2025-01-15T08:19:54-06:00 2024-02-29 470900880 CALIBRE CPA GROUP PLLC 7501 WISCONSIN AVENUE SUITE 1200 WEST BETHESDA MD 20814 990 2023-03-01 811529180 UFCW HEALTH INSURANCE PLAN FOR RETIREES UFCW 2022233111 1775 K ST NW WASHINGTON DC 20006 ANTHONY M PERRONE INTERNATIONAL PRESIDENT 2022233111 2025-01-15 1 1 ERIN CRANMER P01712644 2023319880 2025-01-15 2023 2024-10-15 13:58:12Z ANTHONY M PERRONE 1775 K ST NW WASHINGTON DC 20006 21778082 0 X N/A X 2016 DC TO PROVIDE HEALTH AND MEDICAL BENEFITS AND SERVICES. 5 0 0 0 0 0 0 0 22743924 21778082 0 0 0 0 22743924 21778082 0 0 21840881 21128811 0 0 0 0 0 765498 685919 22606379 21814730 137545 -36648 220000 183352 0 0 220000 183352 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 312554 70334 MILTON L JONES INT'L SECY-TREASURER 0.20 39.80 X 0 248444 68463 WARREN S BARCLAY INT'L SECY-TREASURER (FORMER) 0.20 39.80 X 0 362443 60746 PAUL MEINEMA EXEC VP/NAT'L PRESIDENT 0.20 39.80 X 0 174920 49081 STUART APPELBAUM EXEC VP/PRESIDENT RWDSU 0.20 39.80 X 0 0 33450 LORI WERNER EXECUTIVE VICE PRESIDENT 0.20 39.80 X 0 244913 68341 0 1343274 350415 0 0 1 0 UHC OF MID ATLANTIC 6220 OLD DOBBIN LANE COLUMBIA MD 21045 CLAIMS PROCESSING 392449 HEALTH MANAGEMENT CONCEPTS 140 INTRACOSTAL POINTE DR SUITE 3 JUPITER FL 33477 OTHER SERVICES 126204 2 EMPLOYER CONTRIBUTIONS 900099 18610901 18610901 MEDICARE PART D REIMBURSEMENT 900099 2060366 2060366 PARTICIPANT CONTRIBUTIONS 900099 1106815 1106815 21778082 21778082 21778082 0 0 21128811 45744 24091 221759 1876 CLAIMS PROCESSING 392449 21814730 220000 183352 220000 183352 0 0 X 0 0 0 0 220000 183352 220000 183352 220000 183352 -36648 0 X X 0 1 X 1 0 0 X 21778082 0 21778082 0 21778082 21814730 0 21814730 0 21814730 PART X, LINE 2: THE INTERNAL REVENUE SERVICE HAS ADVISED, IN A LETTER DATED MAY 24, 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 29, 2024, 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 WARREN S BARCLAY INT'L SECY-TREASURER (FORMER) 0 162129 0 0 0 200314 0 39514 0 21232 0 423189 0 0 ANTHONY M PERRONE INTERNATIONAL PRESIDENT 0 298248 0 0 0 14306 0 43543 0 26791 0 382888 0 0 MILTON L JONES INT'L SECY-TREASURER 0 235885 0 0 0 12559 0 41672 0 26791 0 316907 0 0 LORI WERNER EXECUTIVE VICE PRESIDENT 0 231830 0 0 0 13083 0 41550 0 26791 0 313254 0 0 PAUL MEINEMA EXEC VP/NAT'L PRESIDENT 0 173301 0 0 0 1619 0 35724 0 13357 0 224001 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. 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