2021-11-04T15:51:38-05:00 2020-12-31 990155373 LEMKE CHINEN & TANAKA CPA INC 500 ALA MOANA BLVD STE 2-302 HONOLULU HI 96813 990 2020-01-01 996008823 AFL HOTEL & RESTAURANT WORKERS HEALTH & WELFARE PLAN AFLH 8085230199 560 N NIMITZ HWY NO 209 HONOLULU HI 96817 ERIC GILLJULIE WALKER TRUSTEES 8085230199 2021-10-19 ERIC GILLJULIE WALKER 999009999 TERRY TAKAKI P00036112 8085336254 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z ERIC GILLJULIE WALKER 560 N NIMITZ HWY NO 209 HONOLULU HI 96817 109932763 0 X N/A X 1955 HI TO PROVIDE HEALTH & WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS AS PRESCRIBED BY THE PLAN 6 0 0 0 0 0 0 0 124251584 68267627 3515847 3239486 87417 67193 127854848 71574306 0 0 114389293 111955721 0 0 0 0 0 3939293 3790830 118328586 115746551 9526262 -44172245 132403421 89846055 2663862 849132 129739559 88996923 TO PROVIDE MEDICAL, DENTAL,PRESCRIPTION DRUG, CHIROPRACTIC CARE, VISION, AND DEATH BENEFITS TO ELIGIBLE MEMBERS 0 0 63718965 TO PROVIDE SELF FUNDED HEALTH BENEFITS TO ELIGIBLE PARTICIPANTS IN ACCORDANCE WITH TERMS SET FORTH IN THE TRUST AGREEMENTS, RULES AND REGULATIONS OF THE PLAN AND CBA 48236756 PROVIDE INSURED HEALTH BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS 111955721 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 1 28 0 1 0 0 0 0 0 0 0 0 0 X 6 0 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 0 0 0 X BENEFIT RISK MANAGEMENT SERVICES 8085230199 560 N NIMITZ HWY NO 209 HONOLULU HI 96817 X ERIC GILL LABOR TRUSTEE 0.50 X 0 0 0 JULIE NAKAYAMA MANAGEMENT TRUSTEE 0.50 X 0 0 0 DORYNE JARDINE LABOR TRUSTEE 0.50 X 0 0 0 JULIE WALKER MANAGEMENT TRUSTEE 0.50 X 0 0 0 ROSS BANIAGA LABOR TRUSTEE 0.50 X 0 0 0 KEVIN GLEASON MANAGEMENT TRUSTEE 0.50 X 0 0 0 MORGAN EVANS ALT LABOR TRUSTEE 0.50 X 0 0 0 DANIEL KERWIN ALT LABOR TRUSTEE 0.50 X 0 0 0 MARSHA BRUHN ALT LABOR TRUSTEE 0.50 X 0 0 0 CARLA THOMAS ALT MANAGEMENT TRUSTEE 0.50 X 0 0 0 EILEEN CALDWELL ALT MANAGEMENT TRUSTEE 0.50 X 0 0 0 0 0 0 0 0 0 0 PACIFIC SOUTHWEST ADMINISTRATORS 4399 SANTA ANITA AVENUE SUITE 200 EL MONTE CA 91731 MEDICAL CLAIMS ADMINISTRATOR 1759777 BENEFIT RISK & MANAGEMENT SERVICES 560 N NIMITZ HWY STE 209 HONOLULU HI 96817 PLAN ADMINISTRATOR 761377 HAWAII DENTAL SERVICE 700 BISHOP STREET 700 HONOLULU HI 96813 DENTAL CLAIMS ADMINISTRATOR 360012 HAWAII COMMUNITY HEALTH ALLIANCE PO BOX 3408 HONOLULU HI 96801 NETWORK MANAGER 166484 BENEFIT PLAN SOLUTIONS 615 PIIKOI STREET SUITE 301 HONOLULU HI 96814 CONSULTANT 154040 5 EMPLOYER CONTRIBUTONS 900099 66773429 66773429 PARTICIPANT CONTRIBUTIONS 900099 1494198 1494198 68267627 2174882 2174882 39423061 38358457 1064604 1064604 1064604 LIQUIDATED DAMAGES 900099 34197 34197 OTHER INCOME 900099 32996 32996 67193 71574306 68334820 0 3239486 111955721 43019 45107 193256 72114 4303 17531 MEDICAL ADMINISTRATIVE 1926260 PLAN ADMINISTRATIVE FEE 761377 DENTAL ADMINISTRATIVE F 360012 CONSULTANT FEES 273788 94063 115746551 21981947 28385300 13208136 7791675 74173627 33504721 23039711 20164359 132403421 89846055 2663862 849132 2663862 849132 X 129739559 88996923 0 0 0 0 129739559 88996923 132403421 89846055 -44172245 3429609 0 X X 0 1 X 1 0 0 NORTHERN TRUST COMMON S&P 500 INDEX FUND - NON-LENDING 9576218 F PINEBRIDGE SENIOR SECURED LOAN SUB-TRUST 2 5370658 F VOYA SENIOR LOAN COMMON TRUST FUND 5217483 F 20164359 BANK OVERDRAFT 849132 849132 X 74810659 3429609 3429609 71381050 193256 193256 71574306 115553295 0 115553295 193256 193256 115746551 PART X, LINE 2: THE FINANCIAL STATEMENTS CONTAIN THE FOLLOWING DISCLOSURE PERTAINING TO FIN 48 (ASC 740): "THE TRUST FUNDING CERTAIN BENEFITS OF THE PLAN RECEIVED AN EXEMPTION LETTER FROM THE IRS DATED JUNE 25, 1996, STATING THAT THE TRUST IS TAX-EXEMPT UNDER THE PROVISIONS OF SECTION 501(C)(9) OF THE IRC. HOWEVER, AS A RESULT OF THE PLAN'S FUNDING POLICY, FROM TIME TO TIME THE TRUST MAY BE SUBJECT TO INCOME TAXES. NO FEDERAL OR STATE INCOME TAXES HAVE BEEN RECORDED IN THE PLAN YEARS DECEMBER 31, 2020 AND 2019 FOR UNRELATED BUSINESS TAXABLE INCOME. IN ADDITION, THE PLAN AND THE TRUST ARE REQUIRED TO OPERATE IN CONFORMITY WITH THE IRC TO MAINTAIN THE TAX-EXEMPT STATUS OF THE TRUST. THE PLAN ADMINISTRATOR BELIEVES THAT THE PLAN IS BEING OPERATED IN COMPLIANCE WITH THE APPLICABLE REQUIREMENTS OF THE IRC AND, THEREFORE, BELIEVES THAT THE RELATED TRUST IS TAX-EXEMPT. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE PLAN MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE PLAN AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF IT HAS TAKEN AN UNCERTAIN POSITION THAT MORE THAN LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS." PINEBRIDGE SSL SUB TRUST 2 CLASS A (NON-GRANTOR TRUST) 0 0 PASSIVE INVESTMENT 5370658 0 0 0 0 0 0 5370658 0 5370658 0 1 0 0 0 0 PART I, LINE 2: THERE WERE INVESTMENT FEES OF $25,413 AND DISTRIBUTIONS RECEIVED IN THE AMOUNT OF $204,156 ASSOCIATED WITH THE PINEBRIDGE SSL SUB TRUST 2 CLASS A CAYMAN ISLANDS INVESTMENT PART III ACCOUNTING METHOD: HAWAII COMMUNITY HEALTH ALLIANCE LLC ORGANIZATION HAS 2 COMMON OFFICERS WITH ENTITY 166484 HEALTH CLAIMS NETWORK PROVIDER 0 FORM 990, PART VI, SECTION B, LINE 11B ALL DOCUMENTS ARE REVIEWED BY THIRD PARTY ADMINISTRATOR, MANAGEMENT TRUSTEE AND UNION TRUSTEE REPRESENTATIVES BEFORE SIGNING AND FILING FORM 990, PART VI, SECTION B, LINE 12C POLICY IS EXECUTED ANNUALLY BY TRUSTEES FORM 990, PART VI, SECTION C, LINE 19 POLICIES ARE MADE AVAILABLE TO MEMBERS UPON REQUEST FORM 990, PART XII, LINE 2C: NO CHANGE IN REVIEW PROCESS FROM PRIOR YEAR. BOARD OF TRUSTEES SELECT AN INDEPENDENT AUDITOR. ADMINISTRATOR FORMALLY REVIEWS AND APPROVES THE FINANCIAL STATEMENTS. BOARD OF TRUSTEES REVIEW AND APPROVE THE FINANCIAL STATEMENTS. HOTEL AND RESTAURANT INDUSTRY EMPLOYMENT AND TRAINING PLAN 560 N NIMITZ HIGHWAY 209 HONOLULU HI 96817 996009966 PROVIDE TRAINING BENEFITS TO ELIGIBLE EMPLOYEES HI 501(C)(5) N/A N/A 0 HOTEL UNION AND HOTEL INDUSTRY OF HAWAII PENSION PLAN 560 N NIMITZ HIGHWAY 209 HONOLULU HI 96817 990155373 PROVIDE RETIREMENT BENEFITS TO ELIGIBLE PARTICIPANTS HI 401(A) N/A N/A 0 HOTEL 401(K) RETIREMENT SAVINGS PLAN 222 S VINEYARD STREET SUITE PH-4 HONOLULU HI 96813 990292187 PROVIDE RETIREMENT BENEFITS TO ELIGIBLE PARTICIPANTS HI 401(A) N/A N/A 0 SEE ATTACHED SUPPLEMENTAL INFORMATION SEE ATTACHED SUPPLEMENTAL INFORMATION 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 FORM 990, SCHEDULE R, PARTS III, IV THE FILING ORGANIZATION IS A TAFT-HARTLEY MULTIEMPLOYER PLAN THAT PROVIDES HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS. THE ADMINISTRATORS OFFICE MAINTAINS A DATABASE OF THESE CONTRIBUTING EMPLOYERS INCLUDING THE NAMES, ADDRESSES, AND OTHER CONTACT INFORMATION. HOWEVER, THE LEGAL STRUCTURE (CORPORATION, PARTNERSHIP, ETC) FOR EACH CONTRIBUTING EMPLOYER IS NOT ON FILE WITH THE ADMINISTRATIVE OFFICE AND COULD NOT BE REASONABLY OBTAINED. AS A RESULT, THE CONTRIBUTING EMPLOYERS COULD NOT BE SEPARATED BY TYPE OF ORGANIZATION. HOWEVER, THEY ARE LISTED BELOW: SHERATON MAUI RESORT & SPA SHERATON KAUAI RESORT HILTON HAWAIIAN VILLAGE THE KAHALA HOTEL & RESORT ROYAL KONA RESORT ILIKAI HOTEL ALA MOANA HOTEL RAMADA PLAZA WAIKIKI WAIKIKI RESORT HOTEL WAIKIKI BEACH MARRIOTT RESORT & SPA IMPERIAL HAWAII RESORT HYATT REGENCY WAIKIKI WAIKOLOA BEACH MARRIOTT UNITE HERE LOCAL 5 THE PLAZA HOTEL FEDERAL MAINTENANCE HAWAII (KAHALA MALL) TURTLE BAY RESORT KYO-YA LTD QUEEN KAPIOLANI HOTEL KAISER MODERN MANAGEMENT SERVICES (THE MODERN HONOLULU) KAANAPALI BEACH CLUB BANQUET SOLUTIONS OF HAWAII DOUBLETREE BY HILTON HOTEL ALANA