DISTRICT COUNCIL 16 NORTHERN CALIFORNIA HEALTH AND WELFARE TRUS: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
DISTRICT COUNCIL 16 NORTHERN CALIFORNIA HEALTH AND WELFARE TRUS (EIN 41-2261950)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-12
IRS object ID
201313169349305766
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-11-12T17:52:40-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN522385296EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1LINDQUIST LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line15000 EXECUTIVE PARKWAY SUITE 400AddressLine1
CitySAN RAMONCity
StateCAState
ZIP Code945834210ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN412261950EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1DISTRICT COUNCIL 16 NORTHERN CALIFORNIABusinessNameLine1
Business Name Line2HEALTH AND WELFARE TRUST FUNDBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlDISTNameControl
Phone5104334400Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11640 SOUTH LOOP ROADAddressLine1
CityALAMEDACity
StateCAState
ZIP Code945027089ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameCHRIS CHRISTOPHERSENName
TitleTRUSTEETitle
Phone5104334400Phone
Date Signed2013-11-12DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJOSEPH M THIERMANNName
PTINP01066616PTIN
Phone9252779100Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11640 SOUTH LOOP ROADAddressLine1
CityALAMEDACity
StateCAState
ZIP Code945027089ZIPCode
FieldValueIRS element (for citing)
Gross Receipts82900676GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteHTTP://WWW.DC16TRUSTFUND.ORGWebSite
Type Of Organization TrustXTypeOfOrganizationTrust
Year Formation2008YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE HEALTH AND WELFARE BENEFITS.ActivityOrMissionDescription
Nbr Voting Members Governing Body8NbrVotingMembersGoverningBody
Nbr Independent Voting Members0NbrIndependentVotingMembers
Total Nbr Employees94TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year70097040ProgramServiceRevenuePriorYear
Program Service Revenue CY82537931ProgramServiceRevenueCY
Investment Income Prior Year152212InvestmentIncomePriorYear
Investment Income Current Year247233InvestmentIncomeCurrentYear
Other Revenue Prior Year3113OtherRevenuePriorYear
Other Revenue Current Year115512OtherRevenueCurrentYear
Total Revenue Prior Year70252365TotalRevenuePriorYear
Total Revenue Current Year82900676TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year54746372BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY70705136BenefitsPaidToMembersCY
Salaries Etc Prior Year0SalariesEtcPriorYear
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year3101999OtherExpensePriorYear
Other Expenses Current Year3514580OtherExpensesCurrentYear
Total Expenses Prior Year57848371TotalExpensesPriorYear
Total Expenses Current Year74219716TotalExpensesCurrentYear
Revenues Less Expenses Prior Year12403994RevenuesLessExpensesPriorYear
Revenues Less Expenses CY8680960RevenuesLessExpensesCY
Total Assets BOY27310791TotalAssetsBOY
Total Assets EOY37219800TotalAssetsEOY
Total Liabilities BOY27051501TotalLiabilitiesBOY
Total Liabilities EOY28145058TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY259290NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY9074742NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE HEALTH AND WELFARE BENEFITS.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
DescriptionPROVIDED HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR BENEFICIARIES.Description
Described In501 C30DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip0ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109671NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees94NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members8NbrVotingGoverningBodyMembers
Number Independent Voting Members0NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties1DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement0RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledCAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1ASSOCIATED THIRD PARTY ADMINISTRATORSBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number5104334400TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11640 SOUTH LOOP ROADAddressLine1
CityALAMEDACity
StateCAState
ZIP Code945027089ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (11 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
DOUG CHRISTOPHER
TRUSTEE-PAST1.00X000
LES PROTEAU
TRUSTEE1.00X000
JOHN SHERAK
TRUSTEE1.00X000
JOHN MAGGIORE
TRUSTEE1.00X000
MARIAN BOURBOULIS
TRUSTEE1.00X000
CHRIS CHRISTOPHERSEN
TRUSTEE1.00X000
DARYL STACY
TRUSTEE1.00X000
JOHN KUSPER - ALTERNATE
TRUSTEE1.00X000
THOMAS HEINZELMANN - ALTERNATE
TRUSTEE1.00X000
STEVE ECKSTROM
TRUSTEE1.00X000
FRANK NUNES - ALTERNATE
TRUSTEE1.00X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
ASSOCIATED THIRD PARTY ADMINISTRATORS
1640 SOUTH LOOP ROADALAMEDACA94502FUND ADMINISTRATION1529593
ANTHEM BLUE CROSS
700 BROADWAYDENVERCO80273COST CONTAINMENT454951
SALTZMAN AND JOHNSON
44 MONTGOMERY STREET SUITE 2110SAN FRANCISCOCA94104ATTORNEY426819
THE SEGAL COMPANY
100 MONTGOMERY STREET SUITE 500SAN FRANCISCOCA94104CONSULTANT375800
LINDQUIST LLP
5000 EXECUTIVE PARKWAY SUITE 400SAN RAMONCA94583AUDITOR301331
FieldValueIRS element (for citing)
Number Of Contractors GT100 K6NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
EMPLOYER CONTRIBUTIONS9000997249721372497213
PARTICIPANT CONTRIBUTIONS90009990430749043074
PRESCRIPTION REBATES900099283897283897
LIQUIDATED DAMAGES900099241773241773
RETIREE DRUG SUBSIDY900099240477240477

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column231497TotalRevenueColumn
Related Or Exempt Function Income231497RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue82537931TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column247233TotalRevenueColumn
Exclusion$247,233ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionOTHER INCOMEDescription
Business Code900099BusinessCode
Total Revenue Column115512TotalRevenueColumn
Related Or Exempt Function Income115512RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue115512TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column82900676TotalRevenueColumn
Related Or Exempt Function Income82653443RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$247,233ExclusionAmount

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total70705136Total

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total1489421Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total426819Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total301331Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total15433Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1167257Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total79045Total

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total867Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total4851Total

Insurance Insurance

FieldValueIRS element (for citing)
Total29556Total

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total74219716Total

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY4594662BOY
EOY11631220EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY15834907BOY
EOY7975694EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY6758661BOY
EOY6960978EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY19007BOY
EOY23975EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
EOY10582213EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY103554BOY
EOY45720EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY27310791BOY
EOY37219800EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY7213056BOY
EOY1078500EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY247391BOY
EOY208964EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY19591054BOY
EOY26857594EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY27051501BOY
EOY28145058EOY
FieldValueIRS element (for citing)
Do Not Follow SFAS117XDoNotFollowSFAS117

Cap Stck Trst Prin Current Funds CapStckTrstPrinCurrentFunds

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Paid In Cap Srpls Land Bldg Eqp Fund PaidInCapSrplsLandBldgEqpFund

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc

FieldValueIRS element (for citing)
BOY259290BOY
EOY9074742EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY259290BOY
EOY9074742EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY27310791BOY
EOY37219800EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses8680960ReconcilationRevenueExpenses
Reconciliation Unrealized Invest134492ReconciliationUnrealizedInvest
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Total Of Book Value Land Buildings0TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
ACCUMULATED ELIGIBILITY CREDITS$9,886,207
BENEFIT CLAIMS PAYABLE & IBNR$5,066,000
EMPLOYER BOND DEPOSITS$69,114
CASH BANK LIABILITY$11,836,273
FieldValueIRS element (for citing)
Total Of Amounts26857594TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt83019735TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments134492NetUnrealizedGainsInvestments
Revenue Not Rptd F990134492RevenueNotRptdF990
Revenue Subtotal82885243RevenueSubtotal
Investment Expenses Not Included15433InvestmentExpensesNotIncluded
Revenue Not Rptd On Fin Stmt15433RevenueNotRptdOnFinStmt
Total Revenue Per Form99082900676TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt72967778TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal72967778ExpensesSubtotal
Investment Expenses Not Included215433InvestmentExpensesNotIncluded2
Other Expenses Not Included1236505OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt1251938ExpensesNotRptdOnFinStmt
Total Expenses Per Form99074219716TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X, LINE 2:ReturnReference
ExplanationTHE PLAN'S ADMINISTRATOR HAS ANALYZED THE TAX POSITIONS TAKEN BY THE PLAN, AND HAS CONCLUDED THAT, AS OF DECEMBER 31, 2012, 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 2009.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION A, LINE 3THE ORGANIZATION HAS DELEGATED CERTAIN MANAGEMENT DUTIES TO A THIRD-PARTY ADMINISTRATOR UNDER THE SUPERVISION OF THE GOVERNING BODY.
FORM 990, PART VI, SECTION B, LINE 11A COPY OF FORM 990 IS PROVIDED TO THE ORGANIZATION'S GOVERNING BODY FOR REVIEW BEFORE FILING.
FORM 990, PART VI, SECTION C, LINE 19THE 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 RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND SELECTION OF THE INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED.
PART XII, LINE 4B: OTHER ADJUSTMENTS: CHANGE IN BENEFIT OBLIGATIONS

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1DISTRICT COUNCIL NO 16BusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12705 CONSTITUTION DRIVEAddressLine1
CityLIVERMORECity
StateCAState
ZIP Code945509206ZIPCode
FieldValueIRS element (for citing)
EIN940433056EIN
Primary ActivitiesEMPLOYEE SPONSORING ORGANIZATIONPrimaryActivities
Legal Domicile StateCALegalDomicileState
Exempt Code Section501(C)5ExemptCodeSection
Public Charity StatusN/APublicCharityStatus
Direct Controlling Entity NAN/ADirectControllingEntityNA
Controlled Org0ControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Form990 Schedule R Part VII Form990ScheduleRPartVII (2 entries)

ExplanationExplanation
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 DECEMBER 31, 2012, THERE ARE APPROXIMATELY 517 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. A & B PAINTING INC A AMERICAN CUSTOM FLOORING, INC. AA 1 SERVICES INC ACR GLASS AND DOORS ACTIVE SELF PAY FOR BUY UP ADAMS DRYWALL ADERHOLT SPEC CO INC ADOLPH'S GLASS COMPANY AERO DRYWALL INC AESTHETIC MAINTENANCE CORP AFFORDABLE 1 PAINTING INC. AHC GLASS CO(SAFECO) AIC PAINTING CORP AJS PAINTING AKIMA CONSTRUCTION SERVICES LLC ALAN GARTHWAITE INDUSTRIES ALCAL ARCADE CONTRACTING, INC. ALCAL SPECIALTY CONTRACTING ALCOSTA SHOWER DOOR ALIDINI CO DBA GREEN COMMERCIAL PTG ALL AMERICAN PAINTING CO ALL NEW GLASS OF CALIFORNIA ALLEN SPECIALTIES, INC ALLIED PAINTERS INC AMAX GLASS & GLAZING, INC. AMBER FLOORING INC. AMCO CAULKING & WATERPROOFING AMG CONSTRUCTION ANDERSON CARPET & LINOLEUM SALES ANDRE'S GLASS SERVICE ANDRE'S RELIABLE GLASS INC ANDRIANI PAINTING CO ANNING & JOHNSON COMPANY AP & DECK WATERPROOFING SYSTEMS INC APPLIED FLOOR SYSTEMS, INC. APPLY A LINE INC ARCHITECTURAL GLASS & ALUM CO ARROW GLASS CO ARTISTIC DRYWALL SYSTEMS ATLANTIC PLANT SERVICES ATLAS GLASS CO. INC. AZCO INC. B & C PAINTING B & G GLASS CO, INC. B J FLOORING INC B SIDE INC. B T MANCINI CO., INC B&C/JERRY THOMPSON & SONS PTG AJV B.T. MANCINI CO., INC. BACA & SONS PAINTING BAGATELOS ARCH GLASS SYSTEMS BASCO DRYWALL & PAINTING CO BAY CITIES INC. BAY CITIES PTRS & DEC BAYSIDE INTERIORS INC BELIVEAU ENGINEERING CONTR INC BELL PAINTING BENASSI'S CARPET SERVICE BENSON INDUSTRIES, LLC BERGER BROTHERS INC BEST CONTRACTING SERVICES, INC BI QUALITY PAINTING, INC BLUE SKIES PAINTING BOWMAN PAINTING BOYETT CONSTRUCTION INC BRADY COMPANY BRAND ENERGY SVC OF CA INC BRITE PAINTING BRUCE K HALL CONSTRUCTION INC C & J PAINTING C & O PAINTING INC C & S FLOOR SYSTEMS, INC. C A BUCHER PTG SERVICE C/S ERECTORS C-3 CONCRETE SURFACE INC. CALIF STATE UNIVERSITY, SAC CALIFORNIA CUSTOM TINTING CALIFORNIA DRYWALL COMPANY CALIFORNIA ENGINEERING CALSTATE CONSTRUCTION, INC. CAMPBELL GLASS CANYON CREEK SERVICE INC. CAPITOL GLASS COMPANY CARMEL ARCHITECTURAL SALES CARMICHAEL PNTG INC CARPET DIMENSION, INC. CDCR REGIONAL ACCTING OFFICE CEE GEE PKG LOT STRIPING CENTER GLASS CO #3 CENTER GLASS COMPANY CENTERLINE STRIPING CENTRAL STRIPING SERVICE INC CERTIFIED COATING OF CALIFORNIA CHAPMAN'S WALLCOVERINGS CHRISP COMPANY CITY PAINTING CO CITYWIDE PAINTING CL COATINGS, INC. CLASSIC GLASS INC CLIFT HOTEL CLIFTON MIRROR & GLASS CO. INC. CLINE GLASS CONTRACTORS, INC. CM FLOOR COVERING, INC. CNJ ENTERPRISES, INC. COAST COUNTIES GLASS COAST PAINTING COLONIAL WEST GLASS COLOR NEW COMPANY COMMERCIAL FINISHES INC COMMERCIAL FLOORING SPECIALISTS COMMERCIAL GLASS & ALUM INC COMPONENT WEST, INC. CONCORD DRYWALL, INC CONKLIN BROS S F CONKLIN BROS-SANTA ROSA CONSTRUCTION SPECIALTIES CONTRACT DECOR INC COOL PAINTING COR-RAY PAINTING COX COMMERCIAL FLOORING INC CREATIVE SHOWER DOOR CROWN SKYLIGHTS INC CRW INDUSTRIES CURRANSEAL CUSTOM BUILDING SYSTEMS INC CUSTOM DRYWALL INC D & B PAINTING COMPANY D & C GLASS D & D COMM & RES PAINTING CO D & M PLASTERING CO INC D & R GLASS, INC. D C VIENT INC D P R CONSTRUCTION, INC D ZELINSKY & SON INC D&B/JTS PAINTING INC. JV D.S. BAXLEY, INC. DALEYS DRYWALL INC DAN ELECTRIC DARDEN PAINTING INC DASCO CONSTRUCTION & DR DB PTG & DARDEN PTG JOINT VENT DC 16 GLAZIERS APPRENTICESHIP DDPD INC DE MARTINEZ PAINTING INC DECORATORS INC DELTA CITY DRYWALL INC DENHAM CONTRACTING INC DEPT OF GENERAL SERVICES DI GIRALAMO PAINTING DIABLO VALLEY DRYWALL DIAZ CORPORATION DIETLIN PNTG & DEC DIS,3 MONTH EMPLOYER EXTENSION DISTRICT COUNCIL 16 DISTRICT COUNCIL 16 (HAYWARD) DIVERSIFIED FLOORING SERV DONALD E. MCNABB CO. DOTTO GLASS INC DOWNEY AND SON DRYWALL ART & CONSTRUCTION, INC. DRYWALL FINISHERS INC DTZ E F BRADY CO INC/CC EAST BAY GLASS COMPANY INC. EL GRECO CONSTRUCTION ELADIO R GUTIERREZ EMPIRE & ASSOC DBA SPRINTURF ENCLOS CORP/ HARMON ERIC STARK INTERIORS ETERNAL CONSTRUCTION INC. EVAN PATTERSON CONSTRUCTION EVANS PAINTING & DECORATING INC EVERGREENE PAINTING STUDIO EXCLUSIVELY DOORS EXPERT DRYWALL SYS INC F.D. THOMAS INC. 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NEW MILLENNIUM ENVIRONMTL SVCS INC NEW WEST PARTITIONS NICK MEJIA NOR CAL FLR CVRNG APPRNTICESHIP NOR CAL GLASS PRODUCTS NOR-CAL GLASS NORTH COUNTIES DRYWALL INC NORTHERN CA FLOOR CVG JATC NORTHERN DESIGN INC NORTHERN PACIFIC DRYWALL INC NU-GLASS SYSTEM OAKLAND HILTON HOTEL OAKLAND HOUSING AUTHORITY OCCASIONAL GLASS OLYMPIC CONTRACTOR OLYMPOS PAINTING, INC. OLYMPUS & ASSOCIATES ONEILL GLASS INC OREILLY & FAINA GLASS CO INC ORTEGA FLOORING INC PACE INC PACIFIC CONTRACTORS GROUP INC. PACIFIC GLAZING CONTRACTORS PACIFIC RACING ASSN PACIFIC SEALANTS PACIFIC SHORES CONSTRUCTION PAIGE STRUCTURAL GLASS PATRICK J RUANE INC PERFORMANCE CONTRACTING GROUP PERFORMANCE DRYWALL PERFORMANCE WATERPROOFING PERMASTEELISA NORTH AMERICA CO PERSE CONSTRUCTION COMPANY PETE CHACON CONSTRUCTION, INC. PIANA CONSTRUCTION & PNTG, INC. PICONE PAINTERS PINGUELO CONSTRUCTION PINNACLE INSTALLATIONS INC. PRECISION DRYWALL PRECISION GLASS SYSTEMS INC PREMIUM GLASS PRESTIGE GLASS PRESTON-BORG, INC PRESTON-HOLMES, INC. 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