2013-06-13T13:48:50-05:00 2012-07-31 990155373 LEMKE CHINEN & TANAKA CPA INC 210 WARD AVENUE SUITE 336 HONOLULU HI 968144012 990 2011-08-01 996009435 PAMCAH-UA LOCAL 675 HEALTH & WELFARE FUND PAMC 8085364408 1109 BETHEL ST NO 403 HONOLULU HI 96813 REGINALD CASTANARES - UNION TRUSTEE 8085364408 2013-05-18 1 DIANE HOSOKAWA P00922102 8085336254 2011 2016-02-25 16:41:14Z REGINALD CASTANARES - UNI 1109 BETHEL ST NO 403 HONOLULU HI 96813 39762176 0 X N/A X 1961 HI TO PROVIDE HEALTH & WELFARE BENEFITS TO PARTICIPATING EMPLOYEES AND THEIR BENEFICIARIES. 6 6 0 0 0 0 0 0 1894824 13977520 3780008 741148 -975097 50795 4699735 14769463 0 0 12361343 11681168 0 0 0 0 0 1416959 1895174 13778302 13576342 -9078567 1193121 24131946 25359115 407241 441289 23724705 24917826 TO PROVIDE HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS, THEIR DEPENDENTS, AND RETIREES. 0 0 10855373 PROVIDING SELF-INSURED BENEFITS TO ELIGIBLE PARTICIPANTS BY PAYING FOR INCURRED CLAIMS AND CLAIMS ADMINISTRATIVE FEES (MEDICAL CLAIMS $7,309,363, DRUG CLAIMS $2,277,045, VISION CLAIMS $221,332, INSURANCE STOP LOSS FEES $221,373, MEDICAL & DRUG CLAIMS ADMINISTRATION FEES $798,603, AND VISION CLAIMS ADMINISTRATION FEES $27,657). 1873428 PROVIDING HEALTH AND WELFARE BENEFITS BY PAYING FOR MONTHLY INSURANCE PREMIUMS TO INSURANCE CARRIERS (HAWAII DENTAL SERVICE $1,531,100, PACIFIC GUARDIAN LIFE $307,208, AND HAWAII MEDICAL SERVICE ASSOCIATION $35,120). 12728801 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 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 0 1 0 0 0 0 0 0 0 0 0 X 6 6 0 0 0 0 0 0 0 1 1 1 0 1 1 1 1 1 1 0 0 1 1 X PAMCAH-UA LOCAL 675 ADMINISTRATIVE 8085364408 1109 BETHEL ST 403 HONOLULU HI 96813 X REGINALD V CASTANARES JR 1.00 X 0 0 0 VALENTINO CERIA 1.00 X 0 0 0 DONOVAN LEWIS 1.00 X 0 0 0 KENT A MATSUZAKI 1.00 X 0 0 0 MARK SUZUKI 1.00 X 0 0 0 SAMUEL FUJIKAWA 1.00 X 0 0 0 GREGG SERIKAKU 1.00 X 0 0 0 0 0 0 0 0 0 0 HAWAII MEDICAL SERVICE ADMINISTRATION 818 KEEAUMOKU STREET HONOLULU HI 96814 MEDICAL CLAIMS ADMINISTRATOR 655473 NATIONAL BENEFITS ADMINISTRATOR 707 RICHARDS STREET PH6 HONOLULU HI 96813 CLAIMS ADMINISTRATOR 143130 HAWAII DENTAL SERVICE 700 BISHOP STREET 700 HONOLULU HI 96813 CLAIMS PROCESSOR 129740 3 EMPLOYER CONTRIBUTION 900099 12933424 12933424 RETIREE CONTRIBUTIONS 900099 1044096 1044096 13977520 625202 625202 58641 10427 48214 48214 48214 25098232 24982286 115946 115946 115946 OTHER INCOME 900099 17596 17596 UNREALIZED GAINS/LOSSE 900099 -15015 -15015 2581 14769463 13977520 0 791943 11681168 77449 46859 83677 4939 44999 11182 ADMINISTRATIVE FEE - ME 655473 ADMINISTRATIVE FEE 278534 INSURANCE - STOP LOSS 221373 ADMINISTRATIVE FEE - DR 143130 327559 13576342 2429292 2252966 1148743 2350571 16209 13939 73082 11829 31001 61253 18352361 18473801 2025017 2072305 129323 134280 24131946 25359115 66612 102683 340629 338606 407241 441289 X 23724705 24917826 0 0 0 0 23724705 24917826 24131946 25359115 1193121 0 X X 0 1 1 X 0 73082 11829 61253 61253 REAL ESTATE - IWILEI PROPERTY 1422817 F REAL ESTATE - KAPOLEI PROPERTY 631200 F LINE OF CREDIT - PLAZA AT MOANALUA 18288 F 2072305 BANK OVERDRAFT 309771 SECURITY DEPOSIT 6370 DUE TO BROKER FOR SECURITIES PURCHASED 22465 338606 14769463 13576342 1193121 1193121 14504813 0 14504813 127779 136871 264650 14769463 13311692 0 13311692 127779 136871 264650 13576342 PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 136871. PART XIII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 136871. FORM 990, PART VI, SECTION B, LINE 11 ALL DOCUMENTS ARE REVIEWED BY UNION AND MANAGEMENT TRUSTEE REPRESENTATIVES BEFORE SIGNING AND FILING. FORM 990, PART VI, SECTION B, LINE 12C POLICY IS REVIEWED BY THE BOARD OF TRUSTEES ANNUALLY FORM 990, PART VI, SECTION C, LINE 19 POLICIES ARE MADE AVAILABLE UPON REQUEST. CONTACT ADDRESSES FOR OFFICERS, DIRECTORS, ETC FORM 990, PART VII REGINALD V. CASTANARES JR. - 1109 BETHEL ST BASEMENT, HONOLULU, HI 96813. VALENTINO CERIA - 1109 BETHEL ST BASEMENT, HONOLULU, HI 96813. DONOVAN LEWIS - 1109 BETHEL ST BASEMENT, HONOLULU, HI 96813. KENT A. MATSUZAKI - 1029 ULUPONO STREET, HONOLULU, HI 96819. MARK SUZUKI - 1820 COLBURN STREET, HONOLULU, HI 96819. SAMUEL FUJIKAWA - 2149 PUUHALE PLACE, HONOLULU, HI 96819. GREGG SERIKAKU - 1314 S KING STREET #961, HONOLULU, HI 96814. FORM 990, PART XII, LINE 2C: BOARD OF TRUSTEES SELECT THE INDEPENDENT AUDITOR AND APPOINTS THE ADMINISTRATIVE OFFICE TO REVIEW THE FINANCIAL STATEMENTS. THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. PAMCAH-UA LOCAL 675 ANNUITY PLAN 1109 BETHEL STREET 403 HONOLULU HI 96813 990221545 TO PROVIDE ANNUITY BENEFITS TO ELIGIBLE MEMBERS HI 401(A) N/A 0 PAMCAH-UA LOCAL 675 COOPERATION FUND 1109 BETHEL STREET 403 HONOLULU HI 96813 990266164 TO PROMOTE THE INDUSTRY AND IMPROVE RELATIONSHIPS BETWEEN LABOR AND MGMT. HI 501(C)(5) N/A 0 PAMCAH-UA LOCAL 675 TRAINING PLAN 1109 BETHEL STREET 403 HONOLULU HI 96813 996009433 TO PROVIDE EDUCATIONAL BENEFITS TO ELIGIBLE MEMBERS AND EMPLOYERS HI 501(C)(5) N/A 0 PAMCAH-UA LOCAL 675 VACATION & HOLIDAY PLAN 1109 BETHEL STREET 403 HONOLULU HI 96813 996009438 TO PROVIDE VACATION AND HOLIDAY BENEFITS TO ELIGIBLE MEMBERS HI 501(C)(9) N/A 0 PAMCAH-UA LOCAL 675 PENSION PLAN 1109 BETHEL STREET 403 HONOLULU HI 96813 996024083 TO PROVIDE PENSION BENEFITS TO ELIGIBLE MEMBERS HI 401(A) N/A 0 PAMCAH-UA LOCAL 675 ADMINISTRATIVE OFFICE 1109 BETHEL STREET 403 HONOLULU HI 96813 990110375 TO ALLOCATE COMMON EXPENSES AMOUNG THE PAMCAH TRUST FUNDS HI N/A C 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 PAMCAH-UA LOCAL 675 ADMINISTRATIVE OFFICE O 399694 PERCENTAGE ALLOCATION