2014-05-09T11:41:13-05:00 2013-06-30 952556670 BERNARD KOTKIN AND COMPANY LLP 533 SOUTH FREMONT AVENUE SUITE 802 LOS ANGELES CA 900711706 990 2012-07-01 956034886 OPERATING ENGINEERS HEALTH AND WELFARE FUND OPER 6263561000 100 EAST CORSON STREET PASADENA CA 91103 JOSEPH EHRBAR 6263561000 2014-05-09 P01406987 2138929090 2012 2015-11-30 17:44:51Z JOSEPH EHRBAR 100 EAST CORSON STREET PASADENA CA 91103 257102329 0 X WWW.OEFUNDS.ORG X 1954 CA TO PROVIDE MEDICAL BENEFITS TO APPROXIMATELY 10,000 ACTIVE AND 5,000 RETIRED PARTICIPANTS. 11 11 62 0 0 0 0 0 203237184 205796963 12142 440694 8382266 8349967 211631592 214587624 0 0 212610790 178094866 6266855 6253860 0 0 0 7359799 8165117 226237444 192513843 -14605852 22073781 62306749 65203088 125414882 107177130 -63108133 -41974042 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 182707484 TO PROVIDE MEDICAL, HOSPITAL, DENTAL, LIFE INSURANCE, PRESCRIPTION DRUGS AND VISION BENEFITS TO APPROXIMATELY 10,000 ACTIVE AND 6,000 RETIRED PARTICIPANTS AND THEIR SURVIVING SPOUSES. 182707484 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 1 364 0 62 0 0 0 0 0 0 0 0 0 X 11 11 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 1.00 34.00 X 0 0 0 LARRY DAVISON 1.00 34.00 X 0 0 0 MICHAEL CRAWFORD 1.00 X 0 0 0 CHARLES W POSS 1.00 X 0 0 0 DAN HAWN 1.00 34.00 X 0 0 0 WILLIAM WAGGONER 1.00 34.00 X 0 0 0 MICKEY J ADAMS 1.00 34.00 X 0 0 0 WALT ELLIOT 1.00 X 0 0 0 KURT GLASS 1.00 34.00 X 0 0 0 MITCH WHITE 1.00 X 0 0 0 JOHN NELSON 1.00 X 0 0 0 DAVE GARBARINO 1.00 34.00 X 0 0 0 MIKE RODDY 1.00 X 0 0 0 RON SIKORSKI 1.00 34.00 X 0 0 0 BRUCE COOKSEY 1.00 X 0 0 0 JOSEPH EHRBAR 7.00 28.00 X 0 161827 23240 MICHAEL DECHELLIS 35.00 X 0 151308 30987 RODNEY GOODWIN 7.00 28.00 X 0 109923 30987 MATTHIAS ERIEG 17.00 18.00 X 0 143150 23240 MARGARET BOWEN 17.00 18.00 X 0 171010 21020 0 737218 129474 0 1 1 0 CAREMARK LLC 2211 SANDERS ROAD NORTHBROOK IL 60062 PRESCRIPTION DRUG PROVIDER 40276151 KAISER FOUNDATION HEALTH PLAN PO BOX 80204 LOS ANGELES CA 90080 HEALTH CARE PROVIDER 26275473 HEALTH NET FILE 52617 LOS ANGELES CA 90074 HEALTH INSURANCE PROVIDER 15772722 BLUE CROSS LIFE & HEALTH INSURANCE DEPARTMENT 5812 LOS ANGELES CA 90074 HEALTH INSURANCE PROVIDER 3177338 VERISK REMIT ONE LOCKBOX 30292 NEW YORK NY 10087 CLAIMS CONSULTANT 1797099 5 EMPLOYER CONTRIBUTIONS 900099 179487684 179487684 SELF PAY PREMIUMS 900099 25609035 25609035 DELINQUENCY ASSESSMENT 900099 518115 518115 MISCELLANEOUS 900099 167126 167126 INTEREST ON DELINQUENC 900099 15003 15003 205796963 592851 592851 42362548 42514705 -152157 -152157 -152157 REBATES & SUBSIDIES 900099 8349967 8349967 8349967 214587624 214587624 0 0 178094866 178094866 4366686 4366686 559315 559315 948271 948271 379588 379588 739948 739948 93322 93322 63765 63765 1477677 1239345 238332 696879 696879 613414 613414 779850 779850 19318 19318 20437 20437 46958 46958 103654 103654 136622 136622 CLAIMS REVIEW EXPENSE 1862817 1862817 BLUE CROSS DUES & EXP. 1510456 1510456 192513843 182707484 9806359 0 36096654 13563365 26095095 30178219 21346504 115000 115000 62306749 65203088 5430882 4715130 5000000 0 114984000 102462000 125414882 107177130 X 0 0 0 0 -63108133 -41974042 -63108133 -41974042 62306749 65203088 22073781 -933162 -6528 0 X X 0 1 X 1 0 0 MEDICAL BENEFITS PAYABLE 102462000 102462000 X 213647934 -933162 -933162 214581096 6528 6528 214587624 200035843 0 200035843 -7522000 -7522000 192513843 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: 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 POSITIONS 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 6,528. PART XII, LINE 4B - OTHER ADJUSTMENTS: DECREASE IN PLAN'S TOTAL BENEFIT OBLIGATIONS, OTHER THAN POSTRETIREMENT -7,522,000. X 1 1 X X X 0 0 0 JOSEPH EHRBAR 0 161827 0 0 0 0 0 11144 0 12096 0 185067 0 0 MICHAEL DECHELLIS 0 151308 0 0 0 0 0 14859 0 16128 0 182295 0 0 MATTHIAS ERIEG 0 143150 0 0 0 0 0 11144 0 12096 0 166390 0 0 MARGARET BOWEN 0 171010 0 0 0 0 0 11144 0 9876 0 192030 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. COMPENSATION DISCLOSURES FORM 990, PART VII, SECTION A, COLUMN E THE ORGANIZATION, WHICH IS AN ERISA EMPLOYEE BENEFIT FUND, IS GOVERNED BY AN UNCOMPENSATED BOARD OF TRUSTEES AND HAS NOT 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 100 EAST CORSON STREET PASADENA CA 91103 956032478 TO PROVIDE PENSION BENEFITS TO RETIRED ELIGIBLE MEMBERS. CA 401(A) 0 OPERATING ENGINEERS JOURNEYMAN & APPRENTICESHIP TRAINING TRUST 100 EAST CORSON STREET PASADENA CA 91103 956105499 TO TRAIN ELIGIBLE OPERATING ENGINEER JOURNEYMEN. CA 501(C)(5) 0 OPERATING ENGINEERS VACATION-HOLIDAY SAVINGS TRUST 100 EAST CORSON STREET PASADENA CA 91103 956067144 TO PROVIDE SAVINGS BENEFITS TO ELIGIBLE MEMBERS. CA 501(C)(9) 0 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 TRUST FUND N B E 3 B ENGINEERING ADVANCED INSPECTION ALLIED CONC PUMPING LLC ALLIED EQUIPMENT 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 & L CASING SERVICE LLC B A S CONSTRUCTION LP BETTER BUILDING SYSTEMS BIG SKY SCRAPERS LLC BOLT BACKHOE LLC C & A CONSTR SRVCS LLC C J M CONSTR CO LLC CAL EX ENGINEERING CO CALIF COMMERCL ASPHL LLC CALIF CRANE & RIGGING LLC CANYON-WARRIOR JT VENT CASTLE CONTRACTING LLC CEMEX CNST MTRLS PAC LLC COLICH & SONS L P CONSTR TESTING SERVICES CRANE GUYS LLC D E EQUIPMENT RENTL LLC DE WOLFE CRANE SERV LLC DEVIN STEVE BACKHOE LLC EXCLUSIVE MANAGEMENT SRV FINNCO SERVICES LLC FLETCHER CREAMER J & SONS GREAT LAKES DRDG DCK CO HERZOGREYES JV HOLLYWOOD PARK INC HYDROGRAPHIC CONSULTANTS INFRASOURCE UNDERGROUND J D K RAILROAD MATERIALS K & C EQUIP RNT ASSO LLC K & SACE JOINT VENTURE KIEWIT SHEA DESALINATION KING EXCAVATING LLC L A M CONTRACTING LLC L B CRUSHING LLC LAMPSON INTERNATIONL LLC LEE & STIRES EQUIP RNTL LOZANOS BACKHOE SERV LLC M C 4 CONSTRUCTION M C S M X SWEEPING LLC MAXIM CRANE WORKS MOSLER & COMPANY MOUNTAIN CRANE SERV LLC N C M CONTRACTING GROUP NATIONAL DEMOLITION CONT P A Y EQUIPMENT PANKOW CHARLES BLDRS LTD POLICH T T & ASSOCIATES POWELL CONSTRUCTORS R G D SURVEYING ROAD & HIGHWAY BUILDERS SAENZ EXCAVATION LLC SHIMMICK CONSTOBAYASHI SHIMMICKFCCIMPREGLIO JV SHIMMICKMYERS & SONS JV SILVERADO ASSOCIATES LLC SULLYS PRECISION GRADING SUNBELTS OF NEVADA LLC SUNORA ENERGY SOLUTIONS T P C AGGREGATES LLC TOWER HOISTING SRVCS LLC TRAYLOR FRONTIER KEMPER TUBE CITY LLC DBA IMS TUDOR M R EQUIP CO INC VANGUARD CONSTRUCTION VEGAS TUNNEL CONSTRUCTRS WEATHERFORD U S LP WEBCOR CONSTRUCTION INC ZUMWALT J & S ENTRP LLC OPERATING ENGINEERS FUNDS INC 100 EAST CORSON STREET PASADENA CA 91103 952694167 TO ADMINISTER THE TRUST FUNDS FOR I.U.O.E. 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RESTORATION SCI HAHN AND ASSOCIATES INC HALLADAY & MIM MACK HAMILTON EXCAVATING INC HAMMER EQUIPMENT INC HAMMOND SETH HANSEN PAUL EQUIP INC HANSON AGGR MID-PACIFIC HANSON GEOLOGICAL SRVCS HANSON LLC(HANSON AGG W) HARBER COMPANY INC HARD HAT SWEEPING INC HARD ROCK EQUIP RNTL INC HARDY & HARPER INC HARPERS BACKHOE SERV INC HARRIS SIM J INC HARTFIELD CONSTR CO HAT CREEK CONSTR & MATLS HATHAWAY DINWIDDIE CONS HATTON CRANE & RIGGING HAYWARD BAKER INC HENDRICKSON CONSTR INC HENRY'S DIRTWORKS INC HERZOG CONTRACTING CORP HERZOGDELTA A JT VNTURE HIBBERT D W ELEC CO INC HIGGINS BILL INC HIGGINS EARL INC HIGH LIGHT ELECTRIC INC HIGH VALLEY CONST CO INC HILL CRANE SERVICE INC HILL SAM & SONS HILLSIDE EQP RENTAL INC HINDSON & HOCHNER SURVEY HIXSON M BCKH SERV INC HOFFMAN CONCRETE CO INC HOLT GROUP INC THE HOOD CORPORATION HOOSIER EQUIPMENT INC HORIZON SURVEYS HOWARD CONTRACTING INC HUBBARD DON CONTR CO INC HUBBS D C CONSTRUCTION HUBBS PAUL J CONST CO HUITT-ZOLLARS HULCHER SERVICES INC HUNSAKER & ASSOC INC LA HUNSAKER & ASSOC INC SD HUNSAKER & ASSOCIATES HURRICANE & POWAY FENCE CO HYDRAULIC CRANES INC IMPERIAL PAVING CO INC INDEPENDENT SOLUTIONS INDUSTRIAL SWEEPING INC INFINITE EXCAVATING INC INNER CITY DEMOLITION INNOVATIVE CONST SOLUTNS INNOVATIVE INC INTEGRA ENGINEERING INC INTERNATIONAL SWEEPING INTERSTATE CONC CUTTING INTERSTATE IMPROVEMENT INTERWEST PACIFIC LTD INTL COOLING TOWER INTREN INC IRONCLAD GEN ENGINEERING IRVINE PIPELINE CO INC ISLAND BACKHOE J & B ENGINEERS SURVEYRS J & C TRACTOR SERVICE J & C UNDERGROUND J A CONCRETE CONSTR J B BACKHOE & EQUIP RNTL J C E EQUIPMENT INC J D M EXCAVATION INC J F L ELECTRIC INC J J SWEEPING INC J K EXCAVATION & GRADING J K S EQUIPMENT CORP J L SURVEYING INC J MACK ENTERPRISES INC J P BACKHOE SERV INC J R CONSTRUCTION INC J R PIPELINE CO INC J S & S INC J T EXCAVATING INC J V COMPANY JACKS BACKHOE SVC INC JACOBSSON ENG CONST INC JAFEC USA INC JAGUR TRACTOR SERVICES JAKES CRANE & RIGGN INC JAMES PLUMBING CO JANUS CORPORATION 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CONSTRUCTION INC M D C CONSTRUCTION & M D S CONSULTING M M C INC M N R CONSTRUCTION INC M N S ENGINEERS INC M S CONST MANAGEMENT GRP M S E RETAINING SYSTEMS M S L ELECTRIC INC M T G L INC MAC INTOSH A L COMPANY MACRO-Z-TECHNOLOGY CO MADOLE & ASSOCIATES INC MADOLE COMMUNITIES GROUP MAGCO DRILLING INC MAHAFFEY COMPANIES MALCOLM DRILLING CO INC MALLOY JOHN T INC MAMMOET USA NORTH INC MANHOLE ADJUSTING CONTR MANNING STEVE CONSTR MANSON CONSTR CO MANSON CONSTRUCTION COMP MANUEL BROS INC MARATHON SWEEPING INC MARCO CRANE & RIGGING CO MARC-US-ONE-INC MARINA LANDSCAPE CO MARK THOMAS & CO INC MARLEY COOLING TOWER CO MARROTA INC MARTIN R H COMPANY INC MARTINEZ LANDSCAPE CO MASS X INC MATA SWEEPING MATICH CORP MATICH CORP ASPHALT MATRIX ENVIRONMENTAL INC MATTHEW AND STEWART CO MAUI ONE EXCAVATING MAXWELLS BACKHOE INC MAYA STEEL FABRICATIONS MAYERS & ASSOC CIVIL ENG MAYO S D PAVING INC MC BRATNEY COMPANY MC CLARAN EQUIPMENT INC MC COSKER D A CONSTR CO MC DARIS CONSTR INC MC DONOUGH CONST RNT INC 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CONST INC WARD CORPORATION WATER WELL SERVICE INC WAYNES CRANES WEBB & CARROLL WEDDLE SURVEYING MAPPING WEISSKER HERMAN INC WELLS CARGO INC WERNER CORP WEST COAST BACKHOE SRVCS WEST COAST BORING INC WEST COAST DRILLING INC WEST COAST WELDING INC WEST VALLEY CONS CO INC WESTERN C&D CONTRACTING WESTERN GROUP INC WESTERN PAVEMENT SOLUTNS WESTERN PAVING CONTRS WESTERN SEVEN CORP WETZEL BOB CONCRETE INC WHEDON THOMAS CONSTR INC WHITES EXCAVATING INC WIEST D L ENTERPRISES IN WILLDAN WILLERT F J CONST CO INC WILLIAMS & SONS MASONRY WILLIAMS BROTHER INC WILMAR INSPECTION CO WILSON A D INC WILSON BROS TRENCHNG INC WILSON LEE ELECTRIC CO WINKLERS EXCV & GRDG INC WOOD BROS TRUCK & EQUIP RENTAL INC WOODS L H & SONS INC WRECK AGE DEMOLITION INC YOUNG & ASSOCIATES INC ZAMBORELLI ENT INC ZARP MIKE INC ZEFIRO CORPORATION 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 0