2015-04-09T12:55:13-05:00 2014-06-30 952556670 BERNARD KOTKIN AND COMPANY LLP 533 SOUTH FREMONT AVENUE SUITE 802 LOS ANGELES CA 900711706 990 2013-07-01 956034886 OPERATING ENGINEERS HEALTH AND WELFARE FUND OPER 6263561000 100 EAST CORSON STREET PASADENA CA 91103 JOSEPH EHRBAR FUND MANAGER 6263561000 2015-03-27 1 P01406987 2138929090 2013 2016-02-25 16:41:14Z JOSEPH R EHRBAR 100 EAST CORSON STREET PASADENA CA 91103 260415504 0 X WWW.OEFUNDS.ORG X 1954 CA TO PROVIDE MEDICAL BENEFITS TO APPROXIMATELY 9,800 ACTIVE AND 6,200 RETIRED PARTICIPANTS. 12 12 0 0 0 0 0 0 205796963 209139367 440694 904370 8349967 7027990 214587624 217071727 0 0 178094866 193717874 6253860 6634897 0 0 0 8165117 8327356 192513843 208680127 22073781 8391600 65203088 85820862 107177130 118286775 -41974042 -32465913 THE FUND'S MISSION IS TO ADMINISTER AND PROVIDE MEDICAL, DENTAL, VISION, PRESCRIPTION DRUGS, DISABILITY AND DEATH BENEFITS TO THE ACTIVE AND RETIRED MEMBERS OF I.U.O.E LOCAL 12 AND THEIR DEPENDENTS AND BENEFICIARIES. 0 0 195992321 TO PROVIDE MEDICAL, HOSPITAL, DENTAL, LIFE INSURANCE, PRESCRIPTION DRUGS AND VISION BENEFITS TO APPROXIMATELY 9,800 ACTIVE AND 6,200 RETIRED PARTICIPANTS AND THEIR SURVIVING SPOUSES. 195992321 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 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 12463 0 0 0 0 0 0 0 0 0 0 X 12 12 0 1 0 0 0 0 0 1 1 0 0 1 0 1 1 1 0 0 CA X OPERATING ENGINEERS FUNDS INC 6263561000 100 EAST CORSON STREET PASADENA CA 91103 X DAN BILLY TRUSTEE 1.00 34.00 X 0 0 0 LARRY DAVISON TRUSTEE 1.00 34.00 X 0 0 0 MICHAEL CRAWFORD TRUSTEE 1.00 X 0 0 0 CHARLES W POSS TRUSTEE 1.00 X 0 0 0 DAN HAWN TRUSTEE 1.00 34.00 X 0 0 0 WILLIAM WAGGONER TRUSTEE/SECRETARY TREASURE 1.00 34.00 X 0 0 0 MICKEY J ADAMS TRUSTEE/ALT.SEC & TREASURE 1.00 34.00 X 0 0 0 WALT ELLIOT TRUSTEE 1.00 X 0 0 0 DAVE GARBARINO TRUSTEE 1.00 34.00 X 0 0 0 MIKE RODDY TRUSTEE/CHAIRMAN 1.00 X 0 0 0 RON SIKORSKI TRUSTEE 1.00 34.00 X 0 0 0 BRUCE COOKSEY TRUSTEE 1.00 X 0 0 0 JIM RYAN TRUSTEE 1.00 X 0 0 0 JOSEPH EHRBAR FUND MANAGER 7.00 28.00 X 0 235553 32027 MICHAEL DECHELLIS DIRECTOR OF BENEFITS 35.00 X 0 147592 32027 RODNEY GOODWIN CHIEF FINANCIAL OFFICER 7.00 28.00 X 0 117959 32027 MATTHIAS ERIEG ASSISTANT FUND MANAGER 17.00 18.00 X 0 212795 32027 0 713899 128108 0 0 1 0 CAREMARK LLC 2211 SANDERS ROAD NORTHBROOK IL 60062 PRESCRIPTION DRUG PROVIDER 39956128 BLUE CROSS LIFE & HEALTH INSURANCE DEPARTMENT 5812 LOS ANGELES CA 90074 HEALTH INSURANCE PROVIDER 30742893 KAISER FOUNDATION HEALTH PLAN PO BOX 80204 LOS ANGELES CA 90080 HEALTH CARE PROVIDER 27802759 HEALTH NET FILE 52617 LOS ANGELES CA 90074 HEALTH INSURANCE PROVIDER 16849345 HEALTH PLAN OF NEVADA PO BOX 749546 LOS ANGELES CA 90074 HEALTH INSURANCE PROVIDER 1680765 5 EMPLOYER CONTRIBUTIONS 900099 183585526 183585526 SELF PAY PREMIUMS 900099 24863638 24863638 DELINQUENCY ASSESSMENT 900099 549750 549750 MISCELLANEOUS 900099 112601 112601 INTEREST ON DELINQUENC 900099 27852 27852 209139367 913406 913406 43334741 43343777 -9036 -9036 -9036 REBATES & SUBSIDIES 900099 7027990 7027990 7027990 217071727 217080763 0 -9036 193717874 193717874 4400205 4400205 864765 864765 967190 967190 402737 402737 531933 531933 237113 237113 110900 110900 1263926 1263926 901703 901703 1319784 1319784 814046 814046 20310 20310 20844 20844 632842 632842 164631 164631 BLUE CROSS DUES & EXP. 1208028 1208028 CLAIMS REVIEW EXPENSE 1066419 1066419 TAXES & FEES 34877 34877 208680127 195992321 12687806 0 13563365 22816403 30178219 31625901 21346504 31263558 115000 115000 65203088 85820862 4715130 2827775 102462000 115459000 107177130 118286775 X 0 0 0 0 -41974042 -32465913 -41974042 -32465913 65203088 85820862 8391600 1131772 -15243 0 X X 0 1 X 1 0 0 MEDICAL BENEFITS PAYABLE 115459000 115459000 X 218188256 1131772 1131772 217056484 15243 15243 217071727 195683127 0 195683127 12997000 12997000 208680127 PART X, LINE 2: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE PLAN MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE FUND 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 FUND 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 2009. PART XI, LINE 4B - OTHER ADJUSTMENTS: INVESTMENT FEES PART XII, LINE 4B - OTHER ADJUSTMENTS: INCREASE IN PLAN'S TOTAL BENEFIT OBLIGATIONS, OTHER THAN POSTRETIREMENT 12,997,000. X 1 1 X X X 0 0 0 JOSEPH EHRBAR FUND MANAGER 0 235553 0 0 0 0 0 15899 0 16128 0 267580 0 0 MICHAEL DECHELLIS DIRECTOR OF BENEFITS 0 147592 0 0 0 0 0 15899 0 16128 0 179619 0 0 MATTHIAS ERIEG ASSISTANT FUND MANAGER 0 212795 0 0 0 0 0 15899 0 16128 0 244822 0 0 PART I, LINE 1A PER THE TRAVEL & EXPENSE REIMBURSEMENT POLICY, IF TRAVEL TIME EXCEEDS TWO HOURS AND IS NOT ON THE WEST COAST, FIRST-CLASS TRAVEL IS AN OPTION. OTHERWISE, AIR TRAVEL IS LIMITED TO COACH. FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION'S MANAGEMENT DUTIES ARE DELEGATED TO THE OPERATING ENGINEERS FUNDS, INC. THEIR RESPONSIBILITY IS TO MAINTAIN ACCOUNTING RECORDS, INTERNAL FIANCIAL STATEMENTS AND PARTICIPANT RECORDS. FORM 990, PART VI, SECTION B, LINE 11 THE BOARD OF TRUSTEES AND FUND MANAGER REVIEWS THE FORM 990 BEFORE FILING THE RETURN. FORM 990, PART VI, SECTION B, LINE 15A IN 2012, THE FUND MANAGER NEGOTIATED AN EMPLOYMENT CONTRACT WITH THE BOARD OF TRUSTEES. COMPENSATION FOR THE OTHER KEY EMPLOYEES AND HIGHEST COMPENSATED EMPLOYEES IS BASED ON COMPARABLE COMPENSATION AT SIMILAR ORGANIZATIONS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, POLICIES, AND FINANCIAL STATEMENTS ARE AVAILABLE FOR INSPECTION UPON REQUEST AT THEIR ADMINISTRATIVE OFFICE, WHICH IS LOCATED AT 100 EAST CORSON STREET, 1ST FLOOR, IN PASADENA, CA. 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 LOCAL'S LM-2 FILINGS WITH THE DEPARTMENT OF LABOR. FORM 990, PART XII, LINE 2C: THE ORGANIZATION DOES NOT HAVE A SEPARATE AUDIT COMMITTEE. THE BOARD OF TRUSTEES HAS RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND THE SELECTION OF INDEPENDENT ACCOUNTANTS. OPERATING ENGINEERS PENSION TRUST OPERATING ENGINEERS JOURNEYMAN & APPRENTICESHIP TRAINING TRUST OPERATING ENGINEERS VACATION-HOLIDAY SAVINGS TRUST INTERNATIONAL UNION OF OPERATING ENGINEERS JOB CORPS TRAINING PROGRAM INTERNATIONAL UNION OF OPERATING ENGINEERS LOCAL 12 SOUTHERN CALIFORNIA LABORMANAGMENT CONTRACT COMPLIANCE TRUST FUND SOUTHERN CALIFORNIA OPERATING ENGINEERS BENEFIT ADMINISTRATION SOUTHERN CALIFORNIA SURVEYORS SOUTHERN NEVADA OPERATING ENGINEERS TRUST FUND OFFICE SOUTHERN NEVADA OPERATING ENGINEERS CONTRACT COMPLIANCE TRUST FUND SOUTHERN NEVADA OPERATING ENGINEERS JOURNEYMAN & APPRENTICE TRAINING TRUST CALIFORNIA DEPARTMENT OF CORRECTIONS CITY OF LOS ANGELESCONTROLLER OFFICE DEPARTMENT OF WATER & POWER 3 B ENGINEERING ADVANCED NDT SOLUTIONS ALLIED CONC PUMPING LLC ARCHER WESTERN CONTR LTD ARMSTRONG DOZER RNTL LLC ARROW ENGINEERING CO ATKINSON CNTRSAKA CLARK AZTECH INSP & TESTNG LLC B & I EQUIPMENT RNTL LLC B A S CONSTRUCTION LP BETTER BUILDING SYSTEMS CAL EX ENGINEERING 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