2020-11-16T14:18:54-06:00 2019-12-31 450250958 EIDE BAILLY LLP 3130 CROW CANYON PL STE 300 SAN RAMON CA 945831386 990 2019-01-01 946082955 PIPE TRADES DISTRICT COUNCIL #36 HEALTH AND WELFARE TRUST FUND PIPE 9258334314 1600 HARBOR BAY PKWY NO 200 ALAMEDA CA 94502 SCOTT STRAWBRIDGE CHAIRMAN 9258334314 2020-11-16 1 THERESA MONTGOMERY CPA P00232100 9254804000 2020-11-10 99.110.55.147 2020-11-16 14:18:30 PS P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 327E456370A643C83A1BB4325D39191A230D016A 2019 2021-04-22 16:20:28Z SCOTT STRAWBRIDGE 1600 HARBOR BAY PKWY NO 200 ALAMEDA CA 94502 47966845 0 X N/A X 1954 CA TO PROVIDE HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS. 10 0 0 10 0 0 0 0 27540998 26279874 245571 353633 1030385 329913 28816954 26963420 0 0 20290166 23237869 62385 70873 0 0 0 1305092 1646398 21657643 24955140 7159311 2008280 43089487 48009803 12735334 15621055 30354153 32388748 NONE. 0 0 TO PROVIDE HEALTH AND WELFARE BENEFITS TO APPROXIMATELY 1,700 ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS. 0 0 0 0 0 0 0 0 0 0 0 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 71 0 1 0 0 0 0 0 0 0 0 0 X 10 0 1 1 0 0 0 0 0 1 0 0 0 0 1 1 1 1 1 0 0 0 X ZENITH AMERICAN SOLUTIONS 9258334314 1600 HARBOR BAY PKWY NO 200 ALAMEDA CA 94502 X ANDREW BOOTH TRUSTEE 5.00 25.00 X 0 0 0 LONNIE PETTY TRUSTEE 5.00 25.00 X 0 0 0 BLUE WILSON TRUSTEE 5.00 25.00 X 0 0 0 DANNY WRIGHT TRUSTEE 5.00 25.00 X 0 0 0 BILL TAYLOR CO-CHAIRMAN 5.00 25.00 X X 0 0 0 SCOTT STRAWBRIDGE CHAIRMAN 5.00 25.00 X X 0 0 0 MARK MULLINER TRUSTEE 5.00 25.00 X 0 0 0 STEVE MACARTHUR TRUSTEE 5.00 25.00 X 0 0 0 DUSTIN SACCONE TRUSTEE 5.00 25.00 X 0 0 0 CHAD PETTY TRUSTEE 5.00 25.00 X 0 0 0 0 0 0 0 0 0 0 KAISER FOUNDATION HEALTH PLAN WORLDWAY POSTAL CENTER PO BOX 8020 LOS ANGELES CA 90080 CLAIMS ADMINISTRATOR 4466889 COSTCO WHOLESALE 999 LAKE DRIVE ISSAQUAH WA 98027 CLAIMS ADMINISTRATOR 3436281 UNITED HEALTHCARE PO BOX 371362 PITTSBURG PA 15250 CLAIMS ADMINISTRATOR 1427792 DELTA DENTAL OF CALIFORNIA PO BOX 44460 SAN FRANCISCO CA 941440460 CLAIMS ADMINISTRATOR 1295976 ACCO ENGINEERED SYSTEMS 888 E WALNUT STREET PASADENA CA 91101 MAINTENANCE 637024 9 EMPLOYER CONTRIBUTION 900099 23878814 23878814 PARTICIPANT CONTRIBUTIONS 900099 2401060 2401060 26279874 280701 280701 21076357 21003425 72932 72932 72932 MISCELLANEOUS INCOME 900099 220922 220922 MEDICARE PART D REIMBURSEMENT 900099 107395 107395 LIQUIDATED DAMAGES 900099 1596 1596 329913 26963420 26609787 0 353633 23237869 70873 537900 29444 27902 61174 76977 13148 13463 MED CONSULT/ADMIN 649271 CONSULTANT 158088 REIMBURSEMENT TO OTHER 68302 BANK FEES 8092 2637 24955140 22415918 27879714 2004787 3252235 2580998 1908020 16960 126549 13512783 13853671 2558041 989614 43089487 48009803 221785 21918 12513549 15599137 12735334 15621055 X 0 0 0 0 30354153 32388748 30354153 32388748 43089487 48009803 2008280 26315 0 X X 0 1 X 1 0 0 BENEFIT OBLIGATIONS 15515803 RECIPROCITY PAYABLE 74358 DUE TO OTHER TRUSTS 8976 15599137 X 26928561 26315 26315 26902246 61174 61174 26963420 21775439 0 21775439 61174 3118527 3179701 24955140 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 ADMINISTRATOR BELIEVES THAT THE TRUST HAS NOT TAKEN UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO THE FINANCIAL STATEMENTS AS A TAX LIABILITY. PART XII, LINE 4B - OTHER ADJUSTMENTS: CHANGE IN BENEFIT OBLIGATIONS 3,118,527. FORM 990, PART VI, SECTION A, LINE 2 LONNIE PETTY, TRUSTEE, IS RELATED TO CHAD PETTY, TRUSTEE. FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION DELEGATES CONTROL OVER MANAGEMENT DUTIES CUSTOMARILY PERFORMED BY OR UNDER THE DIRECT SUPERVISION OF OFFICERS, DIRECTORS, TRUSTEES, OR KEY EMPLOYEES TO THE CONTRACT ADMINISTRATOR, ZENITH AMERICAN SOLUTIONS. FORM 990, PART VI, SECTION A, LINE 8B THERE ARE NO COMMITTEES WITH THE AUTHORITY TO ACT ON BEHALF OF THE TRUSTEES. FORM 990, PART VI, SECTION B, LINE 11B CHAIR AND CO-CHAIR REVIEW THE FORM. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST POLICY IS REVIEWED ANNUALLY AT THE BOARD OF TRUSTEE MEETINGS. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST FORM 990, PART XI, LINE 2C THE BOARD OF TRUSTEES ASSUMES RESPONSIBILITY FOR OVERSEEING THE AUDIT OF THE ORGANIZATION'S FINANCIAL STATEMENTS AND FOR SELECTING THE INDEPENDENT AUDITOR. PIPE TRADES DISTRICT COUNCIL #36 LABOR MANAGEMENT COMMITTEE 7180 KOLL CENTER PARKWAY SUITE 200 PLEASANTON CA 94566 776062055 TO FACILITATE COMMUNICATION AND ORGANIZATIONAL EFFECTIVENESS CA 501(C)(5) N/A 0 PIPE TRADES DISTRICT COUNCIL #36 APPRENTICE TRAINING FUND 7180 KOLL CENTER PARKWAY SUITE 200 PLEASANTON CA 94566 922339560 TO PROVIDE CONTINUED TRAINING TO MEMBERS OF THE PARTICIPANTS UNION LOCALS CA 501(C)(5) N/A 0 PIPE TRADES DISTRICT COUNCIL #36 HIRING HALL ADMINISTRATION FUND 7180 KOLL CENTER PARKWAY SUITE 200 PLEASANTON CA 94566 942822741 TO PROVIDE FUNDING FOR THE OPERATION OF THE JOINT HIRING HALLS CA 501(C)(5) N/A 0 PIPE TRADES DISTRICT COUNCIL #36 PENSION TRUST FUND 7180 KOLL CENTER PARKWAY SUITE 200 PLEASANTON CA 94566 946082956 TO PROVIDE PENSION BENEFITS TO ELIGIBLE PARTICIPANTS COVERED BY CBA CA 401A N/A 0 PIPE TRADES DISTRICT COUNCIL #36 DEFINED CONTRIBUTION PLAN 7180 KOLL CENTER PARKWAY SUITE 200 PLEASANTON CA 94566 946082956 TO PROVIDE PENSION BENEFITS TO ELIGIBLE PARTICIPANTS COVERED BY CBA CA 401A N/A 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.