2024-02-13T16:50:34-06:00 2023-03-31 363168081 SIKICH LLP 17335 GOLF PARKWAY SUITE 500 BROOKFIELD WI 53045 990 2022-04-01 383136636 MICHIGAN UFCW UNIONS & EMPLOYERS JOINT PREPAID LEGAL SERVICES FUND MICH 2485859610 7250 POE AVENUE 300 DAYTON OH 45414 DANIEL PEDERSEN CHAIR 2485859610 2024-02-13 1 DANIEL PEDERSEN 999009999 1 BRIDGETTE MUGGE P00671418 2627549400 2024-02-13 0 AAL1 IAL1 2022 2023-04-26 12:10:37Z DANIEL PEDERSEN 7250 POE AVENUE 300 DAYTON OH 45414 329560 0 X WWW.MIUFCWLEGALPLAN.COM X 1993 OH TO PROVIDE LEGAL BENEFIT SERVICES TO ELIGIBLE PARTICIPANTS. 6 4 0 6 0 0 0 0 323693 299680 64972 29880 -57141 0 331524 329560 0 0 227192 206828 0 0 0 0 0 87334 105171 314526 311999 16998 17561 901346 830136 47852 19051 853494 811085 TO PROVIDE LEGAL BENEFIT SERVICES TO ELIGIBLE PARTICIPANTS. 0 0 LEGAL SERVICES BENEFITS 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 6 0 0 0 0 0 0 0 0 0 0 X 6 4 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 0 0 0 0 X RICK MAINS 2485859610 7250 POE AVENUE 300 DAYTON OH 45414 DANIEL PEDERSEN UNION TRUSTEE & CHAIRMAN 2.00 54.00 X X 0 275674 38931 DOUGLAS FINDLAY THRU 12522 UNION TRUSTEE 1.00 54.00 X 0 220789 17265 ROWENA GREEN UNION TRUSTEE 1.00 54.00 X 0 181721 28146 DAWN MCCLANAHAN ALTERNATE UNION TRUSTEE 1.00 40.00 X 0 110220 25055 WILLIAM CRIM THRU 12522 ALTERNATE UNION TRUSTEE 1.00 50.00 X 0 111850 13819 STEVE YANCY EMPLOYER TRUSTEE & SECRETARY 2.00 40.00 X X 0 0 0 RYLAN NORRIS EMPLOYER TRUSTEE 1.00 40.00 X 0 0 0 KIMBERLY WELCH-HARLAN EMPLOYER TRUSTEE 1.00 40.00 X 0 0 0 STEPHANIE VILLALPANDO START 12522 UNION TRUSTEE 1.00 54.00 X 0 94594 11093 NATE CLARK START 12522 ALTERNATE UNION TRUSTEE 1.00 40.00 X 0 0 0 0 994848 134309 0 0 1 0 0 EMPLOYER CONTRIBUTIONS 525100 299680 299680 299680 29880 29880 329560 299680 0 29880 206828 36524 7310 12500 12871 27601 7347 BANK CHARGES 1018 311999 160296 203171 22752 22641 2856 4722 672567 642477 901346 830136 47852 19051 47852 19051 X 0 0 0 0 853494 811085 853494 811085 901346 830136 17561 -59970 0 X 0 1 X 1 0 0 X 257090 -59970 -59970 317060 12500 12500 329560 299499 0 299499 12500 12500 311999 PART X, LINE 2: THE TRUST ESTABLISHED UNDER THE PLAN TO HOLD THE PLAN'S ASSETS IS INTENDED TO QUALIFY PURSUANT TO SECTION 501(C)(9) OF THE INTERNAL REVENUE CODE (IRC) AND IS, THEREFORE, NOT SUBJECT TO TAX UNDER PRESENT INCOME TAX LAWS. THE TRUST HAS OBTAINED A FAVORABLE TAX DETERMINATION LETTER ON AUGUST 24, 1994 FROM THE INTERNAL REVENUE SERVICE (IRS) AND THE TRUSTEES BELIEVE THAT THE TRUST AND THE PLAN, AS AMENDED, CONTINUES TO QUALIFY AND TO OPERATE IN ACCORDANCE WITH THE APPLICABLE PROVISION OF THE IRC. U.S. GAAP REQUIRES PLAN MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE PLAN AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF THE PLAN HAS TAKEN AN UNCERTAIN TAX POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. 0 0 0 DANIEL PEDERSEN UNION TRUSTEE & CHAIRMAN 0 275674 0 0 0 0 0 10040 0 28891 0 314605 0 0 DOUGLAS FINDLAY THRU 12522 UNION TRUSTEE 0 220789 0 0 0 0 0 8316 0 8949 0 238054 0 0 ROWENA GREEN UNION TRUSTEE 0 181721 0 0 0 0 0 6940 0 21206 0 209867 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE BOARD OF TRUSTEES REVIEWED THE FORM 990 PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE PLAN REQUIRES TRUSTEES AND THOSE PROVIDING SERVICES TO THE PLAN TO DISCLOSE ANY RELATIONSHIPS THAT COULD GIVE RISE TO A CONFLICT OF INTEREST UNDER THE "CONFLICT OF INTEREST POLICY" REGARDING THE PLAN. ANY IDENTIFIED POTENTIAL CONFLICTS ARE ADDRESSED BY THE BOARD OF TRUSTEES. FORM 990, PART VI, SECTION C, LINE 19 THE PLAN IS ESTABLISHED AND MAINTAINED PURSUANT TO ERISA. IT OPERATES IN COMPLIANCE WITH THE REPORTING AND DISCLOSURE OF ITS GOVERNING DOCUMENTS AND FINANCIAL INFORMATION. NO DOCUMENTS AND FINANCIAL INFORMATION ARE AVAILABLE TO THE GENERAL PUBLIC OTHER THAN THOSE FINANCIAL STATEMENTS MADE PART OF AND REQUIRED TO BE DISCLOSED IN GOVERNMENTAL FILINGS. UFCW LOCAL 876 26495 AMERICAN DR SOUTHFIELD MI 48034 380513037 LABOR UNION MI 501(C)(5) 0 THE KROGER CO HOLLYWOOD MARKETS DARLING INGREDIENTS INC 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0