2024-11-11T11:43:54-06:00 2023-12-31 450250958 EIDE BAILLY LLP 800 NICOLLET MALL STE 1300 MINNEAPOLIS MN 554027033 990 2023-01-01 680139450 UFCW NORTHERN CALIFORNIA AND DRUG EMPLOY AND WELFARE TRUST FUND UFCW 9257467530 1000 BURNETT AVE 200 CONCORD CA 94520 JOHN HEISE SECRETARY 9257467530 2024-11-06 1 1 KIM HUNWARDSEN CPA P00484560 6122536500 2024-11-05 2023 2024-10-15 13:58:12Z JOHN HEISE 1000 BURNETT AVE 200 CONCORD CA 94520 86155 0 X N/A X 1987 CA TO PROVIDE HEALTH AND WELFARE BENEFITS TO EMPLOYEES AND OTHER ELIGIBLE PERSONS. 7 0 0 0 0 0 0 0 1818 1664 0 0 596902 84491 598720 86155 0 0 0 0 0 0 0 0 0 41644 39021 41644 39021 557076 47134 671861 718052 2296 1353 669565 716699 TO PROVIDE HEALTH AND WELFARE BENEFITS TO EMPLOYEES AND OTHER ELIGIBLE PERSONS. 0 0 TO PROVIDE HEALTH AND WELFARE BENEFITS TO ELIGIBLE PERSONS. 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 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 1 0 0 0 0 0 0 0 0 0 X 7 0 0 1 0 0 0 0 0 1 0 0 0 0 1 0 0 1 1 0 0 0 CA X JESSE GLAVES 9254901227 1000 BURNETT AVE 200 CONCORD CA 94520 MARLA DONATI TRUSTEE 5.00 35.00 X 0 126799 14792 MIKE FRENNA TRUSTEE 5.00 35.00 X 0 126799 15013 GORDON HINKLE TRUSTEE 5.00 35.00 X 0 0 0 JOHN HEISE SECRETARY 5.00 35.00 X X 0 210362 23886 BRET SLUSSER TRUSTEE 5.00 35.00 X 0 171902 23486 ALLISON FULLER CHAIR 5.00 35.00 X X 0 0 0 JOHN FRAHM TRUSTEE 5.00 35.00 X 0 164676 15105 0 800538 92282 0 0 1 0 0 SELF FUNDED BENEFITS 900099 1664 1664 1664 SETTLEMENT 900099 84491 84491 84491 86155 86155 0 0 19835 370 10 13262 REFUND PAYMENTS 5517 BANKING FEES 27 39021 671861 718052 671861 718052 200 200 2096 1153 2296 1353 X 0 0 0 0 669565 716699 669565 716699 671861 718052 47134 0 X 0 0 0 0 DUE TO UFCW ADMINISTRATION LLC 1153 1153 0 0 0 JOHN HEISE SECRETARY 0 173690 0 26500 0 10172 0 7190 0 16696 0 234248 0 0 BRET SLUSSER TRUSTEE 0 157440 0 1500 0 12962 0 6790 0 16696 0 195388 0 0 JOHN FRAHM TRUSTEE 0 164676 0 0 0 0 0 0 0 15105 0 179781 0 0 FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION DELEGATES CONTROL OVER MANAGEMENT DUTIES CUSTOMARILY PERFORMED BY OR UNDER THE DIRECT SUPERVISION OF OFFICERS, DIRECTORS, TRUSTEES, OR KEY EMPLOYEES TO THE CONTRACT ADMINISTRATOR, UFCW ADMIN, LLC FORM 990, PART VI, SECTION A, LINE 8B THERE ARE NO COMMITTEES WITH THE AUTHORITY TO ACT ON BEHALF OF THE TRUSTEES. FORM 990, PART VI, SECTION B, LINE 11B THE TRUSTEES GIVE AUTHORITY TO THE CHAIR AND SECRETARY TO REVIEW THE FORM. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST. FORM 990, PART VII, SECTION A ALLISON FULLER AND GORDON HINKLE ARE EMPLOYEES OF CONTRIBUTING EMPLOYER OR SPONSORING EMPLOYER ORGANIZATION THAT ARE CONSIDERED RELATED ORGANIZATIONS UNDER THE DEFINITIONS IN SCHEDULE R. THE RELATED ORGANIZATIONS ARE FOR-PROFIT ORGANIZATIONS, ARE NOT OWNED OR CONTROLLED, DIRECTLY OR INDIRECTLY, BY THE ORGANIZATION OR ONE OR MORE RELATED TAX-EXEMPT ORGANIZATION, AND DO NOT PROVIDE MANAGEMENT SERVICES FOR A FEE TO THE ORGANIZATION. AS SUCH, UNDER THE VOLUNTEER EXCEPTION COMPENSATION PAID BY THOSE RELATED ORGANIZATIONS IS OMITTED. THE REMAINING TRUSTEES ARE CURRENT OR FORMER EMPLOYEES OF THE SPONSORING UNIONS WHICH ARE CONSIDERED RELATED ORGANIZATIONS PER SCHEDULE R DEFINITION. CURRENT EMPLOYEE COMPENSATION PROVIDED BY THE SPONSORING UNION IS REPORTED IN PART VII. UFCW LOCAL 5 28870 MISSION BLVD HAYWARD CA 94544 208028546 LABOR UNION CA 501(C)(5) 0 UFCW LOCAL 8 GOLDEN STATE 2200 PROFESSIONAL DR ROSEVILLE CA 95661 940801845 LABOR UNION CA 501(C)(5) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0