2015-10-27T16:00:41-05:00 2014-12-31 990155373 LEMKE CHINEN & TANAKA CPA INC 210 WARD AVE SUITE 336 HONOLULU HI 96814 990 2014-01-01 996008823 AFL HOTEL & RESTAURANT WORKERS HEALTH & WELFARE PLAN AFLH 8085230199 560 N NIMITZ HWY NO 209 HONOLULU HI 96817 ERIC GILLJULIE WALKER TRUSTEES 8085230199 2015-10-08 1 TERRY TAKAKI P00036112 8085336254 2014 2016-02-25 16:41:14Z ERIC GILLJULIE WALKER 560 N NIMITZ HWY NO 209 HONOLULU HI 96817 274196329 0 X N/A X 1955 HI TO PROVIDE HEALTH & WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS AS PRESCRIBED BY THE PLAN 6 6 0 0 0 0 0 0 95150176 97474788 423780 630003 4909 -133297 95578865 97971494 0 0 81824794 82000518 0 0 0 0 0 3366603 3955854 85191397 85956372 10387468 12015122 88123104 100733053 27683 622510 88095421 100110543 TO PROVIDE MEDICAL, DENTAL,PRESCRIPTION DRUG, CHIROPRACTIC CARE, VISION, AND DEATH BENEFITS TO ELIGIBLE MEMBERS 0 0 43835955 TO 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 CBA 38164563 PROVIDE INSURED HEALTH BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS 82000518 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 BENEFIT RISK MANAGEMENT SERVICES 8085230199 560 N NIMITZ HWY NO 209 HONOLULU HI 96817 X ERIC GILL LABOR TRUSTEE 0.50 X 0 0 0 HERNANDO TAN LABOR TRUSTEE (FORMER) 0.50 X 0 0 0 KRISTEN PALAGANO ALT MANAGEMENT TRUSTEE 0.50 X 0 0 0 LUZ GUTIERREZ MANAGEMENT TRUSTEE 0.50 X 0 0 0 DORYNE JARDINE ALT LABOR TRUSTEE 0.50 X 0 0 0 JULIE WALKER MANAGEMENT TRUSTEE 0.50 X 0 0 0 CARLA THOMAS ALT MANAGEMENT TRUSTEE 0.50 X 0 0 0 ROSS BANIAGA ALT LABOR TRUSTEE 0.50 X 0 0 0 KEVIN GLEASON MANAGEMENT TRUSTEE 0.50 X 0 0 0 ERNEST NISHIZAKI MANAGEMENT TRUSTEE (FORMER) 0.50 X 0 0 0 DANIEL KERWIN ALT LABOR TRUSTEE 0.50 X 0 0 0 MARSHA BRUHN ALT LABOR TRUSTEE 0.50 X 0 0 0 MORGAN EVANS ALT LABOR TRUSTEE 0.50 X 0 0 0 0 0 0 0 0 0 0 HMA INC 1440 KAPIOLANI BLVD STE 1020 HONOLULU HI 96814 MEDICAL CLAIMS ADMINISTRATOR 1847352 BENEFIT RISK & MANAGEMENT SERVICES 560 N NIMITZ HWY STE 209 HONOLULU HI 96817 PLAN ADMINISTRATOR 597550 FIRST HAWAIIAN BANK 999 BISHOP STREET HONOLULU HI 96813 CUSTODIAN 216409 BENEFIT PLAN SOLUTIONS 680 IWIEI ROAD STE 528 HONOLULU HI 96817 CONSULTING 173527 4 EMPLOYER CONTRIBUTONS 900099 97078836 97078836 PARTICIPANT CONTRIBUTIONS 900099 395952 395952 97474788 1236553 1236553 175618285 176224835 -606550 -606550 -606550 UNREALIZED LOSS 900001 -133297 -133297 -133297 97971494 97474788 0 496706 82000518 22662 42565 178824 42637 24964 8560 MEDICAL ADMINISTRATIVE 2098655 PCORI RESEARCH TAX & RE 646141 PLAN ADMINISTRATIVE FEE 597550 CONSULTANT FEES 231663 61633 85956372 5251 9244 13413840 11426778 8580119 8410806 66123894 80886225 88123104 100733053 27683 622510 27683 622510 X 88095421 100110543 0 0 0 0 88095421 100110543 88123104 100733053 12015122 0 X X 0 1 X 1 0 0 X 97792670 0 97792670 178824 178824 97971494 85777548 0 85777548 178824 178824 85956372 PART X, LINE 2: THE 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 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. 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 2011" FORM 990, PART VI, SECTION B, LINE 11 ALL DOCUMENTS ARE REVIEWED BY THIRD PARTY ADMINISTRATOR, MANAGEMENT TRUSTEE AND UNION TRUSTEE REPRESENTATIVES BEFORE SIGNING AND FILING FORM 990, PART VI, SECTION B, LINE 12C POLICY IS EXECUTED ANNUALLY BY TRUSTEES FORM 990, PART VI, SECTION C, LINE 19 POLICIES 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. HOTEL AND RESTAURANT INDUSTRY EMPLOYMENT AND TRAINING PLAN 560 N NIMITZ HIGHWAY 209 HONOLULU HI 96817 996009966 PROVIDE TRAINING BENEFITS TO ELIGIBLE EMPLOYEES HI 501(C)(5) N/A N/A 0 HOTEL UNION AND HOTEL INDUSTRY OF HAWAII PENSION PLAN 560 N NIMITZ HIGHWAY 209 HONOLULU HI 96817 990155373 PROVIDE RETIREMENT BENEFITS TO ELIGIBLE EMPLOYEES AND BENEFICIARIES HI 401(A) N/A N/A 0 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 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 - HOTEL HANA-RANCH 4 - HYATT CORPORATION 5 - ILIKAI HOTEL 6 - IMPERIAL HAWAII RESORT 7 - KAHALA HOTEL & RESORTS 8 - KAHALA SHOPPING CENTER 9 - KALUAKOI VILLAS 10 - KYO-YA COMPANY, LTD. 11 - PEARLRIDGE MALL 12 - PLAZA HOTEL 13 - QUEEN KAPIOLANI HOTEL 14 - RAMADA PLAZA (PREV. HOLIDAY INN) WAIKIKI 15 - ROYAL KONA RESORT 16 - SHERATON KAUAI RESORT 17 - SHERATON MAUI HOTEL - 1 18 - TURTLE BAY RESORT 19 - UNITE HERE LOCAL #5 20 - WAIKIKI BEACH MARRIOTT RESORT & SPA 21 - WAIKIKI RESORT HOTEL 22 - WAIKOLOA BEACH MARRIOTT