of active participants reported on line 7a of the Form 55002016-10-010
Number of retired or separated participants receiving benefits2016-10-010
Number of other retired or separated participants entitled to future benefits2016-10-010
Total of all active and inactive participants2016-10-010
2015: UFCW LOCAL 1262 AND EMPLOYERS HEALTH FUND 2015 401k membership
Total participants, beginning-of-year2015-10-01636
Total number of active participants reported on line 7a of the Form 55002015-10-010
Number of retired or separated participants receiving benefits2015-10-0118
Number of other retired or separated participants entitled to future benefits2015-10-011
Total of all active and inactive participants2015-10-0119
2014: UFCW LOCAL 1262 AND EMPLOYERS HEALTH FUND 2014 401k membership
Total participants, beginning-of-year2014-10-01638
Total number of active participants reported on line 7a of the Form 55002014-10-01602
Number of retired or separated participants receiving benefits2014-10-0131
Number of other retired or separated participants entitled to future benefits2014-10-013
Total of all active and inactive participants2014-10-01636
2013: UFCW LOCAL 1262 AND EMPLOYERS HEALTH FUND 2013 401k membership
Total participants, beginning-of-year2013-10-010
Total number of active participants reported on line 7a of the Form 55002013-10-01602
Number of retired or separated participants receiving benefits2013-10-0133
Number of other retired or separated participants entitled to future benefits2013-10-013
Total of all active and inactive participants2013-10-01638

Financial Data on UFCW LOCAL 1262 AND EMPLOYERS HEALTH FUND

Measure Date Value
2017 : UFCW LOCAL 1262 AND EMPLOYERS HEALTH FUND 2017 401k financial data
Transfers to/from the plan2017-09-30$-51,355
Total plan liabilities at end of year2017-09-30$0
Total plan liabilities at beginning of year2017-09-30$243,863
Total income from all sources2017-09-30$137,844
Expenses. Total of all expenses incurred2017-09-30$458,609
Benefits paid (including direct rollovers)2017-09-30$341,822
Total plan assets at end of year2017-09-30$0
Total plan assets at beginning of year2017-09-30$615,983
Total contributions received or receivable from participants2017-09-30$125,670
Expenses. Other expenses not covered elsewhere2017-09-30$40,811
Other income received2017-09-30$1,369
Net income (gross income less expenses)2017-09-30$-320,765
Net plan assets at end of year (total assets less liabilities)2017-09-30$0
Net plan assets at beginning of year (total assets less liabilities)2017-09-30$372,120
Total contributions received or receivable from employer(s)2017-09-30$10,805
Expenses. Administrative service providers (salaries,fees and commissions)2017-09-30$75,976
2016 : UFCW LOCAL 1262 AND EMPLOYERS HEALTH FUND 2016 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-09-30$243,863
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-09-30$3,073,849
Total income from all sources (including contributions)2016-09-30$2,914,610
Total of all expenses incurred2016-09-30$2,904,225
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-09-30$2,491,826
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-09-30$2,914,264
Value of total assets at end of year2016-09-30$615,983
Value of total assets at beginning of year2016-09-30$3,435,584
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-09-30$412,399
Total interest from all sources2016-09-30$346
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-09-30No
Administrative expenses professional fees incurred2016-09-30$219,609
Was this plan covered by a fidelity bond2016-09-30Yes
Value of fidelity bond cover2016-09-30$315,000
If this is an individual account plan, was there a blackout period2016-09-30No
Were there any nonexempt tranactions with any party-in-interest2016-09-30No
Contributions received from participants2016-09-30$144,185
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-09-30$285,802
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-09-30$2,934,152
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2016-09-30$34,312
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-09-30$20,853
Administrative expenses (other) incurred2016-09-30$121,694
Liabilities. Value of operating payables at end of year2016-09-30$44,486
Liabilities. Value of operating payables at beginning of year2016-09-30$89,017
Total non interest bearing cash at end of year2016-09-30$666
Total non interest bearing cash at beginning of year2016-09-30$2,386
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-09-30No
Value of net income/loss2016-09-30$10,385
Value of net assets at end of year (total assets less liabilities)2016-09-30$372,120
Value of net assets at beginning of year (total assets less liabilities)2016-09-30$361,735
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2016-09-30No
Were any leases to which the plan was party in default or uncollectible2016-09-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-09-30$11,074
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-09-30$297,681
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-09-30$297,681
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-09-30$346
Expenses. Payments to insurance carriers foe the provision of benefits2016-09-30$280,411
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-09-30Yes
Was there a failure to transmit to the plan any participant contributions2016-09-30No
Has the plan failed to provide any benefit when due under the plan2016-09-30No
Contributions received in cash from employer2016-09-30$2,770,079
Employer contributions (assets) at end of year2016-09-30$318,000
Employer contributions (assets) at beginning of year2016-09-30$201,365
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-09-30$2,211,415
Contract administrator fees2016-09-30$71,096
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-09-30No
Liabilities. Value of benefit claims payable at end of year2016-09-30$165,065
Liabilities. Value of benefit claims payable at beginning of year2016-09-30$2,963,979
Assets. Value of buildings and other operty used in plan operation at end of year2016-09-30$441
Did the plan have assets held for investment2016-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-09-30No
Opinion of an independent qualified public accountant for this plan2016-09-30Unqualified
Accountancy firm name2016-09-30NOVAK FRANCELLA, LLC
Accountancy firm EIN2016-09-30611436956
2015 : UFCW LOCAL 1262 AND EMPLOYERS HEALTH FUND 2015 401k financial data
Total transfer of assets from this plan2015-09-30$181,000
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-09-30$3,073,849
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-09-30$1,913,939
Total income from all sources (including contributions)2015-09-30$3,514,237
Total of all expenses incurred2015-09-30$4,564,254
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-09-30$4,138,545
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-09-30$3,514,214
Value of total assets at end of year2015-09-30$3,435,584
Value of total assets at beginning of year2015-09-30$3,506,691
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-09-30$425,709
Total interest from all sources2015-09-30$23
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-09-30No
Administrative expenses professional fees incurred2015-09-30$264,305
Was this plan covered by a fidelity bond2015-09-30Yes
Value of fidelity bond cover2015-09-30$500,000
Were there any nonexempt tranactions with any party-in-interest2015-09-30No
Contributions received from participants2015-09-30$179,222
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2015-09-30$3,711,805
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-09-30$2,934,152
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-09-30$3,252,420
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2015-09-30$20,853
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-09-30$29,548
Administrative expenses (other) incurred2015-09-30$161,404
Liabilities. Value of operating payables at end of year2015-09-30$89,017
Liabilities. Value of operating payables at beginning of year2015-09-30$70,114
Total non interest bearing cash at end of year2015-09-30$2,386
Total non interest bearing cash at beginning of year2015-09-30$-6,684
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-09-30No
Value of net income/loss2015-09-30$-1,050,017
Value of net assets at end of year (total assets less liabilities)2015-09-30$361,735
Value of net assets at beginning of year (total assets less liabilities)2015-09-30$1,592,752
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2015-09-30No
Were any leases to which the plan was party in default or uncollectible2015-09-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-09-30$297,681
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-09-30$41,206
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-09-30$41,206
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-09-30$23
Expenses. Payments to insurance carriers foe the provision of benefits2015-09-30$426,740
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-09-30Yes
Was there a failure to transmit to the plan any participant contributions2015-09-30No
Has the plan failed to provide any benefit when due under the plan2015-09-30No
Contributions received in cash from employer2015-09-30$3,334,992
Employer contributions (assets) at end of year2015-09-30$201,365
Employer contributions (assets) at beginning of year2015-09-30$219,749
Liabilities. Value of benefit claims payable at end of year2015-09-30$2,963,979
Liabilities. Value of benefit claims payable at beginning of year2015-09-30$1,814,277
Did the plan have assets held for investment2015-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-09-30No
Opinion of an independent qualified public accountant for this plan2015-09-30Unqualified
Accountancy firm name2015-09-30SAXBST LLP
Accountancy firm EIN2015-09-30464001827
2014 : UFCW LOCAL 1262 AND EMPLOYERS HEALTH FUND 2014 401k financial data
Total transfer of assets to this plan2014-09-30$3,000,000
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-09-30$1,913,939
Total income from all sources (including contributions)2014-09-30$3,774,097
Total of all expenses incurred2014-09-30$5,181,345
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-09-30$4,991,251
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-09-30$3,774,091
Value of total assets at end of year2014-09-30$3,506,691
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-09-30$190,094
Total interest from all sources2014-09-30$6
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-09-30No
Administrative expenses professional fees incurred2014-09-30$76,846
Was this plan covered by a fidelity bond2014-09-30Yes
Value of fidelity bond cover2014-09-30$500,000
Were there any nonexempt tranactions with any party-in-interest2014-09-30No
Contributions received from participants2014-09-30$179,556
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2014-09-30$4,691,138
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-09-30$3,252,420
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2014-09-30$29,548
Administrative expenses (other) incurred2014-09-30$113,248
Liabilities. Value of operating payables at end of year2014-09-30$70,114
Total non interest bearing cash at end of year2014-09-30$-6,684
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-09-30No
Value of net income/loss2014-09-30$-1,407,248
Value of net assets at end of year (total assets less liabilities)2014-09-30$1,592,752
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2014-09-30No
Were any leases to which the plan was party in default or uncollectible2014-09-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-09-30$41,206
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-09-30$6
Expenses. Payments to insurance carriers foe the provision of benefits2014-09-30$300,113
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-09-30Yes
Was there a failure to transmit to the plan any participant contributions2014-09-30No
Has the plan failed to provide any benefit when due under the plan2014-09-30No
Contributions received in cash from employer2014-09-30$3,594,535
Employer contributions (assets) at end of year2014-09-30$219,749
Liabilities. Value of benefit claims payable at end of year2014-09-30$1,814,277
Did the plan have assets held for investment2014-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-09-30No
Opinion of an independent qualified public accountant for this plan2014-09-30Unqualified
Accountancy firm name2014-09-30SAXBST LLP
Accountancy firm EIN2014-09-30464001827

Form 5500 Responses for UFCW LOCAL 1262 AND EMPLOYERS HEALTH FUND

2016: UFCW LOCAL 1262 AND EMPLOYERS HEALTH FUND 2016 form 5500 responses
2016-10-01Type of plan entitySingle employer plan
2016-10-01This submission is the final filingYes
2016-10-01Plan is a collectively bargained planYes
2016-10-01Plan funding arrangement – InsuranceYes
2016-10-01Plan funding arrangement – TrustYes
2016-10-01Plan benefit arrangement – InsuranceYes
2016-10-01Plan benefit arrangement - TrustYes
2015: UFCW LOCAL 1262 AND EMPLOYERS HEALTH FUND 2015 form 5500 responses
2015-10-01Type of plan entitySingle employer plan
2015-10-01Plan is a collectively bargained planYes
2015-10-01Plan funding arrangement – InsuranceYes
2015-10-01Plan funding arrangement – TrustYes
2015-10-01Plan benefit arrangement – InsuranceYes
2015-10-01Plan benefit arrangement - TrustYes
2014: UFCW LOCAL 1262 AND EMPLOYERS HEALTH FUND 2014 form 5500 responses
2014-10-01Type of plan entitySingle employer plan
2014-10-01Submission has been amendedNo
2014-10-01This submission is the final filingNo
2014-10-01This return/report is a short plan year return/report (less than 12 months)No
2014-10-01Plan is a collectively bargained planYes
2014-10-01Plan funding arrangement – InsuranceYes
2014-10-01Plan funding arrangement – TrustYes
2014-10-01Plan benefit arrangement – InsuranceYes
2014-10-01Plan benefit arrangement - TrustYes
2013: UFCW LOCAL 1262 AND EMPLOYERS HEALTH FUND 2013 form 5500 responses
2013-10-01Type of plan entitySingle employer plan
2013-10-01First time form 5500 has been submittedYes
2013-10-01Submission has been amendedNo
2013-10-01This submission is the final filingNo
2013-10-01This return/report is a short plan year return/report (less than 12 months)No
2013-10-01Plan is a collectively bargained planYes
2013-10-01Plan funding arrangement – InsuranceYes
2013-10-01Plan funding arrangement – TrustYes
2013-10-01Plan benefit arrangement – InsuranceYes
2013-10-01Plan benefit arrangement - TrustYes

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