2021-07-14T11:34:44-05:00 2020-08-31 450250958 EIDE BAILLY LLP 3130 CROW CANYON PL STE 300 SAN RAMON CA 945831386 990 2019-09-01 996014749 HAWAII LABORERS HEALTH AND WELFARE PLAN HAWA 8084418600 1440 KAPIOLANI BLVD NO 800 HONOLULU HI 96814 ALFONSO OLIVER CHAIR 8084418600 2021-07-14 1 THERESA MONTGOMERY CPA P00232100 9254804000 2021-07-12 2019 2022-09-23 18:48:47Z ALFONSO OLIVER 1440 KAPIOLANI BLVD NO 800 HONOLULU HI 96814 154234415 0 X N/A X 1967 HI TO PROVIDE HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR BENEFICIARIES 10 10 1 11 0 0 0 0 39215197 40282674 -14808 3137917 1489321 114268 40689710 43534859 0 0 37315617 32994032 0 0 0 0 0 2984467 3263617 40300084 36257649 389626 7277210 96952638 104718400 28171064 22880666 68781574 81837734 NONE 0 0 TO PROVIDE HEALTH AND WELFARE BENEFITS TO APPROXIMATELY 3,600 ELIGIBLE PARTICIPANTS AND THEIR BENEFICIARIES ACCORDING TO THE TERMS OF THE COLLECTIVE BARGAINING AGREEMENTS BETWEEN THE EMPLOYERS AND THE UNION. 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 6 0 1 1 1 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 0 0 0 X PACIFIC ADMINISTRATORS INC 8084418600 1440 KAPIOLANI BLVD NO 800 HONOLULU HI 96814 X X ALFONSO OLIVER CHAIR 5.00 X X 0 0 0 RON PRESCOTT CO-CHAIR 5.00 X X 0 0 0 TONY FIGUEROA SECRETARY 5.00 X X 0 0 0 PETER GANABAN TRUSTEE 5.00 X 0 0 0 MARK TRAVALINO TRUSTEE 5.00 X 0 0 0 ANACLETO ALCANTRA TRUSTEE 5.00 X 0 0 0 MARK MATSUMOTO TRUSTEE 5.00 X 0 0 0 RUSSELL NONAKA TRUSTEE 5.00 X 0 0 0 MARK TAMASHIRO TRUSTEE 5.00 X 0 0 0 MARK TAGAMI TRUSTEE 5.00 X 0 0 0 0 0 0 0 0 0 0 PACIFIC ADMINISTRATORS 1440 KAPIOLANI BLVD SUITE 800 HONOLULU HI 96814 MANAGEMENT SERVICES 1877179 RENALOGIC 22601 N 19TH AVE SUITE 230 PHOENIX AZ 85027 MEDICAL 360605 HAWAII DENTAL SERVICE 700 BISHOP STREET SUITE 700 HONOLULU HI 96813 DENTAL 131739 3 EMPLOYER CONTRIBUTIONS 900099 39186839 39186839 PARTIC. CONTRIBUTIONS 900099 982964 982964 COBRA CONTRIBUTIONS 900099 112871 112871 40282674 3224957 3224957 110612516 110699556 -87040 -87040 -87040 LIQUIDATED DAMAGES 900099 96023 96023 OTHER INCOME 900099 18245 18245 114268 43534859 40396942 0 3137917 32994032 2446832 83295 43734 209408 289189 65751 18798 7449 27206 NATIONAL HEALTH FUND 60102 PCORI FEE 9672 OTHER 2181 36257649 671159 196830 8171242 10233420 3765596 3426849 25108 0 83545463 89705879 774070 1155422 96952638 104718400 24094 0 28146970 22880666 28171064 22880666 X 0 0 0 0 68781574 81837734 68781574 81837734 96952638 104718400 7277210 501655 5277295 0 X X 0 1 X 0 0 0 CORPORATE OBLIGATIONS 33602191 F MUTUAL FUNDS 56103688 F 89705879 DUE TO BROKER 11114 CLAIMS INCURRED BUT NOT REPORTED 1861661 ACCUMULATED ELIGIBILITY CREDIT 21007891 22880666 X 43891824 501655 501655 43390169 144690 144690 43534859 36112959 0 36112959 144690 144690 36257649 PART X, LINE 2: THE TRUST HAS ADOPTED GUIDANCE ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES ISSUED BY THE FINANCIAL ACCOUNTING STANDARDS BOARD. THE TRUST MANAGEMENT BELIEVES THAT THE TRUST HAS NOT TAKEN UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO THE FINANCIAL STATEMENTS AS A TAX LIABILITY. FORM 990, PART VI, SECTION A, LINE 8B THERE ARE NO COMMITTIES WITH THE AUTHORITY TO ACT ON BEHALF OF THE TRUSTEES. FORM 990, PART VI, SECTION B, LINE 11B THE CHAIR AND CO-CHAIR REVIEW THE FORM; THE TRUSTEES ARE PROVIDED A COPY OF THE FORM 990 FOR THEIR REVIEW PRIOR TO SIGNING AND FILING. FORM 990, PART VI, SECTION B, LINE 12C DURING EACH REGULARLY SCHEDULED BOARD OF TRUSTEE MEETING, THE CONSULTANTS GIVE DETAILED REPORTS ON VARIOUS ASPECTS OF THE FUND'S ACTIVITIES. IN THE COURSE OF THESE REPORTS, POTENTIAL OR ACTUAL CONFLICTS OF INTEREST MAY BE REVEALED. EVERY SITUATION, SHOULD THEY ARISE, IS DEALT WITH IN THE APPROPRIATE MANNER BASED ON THE GUIDELINES SET FORTH IN THE POLICY. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS AND FINANCIAL INFORMATION ARE AVAILABLE UPON REQUEST AS STATED IN THE SUMMARY ANNUAL REPORTS THAT ARE DISTRIBUTED EACH PLAN YEAR TO ALL PLAN PARTICIPANTS. FORM 990, PART VII: TRUSTEES OF THE TRUST ARE EMPLOYEES OF CONTRIBUTING EMPLOYERS THAT ARE CONSIDERED RELATED ORGANIZATIONS UNDER THE DEFINITIONS IN SCHEDULE R. THE RELATED ORGANIZATIONS ARE FOR-PROFIT ORGANIZATIONS, ARE NOT OWNED OR CONTROLLED, DIRECTLY OR INDIRECTLY, BY THE ORGANIZATION OR ONE OR MORE RELATED TAX-EXEMPT ORGANIZATIONS, AND DO NOT PROVIDE MANAGEMENT SERVICES FOR A FEE TO THE ORGANIZATION. AS SUCH COMPENSATION PAID BY RELATED ORGANIZATIONS IS NOT SHOWN UNDER THE VOLUNTEER EXCEPTION. FORM 990, PART XI, LINE 2C: THE BOARD OF TRUSTEES ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF THE PLAN'S FINANCIAL STATEMENTS AND SELECTION OF THE INDEPENDENT AUDITOR. HAWAII LABORERS ANNUITY PLAN 1440 KAPIOLANI BLVD SUITE 808 HONOLULU HI 96814 990322478 TO PROVIDE ANNUITY BENEFITS TO ELIGIBLE PLAN PARTICIPANTS HI 401(A) NONE 0 HAWAII LABORERS VACATION AND HOLIDAY TRUST FUND 1440 KAPIOLANI BLVD SUITE 808 HONOLULU HI 96814 996025505 TO PROVIDE VACATION AND HOLIDAY BENEFITS TO ELIGIBLE PARTICIPANTS. HI 501(C)(9) NONE 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 PARTS II, III, AND IV - IDENTIFICATION OF RELATED TAX ORGANIZATIONS IN A MULTIEMPLOYER PLAN, A CONTRIBUTING EMPLOYER IS CONSIDERED A RELATED ORGANIZATION BECAUSE THEY ARE OBLIGATED TO CONTRIBUTE TO THE PLAN PURSUANT TO THE TERMS IN THE COLLECTIVE BARGAINING OR PARTICIPATION AGREEMENT. THE ADMINISTRATIVE OFFICE ONLY MAINTAINS THE DATA NECESSARY TO FULFILL THE OBLIGATION TO CONTRIBUTE, IT DOES NOT MAINTAIN SPECIFIC BUSINESS DATA REGARDING THE EMPLOYERS, SUCH AS ENTITY TYPE OR TAX INFORMATION.