2022-11-14T16:36:31-06:00 2021-12-31 WITHUMSMITHBROWNPC 5000 EXECUTIVE PARKWAY STE 400 SAN RAMON CA 94583 990 2021-01-01 946138741 WELFARE FUND LOCAL NO 16 IATSE % BENESYS ADMINISTRATORS WELF 9252089999 7180 KOLL CENTER PARKWAY Suite 200 PLEASANTON CA 94566 JAMES BEAUMONTE TRUSTEE 9252089999 2022-11-10 true JAMES BEAUMONTE 999009999 JASMINE S BAKER P01452246 9252779100 2022-11-14 2021 2022-09-23 18:48:47Z JAMES BEAUMONTE 7180 KOLL CENTER PARKWAY200 PLEASANTON CA 94566 14251056 false X www.local16.org X 1965 CA TO PROVIDE HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS 8 0 0 0 0 0 9857709 10077063 254592 1292640 0 0 10112301 11369703 0 0 12245153 8726415 0 0 0 0 0 794831 681237 13039984 9407652 -2927683 1962051 10149067 11346983 1509057 1581493 8640010 9765490 TO PROVIDE HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS. false false PROVIDED HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS. false false false false false false false false false false true false false true true 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 true 593 0 true 0 false false false false false false false false X 8 0 false true false false false false false true true false false true true true true true true false false false X BENESYS ADMINISTRATORS 9252089999 7180 KOLL CENTER PARKWAY PLEASANTON CA 94566 X GREG HOLLAND TRUSTEE - PAST 1.0 0.0 X 0 0 0 DEBRA BERNARD TRUSTEE - PAST 1.0 0.0 X 0 0 0 JAMES BEAUMONTE TRUSTEE 1.0 0.0 X 0 0 0 STEVE LUTGE TRUSTEE 1.0 0.0 X 0 0 0 SCOTT A HOUGHTON Trustee 1.0 0.0 X 0 0 0 KENNETH RYAN TRUSTEE 1.0 0.0 X 0 0 0 LANCE HUGHSTON JR TRUSTEE 1.0 0.0 X 0 0 0 BOB SAUTER TRUSTEE 1.0 0.0 X 0 0 0 MARY CONDE TRUSTEE 1.0 0.0 X 0 0 0 See Sched O for Compensation Paid by related organizations 0.0 0.0 X 0 0 0 0 0 0 0 false false false BENESYS 7180 KOLL CENTER PKWY STE 200 PLEASANTON CA 94566 THIRD PARTY ADM 300108 1 0 Participant contributions 711110 1143200 1143200 Employer Contributions 711110 6530692 6530692 COBRA SUBSIDY 711110 1713720 1713720 Prescription rebates 711110 118957 118957 Stop loss reimbursements 711110 577704 577704 -7210 -7210 10077063 242049 242049 0 0 0 0 0 3931944 2881353 1050591 1050591 1050591 0 0 0 0 0 0 0 0 0 0 11369703 10077063 1292640 0 0 0 8726415 0 0 0 0 0 0 297163 29951 61999 0 0 12694 168260 0 87555 0 0 0 0 0 1253 0 0 0 22362 9407652 592376 3030635 0 0 0 0 1213655 2213107 0 0 0 0 0 0 0 0 16408 18249 0 0 7009891 5425131 1316737 659861 0 0 0 0 0 0 10149067 11346983 1188057 1160663 0 0 0 0 0 0 0 0 0 0 0 0 0 0 321000 420830 1509057 1581493 X 0 0 0 0 8640010 9765490 8640010 9765490 10149067 11346983 1962051 -836571 X X false true X true false COMMON COLLECTIVE TRUST 659861 F 659861 0 ACCUMULATED ELIGIBILITY CREDITS 420830 420830 10520438 -836571 -836571 11357009 12694 12694 11369703 9351628 9351628 12694 43330 56024 9407652 PART X, LINE 2 THE PLAN'S ADMINISTRATOR HAS ANALYZED THE TAX POSITIONS TAKEN BY THE PLAN AND HAS CONCLUDED THAT, AS OF DECEMBER 31, 2021, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY THE TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. THE PLAN'S ADMINISTRATOR BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR THE YEARS PRIOR TO 2018. PART XII, LINE 4B - OTHER ADJUSTMENTS: CHANGE IN BENEFIT OBLIGATIONS FORM 990, PART VI, SECTION A, LINE 3: THE TRUST HAS CONTRACTED WITH BENESYS ADMINISTRATORS TO PROVIDE ADMINISTRATIVE SERVICES FOR THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 11B: A COPY OF THE 990 IS PROVIDED TO THE BOARD OF TRUSTEES FOR APPROVAL PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C: THE ORGANIZATION CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT-OF-INTEREST POLICY BY COMPLYING WITH ALL APPLICABLE PROVISIONS OF ERISA, INCLUDING PARTY-IN-INTEREST AND CONFLICT-OF-INTEREST PROVISIONS OF ERISA SECTION 406. ANY CONFLICTS OR POTENTIAL CONFLICTS ARE REPORTABLE TO THE CHAIRMAN OF THE BOARD OF TRUSTEES AND LEGAL COUNSEL FOR THE PLAN. FORM 990, PART VI, SECTION C, LINE 19: THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT-OF-INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VII, SECTION A, LINE 1A TRUSTEES ARE NOT COMPENSATED BY THE TRUST. COMPENSATION PAID TO TRUSTEES EMPLOYED BY OTHER RELATED ORGANIZATIONS IS REPORTED ON THE FORM 990 FILED WITH THE INTERNAL REVENUE SERVICE BY THE RELATED TAX-EXEMPT ORGANIZATION. IF YOU WOULD LIKE ADDITIONAL INFORMATION, PLEASE CONTACT THE THIRD PARTY ADMINISTRATOR, BENESYS, INC. FORM 990, PART XII, LINE 2C: THE ORGANIZATION HAS A BOARD OF TRUSTEES THAT ASSUMES RESPONSIBILTY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED. IATSE Local 16 Pension PLAN 240 2ND STREET SAN FRANCISCO CA 94105 946296420 PENSION PLAN CA 501(A) N/A NA false international alliance of theatrical sta 240 2ND STREET sAN FRANCISCO CA 94105 940921920 LOCAL UNION CA 501(c)(5) N/A NA false false false false false false false false false false false false false false true false false false false false SCHEDULE R, IDENTIFICATION OF RELATED ORGANIZATIONS THE FILING ORGANIZATION IS A TAFT-HARTLEY MULTIEMPLOYER TRUST THAT PROVIDES HEALTH AND WELFARE BENEFITS TO ELIGIBLE EMPLOYEES AND THEIR DEPENDENTS. AS OF DECEMBER 31, 2021, THERE ARE APPROXIMATELY 175 EMPLOYERS THAT CONTRIBUTE TO THE TRUST. THE ADMINISTRATIVE OFFICE MAINTAINS A DATABASE OF THESE CONTRIBUTING EMPLOYERS, INCLUDING NAMES, ADDRESSES AND OTHER CONTACT INFORMATION. THE FEDERAL TAX CLASSIFICATION (DISREGARDED ENTITY, TAX EXEMPT ORANIZATION, PARTNERSHIP, TAXABLE CORPORATION OR TRUST) FOR EACH CONTRIBUTING EMPLOYER IS NOT ON FILE WITH THE ADMINISTRATIVE OFFICE AND IT COULD NOT BE REASONABLY OBTAINED. AS A RESULT THE NAMES OF THE CONTRIBUTING EMPLOYERS ARE LISTED ON PART VII BELOW AND NOT ON PARTS II THROUGH IV BY FEDERAL TAX CLASSIFICATION. 1540 PRODUCTIONS/ CONCEPT SERVICES 1st AVENUE MACHINE/ MEDIA SVC PROCESSING 32TEN STUDIOS / CAPS ACME SCENERY COMPANY AL MEDIA fka ADELSTEIN LISTON/ EXTREME REACH ALFORD MEDIA SERVICE/iSLAND CREATIVE AMBASSADOR THEATRE GROUP NORTH AMERICA LLC AMERICAN CONSERVATORY THEATER ANDERSON AV RENTALS/THE TALENT FUND ANOTHER PLANET ENTER/TALENT FUND APPLE STUDIOS LLC/ "MADELINE"/ EP ATL ( Academy Theatrical Lighting) EVENTS AV DIMENSIONS/THE TALENT FUND AV IMAGES/ ISLAND CREATIVE AVFX/Talent Fund BBI ENGINEERING, INC. BGCA MANAGEMENT LLC/ THE TALENT FUND BIG INDIE KNIVES/ C & C BISCUIT FILMWORKS LLC/CAPS BLACKPOINT PRODUCTIONS BOB INDUSTRIES/CAPS BRAIN TRUST/ MEDIA SERVICES BRAND NEW SCHOOL/CAPS BRIDE LAKE PRODS, LLC/ STRANGER THINGS 4/ C&C BROADWAY SAN FRANCISCO (SHN) BROWN AUDIO VISUAL SVCS / HOLZMUELLER BULLITT LLC / CAPS CAST AND CREW CHASE CENTER- GSW ARENA LLC CHELSEA PICTURES CITY ARTS & LECTURES CITY ARTS/THE TALENT FUND CITY BALLET SCHOOL, LLC/PATSEL, KENNETH CITY GRAPHICS SOLUTION/ THE TALENT FUND CLIFF TRAIMAN CINEMATOGRAPHY INC/ THE TALENT FUND CMS PROD - CORP MGMT SOL/ CAPS CMS PROD/ CORP MGMT SOL/ MEDIA SVC CMS PROD/LESSONS / MEDIA SVC PROCESS COAST TO COAST PRODUCTION SUPPORT/ UTP COMMUNITY FILMS/ CAPS CONCEPT SERVICES INC - PAYROLL COMPANY CONCEPT SERVICES LLC CONVEYANCE MEDIA fka SHOULDER HIGH/ TALENT FUND COW PALACE/#1A DIST AGRI ASSN CREATIVE TECHNOLOGY GROUP/DBA AVTS DIVERSIFIED STAGE DONE AND DUSTED MEDIA INC./ QUANTUM PYRL SVCS DOOMSDAY ENTERTAINMENT/CAPS DTC GRIP & ELECTRIC, INC. DTC GRIP & ELECTRIC, INC. EAGLE ELEVEN/ MEDIA SVCS PROCESSING ED HOEHN ENTERPRISES INC/ THE TALENT FUND EMPLOYEE LEASING SOLUTIONS INC/TEAM ENCORE EVENT TECHNOLOGIES INC FKA AVT EVENT ENCORE/ AUDIO VISUAL SERVICES ENVIRO ENGINEERING/CONCEPT SVCS EPOCH FILMS/CAPS EVENT TECHNOLOGY SERVICES/ UTP EXTREME REACH TALENT, INC (CMC CREW SVCS) FORT MASON CENTER FRAMESTORE PICTURES/ CAPS FREEMAN AUDIO VISUAL SOLUTIONS INC. FREEMAN DECORATING COMPANY FRONTRUNNER PROD/ UNION PAYROLL FURLINED LLC/CAPS UNIVERSAL GES - Global Experience Specialists, Inc. GOT LIGHT/ ISLAND CREATIVE GREYHOUND EXPO SVCS / GES HARTMANN STUDIOS, INC. HBO / C&C HBO COMEDY 1/2 HOURS-2/HBO/EP HBO/ E.P. HOLZMUELLER CORPORATION HONOR SOCIETY FILMS LLC/ CAPS HUGHSTON ENGINEERING HUNGRY MAN INC/CAPS HYATT REGENCY BURLINGAME/ TALENT FUND IDEAS SPECIAL EVENTS CO. INFINITE MDIA/ CAPS ISLAND CREATIVE MANAGEMENT JAB II, LLC JCD ATMOSPHERICS, INC/CONCEPT SERVICES INC JOHN HALLORAN ASSOCIATES LLC KALEIDOSCOPE PRODUCTIONS KALEIDOSCOPE PRODUCTIONS LABOR BOSS / EXTREME REACH LABOR RESOURCE MANAGEMENT INC. LATITUDE 38 ENTERTAINMENT LLC/CAPS LESSONS X/ MEDIA SERVICES LIVE BOX DIGITAL LLC./UTP PRODUCTIONS LIVE NATION LIVE NATION/ FILLMORE LIVE NATION/ MASONIC LOCAL 16 FOR EMPLOYEES (COMMERCIAL) LOVEBOAT INC/ CAPS LUMENS/THE TALENT FUND LUTHER BURBANK CENTER FOR THE ARTS MARX PRODUCTIONS INC/ UNION PAYROLL MC CUNE AUDIO VISUAL/SHEPARD AV MINIM PROD/ "ITS ALWAYS SUNNY IN PHILADELPHIA"/ EP MINTED CONTENT/ CAPS MORTON JANKEL ZANDER/ MEDIA SVCS PROCESSING MOXIE PICTURES INC/CAPS UNIVERSAL MUSE MEDIA CENTER, INC. MUSSON THEATRICAL NATIVE CONTENT/ CAPS NETFLIX PRODS LLC 'ECHOES'/ EP NEW YORK CITY DANCE ALLIANCE/ UTP PROD NUTS & BOLTS PRODUCTION LLC/GREENSLATE OAKLAND AUDIO VISUAL/ISLAND CREATIVE OAKLAND AUDIO-VISUAL SERVICE, INC. ONE HAT ONE HAND/ CONCEPT SVCS OUTERLANDS PRODUCTIONS/ "GOODBYE MR. CHIPS"/ MEDIA OXBOW Riverstage LLC/ TALENT FUND PALACE FINE ARTS LEAGUE, INC. PARAMOUNT PICTURES/C&C PARK PICTURES LLC/CAPS PICROW INC/ MEDIA SVC PROCESSING PRESENTATION SERVICES PRESIDIO THEATRE PRETTYBIRD/CAPS PRO HOME SYSTEMS PRODUCTION INNOVATIONS/ UTP PRODUCTION SUPPORT SERVICES PROJECTION PRESENTATION TEC PULSE COMMERICIALS LLC/CAPS PURPLE TALLY PRODUCTIONS PYM PARTICLES PRODUCTIONS II, LLC/C&C QURIOSITY PRODUCTIONS/ MEDIA SERVICES RADICAL MEDIA/CAPS REVIVAL FILM / CAPS REVIVAL FILM/ MEDIA SVCS PROCESSING RIVERVIEW SYSTEMS GROUP ROCKET SCIENCE RSA USA, INC./CAPS SANDALS PRODS LLC/ EP SANTA ROSA SYMPHONY SCENIC DRIVE / CAPS SF BALLET ASSOCIATION SF OPERA ASSOCIATION SF PERFORMING ARTS CENTER SF SYMPHONY ASSOCIATION SHEPARD EXPOSITION SERVICES/ MC CUNE AUDIO/VIDEO SHOTGUN WEDDING/ E. PARTNERS SHOWTIME PICTURES DEVELOPMENT/EP SILVER FOX PROD LLC/ TALENT PAYMASTERS SMART SOURCE RENTALS/ THE TALENT FUND SMG FACILITY SERVICES LLC SOUND IMAGE PROD/ISLAND CREATIVE SOUND ON STAGE, INC. SPARE PARTS, INC./EP STAGE CALL, INC. STAGING SERVICES, INC. STANDARD PARTY RENTALS STARVOX ENTERTAINMENT/ CONCEPT SUPERPRIME dba WORKHOUSE Worldwide/ Revolution SUPPLY & DEMAND/CAPS TAYLOR STREET PRODUCTION/ TALENT FUND Test Contractor THE TALENT FUND THEATRICAL RESOURCES/C&C THIRD EAR SOUND CO/THE TALENT FUND TOOL OF NO AMERICA/CAPS TREASURER COUNTY OF MARIN TWILIGHT DESIGN/THE TALEN FUND TWNTIETH TELEVISION DOOGIE LAMEALOHA / EP UNION PAYROLL AGENCY UNTITLED/CAPS LLC VAI DBA WORLDSTAGE/ TEAM VILLAGE NB PROD NASH BRIDGES / E.P. VILLAN PRODUCTIONS VILLAN PRODUCTIONS WHITE LOTUS/C&C WORLDSTAGE / TEAM SVCS YERBA BUENA CENTER FOR THE ARTS