401k Plan data: NORTHWEST OHIO UFCW UNION AND EMPLOYERS JOINT PENSION FUND plan

NORTHWEST OHIO UFCW UNION AND EMPLOYERS JOINT PENSION FUND 401k Plan overview

Plan Name	NORTHWEST OHIO UFCW UNION AND EMPLOYERS JOINT PENSION FUND
Plan identification number	001

NORTHWEST OHIO UFCW UNION AND EMPLOYERS JOINT PENSION FUND Benefits

401k Plan Type	Defined Benefit Pension
Plan Features/Benefits	Benefits are primarily flat dollar (includes dollars per year of service) Covered by PBGC - Plan is covered under the PBGC insurance program (see ERISA section 4021).

401k Sponsoring company profile

TRUSTEES OF NORTHWEST OHIO UFCW UNION AND EMPLOYERS JOINT PENSION FUND has sponsored the creation of one or more 401k plans.

Company Name: TRUSTEES OF NORTHWEST OHIO UFCW UNION AND EMPLOYERS JOINT PENSION FUND

Employer identification number (EIN): 340947187

NAIC Classification: 445110
NAIC Description: Supermarkets and Other Grocery (except Convenience) Stores

Form 5500 Filing Information

Submission information for form 5500 for 401k plan NORTHWEST OHIO UFCW UNION AND EMPLOYERS JOINT PENSION FUND

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2011-01-01 GUSTAVO RIVEIRA, CPA
001 2010-01-01 LENNIE WYATT
001 2009-01-01 GUSTAVO RIVEIRA, CPA

Plan id#	Filing Submission Date	Name of Administrator
001	2011-01-01	GUSTAVO RIVEIRA, CPA
001	2010-01-01	LENNIE WYATT
001	2009-01-01	GUSTAVO RIVEIRA, CPA

Plan Statistics for NORTHWEST OHIO UFCW UNION AND EMPLOYERS JOINT PENSION FUND

401k plan membership statisitcs for NORTHWEST OHIO UFCW UNION AND EMPLOYERS JOINT PENSION FUND

Measure Date Value
2011: NORTHWEST OHIO UFCW UNION AND EMPLOYERS JOINT PENSION FUND 2011 401k membership
Total participants, beginning-of-year 2011-01-01 6,409
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 1,938
Number of retired or separated participants receiving benefits 2011-01-01 1,493
Number of other retired or separated participants entitled to future benefits 2011-01-01 2,902
Total of all active and inactive participants 2011-01-01 6,333
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 136
Total participants 2011-01-01 6,469
Number of employers contributing to the scheme 2011-01-01 7
2010: NORTHWEST OHIO UFCW UNION AND EMPLOYERS JOINT PENSION FUND 2010 401k membership
Total participants, beginning-of-year 2010-01-01 6,302
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 1,976
Number of retired or separated participants receiving benefits 2010-01-01 1,414
Number of other retired or separated participants entitled to future benefits 2010-01-01 2,902
Total of all active and inactive participants 2010-01-01 6,292
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 117
Total participants 2010-01-01 6,409
Number of employers contributing to the scheme 2010-01-01 6
2009: NORTHWEST OHIO UFCW UNION AND EMPLOYERS JOINT PENSION FUND 2009 401k membership
Total participants, beginning-of-year 2009-01-01 6,565
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 1,956
Number of retired or separated participants receiving benefits 2009-01-01 1,358
Number of other retired or separated participants entitled to future benefits 2009-01-01 2,881
Total of all active and inactive participants 2009-01-01 6,195
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 107
Total participants 2009-01-01 6,302
Number of employers contributing to the scheme 2009-01-01 9

Measure	Date	Value
2011: NORTHWEST OHIO UFCW UNION AND EMPLOYERS JOINT PENSION FUND 2011 401k membership
Total participants, beginning-of-year	2011-01-01	6,409
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	1,938
Number of retired or separated participants receiving benefits	2011-01-01	1,493
Number of other retired or separated participants entitled to future benefits	2011-01-01	2,902
Total of all active and inactive participants	2011-01-01	6,333
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	136
Total participants	2011-01-01	6,469
Number of employers contributing to the scheme	2011-01-01	7
2010: NORTHWEST OHIO UFCW UNION AND EMPLOYERS JOINT PENSION FUND 2010 401k membership
Total participants, beginning-of-year	2010-01-01	6,302
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	1,976
Number of retired or separated participants receiving benefits	2010-01-01	1,414
Number of other retired or separated participants entitled to future benefits	2010-01-01	2,902
Total of all active and inactive participants	2010-01-01	6,292
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	117
Total participants	2010-01-01	6,409
Number of employers contributing to the scheme	2010-01-01	6
2009: NORTHWEST OHIO UFCW UNION AND EMPLOYERS JOINT PENSION FUND 2009 401k membership
Total participants, beginning-of-year	2009-01-01	6,565
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	1,956
Number of retired or separated participants receiving benefits	2009-01-01	1,358
Number of other retired or separated participants entitled to future benefits	2009-01-01	2,881
Total of all active and inactive participants	2009-01-01	6,195
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	107
Total participants	2009-01-01	6,302
Number of employers contributing to the scheme	2009-01-01	9

Financial Data on NORTHWEST OHIO UFCW UNION AND EMPLOYERS JOINT PENSION FUND

Measure	Date	Value
2011 : NORTHWEST OHIO UFCW UNION AND EMPLOYERS JOINT PENSION FUND 2011 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2011-12-31	$-46,332
Total unrealized appreciation/depreciation of assets	2011-12-31	$-46,332
Total transfer of assets from this plan	2011-12-31	$99,543,141
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$264,157
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$193,649
Total income from all sources (including contributions)	2011-12-31	$2,486,268
Total loss/gain on sale of assets	2011-12-31	$1,986,502
Total of all expenses incurred	2011-12-31	$8,312,866
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$7,205,822
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$2,510,910
Value of total assets at end of year	2011-12-31	$99,807,298
Value of total assets at beginning of year	2011-12-31	$105,563,388
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$1,107,044
Total interest from all sources	2011-12-31	$404,178
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$1,729,282
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	Yes
Total dividends received from registered investment company shares (eg mutual funds)	2011-12-31	$1,699,458
Administrative expenses professional fees incurred	2011-12-31	$264,968
Assets. Corporate prefeered stocks other than exployer securities at beginning of year	2011-12-31	$58,700
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$1,000,000
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Value of other receiveables (less allowance for doubtful accounts) at end of year	2011-12-31	$54,689
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2011-12-31	$560,049
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2011-12-31	$76,897
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2011-12-31	$86,177
Other income not declared elsewhere	2011-12-31	$53,908
Administrative expenses (other) incurred	2011-12-31	$170,906
Liabilities. Value of operating payables at end of year	2011-12-31	$187,260
Liabilities. Value of operating payables at beginning of year	2011-12-31	$107,472
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Value of net income/loss	2011-12-31	$-5,826,598
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$99,543,141
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$105,369,739
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-12-31	No
Were any leases to which the plan was party in default or uncollectible	2011-12-31	No
Assets. partnership/joint venture interests at end of year	2011-12-31	$11,724,449
Investment advisory and management fees	2011-12-31	$498,670
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-12-31	$23,132,593
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$24,724,433
Interest earned on other investments	2011-12-31	$299,326
Income. Interest from US Government securities	2011-12-31	$29,609
Income. Interest from corporate debt instruments	2011-12-31	$74,422
Value of interest in common/collective trusts at end of year	2011-12-31	$63,673,101
Value of interest in common/collective trusts at beginning of year	2011-12-31	$44,613,945
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2011-12-31	$954,719
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2011-12-31	$1,357,907
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2011-12-31	$1,357,907
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2011-12-31	$821
Assets. Value of investments in 103.12 investment entities at beginning of year	2011-12-31	$6,627,662
Asset value of US Government securities at beginning of year	2011-12-31	$5,115,664
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-346,382
Net investment gain or loss from common/collective trusts	2011-12-31	$-3,805,798
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2011-12-31	No
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Contributions received in cash from employer	2011-12-31	$2,510,910
Employer contributions (assets) at end of year	2011-12-31	$267,747
Employer contributions (assets) at beginning of year	2011-12-31	$192,360
Income. Dividends from common stock	2011-12-31	$29,824
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$7,205,822
Asset. Corporate debt instrument debt (other) at beginning of year	2011-12-31	$7,526,420
Contract administrator fees	2011-12-31	$172,500
Assets. Corporate common stocks other than exployer securities at beginning of year	2011-12-31	$14,786,248
Did the plan have assets held for investment	2011-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-12-31	No
Aggregate proceeds on sale of assets	2011-12-31	$93,773,496
Aggregate carrying amount (costs) on sale of assets	2011-12-31	$91,786,994
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-12-31	No
Opinion of an independent qualified public accountant for this plan	2011-12-31	Unqualified
Accountancy firm name	2011-12-31	LAPADULA, CARLSON CO.
Accountancy firm EIN	2011-12-31	650292391
2010 : NORTHWEST OHIO UFCW UNION AND EMPLOYERS JOINT PENSION FUND 2010 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2010-12-31	$2,881,810
Total unrealized appreciation/depreciation of assets	2010-12-31	$2,881,810
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$193,649
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$314,997
Total income from all sources (including contributions)	2010-12-31	$15,367,661
Total loss/gain on sale of assets	2010-12-31	$49,486
Total of all expenses incurred	2010-12-31	$7,884,729
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$6,730,818
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$2,364,901
Value of total assets at end of year	2010-12-31	$105,563,388
Value of total assets at beginning of year	2010-12-31	$98,201,804
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$1,153,911
Total interest from all sources	2010-12-31	$609,552
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$1,113,909
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2010-12-31	$981,282
Administrative expenses professional fees incurred	2010-12-31	$218,003
Assets. Corporate prefeered stocks other than exployer securities at end of year	2010-12-31	$58,700
Assets. Corporate prefeered stocks other than exployer securities at beginning of year	2010-12-31	$77,756
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$1,000,000
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Value of other receiveables (less allowance for doubtful accounts) at end of year	2010-12-31	$560,049
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2010-12-31	$187,987
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2010-12-31	$86,177
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2010-12-31	$196,790
Other income not declared elsewhere	2010-12-31	$7,382
Administrative expenses (other) incurred	2010-12-31	$175,689
Liabilities. Value of operating payables at end of year	2010-12-31	$107,472
Liabilities. Value of operating payables at beginning of year	2010-12-31	$118,207
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Value of net income/loss	2010-12-31	$7,482,932
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$105,369,739
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$97,886,807
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2010-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2010-12-31	No
Were any leases to which the plan was party in default or uncollectible	2010-12-31	No
Investment advisory and management fees	2010-12-31	$620,600
Value of interest in registered invesment companies (eg mutual funds) at end of year	2010-12-31	$24,724,433
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$24,726,345
Income. Interest from US Government securities	2010-12-31	$175,200
Income. Interest from corporate debt instruments	2010-12-31	$433,523
Value of interest in common/collective trusts at end of year	2010-12-31	$44,613,945
Value of interest in common/collective trusts at beginning of year	2010-12-31	$40,877,276
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2010-12-31	$1,357,907
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2010-12-31	$1,592,303
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2010-12-31	$1,592,303
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2010-12-31	$829
Assets. Value of investments in 103.12 investment entities at end of year	2010-12-31	$6,627,662
Assets. Value of investments in 103.12 investment entities at beginning of year	2010-12-31	$6,225,061
Asset value of US Government securities at end of year	2010-12-31	$5,115,664
Asset value of US Government securities at beginning of year	2010-12-31	$4,378,420
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$1,560,614
Net investment gain or loss from common/collective trusts	2010-12-31	$6,325,675
Net gain/loss from 103.12 investment entities	2010-12-31	$454,332
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2010-12-31	No
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Contributions received in cash from employer	2010-12-31	$2,364,901
Employer contributions (assets) at end of year	2010-12-31	$192,360
Employer contributions (assets) at beginning of year	2010-12-31	$162,118
Income. Dividends from common stock	2010-12-31	$132,627
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$6,730,818
Asset. Corporate debt instrument debt (other) at end of year	2010-12-31	$7,526,420
Asset. Corporate debt instrument debt (other) at beginning of year	2010-12-31	$7,232,887
Contract administrator fees	2010-12-31	$139,619
Assets. Corporate common stocks other than exployer securities at end of year	2010-12-31	$14,786,248
Assets. Corporate common stocks other than exployer securities at beginning of year	2010-12-31	$12,741,651
Did the plan have assets held for investment	2010-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2010-12-31	No
Aggregate proceeds on sale of assets	2010-12-31	$59,270,757
Aggregate carrying amount (costs) on sale of assets	2010-12-31	$59,221,271
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2010-12-31	No
Opinion of an independent qualified public accountant for this plan	2010-12-31	Unqualified
Accountancy firm name	2010-12-31	LAPADULA, CARLSON CO. CPA'S
Accountancy firm EIN	2010-12-31	650292391
2009 : NORTHWEST OHIO UFCW UNION AND EMPLOYERS JOINT PENSION FUND 2009 401k financial data
Aggregate amount of withdrawal liability assessed or estimated to be assessed against such withdrawn employers	2009-12-31	49921

Form 5500 Responses for NORTHWEST OHIO UFCW UNION AND EMPLOYERS JOINT PENSION FUND

2011: NORTHWEST OHIO UFCW UNION AND EMPLOYERS JOINT PENSION FUND 2011 form 5500 responses
2011-01-01	Type of plan entity	Multi-employer plan
2011-01-01	Submission has been amended	Yes
2011-01-01	This submission is the final filing	Yes
2011-01-01	Plan is a collectively bargained plan	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2010: NORTHWEST OHIO UFCW UNION AND EMPLOYERS JOINT PENSION FUND 2010 form 5500 responses
2010-01-01	Type of plan entity	Multi-employer plan
2010-01-01	Plan is a collectively bargained plan	Yes
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: NORTHWEST OHIO UFCW UNION AND EMPLOYERS JOINT PENSION FUND 2009 form 5500 responses
2009-01-01	Type of plan entity	Multi-employer plan
2009-01-01	Plan is a collectively bargained plan	Yes
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	TRUSTEES OF NORTHWEST OHIO UFCW UNION AND EMPLOYERS JOINT PENSION FUND
Employer identification number (EIN):	340947187
NAIC Classification:	445110
NAIC Description:	Supermarkets and Other Grocery (except Convenience) Stores