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TRI-STATE UFCW AND EMPLOYERS BENEFIT FUND 401k Plan overview

Plan NameTRI-STATE UFCW AND EMPLOYERS BENEFIT FUND
Plan identification number 501

TRI-STATE UFCW AND EMPLOYERS BENEFIT FUND Benefits

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

401k Sponsoring company profile

BOARD OF TRUSTEES TRI-STATE UFCW & EMPLOYERS BENEFIT FUND has sponsored the creation of one or more 401k plans.

Company Name:BOARD OF TRUSTEES TRI-STATE UFCW & EMPLOYERS BENEFIT FUND
Employer identification number (EIN):251155626
NAIC Classification:445110
NAIC Description:Supermarkets and Other Grocery (except Convenience) Stores

Form 5500 Filing Information

Submission information for form 5500 for 401k plan TRI-STATE UFCW AND EMPLOYERS BENEFIT FUND

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012011-04-01ANTHONY M. HELFER
5012010-04-01ANTHONY HELFER
5012009-04-01ANTHONY HELFER

Plan Statistics for TRI-STATE UFCW AND EMPLOYERS BENEFIT FUND

401k plan membership statisitcs for TRI-STATE UFCW AND EMPLOYERS BENEFIT FUND

Measure Date Value
2011: TRI-STATE UFCW AND EMPLOYERS BENEFIT FUND 2011 401k membership
Total participants, beginning-of-year2011-04-011,615
Total number of active participants reported on line 7a of the Form 55002011-04-010
Number of retired or separated participants receiving benefits2011-04-010
Number of other retired or separated participants entitled to future benefits2011-04-010
Total of all active and inactive participants2011-04-010
Number of employers contributing to the scheme2011-04-0110
2010: TRI-STATE UFCW AND EMPLOYERS BENEFIT FUND 2010 401k membership
Total participants, beginning-of-year2010-04-011,827
Total number of active participants reported on line 7a of the Form 55002010-04-01861
Number of retired or separated participants receiving benefits2010-04-010
Number of other retired or separated participants entitled to future benefits2010-04-01754
Total of all active and inactive participants2010-04-011,615
Number of employers contributing to the scheme2010-04-0111
2009: TRI-STATE UFCW AND EMPLOYERS BENEFIT FUND 2009 401k membership
Total participants, beginning-of-year2009-04-011,887
Total number of active participants reported on line 7a of the Form 55002009-04-011,002
Number of retired or separated participants receiving benefits2009-04-010
Number of other retired or separated participants entitled to future benefits2009-04-01825
Total of all active and inactive participants2009-04-011,827
Number of employers contributing to the scheme2009-04-0110

Financial Data on TRI-STATE UFCW AND EMPLOYERS BENEFIT FUND

Measure Date Value
2012 : TRI-STATE UFCW AND EMPLOYERS BENEFIT FUND 2012 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2012-01-01$-659
Total unrealized appreciation/depreciation of assets2012-01-01$-659
Total transfer of assets from this plan2012-01-01$3,820,453
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-01-01$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-01-01$398,179
Total income from all sources (including contributions)2012-01-01$3,732,922
Total loss/gain on sale of assets2012-01-01$-11,658
Total of all expenses incurred2012-01-01$3,081,712
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-01-01$2,771,292
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-01-01$3,705,562
Value of total assets at end of year2012-01-01$0
Value of total assets at beginning of year2012-01-01$3,567,422
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-01-01$310,420
Total interest from all sources2012-01-01$49,555
Total dividends received (eg from common stock, registered investment company shares)2012-01-01$25,464
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-01-01Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan2012-01-01$0
Total dividends received from registered investment company shares (eg mutual funds)2012-01-01$17,673
Administrative expenses professional fees incurred2012-01-01$114,394
Was this plan covered by a fidelity bond2012-01-01Yes
Value of fidelity bond cover2012-01-01$500,000
Were there any nonexempt tranactions with any party-in-interest2012-01-01No
Contributions received from participants2012-01-01$23,885
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2012-01-01$132,815
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-01-01$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-01-01$16,702
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2012-01-01$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2012-01-01$2,156
Administrative expenses (other) incurred2012-01-01$181,488
Liabilities. Value of operating payables at end of year2012-01-01$0
Liabilities. Value of operating payables at beginning of year2012-01-01$20,435
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-01-01No
Value of net income/loss2012-01-01$651,210
Value of net assets at end of year (total assets less liabilities)2012-01-01$0
Value of net assets at beginning of year (total assets less liabilities)2012-01-01$3,169,243
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-01-01No
Were any loans by the plan or fixed income obligations due to the plan in default2012-01-01No
Were any leases to which the plan was party in default or uncollectible2012-01-01No
Investment advisory and management fees2012-01-01$14,538
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-01-01$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-01-01$504,151
Income. Interest from US Government securities2012-01-01$20,001
Income. Interest from corporate debt instruments2012-01-01$29,494
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-01-01$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-01-01$726,092
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-01-01$726,092
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-01-01$60
Expenses. Payments to insurance carriers foe the provision of benefits2012-01-01$2,480,282
Asset value of US Government securities at end of year2012-01-01$0
Asset value of US Government securities at beginning of year2012-01-01$758,414
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-01-01$-35,342
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-01-01Yes
Was there a failure to transmit to the plan any participant contributions2012-01-01No
Has the plan failed to provide any benefit when due under the plan2012-01-01No
Contributions received in cash from employer2012-01-01$3,681,677
Employer contributions (assets) at end of year2012-01-01$0
Employer contributions (assets) at beginning of year2012-01-01$4,485
Income. Dividends from common stock2012-01-01$7,791
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-01-01$158,195
Asset. Corporate debt instrument preferred debt at end of year2012-01-01$0
Asset. Corporate debt instrument preferred debt at beginning of year2012-01-01$991,331
Assets. Corporate common stocks other than exployer securities at end of year2012-01-01$0
Assets. Corporate common stocks other than exployer securities at beginning of year2012-01-01$528,434
Liabilities. Value of benefit claims payable at end of year2012-01-01$0
Liabilities. Value of benefit claims payable at beginning of year2012-01-01$375,588
Assets. Value of buildings and other operty used in plan operation at end of year2012-01-01$0
Assets. Value of buildings and other operty used in plan operation at beginning of year2012-01-01$37,813
Did the plan have assets held for investment2012-01-01No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-01-01No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-01-01Yes
Aggregate proceeds on sale of assets2012-01-01$971,461
Aggregate carrying amount (costs) on sale of assets2012-01-01$983,119
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-01-01No
Opinion of an independent qualified public accountant for this plan2012-01-01Unqualified
Accountancy firm name2012-01-01DICLAUDIO & KRAMER, LLC
Accountancy firm EIN2012-01-01270889793
2011 : TRI-STATE UFCW AND EMPLOYERS BENEFIT FUND 2011 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2011-03-31$107,672
Total unrealized appreciation/depreciation of assets2011-03-31$107,672
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-03-31$398,179
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-03-31$406,258
Total income from all sources (including contributions)2011-03-31$4,980,473
Total loss/gain on sale of assets2011-03-31$11,690
Total of all expenses incurred2011-03-31$4,583,381
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-03-31$4,322,360
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-03-31$4,741,305
Value of total assets at end of year2011-03-31$3,567,422
Value of total assets at beginning of year2011-03-31$3,178,409
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-03-31$261,021
Total interest from all sources2011-03-31$63,046
Total dividends received (eg from common stock, registered investment company shares)2011-03-31$19,769
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-03-31No
Total dividends received from registered investment company shares (eg mutual funds)2011-03-31$13,510
Administrative expenses professional fees incurred2011-03-31$33,703
Was this plan covered by a fidelity bond2011-03-31Yes
Value of fidelity bond cover2011-03-31$500,000
Were there any nonexempt tranactions with any party-in-interest2011-03-31No
Contributions received from participants2011-03-31$53,255
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2011-03-31$192,507
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-03-31$16,702
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-03-31$42,082
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2011-03-31$2,156
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2011-03-31$6,532
Administrative expenses (other) incurred2011-03-31$211,659
Liabilities. Value of operating payables at end of year2011-03-31$20,435
Liabilities. Value of operating payables at beginning of year2011-03-31$44,196
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-03-31No
Value of net income/loss2011-03-31$397,092
Value of net assets at end of year (total assets less liabilities)2011-03-31$3,169,243
Value of net assets at beginning of year (total assets less liabilities)2011-03-31$2,772,151
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-03-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-03-31No
Were any leases to which the plan was party in default or uncollectible2011-03-31No
Investment advisory and management fees2011-03-31$15,659
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-03-31$504,151
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-03-31$481,974
Income. Interest from US Government securities2011-03-31$21,773
Income. Interest from corporate debt instruments2011-03-31$41,175
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-03-31$726,092
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-03-31$320,488
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-03-31$320,488
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-03-31$98
Expenses. Payments to insurance carriers foe the provision of benefits2011-03-31$3,879,812
Asset value of US Government securities at end of year2011-03-31$758,414
Asset value of US Government securities at beginning of year2011-03-31$641,609
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-03-31$36,991
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-03-31Yes
Was there a failure to transmit to the plan any participant contributions2011-03-31No
Has the plan failed to provide any benefit when due under the plan2011-03-31No
Contributions received in cash from employer2011-03-31$4,688,050
Employer contributions (assets) at end of year2011-03-31$4,485
Employer contributions (assets) at beginning of year2011-03-31$4,489
Income. Dividends from common stock2011-03-31$6,259
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-03-31$250,041
Asset. Corporate debt instrument preferred debt at end of year2011-03-31$991,331
Asset. Corporate debt instrument preferred debt at beginning of year2011-03-31$1,132,614
Assets. Corporate common stocks other than exployer securities at end of year2011-03-31$528,434
Assets. Corporate common stocks other than exployer securities at beginning of year2011-03-31$518,457
Liabilities. Value of benefit claims payable at end of year2011-03-31$375,588
Liabilities. Value of benefit claims payable at beginning of year2011-03-31$355,530
Assets. Value of buildings and other operty used in plan operation at end of year2011-03-31$37,813
Assets. Value of buildings and other operty used in plan operation at beginning of year2011-03-31$36,696
Did the plan have assets held for investment2011-03-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-03-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-03-31No
Aggregate proceeds on sale of assets2011-03-31$1,301,606
Aggregate carrying amount (costs) on sale of assets2011-03-31$1,289,916
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-03-31No
Opinion of an independent qualified public accountant for this plan2011-03-31Unqualified
Accountancy firm name2011-03-31DICLAUDIO & KRAMER, LLC
Accountancy firm EIN2011-03-31270889793

Form 5500 Responses for TRI-STATE UFCW AND EMPLOYERS BENEFIT FUND

2011: TRI-STATE UFCW AND EMPLOYERS BENEFIT FUND 2011 form 5500 responses
2011-04-01Type of plan entityMulti-employer plan
2011-04-01Submission has been amendedNo
2011-04-01This submission is the final filingYes
2011-04-01This return/report is a short plan year return/report (less than 12 months)Yes
2011-04-01Plan is a collectively bargained planYes
2011-04-01Plan funding arrangement – TrustYes
2011-04-01Plan benefit arrangement – InsuranceYes
2011-04-01Plan benefit arrangement - TrustYes
2010: TRI-STATE UFCW AND EMPLOYERS BENEFIT FUND 2010 form 5500 responses
2010-04-01Type of plan entityMulti-employer plan
2010-04-01Submission has been amendedNo
2010-04-01This submission is the final filingNo
2010-04-01This return/report is a short plan year return/report (less than 12 months)No
2010-04-01Plan is a collectively bargained planYes
2010-04-01Plan funding arrangement – TrustYes
2010-04-01Plan benefit arrangement – InsuranceYes
2010-04-01Plan benefit arrangement - TrustYes
2009: TRI-STATE UFCW AND EMPLOYERS BENEFIT FUND 2009 form 5500 responses
2009-04-01Type of plan entityMulti-employer plan
2009-04-01Submission has been amendedNo
2009-04-01This submission is the final filingNo
2009-04-01This return/report is a short plan year return/report (less than 12 months)No
2009-04-01Plan is a collectively bargained planYes
2009-04-01Plan funding arrangement – TrustYes
2009-04-01Plan benefit arrangement – InsuranceYes
2009-04-01Plan benefit arrangement - TrustYes

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