Civic Intelligence

Grocery Workers' Compensation Benefits Trust

990 • Fiscal year 2021 • EIN 38-3995783

May 01, 2020 to Apr 30, 2021 • Filed on Jul 27, 2021

Refreshing map…

630 Shatto Pllos angeles, CA 90005

(213) 487-7070

Siviq Scores

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

Liabilities / Assets

23rd percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

2021 filings • 501(c)5 • $1M-$5M nonprofits • Source year 2021

Liabilities / Revenue

23rd percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

2021 filings • 501(c)5 • $1M-$5M nonprofits • Source year 2021

Net Margin

30th percentile

2.8%

Higher net margin than 30% of similar nonprofits.

2021 filings • 501(c)5 • $1M-$5M nonprofits • Source year 2021

Top Officer Pay

19th percentile

$0

Higher top officer pay than 19% of similar nonprofits.

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

2021 filings • 501(c)5 • $1M-$5M nonprofits • Source year 2021

Asset Growth

58th percentile

10%

Faster asset growth than 58% of similar nonprofits.

2021 filings • 501(c)5 • $1M-$5M nonprofits • Annualized from 2020 to 2021

Revenue Growth

1st percentile

-53%

Faster revenue growth than 1% of similar nonprofits.

2021 filings • 501(c)5 • $1M-$5M nonprofits • Annualized from 2020 to 2021

Assets

Up

$592,923

Up $55,689 (+10%) from 2020

Net Assets

Up

$592,923

Up $55,689 (+10%) from 2020

Liabilities

Flat

$0

Flat from 2020

Revenue

Down

$1,971,956

Down $2,247,105 (-53%) from 2020

Expenses

Down

$1,916,267

Down $2,210,749 (-54%) from 2020

Net Income

Down

$55,689

Down $36,356 (-39%) from 2020

Historical Trend

Balance Sheet Trend

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

$3.0M$2.0M$1.0M$0Assets 2018: $675,279Liabilities 2018: $0Net Assets 2018: $675,2792018Assets 2019: $445,189Liabilities 2019: $0Net Assets 2019: $445,1892019Assets 2020: $537,234Liabilities 2020: $0Net Assets 2020: $537,2342020Assets 2021: $592,923Liabilities 2021: $0Net Assets 2021: $592,9232021Assets 2022: $987,758Liabilities 2022: $0Net Assets 2022: $987,7582022Assets 2023: $1,221,745Liabilities 2023: $0Net Assets 2023: $1,221,7452023Assets 2024: $1,215,130Liabilities 2024: $0Net Assets 2024: $1,215,1302024Assets 2025: $2,355,036Liabilities 2025: $0Net Assets 2025: $2,355,0362025

Highlighted filing

2021

Assets$592,923
Liabilities$0
Net Assets$592,923

Operations Trend

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

$8.0M$6.0M$4.0M$2.0M$0-$2.0MRevenue 2018: $6,680,879Expenses 2018: $6,005,600Net Income 2018: $675,2792018Revenue 2019: $3,040,045Expenses 2019: $3,270,135Net Income 2019: -$230,0902019Revenue 2020: $4,219,061Expenses 2020: $4,127,016Net Income 2020: $92,0452020Revenue 2021: $1,971,956Expenses 2021: $1,916,267Net Income 2021: $55,6892021Revenue 2022: $6,455,780Expenses 2022: $6,060,945Net Income 2022: $394,8352022Revenue 2023: $312,130Expenses 2023: $78,143Net Income 2023: $233,9872023Revenue 2024: $4,307,997Expenses 2024: $4,314,612Net Income 2024: -$6,6152024Revenue 2025: $1,285,899Expenses 2025: $145,993Net Income 2025: $1,139,9062025

Highlighted filing

2021

Revenue$1,971,956
Expenses$1,916,267
Net Income$55,689
Jump To
Filing Snapshot
Filing Period
May 1, 2020 to Apr 30, 2021
Signed
Jul 27, 2021
Return Version
2020v4.1
Gross Receipts
$1,971,956
Mission and Program Overview

Mission

SEE SCHEDULE O

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$537,234$592,923▲ $55,689
Rtn Earn Endowment Incm Other Fnds$537,234$592,923▲ $55,689
Savings and Temporary Cash Investments$0$0→ $0
Accounts Receivable$0$0→ $0
Other Notes and Loans Receivable, Net$0$0→ $0
Pledges and Grants Receivable$0$0→ $0
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0$0→ $0
Investments Program Related$0$0→ $0
Investments in Publicly Traded Securities$0$0→ $0
Land, Buildings, and Equipment, Net$0$0→ $0
Pd in Cap Srpls Land Bldg Eqp Fund$0$0→ $0
Cap Stk Tr Prin Current Funds$0$0→ $0
Intangible Assets$0$0→ $0
Inventories for Sale or Use$0$0→ $0
Loans From Officers Directors$0$0→ $0
Prepaid Expenses and Deferred Charges$0$0→ $0
Total Assets$537,234$592,923▲ $55,689
Other Assets Total$0$0→ $0
Liabilities
Accounts Payable and Accrued Expenses$0$0→ $0
Grants Payable$0$0→ $0
Mortgage Notes Payable Secured by Investment Property$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Other Liabilities$0$0→ $0
Deferred Revenue$0$0→ $0
Escrow Account Liability$0$0→ $0
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$0$0→ $0
Net Assets / Fund Balance
Total Net Assets Fund Balance$537,234$592,923▲ $55,689
Total Liabilities and Net Assets / Fund Balance$537,234$592,923▲ $55,689
Compensation and Service Providers

Board Members and Trustees

NameTitle
Cathy JacksonCo-chair
John GrantCo-chair
Frank JorgensonCommittee Member
Mark RamosCommittee Member
Michael StraeterCommittee Member
Todd WaltersCommittee Member
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$1,952,400
Investment Income
$3,354
Other Revenue
$16,202
Change in Net Assets
$55,689
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$1,916,267
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
Fees for Services Other---$59,485
Office Expenses---$9,601
Other Expenses---$7,736
Fees for Services Accounting---$2,573
Total Functional Expenses$0$0$0$1,916,267
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$0
Fundraising Gross Income$0
Gaming Direct Expenses$0
Gaming Gross Income$0
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Business relationship with 35% controlled entity
No
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
No
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No
Filing and Contact Details

Filer

Filer Name
Grocery Workers Compensation Benefits Trust
EIN
38-3995783
In Care Of
% JUN LIN
Phone
2134877070
Address
630 SHATTO PL, los angeles, CA 90005

Signing Officer

Name
John Grant
Title
co-chair
Phone
2134877070
Signed
2021-07-27
Discuss with paid preparer
Yes

Organization Details

Principal Officer
John Grant
Formed
2017
Legal Domicile
CA
Voting Board Members
6
Independent Board Members
6
Employees
0
Volunteers
0

Preparer

Firm
Miller Kaplan Arase Llp
Address
4123 LANKERSHIM BLVD, NORTH HOLLYWOOD, CA 91602-2828
Preparer
Douglas Waite
Phone
8187692010
Supplemental Narrative

Additional Explanations

PART I, LINE 1 AND PART III, LINES 1 AND 4A:

The activities of the entity are to provide the benefit of grocery workers to participate in an alternative dispute resolution program for workers compensation claims. To provide grocery workers union members with high-quality medical care under the california workers' compensation law. Part vi, line 8b: the organization does not have any committees with authority to act on behalf of the governing board. Part vi, line 11b: the form 990 was provided to the responsible officer for review prior to filing. Part vi, line 19: all governing documents and financial information are maintained in the organization's office and are available upon written request.

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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THE ACTIVITIES OF THE ENTITY ARE TO PROVIDE THE BENEFIT OF GROCERY WORKERS TO PARTICIPATE IN AN ALTERNATIVE DISPUTE RESOLUTION PROGRAM FOR WORKERS COMPENSATION CLAIMS. TO PROVIDE GROCERY WORKERS UNION MEMBERS WITH HIGH-QUALITY MEDICAL CARE UNDER THE CALIFORNIA WORKERS' COMPENSATION LAW. PART VI, LINE 8B: THE ORGANIZATION DOES NOT HAVE ANY COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BOARD. PART VI, LINE 11B: THE FORM 990 WAS PROVIDED TO THE RESPONSIBLE OFFICER FOR REVIEW PRIOR TO FILING. PART VI, LINE 19: ALL GOVERNING DOCUMENTS AND FINANCIAL INFORMATION ARE MAINTAINED IN THE ORGANIZATION'S OFFICE AND ARE AVAILABLE UPON WRITTEN REQUEST.
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ReturnHeader/BuildTS02022-09-23 18:48:47Z
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ReturnHeader/BusinessOfficerGrp/PersonNm0John Grant
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ReturnHeader/BusinessOfficerGrp/SignatureDt02021-07-27
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0Grocery Workers Compensation Benefits Trust
ReturnHeader/Filer/BusinessNameControlTxt0GROC
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ReturnHeader/Filer/InCareOfNm0% JUN LIN
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ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0MILLER KAPLAN ARASE LLP
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ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0CA
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ReturnHeader/PreparerPersonGrp/PhoneNum08187692010
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0Douglas Waite
ReturnHeader/ReturnTs02021-07-28T13:38:01-05:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/SigningOfficerGrp/PersonFullName/PersonFirstNm0John
ReturnHeader/SigningOfficerGrp/PersonFullName/PersonLastNm0Grant
ReturnHeader/TaxPeriodBeginDt02020-05-01
ReturnHeader/TaxPeriodEndDt02021-04-30
ReturnHeader/TaxYr02020

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