TY 2011 Form 990

(A) Name and business address	(B) Description of services	(C) Compensation
SLEVIN & HART PC 1625 MASSACHUSETTS AVE SUITE 450 WASHINGTON,DC20036	ATTORNEY	194,713
RAMPART BENEFIT PLANNING INC 1983 MARCUS AVE SUITE C130 LAKE SUCCESS,NY11042	BENEFITS CONSULTING	134,386
MAGNACARE ADMINISTRATIVE SERVICES 1600 STEWART AVENUE SUITE 700 WESTBURY,NY11590	CLAIMS PROCESSOR	1,072,048
GENERAL PRESCRIPTION PROGRAM INC 222 LAFAYETTE STREET NEWARK,NJ07105	CLAIMS PROCESSOR	395,392

2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 4

Part X Balance Sheet
	1	Cashnon-interest-bearing ..........	70,713	1	56,825
2	Savings and temporary cash investments .......	260,258	2	1,071,191
3	Pledges and grants receivable, net .........		3	0
4	Accounts receivable, net .........	1,819,322	4	1,967,161
5	Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
	Schedule L ..........		5	0
6	Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
	Schedule L ..........		6	0
7	Notes and loans receivable, net .............		7	0
8	Inventories for sale or use ..............		8	0
9	Prepaid expenses and deferred charges ............	21,947	9	24,130
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	87,067
b	Less: accumulated depreciation. .....	10b	20,198	40,499	10c	66,869
11	Investments—publicly traded securities ..........	9,909,514	11	6,869,681
12	Investments—other securities. See Part IV, line 11 ......		12	660,000
13	Investments—program-related. See Part IV, line 11 ..		13	0
14	Intangible assets .........		14	0
15	Other assets. See Part IV, line 11 ...........	64,878	15	250,381
16	Total assets. Add lines 1 through 15 (must equal line 34)...	12,187,131	16	10,966,238
	17	Accounts payable and accrued expenses .	366,676	17	69,897
18	Grants payable ..........		18
19	Deferred revenue ..........		19
20	Tax-exempt bond liabilities ..........		20
21	Escrow or custodial account liability. Complete Part IV of Schedule D..		21
22	Payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........		22
23	Secured mortgages and notes payable to unrelated third parties ..		23
24	Unsecured notes and loans payable to unrelated third parties ....		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D.....	2,164,507	25	3,527,398
26	Total liabilities. Add lines 17 through 25.....	2,531,183	26	3,597,295
		Organizations that follow SFAS 117, check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets .....		27
28	Temporarily restricted net assets .....		28
29	Permanently restricted net assets .....		29
	Organizations that do not follow SFAS 117, check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....		30
31	Paid-in or capital surplus, or land, building or equipment fund .....		31
32	Retained earnings, endowment, accumulated income, or other funds	9,655,948	32	7,368,943
33	Total net assets or fund balances .....	9,655,948	33	7,368,943
34	Total liabilities and net assets/fund balances .....	12,187,131	34	10,966,238

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b
SchDMd Bullet

Attach to Form 990. SchDMd Bullet

See separate instructions.

OMB No. 1545-0047

2011

Open to Public Inspection

Name of the organization

LOCAL 888 HEALTH FUND

Employer identification number

13-1564856

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .......
2	Aggregate contributions to (during year) ...
3	Aggregate grants from (during year) ...
4	Aggregate value at end of year .......

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements .......................	2a
b	Total acreage restricted by conservation easements ..................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register ....................	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................

Yes No

Staff and volunteer hours devoted to monitoring, inspecting and enforcing conservation easements during the year SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section
170(h)(4)(B)(i) and 170(h)(4)(B)(ii)? ....................................

Yes No

In Part XIV, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of
art, historical treasures, or other similar assets held for public exhibition, education or research in furtherance of public service,
provide, in Part XIV, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art,
historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service,
provide the following amounts relating to these items:

(i)

Revenues included in Form 990, Part VIII, line 1 ........................ SchDMd Bullet

(ii)

Assets included in Form 990, Part X .............................. SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958), relating to these items:

Revenues included in Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990

Cat. No. 52283D

Schedule D (Form 990) 2011

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s accession and other records, check any of the following that are a significant use of its collection
items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIV.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No

If "Yes," explain the arrangement in Part XIV and complete the following table:


c	Beginning balance .................................	1c
d	Additions during the year ..............................	1d
e	Distributions during the year .............................	1e
f	Ending balance ...................................	1f

Did the organization include an amount on Form 990, Part X, line 21? .....................

Yes No

If “Yes,” explain the arrangement in Part XIV.

Part V

Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.

		(a)Current Year	(b)Prior Year	(c)Two Years Back	(d)Three Years Back	(e)Four Years Back
1a	Beginning of year balance ....
b	Contributions ........
c	Net investment earnings, gains, and losses ...
d	Grants or scholarships .....
e	Other expenditures for facilities and programs ........
f	Administrative expenses ....
g	End of year balance ......

Provide the estimated percentage of the year end balance (line 1g) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

Temporarily restricted endowment SchDMd Bullet

The percentages in lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations ........................

3a(i)

(ii) related organizations ........................

3a(ii)

If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIV the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment. See Form 990, Part X, line 10.

Description of property		(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value
1a	Land .................
b	Buildings ................
c	Leasehold improvements ............	6,517	145	6,372
d	Equipment ................	50,320	18,488	31,832
e	Other .................	30,230	1,565	28,665
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......				66,869

Schedule D (Form 990) 2011

Page 3

Part VII

InvestmentsOther Securities. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)		(b)Book value	(c) Method of valuation: Cost or end-of-year market value
(1)Financial derivatives
(2)Closely-held equity interests
Other








Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)		660,000

Part VIII

InvestmentsProgram Related. See Form 990, Part X, line 13.

(a) Description of investment type		(b) Book value	(c) Method of valuation: Cost or end-of-year market value









Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. See Form 990, Part X, line 15.

(a) Description				(b) Book value









Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities. See Form 990, Part X, line 25.

1.(a) Description of Liability		(b) Book value
Federal Income Taxes
HEALTH BENEFITS PAYABLE		3,456,155
CLAIMS INCURRED BUT NOT REPORTED		71,243







Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)		3,527,398
2. Fin 48 (ASC 740) Footnote. In Part XIV, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC740).

Schedule D (Form 990) 2011

Page 4

Part XI Reconciliation of Change in Net Assets from Form 990 to Financial Statements
1	Total revenue (Form 990, Part VIII, column (A), line 12) ....................	1	21,751,000
2	Total expenses (Form 990, Part IX, column (A), line 25) .....................	2	23,652,984
3	Excess or (deficit) for the year. Subtract line 2 from line 1 .............	3	-1,901,984
4	Net unrealized gains (losses) on investments ..........................	4	-385,021
5	Donated services and use of facilities .............................	5
6	Investment expenses ...................................	6
7	Prior period adjustments ..................................	7
8	Other (Describe in Part XIV.) .................................	8	1,362,891
9	Total adjustments (net). Add lines 4 through 8 .........................	9	977,870
10	Excess or (deficit) for the year per financial statements. Combine lines 3 and 9 .........	10	-924,114

Part XII Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1	Total revenue, gains, and other support per audited financial statements .......			1	21,339,448
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains on investments ..........	2a	-385,021
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIV.) ............	2d
e	Add lines 2a through 2d .....................			2e	-385,021
3	Subtract line 2e from line 1.....................			3	21,724,469
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a	24,613
b	Other (Describe in Part XIV.) ...........	4b	1,918
c	Add lines 4a and 4b.......................			4c	26,531
5	Total Revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......			5	21,751,000

Part XIII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1	Total expenses and losses per audited financial statements .............			1	22,263,562
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities ..........	2a
b	Prior year adjustments ..............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIV.) ............	2d	-1,918
e	Add lines 2a through 2d......................			2e	-1,918
3	Subtract line 2e from line 1.....................			3	22,265,480
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a	24,613
b	Other (Describe in Part XIV.) ............	4b	1,362,891
c	Add lines 4a and 4b.......................			4c	1,387,504
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......			5	23,652,984

Part XIV

Supplemental Information

Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X; Part XI, line 8; Part XII, lines 2d and 4b; and Part XIII, lines 2d and 4b. Also complete this part to provide any additional information.

Identifier	Return Reference	Explanation
Part X	Part X : FIN48 Footnote	Accounting principles generally accepted in the United States of America requires Plan management to evaluate tax position taken by the Plan and recognize a tax liability (or asset) if the Plan has taken an uncertain position that more likely than not would not be sustained upon examination by the Internal Revenue Service. The Plan administrator has analyzed the tax positions taken by the Plan, and has concluded that as of December 31, 2011 and 2010, there are no uncertain positions taken or expected to be taken that would require recognition of a liability (or asset) or disclosure in the financial statements. The Plan is subject to routine audits by taxing jurisdictions; however, there are currently no audits for any tax periods in process. Additionally, Plan management believes that the Plan's returns for the years 2008 - 2011 are currently open to examination, based on the statutory period for years subject to audit
Part XIII, Line 4b	Part XIII, Line 4b: Other revenue amounts included on 990 but not included in F/S	CHANGE IN PLAN BENEFIT OBLIGATIONS $1362891
Part XII, Line 4b	Part XII, Line 4b: Other revenue amounts included on 990 but not included in F/S	LOSS ON DISPOSITION OF ASSETS $1918

Schedule D (Form 990) 2011

Additional Data

Software ID:	11000144
Software Version:	2011v1.5

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Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet

Attach to Form 990. SchJMediumBullet

See separate instructions.

OMB No. 1545-0047

2011

Open to Public Inspection

Name of the organization

LOCAL 888 HEALTH FUND

Employer identification number

13-1564856

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all the expenses described above? If "No," complete Part III to explain....

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
officers, directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? ....

Indicate which, if any, of the following the organization uses to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? ...............

Participate in, or receive payment from, a supplemental nonqualified retirement plan? ........

Participate in, or receive payment from, an equity-based compensation arrangement? ........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.

For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 5a or 5b, describe in Part III.

For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 6a or 6b, describe in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................

If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990

Cat. No. 50053T

Schedule J (Form 990) 2011

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.

Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and column (E) for that individual.

(A) Name		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation reported as deferred in prior Form 990
(A) Name		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation reported as deferred in prior Form 990
(1) ROSALBA PEREZ - PENA	(i) (ii)	180,990			8,482	21,924	211,396
(2) JEAN-JOSEPH BRUNY	(i) (ii)	348,626				28,349	376,975
(3) AGUEDA ARIAS	(i) (ii)	126,180				24,389	150,569

Schedule J (Form 990) 2011

Page 3

Part III

Supplemental Information

Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4c, 5a, 5b, 6a, 6b, 7, and 8. Also complete this part for any additional information.

Identifier	Return Reference	Explanation

Schedule J (Form 990) 2011

Additional Data

Software ID:	11000144
Software Version:	2011v1.5

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.

OMB No. 1545-0047

2011

Open to Public
Inspection

Name of the organization

LOCAL 888 HEALTH FUND

Employer identification number

13-1564856

Identifier	Return Reference	Explanation
Form 990, Part VI, Line 19	Form 990, Part VI, Line 19: Other Organization Documents Publicly Available	UPON REQUEST GOVERNING DOCUMENTS, POLICIES AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC, AS REQUIRED BY APPLICABLE LAW.
Form 990, Part VI, Line 12c	Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts	THE BOARD OF TRUSTEES REGULARLY MONITORS AND ENFORCES THE FUND'S CONFLICT OF INTEREST POLICY, WITH THE ASSISTANCE OF THE FUND'S PROFESSIONALS.
Form 990, Part VI, Line 11	Form 990, Part VI, Line 11: Form 990 Review Process	FORM 990 WAS SENT TO THE BOARD OF TRUSTEES FOR REVIEW. UPON APPROVAL A WAIVER IS SIGNED AUTHORIZING THE ELECTRONIC SUBMISSION OF THE FORM.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2011

Additional Data

Software ID:	11000144
Software Version:	2011v1.5

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SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.

OMB No. 1545-0047

2011

Open to Public Inspection

Name of the organization

LOCAL 888 HEALTH FUND

Employer identification number

13-1564856

Part I

Identification of Disregarded Entities (Complete if the organization answered "Yes" on Form 990, Part IV, line 33.)

(a) Name, address, and EIN of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled organization
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1) ASSEMBLY OF CHRISTIAN CHURCHES INC 840 INTERVALE AVENUE BRONX,NY10459 13-2994576	RELIGIOUS ORGANIZATION	NY	501 (C) (3)	SUPPORTING ORGANIZAT	N/A		No
(2) SAINT DOMINICS HOME 500 WESTERN HIGHWAY BLAUVELT,NY10913 13-1740399	SOCIAL SERVICE	NY	501 (C) (3)	SUPPORTING ORGANIZAT	N/A		No
(3) THE NY FNDLING HOSP 49 WEST 23RD STREET 8TH FLOOR NEW YORK,NY10010 13-1624123	SOCIAL SERVICES	NY	501(C)(3)	SUPPORTING ORGANIZAT	N/A		No
(4) ST AGATHAS HOME 49 W 23RD ST 8TH FLR NEW YORK,NY10010 13-1624123	SOCIAL SERVICES	NY	501(C)(3)	SUPPORTING ORGANIZAT	N/A		No
(5) CATHOLIC GUARDIAN SOCIETY 1011 FIRST AVENUE NEW YORK,NY10022 13-5562186	SOCIAL SERVICES	NY	501 (C) (3)	SUPPORTING ORGANIZAT	N/A		No
(6) UFCW UNION LOCAL 888 AFL-CIO 160 EAST UNION AVENUE EAST RUTHERFORD,NJ07073 13-1845104	PROVIDE UNION MEMBERS REPRESENTATION	NJ	501(c)(5)		N/A		No
(7) UFCW LOCAL 888 AND EMPLOYERS 401K PLAN 160 EAST UNION AVENUE EAST RUTHERFORD,NJ07073 38-6994031	PROVIDES RETIREMENT BENEFITS	NJ	401 (A)		NA		No
(8) LOCAL 888 PENSION FUND 160 EAST UNION AVENUE EAST RUTHERFORD,NJ07073 13-6367793	TO PROVIDE PENSION BENEFITS TO MEMBERS	NJ	401 (A)		NA		No

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2011

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) H WEISS PO BOX 497 12 LABRIOLA CT ARMONK,NY10504 20-0315618	DISTRIBUTION	NY	N/A	0				No			No
(2) PHILIP HOLZER 350 MICHELE PLACE CARLSTADT,NJ07072 27-1159014	MAIL HOUSE	NJ	N/A	0				No			No

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)
(1) ROTH FLOWER CO 13 WEST 38TH STREET NEW YORK,NY10018 13-1886519	IMPORTER/WHOLESALE	NY	N/A	S CORP
(2) KISSLER & CO INC 770 CENTRAL BOULEVARD CARLSTADT,NJ07072 22-2027688	PLUMBING PARTS WHOLESALER	NJ	N/A	S CORP
(3) BEN ELIAS INWOOD 1400 BROADWAY NEW YORK,NY10018 13-1967197	OFF PRICE FASHION	NY	N/A	S CORP
(4) BOOMER FASHIONS 1400 BROADWAY NEW YORK,NY10018 13-3733873	OFF PRICE FASHION	NY	N/A	S CORP
(5) VICTORIA PLATING CO IN 650 TIFFANY STREET BRONX,NY10474 13-1735744	METAL FINISHING	NY	N/A	S CORP
(6) CHOICE BUILDING SUPPLIES OF WESTCHESTER 677 NEPPERHAN AVENUE YONKERS,NY10703 13-3773032	RETAIL	NY	N/A	S CORP
(7) SOLCO PLUMBING SUPPLY 413 LIBERTY AVENUE BROOKLYN,NY11207 13-1930295	WHOLESALE RETAIL	NY	N/A	C CORP
(8) PEGASUS AUTO INC dba PLAINVIEW TIRE 1546 OLD COUNTRY ROAD PLAINVIEW,NY11803 26-1902845	TIRE SALES AND REPAIR	NY	N/A	S CORP
(9) BERNARDOS PLUMBING & HEATING SUPPLY INC 9612 AVENUE L BROOKLYN,NY11236 11-3564929	PLUMBING & HEATING SUPPLIER	NY	N/A	S CORP
(10) LUXOTTICA RETAIL NORTH AMERICA INC 4000 LUXOTTICA PLACE MASON,OH45040 31-1339854	OPHTHALMIC RETAIL	OH	N/A	C CORP
(11) BLACKMAN PLUMBING SUPPLY CO INC 900 SYLVAN AVENUE BAYPORT,NY11705 11-1998427	PLUMBING SUPPLIES	NY	N/A	S CORP
(12) CROFT ENTERPRISES INC 10 HARBOR PARK DRIVE PORT WASHINGTON,NY11050 20-5798105	BILLING/INVOICING/ADMINISTRATIVE	NY	N/A	S CORP
(13) GOYA FOODS INC 100 SEAVIE DRIVE SECAUCUS,NJ07094 11-1983666	FOOD DISTRIBUTION	NJ	N/A	S CORP
(14) UNIMAC GRAPHICS 350 MICHELE PLACE CARLSTADT,NJ07072 22-3586199	COMMERCIAL PRINTER	NJ	N/A	S CORP
(15) RICHARD SUPPLY CO 1963 UNION BOULEVARD BAY SHORE,NY11716 11-1545884	PLUMBING AND HEATING	NY	N/A	S CORP
(16) G SCACCIANOCE INC 1165 BURNETT PLACE BRONX,NY10474 13-4014720	MANUFACTURING	NY	N/A	S CORP
(17) UTICA AVENUE PLUMBING SUPPLY CORP 769 UTICA AVENUE BROOKLYN,NY11203 11-2039697	PLUMBING WHOLESALE	NY	N/A	C CORP
(18) MEYEROWITZ INC 70-22 CYPRESS HILLS STREET GLENDALE,NY11385 11-2160448	WHOLESALE PLUMBING SUPPLIES	NY	N/A	S CORP
(19) EVERNU METAL PRODUCTS INC 471 20TH STREET BROOKLYN,NY11215 11-1595498	POWDER COATING	NY	N/A	S CORP
(20) PEARL VISION EXPRESS 350 CONNECTICUT AVENUE NORWALK,CT06854 06-1326495	RETAIL OPTICAL GOODS	CT	N/A	S CORP
(21) TRIPLE SPECIALTIES 10148 AVENUE D BROOKLYN,NY11236 11-2008987	WHOLESALE DISTRIBUTOR OF PLUMBING & HEAT	NY	N/A	S CORP
(22) HENRY QUENTZEL PLUMBING SUPPLY CO INC 379 THROOP AVE BROOKLYN,NY11221 11-1840819	WHOLESALE PLUMBING SUPPLIES	NY	N/A	S CORP
(23) BAYSIDE PLUMBING SUPPLY 211-20 NORTHERN BOULEVARD BAYSIDE,NY11361 11-2236037	PLUMBING SUPPLIES	NY	N/A	C CORP
(24) CENTURY 21 DEPT STORES OF NJ 22 CORTLANDT STREET NEW YORK,NY10007 13-4181705	RETAIL	NY	N/A	S CORP
(25) CENTURY 21 DEPT STORES LLC BROOKLYN 22 CORTLANDT STREET NEW YORK,NY10007 13-4144073	RETAIL	NY	N/A	S CORP
(26) UNEEDA BOLT & SCREW CO 10 CAPITAL DRIVE MOONACHIE,NJ07074 13-5630004	DISTRIBUTOR	NJ	N/A	S CORP
(27) NORTH SHORE PLUMBING SUPPLY CO 188-07 NORTHERN BOULEVARD FLUSHING,NY11358 11-1602258	PLUMBING WHOLESALE	NY	N/A	C CORP
(28) THE WEEKS LERMAN GROUP LLC 58-38 PAGE PLACE MASPETH,NY11378 11-3297099	DISTRIBUTOR OF OFFICE SUPPLIES, FURNITUR	NY	N/A	LLC
(29) FORDHAM SUPPLY CO 2415 JEROME AVENUE BRONX,NY10468 13-1707639	MERCHANDISE SALES	NJ	N/A	C CORP
(30) READE MANUFACTURING CO dba MAGNESIUM ELE 2590 RIDGWAY BLVD MANCHESTER,NJ08759 22-3625150	MANUFACTURING	NJ	N/A	C CORP
(31) HK METALCRAFT MFG CORP 35 INDUSTRIAL ROAD LODI,NJ07644 13-1805127	MANUFACTURING	NJ	N/A	C CORP
(32) VO TOYS INC 400 SOUTH 5TH STREET HARRISON,NJ07029 22-2625903	DIST OF COMPANION ANIMAL PET PRODUCTS	NJ	N/A	S CORP
(33) CENTURY 21 DEPT STORES LLC 22 CORTLANDT STREET NEW YORK,NY10007 13-4144073	RETAIL	NY	N/A	S CORP
(34) FIXTURE HARDWARE MFG CORP 4116 FIRST AVENUE BROOKLYN,NY11232 11-3522881	HARDWARE DISPLAY MFG	NY	N/A	S CORP
(35) GREEN ART PLUMBING SUPPLY 1044 MERRICK ROAD BALDWIN,NY11510 11-1534694	WHOLESALE PLUMBING SUPPLIES	NY	N/A	S CORP
(36) MAURRO & SONS 8208 17TH AVENUE BROOKLYN,NY11214 11-2545925	HEATING & PLUMBING SUPPLIER	NY	N/A	S CORP
(37) J CHIMERINE PLUMBING HEATING 782 DEKALB AVENUE BROOKLYN,NY11221 11-2104827	PLUMBING SUPPLIES	NY	N/A	S CORP
(38) GRINGER AND SONS INC 29 FIRST AVENUE NEW YORK,NY10003 13-5121570	SUPPLIER OF APPLIANCES	NY	N/A	S CORP
(39) FRENCH CONNECTION GROUP INC 184-10 JAMAICA AVE 3RD FLOOR HOLLIS,NY11423 11-3238534	RETAIL SALES	NY	N/A	C CORP
(40) CENTURY 21 WESTBURY 1085 OLD COUNTRY ROAD WESTBURY,NY11590 13-3969619	RETAIL	NY	N/A	S CORP
(41) CARDINAL McCLOSKEY SERVICES 115 STEVENS AVENUE SUITE LL5 VALHALLA,NY10595 13-1740443	SOCIAL SERVICES	NY	N/A	C CORP
(42) BIND-RITE SERVICES 16 HORIZON BOULEVARD SOUTH HACKENSACK,NJ07606 22-2912912	BOOK BINDING	NJ	N/A	S CORP
(43) WEYCO GROUP INC 333 WEST ESTABROOK BLVD GLENDALE,WI53212 30-0073581	RETAIL SHOE STORES	WI	N/A	C CORP
(44) ALDEN WRIGHT SHOES 344 MADISON AVE NEW YORK,NY10017 13-3610365	RETAIL SHOE STORES	NY	N/A	S CORP
(45) WEBSTER PLUMBINGSUPPLY INC 1758 WEBSTER AVENUE BRONX,NY10457 13-1736456	WHOLESALE PLUMBING & HEATING SUPPLIES	NY	N/A	C CORP
(46) WASHINGTON PLUMBING SPECIALTIES PO BOX 241 BRONX,NY10457 22-1671075	PLUMBING SUPPLIES	NY	N/A	C CORP
(47) WALRICH CORP 97-36 43RD AVE CORONA,NY11368 11-1619271	WHOLESALE PLUMBING COMPANY	NY	N/A	S CORP
(48) SAFER HOLDING CORP 1875 MC CARTER HIGHWAY NEWARK,NJ07104 22-2335765	TEXTILE MANUFACTURING	NJ	N/A	S CORP
(49) S AXELROD COMPANY 7 WEST 30TH ST NEW YORK,NY10001 13-3378913	IMPORTER - BASE METAL, JEWELRY, TRIMS	NY	N/A	SOLE PROPRIETORSHIP
(50) PRODUCTO ELECTRIC CORP 11 KINGS HIGHWAY ORANGEBURG,NY10962 13-1833747	MANUFACTURING - DISTRIBUTION ELEC. FITIN	NY	N/A	S CORP
(51) PROTECTIVE LINING 601 39TH ST BROOKLYN,NY11232 11-1735717	PLASTIC MANUFACTURING	NY	N/A	S CORP
(52) JW MAYS INC 9 BOND STREET BROOKLYN,NY11201 11-1059070	REAL ESTATE MANAGEMENT	NY	N/A	C CORP
(53) MERCURY PLASTIC BAG CO 168 SEVENTH STREET PASSAIC,NJ07055 22-1687639	PLASTIC BAGS	NJ	N/A	S CORP
(54) MAYER MALBIN CO INC 40-01 36TH AVE LONG ISLAND CITY,NY11101 11-1059650	INDUSTRIAL PLUMBING & HEATING SUPPLIES	NY	N/A	S CORP
(55) LAMAR LIGHTING CO INC PO BOX 9013 FARMINGDALE,NY11735 11-1826335	MANUFACTURE OF FLUORESCENT LIGHTING FIXT	NY	N/A	S CORP
(56) INTERCOUNTY SUPPLY INC 255 SOUTH REGENT STREET PORT CHESTER,NY10573 13-3994132	PLUMBING & HEATING SUPPLY	NY	N/A	S CORP
(57) IDEAL WINDOW MFG INC 100 W SEVENTH STREET BAYONNE,NJ07002 22-1591325	WINDOW MARKETING & MANUFACTURE	NJ	N/A	S CORP
(58) PINTCHIK 478 BERGEN ST BROOKLYN,NY11217 11-3232567	RETAIL	NY	N/A	S CORP
(59) HOUSE OF CARPET INC 1135 MONTAUK HIGHWAY MASTIC,NY11950 11-2716635	RETAIL FLOOR COVERING SALES	NY	N/A	C CORP
(60) GRESCHLERS INC 660 5TH AVENUE BROOKLYN,NY11215 11-2099583	INDUSTRIAL HARDWARE	NY	N/A	C CORP
(61) HOLLANDER GLASS EAST INC 50 CLEARVIEW ROAD EDISON,NJ08837 11-2482977	WHOLESALE GLASS	NY	N/A	C CORP
(62) HARRIS HARDWARE SALES CORP 4 HARBOR PARK DRIVE PORT WASHINGTON,NY11050 11-2423735	IMPORTER/WHOLESALER/MANUFACTURER	NY	N/A	S CORP
(63) FUTURE TIRE 202 BETHPAGE SWEET HOLLOW ROAD OLD BETHPAGE,NY11804 11-2892465	WHOLESALE TIRE DISTRIBUTOR	NY	N/A	LLC
(64) FRANK SUPPLY CORP 230 SHERIDAN BLVD INWOOD,NY11696 11-3372765	PLUMBING & HEATING WHOLESALERS	NY	N/A	S CORP
(65) EASTERN PLBGSALES CO 2633 CONEY ISLAND AVE BROOKLYN,NY11223 11-2039526	PLUMBING SUPPLIES	NY	N/A	C CORP
(66) DELLON SALES & MKTG LTD 5 ALBERTSON AVENUE ALBERTSON,NY115071427 11-3291396	MANUFACTURERS REPRESENTATIVE	NY	N/A	S CORP
(67) DAVIS & WARSHOW 57 22 49TH STREET MASPETH,NY11378 13-5023480	DISTRIBUTOR OF PLUMBING & HEATING FIXT.	NY	N/A	S CORP
(68) COLUMBIA NUT & BOLT LLC 6065 PARKLAND BLVD MAYFIELD HEIGHTS,OH44124 11-3727316	WHOLESALE NUT & BOLT	OH	N/A	LLC
(69) CREST MANUFACTURING CO PO BOX 468 SYOSSET,NY11791 11-0655640	WHOLESALER FOR PLUMBING PARTS & SUPPLIES	NY	N/A	C CORP
(70) CORE-MARK MIDCONTINENT INC 100 WEST END ROAD HANOVER TOWNSHIP,PA18706 74-2354997	WHOLESALE DISTRIBUTION	PA	N/A	C CORP
(71) BIND RITE ROBBINSVILLE 1 APPLEGATE DRIVE ROBBINSVILLE,NJ08691 20-1729240	PRINTING	NJ	N/A	LLC
(72) CENTURY 21 MORRISTOWN NJ 1 NORTH PARK PLACE MORRISTOWN,NJ07960 13-4181705	RETAIL	NJ	N/A	S CORP
(73) CENTURY 21 NEW YORK 22 CORTLANDT ST NEW YORK,NY10007 13-4144073	RETAIL	NY	N/A	S CORP
(74) CENTURY 21 - LINCOLN CTR 1972 BROADWAY NEW YORK,NY10023 13-4144073	RETAIL	NY	N/A	S CORP
(75) CENTURY 21 SECAUCUS 70 ENTERPRISE AVENUE SECAUCUS,NJ07094 13-3969619	RETAIL	NJ	N/A	S CORP
(76) BRUCE SUPPLY CORP 8805 18TH AVE BROOKLYN,NY11214 11-2203017	PLUMBING & HEATING, SUPPLY DISTRIBUTION	NY	N/A	S CORP
(77) AMERICAN AUTO BODY SUPPLIES 153-27 BARCLAY AVE FLUSHING,NY11355 11-1713926	WHOLESALER - AUTO EQUIPMENT SUPPLIES	NY	N/A	C CORP
(78) A&F SUPPLY CORP 1000 SOUTH 2ND STREET HARRISON,NJ07029 11-0457730	DISTRIBUTION	NJ	N/A	S CORP

Schedule R (Form 990) 2011

Page 3

Part V

Transactions With Related Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35, 35A, or 36.)

Note. Complete line 1 if any entity is listed in Parts II, III or IV.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest (ii) annuities (iii) royalties (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .

b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

f Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

g Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

h Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

i Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .

j Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .

k Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .

l Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .

m Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .

Yes

n Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

o Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

p Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

q Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

r Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of other organization	(b) Transaction type(a-r)	(c) Amount involved	(d) Method of determining amount involved
(1)
(2)
(3)
(4)
(5)
(6)

Schedule R (Form 990) 2011

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 37.)

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2011

Page 5

Part VII

Supplemental Information

Complete this part to provide additional information for responses to questions on Schedule R (see instructions).

Identifier	Return Reference	Explanation

Additional Data

Software ID:	11000144
Software Version:	2011v1.5

1	Briefly describe the organization’s mission or most significant activities: TO PROVIDE HEALTH AND WELFARE BENEFITS TO MEMBERS
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a).....	3	6
4	Number of independent voting members of the governing body (Part VI, line 1b) ....	4	0
5	Total number of individuals employed in calendar year 2011 (Part V, line 2a) ...	5	13
6	Total number of volunteers (estimate if necessary) ....	6
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ..	7a	0
b	Net unrelated business taxable income from Form 990-T, line 34 ..	7b

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........		0
9	Program service revenue (Part VIII, line 2g) .........	20,445,327	21,061,841
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	282,011	665,548
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	4,473	23,611
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	20,731,811	21,751,000
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...		0
14	Benefits paid to or for members (Part IX, column (A), line 4).....	18,109,138	20,803,746
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	529,313	608,634
16a	Professional fundraising fees (Part IX, column (A), line 11e).....		0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24f)....	1,956,438	2,240,604
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	20,594,889	23,652,984
19	Revenue less expenses. Subtract line 18 from line 12.......	136,922	-1,901,984
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	12,187,131	10,966,238
21	Total liabilities (Part X, line 26).............	2,531,183	3,597,295
22	Net assets or fund balances. Subtract line 21 from line 20.....	9,655,948	7,368,943

Sign Here

	Signature of officer	Date

	Type or print name and title.


4a	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )
	CONTRIBUTIONS FROM EMPLOYERS AND PARTICIPANTS PROVIDE WELFARE BENEFITS TO MEMBERS OF THE PLAN.

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses$

(A) Name and Title	(B) Average hours per week (describe hours for related organizations in Schedule O)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)		(D) Reportable compensation from the organization (W- 2/1099-MISC)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and Title
(1) EUGENE SPIVAK EMPLOYERTRUSTEE	1.00	X		0	0	0
(2) STEVE HOWARD EMPLOYERTRUSTEE	1.00	X		0	0	0
(3) AGUEDA ARIAS UNION TRUSTEE	1.00	X		0	126,180	24,389
(4) AJAY BORZONI UNION TRUSTEE	1.00	X		0	90,497	37,296
(5) JEAN-JOSEPH BRUNY UNION TRUSTEE	10.00	X		0	348,626	28,349
(6) ROSALBA PEREZ - PENA FUND ADMIN	22.50		X	180,990	0	30,406

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	180,990	565,303	120,440

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512, 513, or 514
1a	Federated campaigns..1a
b	Membership dues....1b
c	Fundraising events....1c
d	Related organizations...1d
e	Government grants (contributions)1e

f	All other contributions, gifts, grants, and similar amounts not included above1f
g	Noncash contributions included in lines 1a-1f:$
h	Total. Add lines 1a-1f.......			0
			Business Code
2a	PARTICPANT CONTRIBUTIONS		900,099	138,529	138,529
b	EMPLOYER CONTRIBUTIONS		900,099	20,923,312	20,923,312
c
d
e
f	All other program service revenue .
g	Total. Add lines 2a–2f........			21,061,841
3	Investment income (including dividends, interest
	and other similar amounts).....			188,747			188,747
4	Income from investment of tax-exempt bond proceeds..			0
5	Royalties............			0
		(i) Real	(ii) Personal
6a	Gross rents
b	Less: rental expenses
c	Rental income or (loss)
d	Net rental income or (loss).......			0
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	2,102,481
b	Less: cost or other basis and sales expenses	1,625,680
c	Gain or (loss)	476,801
d	Net gain or (loss)..........			476,801	476,801
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from fundraising events..			0
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities...			0
10a	Gross sales of inventory, less returns and allowances .
	a
b	Less: cost of goods sold ..b
c	Net income or (loss) from sales of inventory..			0
Miscellaneous Revenue			Business Code
11a	MISCELLANEOUS INCOME		900,099	23,611	23,611
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			23,611
12	Total revenue. See Instructions....			21,751,000	21,562,253		188,747

Do not include amounts reported on lines 6b, 7b, 8b, 9b, and 10b of Part VIII.		(A) Total expenses	(B) Program service expenses	(C) Management and general expenses	(D) Fundraising expenses
1	Grants and other assistance to governments and organizations in the United States. See Part IV, line 21	0
2	Grants and other assistance to individuals in the United States. See Part IV, line 22	0
3	Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16	0
4	Benefits paid to or for members	20,803,746
5	Compensation of current officers, directors, trustees, and key employees ....	211,396
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	0
7	Other salaries and wages	219,888
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	38,033
9	Other employee benefits .......	98,735
10	Payroll taxes ...........	40,582
11	Fees for services (non-employees):
a	Management ......	0
b	Legal .........	238,173
c	Accounting ...........	54,699
d	Lobbying ...........	0
e	Professional fundraising. See Part IV, line 17..	0
f	Investment management fees ......	24,613
g	Other ..........	1,205,077
12	Advertising and promotion ....	0
13	Office expenses .......	19,346
14	Information technology ......	0
15	Royalties ..	0
16	Occupancy ...........	0
17	Travel ............	0
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......	0
19	Conferences, conventions, and meetings ....	16,407
20	Interest ...........	0
21	Payments to affiliates .......	0
22	Depreciation, depletion, and amortization .....	11,747
23	Insurance ..............	46,963
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24f. If line 24f amount exceeds 10% of line 25, column (A) amount, list line 24f expenses on Schedule O.)
a	LOSS FROM SALE OF VEHICLE	1,918
b	TELEPHONE	2,345
c	Postage and Shipping	5,889
d	REIMBURSED EXPENSES-AFFILIATE	613,427
e
f	All other expenses	0
25	Total functional expenses. Add lines 1 through 24f	23,652,984	0	0	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).


				(A) Beginning of year		(B) End of year
1	Cashnon-interest-bearing ..........			70,713	1	56,825
2	Savings and temporary cash investments .......			260,258	2	1,071,191
3	Pledges and grants receivable, net .........				3	0
4	Accounts receivable, net .........			1,819,322	4	1,967,161
5	Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
	Schedule L ..........				5	0
6	Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
	Schedule L ..........				6	0
7	Notes and loans receivable, net .............				7	0
8	Inventories for sale or use ..............				8	0
9	Prepaid expenses and deferred charges ............			21,947	9	24,130
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	87,067
b	Less: accumulated depreciation. .....	10b	20,198	40,499	10c	66,869
11	Investments—publicly traded securities ..........			9,909,514	11	6,869,681
12	Investments—other securities. See Part IV, line 11 ......				12	660,000
13	Investments—program-related. See Part IV, line 11 ..				13	0
14	Intangible assets .........				14	0
15	Other assets. See Part IV, line 11 ...........			64,878	15	250,381
16	Total assets. Add lines 1 through 15 (must equal line 34)...			12,187,131	16	10,966,238
17	Accounts payable and accrued expenses .			366,676	17	69,897
18	Grants payable ..........				18
19	Deferred revenue ..........				19
20	Tax-exempt bond liabilities ..........				20
21	Escrow or custodial account liability. Complete Part IV of Schedule D..				21
22	Payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........				22
23	Secured mortgages and notes payable to unrelated third parties ..				23
24	Unsecured notes and loans payable to unrelated third parties ....				24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D.....			2,164,507	25	3,527,398
26	Total liabilities. Add lines 17 through 25.....			2,531,183	26	3,597,295
	Organizations that follow SFAS 117, check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets .....				27
28	Temporarily restricted net assets .....				28
29	Permanently restricted net assets .....				29
	Organizations that do not follow SFAS 117, check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....				30
31	Paid-in or capital surplus, or land, building or equipment fund .....				31
32	Retained earnings, endowment, accumulated income, or other funds			9,655,948	32	7,368,943
33	Total net assets or fund balances .....			9,655,948	33	7,368,943
34	Total liabilities and net assets/fund balances .....			12,187,131	34	10,966,238