2013-11-12T17:52:40-06:00 2012-12-31 522385296 LINDQUIST LLP 5000 EXECUTIVE PARKWAY SUITE 400 SAN RAMON CA 945834210 990 2012-01-01 412261950 DISTRICT COUNCIL 16 NORTHERN CALIFORNIA HEALTH AND WELFARE TRUST FUND DIST 5104334400 1640 SOUTH LOOP ROAD ALAMEDA CA 945027089 CHRIS CHRISTOPHERSEN 5104334400 2013-11-12 1 JOSEPH M THIERMANN P01066616 9252779100 2012 2016-02-24 21:20:13Z 1640 SOUTH LOOP ROAD ALAMEDA CA 945027089 82900676 0 X HTTP://WWW.DC16TRUSTFUND.ORG X 2008 CA TO PROVIDE HEALTH AND WELFARE BENEFITS. 8 0 94 0 0 0 0 0 70097040 82537931 152212 247233 3113 115512 70252365 82900676 0 0 54746372 70705136 0 0 0 0 0 3101999 3514580 57848371 74219716 12403994 8680960 27310791 37219800 27051501 28145058 259290 9074742 TO PROVIDE HEALTH AND WELFARE BENEFITS. 0 0 PROVIDED HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR BENEFICIARIES. 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 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 71 0 1 94 1 0 0 0 0 0 0 X 8 0 0 1 0 0 0 0 0 1 1 0 0 1 1 1 0 1 1 0 0 0 CA X ASSOCIATED THIRD PARTY ADMINISTRATORS 5104334400 1640 SOUTH LOOP ROAD ALAMEDA CA 945027089 X DOUG CHRISTOPHER 1.00 X 0 0 0 LES PROTEAU 1.00 X 0 0 0 JOHN SHERAK 1.00 X 0 0 0 JOHN MAGGIORE 1.00 X 0 0 0 MARIAN BOURBOULIS 1.00 X 0 0 0 CHRIS CHRISTOPHERSEN 1.00 X 0 0 0 DARYL STACY 1.00 X 0 0 0 JOHN KUSPER - ALTERNATE 1.00 X 0 0 0 THOMAS HEINZELMANN - ALTERNATE 1.00 X 0 0 0 STEVE ECKSTROM 1.00 X 0 0 0 FRANK NUNES - ALTERNATE 1.00 X 0 0 0 0 0 0 0 0 0 0 ASSOCIATED THIRD PARTY ADMINISTRATORS 1640 SOUTH LOOP ROAD ALAMEDA CA 94502 FUND ADMINISTRATION 1529593 ANTHEM BLUE CROSS 700 BROADWAY DENVER CO 80273 COST CONTAINMENT 454951 SALTZMAN AND JOHNSON 44 MONTGOMERY STREET SUITE 2110 SAN FRANCISCO CA 94104 ATTORNEY 426819 THE SEGAL COMPANY 100 MONTGOMERY STREET SUITE 500 SAN FRANCISCO CA 94104 CONSULTANT 375800 LINDQUIST LLP 5000 EXECUTIVE PARKWAY SUITE 400 SAN RAMON CA 94583 AUDITOR 301331 6 EMPLOYER CONTRIBUTIONS 900099 72497213 72497213 PARTICIPANT CONTRIBUTIONS 900099 9043074 9043074 PRESCRIPTION REBATES 900099 283897 283897 LIQUIDATED DAMAGES 900099 241773 241773 RETIREE DRUG SUBSIDY 900099 240477 240477 231497 231497 82537931 247233 247233 OTHER INCOME 900099 115512 115512 115512 82900676 82653443 0 247233 70705136 1489421 426819 301331 15433 1167257 79045 867 4851 29556 74219716 4594662 11631220 15834907 7975694 6758661 6960978 19007 23975 10582213 103554 45720 27310791 37219800 7213056 1078500 247391 208964 19591054 26857594 27051501 28145058 X 0 0 0 0 259290 9074742 259290 9074742 27310791 37219800 8680960 134492 0 X X 0 1 X 1 0 0 ACCUMULATED ELIGIBILITY CREDITS 9886207 BENEFIT CLAIMS PAYABLE & IBNR 5066000 EMPLOYER BOND DEPOSITS 69114 CASH BANK LIABILITY 11836273 26857594 X 83019735 134492 134492 82885243 15433 15433 82900676 72967778 0 72967778 15433 1236505 1251938 74219716 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: THE 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. FORM 990, PART VI, SECTION A, LINE 3 THE 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 11 A COPY OF FORM 990 IS PROVIDED TO THE ORGANIZATION'S GOVERNING BODY FOR REVIEW BEFORE FILING. FORM 990, PART VI, SECTION C, LINE 19 THE 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 DISTRICT COUNCIL NO 16 2705 CONSTITUTION DRIVE LIVERMORE CA 945509206 940433056 EMPLOYEE SPONSORING ORGANIZATION CA 501(C)5 N/A N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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. 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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. FAIRMONT HOTEL SAN JOSE FBLN INC. DBA PAC GLAZING SOLUTIONS FEDOR WALL SYSTEMS, INC. FEDOR WALLCOVERING FIELD TURF CONSTRUCTION FIELDTURF USA INC FIX PAINTING CO FLOOR COVERING ASSOCIATION FLOOR COVERING INSTALLERS FLOOR SEAL TECH ATTN:KATIE FLOORTEC INC FLOORTEC, INC.-TRAINING FUND FLOORTRENDS, INC. FLORES DRYWALL INC FORTSON FLOORS, INC. FRANCISCAN GLASS CO INC FREY PLASTERING INC FUENTES PAINTING & DECORATING G & B PAINTING G & S DRYWALL INC G FLOR INC GENERAL SPORTS TURF INC. GEORGE E MASKER INC GEORGE MULLINS PAINTING GIAMPOLINI & COMPANY GIROUX GLASS, INC. GLASS & SASH CO GLASS CONCEPTS BY CLINE GOLDEN GATE DRYWALL GOLDEN GATE GLASS & MIRROR CO GOLDEN STATE CARPET SERVC GRAND CENTRAL FLOORING GRAND HYATT GRAND PRIX GLASS GREATER BAY FLOORING INC GREEN PAINTING GUARANTEE GLASS CO., INC GUGEL/TODAY PTG & DEC INC GYPSUM ENTERPRISES INC H.J MARTIN & SONS, INC. H.V. WELKER CO., INC. HALSTEAD DRYWALL INC HANSEN PAINTING & DEC HARDMAN GLAZING HAROLD W. THOMPSON HARRISON DRYWALL, INC HARRY L MURPHY INC HARTLEY BERGER J.V. HARTLEY CONST INC. HEAVENLY GREENS HEINAMAN CONTRACT GLAZING HELLAS CONSTRUCTION, INC. HERLACHE & SONS PAINTING HERRON PAINTING COMPANY HOEM & ASSOCIATES, INC. HOLLAND WATERPROOFING HORIZON PAINTING HULBURT GLASS HUR FLOORING HUTCHCRAFT FLOORING, INC. HYATT REGENCY HYLAND TSUKAMOTO I D GLASS INC I. PATOLO INC. INSUL DRYWALL & PLASTERING INC. INSUL-ACOUSTICS INC (NORTH) INSULATION ACOUSTIC DRYWALL INTEGRITY PAINTING COMPANY INTERIOR DESIGN CONST., INC INTERIOR GLASS SYSTEM IRONWOOD COMMERCIAL BLDRS INC IT PAINTING & DECORATING J & J ACOUSTICS INC J & R THOMPSON, INC J C FUENTES PAINTING & DECORATING J F MCCRAY PLASTERING INC JACKSON QUALITY DRYWALL JACOBS INDUSTRIAL SVC INC JAMES L. HARRIS PAINTING INC JANGHO CURTAIN WALL AMERICAS CO LTD JERRY THOMPSON & SONS INC JIM'S PAINTING JJJ FLOOR COVERING, INC JOHN CANNING & CO LTD JR CONSTRUCTION JUST WALLCOVERING JW CARPET & FLOORING K M INDUSTRIAL KAISER FOUNDATION HOSP CPFC KAISER FOUNDATION HOSP CPFC KAISER FOUNDATION HOSPITALS KARSYN CONSTRUCTION INC KBI PAINTING, INC KEENAN HOPKINS AND SUDER KIDDCO DOOR & GLASS SERVICE KIFLE CONSTRUCTION KIM'S FLOORING, INC KING DRYWALL KIRK BUILDERS KNK PAINTING & COATING INC. KYO-YA HOTELS & RESORTS, LP LARRY SILVESTRI INC LEDEIT & SONS GLASS INC LEGG INC. LEO'S AC INC LEVY DRYWALL, INC. LINCOLN GLASS & MIRROR CO LINEAR OPTIONS LINOLEUM LARRY'S INC. LINOLEUM SALES COMPANY LINSY PAINTING & DECORATING LISA DE LA SOL RESTORATION LML ENTERPRISES, INC. LONG PAINTING COMPANY LUCAS PAINTING CO. M & J FLOORCOVERING INC. M & J FLOORCOVERING INC. M & R PAINTING M COHEN & SONS M F SANCHEZ PAINTING M S F INC MADDEN AND NELSON INC MAGNUM DRYWALL INC MAJESTIC CONSTRUCTION MAJESTIC FLOORS, INC. MAR CON COMPANY MASON PAINTING INC MASTERPIECE PAINTING MASTRIA INCORPORATED MELO CONSTRUCTION METRO MAINTENANCE INC MGM DRYWALL INC MICHAEL WATSON PAINTING MIGALE PAINTING COMPANY MISSION BAY FLOORING CONTRACTORS MISSION GLASS CO MODERN MIRROR & GLASS CO. MOLINA'S PTG WALLCOVERING MOMENTUM MANAGEMENT INC. MONTICELLI PTG & DEC INC MPS GROUP, INC. MURILLO FLOOR COVERING MURPHY INDUSTRIAL COATINGS N J KANN PAINTING INC NATIONAL GLASS & METAL CO NC FLOORING GROUP INC NELSONS PAINTING NEVELL GROUP INC. 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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SLATER CUSTOM PAINTING SMG SOCAL PAC CON DBA NTL CTG & LIN SOUTHSIDE FLOORING SPECTRATURF SPECTRUM PAINTING INC SSI 2000, INC. ST FRANCIS SQUARE APTS INC ST OF CAL DEPT OF CORRTN ST OF CAL DSTR AG ASSN STANDARD DRYWALL, INC. STAR GLASS CO STAR WALLCOVERINGS STEWARD FLOOR COVERING STOCKHAM CONSTRUCTION STS INC. STUART FLOOR CO SUNSHINE COMMERCIAL CONST INC. SUPERIOR CONTRACTING SERVICES SUPERIOR CONTRACTING SVC INC. SUPERIOR WALL SYSTEMS, INC. SURBER DRYWALL CONSTRUCTION T & J FLOORS T & M PAINTING & CONSTRUCTION INC. TAYLOR DRYWALL INC TEAM GLASS INC TECHNICAL FLOORING ASSOCIATES, LLC TECHNO COATINGS INC TECH-WALL OF VENTURA INC THE ABBOTT GROUP, INC. THE GLASS MAN THE GNRL FLR PREP & INST CO. THE MS ROUSE COMPANY THE WESTIN ST FRANCIS THOMAS INTERIORS, INC. TIFFANY DECORATING COMPANY TISYS CONSTRUCTION TOWER GLASS INC. TROY WALL PAINTING TROYER'S DOOR CONTROL, INC. TURNER GROUP CONSTRUCTION U S G A INC U.S. GLASS, INC. 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