2014-02-04T16:20:46-06:00 2013-03-31 300702322 HEMMING MORSE CPA'S AND CONSULTANTS 155 BOVET ROAD SUITE 600 SAN MATEO CA 94402 990 2012-04-01 946459649 CCPOA BENEFIT TRUST FUND CCPO 9167796300 2515 VENTURE OAKS WAY NO 200 SACRAMENTO CA 95833 TRUSTEE 9167796300 2014-01-26 1 4158364000 2012 2015-11-30 17:44:51Z TRUSTEE 2515 VENTURE OAKS WAY NO 200 SACRAMENTO CA 95833 228471287 0 X N/A X 1987 CA SEE PART III LINE 4A 5 5 39 0 0 0 0 0 212543525 219999403 1673640 1741862 7815256 6725543 222032421 228466808 0 0 201941338 211257453 3810698 3825996 0 0 0 6934385 6728918 212686421 221812367 9346000 6654441 124009722 131328605 18877551 18174224 105132171 113154381 NONE 0 0 TO PROVIDE CERTAIN HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS. 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 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 4744 0 39 1 0 0 0 0 0 0 0 0 0 0 X 5 5 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 X X MICHAEL SMALLEY 9167796300 2515 VENTURE OAKS WAY SUITE 200 SACRAMENTO CA 95833 PAULA GOODES 5.00 X 0 0 0 GAYLE MCKINNEY 5.00 X 0 0 0 DAVID LEWIS 5.00 X 0 0 0 PATRICK DAY 5.00 X 0 0 0 PAUL KAPTURKIEWICZ 5.00 X 0 0 0 MICHAEL SMALLEY 40.00 X 228742 0 37682 LARRY WILSON 40.00 X 150606 0 29450 BENJAMIN SYBESMA 40.00 X 207056 0 37682 SUMAN JHA 40.00 X 125751 0 30844 KATHLEEN KEEFE 40.00 X 111196 0 25117 823351 0 160775 5 0 1 0 FIRST DENTAL HEALTH PO BOX 919029 SAN DIEGO CA 92191 ADMIN FEES 297750 TRUCKER HUSS 1 EMBARCADERO CENTER FLOOR 12 SAN FRANCISCO CA 94111 LEGAL COUNSEL 166803 LEGAL SERVICE BUREAU 888 W SANTA ANA BLVD STE 2000 SANTA ANA CA 92701 COLLECTIONS 156441 SEGAL 120 MONTGOMERY ST STE 500 SAN FRANCISCO CA 94104 CONSULTANT 115468 JOE GONSALVES 32151 FALL RIVER ROAD TRABUCO CANYON CA 92679 CONSULTANT 101701 5 EMPLOYER CONTRIBUTIONS 900099 164521518 164521518 PARTICIPANT CONTRIBUTIONS 900099 55477885 55477885 219999403 1741842 1741842 4499 4479 20 20 20 ADMIN FEE 900099 4354381 4354381 SERVICE FEE REVENUE 900099 2180782 2180782 RENT INCOME 900099 140189 140189 50191 50191 6725543 228466808 226724946 0 1741862 211257453 823351 2159939 658139 184567 4752079 178113 52583 47850 97151 94350 59462 78974 187300 88271 ACTUARY AND CONSULTANT 285570 PRINTING AND POSTAGE 210476 COLLECTION FEE 157138 PARTICIPANT OUTREACH EX 114930 324671 221812367 200 2388838 65297762 51931782 16863076 17634651 24432 40509 7029074 3375816 3819713 3653258 35178523 52189573 2826016 3489994 124009722 131328605 1090353 517125 17787198 17657099 18877551 18174224 X 0 0 0 0 105132171 113154381 105132171 113154381 124009722 131328605 6654441 1367769 0 X X 0 1 X 1 0 726132 726132 4212593 1389107 2823486 318898 315026 3872 1771451 1671683 99768 3653258 LEASE DEPOSITS 6549 GROUP INSURANCE PREMIUMS PAYABLE 13553308 SELF-FUNDED BENEFIT CLAIMS PAYABLE 1006228 INCURRED BUT NOT REPORTED CLAIMS 2846000 DUE TO OTHER TRUST FUNDS 245014 17657099 229834577 1367769 1367769 228466808 0 228466808 221812367 0 221812367 0 221812367 X 0 0 0 MICHAEL SMALLEY 218742 0 10000 0 0 0 16743 0 20939 0 266424 0 0 0 LARRY WILSON 150606 0 0 0 0 0 13010 0 16440 0 180056 0 0 0 BENJAMIN SYBESMA 198056 0 9000 0 0 0 16743 0 20939 0 244738 0 0 0 SUMAN JHA 124229 0 1522 0 0 0 9494 0 21350 0 156595 0 0 0 FORM 990, PART VI, SECTION A, LINE 8B THE ORGANIZATION DOES NOT HAVE ANY SUB COMMITTES WITH THE AUTHORITY TO ACT OF BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS REVIEWED AND SIGNED BY TWO TRUSTEES PRIOR TO FILING. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES IT GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC ON THEIR WEBSITE OR UPON REQUEST. FORM 990, PART XI, LINE 2C THE BOARD OF TRUSTEES ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF THE ORGANIZATION'S FINANCIAL STATEMENTS AND SELECTION OF THE INDEPENDENT AUDITOR. CALIFORNIA CORRECTIONAL PEACE OFFICERS ASSOCIATION LEGAL DEFENSE FUND 2515 VENTURE OAKS WAY SUITE 200 SACRAMENTO CA 95833 686072830 TO PROVIDE LEGAL REPRESENTATION TO ELIGIBLE PARTICIPANTS CA 501C(9) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0