2014-10-31T12:47:06-05:00 2014-05-31 952556670 BERNARD KOTKIN AND COMPANY LLP 533 SOUTH FREMONT AVENUE SUITE 802 LOS ANGELES CA 90071 990 2013-06-01 956042868 CALIFORNIA IRONWORKERS FIELD WELFARE PLAN CALI 6267927337 131 N EL MOLINO AVENUE NO 330 PASADENA CA 91101 GLEN CLINE EXECUTIVE ADMINISTRATOR 6267927337 2014-10-30 VINCENT P ROGERS P01236562 2138929090 2013 2015-11-30 17:44:51Z GLEN CLINE 131 N EL MOLINO AVE 330 PASADENA CA 91101 133456931 0 X IRONWORKERBENNY.COM X 1963 CA TO PROVIDE MEDICAL AND DENTAL BENEFITS 18 18 191 0 0 0 0 0 127709680 127088488 1720879 755672 0 0 129430559 127844160 0 0 121386909 136879988 407936 432643 0 0 0 5930956 7032580 127725801 144345211 1704758 -16501051 174067710 166846612 161988238 171494718 12079472 -4648106 TO PROVIDE MEDICAL AND DENTAL BENEFITS. 0 0 141559397 TO PROVIDE MEDICAL, HOSPITAL, LIFE, VISION, PRESCRIPTION DRUGS AND DENTAL BENEFITS TO ACTIVE AND RETIREE PARTICIPANTS. 141559397 0 0 0 0 0 0 0 0 0 0 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 1 962 0 1 191 0 0 0 0 0 0 0 0 0 X 18 18 0 0 0 0 0 0 0 1 1 0 0 0 0 0 1 0 0 0 CA X IRONWORKER EMPLOYEES BENEFIT CORP 6267927337 131 N EL MOLINO AVE330 PASADENA CA 91101 HART KEEBLE TRUSTEE 1.00 X 0 0 0 DON SAVORY TRUSTEE 1.00 X 0 0 0 STEVE DAVIS TRUSTEE 1.00 X 0 0 0 JOEL RASCHKE TRUSTEE 1.00 X 0 0 0 DANIEL WELSH TRUSTEE 1.00 X 0 0 0 CHARLES KREBS TRUSTEE 1.00 X 0 0 0 NICK LEE TRUSTEE 1.00 X 0 0 0 DAVE MCEUEN TRUSTEE 1.00 X 0 0 0 GREG MCCLELLAND TRUSTEE 1.00 X 0 0 0 DENNIS MEAKIN TRUSTEE 1.00 X 0 0 0 MICHAEL SILVEY TRUSTEE 1.00 X 0 0 0 RICK DAVIS TRUSTEE 1.00 X 0 0 0 JEFF MCEUEN TRUSTEE 1.00 X 0 0 0 MARTIN MURPHY TRUSTEE 1.00 X 0 0 0 JOHNNY GALVAN TRUSTEE 1.00 X 0 0 0 MICHAEL VLAMING TRUSTEE 1.00 X 0 0 0 JOE STANDLEY TRUSTEE 1.00 X 0 0 0 RICHARD BARBOUR TRUSTEE 1.00 X 0 0 0 GLEN CLINE EXECUTIVE ADMINISTRATOR 40.00 X 0 232856 36194 0 232856 36194 0 0 1 0 INVIDASYS INC 2500 S POWER ROAD STE 215 MESA AZ 85209 COMPUTER CONSULTANT 1464997 THE SEGAL COMPANY 100 MONTGOMERY STREET STE 500 SAN FRANCISCO CA 94104 ACTUARIAL 327944 SCHWARTZ STEINSAPIR DOHRMAN 6300 WILSHIRE BLVD STE 2000 LOS ANGELES CA 90048 LEGAL SERVICES 290397 PETRA CONSULTING GROUP INC 787 GREENRIDGE DR LA CANADA CA 91011 COMPUTER CONSULTANT 255923 THE TRIZETTO GROUP INC PO BOX 122140 DALLAS TX 75312 COMPUTER CONSULTANT 155623 5 EMPLOYER CONTRIBUTIONS 900099 106871619 106871619 RETIREE PREMIUMS 900099 18036248 18036248 MEDICARE REIMBURSEMENTS 900099 2000898 2000898 OTHER INCOME 900099 164816 164816 LIQUIDATED DAMAGES 900099 14907 14907 127088488 646801 646801 5721642 5612771 108871 108871 108871 127844160 127844160 0 0 136879988 136879988 268297 188677 79620 164346 124246 40100 332826 332826 42870 42870 207437 79773 127664 SALARIES ALLOCATED FROM 2196105 1511609 684496 COMPUTER CONSULTING SER 1943331 1632951 310380 DEPRECIATION ALLOCATED 507930 496337 11593 EQUIPMENT LEASES AND MA 340376 41271 299105 1461705 604545 857160 144345211 141559397 2785814 0 36566435 33515616 16810102 14990908 119311088 117435817 1380085 904271 174067710 166846612 573254 658770 161414984 170835948 161988238 171494718 X 0 0 0 0 12079472 -4648106 12079472 -4648106 174067710 166846612 -16501051 -226527 0 X X 0 1 X 1 0 0 ESTIMATED LIABILITY FOR MEDICAL, HOSPITAL, VISION PLAN AND DENTAL CLAIMS 26008000 ESTIMATED LIABILITY UNDER GROUP INSURANCE CONTRACTS 4300000 ESTIMATED FUTURE BENEFITS BASED ON PARTICIPANTS' HOUR BANK PLAN 39500000 BENEFIT IMPREST ACCOUNTS AND OTHER 324310 SUPPLEMENTAL RETIREMENT BENEFIT LIABILITY 99450399 BENEFITS PAYABLE - INSURANCE PREMIUMS 877897 EMERGENCY RELIEF BENEFIT LIABILITY 356161 DUE TO IRONWORKERS EMPLOYEES' BENEFIT CORPORATION 19181 170835948 127526313 0 127526313 91320 226527 317847 127844160 140321891 65876000 65876000 74445891 91320 69808000 69899320 144345211 PART XI, LINE 4B - OTHER ADJUSTMENTS: NET UNREALIZED LOSS ON CURRENT VALUE OF INVESTMENTS HELD 226,527. PART XII, LINE 2D - OTHER ADJUSTMENTS: PLAN BENEFIT OBLIGATIONS AT MAY 31, 2013 65,876,000. PART XII, LINE 4B - OTHER ADJUSTMENTS: PLAN BENEFIT OBLIGATIONS AT MAY 31, 2014 69,808,000. 1 X 0 0 0 GLEN CLINE EXECUTIVE ADMINISTRATOR 0 232856 0 0 0 0 0 32210 0 3984 0 269050 0 0 FORM 990, PART VI, SECTION B, LINE 11 FORM 990 IS REVIEWED BY GLEN CLINE, EXECUTIVE ADMINISTRATOR, AFTER APPROVAL OF THE AUDITED FINANCIAL STATEMENTS BY THE BOARD OF TRUSTEES. FORM 990, PART VI, SECTION C, LINE 19 ORGANIZATIONAL DOCUMENTS AND FINANCIAL INFORMATION ARE AVAILABLE BY APPOINTMENT AT THE EXECUTIVE ADMINISTRATORS OFFICE. FORM 990 PART XI- LINE 2B AND 2C: THE BOARD OF TRUSTEES APPROVE THE AUDITED FINANCIAL STATEMENTS AT THEIR TRUSTEES MEETING. THE ANNUAL AUDITOR'S ENGAGEMENTS ARE APPROVED BY THE BOARD OF TRUSTEES. 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CONSTRUCTION INDUSTRY CA C 0 MCMAHON STEEL CO INC 1880 NIRVANA AVENUE CHULA VISTA CA 91911 CONSTRUCTION INDUSTRY CA C 0 METALSET INC 1200 HENSLEY STREET RICHMOND CA 94801 CONSTRUCTION INDUSTRY CA C 0 MID STATE STEEL ERECTORS 1916 CHEROKEE ROAD STOCKTON CA 95205 CONSTRUCTION INDUSTRY CA C 0 MIDSTATE BARRIER INC PO BOX 30550 STOCKTON CA 95213 CONSTRUCTION INDUSTRY CA C 0 MIDWEST STEEL INC 2525 E GRAND BLVD DETROIT MI 48211 CONSTRUCTION INDUSTRY MI C 0 MIKE RUSSELL CONSTRUCTION INC 13788 LAUREL HILL LOOP PENN VALLEY CA 95946 CONSTRUCTION INDUSTRY CA C 0 MILCO CONSTRUCTORS 3930 CHERRY AVE LONG BEACH CA 90807 CONSTRUCTION INDUSTRY CA C 0 MISSION CITY REBAR INC 542 MCGRAW AVE LIVERMORE CA 94551 CONSTRUCTION INDUSTRY CA C 0 MISSION IRON WORKS 276 DAY STREET SAN FRANCISCO CA 94131 CONSTRUCTION INDUSTRY CA C 0 MODERN ALLOYS INCCONTRACTORS 11172 WESTERN AVE STANTON CA 90680 CONSTRUCTION INDUSTRY CA C 0 MONROY STEEL INC 400 N MOUNTAIN AVE 224 UPLAND CA 91786 CONSTRUCTION INDUSTRY CA C 0 MONTEREY 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CONSTRUCTION INDUSTRY CA C 0 PRECISION SURVEILLANCE CORP 3468 WATLING ROAD EAST CHICAGO IN 46312 CONSTRUCTION INDUSTRY IN C 0 PREFERRED POWER SOLUTIONS INC 4100 EASTON DE STE 20 BAKERSFIELD CA 93309 CONSTRUCTION INDUSTRY CA C 0 PRO STEEL ERECTORS INC 589 YORK CREEK KINGSBURY TX 78638 CONSTRUCTION INDUSTRY TX C 0 PRO TECH THEATRICAL SERVICES 3431 N BRUCE ST NO LAS VEGAS NV 89030 CONSTRUCTION INDUSTRY NV C 0 QUALITY ERECTORS & CONST 3130 BAYSHORE ROAD BENICIA CA 94510 CONSTRUCTION INDUSTRY CA C 0 QUALITY REBAR INC PO BOX 501877 SAN DIEGO CA 92150 CONSTRUCTION INDUSTRY CA C 0 QUALITY REINFORCING INC 13275 GREGG STREET POWAY CA 92064 CONSTRUCTION INDUSTRY CA C 0 QUICK SET 1036 SAN GABRIEL AVE HENDERSON NV 89002 CONSTRUCTION INDUSTRY NV C 0 R & D STEEL INC 1136 S SANTA FE AVE COMPTON CA 90221 CONSTRUCTION INDUSTRY CA C 0 R A D METAL FAB & ERECTORS 1501 LOVERIDGE RD 5 PITTSBURG CA 94565 CONSTRUCTION INDUSTRY CA C 0 RR LEONARD CO 10910 SHOEMAKER AVE SANTA FE SPRINGS CA 90670 CONSTRUCTION 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