2016-11-07T13:40:20-06:00 2015-12-31 990155373 LEMKE CHINEN & TANAKA CPA INC 210 WARD AVENUE SUITE 336 HONOLULU HI 968144012 990 2015-01-01 202076868 ILWU LOCAL 142 HEALTH AND WELFARE TRUST ILWU 8084418600 1440 KAPIOLANI BLVD No 800 HONOLULU HI 96814 GUY FUJIMURA-union trustee EVANGELINE SOBREPENA-MGMT TRUSTEE 8084418600 2016-11-07 1 TERRY TAKAKI P00036112 8085336254 2015 2017-02-10 21:41:12Z GUY FUJIMURA-union truste 1440 KAPIOLANI BLVD No 800 HONOLULU HI 96814 57959129 0 X N/A X 2005 HI TO PROVIDE HEALTH & WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS IN ACCORDANCE W/PLAN DOCUMENTS. 6 6 0 0 0 0 0 0 41300554 43550713 61350 155946 27671 0 41389575 43706659 0 0 33593140 33392514 0 0 0 0 0 2145818 2093323 35738958 35485837 5650617 8220822 20712285 29065966 523840 769427 20188445 28296539 TO PROVIDE HEALTH AND WELFARE BENEFITS TO ELIGIBLE EMPLOYEES AND THEIR FAMILIES. 0 0 25849546 TO PROVIDE SELF-FUNDED HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS IN ACCORDANCE WITH THE TERMS SET FORTH IN THE TRUST AGREEMENTS,RULES AND REGULATIONS OF THE PLAN AND CBA (MEDICAL AND DRUG) 7542968 TO PROVIDE INSURED BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS - (MEDICAL, DENTAL, CHIROPRACTIC, AND VISION) 2041207 TO PROVIDE ADMINISTRATIVE SERVICES FOR PARTICIPANTS 35433721 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 3 0 1 0 0 0 0 0 0 0 X 6 6 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 0 0 0 X PACIFIC ADMINISTRATORS INC 8084418600 1440 KAPIOLANI BLVD SUITE 800 HONOLULU HI 96814 X WESLEY FURTADO UNION TRUSTEE 1.00 X 0 0 0 CARLA THOMAS EMPLOYER TRUSTEE 1.00 X 0 0 0 GUY FUJIMURA UNION TRUSTEE 1.00 X 0 0 0 ERIC LOTTERMOSER EMPLOYER TRUSTEE 1.00 X 0 0 0 evANGELINE SOBREPENA eMPLOYER TRUSTEE 1.00 X 0 0 0 DONNA DOMINGO UNION TRUSTEE 1.00 X 0 0 0 JEAN EWING ALTERNATE EMPLOYER TRUSTEE 1.00 X 0 0 0 0 0 0 0 0 0 0 HMA INC 1440 KAPIOLANI BLVD 1020 hONOLULU HI 96814 CLAIMS SERVICE FEES AND CASE MANAGEMENT 1151131 PACIFIC ADMINISTRATORS 1440 KAPIOLANI BLVD 800 HONOLULU HI 96814 ADMINISTRATIVE FEES 277232 HAWAII DENTAL SERVICE 700 BISHOP STREET 700 HONOLULU HI 96813 CLAIMS SERVICE FEES AND CASE MANAGEMENT 153203 3 EMPLOYERS' CONTRIBUTIO 900099 43325029 43325029 EMPLOYEES' CONTRIBUTIO 900099 225684 225684 43550713 152320 152320 14256096 14252470 3626 3626 3626 43706659 43554339 0 152320 33392514 271891 8224 32902 52116 1665960 26692 12279 MISCELLANEOUS 23259 35485837 7783676 3869908 488735 1830697 136527 152542 12303347 23212819 20712285 29065966 523840 769427 523840 769427 X 20188445 28296539 0 0 0 0 20188445 28296539 20712285 29065966 8220822 -112728 0 X X 0 1 X 1 0 0 X 43541815 -112728 -112728 43654543 52116 52116 43706659 35433721 0 35433721 52116 52116 35485837 Part X, Line 2: THE AUDITED 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 March 19, 2009, stating that the trust is tax-exempt under the provisions of Section 501(c)(9) of the Internal Revenue Code. 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 2015 and 2014 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. Plan management and plan's tax counsel believe 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 if it has taken an uncertain position that more 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 plan years prior to 2012." Form 990, Part VI, Section B, line 11 ALL DOCUMENTS ARE REVIEWED BY MANAGEMENT TRUSTEE AND UNION TRUSTEE REPRESENTATIVES BEFORE SIGNING AND FILING. Form 990, Part VI, Section B, line 12c TRUSTEES REVIEW POLICY AND DISCUSS ANY ARISING ISSUES/QUESTIONS WITH LEGAL COUNSEL Form 990, Part VI, Section C, line 19 DOCUMENTS ARE MADE AVAILABLE UPON REQUEST Form 990, Part VII WESLEY FURTADO - 1440 KAPIOLANI BLVD., #800, HONOLULU, HI 96814. CARLA THOMAS - 1440 KAPIOLANI BLVD., #800, HONOLULU, HI 96814. GUY FUJIMURA - 1440 KAPIOLANI BLVD., #800, HONOLULU, HI 96814. ERIC LOTTERMOSER - 1440 KAPIOLANI BLVD., #800, HONOLULU, HI 96814. evANGELINE SOBREPENA - 1440 KAPIOLANI BLVD., #800, HONOLULU, HI 96814. DONNA DOMINGO - 1440 KAPIOLANI BLVD., #800, HONOLULU, HI 96814. JEAN EWING - 1440 KAPIOLANI BLVD., #800, HONOLULU, HI 96814. ELMER GOROSPE - 1440 KAPIOLANI BLVD., #800, HONOLULU, HI 96814. 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. See Schedule R Supplemental Information See Schedule R Supplemental Information See Schedule R 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 II, III, IV THE FILING ORGANIZATION IS A TAFT-HARTLEY MULTIEMPLOYER PLAN THAT PROVIDES HEALTH & WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS IN ACCORDANCE W/ THE TERMS SET FORTH IN TRUST AGREEM'TS, RULES & REGS., OF THE PLAN & CBA. THE ADMINISTRATIVE 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: ANDAZ MAUI AT WAILEA GRAND HYATT KAUAI GRAND WAILEA RESORT HOTEL & SPA HILTON WAIKOLOA VILLAGE HONOLULU AIRPORT HOTEL HYATT REGENCY MAUI KAANAPALI BEACH HOTEL LANAI RESORTS, LLC. FKA FOUR SEASONS LANAI LANAI RESORTS, LLC. (SHUTTLE DRIVERS) MAUNA KEA BEACH HOTEL PACIFIC BEACH HOTEL PRINCEVILLE UTILITIES CO., INC. THE WESTIN MAUI RESORT & SPA TROON GOLF (MAKAI)