2013-03-06T16:05:14-06:00 2012-09-30 MILLER KAPLAN ARASE LLP 44 MONTGOMERY ST STE 3701 SAN FRANCISCO CA 941044831 990 2011-10-01 776009955 California's Valued Trust % ROBERT POWERS CALI 5594372960 520 E Herndon Ave Fresno CA 937202907 Valerie Cornuelle 2013-02-27 true MILLER KAPLAN ARASE LLP 4159563600 2011 2016-02-25 16:41:14Z Valerie Cornuelle 520 E Herndon Ave Fresno CA 937202907 532457320 false X www.cvtrust.org X 1984 CA To provide health AND welfare benefits for eligible employees, retirees and their dependents. 11 11 32 0 0 0 0 551516592 525866969 6226443 2498828 24284 19576 557767319 528385373 0 0 529541166 498362375 3079868 3093103 0 0 0 19315855 19786197 551936889 521241675 5830430 7143698 114279129 114075587 57044713 43708700 57234416 70366887 To provide health AND welfare benefits for eligible employees, retirees and their dependents. false false To provide health AND welfare benefits for eligible employees, retirees and their dependents. false false false false false false false false false true true false false true true true false false false false false false false false false false false false true false false false false false false false false false false false true false false false true 9 0 true 32 true false false false false false false X 11 11 false false false false false false false true true false false true true true true true true true true false X ROBERT POWERS 5594372960 520 E HERNDON AVE Fresno CA 937202907 X Michael Parks 4.0 X 0 0 227 Ramiro Carreon 4.0 X 0 0 151 Carole Anne Luckenbach 4.0 X 0 0 0 Elizabeth Zulueta 4.0 X 0 0 227 Sue Eustice 4.0 X 0 0 227 Elaine Cash 4.0 X 0 0 227 Nancy Smith 4.0 X 0 0 227 John Pestorich 4.0 X 0 0 227 Larry Yeghoian 4.0 X 0 0 227 Caryn Coss 4.0 X 0 0 0 Lee Coelho 4.0 X 0 0 227 Anthony Parreira 4.0 X 0 0 227 Valerie Cornuelle 40.0 X 181240 0 30281 Robert Powers 40.0 X 110960 0 26010 292200 0 58485 2 false true false Anthem Blue Cross 11050 Olson Dr Ste 110 RANCHO CORDOVA CA 956705600 claims admin service 11348465 Delta Dental 100 First St 6th Fl SAN FRANCISCO CA 941054632 Claims admin service 3706341 Vision Service Plan 3333 Quality Dr RANCHO CORDOVA CA 956707985 claims admin service 844945 Mercer 777 S Figueroa St Ste 190 LOS ANGELES CA 900175800 Actuarial Service 544946 CVS Caremark 9501 E Shea Blvd MC 045 SCOTTSDALE AZ 852606719 claims admin service 522664 13 0 EMPLOYER CONTRIBUTIONS 900099 495124541 495124541 PARTICIPANT CONTRIBUTIONS 900099 26821563 26821563 STOP-LOSS REIMBURSEMENTS 900099 3920865 3920865 525866969 2460981 2460981 0 0 4109794 4071947 37847 37847 37847 0 0 0 ADMINISTRATIVE SERVICES 900099 19576 19576 19576 528385373 525886545 2498828 0 0 0 498362375 0 363711 1704870 118789 747102 158631 0 208276 131320 0 0 144109 18269150 141206 262075 84759 0 69223 110521 0 129546 775 0 133838 101399 521241675 6177918 5160360 0 0 0 0 23734645 6255901 0 0 0 0 0 0 0 0 101627 147795 3934589 1652694 2259990 2281895 44769398 55150702 37235551 45078934 0 0 0 0 0 0 114279129 114075587 1508720 1688000 0 0 11959099 3165983 0 0 0 0 0 0 0 0 0 0 43576894 38854717 57044713 43708700 X 0 0 0 0 57234416 70366887 57234416 70366887 114279129 114075587 X 7143698 5988773 X X false true true X 1012000 1012000 1547610 492500 1055110 1374979 1160194 214785 2281895 COMMON/COLLECTIVE TRUST 34856515 F LIMITED PARTNERSHIPS 10222419 F 45078934 0 NOT PAID 36556102 POSTRETIREMENT BENEFIT COST 2081700 OBLIGATIONS FOR BENEFIT OF OTHERS 165433 DUE TO BROKER FOR SECURITIES 0 PURCHASED 51482 38854717 528385373 521241675 7143698 5988773 -4660529 1328244 8471942 530309172 5988773 5988773 524320399 144109 3920865 4064974 528385373 521837230 -3920865 -3920865 525758095 144109 -4660529 -4516420 521241675 Part X, Line 2 The plan has adopted guidance on accounting for uncertainty in income taxes issued by the financial accounting standards board. The plan administrator believes that the plan has taken no uncertain tax positions that require adjustment to the financial statements to comply with the provisions of this guidance. Information returns for tax years for which the applicable statutes of limitations have not expired are subject to examination by authorities. Part XI, Line 8: Change in benefit obligations - ($4,660,529) PART XII, LINE 4B: STOP-LOSS reimbursements $3,920,865 PART XIII, LINE 4B: CHANGE IN BENEFIT OBLIGATIONS - ($4,660,529) PART XIII, LINE 2D: STOP-LOSS reimbursements $3,920,865 X false false false Valerie Cornuelle 181240 0 13593 0 16688 0 211521 0 0 0 Part VI, Section B, Line 11B: A copy of the form 990 was provided to the PLAN's governing body prior to the form 990 being filed. the form 990 was reviewed by the PLAN's audit committee and the director of FINANCIAL SERVICES before it was filed. Part VI, Section B, Line 12C: At least annually, directors and other fiduciaries are asked to disclose any relationships or interests that could give rise to a conflict. If there is a conflict of interest, the conflicting interest is fully disclosed and documented in writing. The director or fiduciary with the conflict of interest is excluded from the discussion and approval of such transactions; the board determines if the transaction is in the best interest of the PLAN, and the terms of the transaction are fair with respect to terms available through arms-length transactions in the marketplace. Part VI, Section B, Line 15: Compensation for the executive director was approved by the board of trustees in 2011. Part VI, Section C, Line 19: The PLAN makes its governing documents, conflict of interest policy and financial statements available to the public upon request. Part XI, Line 5: Unrealized appreciation of investments $5,988,773 Part XII, Line 2C: The audit committee assumes responsibility for oversight of both the audit and the selection of the Certified Public Accountants that audit the Plan's financial statements. The full board annually approves the audit and any change to the Certified Public Accountants. SEE PART VII SUPPLEMENTAL INFORMATION false false false false false false false false false false false false false false false false true false THE LIST OF CONTRIBUTING EMPLOYERS IS MAINTAINED BY THE PRINCIPAL OFFICE.