2014-07-28T14:44:27-05:00 2013-09-30 522385296 LINDQUIST LLP 600 CITY PARKWAY WEST SUITE 300 ORANGE CA 92868 990 2012-10-01 956049026 OPERATING ENGINEERS LOCAL 501 SECURITY FUND OPER 5624635000 13191 CROSSROADS PKWY NORTH NO 205 CITY OF INDUSTRY CA 91746 EDWARD CURLY 5624635000 2014-07-28 1 RICHARD G THIERMANN P00974294 7142570100 2012 2015-11-30 17:44:51Z PAUL BENSI 13191 CROSSROADS PKWY NORTH NO 205 CITY OF INDUSTRY CA 91746 43577594 0 X N/A X 1952 CA TO PROVIDE HEALTH AND WELFARE BENEFITS. 7 0 0 0 0 0 0 0 34990155 39730932 421916 230147 4340 327 35416411 39961406 0 0 34091738 36892562 0 0 0 0 0 1922940 2072789 36014678 38965351 -598267 996055 14282441 17149639 8176307 10079489 6106134 7070150 TO PROVIDE HEALTH AND WELFARE BENEFITS. 0 0 PROVIDED HEALTH AND WELFARE BENEFITS FOR PARTICIPANTS AND THEIR DEPENDENTS. 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 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 2 0 1 0 0 0 0 0 0 0 X 7 0 0 1 0 0 0 0 0 1 0 0 0 1 1 0 0 1 1 0 0 0 X CHRISTOPHER ESPINOZA - BENEFIT PROGRAMS ADMINISTRATION 5624635000 13191 CROSSROADS PARKWAY NORTH CITY OF INDUSTRY CA 917463434 X PAUL BENSI 5.00 X 0 0 0 MICHAEL LATHAM 5.00 X 0 0 0 MILLIE BISONO 5.00 X 0 0 0 WENDY NUTT 5.00 X 0 0 0 JESS ATKINSON 5.00 X 0 0 0 DENISE VUKOJEVICH 5.00 X 0 0 0 EDWARD CURLY 5.00 X 0 0 0 THOMAS O'MAHAR 5.00 X 0 0 0 0 0 0 0 0 0 0 BENEFIT PROGRAMS ADMIN 13191 CROSSROADS PKWY N STE 205 CITY OF INDUSTRY CA 91746 CONTRACT ADMINISTRATOR 1098958 SIERRA HEALTHCARE 2650 N TENAYA WY LAS VEGAS NV 89128 COST CONTAINMENT 140853 ANTHEM BLUE CROSS OF CALIFORNIA 21555 OXNARD ST WOODLAND HILLS CA 91367 NETWORK ACCESS FEES 139794 3 EMPLOYER CONTRIBUTIONS 900099 35956228 35956228 PARTICIPANT CONTRIBUTIONS 900099 2938738 2938738 STOP LOSS REIMBURSEMENT 900099 321465 321465 PRESCRIPTION REBATE 900099 297776 297776 MEDICARE PART D SUBSIDY 900099 216725 216725 39730932 296852 296852 3549483 3616188 -66705 -66705 -66705 OTHER REVENUE 900099 327 327 327 39961406 39731259 0 230147 36892562 1010420 127116 90090 36686 620743 151077 4473 874 12221 MEMBERSHIP DUES 19089 38965351 1863802 3227563 606730 675521 3326286 4622517 3710 3564 8481913 8620474 14282441 17149639 84766 179744 192493 305351 7899048 9594394 8176307 10079489 X 0 0 0 0 6106134 7070150 6106134 7070150 14282441 17149639 996055 -32039 0 X X 0 1 X 1 0 0 CLAIMS PAYABLE AND IBNR 3489000 ACCUMULATED ELIGIBILITY CREDITS 5963000 CONTRIB REC'D ON BEHALF OF PENSION PLAN 142394 9594394 X 39892681 -32039 -32039 39924720 36686 36686 39961406 37302665 0 37302665 36686 1626000 1662686 38965351 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: PART X, LINE 2: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE THE TAX POSITIONS TAKEN BY THE PLAN AND TO RECOGNIZE A TAX LIABILITY IF THE PLAN HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE. THE PLAN HAS ANALYZED THE TAX POSITIONS TAKEN BY THE PLAN AND HAS CONCLUDED THAT, AS OF SEPTEMBER 30, 2013, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY THE TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. THE PLAN BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR THE FISCAL YEARS PRIOR TO SEPTEMBER 30, 2010. PART XII, LINE 4B - OTHER ADJUSTMENTS: OTHER ADJUSTMENTS: CHANGE IN BENEFIT OBLIGATIONS FORM 990, PART VI, SECTION A, LINE 3 THE PLAN HAS A CONTRACT WITH BENEFIT PROGRAMS ADMINISTRATION (BPA) TO PROVIDE DAY TO DAY ADMINISTRATIVE SERVICES FOR THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 8B THERE ARE NO OTHER COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11 PRIOR TO FILING, THE FORM 990 IS REVIEWED BY THE FUND MANAGER AND THEN BY THE BOARD OF TRUSTEES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XII, LINE 2C: THE BOARD OF TRUSTEES ASSUMES RESPONSIBILTY FOR OVERSIGHT OF THE ANNUAL AUDIT AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THERE HAS BEEN NO CHANGE IN THIS PROCESS FROM PRIOR YEAR. INTERNATIONAL UNION OF OPERATING ENGINEERS LOCAL NO 501 2405 WEST 3RD STREET LOS ANGELES CA 90057 951751526 LABOR UNION CA 501(C)(5) N/A N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 SCHEDULE R, IDENTIFICATION OF RELATED ORGANIZATIONS: THE FILING ORGANIZATION IS A TAFT-HARTLEY MULTIEMPLOYER TRUST THAT PROVIDES HEALTH AND WELFARE BENEFITS TO ELIGIBLE EMPLOYEES AND THEIR DEPENDENTS. AS OF SEPTEMBER 30,2013, THERE ARE 107 EMPLOYERS THAT CONTRIBUTE TO THE TRUST. THE ADMINISTRATIVE OFFICE MAINTAINS A DATABASE OF THESE CONTRIBUTING EMPLOYERS, INCLUDING NAMES, ADDRESSES AND OTHER CONTACT INFORMATION. THE FEDERAL TAX CLASSIFICATION (DISREGARDED ENTITY, TAX-EXEMPT ORGANIZATION, PARTNERSHIP, TAXABLE CORPORATION OR TRUST) FOR EACH CONTRIBUTING EMPLOYER IS NOT ON FILE WITH THE ADMINISTRATIVE OFFICE AND IT COULD NOT BE REASONABLY OBTAINED. AS A RESULT, THE NAMES OF THE CONTRIBUTING EMPLOYERS ARE LISTED ON PART VII BELOW AND NOT ON PARTS II THROUGH IV BY FEDERAL TAX CLASSIFICATION. BPCE FOR: PROTECTIVE LININGS DIVISION ABM ENGINEERING SERVICES FOR: 21250 HAWTHORNE BLVD TORRANCE, CA CROWN ENERGY SERVICES INC D/B/A ABLE ENGINEERING SERVICES FOR:655 W BROADWAY SUITE 1460 RIO PROPERTIES, INC. DBA RIO ALL-SUITE HOTEL AND CASINO (FOR: ENGINEERS) HYATT CORPORATION D/B/A HYATT REGENCY CENTURY PLAZA HINES GS PROPERTIES, INC FOR: GOLDEN EAGLE PLAZA NATIONAL SECURITY TECHNOLOGIES, LLC VEOLIA ENERGY LOS ANGELES, INC. FOR: HOLLYWOOD AND HIGHLAND FACILITY HINES INSERESTS LIMITED PARTNERSHIP, A DELAWARE LIMITED PARTNERSHIP FOR: WARNER CENTER ACEPEX MANAGEMENT CORPORATION FOR: FEDERAL COURTHOUSE AND FED BLDG SHERATON OPERATING CORPORATION AS AN AGENT FOR HST LESSEE SOUTH COAST LP DBA THE WSTIN SOUTH COAST PLAZA JONES LANG LASALLE OF AMERICA, INC. FOR: MOBLIE ENGINEERING SVCS SODEXHO, INC. FOR: HOLLYWOOD PREBYTERIAN MEDICAL CENTER PLANT OPERATIONS AND MAINTENANCE CBRE TECHNICAL SERVICES, LLC FOR: MASTER ACCOUNT BROOKFIELD PROPERTIES MANAGEMENT, LLC CORNER INVESTMENT COMPANY, LLC DBA BILL'S GAMBLIN HALL AND SALON PRIDE INDUSTRIES CANCUN VACTION PLAN OWNERS ASSOCIATION SBEHG LAS VEGAS I, LLC DBA SAHARA HOTEL AND CASINO DESERT SPRINGS HOSPITAL AND MEDICAL CENTER HAYNESS BUILDING SERVICES, LLC LA LIVE PROPERTIES, LLC FOR: ENGINEERS ARAMARK UNIFORM & CARRER APPAREL, LLC A DELAWARE CORPORATION FOR: RIVERSIDE-ENGINNERS TRICOM MANAGEMENT, INC. FOR: JOCKEY CONDOMINIUM AQUARIUS LLC D/B/A AQUARIUS CASINO AND RESORT JOHNSON CONTROLS, INC. WESTIN OPERATOR, LLC DBA THE WESTIN LOS ANGELES AIRPORT HILTON GRAND VACATIONS COMPANY, LLC DBA HILTON GRAND VACATIONS CLUB AT THE LAS VEGAS HILTON HILTON PALM SPRINGS RESORT EXLUSIVE MANAGEMENT SERVICES, LP PORTFOLIO LAX, LLC DBA RADISSION HOTEL AT LOS ANGELES INTERNATIONAL AIRPORT RIO PROPERTIES, INC. DBA RIO ALL-SUITE HOTEL AND CASINO (FOR: SLOTS) HARBAUGH LAS VEGAS CORPORATION FOR: UBC INTERNATIONAL TRAINING CENTER METRO ENGINEERING INC BRADY LINEN SERVICES LLC FOR: 1100 FOREMASTER LANE, LAS VEGAS 1 W MAYFLOWER AVE NORTH LAS VEGAS, NV TROPICANA LAS VEGAS, INC. SHEN ZHEN NEW WORLD I, LLC DBA SHERATON UNIVERSAL HOTEL BROUGHTON HOTEL MANAGEMENT LLC D/B/A SPORTSMEN'S LODGE HOTEL KCORP TECHNOLOGY SERVICES INC FOR: CALEXICO/ANDRADE/PTAY MESA ,CA SHEN ZHEN NEW WORLD I, LLC DBA LOS ANGELES MARRIOTT DOWNTOWN ONE PARK BOULEVARD, LLC DBA HILTON SAN DIEGO BAYFRONT THE COLBURN SCHOOL J&J MAINTENANCE, INC D/B/A J&J WORLDWIDE SERVICES AND ENTERPRISE PROFESSIONAL SERVICES SHERATON OPERATING CORPORATION AS AN AGENT FOR HEI/ GC HOLLYWOOD & VINE HOTEL, LLC DBA W HOLLYWOOD HOTEL LOGISTICS & TECHNOLOGY SERVICES, (LTS) FOR: ISSOP - LTS GAINING CONTRACTOR, SAN DIEGO THE RIM CORPORATION, A CALIFORNIA CORPORATION, DBA RIM HOSPITALITY PARAGON SERVICES ENGINEERING, SAN DIEGO SERVIVES, LLC DBA FOR:THREE JOBSITES BREA, IRVINE, AND CULVER CITY CUSHFIELD MAINTENANCE WEST CORP FOR: WELLPOINT BUILDINGS, LOGMET LLC WILSON 5 SERVICE COMPANY, INC. FOR: RONALD REAGAN US FED. BUILDING AND US COURTHOUSE GSA CLOUGHERTY PACKING CO D/B/A FARMER JOHN STREMICKS HERITAGE FOODS, LLC ANHEUSER BUSCH, INC BAKER COMMODITIES, INC OASIS WEST REALTY, LLC DBA THE BEVERLY HILTON BW HOTEL LLC D/B/A BEVERLY WILSHIRE A FOUR SEASON HOTEL WHB BILTMORE, LLC DBA MILLENNIUM BILTMORE HOTEL BRIDGFORD FOODS CORPORATION ESSEX BUNKER HILL, LP FOR: BUNKER HLL TOWERS DMS FACILITY SERVICES LLC CALIFORNIA CLUB DEAN FOODS OF SOUTHERN CALIFORNIA D/B/A HEARTLAND FARMS CITY OF HOPE NATIONAL MEDICAL CENTER KILROY REALTY CORPORATION CENTURY PARK EAST HOMEOWNERS ASSOCIATION COUNTY OF ORANGE, DENTAL WALT DISNEY WORLD CO. AND WALT DISNEY PARKS AND RESORTS LLC (FOR: DISNEYLAND HOTEL, PARADISE PIER AND GRAND CALIFORNIA) UNIFIED WESTERN GROCERS, INC. HOST INTERNATIONAL, INC. WILSHIRE PLAZA HOTEL W LOS ANGELES HOTEL THE JONATHAN CLUB KAISER FOUNDATION HOSPITALS, INC., SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP WESTIN BONAVENTURE HOTEL AND SUITES "JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A) MANULIFE FINANCIAL" MOTION PICTURE AND TELEVISION FUND OPERATING ENGINEERS FUNDS, INC AMERICOLD DARLING INTERNATIONAL, INC. LOS ANGELES COLD STORAGE CO., STANDARD SOUTHERN CORPORATION ROCKVIEW DAIRES, INC. AEG MANAGEMENT SD, LLC D/B/A VALLEY VIEW CASINO CENTER HILTON PALM SPRINGS RESORT HANDLERY HOTEL AND COUNTRY CLUB CALIFORNIA DAIRIES, INC. RITE AID CORPORATION, THRIFTY PAYLESS, INC. BIMBO BAKERIES USA, INC. U.S. GROWERS COLD STORAGE, INC. PRAXAIR DISTRIBUTION, INC. VOLKSWAGEN GROUP OF AMERICA, INC. THE VONS COMPANIES, INC. FOR: SAN FE SPRINGS/ BOXFORD FACILITIES MUSIC CENTER "CROWN ENGERGY SERVCES, INC. DBA ABLE ENGINEERING SERVICES " IHG MANAGEMENT MARYLAND LLC DBA CROWNE PLAZA HOTEL SODEXHO, INC. FOR: GROSSMONT HOSPITAL MERIDIAN MANAGEMENT CORPORATION FOR: LAWDALE-VAN NUYS- 11000 WILSHIRE PACIFIC DESIGN CENTER I, LLC "L.A LIVE THEATRES, LLC FOR ENGINEERS AT NOKIA THEATRE LA LIVE" "LOS ANGELES ARENA COMPANY LLC FOR UTILITY CREW AT STAPLES CENTER" JONES LANG LASALLE OF AMERICA INC FOR: CITY NATIONAL BANK 400 N ROXBURY BEVERLUY HILLS CA 1801 W OLYMPIC BLVD LOS AGELES, CA DLM FOODS, LLC (BOILER, STEAM ENGINEERS) ALSCO INDUSTRIES-CAREY COMPLEX DESERT PALACE, INC. DBA CAESARS PALACE CALIFORNIA HOTEL AND CASINO, A NEVADA CORPORATION, D/B/A CALIFORNIA HOTEL AND CASINO CIRCUS CIRCUS CASINO INC D/B/A CIRCUS CIRCUS LAS VEGAS CIRCUS CIRCUS CASINOS, INC DBA CIRCUS CIRCUS- LAS VEGAS NEW CASTLE CORPORATION DBA EXCALIBUR HOTEL AND CASINO IKE GAMING, INC. DBA EL COTEZ HOTEL AND CASINO FLAMINGO LAS VEGAS OPERATING COMPANY, LLC DBA FLAMING LAS VEGAS "FOUR QUEENS, LLC. D/B/A FOUR QUEENS HOTEL & CASINO" SAM-WILL, INC. A NEVADA CORPORATION DBA FREMONT HOTEL AND CASINO VINTAGE VEGAS GAMING, INC. DBA BINIONS GAMING HALL & HOTEL PARBALL CORPORATION DBA BALLY'S CASINO AND HOTEL LAS VEGAS COUNTRY CLUB INC. G&K SERVICES HARRAH'S LAS VEGAS, LLC DBA HARRAH'S LAS VEGAS RIVIERA OPERATING CORPORATION DBA RIVIERA HOTEL AND CASINO SUNRISE HOSPITAL AND MEDICAL CENTER, LLC VALLEY HOSPITAL MEDICAL CENTER SMG FOR: LONG BEACH CONVENTION CENTER RAMPARTS, INC. DBA LUXOR HOTEL AND CASINO CONVENTION TECHNICAL SERVICES NORTHWIND ALADDIN, LLC "PARIS LAS VEGAS OPERATING COMPANY, LLC, D/B/APARIS LAS VEGAS" MANDALAY EMPLOYMENT LLC D/B/A FOURSEASONS HOTEL LAS VEGAS LAS VEGAS DISTRICT ENERGY, LLC STRATOSPHERE GAMING, LLC MERIDIAN MANAGEMENT CORPORATION FOR: 34 CIVIC CENTER, SUITE B32, SANTA ANA, CA AND 501 W. OCEAN BLVD. SUITE B009, LONG BEACH MANUFACTURING DIVISION OF KROGER CO. DBA COMPTON CREAMERY LEGAL ENTITY: KROGER CO. CBRE,INC., CBRE TECHICAL SERVICES, LLC FOR: UNION BANK JOBSITES ANSCHUTZ SOUTHERN CALIFORNIA SPORT COMPLEX, LLC FOR: HOME DEPOT CENTER FSS ALUTIIQ HINES INTEREST LIMITED PARTNER A DELAWARE LIMITED PARTNERSHIP FOR: PETCO PARK SHRINERS HOSPITAL FOR CHILDREN- LOS ANGELES PASADENA HILTON HOTEL, DAVISON HOTEL COMPANY PLAYLV GAMING OPERATIONS, LLC DBA PLAZA HOTEL AND CASINO CITY OF LOS ANGELES FOR MOU NO. 62- IUOE LOCAL 501 HIRING HALL ALEUT FACILITIES SUPPORT SERVICES, LLC "COLONY RESORTS LVH ACQ, LLC DBA LAS VEGAS HILTON " BALLY SLOT, PAYROLL DEPT HARRAH'S LAS VEGAS LLC, DBA: HARRAH'S LAS VEGAS HARRAH'S SLOTS, PAYROLL DEPT HINES INTEREST LIMITED HINES INTERESTS LIMITED PARTNER, WATERFRONT DR HINES REIT ONE WILSHIRE, LP JOINT APPRENTICESHIP COMMITTEE LOS ANGELES COLD STORAGE OPERATING ENG LOCAL 501 LAS VEGAS OFFICE OPERATING ENG LOCAL 501 LOS ANGELES SO NEVADA OPERATING &MAINT ENG THE QUAD RESORT & CASINO TISHMAN INTERNATIONAL CO TISHMAN SPEYER PROPERTIES LP