2015-11-13T12:30:51-06:00 2014-12-31 952556670 BERNARD KOTKIN AND COMPANY LLP 533 SOUTH FREMONT AVENUE SUITE 802 LOS ANGELES CA 900711706 990 2014-01-01 951867598 SOUTHERN CALIFORNIA PIPE TRADES HEALTH AND WELFARE FUND SOUT 2133856161 501 SHATTO PLACE 5TH FLOOR LOS ANGELES CA 90020 DON CHASE TRUSTEE 2133856161 2015-11-13 P01406987 2138929090 2014 2016-03-07 17:11:31Z 501 SHATTO PLACE 5TH FLOOR LOS ANGELES CA 90020 261973697 0 X WWW.SCPTAC.ORG X 1951 CA TO PROVIDE VARIOUS MEDICAL BENEFITS 25 25 0 0 0 0 0 0 61494423 61461115 3971440 5087920 28242 20786 65494105 66569821 0 0 50097375 47007691 0 0 0 0 0 6349131 7334531 56446506 54342222 9047599 12227599 167019447 176574680 32309308 31662988 134710139 144911692 TO PROVIDE HEALTH BENEFITS TO ELIGIBLE ACTIVE MEMBERS AND THEIR BENEFICIARIES OF THE SOUTHERN CALIFORNIA PIPE TRADES HEALTH AND WELFARE FUND. 0 0 52159154 TO PROVIDE BENEFIT PAYMENTS FOR MEDICAL, HOSPITALIZATION, DENTAL, PRESCRIPTION DRUG, DISABILITY, AND ACCIDENTAL AND DEATH BENEFITS TO APPROXIMATELY 5,400 ACTIVE PARTICIPANTS AND THEIR BENEFICIARIES IN COMPLIANCE WITH THE TRUST AGREEMENT. 52159154 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1894 0 0 0 0 0 0 0 0 0 0 X 25 25 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 0 1 0 0 0 X MARCUS CHIN CHIEF FINANCIAL OFFICER 2133856161 501 SHATTO PLACE 5TH FLOOR LOS ANGELES CA 90020 X X KEN JENKINS TRUSTEE - UNION 2.00 38.00 X 0 0 0 MILTON GOODMAN TRUSTEE 2.00 38.00 X 0 0 0 RODNEY COBOS TRUSTEE - UNION 2.00 38.00 X 0 0 0 MARK FOREMAN TRUSTEE - UNION 2.00 38.00 X 0 0 0 WALT FRENCH TRUSTEE - UNION 2.00 38.00 X 0 0 0 GARY L COOK CO-CHAIRMAN - UNION 2.00 38.00 X 0 0 0 STEVE SHIRLEY TRUSTEE 2.00 38.00 X 0 0 0 WALTER SCOTT BAKER TRUSTEE & APPEALS CHAIR 2.00 38.00 X 0 0 0 BRYAN SUTTLES TRUSTEE 2.00 38.00 X 0 0 0 SID STOLPER SECRETARY - UNION 2.00 38.00 X 0 0 0 JOHN ODOM TRUSTEE 2.00 38.00 X 0 0 0 DON CHASE CHAIRMAN & FINANCE CHAIR 2.00 38.00 X 0 0 0 RICHARD SAWHILL TRUSTEE 2.00 38.00 X 0 0 0 ROBERT FELIX CO-SECRETARY 2.00 38.00 X 0 0 0 GLEN NOLTE TRUSTEE - UNION 2.00 38.00 X 0 0 0 VINCENT DIAZ TRUSTEE - UNION 2.00 38.00 X 0 0 0 RAY LEVANGIE TRUSTEE - UNION 2.00 38.00 X 0 0 0 RICHARD EDWARDS TRUSTEE - UNION & CO-CHAIR APPEALS 2.00 38.00 X 0 0 0 CHIP MARTIN TRUSTEE 2.00 38.00 X 0 0 0 MIKE ROCK TRUSTEE - UNION 2.00 38.00 X 0 0 0 KIRK CROSSWHITE TRUSTEE - UNION 2.00 38.00 X 0 0 0 DAVID ZECH TRUSTEE 2.00 38.00 X 0 0 0 GLENN SANTA CRUZ TRUSTEE - UNION 2.00 38.00 X 0 0 0 STEVE DARNELL TRUSTEE 2.00 38.00 X 0 0 0 ROBERT LAKE TRUSTEE 2.00 38.00 X 0 0 0 MIKE LAYTON TRUSTEE - UNION & SECRETARY 2.00 38.00 X 0 0 0 STEVE GOMEZ TRUSTEE - UNION 2.00 38.00 X 0 0 0 0 0 0 0 0 0 0 ACARIA HEALTH PHARMACY #13 INC PO BOX 956780 ST LOUIS MO 63195 MEDICAL SERVICES 653105 CAREMARK PO BOX 840688 DALLAS TX 75284 MEDICAL SERVICES 201512 UCSF STANFORD HEALTH CARE PO BOX 742136 LOS ANGELES CA 90074 MEDICAL SERVICES 194395 SEVENTH DAY ADVENTIST LOMA LINDA PO BOX 0 LOMA LINDA CA 92354 MEDICAL SERVICES 163801 COUNTY OF SAN BERNARDINO 400 N PEPPER AVE COLTON CA 92324 MEDICAL SERVICES 129996 6 EMPLOYER CONTRIBUTIONS 900099 60722351 60722351 SELF-PAY CONTRIBUTIONS 900099 738764 738764 61461115 5120538 5120538 195371258 195403876 -32618 -32618 -32618 MISCELLANEOUS INCOME 900099 20786 20786 20786 66569821 66569821 0 0 47007691 47007691 5151463 5151463 358075 358075 174815 174815 450202 450202 151686 151686 59445 59445 232361 232361 22042 22042 PCORI & TRANSITIONAL RE 734442 734442 54342222 52159154 2183068 0 1227633 728760 12140396 15662802 6201841 7330173 17106 17271 96223411 93786071 49634060 57474603 1575000 1575000 167019447 176574680 2622648 1563728 29686660 30099260 32309308 31662988 X 0 0 0 0 134710139 144911692 134710139 144911692 167019447 176574680 12227599 -2026046 0 X X 0 1 X 1 0 0 LIMITED PARTNERSHIP INTERNSHIPS 57474603 F 57474603 HEALTH CLAIMS PAYABLE 884000 ESTIMATED HEALTH CLAIMS INCURRED BUT NOT REPORTED 7839000 ESTIMATED FUTURE BENEFITS BASED ON PARTICIPANTS ACCUMULATED ELIGIBILITY 21000000 ESTIMATED PRESCRIPTION BENEFITS PAYABLE 46000 ESTIMATED FUTURE DEATH BENEFITS 10000 DUE TO RELATED FUND 14260 HEALTH REIMBURSEMENT ARRANGEMENT CLAIMS 306000 30099260 X 64093574 -2026045 -2026045 66119619 450202 450202 66569821 53484020 29677000 29677000 23807020 450202 30085000 30535202 54342222 PART X, LINE 2: 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 LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE OR FRANCHISE TAX BOARD. 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 2010. PART XII, LINE 2D - OTHER ADJUSTMENTS: BENEFIT OBLIGATIONS-DECEMBER 31, 2013 PART XII, LINE 4B - OTHER ADJUSTMENTS: BENEFIT OBLIGATIONS-DECEMBER 31, 2014 NORTH AMERICA 0 0 INVESTMENTS 1613222 CENTRAL AMERICA AND THE CARIBBEAN 0 0 INVESTMENTS 2722013 EUROPE 0 0 INVESTMENTS 1947471 0 0 0 0 0 0 6282706 0 6282706 0 0 0 0 0 0 FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION'S MANAGEMENT DUTIES, INCLUDING ACCOUNTING FUNCTIONS AND PAYMENTS OF MEDICAL BENEFITS, ARE PERFORMED BY SOUTHERN CALIFORNIA PIPE TRADES ADMINISTRATIVE CORPORATION. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS REVIEWED BY THE CHAIRMAN AND CO-CHAIRMAN OF THE BOARD OF TRUSTEES, ADMINISTRATOR, AND CFO, WITH ASSISTANCE FROM THE FUND'S AUDITOR. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD OF TRUSTEES ARE FIDUCIARIES WHO ARE OBLIGATED TO COMPLY WITH THE EMPLOYEE RETIREMENT INCOME SECURITY ACT OF 1974 (ERISA), A MANDATORY AND DETAILED STATUTORY, REGULATORY AND FEDERAL COMMON LAW ADDRESSING THEIR DUTY AS FIDUCIARIES TO IDENTIFY, AVOID AND DISCLOSE CONFLICTS OF INTEREST, AS WELL AS PROHIBITED TRANSACTIONS. AS REQUIRED UNDER ERISA, THE TRUSTEES ANNUALLY EVALUATE AND MONITOR POTENTIAL CONFLICTS IN THEIR RETENTION AND DEALINGS WITH SERVICE PROVIDERS AND AS OTHER CIRCUMSTANCES WARRANT. TRUSTEES ARE EXPECTED TO RECUSE THEMSELVES FROM DELIBERATIONS WHEN AN UNAVOIDABLE CONFLICT EXISTS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION INTENDS TO COMPLY WITH ALL REQUIREMENTS UNDER FEDERAL LAW, INCLUDING THE TAX CODE AND THE EMPLOYEE RETIREMENT INCOME SECURITY ACT. IT MAKES ITS GOVERNING DOCUMENTS, POLICIES AND FINANCIAL STATEMENTS AVAILABLE TO ALL PARTICIPANTS UPON REQUEST. THE GENERAL PUBLIC HAS ACCESS TO MANY DOCUMENTS THROUGH ANNUAL GOVERNMENT FILINGS MADE BY THE ORGANIZATION. FORM 990, PART VII, SECTION A, COLUMN E COMPENSATION DISCLOSURES: THE ORGANIZATION, WHICH IS AN ERISA EMPLOYEE BENEFIT FUND, IS GOVERNED BY AN UNCOMPENSATED BOARD OF TRUSTEES AND HAS NO OFFICERS OR EMPLOYEES. THE DAY-TO-DAY MANAGEMENT, ADMINISTRATION, AND OPERATION OF THIS FUND IS PROVIDED BY A CORPORATION, FORMED TO PROVIDE THESE SERVICES TO THIS AND RELATED BENEFIT FUNDS. THE UNION TRUSTEES LISTED ON PART VII, SECTION A HAVE PREVIOUSLY DISCLOSED THEIR COMPENSATION ON THEIR RESPECTIVE LOCALS' LM-2 FILINGS WITH THE DEPARTMENT OF LABOR. FORM 990, PART VII, SECTION A, LINE 1A TRUSTEE COMPENSATION INFORMATION: THE BOARD OF TRUSTEES ARE UNCOMPENSATED BY THE ORGANIZATION. THE UNION TRUSTEES LISTED ON PART VII, SECTION A HAVE PREVIOUSLY DISCLOSED THEIR COMPENSATION ON THEIR RESPECTIVE LOCALS' LM-2 FILINGS WITH THE DEPARTMENT OF LABOR. FORM 990, PART XII, LINE 2C AUDIT COMMITTEE: THE ORGANIZATION DOES NOT HAVE A SEPARATE AUDIT COMMITTEE. HOWEVER, THE BOARD OF TRUSTEES AND ITS FINANCE COMMITTEE HAVE RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND THE SELECTION OF INDEPENDENT ACCOUNTANTS. SOUTHERN CALIFORNIA PIPE TRADES RETIREMENT FUND SOUTHERN CALIFORNIA PIPE TRADES VACATION & HOLIDAY FUND SOUTHERN CALIFORNIA PIPE TRADES CHRISTMAS BONUS FUND SOUTHERN CALIFORNIA PIPE TRADES DEFINED CONTRIBUTION FUND SOUTHERN CALIFORNIA PIPE TRADES PENSIONERS AND SURVIVING SPOUSES HEALTH FUN DEPARTMENT OF WATER & POWER UA LOCAL 78 PLUMBERS UA LOCAL 114 PLUMBERS UA LOCAL 230 PLUMBERS & UA LOCAL 250 STEAMFITTERS UA LOCAL #460 BAKERSFIELD UA LOCAL #364 UA LOCAL #398 UA LOCAL #403 SAN LUIS OBISPO UA LOCAL 484 UA LOCAL 582 PLUMBERS & UA LOCAL 345 UA LOCAL 761 DC 16 SOUTHERN CAL PIPE CITY OF LA HOUSING AUTHORITY LA COUNTY FAIR ASSOCIATION DC #36 PIPE TRADES H&W TRUST LOCAL #250 AIRCON REF H&W TRUST LOCAL #342 NO CAPIPE H&W TRUST LOCAL #393 PENINSULA H&W TRUST LOCAL #467 PENINSULA PL LOCAL #38 H&W TRUST LOCAL #52 LOCAL #675 H&W TRUST LOCAL #469 PHOENIX AZ H&W TRUST LOCAL #55 LOCAL #773 H&W TRUST LOCAL #520 H&W TRUST LOCAL #798 PIPELINE H&W TRUST LOCAL #60 H&W TRUST LOCAL #525 LAS VEGAS H&W TRUST LOCAL #290 PORTLAND H&W TRUST LOCAL #375 H&W TRUST LOCAL #190 TRUST FUND LOCAL #23 LOCALS #83 565 625 LOCAL #533 LOCAL #72 H&W & PENSION TRUST LOCAL #430 H&W TRUST INLAND REFRIGERATION TRUST WYOMING H&W TRUST LOCAL #33 HW & PENSION LOCAL #155 HW & PENSION LOCAL #488 EDMONTON H&W TRUST LOCAL #464 FUND LOCAL #10 H&W TRUST LOCAL #597 H&W TRUST LOCAL #475 LOCAL #350 H&W TRUST LOCAL #43 H&W TRUST LOCAL #25 HW & PENSION LOCAL #195 PIPEFITTERS LOCAL #777 LOCAL #602 LOCALS #455 & 539 LOCAL #11 HW & PENSION LOCAL #286 H&WPENSION TRUST LOCAL #140 SALT LAKE CITY LOCAL #486 LOCALS #26 & 82 H&W TRUST LOCAL #300 LOCALS #296 & 648 LOCAL #168 TRUST FUND TEXAS PIPE TRADES LOCAL #74 LOCAL #441 165 171 & 664 LOCAL #150 LA COUNTY SHERIFF'S DEPARTMENT STATE OF CA DEPT OF CORRECTIONS LOCAL #421 LOCAL #367 H&W TRUST LOCAL #47 H&W TRUST LOCAL #447 PIPE TRADES LOCAL #392 LOCAL #200 LOCALS #32058145208 LOCAL #13 H&WPENSION LOCAL #211 ZENITH ADMIN LOCAL #50 TRUSTS LOCAL #166 H & WPENSION LOCAL #73 H & 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