BETA

AFL HOTEL & RESTAURANT WORKERS HEALTH & WELFARE TRUST FUND: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
AFL HOTEL & RESTAURANT WORKERS HEALTH & WELFARE TRUST FUND (EIN 99-6008823)
Tax period
2018-01-01 to 2018-12-31
Filed
2019-11-07
IRS object ID
201933119349303508
Schema version
2018v3.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2019-11-07T17:30:33-06:00ReturnTs
Tax Period End2018-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN990155373PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1LEMKE CHINEN & TANAKA CPA INCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1210 WARD AVE SUITE 336AddressLine1Txt
CityHONOLULUCityNm
State AbbreviationHIStateAbbreviationCd
ZIP96814ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN996008823EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1AFL HOTEL & RESTAURANT WORKERSBusinessNameLine1Txt
Business Name Line2HEALTH & WELFARE PLANBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlAFLHBusinessNameControlTxt
Phone8085230199PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1560 N NIMITZ HWY NO 209AddressLine1Txt
CityHONOLULUCityNm
State AbbreviationHIStateAbbreviationCd
ZIP96817ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonROSARIO BANIAGAJULIE WALKERPersonNm
Person TitleTRUSTEESPersonTitleTxt
Phone8085230199PhoneNum
Signature2019-11-07SignatureDt

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonTERRY TAKAKIPreparerPersonNm
PTINP00036112PTIN
Phone8085336254PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address72.253.73.75IPv4AddressTxt
FieldValueIRS element (for citing)
IP2019-11-07IPDt
IP Tm17:30:30IPTm
IP TimezoneHSIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device IdA7C9EC184B2A76AAA9F14E94878FDC8C494D6D3CAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2020-03-31 21:24:44ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerROSARIO BANIAGAJULIE WALPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1560 N NIMITZ HWY NO 209AddressLine1Txt
CityHONOLULUCityNm
State AbbreviationHIStateAbbreviationCd
ZIP96817ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$137,309,799GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501cYes (X)Organization501cInd
Website AddressN/AWebsiteAddressTxt
Type Of Organization TrustYes (X)TypeOfOrganizationTrustInd
Formation1955FormationYr
Legal Domicile StateHILegalDomicileStateCd
Activity Or MissionTO PROVIDE HEALTH & WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS AS PRESCRIBED BY THE PLANActivityOrMissionDesc
Voting Members Governing Body6VotingMembersGoverningBodyCnt
Voting Members Independent0VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$107,468,387PYProgramServiceRevenueAmt
CY Program Service Revenue$108,010,381CYProgramServiceRevenueAmt
PY Investment Income$1,421,446PYInvestmentIncomeAmt
CY Investment Income$2,310,792CYInvestmentIncomeAmt
PY Other Revenue$1,306,741PYOtherRevenueAmt
CY Other Revenue$16,615CYOtherRevenueAmt
PY Total Revenue$110,196,574PYTotalRevenueAmt
CY Total Revenue$110,337,788CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$99,674,514PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$109,262,239CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$4,005,420PYOtherExpensesAmt
CY Other Expenses$3,959,540CYOtherExpensesAmt
PY Total Expenses$103,679,934PYTotalExpensesAmt
CY Total Expenses$113,221,779CYTotalExpensesAmt
PY Revenues Less Expenses$6,516,640PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$2,883,991CYRevenuesLessExpensesAmt
Total Assets BOY$120,420,314TotalAssetsBOYAmt
Total Assets EOY$115,630,289TotalAssetsEOYAmt
Total Liabilities BOY$725TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$120,419,589NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$115,630,289NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE MEDICAL, DENTAL,PRESCRIPTION DRUG, CHIROPRACTIC CARE, VISION, AND DEATH BENEFITS TO ELIGIBLE MEMBERSMissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$65,235,071ExpenseAmt
DescTO 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 CBADesc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$44,027,168ExpenseAmt
DescPROVIDE INSURED HEALTH BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTSDesc
FieldValueIRS element (for citing)
Total Program Service Expenses$109,262,239TotalProgramServiceExpensesAmt
Described In Section501c30DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building Equipment0ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign ActivitiesYes (1)ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer EntYes (1)BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document6IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members6GoverningBodyVotingMembersCnt
Independent Voting Member0IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BENEFIT RISK MANAGEMENT SERVICESBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8085230199PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1560 N NIMITZ HWY NO 209AddressLine1Txt
CityHONOLULUCityNm
State AbbreviationHIStateAbbreviationCd
ZIP96817ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (12 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
ERIC GILL
LABOR TRUSTEE0.50Yes (X)$0$0$0
JULIE NAKAYAMA
MANAGEMENT TRUSTEE0.50Yes (X)$0$0$0
DORYNE JARDINE
LABOR TRUSTEE0.50Yes (X)$0$0$0
JULIE WALKER
MANAGEMENT TRUSTEE0.50Yes (X)$0$0$0
ROSS BANIAGA
LABOR TRUSTEE0.50Yes (X)$0$0$0
KEVIN GLEASON
MANAGEMENT TRUSTEE0.50Yes (X)$0$0$0
MORGAN EVANS
ALT LABOR TRUSTEE0.50Yes (X)$0$0$0
DANIEL KERWIN
ALT LABOR TRUSTEE0.50Yes (X)$0$0$0
MARSHA BRUHN
ALT LABOR TRUSTEE0.50Yes (X)$0$0$0
CARLA THOMAS
ALT MANAGEMENT TRUSTEE0.50Yes (X)$0$0$0
KRISTEN PALAGANO
ALT MANAGEMENT TRUSTEE0.50Yes (X)$0$0$0
SHANNON LADD
ALT MANAGEMENT TRUSTEE0.50Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
PACIFIC SOUTHWEST ADMINISTRATORS
4399 SANTA ANITA AVENUE SUITE 200EL MONTECA91731MEDICAL CLAIMS ADMINISTRATOR$1,783,238
BENEFIT RISK & MANAGEMENT SERVICES
560 N NIMITZ HWY STE 209HONOLULUHI96817PLAN ADMINISTRATOR$797,035
HAWAII DENTAL SERVICE
700 BISHOP STREET 700HONOLULUHI96813DENTAL CLAIMS ADMINISTRATOR$395,844
OPTUMRX
PO BOX 27275NEW YORKNY10087DRUG CLAIMS ADMINISTRATOR$199,605
BENEFIT PLAN SOLUTIONS
680 IWILEI ROAD SUITE 528HONOLULUHI96817CONSULTANT$188,921
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
EMPLOYER CONTRIBUTONS900099$107,606,878$107,606,878
PARTICIPANT CONTRIBUTIONS900099$403,503$403,503
FieldValueIRS element (for citing)
Total Program Service Revenue$108,010,381TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,905,972TotalRevenueColumnAmt
Exclusion$2,905,972ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$26,376,831SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$26,972,011SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$595,180SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$595,180TotalRevenueColumnAmt
Exclusion-$595,180ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOTHER INCOMEDesc
Business900099BusinessCd
Total Revenue Column$16,615TotalRevenueColumnAmt
Exclusion$16,615ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$16,615OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$110,337,788TotalRevenueColumnAmt
Related Or Exempt Func Income$108,010,381RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$2,327,407ExclusionAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$109,262,239TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$45,752TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$49,025TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$160,215TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$67,523TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$15,434TotalAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$27,924TotalAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmt
MEDICAL ADMINISTRATIVE$1,984,088
PLAN ADMINISTRATIVE FEE$708,718
DENTAL ADMINISTRATIVE F$395,844
CONSULTANT FEES$240,906

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$264,111TotalAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$113,221,779TotalAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$44,281BOYAmt
EOY$37,027EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$12,005,096BOYAmt
EOY$13,533,745EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$11,549,743BOYAmt
EOY$12,418,156EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$86,856,034BOYAmt
EOY$75,204,349EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$9,965,160BOYAmt
EOY$14,437,012EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$120,420,314BOYAmt
EOY$115,630,289EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$725BOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$725BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Org Does Not Follow SFAS117Yes (X)OrgDoesNotFollowSFAS117Ind

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

FieldValueIRS element (for citing)
BOY$120,419,589BOYAmt
EOY$115,630,289EOYAmt

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$120,419,589BOYAmt
EOY$115,630,289EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$120,420,314BOYAmt
EOY$115,630,289EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$2,883,991ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$1,905,309NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (2 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
NORTHERN TRUST COMMON S&P 500 INDEX FUND - NON-LENDING$9,591,107F
PINEBRIDGE SENIOR SECURED LOAN SUB-TRUST 2$4,845,905F
FieldValueIRS element (for citing)
Total Book Value Securities$14,437,012TotalBookValueSecuritiesAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$108,272,264TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$1,905,309NetUnrealizedGainsInvstAmt
Revenue Not Reported-$1,905,309RevenueNotReportedAmt
Revenue Subtotal$110,177,573RevenueSubtotalAmt
Investment Expenses Not Incld$160,215InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt$160,215RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$110,337,788TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$113,061,564TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$113,061,564ExpensesSubtotalAmt
Investment Expenses Not Incld2$160,215InvestmentExpensesNotIncld2Amt
Expenses Not Rpt Fincl Stmt$160,215ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$113,221,779TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationTHE 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 2016 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. THE PLAN ADMINISTRATOR BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO 2015."ExplanationTxt

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

FieldValueIRS element (for citing)
RegionPINEBRIDGE SSL SUB TRUST 2 CLASS A (NON-GRANTOR TRUST)RegionTxt
Offices0OfficesCnt
Employee0EmployeeCnt
Type Of Activities ConductedPASSIVE INVESTMENTTypeOfActivitiesConductedTxt
Region Total Expenditures$5,066,199RegionTotalExpendituresAmt
FieldValueIRS element (for citing)
Subtotal Offices0SubtotalOfficesCnt
Subtotal Employees0SubtotalEmployeesCnt
Continuation Total Office0ContinuationTotalOfficeCnt
Continuation Total Employee0ContinuationTotalEmployeeCnt
Total Office0TotalOfficeCnt
Total Employee0TotalEmployeeCnt
Subtotal Spent$5,066,199SubtotalSpentAmt
Continuation Spent$0ContinuationSpentAmt
Total Spent$5,066,199TotalSpentAmt
Transfer To Foreign Corp0TransferToForeignCorpInd
Interest In Foreign TrustYes (1)InterestInForeignTrustInd
Foreign Corp Ownership0ForeignCorpOwnershipInd
Passive Foreign Investmest Co0PassiveForeignInvestmestCoInd
Foreign Partnership0ForeignPartnershipInd
Boycott Countries0BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationTHERE WERE INVESTMENT FEES OF $10,968 AND DISTRIBUTIONS RECEIVED IN THE AMOUNT OF $141,903 ASSOCIATED WITH THE PINEBRIDGE SSL SUB TRUST 2 CLASS A CAYMAN ISLANDS INVESTMENTExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HAWAII COMMUNITY HEALTH ALLIANCE LLCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Relationship DescriptionORGANIZATION HAS 2 COMMON OFFICERS WITH ENTITYRelationshipDescriptionTxt
Transaction$120,804TransactionAmt
TransactionHEALTH CLAIMS NETWORK PROVIDERTransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BALL DOCUMENTS ARE REVIEWED BY THIRD PARTY ADMINISTRATOR, MANAGEMENT TRUSTEE AND UNION TRUSTEE REPRESENTATIVES BEFORE SIGNING AND FILING
FORM 990, PART VI, SECTION B, LINE 12CPOLICY IS EXECUTED ANNUALLY BY TRUSTEES
FORM 990, PART VI, SECTION C, LINE 19POLICIES 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.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationInd
HOTEL AND RESTAURANT INDUSTRY EMPLOYMENT AND TRAINING PLAN
560 N NIMITZ HIGHWAY 209HONOLULUHI96817996009966PROVIDE TRAINING BENEFITS TO ELIGIBLE EMPLOYEESHI501(C)(5)N/AN/A0
HOTEL UNION AND HOTEL INDUSTRY OF HAWAII PENSION PLAN
560 N NIMITZ HIGHWAY 209HONOLULUHI96817990155373PROVIDE RETIREMENT BENEFITS TO ELIGIBLE PARTICIPANTSHI401(A)N/AN/A0
HOTEL 401(K) RETIREMENT SAVINGS PLAN
222 S VINEYARD STREET SUITE PH-4HONOLULUHI96813990292187PROVIDE RETIREMENT BENEFITS TO ELIGIBLE PARTICIPANTSHI401(A)N/AN/A0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1SEE ATTACHED SUPPLEMENTAL INFORMATIONBusinessNameLine1Txt

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1SEE ATTACHED SUPPLEMENTAL INFORMATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceFORM 990, SCHEDULE R, PARTS III, IVFormAndLineReferenceDesc
ExplanationTHE 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: 1 - ALA MOANA HOTEL 2 - HILTON HAWAIIAN VILLAGE 3 - HYATT CORPORATION 4 - ILIKAI HOTEL 5 - IMPERIAL HAWAII RESORT 6 - KAHALA HOTEL & RESORTS 7 - KAHALA SHOPPING CENTER 8 - KYO-YA COMPANY, LTD. 9 - PLAZA HOTEL 10 - QUEEN KAPIOLANI HOTEL 11 - RAMADA PLAZA (PREV. HOLIDAY INN) WAIKIKI 12 - ROYAL KONA RESORT 13 - SHERATON KAUAI RESORT 14 - SHERATON MAUI HOTEL 15 - TURTLE BAY RESORT 16 - UNITE HERE LOCAL #5 17 - WAIKIKI BEACH MARRIOTT RESORT & SPA 18 - WAIKIKI RESORT HOTEL 19 - WAIKOLOA BEACH MARRIOTT 20 - MODERN HONOLULU 21 - HYATT CORPORATION - REGENCY CLUBExplanationTxt

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