Civic Intelligence

Retail Store Employees Health and Welfare Trust

EIN 82-0289815 • 501(c)9 • Murray, UT

View Organization Page

Profile

Health and welfare benefits provided to members who are covered by collective bargaining agreements between union and employers.

5251 GREEN STREET No 200Murray, UT 84123

n/A

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

Score unavailable

No value available

Liabilities-to-assets requires both liabilities and assets on the latest valid filing.

Source year 2017

Liabilities / Revenue

80th percentile

0.00x

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

501(c)9 • <$500k nonprofits • Source year 2017

Net Margin

89th percentile

52%

Higher net margin than 89% of similar nonprofits.

501(c)9 • <$500k nonprofits • Source year 2017

Top Officer Pay

75th percentile

$0

Higher top officer pay than 75% of similar nonprofits.

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

501(c)9 • <$500k nonprofits • Source year 2017

Asset Growth

46th percentile

-100%

Faster asset growth than 46% of similar nonprofits.

501(c)9 • <$500k nonprofits • Annualized from 2016 to 2017

Revenue Growth

25th percentile

-94%

Faster revenue growth than 25% of similar nonprofits.

501(c)9 • <$500k nonprofits • Annualized from 2016 to 2017

Balance Sheet
Liabilities / AssetsScore unavailable

Assets

Down

$0

Down $1,260,843 (-100%) from 2016

Liabilities

Down

$0

Down $1,430,820 (-100%) from 2016

Net Assets

Up

$0

Up $169,977 (+100%) from 2016

Operations
Liabilities / Revenue80th percentileNet Margin89th percentile

Revenue

Down

$325,696

Down $4,685,644 (-94%) from 2016

Expenses

Down

$155,268

Down $4,816,536 (-97%) from 2016

Net Income

Up

$170,428

Up $130,892 (+331%) from 2016

Trend Graphs

Balance Sheet Trend

Asset Growth46th percentile

Grouped bars show assets, liabilities, and net assets across loaded filings.

$4.0M$3.0M$2.0M$1.0M$0-$1.0MAssets 2010: $3,699,166Liabilities 2010: $1,189,604Net Assets 2010: $2,509,5622010Assets 2011: $3,020,975Liabilities 2011: $1,749,093Net Assets 2011: $1,271,8822011Assets 2012: $2,961,680Liabilities 2012: $1,250,066Net Assets 2012: $1,711,6142012Assets 2013: $3,048,088Liabilities 2013: $1,454,039Net Assets 2013: $1,594,0492013Assets 2014: $2,721,908Liabilities 2014: $1,781,532Net Assets 2014: $940,3762014Assets 2015: $1,814,760Liabilities 2015: $2,022,098Net Assets 2015: -$207,3382015Assets 2016: $1,260,843Liabilities 2016: $1,430,820Net Assets 2016: -$169,9772016Assets 2017: $0Liabilities 2017: $0Net Assets 2017: $02017

Highlighted filing

2017

Assets$0
Liabilities$0
Net Assets$0
Open 2017 Filing

Operations Trend

Revenue Growth25th percentile

Revenue, expenses, and net income by year, with the latest filing highlighted.

$8.0M$6.0M$4.0M$2.0M$0-$2.0MExpenses 2010: $5,159,4602010Expenses 2011: $5,406,4092011Expenses 2012: $3,726,6882012Expenses 2013: $4,153,1512013Revenue 2014: $4,295,070Expenses 2014: $4,961,407Net Income 2014: -$666,3372014Revenue 2015: $5,106,522Expenses 2015: $6,254,233Net Income 2015: -$1,147,7112015Revenue 2016: $5,011,340Expenses 2016: $4,971,804Net Income 2016: $39,5362016Revenue 2017: $325,696Expenses 2017: $155,268Net Income 2017: $170,4282017

Highlighted filing

2017

Revenue$325,696
Expenses$155,268
Net Income$170,428
Open 2017 Filing

Filings

Most recent year

2017 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$0
Liabilities
$0
Net assets
$0
Revenue
$325,696
Expenses
$155,268
Net income
$170,428
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2017Detailed filing. Detailed filing data is available for this year.$0.00$0.00$0.00$0.33$0.16$0.17
2016Detailed filing. Detailed filing data is available for this year.$1.26$1.43$0.17$5.01$4.97$0.04
2015Detailed filing. Detailed filing data is available for this year.$1.81$2.02$0.21$5.11$6.25$1.15
2014Detailed filing. Detailed filing data is available for this year.$2.72$1.78$0.94$4.30$4.96$0.67
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$3.05$1.45$1.59$4.15
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$2.96$1.25$1.71$3.73
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$3.02$1.75$1.27$5.41
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$3.70$1.19$2.51$5.16
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Nov 1, 2016 to Oct 31, 2017
Signed
May 24, 2018
Return Version
2016v3.0
Gross Receipts
$325,696
Mission and Program Overview

Mission

Health and welfare benefits provided to members who are covered by collective bargaining agreements between union and employers.

Health & welfare benefits provided to members who are covered by collective bargaining agreements between union and employers

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$1,023,921$0▼ $1,023,921
Savings and Temporary Cash Investments$181,090$0▼ $181,090
Accounts Receivable$49,539$0▼ $49,539
Prepaid Expenses and Deferred Charges$6,293$0▼ $6,293
Other Notes and Loans Receivable, Net-$0-
Pledges and Grants Receivable-$0-
Receivable From Disqualified Prsn-$0-
Receivables From Officers Etc-$0-
Investments Other Securities-$0-
Investments Program Related-$0-
Investments in Publicly Traded Securities-$0-
Land, Buildings, and Equipment, Net-$0-
Pd in Cap Srpls Land Bldg Eqp Fund$0$0→ $0
Cap Stk Tr Prin Current Funds$0$0→ $0
Intangible Assets-$0-
Inventories for Sale or Use-$0-
Rtn Earn Endowment Incm Other Fnds$-169,977$0▲ $169,977
Total Assets$1,260,843$0▼ $1,260,843
Other Assets Total-$0-
Liabilities
Other Liabilities$1,355,050$0▼ $1,355,050
Accounts Payable and Accrued Expenses$75,770$0▼ $75,770
Total Liabilities$1,430,820$0▼ $1,430,820
Net Assets / Fund Balance
Total Net Assets Fund Balance$-169,977$0▲ $169,977
Total Liabilities and Net Assets / Fund Balance$1,260,843$0▼ $1,260,843
Compensation and Service Providers
Top Officer Pay75th percentile

Board Members and Trustees

NameTitle
Billie Jo HillTrustee
Danny MaTrustee
Jacki FaerberTrustee
John CaldwellTrustee
Katina WoodTrustee
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$322,320
Investment Income
$676
Other Revenue
$2,700
Change in Net Assets
$170,428

Audited Revenue Reconciliation

Revenue per Audited Statements
$325,696
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$-451
Total Revenue per Audited Statements
$325,245
Total Revenue per Form 990
$325,696
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$116,643
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---$38,625
Insurance---$27,800
Fees for Services Management---$26,100
Fees for Services Accounting---$6,000
Other Expenses---$2,666
All Other Expenses---$2,019
Office Expenses---$540
Fees for Services Legal---$447
Total Functional Expenses$0$0$0$155,268

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$1,510,319
Total Expenses per Audited Statements$1,510,319
Total Expenses per Form 990$155,268
Expenses Not Reported on Form 990$0
Expenses Not Reported on Financial Statements$-1,355,051
Other Expense Adjustments$-1,355,051
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
Insider Transactions and Loans

Loans and Receivables

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

Governance Checklist

Compiled or reviewed by an accountant
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
No
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 trustees have contracted with a third party administrator to perform the everyday administration of the fund.”

Form 990, Part VI, Section B, line 11B

“A copy of form 990 was presented to the trustees for review and signatures.”

Form 990, Part VI, Section C, line 19

“Summary Annual Reports are provided to all participants annually and SPDs are available from the administrator upon request. Audited financial statements are available to the public by request of the DOL or the administrator.”

Form 990, Part VII Contact Addresses for Officers, Directors, Etc

“Danny ma - 5251 green street, suite 200, murray, ut 84123. Jacki faerber - 5251 green street, suite 200, murray, ut 84123. Katina wood - 5251 green street, suite 200, murray, ut 84123. John caldwell - 5251 green street, suite 200, murray, ut 84123. Billie jo hill - 5251 green street, suite 200, murray, ut 84123.”

Filing and Contact Details

Filer

Filer Name
Retail Store Employees Health and
EIN
82-0289815
Phone
8012663271
Address
5251 GREEN STREET No 200, MURRAY, UT 84123

Signing Officer

Name
Danny Ma
Title
Trustee
Phone
8004534584
Signed
2018-05-24
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Danny Ma
Formed
1968
Legal Domicile
Ut
Voting Board Members
5
Independent Board Members
5
Employees
0
Volunteers
0

Preparer

Firm
Henningfield & Associates Inc
Address
27913 Smyth Drive, Valencia, CA 91355
Preparer
Randy D Henningfield
Phone
6612953363
Supplemental Narrative

Financial Statement Notes

Part XII, Line 4B - Other Adjustments:

“Change in ibnr and extended elibigility -1,355,051.”

Raw XML Appendix383 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/BOYAmt075770
IRS990/AccountsPayableAccrExpnssGrp/EOYAmt00
IRS990/AccountsReceivableGrp/BOYAmt049539
IRS990/AccountsReceivableGrp/EOYAmt00
IRS990/ActivitiesConductedPrtshpInd00
IRS990/ActivityOrMissionDesc0HEALTH & WELFARE BENEFITS PROVIDED TO MEMBERS WHO ARE COVERED BY COLLECTIVE BARGAINING AGREEMENTS BETWEEN UNION AND EMPLOYERS
IRS990/AllOtherExpensesGrp/TotalAmt02019
IRS990/AuditCommitteeInd01
IRS990/BackupWthldComplianceInd01
IRS990/BenefitsToMembersGrp/TotalAmt038625
IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt0SOUTHWEST SERVICE ADMINISTRATORS INC
IRS990/BooksInCareOfDetail/PhoneNum08012663271
IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt05251 GREEN STREET SUITE 200
IRS990/BooksInCareOfDetail/USAddress/CityNm0MURRAY
IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd0UT
IRS990/BooksInCareOfDetail/USAddress/ZIPCd084123
IRS990/BusinessRlnWithFamMemInd00
IRS990/BusinessRlnWithOfficerEntInd00
IRS990/BusinessRlnWithOrgMemInd00
IRS990/CapStkTrPrinCurrentFundsGrp/BOYAmt00
IRS990/CapStkTrPrinCurrentFundsGrp/EOYAmt00
IRS990/CashNonInterestBearingGrp/BOYAmt01023921
IRS990/CashNonInterestBearingGrp/EOYAmt00
IRS990/ChangeToOrgDocumentsInd00
IRS990/CntrctRcvdGreaterThan100KCnt00
IRS990/CollectionsOfArtInd00
IRS990/CompensationFromOtherSrcsInd00
IRS990/CompensationProcessCEOInd00
IRS990/CompensationProcessOtherInd00
IRS990/ConflictOfInterestPolicyInd00
IRS990/ConservationEasementsInd00
IRS990/ConsolidatedAuditFinclStmtInd00
IRS990/ContractTerminationInd0X
IRS990/CreditCounselingInd00
IRS990/CYBenefitsPaidToMembersAmt038625
IRS990/CYContributionsGrantsAmt00
IRS990/CYGrantsAndSimilarPaidAmt00
IRS990/CYInvestmentIncomeAmt0676
IRS990/CYOtherExpensesAmt0116643
IRS990/CYOtherRevenueAmt02700
IRS990/CYProgramServiceRevenueAmt0322320
IRS990/CYRevenuesLessExpensesAmt0170428
IRS990/CYSalariesCompEmpBnftPaidAmt00
IRS990/CYTotalExpensesAmt0155268
IRS990/CYTotalFundraisingExpenseAmt00
IRS990/CYTotalProfFndrsngExpnsAmt00
IRS990/CYTotalRevenueAmt0325696
IRS990/DecisionsSubjectToApprovaInd00
IRS990/DeductibleArtContributionInd00
IRS990/DeductibleNonCashContriInd00
IRS990/DelegationOfMgmtDutiesInd01
IRS990/Desc0HEALTH & WELFARE BENEFITS PROVIDED TO MEMBERS WHO ARE COVERED BY COLLECTIVE BARGAINING AGREEMENTS BETWEEN UNION AND EMPLOYERS.
IRS990/DescribedInSection501c3Ind00
IRS990/DisregardedEntityInd00
IRS990/DocumentRetentionPolicyInd01
IRS990/DonorAdvisedFundInd00
IRS990/ElectionOfBoardMembersInd00
IRS990/EmployeeCnt00
IRS990/ExpenseAmt0155269
IRS990/FamilyOrBusinessRlnInd00
IRS990/FederalGrantAuditRequiredInd00
IRS990/FeesForServicesAccountingGrp/TotalAmt06000
IRS990/FeesForServicesLegalGrp/TotalAmt0447
IRS990/FeesForServicesManagementGrp/TotalAmt026100
IRS990/FinalReturnInd0X
IRS990/ForeignActivitiesInd00
IRS990/ForeignFinancialAccountInd00
IRS990/ForeignOfficeInd00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt010.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt110.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt210.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt310.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt410.00
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd0X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd1X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd2X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd3X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd4X
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt00
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt10
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt20
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt30
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt40
IRS990/Form990PartVIISectionAGrp/PersonNm0DANNY MA
IRS990/Form990PartVIISectionAGrp/PersonNm1JACKI FAERBER
IRS990/Form990PartVIISectionAGrp/PersonNm2KATINA WOOD
IRS990/Form990PartVIISectionAGrp/PersonNm3JOHN CALDWELL
IRS990/Form990PartVIISectionAGrp/PersonNm4BILLIE JO HILL
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt00
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt10
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt20
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt30
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt40
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt00
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt10
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt20
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt30
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt40
IRS990/Form990PartVIISectionAGrp/TitleTxt0TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt1TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt2TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt3TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt4TRUSTEE
IRS990/Form990ProvidedToGvrnBodyInd01
IRS990/FormationYr01968
IRS990/FormerOfcrEmployeesListedInd00
IRS990/FSAuditedBasisGrp/SeparateBasisFinclStmtInd0X
IRS990/FSAuditedInd01
IRS990/FundraisingActivitiesInd00
IRS990/GamingActivitiesInd00
IRS990/GoverningBodyVotingMembersCnt05
IRS990/GrantsToIndividualsInd00
IRS990/GrantsToOrganizationsInd00
IRS990/GrantToRelatedPersonInd00
IRS990/GrossReceiptsAmt0325696
IRS990/GroupReturnForAffiliatesInd00
IRS990/IncludeFIN48FootnoteInd00
IRS990/IndependentAuditFinclStmtInd01
IRS990/IndependentVotingMemberCnt05
IRS990/IndivRcvdGreaterThan100KCnt00
IRS990/IndoorTanningServicesInd00
IRS990/InfoInScheduleOPartVIInd0X
IRS990/InsuranceGrp/TotalAmt027800
IRS990/IntangibleAssetsGrp/EOYAmt00
IRS990/InventoriesForSaleOrUseGrp/EOYAmt00
IRS990/InvestmentIncomeGrp/ExclusionAmt0676
IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt0676
IRS990/InvestmentInJointVentureInd00
IRS990/InvestmentsOtherSecuritiesGrp/EOYAmt00
IRS990/InvestmentsProgramRelatedGrp/EOYAmt00
IRS990/InvestmentsPubTradedSecGrp/EOYAmt00
IRS990/IRPDocumentCnt00
IRS990/IRPDocumentW2GCnt00
IRS990/LandBldgEquipBasisNetGrp/EOYAmt00
IRS990/LegalDomicileStateCd0UT
IRS990/LoanOutstandingInd00
IRS990/LocalChaptersInd00
IRS990/MaterialDiversionOrMisuseInd00
IRS990/MembersOrStockholdersInd00
IRS990/MethodOfAccountingAccrualInd0X
IRS990/MinutesOfCommitteesInd01
IRS990/MinutesOfGoverningBodyInd01
IRS990/MissionDesc0HEALTH AND WELFARE BENEFITS PROVIDED TO MEMBERS WHO ARE COVERED BY COLLECTIVE BARGAINING AGREEMENTS BETWEEN UNION AND EMPLOYERS.
IRS990/MoreThan5000KToIndividualsInd00
IRS990/MoreThan5000KToOrgInd00
IRS990/NetAssetsOrFundBalancesBOYAmt0-169977
IRS990/NetAssetsOrFundBalancesEOYAmt00
IRS990/NetUnrelatedBusTxblIncmAmt00
IRS990/NetUnrlzdGainsLossesInvstAmt0-451
IRS990/NoListedPersonsCompensatedInd0X
IRS990/NondeductibleContributionsInd00
IRS990/OfficeExpensesGrp/TotalAmt0540
IRS990/OfficerMailingAddressInd00
IRS990/OperateHospitalInd00
IRS990/Organization501cInd0X
IRS990/OrgDoesNotFollowSFAS117Ind0X
IRS990/OtherAssetsTotalGrp/EOYAmt00
IRS990/OtherChangesInNetAssetsAmt00
IRS990/OtherExpensesGrp/Desc0REINSURANCE FEES
IRS990/OtherExpensesGrp/Desc1BANK ANALYSIS FEES AND
IRS990/OtherExpensesGrp/Desc2CONSULTING FEES
IRS990/OtherExpensesGrp/Desc3PCORI FEES
IRS990/OtherExpensesGrp/TotalAmt029838
IRS990/OtherExpensesGrp/TotalAmt110733
IRS990/OtherExpensesGrp/TotalAmt210500
IRS990/OtherExpensesGrp/TotalAmt32666
IRS990/OtherLiabilitiesGrp/BOYAmt01355050
IRS990/OtherLiabilitiesGrp/EOYAmt00
IRS990/OtherRevenueMiscGrp/BusinessCd0445100
IRS990/OtherRevenueMiscGrp/Desc0PRESCRIPTION REBATES
IRS990/OtherRevenueMiscGrp/RelatedOrExemptFuncIncomeAmt02700
IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt02700
IRS990/OtherRevenueTotalAmt02700
IRS990/OthNotesLoansReceivableNetGrp/EOYAmt00
IRS990/PartialLiquidationInd00
IRS990/PdInCapSrplsLandBldgEqpFundGrp/BOYAmt00
IRS990/PdInCapSrplsLandBldgEqpFundGrp/EOYAmt00
IRS990/PledgesAndGrantsReceivableGrp/EOYAmt00
IRS990/PoliticalCampaignActyInd00
IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt06293
IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt00
IRS990/PrincipalOfficerNm0DANNY MA
IRS990/ProfessionalFundraisingInd00
IRS990/ProgramServiceRevenueGrp/BusinessCd0445100
IRS990/ProgramServiceRevenueGrp/Desc0EMPLOYER CONTRIBUTIONS
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt0322320
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt0322320
IRS990/ProhibitedTaxShelterTransInd00
IRS990/PYBenefitsPaidToMembersAmt04331094
IRS990/PYContributionsGrantsAmt00
IRS990/PYGrantsAndSimilarPaidAmt00
IRS990/PYInvestmentIncomeAmt05626
IRS990/PYOtherExpensesAmt0640710
IRS990/PYOtherRevenueAmt0335288
IRS990/PYProgramServiceRevenueAmt04670426
IRS990/PYRevenuesLessExpensesAmt039536
IRS990/PYSalariesCompEmpBnftPaidAmt00
IRS990/PYTotalExpensesAmt04971804
IRS990/PYTotalProfFndrsngExpnsAmt00
IRS990/PYTotalRevenueAmt05011340
IRS990/RcvblFromDisqualifiedPrsnGrp/EOYAmt00
IRS990/ReceivablesFromOfficersEtcGrp/EOYAmt00
IRS990/ReconcilationRevenueExpnssAmt0170428
IRS990/RelatedEntityInd01
IRS990/RelatedOrganizationCtrlEntInd00
IRS990/ReportInvestmentsOtherSecInd00
IRS990/ReportLandBuildingEquipmentInd00
IRS990/ReportOtherAssetsInd00
IRS990/ReportOtherLiabilitiesInd00
IRS990/ReportProgramRelatedInvstInd00
IRS990/RtnEarnEndowmentIncmOthFndsGrp/BOYAmt0-169977
IRS990/RtnEarnEndowmentIncmOthFndsGrp/EOYAmt00
IRS990/SavingsAndTempCashInvstGrp/BOYAmt0181090
IRS990/SavingsAndTempCashInvstGrp/EOYAmt00
IRS990/ScheduleBRequiredInd00
IRS990ScheduleD/ExpensesNotReportedAmt00
IRS990ScheduleD/ExpensesNotRptFinclStmtAmt0-1355051
IRS990ScheduleD/ExpensesSubtotalAmt01510319
IRS990ScheduleD/NetUnrealizedGainsInvstAmt0-451
IRS990ScheduleD/OtherExpensesNotIncludedAmt0-1355051
IRS990ScheduleD/RevenueNotReportedAmt0-451
IRS990ScheduleD/RevenueNotReportedFinclStmtAmt00
IRS990ScheduleD/RevenueSubtotalAmt0325696
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0CHANGE IN IBNR AND EXTENDED ELIBIGILITY -1,355,051.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0Part XII, Line 4b - Other Adjustments:
IRS990ScheduleD/TotalBookValueLandBuildingsAmt00
IRS990ScheduleD/TotalExpensesPerForm990Amt0155268
IRS990ScheduleD/TotalRevenuePerForm990Amt0325696
IRS990ScheduleD/TotalRevEtcAuditedFinclStmtAmt0325245
IRS990ScheduleD/TotExpnsEtcAuditedFinclStmtAmt01510319
IRS990/ScheduleJRequiredInd00
IRS990ScheduleN/AssetsDistributedInd01
IRS990ScheduleN/AttorneyGeneralNotifiedInd00
IRS990ScheduleN/BondsOutstandingInd00
IRS990ScheduleN/DirectorOfSuccessorInd00
IRS990ScheduleN/EmployeeOfSuccessorInd00
IRS990ScheduleN/LiabilitiesPaidInd01
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/AssetsDistriOrExpnssPaidDesc0THE TRUST IS MULTIEMPLOYER HEALTH AND WELFARE PLAN. ALL ASSETS (CASH RESERVES) OF THE TRUST WERE USED
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/AssetsDistriOrExpnssPaidDesc1TO PAY ELIGIBLE MEDICAL, DENTAL, PRESCRIPTION AND VISION BENEFITS TO ELIGIBLE PARTICIPANTS UNDER
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/AssetsDistriOrExpnssPaidDesc2APPLICABLE COLLECTIVE BARGAINING AGREEMENTS. IN ADDITION, ADMINISTRATIVE EXPENSES WERE PAID
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/AssetsDistriOrExpnssPaidDesc3TO ADMINISTER THE BENEFITS.
IRS990ScheduleN/OwnerOfSuccessorInd00
IRS990ScheduleN/ReceiveCompensationInd00
IRS990ScheduleN/RequiredToNotifyAGInd00
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THE TRUSTEES HAVE CONTRACTED WITH A THIRD PARTY ADMINISTRATOR TO PERFORM THE EVERYDAY ADMINISTRATION OF THE FUND.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1A COPY OF FORM 990 WAS PRESENTED TO THE TRUSTEES FOR REVIEW AND SIGNATURES.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2Summary Annual Reports are provided to all participants annually and SPDs are available from the administrator upon request. Audited financial statements are available to the public by request of the DOL or the administrator.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3DANNY MA - 5251 GREEN STREET, SUITE 200, MURRAY, UT 84123. JACKI FAERBER - 5251 GREEN STREET, SUITE 200, MURRAY, UT 84123. KATINA WOOD - 5251 GREEN STREET, SUITE 200, MURRAY, UT 84123. JOHN CALDWELL - 5251 GREEN STREET, SUITE 200, MURRAY, UT 84123. BILLIE JO HILL - 5251 GREEN STREET, SUITE 200, MURRAY, UT 84123.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0Form 990, Part VI, Section A, line 3
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1Form 990, Part VI, Section B, line 11b
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2Form 990, Part VI, Section C, line 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3Form 990, Part VII Contact Addresses for Officers, Directors, Etc
IRS990ScheduleR/AssetExchangeInd00
IRS990ScheduleR/AssetPurchaseFromOtherOrgInd00
IRS990ScheduleR/AssetSaleToOtherOrgInd00
IRS990ScheduleR/DivRelatedOrganizationInd00
IRS990ScheduleR/GiftGrntCapContriFromOthOrgInd00
IRS990ScheduleR/GiftGrntOrCapContriToOthOrgInd00
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/ControlledOrganizationInd00
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/ControlledOrganizationInd10
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/ControlledOrganizationInd20
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/EIN0204057706
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/EIN1870258768
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/EIN2820180912
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/EntityTypeTxt0C
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/EntityTypeTxt1C
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/EntityTypeTxt2T
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/LegalDomicileStateCd0CA
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/LegalDomicileStateCd1UT
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/LegalDomicileStateCd2ID
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/PrimaryActivitiesTxt0RETAIL GROCERS
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/PrimaryActivitiesTxt1RETAIL GROCERS
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/PrimaryActivitiesTxt2LABOR UNION
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt0SUPERVALU
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt1SMITH'S
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt2UFCW 368
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/AddressLine1Txt01421 S MANHATTAN AVE
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/AddressLine1Txt15251 GREEN STREET SUITE 200
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/AddressLine1Txt2222 BROADWAY AVE
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/CityNm0FULLERTON
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/CityNm1MURRAY
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/CityNm2BOISE
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/StateAbbreviationCd0CA
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/StateAbbreviationCd1UT
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/StateAbbreviationCd2ID
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/ZIPCd092831
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/ZIPCd184123
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/ZIPCd283706
IRS990ScheduleR/LoansOrGuaranteesFromOthOrgInd00
IRS990ScheduleR/LoansOrGuaranteesToOtherOrgInd00
IRS990ScheduleR/PaidEmployeesSharingInd00
IRS990ScheduleR/PerformOfServicesByOtherOrgInd00
IRS990ScheduleR/PerformOfServicesForOthOrgInd00
IRS990ScheduleR/ReceiptOfIntAnntsRntsRyltsInd00
IRS990ScheduleR/ReimbursementPaidByOtherOrgInd00
IRS990ScheduleR/ReimbursementPaidToOtherOrgInd00
IRS990ScheduleR/RentalOfFacilitiesToOthOrgInd00
IRS990ScheduleR/RentalOfFcltsFromOthOrgInd00
IRS990ScheduleR/SharingOfFacilitiesInd00
IRS990ScheduleR/TransferFromOtherOrgInd00
IRS990ScheduleR/TransferToOtherOrgInd00
IRS990/SchoolOperatingInd00
IRS990/SignificantChangeInd00
IRS990/SignificantNewProgramSrvcInd00
IRS990/SubjectToProxyTaxInd00
IRS990/TaxablePartyNotificationInd00
IRS990/TaxExemptBondsInd00
IRS990/TempOrPermanentEndowmentsInd00
IRS990/TerminateOperationsInd01
IRS990/TotalAssetsBOYAmt01260843
IRS990/TotalAssetsEOYAmt00
IRS990/TotalAssetsGrp/BOYAmt01260843
IRS990/TotalAssetsGrp/EOYAmt00
IRS990/TotalCompGreaterThan150KInd00
IRS990/TotalEmployeeCnt00
IRS990/TotalFunctionalExpensesGrp/TotalAmt0155268
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt01430820
IRS990/TotalLiabilitiesEOYAmt00
IRS990/TotalLiabilitiesGrp/BOYAmt01430820
IRS990/TotalLiabilitiesGrp/EOYAmt00
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0-169977
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt00
IRS990/TotalOtherCompensationAmt00
IRS990/TotalProgramServiceExpensesAmt0155269
IRS990/TotalProgramServiceRevenueAmt0322320
IRS990/TotalReportableCompFromOrgAmt00
IRS990/TotalRevenueGrp/ExclusionAmt0676
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt0325020
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0325696
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotalVolunteersCnt00
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt01260843
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt00
IRS990/TotReportableCompRltdOrgAmt00
IRS990/TypeOfOrganizationTrustInd0X
IRS990/UnrelatedBusIncmOverLimitInd00
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt04885 SOUTH 900 EAST
IRS990/USAddress/CityNm0SALT LAKE CITY
IRS990/USAddress/StateAbbreviationCd0UT
IRS990/USAddress/ZIPCd084117
IRS990/VotingMembersGoverningBodyCnt05
IRS990/VotingMembersIndependentCnt05
IRS990/WebsiteAddressTxt0N/A
IRS990/WhistleblowerPolicyInd01
ReturnHeader/BuildTS02018-06-14 16:35:46Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd01
ReturnHeader/BusinessOfficerGrp/PersonNm0DANNY MA
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0TRUSTEE
ReturnHeader/BusinessOfficerGrp/PhoneNum08004534584
ReturnHeader/BusinessOfficerGrp/SignatureDt02018-05-24
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0RETAIL STORE EMPLOYEES HEALTH AND
ReturnHeader/Filer/BusinessName/BusinessNameLine2Txt0WELFARE TRUST
ReturnHeader/Filer/BusinessNameControlTxt0RETA
ReturnHeader/Filer/EIN0820289815
ReturnHeader/Filer/PhoneNum08012663271
ReturnHeader/Filer/USAddress/AddressLine1Txt05251 GREEN STREET No 200
ReturnHeader/Filer/USAddress/CityNm0MURRAY
ReturnHeader/Filer/USAddress/StateAbbreviationCd0UT
ReturnHeader/Filer/USAddress/ZIPCd084123
ReturnHeader/FilingSecurityInformation/AtSubmissionCreationDeviceId0B174AE6F88008EEA395284392A0091C0770EC910
ReturnHeader/FilingSecurityInformation/AtSubmissionFilingDeviceId0B174AE6F88008EEA395284392A0091C0770EC910
ReturnHeader/FilingSecurityInformation/FilingLicenseTypeCd0P
ReturnHeader/FilingSecurityInformation/IPAddress/IPv4AddressTxt0108.89.97.154
ReturnHeader/FilingSecurityInformation/IPDt02018-07-30
ReturnHeader/FilingSecurityInformation/IPTimezoneCd0PD
ReturnHeader/FilingSecurityInformation/IPTm010:03:37
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0542189926
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0Henningfield & Associates Inc
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt027913 Smyth Drive
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0Valencia
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0CA
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd091355
ReturnHeader/PreparerPersonGrp/PhoneNum06612953363
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0RANDY D HENNINGFIELD
ReturnHeader/ReturnTs02018-07-30T12:04:59-05:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02016-11-01
ReturnHeader/TaxPeriodEndDt02017-10-31
ReturnHeader/TaxYr02016

Document Assets

No mirrored PDF or thumbnail assets are attached yet.