2020-07-13T16:29:30-05:00 2019-08-31 450250958 EIDE BAILLY LLP 3130 CROW CANYON PL STE 300 SAN RAMON CA 945831386 990 2018-09-01 996014749 HAWAII LABORERS HEALTH AND WELFARE PLAN HAWA 8084418600 1440 KAPIOLANI BLVD NO 800 HONOLULU HI 96814 PETER GANABAN TRUSTEE 8084418600 2020-07-13 1 THERESA MONTGOMERY P00232100 9254804000 2020-07-13 99.110.55.147 2020-07-13 16:27:25 PD P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 327E456370A643C83A1BB4325D39191A230D016A 2018 2020-09-23 17:36:50Z PETER GANABAN 1440 KAPIOLANI BLVD NO 800 HONOLULU HI 96814 186256219 0 X N/A X 1967 HI TO PROVIDE HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR BENEFICIARIES 10 10 1 0 0 0 0 0 35270245 39215197 2152696 -14808 3209322 1489321 40632263 40689710 0 0 35414727 37315617 113918 0 0 0 0 3127306 2984467 38655951 40300084 1976312 389626 94130844 96952638 26619991 28171064 67510853 68781574 NONE 0 0 TO PROVIDE HEALTH AND WELFARE BENEFITS TO APPROXIMATELY 2,800 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 0 0 0 1 641 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 ALFONSO OLIVER TRUSTEE 5.00 X 0 0 0 PETER GANABAN TRUSTEE 5.00 X 0 0 0 JOBY NORTH II TRUSTEE 5.00 X 0 0 0 ANACLETO ALCANTRA TRUSTEE 5.00 X 0 0 0 TONY FIGUEROA 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 RON PRESCOTT 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 134419 HAWAII DENTAL SERVICE 700 BISHOP STREET SUITE 700 HONOLULU HI 96813 DENTAL 131739 3 EMPLOYER CONTRIBUTIONS 900099 38105793 38105793 PARTIC. CONTRIBUTIONS 900099 967978 967978 COBRA CONTRIBUTIONS 900099 141426 141426 39215197 2747535 2747535 142804166 145566509 -2762343 -2762343 -2762343 PREMIUM REFUNDS 900099 910870 910870 STOP LOSS REIMBURSEMENT 900099 490524 490524 LIQUIDATED DAMAGES 900099 85007 85007 2920 2920 1489321 40689710 40704518 0 -14808 37315617 2143354 91244 42385 175321 306525 112220 18972 9638 24498 NATIONAL HEALTH FUND 49930 PCORI FEE 9443 OTHER 937 40300084 388911 671159 11375485 8171242 3166489 3765596 26990 25108 76858921 83545463 2314048 774070 94130844 96952638 272779 24094 26347212 28146970 26619991 28171064 X 0 0 0 0 67510853 68781574 67510853 68781574 94130844 96952638 389626 3493664 108124 -2720693 0 X X 0 1 X 0 0 0 CORPORATE OBLIGATIONS 32865443 F MUTUAL FUNDS 50680020 F 83545463 DUE TO BROKER 123 CLAIMS INCURRED BUT NOT REPORTED 3327397 ACCUMULATED ELIGIBILITY CREDIT 24819450 28146970 X 44075250 3493664 3493664 40581586 108124 108124 40689710 37471267 -2720693 -2720693 40191960 108124 108124 40300084 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 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. 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.