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← WINE LIQUOR & DISTILLERY WORKERS UNION-1 MAJOR MEDICAL PLAN

Form 990 for tax year 2023

Filed by WINE LIQUOR & DISTILLERY WORKERS UNION-1 MAJOR MEDICAL PLAN.

Totals

Total revenue
$21,618,027
Total expenses
$17,176,595
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$21,147,781
Investment income
$271,845
Other revenue
$198,401
Total assets, end of year
$17,577,361
Total liabilities, end of year
$29,990
Net assets or fund balances, end of year
$17,547,371
Program services expenses (Part IX)
not reported
Management and general expenses
not reported
Fundraising expenses
not reported
Program service expenses (Part III)
not reported

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 2a · Program service revenue: EMPLOYER CONTRIBUTIONS

    total $21,109,152 · related or exempt $21,109,152

  • 2b · Program service revenue: COBRA CONTRIBUTIONS

    total $38,629 · related or exempt $38,629

  • 3 · Investment income

    total $308,691 · excluded $308,691

  • 7a · Gross sales of assets other than inventory

    securities $2,824,109

  • 7b · Less cost or other basis and sales expenses

    securities $2,860,955

  • 7c · Gain or loss

    securities -$36,846

  • 7d · Net gain or loss

    total -$36,846 · excluded -$36,846

  • 11a · Other revenue: PRESCRIPTION REBATE INCOME

    total $197,717 · related or exempt $197,717

  • 11b · Other revenue: OTHER INCOME

    total $684 · related or exempt $684

  • 11e · Other revenue, total

    $198,401

Functional expenses

Part IX, the statement of functional expenses.

  • 4 · Benefits paid to or for members

    total $16,359,576

  • 7 · Other salaries and wages

    total $193,641

  • 8 · Pension plan contributions

    total $18,880

  • 9 · Other employee benefits

    total $46,935

  • 10 · Payroll taxes

    total $20,982

  • 11b · Fees: legal

    total $39,053

  • 11c · Fees: accounting

    total $74,325

  • 11f · Fees: investment management

    total $45,478

  • 11g · Fees: other

    total $35,488

  • 13 · Office expenses

    total $35,760

  • 14 · Information technology

    total $59,327

  • 16 · Occupancy

    total $51,130

  • 22 · Depreciation, depletion and amortization

    total $7,370

  • 23 · Insurance

    total $7,861

  • 24a · Other expenses: REIMBURSEMENT OF SHARED

    total $136,649

  • 24b · Other expenses: MEDICAL BENEFIT CONSULT

    total $36,400

  • 24c · Other expenses: ACA PCORI FEES

    total $7,740

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $281,803 · end of year $4,663,704

  • 2 · Savings and temporary cash investments

    beginning of year $473,124 · end of year $630,431

  • 4 · Accounts receivable

    beginning of year $689,529 · end of year $557,576

  • 9 · Prepaid expenses and deferred charges

    beginning of year $29,066 · end of year $28,351

  • 10a · Land, buildings and equipment: cost or other basis

    $157,109

  • 10b · Land, buildings and equipment: accumulated depreciation

    $138,047

  • 10c · Land, buildings and equipment, net

    beginning of year $10,033 · end of year $19,062

  • 11 · Investments: publicly traded securities

    beginning of year $9,049,418 · end of year $9,608,398

  • 12 · Investments: other securities

    beginning of year $1,877,811 · end of year $1,909,886

  • 15 · Other assets

    beginning of year $159,953 · end of year $159,953

  • 17 · Accounts payable and accrued expenses

    beginning of year $23,661 · end of year $29,990

  • 29 · Capital stock, trust principal or current funds

    beginning of year $0 · end of year $0

  • 30 · Paid-in or capital surplus, or land, building or equipment fund

    beginning of year $0 · end of year $0

  • 31 · Retained earnings, endowment or other funds

    beginning of year $12,547,076 · end of year $17,547,371

Mission and programs · 2023

Mission

TO PROVIDE HOSPITAL, SURGICAL, MAJOR MEDICAL, DENTAL, OPTICAL, AND DEATH BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR COVERED DEPENDENTS.

  • TO PROVIDE HOSPITAL, SURGICAL, MAJOR MEDICAL, DENTAL, OPTICAL, AND DEATH BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR COVERED DEPENDENTS.

As filed on the 2023 return.

Listed in Part VII

  • ROY KOHN

    EMPLOYER TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • MATTHEW MATTASSA

    EMPLOYER TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • DAVE YOUNG

    UNION TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • DONALD RUTAN

    UNION TRUSTEE

    Total calculated
    $203,910
    From this org
    $0
    From related orgs
    $179,810
    Other
    $24,100
    Hours/week
    1

    Schedule J breakdown matched by us

    Base
    $0 + $179,810 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0 + $6,910 related
    Nontaxable benefits
    $0 + $17,190 related
    Filer's total
    $0 + $203,910 related

  • GLEN CARTER

    ADMINISTRATOR

    Total calculated
    $178,372
    From this org
    $0
    From related orgs
    $154,272
    Other
    $24,100
    Hours/week
    1

    Schedule J breakdown matched by us

    Base
    $0 + $154,272 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0 + $6,910 related
    Nontaxable benefits
    $0 + $17,190 related
    Filer's total
    $0 + $178,372 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

None.

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

  • RETIREMENT PLAN OF THE WINE LIQUOR & DISTILLERY WORKERS UNION LOCAL 1D PENS

    401(A) · TO PROVIDE RETIREMENT BENEFITS · NY

  • UFCW LOCAL 1-D

    501(C)(5) · ADMIN SHARED SRV'S - CONTRIBUTING EMPLOYER · NY

  • UFCW LOCAL 2-D

    501(C)(5) · CONTRIBUTING EMPLOYER · NY

  • LIQUOR SALESMEN'S UNION LOCAL 2-D PENSION FUND

    401(A) · AFFILIATED ORGANIZATION · NY

  • LIQUOR SALESMEN'S UNION LOCAL 2-D INSURANCE TRUST FUND

    501(C)(9) · AFFILIATED ORGANIZATION · NY

  • WINE AND LIQUOR SALESMEN'S OF NEW JERSEY LOCAL-19

    501(C)(5) · AFFILIATED ORGANIZATION · NJ

  • LOCAL ONE COMMON EMPLOYEE FUND

    501(C)(5) · SHARED SERVICES - ADMINISTRATOR · NY

  • LIQUOR SALESMEN'S UNION LOCAL 2-D WELFARE FUND

    501(C)(9) · AFFILIATED ORG'N - CONTRIBUTING EMPLOYER · NY

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • 1688 MECHANIC AND COLLISION

    CONTRIBUTING EMPLOYER

  • 36TH STREET WINE & LIQUORS

    CONTRIBUTING EMPLOYER

  • ALLIED BEVERAGE GROUP

    CONTRIBUTING EMPLOYER

  • BANFI PRODUCTS

    CONTRIBUTING EMPLOYER

  • CAMBRIDGE WINES

    CONTRIBUTING EMPLOYER

  • CENTIV SERVICES

    CONTRIBUTING EMPLOYER

  • DUGGAN'S DISTILLERY PRODUCTS CORP

    CONTRIBUTING EMPLOYER

  • EMPIRE DISPLAY

    CONTRIBUTING EMPLOYER

  • EMPIRE MERCHANTS LOCAL #2

    CONTRIBUTING EMPLOYER

  • EMPIRE MERCHANTS LLC

    CONTRIBUTING EMPLOYER

  • FEDWAY ASSOCIATES INC

    CONTRIBUTING EMPLOYER

  • FLAIR DISPLAY

    CONTRIBUTING EMPLOYER

  • GALLO WINE SALES OF NJ INC

    CONTRIBUTING EMPLOYER

  • MANLEY'S WINES

    CONTRIBUTING EMPLOYER

  • RAPPAPORT

    CONTRIBUTING EMPLOYER

  • RIVERSIDE LIQUORS INC

    CONTRIBUTING EMPLOYER

  • ROYAL WINE MERCHANTS

    CONTRIBUTING EMPLOYER

  • SCHUMER'S LIQUORS

    CONTRIBUTING EMPLOYER

  • SHERRY LEHMANN

  • SOUTHERN WINE & SPIRITS M&D

    CONTRIBUTING EMPLOYER

  • SOUTHERN WINE & SPIRITS NEW JERSEY

    CONTRIBUTING EMPLOYER

  • SOUTHERN WINE & SPIRITS NEW YORK

    CONTRIBUTING EMPLOYER

  • TRI-STATE CABINET

    CONTRIBUTING EMPLOYER

  • WILLIAM GRANT & SONS

    CONTRIBUTING EMPLOYER

Provenance

Return type
form_990
Tax year
2023
Filed
14 November 2024
IRS schema version
2023v5.1
Source object
202413199349308551

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