2024-01-16T13:25:34-06:00 2023-02-28 470900880 CALIBRE CPA GROUP PLLC 7501 WISCONSIN AVE SUITE 1200 WEST BETHESDA MD 20814 990 2022-03-01 811516666 UFCW HEALTH INSURANCE PLAN FOR ACTIVE EMPLOYEES UFCW 2022233111 1775 K STREET NW WASHINGTON DC 20006 ANTHONY M PERRONE INTERNATIONAL PRESIDENT 2022233111 2024-01-16 1 ANTHONY PERRONE 999009999 1 ERIN CRANMER P01712644 2023319880 2024-01-16 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z ANTHONY M PERRONE 1775 K STREET NW WASHINGTON DC 20006 13852607 0 X N/A X 2016 DC TO PROVIDE HEALTH AND MEDICAL BENEFITS AND SERVICES. 5 0 0 0 0 0 0 0 13676961 13852607 0 0 0 0 13676961 13852607 0 0 12660537 13076294 0 0 0 0 0 902564 634399 13563101 13710693 113860 141914 223658 365572 0 0 223658 365572 TO PROVIDE HEALTH AND MEDICAL BENEFITS AND SERVICES. 0 0 THE PLAN PROVIDED HEALTH, DENTAL, DISABILITY, AND LIFE INSURANCE TO ALL ELIGIBLE PARTICIPANTS. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 X 5 0 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 1 0 0 0 X ANTHONY M PERRONE 2022233111 1775 K STREET NW WASHINGTON DC 20006 ANTHONY M PERRONE INTERNATIONAL PRESIDENT 0.20 39.80 X 0 301501 69959 WARREN S BARCLAY INTERNATIONAL SECRETARY-TR 0.20 39.80 X 0 248223 68334 PAUL MEINEMA EXECUTIVE VICE PRESIDENT 0.20 39.80 X 0 178813 47285 STUART APPELBAUM EXECUTIVE VICE PRESIDENT 0.20 39.80 X 0 0 33450 JONES MILTON L INTERNATIONAL VICE PRESIDENT 0.20 39.80 X 0 233506 67966 0 962043 286994 0 0 1 0 UHC OF MID-ATLANTIC 185 ASYLUM STREET HARTFORD CT 06103 CLAIMS PROCESSING 498123 1 EMPLOYER CONTRIBUTIONS 900099 13852607 13852607 13852607 13852607 13852607 0 0 13076294 55980 23435 53011 3850 CLAIMS PROCESSING 498123 13710693 223658 365572 223658 365572 0 0 X 0 0 0 0 223658 365572 223658 365572 223658 365572 141914 0 X X 0 1 X 1 0 0 X 13852607 0 13852607 0 13852607 13710693 0 13710693 0 13710693 PART X, LINE 2: THE INTERNAL REVENUE SERVICE HAS ADVISED, IN A LETTER DATED APRIL 25, 2016, THAT THE TRUST IS QUALIFIED UNDER SECTION 501(C)(9) OF THE INTERNAL REVENUE CODE AND, THEREFORE, IS NOT SUBJECT TO INCOME TAX UNDER CURRENT TAX LAWS. THE PLAN FOLLOWS THE AUTHORITATIVE GUIDANCE RELATING TO ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES INCLUDED IN ACCOUNTING STANDARDS CODIFICATION (ASC) TOPIC INCOME TAXES. THESE PROVISIONS PROVIDE CONSISTENT GUIDANCE FOR THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ENTITY'S FINANCIAL STATEMENTS AND PRESCRIBE A THRESHOLD OF "MORE LIKELY THAN NOT" FOR RECOGNITION AND DERECOGNITION OF TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THE PLAN PERFORMED AN EVALUATION OF UNCERTAIN TAX POSITIONS FOR THE YEAR ENDED FEBRUARY 28, 2022, AND DETERMINED THAT THERE WERE NO MATTERS THAT WOULD REQUIRE RECOGNITION IN THE FINANCIAL STATEMENTS OR THAT MAY HAVE AN EFFECT ON ITS TAX-EXEMPT STATUS. 0 0 0 ANTHONY M PERRONE INTERNATIONAL PRESIDENT 0 298177 0 0 0 3324 0 43543 0 26416 0 371460 0 0 WARREN S BARCLAY INTERNATIONAL SECRETARY-TR 0 244020 0 0 0 4203 0 41918 0 26416 0 316557 0 0 JONES MILTON L INTERNATIONAL VICE PRESIDENT 0 231759 0 0 0 1747 0 41550 0 26416 0 301472 0 0 PAUL MEINEMA EXECUTIVE VICE PRESIDENT 0 177274 0 0 0 1539 0 36432 0 10853 0 226098 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE 990 IS DRAFTED THROUGH A COLLABORATIVE EFFORT OF THE ORGANIZATION'S OUTSIDE AUDIT FIRM AND IN-HOUSE FINANCIAL AND LEGAL PROFESSIONALS. THE DRAFT IS DISTRIBUTED TO THE UFCW EXECUTIVE COMMITTEE FOR REVIEW. THE FORM IS THEN FINALIZED AND SUBMITTED. FORM 990, PART VI, SECTION B, LINE 12C QUESTIONNAIRES ARE SENT TO OFFICERS AND FORMER OFFICERS ANNUALLY CONCERNING CONFLICTS OF INTEREST. THESE QUESTIONNAIRES ARE REVIEWED FOR ANY POTENTIAL CONFLICTS OF INTEREST AND, TO DATE, NONE HAVE BEEN REPORTED. IF A CONFLICT SHOULD BE REPORTED IN THE FUTURE, THE APPROPRIATE ACTION WOULD BE TAKEN BY THE OFFICERS. IN ADDITION, OUR OFFICERS AND EMPLOYEES HAVE BEEN ADVISED OF OUR WRITTEN POLICY TO AVOID CONFLICTS OF INTEREST WHICH WOULD RESULT IN THE FILING OF FORM LM-30 WITH THE U.S. DEPARTMENT OF LABOR. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENT, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. ANY REQUESTS FROM THE PUBLIC FOR INFORMATION ARE HANDLED IN ACCORDANCE WITH IRS PUBLIC INSPECTION PROVISIONS. FORM 990, PART XII, LINE 1: THE TRUST USES THE MODIFIED CASH BASIS OF ACCOUNTING. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM PRIOR YEAR. UFCW INTERNATIONAL UNION 1775 K STREET NW WASHINGTON DC 20006 530220586 LABOR UNION 501(C)(5) 0 UFCW LOCAL NO 1000 967 W WALL STREET GRAPEVINE TX 76051 750520730 LOCAL UNION 501(C)(5) 0 UFCW LOCAL NO 108 1576 SPRINGFIELD AVENUE MAPLEWOOD NJ 070402414 221171648 LOCAL UNION 501(C)(5) 0 UFCW LOCAL NO 1155 POST OFFICE BOX 51 MARSHALLTOWN IA 50158 853250459 LOCAL UNION 501(C)(5) 0 UFCW LOCAL NO 1208 POST OFFICE BOX 37 ST PAULS NC 28384 800356571 LOCAL UNION 501(C)(5) 0 UFCW LOCAL NO 1500 425 MERRICK AVENUE WESTBURY NY 11590 135342295 LOCAL UNION 501(C)(5) 0 UFCW LOCAL NO 1529 8205 MACON ROAD CORDOVA TN 380188538 620444918 LOCAL UNION 501(C)(5) 0 UFCW LOCAL NO 1625 5600 US HWY 98 NORTH LAKELAND FL 33809 590698437 LOCAL UNION 501(C)(5) 0 UFCW LOCAL NO 17A 1800 CLEVELAND AVENUE NW CANTON OH 447093602 340798569 LOCAL UNION 501(C)(5) 0 UFCW LOCAL NO 1994 600 SOUTH FREDERICK AVENUE GAITHERSBURG MD 20877 521856448 LOCAL UNION 501(C)(5) 0 UFCW LOCAL NO 1995 4207 LEBANON ROAD HERMITAGE TN 370761231 621603091 LOCAL UNION 501(C)(5) 0 UFCW LOCAL NO 2008 7924 INTERSTATE 30 LITTLE ROCK AR 722092900 710717976 LOCAL UNION 501(C)(5) 0 UFCW LOCAL NO 2013 9235 4TH AVENUE BROOKLYN NY 112097006 131995772 LOCAL UNION 501(C)(5) 0 UFCW LOCAL NO 222 3038 SOUTH LAKEPORT ROAD SIOUX CITY IA 51106 420953755 LOCAL UNION 501(C)(5) 0 UFCW LOCAL NO 293 1314 MAIN AVENUE CRETE NE 68333 470431476 LOCAL UNION 501(C)(5) 0 UFCW LOCAL NO 360 400 COMMERCE LANE WEST BERLIN NJ 080919253 384095355 LOCAL UNION 501(C)(5) 0 UFCW LOCAL NO 367 6403 LAKEWOOD DRIVE WEST TACOMA WA 984673331 910383680 LOCAL UNION 501(C)(5) 0 UFCW LOCAL NO 38 143 NORTH FRONT STREET MILTON PA 17847 240779677 LOCAL UNION 501(C)(5) 0 UFCW LOCAL NO 400 8400 CORPORATE DRIVE LANDOVER MD 20785 530241580 LOCAL UNION 501(C)(5) 0 UFCW LOCAL NO 431 2411 WEST CENTRAL PARK AVENUE DAVENPORT IA 52804 420259063 LOCAL UNION 501(C)(5) 0 UFCW LOCAL NO 700 3091 EAST 98TH STREET INDIANAPOLIS IN 46280 351844260 LOCAL UNION 501(C)(5) 0 UFCW LOCAL NO 919 6 HYDE ROAD FARMINGTON CT 060322802 060721822 LOCAL UNION 501(C)(5) 0 UFCW LOCAL NO 455 121 NORTHPOINT DRIVE HOUSTON TX 77060 741290941 LOCAL UNION 501(C)(5) 0 UFCW LOCAL NO 540 17780 PRESTON ROAD DALLAS TX 75252 750953266 LOCAL UNION 501(C)(5) 0 UFCW LOCAL NO 880 9199 MARKET PLACE SUITE 2 BROADVIEW HEIGHTS OH 44147 340815295 LOCAL UNION 501(C)(5) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1