Civic Intelligence

United Food & Comm Workers Calumet Region Insurance Fund

990 • Fiscal year 2015 • EIN 35-1065816

Dec 01, 2014 to Nov 30, 2015 • Filed on Apr 07, 2016

Organization ProfileN/A

View Organization Page

9801 West Higgins Road No 500Rosemont, IL 60018

(847) 384-7000

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

35th percentile

0.01x

Higher debt load relative to assets than 35% of similar nonprofits.

2015 filings • 501(c)9 • $10M-$25M nonprofits • Source year 2015

Liabilities / Revenue

31st percentile

0.01x

Higher debt load relative to revenue than 31% of similar nonprofits.

2015 filings • 501(c)9 • $10M-$25M nonprofits • Source year 2015

Net Margin

9th percentile

-24%

Higher net margin than 9% of similar nonprofits.

2015 filings • 501(c)9 • $10M-$25M nonprofits • Source year 2015

Top Officer Pay

47th percentile

$0

Higher top officer pay than 47% of similar nonprofits.

Top officer pay equals 0.0% of source-year revenue.

2015 filings • 501(c)9 • $10M-$25M nonprofits • Source year 2015

Asset Growth

10th percentile

-20%

Faster asset growth than 10% of similar nonprofits.

2015 filings • 501(c)9 • $10M-$25M nonprofits • Annualized from 2014 to 2015

Revenue Growth

27th percentile

-4.1%

Faster revenue growth than 27% of similar nonprofits.

2015 filings • 501(c)9 • $10M-$25M nonprofits • Annualized from 2014 to 2015

Balance Sheet
Liabilities / Assets35th percentile

Assets

Down

$7,782,021

Down $1,895,618 (-20%) from 2014

Net Assets

Down

$7,717,834

Down $1,808,358 (-19%) from 2014

Liabilities

Down

$64,187

Down $87,260 (-58%) from 2014

Revenue And Expenses
Liabilities / Revenue31st percentileNet Margin9th percentile

Revenue

Down

$8,081,992

Down $347,186 (-4.1%) from 2014

Expenses

Down

$9,990,166

Down $60,583 (-0.6%) from 2014

Net Income

Down

-$1,908,174

Down $286,603 (-18%) from 2014

Historical Trend

Balance Sheet Trend

Asset Growth10th percentile

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$15M$10M$5.0M$0Assets 2011: $9,827,160Liabilities 2011: $39,030Net Assets 2011: $9,788,1302011Assets 2012: $10,596,171Liabilities 2012: $56,135Net Assets 2012: $10,540,0362012Assets 2013: $10,645,896Liabilities 2013: $28,627Net Assets 2013: $10,617,2692013Assets 2014: $9,677,639Liabilities 2014: $151,447Net Assets 2014: $9,526,1922014Assets 2015: $7,782,021Liabilities 2015: $64,187Net Assets 2015: $7,717,8342015Assets 2016: $6,601,662Liabilities 2016: $40,556Net Assets 2016: $6,561,1062016Assets 2017: $5,303,173Liabilities 2017: $26,048Net Assets 2017: $5,277,1252017Assets 2018: $3,907,115Liabilities 2018: $27,448Net Assets 2018: $3,879,6672018Assets 2019: $4,002,253Liabilities 2019: $62,371Net Assets 2019: $3,939,8822019Assets 2020: $4,662,886Liabilities 2020: $28,653Net Assets 2020: $4,634,2332020Assets 2021: $6,039,126Liabilities 2021: $45,960Net Assets 2021: $5,993,1662021Assets 2022: $6,515,209Liabilities 2022: $41,420Net Assets 2022: $6,473,7892022Assets 2023: $5,320,866Liabilities 2023: $32,616Net Assets 2023: $5,288,2502023Assets 2024: $5,755,239Liabilities 2024: $4,715Net Assets 2024: $5,750,5242024

Highlighted filing

2015

Assets$7,782,021
Liabilities$64,187
Net Assets$7,717,834
Open 2015 Filing

Operations Trend

Revenue Growth27th percentile

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$15M$10M$5.0M$0-$5.0MExpenses 2011: $7,303,6932011Expenses 2012: $7,830,3912012Expenses 2013: $8,078,2022013Revenue 2014: $8,429,178Expenses 2014: $10,050,749Net Income 2014: -$1,621,5712014Revenue 2015: $8,081,992Expenses 2015: $9,990,166Net Income 2015: -$1,908,1742015Revenue 2016: $8,168,239Expenses 2016: $9,396,761Net Income 2016: -$1,228,5222016Revenue 2017: $6,972,569Expenses 2017: $8,612,606Net Income 2017: -$1,640,0372017Revenue 2018: $4,316,858Expenses 2018: $5,784,604Net Income 2018: -$1,467,7462018Revenue 2019: $4,587,556Expenses 2019: $4,857,273Net Income 2019: -$269,7172019Revenue 2020: $5,050,657Expenses 2020: $4,761,799Net Income 2020: $288,8582020Revenue 2021: $5,255,112Expenses 2021: $4,340,544Net Income 2021: $914,5682021Revenue 2022: $4,712,314Expenses 2022: $3,783,047Net Income 2022: $929,2672022Revenue 2023: $4,230,809Expenses 2023: $5,582,805Net Income 2023: -$1,351,9962023Revenue 2024: $5,543,033Expenses 2024: $5,571,478Net Income 2024: -$28,4452024

Highlighted filing

2015

Revenue$8,081,992
Expenses$9,990,166
Net Income-$1,908,174
Open 2015 Filing
Jump To
Filing Snapshot
Filing Period
Dec 1, 2014 to Nov 30, 2015
Signed
Apr 7, 2016
Return Version
2014v6.0
Gross Receipts
$13,027,493
Mission and Program Overview

Mission

PROVIDE HEALTH BENEFITS

Balance Sheet Detail
LineBeginningEndChange
Assets
Rtn Earn Endowment Incm Other Fnds$9,526,192$7,717,834▼ $1,808,358
Investments in Publicly Traded Securities$8,780,039$6,919,009▼ $1,861,030
Savings and Temporary Cash Investments$479,657$613,585▲ $133,928
Cash and Non-Interest-Bearing Accounts$11,632$114,628▲ $102,996
Accounts Receivable$334,144$93,098▼ $241,046
Prepaid Expenses and Deferred Charges$31,910$5,326▼ $26,584
Pd in Cap Srpls Land Bldg Eqp Fund$0$0→ $0
Cap Stk Tr Prin Current Funds$0$0→ $0
Total Assets$9,677,639$7,782,021▼ $1,895,618
Other Assets Total$40,257$36,375▼ $3,882
Liabilities
Accounts Payable and Accrued Expenses$151,447$38,437▼ $113,010
Other Liabilities$0$25,750▲ $25,750
Total Liabilities$151,447$64,187▼ $87,260
Net Assets / Fund Balance
Total Net Assets Fund Balance$9,526,192$7,717,834▼ $1,808,358
Total Liabilities and Net Assets / Fund Balance$9,677,639$7,782,021▼ $1,895,618
Compensation and Service Providers
Top Officer Pay47th percentile

Board Members and Trustees

NameTitle
Jeffrey StrackTrustee
Lisa CatanzaroTrustee
Samuel Van TilTrustee
Steven PowellTrustee
Derek KinneyTrustee - Alternate
Harry GrowTrustee - Alternate
Kenneth DiehlTrustee - Alternate - Past

Highest Paid Contractors

ContractorServicesLocationCompensation
Blue Cross Blue ShieldPpo Provider300 EAST RANDOLPH ST, Chicago, IL 60601$541,778
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$7,959,555
Investment Income
$121,627
Other Revenue
$810
Change in Net Assets
$-1,908,174

Audited Revenue Reconciliation

Revenue per Audited Statements
$8,034,567
Revenue Not Reported on Financial Statements
$47,425
Revenue Not Reported on Form 990
$99,816
Total Revenue per Audited Statements
$8,134,383
Total Revenue per Form 990
$8,081,992
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$567,483
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Benefits to Members---$9,422,683
Fees for Services Management---$354,943
Fees for Services Other---$78,641
Fees for Service Investment Mgmnt Fees---$47,425
Fees for Services Accounting---$31,983
Insurance---$10,342
Office Expenses---$9,897
Fees for Services Legal---$8,091
Conferences and Meetings---$7,653
Other Expenses---$5,292
Total Functional Expenses$0$0$0$9,990,166

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$9,990,166
Expenses per Audited Statements$9,942,741
Total Expenses per Audited Statements$9,942,741
Expenses Not Reported on Financial Statements$47,425
Expenses Not Reported on Form 990$0
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Employer Contributions Credit$25,750
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
No
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
Yes

Governance Explanations

Form 990, Part VI, Section A, Line 3

“The plan is administered and managed by the united food and commercial workers union and employers (ufcw) midwest health benefits fund. The plan reimburses the ufcw midwest health benefits fund for certain common administrative expenses based on a per member fee agreement.”

Form 990, Part VI, Section A, Line 8B

“The plan has no committees with the authority to act on behalf of the governing body (trustees).”

Form 990, Part VI, Section B, Line 11

“The completed form 990 is provided to the entire board of trustees. Once the form is reviewed and approved, it is signed and filed.”

Form 990, Part VI, Section C, Line 19

“Governing documents,conflict of interest policy and financial statements are available to the public upon request at the fund office.”

Filing and Contact Details

Filer

Filer Name
United Food & Comm Workers
EIN
35-1065816
Phone
8473847000
Address
9801 WEST HIGGINS ROAD NO 500, ROSEMONT, IL 60018

Signing Officer

Name
Robert Niksa
Title
Fund Administrator
Phone
8473847000
Signed
2016-04-07
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Robert Niksa
Formed
1960
Legal Domicile
Il
Voting Board Members
4
Independent Board Members
4
Employees
0
Volunteers
0

Preparer

Firm
Legacy Professionals Llp
Address
311 S WACKER DRIVE STE 4000, CHICAGO, IL 60606
Preparer
Bruce a Pavlik
Phone
3123680500
Supplemental Narrative

Financial Statement Notes

PART X, LINE 2:

“The plan files form 990, return of organization exempt from income tax and form 5500, annual return/report of employee benefit plan. The plan's returns are subject to examination by the internal revenue service until the applicable statute of limitation expires.”

Raw XML Appendix378 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

Path#Value
IRS990/AccountantCompileOrReviewInd00
IRS990/AccountsPayableAccrExpnssGrp/BOYAmt0151447
IRS990/AccountsPayableAccrExpnssGrp/EOYAmt038437
IRS990/AccountsReceivableGrp/BOYAmt0334144
IRS990/AccountsReceivableGrp/EOYAmt093098
IRS990/ActivitiesConductedPrtshpInd00
IRS990/ActivityOrMissionDesc0PROVIDE HEALTH BENEFITS
IRS990/AnnualDisclosureCoveredPrsnInd00
IRS990/AuditCommitteeInd01
IRS990/BackupWthldComplianceInd01
IRS990/BenefitsToMembersGrp/TotalAmt09422683
IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt0ROBERT NIKSA
IRS990/BooksInCareOfDetail/PhoneNum08479397220
IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt09801 WEST HIGGINS ROAD
IRS990/BooksInCareOfDetail/USAddress/CityNm0ROSEMONT
IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd0IL
IRS990/BooksInCareOfDetail/USAddress/ZIPCd060018
IRS990/BusinessRlnWithFamMemInd00
IRS990/BusinessRlnWithOfficerEntInd00
IRS990/BusinessRlnWithOrgMemInd00
IRS990/CapStkTrPrinCurrentFundsGrp/BOYAmt00
IRS990/CapStkTrPrinCurrentFundsGrp/EOYAmt00
IRS990/CashNonInterestBearingGrp/BOYAmt011632
IRS990/CashNonInterestBearingGrp/EOYAmt0114628
IRS990/ChangeToOrgDocumentsInd00
IRS990/CntrctRcvdGreaterThan100KCnt01
IRS990/CollectionsOfArtInd00
IRS990/CompensationFromOtherSrcsInd00
IRS990/CompensationProcessCEOInd00
IRS990/CompensationProcessOtherInd00
IRS990/ConferencesMeetingsGrp/TotalAmt07653
IRS990/ConflictOfInterestPolicyInd01
IRS990/ConservationEasementsInd00
IRS990/ConsolidatedAuditFinclStmtInd00
IRS990/ContractorCompensationGrp/CompensationAmt0541778
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt0300 EAST RANDOLPH ST
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm0CHICAGO
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd0IL
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd060601
IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt0BLUE CROSS BLUE SHIELD
IRS990/ContractorCompensationGrp/ServicesDesc0PPO PROVIDER
IRS990/CreditCounselingInd00
IRS990/CYBenefitsPaidToMembersAmt09422683
IRS990/CYContributionsGrantsAmt00
IRS990/CYGrantsAndSimilarPaidAmt00
IRS990/CYInvestmentIncomeAmt0121627
IRS990/CYOtherExpensesAmt0567483
IRS990/CYOtherRevenueAmt0810
IRS990/CYProgramServiceRevenueAmt07959555
IRS990/CYRevenuesLessExpensesAmt0-1908174
IRS990/CYSalariesCompEmpBnftPaidAmt00
IRS990/CYTotalExpensesAmt09990166
IRS990/CYTotalFundraisingExpenseAmt00
IRS990/CYTotalProfFndrsngExpnsAmt00
IRS990/CYTotalRevenueAmt08081992
IRS990/DecisionsSubjectToApprovaInd00
IRS990/DeductibleArtContributionInd00
IRS990/DeductibleNonCashContriInd00
IRS990/DelegationOfMgmtDutiesInd01
IRS990/Desc0TO PROVIDE HEALTH AND WELFARE, DEATH, AND LOSS OF TIME BENEFITS TO ELIGIBLE PARTICIPANTS AND/OR THEIR DEPENDENTS.
IRS990/DescribedInSection501c3Ind00
IRS990/DisregardedEntityInd00
IRS990/DocumentRetentionPolicyInd00
IRS990/DonorAdvisedFundInd00
IRS990/ElectionOfBoardMembersInd00
IRS990/EmployeeCnt00
IRS990/FamilyOrBusinessRlnInd00
IRS990/FederalGrantAuditRequiredInd00
IRS990/FeesForServicesAccountingGrp/TotalAmt031983
IRS990/FeesForServicesLegalGrp/TotalAmt08091
IRS990/FeesForServicesManagementGrp/TotalAmt0354943
IRS990/FeesForServicesOtherGrp/TotalAmt078641
IRS990/FeesForSrvcInvstMgmntFeesGrp/TotalAmt047425
IRS990/ForeignActivitiesInd00
IRS990/ForeignFinancialAccountInd00
IRS990/ForeignOfficeInd00
IRS990/Form8282PropertyDisposedOfInd00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt03.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt13.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt23.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt33.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt43.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt53.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt63.00
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd0X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd1X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd2X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd3X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd4X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd5X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd6X
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt00
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt10
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt20
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt30
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt40
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt50
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt60
IRS990/Form990PartVIISectionAGrp/PersonNm0STEVEN POWELL
IRS990/Form990PartVIISectionAGrp/PersonNm1SAMUEL VAN TIL
IRS990/Form990PartVIISectionAGrp/PersonNm2LISA CATANZARO
IRS990/Form990PartVIISectionAGrp/PersonNm3JEFFREY STRACK
IRS990/Form990PartVIISectionAGrp/PersonNm4HARRY GROW
IRS990/Form990PartVIISectionAGrp/PersonNm5KENNETH DIEHL
IRS990/Form990PartVIISectionAGrp/PersonNm6DEREK KINNEY
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt00
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt10
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt20
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt30
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt40
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt50
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt60
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt00
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt10
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt20
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt30
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt40
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt50
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt60
IRS990/Form990PartVIISectionAGrp/TitleTxt0TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt1TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt2TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt3TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt4TRUSTEE - ALTERNATE
IRS990/Form990PartVIISectionAGrp/TitleTxt5TRUSTEE - ALTERNATE - PAST
IRS990/Form990PartVIISectionAGrp/TitleTxt6TRUSTEE - ALTERNATE
IRS990/Form990ProvidedToGvrnBodyInd01
IRS990/FormationYr01960
IRS990/FormerOfcrEmployeesListedInd00
IRS990/FSAuditedBasisGrp/SeparateBasisFinclStmtInd0X
IRS990/FSAuditedInd01
IRS990/FundraisingActivitiesInd00
IRS990/GainOrLossGrp/SecuritiesAmt0-81631
IRS990/GamingActivitiesInd00
IRS990/GoverningBodyVotingMembersCnt04
IRS990/GrantsToIndividualsInd00
IRS990/GrantsToOrganizationsInd00
IRS990/GrantToRelatedPersonInd00
IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt04863870
IRS990/GrossReceiptsAmt013027493
IRS990/GroupReturnForAffiliatesInd00
IRS990/IncludeFIN48FootnoteInd01
IRS990/IndependentAuditFinclStmtInd01
IRS990/IndependentVotingMemberCnt04
IRS990/IndivRcvdGreaterThan100KCnt00
IRS990/IndoorTanningServicesInd00
IRS990/InfoInScheduleOPartVIInd0X
IRS990/InsuranceGrp/TotalAmt010342
IRS990/InvestmentIncomeGrp/ExclusionAmt0203258
IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt0203258
IRS990/InvestmentInJointVentureInd00
IRS990/InvestmentsPubTradedSecGrp/BOYAmt08780039
IRS990/InvestmentsPubTradedSecGrp/EOYAmt06919009
IRS990/IRPDocumentCnt055
IRS990/IRPDocumentW2GCnt00
IRS990/LegalDomicileStateCd0IL
IRS990/LessCostOthBasisSalesExpnssGrp/SecuritiesAmt04945501
IRS990/LoanOutstandingInd00
IRS990/LocalChaptersInd00
IRS990/MaterialDiversionOrMisuseInd00
IRS990/MembersOrStockholdersInd00
IRS990/MethodOfAccountingAccrualInd0X
IRS990/MinutesOfCommitteesInd00
IRS990/MinutesOfGoverningBodyInd01
IRS990/MissionDesc0PROVIDE HEALTH BENEFITS
IRS990/MoreThan5000KToIndividualsInd00
IRS990/MoreThan5000KToOrgInd00
IRS990/NetAssetsOrFundBalancesBOYAmt09526192
IRS990/NetAssetsOrFundBalancesEOYAmt07717834
IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt0-81631
IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt0-81631
IRS990/NetUnrelatedBusTxblIncmAmt00
IRS990/NetUnrlzdGainsLossesInvstAmt099816
IRS990/NoListedPersonsCompensatedInd0X
IRS990/NondeductibleContributionsInd00
IRS990/OfficeExpensesGrp/TotalAmt09897
IRS990/OfficerMailingAddressInd00
IRS990/OperateHospitalInd00
IRS990/Organization501cInd0X
IRS990/OrgDoesNotFollowSFAS117Ind0X
IRS990/OtherAssetsTotalGrp/BOYAmt040257
IRS990/OtherAssetsTotalGrp/EOYAmt036375
IRS990/OtherChangesInNetAssetsAmt00
IRS990/OtherExpensesGrp/Desc0FEES MANDATED BY ACA
IRS990/OtherExpensesGrp/Desc1WEB CLAIMS SERVICE FEE
IRS990/OtherExpensesGrp/TotalAmt013216
IRS990/OtherExpensesGrp/TotalAmt15292
IRS990/OtherLiabilitiesGrp/BOYAmt00
IRS990/OtherLiabilitiesGrp/EOYAmt025750
IRS990/OtherRevenueMiscGrp/BusinessCd0900099
IRS990/OtherRevenueMiscGrp/Desc0MISCELLANEOUS
IRS990/OtherRevenueMiscGrp/ExclusionAmt0810
IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt0810
IRS990/OtherRevenueTotalAmt0810
IRS990/PartialLiquidationInd00
IRS990/PdInCapSrplsLandBldgEqpFundGrp/BOYAmt00
IRS990/PdInCapSrplsLandBldgEqpFundGrp/EOYAmt00
IRS990/PoliticalCampaignActyInd00
IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt031910
IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt05326
IRS990/PrincipalOfficerNm0ROBERT NIKSA
IRS990/ProfessionalFundraisingInd00
IRS990/ProgramServiceRevenueGrp/BusinessCd0900099
IRS990/ProgramServiceRevenueGrp/BusinessCd1900099
IRS990/ProgramServiceRevenueGrp/BusinessCd2900099
IRS990/ProgramServiceRevenueGrp/Desc0EMPLOYER CONTRIBUTIONS
IRS990/ProgramServiceRevenueGrp/Desc1STOP LOSS REFUNDS
IRS990/ProgramServiceRevenueGrp/Desc2PARTICIPANT CONTRIBUTIONS
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt07806530
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt1124162
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt228863
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt07806530
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt1124162
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt228863
IRS990/ProhibitedTaxShelterTransInd00
IRS990/PYBenefitsPaidToMembersAmt09422451
IRS990/PYContributionsGrantsAmt00
IRS990/PYGrantsAndSimilarPaidAmt00
IRS990/PYInvestmentIncomeAmt0179276
IRS990/PYOtherExpensesAmt0628298
IRS990/PYOtherRevenueAmt0729
IRS990/PYProgramServiceRevenueAmt08249173
IRS990/PYRevenuesLessExpensesAmt0-1621571
IRS990/PYSalariesCompEmpBnftPaidAmt00
IRS990/PYTotalExpensesAmt010050749
IRS990/PYTotalProfFndrsngExpnsAmt00
IRS990/PYTotalRevenueAmt08429178
IRS990/QuidProQuoContributionsInd00
IRS990/ReconcilationRevenueExpnssAmt0-1908174
IRS990/RegularMonitoringEnfrcInd00
IRS990/RelatedEntityInd01
IRS990/RelatedOrganizationCtrlEntInd00
IRS990/ReportInvestmentsOtherSecInd00
IRS990/ReportLandBuildingEquipmentInd00
IRS990/ReportOtherAssetsInd00
IRS990/ReportOtherLiabilitiesInd01
IRS990/ReportProgramRelatedInvstInd00
IRS990/RtnEarnEndowmentIncmOthFndsGrp/BOYAmt09526192
IRS990/RtnEarnEndowmentIncmOthFndsGrp/EOYAmt07717834
IRS990/SavingsAndTempCashInvstGrp/BOYAmt0479657
IRS990/SavingsAndTempCashInvstGrp/EOYAmt0613585
IRS990/ScheduleBRequiredInd00
IRS990ScheduleD/ExpensesNotReportedAmt00
IRS990ScheduleD/ExpensesNotRptFinclStmtAmt047425
IRS990ScheduleD/ExpensesSubtotalAmt09942741
IRS990ScheduleD/FootnoteTextInd0X
IRS990ScheduleD/InvestmentExpensesNotIncld2Amt047425
IRS990ScheduleD/InvestmentExpensesNotIncldAmt047425
IRS990ScheduleD/NetUnrealizedGainsInvstAmt099816
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt025750
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc0EMPLOYER CONTRIBUTIONS CREDIT
IRS990ScheduleD/RevenueNotReportedAmt099816
IRS990ScheduleD/RevenueNotReportedFinclStmtAmt047425
IRS990ScheduleD/RevenueSubtotalAmt08034567
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0THE PLAN FILES FORM 990, RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX AND FORM 5500, ANNUAL RETURN/REPORT OF EMPLOYEE BENEFIT PLAN. THE PLAN'S RETURNS ARE SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE UNTIL THE APPLICABLE STATUTE OF LIMITATION EXPIRES.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0PART X, LINE 2:
IRS990ScheduleD/TotalBookValueLandBuildingsAmt00
IRS990ScheduleD/TotalExpensesPerForm990Amt09990166
IRS990ScheduleD/TotalLiabilityAmt025750
IRS990ScheduleD/TotalRevenuePerForm990Amt08081992
IRS990ScheduleD/TotalRevEtcAuditedFinclStmtAmt08134383
IRS990ScheduleD/TotExpnsEtcAuditedFinclStmtAmt09942741
IRS990/ScheduleJRequiredInd00
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THE PLAN IS ADMINISTERED AND MANAGED BY THE UNITED FOOD AND COMMERCIAL WORKERS UNION AND EMPLOYERS (UFCW) MIDWEST HEALTH BENEFITS FUND. THE PLAN REIMBURSES THE UFCW MIDWEST HEALTH BENEFITS FUND FOR CERTAIN COMMON ADMINISTRATIVE EXPENSES BASED ON A PER MEMBER FEE AGREEMENT.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1THE PLAN HAS NO COMMITTEES WITH THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY (TRUSTEES).
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2THE COMPLETED FORM 990 IS PROVIDED TO THE ENTIRE BOARD OF TRUSTEES. ONCE THE FORM IS REVIEWED AND APPROVED, IT IS SIGNED AND FILED.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3GOVERNING DOCUMENTS,CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST AT THE FUND OFFICE.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION A, LINE 3
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION A, LINE 8B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION B, LINE 11
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART VI, SECTION C, LINE 19
IRS990ScheduleR/AssetExchangeInd00
IRS990ScheduleR/AssetPurchaseFromOtherOrgInd00
IRS990ScheduleR/AssetSaleToOtherOrgInd00
IRS990ScheduleR/DivRelatedOrganizationInd00
IRS990ScheduleR/GiftGrntCapContriFromOthOrgInd00
IRS990ScheduleR/GiftGrntOrCapContriToOthOrgInd00
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/ControlledOrganizationInd00
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/ControlledOrganizationInd10
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/ControlledOrganizationInd20
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/ControlledOrganizationInd30
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/ControlledOrganizationInd40
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/PrimaryActivitiesTxt0CONTRIBUTING EMPLOYER
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/PrimaryActivitiesTxt1CONTRIBUTING EMPLOYER
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/PrimaryActivitiesTxt2CONTRIBUTING EMPLOYER
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/PrimaryActivitiesTxt3CONTRIBUTING EMPLOYER
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/PrimaryActivitiesTxt4CONTRIBUTING EMPLOYER
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt0STRACK-ULTRA LLC
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt1MILLER GROCER MARKET LLC
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt2LAKE COUNTY NURSING INC
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt3HAPPY FOODS INC
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt4CENTRAL MARKET
IRS990ScheduleR/LoansOrGuaranteesFromOthOrgInd00
IRS990ScheduleR/LoansOrGuaranteesToOtherOrgInd00
IRS990ScheduleR/PaidEmployeesSharingInd00
IRS990ScheduleR/PerformOfServicesByOtherOrgInd00
IRS990ScheduleR/PerformOfServicesForOthOrgInd00
IRS990ScheduleR/ReceiptOfIntAnntsRntsRyltsInd00
IRS990ScheduleR/ReimbursementPaidByOtherOrgInd00
IRS990ScheduleR/ReimbursementPaidToOtherOrgInd00
IRS990ScheduleR/RentalOfFacilitiesToOthOrgInd00
IRS990ScheduleR/RentalOfFcltsFromOthOrgInd00
IRS990ScheduleR/SharingOfFacilitiesInd00
IRS990ScheduleR/TransferFromOtherOrgInd01
IRS990ScheduleR/TransferToOtherOrgInd00
IRS990/SchoolOperatingInd00
IRS990/SignificantChangeInd00
IRS990/SignificantNewProgramSrvcInd00
IRS990/SubjectToProxyTaxInd00
IRS990/TaxablePartyNotificationInd00
IRS990/TaxExemptBondsInd00
IRS990/TempOrPermanentEndowmentsInd00
IRS990/TerminateOperationsInd00
IRS990/TotalAssetsBOYAmt09677639
IRS990/TotalAssetsEOYAmt07782021
IRS990/TotalAssetsGrp/BOYAmt09677639
IRS990/TotalAssetsGrp/EOYAmt07782021
IRS990/TotalCompGreaterThan150KInd00
IRS990/TotalEmployeeCnt00
IRS990/TotalFunctionalExpensesGrp/TotalAmt09990166
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt0151447
IRS990/TotalLiabilitiesEOYAmt064187
IRS990/TotalLiabilitiesGrp/BOYAmt0151447
IRS990/TotalLiabilitiesGrp/EOYAmt064187
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt09526192
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt07717834
IRS990/TotalOtherCompensationAmt00
IRS990/TotalProgramServiceRevenueAmt07959555
IRS990/TotalReportableCompFromOrgAmt00
IRS990/TotalRevenueGrp/ExclusionAmt0122437
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt07959555
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt08081992
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotalVolunteersCnt00
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt09677639
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt07782021
IRS990/TotReportableCompRltdOrgAmt00
IRS990/TypeOfOrganizationTrustInd0X
IRS990/UnrelatedBusIncmOverLimitInd00
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt09801 WEST HIGGINS ROAD NO 500
IRS990/USAddress/CityNm0ROSEMONT
IRS990/USAddress/StateAbbreviationCd0IL
IRS990/USAddress/ZIPCd060018
IRS990/VotingMembersGoverningBodyCnt04
IRS990/VotingMembersIndependentCnt04
IRS990/WebsiteAddressTxt0N/A
IRS990/WhistleblowerPolicyInd01
ReturnHeader/BuildTS02016-08-17 19:52:53Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd01
ReturnHeader/BusinessOfficerGrp/PersonNm0ROBERT NIKSA
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0FUND ADMINISTRATOR
ReturnHeader/BusinessOfficerGrp/PhoneNum08473847000
ReturnHeader/BusinessOfficerGrp/SignatureDt02016-04-07
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0UNITED FOOD & COMM WORKERS
ReturnHeader/Filer/BusinessName/BusinessNameLine2Txt0CALUMET REGION INSURANCE FUND
ReturnHeader/Filer/BusinessNameControlTxt0UNIT
ReturnHeader/Filer/EIN0351065816
ReturnHeader/Filer/PhoneNum08473847000
ReturnHeader/Filer/USAddress/AddressLine1Txt09801 WEST HIGGINS ROAD NO 500
ReturnHeader/Filer/USAddress/CityNm0ROSEMONT
ReturnHeader/Filer/USAddress/StateAbbreviationCd0IL
ReturnHeader/Filer/USAddress/ZIPCd060018
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0320043599
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0LEGACY PROFESSIONALS LLP
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt0311 S WACKER DRIVE STE 4000
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0CHICAGO
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0IL
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd060606
ReturnHeader/PreparerPersonGrp/PhoneNum03123680500
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0BRUCE A PAVLIK
ReturnHeader/ReturnTs02016-04-07T10:30:32-05:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02014-12-01
ReturnHeader/TaxPeriodEndDt02015-11-30
ReturnHeader/TaxYr02014

Document Assets

No mirrored PDF or thumbnail assets are attached yet.

Filings

Displayed year

2015 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$7,782,021
Liabilities
$64,187
Net assets
$7,717,834
Revenue
$8,081,992
Expenses
$9,990,166
Net income
-$1,908,174
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$5.76$0.00$5.75$5.54$5.57$0.03
2023Detailed filing. Detailed filing data is available for this year.$5.32$0.03$5.29$4.23$5.58$1.35
2022Detailed filing. Detailed filing data is available for this year.$6.52$0.04$6.47$4.71$3.78$0.93
2021Detailed filing. Detailed filing data is available for this year.$6.04$0.05$5.99$5.26$4.34$0.91
2020Detailed filing. Detailed filing data is available for this year.$4.66$0.03$4.63$5.05$4.76$0.29
2019Detailed filing. Detailed filing data is available for this year.$4.00$0.06$3.94$4.59$4.86$0.27
2018Detailed filing. Detailed filing data is available for this year.$3.91$0.03$3.88$4.32$5.78$1.47
2017Detailed filing. Detailed filing data is available for this year.$5.30$0.03$5.28$6.97$8.61$1.64
2016Detailed filing. Detailed filing data is available for this year.$6.60$0.04$6.56$8.17$9.40$1.23
2015Detailed filing. Detailed filing data is available for this year.$7.78$0.06$7.72$8.08$9.99$1.91
2014Detailed filing. Detailed filing data is available for this year.$9.68$0.15$9.53$8.43$10.1$1.62
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$10.6$0.03$10.6$8.08
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$10.6$0.06$10.5$7.83
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$9.83$0.04$9.79$7.30