2025-11-06T08:13:12-05:00 2024-12-31 411619880 Betts & Hayes Ltd 801 Meander Court Medina MN 55340 990 2024-01-01 416027254 Twin Cities Bakery Drivers H & W Fund % Michael DeBuck TWIN 2919 Eagandale Blvd STE 120 Eagan MN 55121 MICHAEL DEBUCK Chair 2025-10-24 true true CINDY K HAYES CPA P01251233 7634783169 2025-11-06 2024 2025-03-06 01:10:19Z 26484873 false X X 1955 MN Provide hospital, medical, disability, dental, death and pharmaceutical benefits to members 7 7 58 0 0 0 22096859 21828824 832524 1304685 0 22929383 23133509 0 16817815 20189264 101171 98727 0 0 1215551 1266196 18134537 21554187 4794846 1579322 35753431 37810580 3343898 3640385 32409533 34170195 Provide hospital, medical, disability, dental, death and pharmaceutical benefits to members false false 21554187 Health and welfare benefits for participants - all participants are covered for services 21554187 false false false false false false false false true false false false false false true false false false false false false false false false false false false false false false false false false false false false false false false true false false false true 250 0 true 58 true false false false false false false false false X 7 7 false false false false false false false true true false false true true true true true true false false false X Formula Corporation 6516867705 2919 Eagandale Blvd Suite 120 Eagan MN 55121 X Robert Fritsch Alternate Trustee 1.00 0.00 X 0 1 0 Lyndon Johnson Trustee 1.00 0.00 X 0 1 0 Tom Marrier Trustee 1.00 0.00 X 0 1 0 Mike DeBuck Chair 1.00 0.00 X X 0 1 0 Ewa Kaszuba Trustee 1.00 0.00 X 0 0 0 Mindy Moeller Trustee 1.00 0.00 X 0 0 0 Nathanial Cochrane Trustee 1.00 0.00 X 0 0 0 Trace Benson Secretary 1.00 0.00 X X 0 0 0 0 4 0 0 false false false Formula Corporation 2919 Eagandale Boulevard Eagan MN 55121 Adminclaims proc 372509 BCBSMN Inc PO Box 64668 Saint Paul MN 55164 Program access fee 578718 2 Employer Contribution 525100 21754718 21754718 Cobra Contributions 525100 63546 63546 Retiree Contribution 525100 10560 10560 21828824 1270044 1270044 3386005 3351364 34641 34641 34641 0 23133509 23133509 0 0 20189264 20189264 37917 37917 33383 33383 24432 24432 2995 2995 55690 55690 59088 59088 18061 18061 66419 66419 21155 21155 4084 4084 Claims processing fees 323960 323960 Program access fees 578718 578718 Contract administration 51653 51653 Dues and fees 7291 7291 80077 80077 21554187 21554187 0 0 20336401 20308030 2059937 1454280 953204 3134855 17119 17119 12403889 12913415 35753431 37810580 3343898 3640385 3343898 3640385 X 32409533 34170195 32409533 34170195 35753431 37810580 X 1579322 181340 0 X false true X true false 17119 17119 23314849 181340 181340 23133509 23133509 21489187 21489187 65000 65000 21554187 Part XII, Line 4b-Other expenses not included on Sch D but on 990 Increase in claims incurred but not reported $65,000 Form 990 governing body review Part VI line 11 Draft of the 990 Form is distributed to the trustees for review prior to filing, either by e-mail or at a quarterly trustees meeting. Once the Form has been approved by the Board of Trustees, it will be submitted to the IRS. Conflict of interest policy compliance Part VI line 12c The conflict of interest policy requires that trustees discuss with other trustees and Fund counsel situations which present the potential for affecting the ability to make unbiased and objective decisions. If it is determined that a conflict does exist, trustee refrains from participating in the decision. Governing documents etc available to public Part VI line 19 No documents available to the public Explanation of other changes in net assets or fund balances Part XI line 9 Unrealized loss on investments Estimate of average hours per week devoted to related organizations Part VII Col B PART VII, COLUMNS B, E & F DATA FOR APPLICABLE TRUSTEES (IDENTIFIED WITH A NOMINAL $1 COMPENSATION IN COL. E, NOT INTENDED TO BE THE ACTUAL RELATED ORGANIZATIONS REPORTABLE COMPENSATION) FOR RELATED ORGANIZATIONS REPORTABLE HOURS (COL. B), RELATED ORGANIZATIONS REPORTABLE COMPENSATION ACTUALLY RECEIVED (COL E.) AND RELATED ORGANIZATIONS REPORTABLE OTHER COMPENSATION ACTUALLY RECEIVED (COL. F) FROM RELATED ORGANIZATIONS ARE REPORTED ON PUBLICLY FILED REPORTS AND FORMS FILED BY THE APPLICABLE RELATED ORGANIZATION,IDENTIFIED AS FOLLOWS: TEAMSTERS LOCAL 289 - FORM LM-2 FILE NO. 037-328 TEAMSTERS LOCAL 471 - FORM LM-2 FILE NO. 007-884 Teamsters Local Union No 289 N/A Teamsters Local Union No 471 N/A Kemps LLC N/A false false 0.00000 Aramark Corporation N/A 0.00000 Browns Ice Cream Co Inc N/A 0.00000 Dairy Farmers of America Inc N/A 0.00000 MN Specialty Yeast LLC N/A 0.00000 First District Association N/A 0.00000 Cintas Corporation N/A 0.00000 MA Gedney Inc N/A 0.00000 Mondelez International Inc N/A 0.00000 Old Dutch Foods Inc N/A 0.00000 Pan-O-Gold Baking Co N/A 0.00000 SICO America Inc N/A 0.00000 Bimbo Bakeries USA Inc N/A 0.00000 Centerline Drivers LLC N/A 0.00000 CH Guenther & Son Inc N/A 0.00000 American Bottling CompanyMotts LLP N/A 0.00000