2013-05-29T04:17:28-05:00 2012-08-31 205496781 James P Hasselman CPA LLC PO Box 11149 Honolulu HI 96828 990 2011-09-01 996014752 Hawaii Carpenters Health & Welfare Fund HAWA 8088417575 200 N Vineyard Blvd No 100 Honolulu HI 96817 Paul CK Chang 8088417575 2013-05-20 1 James Hasselman P00653759 8087215483 2013-05-20 X 2011 2016-03-07 17:11:31Z Paul CK Chang 200 N Vineyard Blvd No 100 Honolulu HI 96817 76909404 0 X www.hbai.net X 1967 HI To operate a health and welfare employee benefit plan. 10 10 0 0 0 0 0 0 35606894 34002381 3885182 4575052 0 0 39492076 38577433 0 0 29204311 28931482 857 895 0 0 0 1656668 1734197 30861836 30666574 8630240 7910859 139772673 152392100 145520 125486 139627153 152266614 To operate a health and welfare benefit plan. 0 0 The Fund provided medical, dental, life insurance and other health & welfare benefits to eligible plan participants. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 1 55 0 1 0 0 0 0 0 0 0 0 0 X 10 10 1 1 0 0 0 1 0 1 1 0 0 1 0 0 0 0 0 0 X Hawaii Benefit Administrators Inc 8088417575 200 N Vineyard Blvd Suite 100 Honolulu HI 96817 Henry Iida 1.00 X X 0 0 0 Paul C K Chang 1.00 X X 0 0 0 Russell Young 0.10 X X 0 0 0 Thomas Toma 0.10 X 0 0 0 Glen Kaneshige 0.10 X 0 0 0 Ronald Taketa 0.10 X 0 0 0 Elmer Cabico 0.10 X 0 0 0 Clifford Respicio 0.10 X 0 0 0 George Ehara 0.10 X 0 0 0 Keith Hirota 0.10 X 701 0 0 Audrey Hidano 0.10 X 0 0 0 Lance Yoshimura 0.10 X 0 0 0 Mitchell Tynanes 0.10 X 0 0 0 Eric Hashizume 0.10 X 0 0 0 701 0 0 0 0 0 0 Hawaii Benefit Administrators Inc 200 N Vineyard Blvd Ste 100 Honolulu HI 96817 Plan administration 481155 Benefit Plan Solutions Inc 680 Iwilei Road Suite 528 Honolulu HI 96817 Plan consulting 110786 2 Employer contributions 230000 32095084 32095084 Employee contributions 230000 1821043 1821043 COBRA subsidy 230000 86254 86254 34002381 3934670 3934670 38972353 38331971 640382 640382 640382 38577433 34642763 0 3934670 28931482 895 481155 41091 69644 7862 230824 83573 23378 4675 17131 Claims processing expen 771695 Miscellaneous expenses 3169 30666574 11892975 6800031 3461106 4077215 5544 28147 107576154 136044580 15701500 4153892 1135394 1288235 139772673 152392100 145520 125486 145520 125486 X 0 0 0 0 139627153 152266614 139627153 152266614 139772673 152392100 X 7910859 4728602 X X 0 1 1 X 0 0 38577433 30666574 7910859 4728602 4728602 12639461 43298173 4728602 4728602 38569571 7862 7862 38577433 30658712 0 30658712 7862 7862 30666574 Description of Uncertain Tax Positions Under FIN 48: Part X: The audited financial statements contain the following disclosure pertaining to FIN 48 (ASC 740): "Accounting principles generally accepted in the United States of America require plan management to evaluate tax positions taken by the plan and recognize a tax liability (or asset) if the organization has taken an uncertain position that more likely than not would not be sustained upon examination by the Internal Revenue Service. The Fund administrator has analyzed the tax positions taken by the plan and has concluded that as of August 31, 2012, there are no uncertain positions taken or expected to be taken that would require recognition of a liability (or asset) or disclosure in the financial statements. The Fund is subject to routine audits by taxing jurisdictions, however there are currently no audits for any tax periods in progress. The Fund administrator believes the Fund is no longer subject to income tax examinations for fiscal years prior to 2009." Hawaii Benefit Administrators Inc (HBAI) One or more trustees of the organization is a director of HBAI. 481155 The organization has contracted with HBAI to provide plan administration services to the Fund. 0 Form 990, Part VI, Section A, line 2 The Board of Trustees is composed of ten voting trustees, five of whom are "union" trustees and five of whom are "contractor" trustees. The "union" trustees are appointed by the United Brotherhood of Carpenters and Joiners of America, Local 745. The "contractor" trustees are appointed by the General Contractors Labor Association and/or the Building Industry Labor Association. Form 990, Part VI, Section A, line 3 Management control is retained by the Board of Trustees. Administrative duties have been contracted to a third party administrator. Form 990, Part VI, Section A, line 7a The governing board is appointed by the Hawaii Regional Council of Carpenters, the General Contractors Labor Association, and/or the Building Industry Labor Association. Form 990, Part VI, Section B, line 11 Form 990 was provided to the Board of Trustees and reviewed with the trustees by the tax preparer. Form 990, Part VI, Section C, line 19 The organization makes its governing documents, form 990, and financial statements available for public inspection upon request. Changes in Net Assets or Fund Balances: Form 990, Part XI, line 5: Net unrealized gains on investments: 4,728,602. The process for reviewing the annual audit has not changed from the prior year. Hawaii Carpenters Apprenticeship Training Fund 200 N Vineyard Blvd Suite 100 Honolulu HI 96817 990119158 To provide education and training benefits to unionized employees HI 501(c)(5) None 0 Hawaii Carpenters Market Recovery Program Fund 200 N Vineyard Blvd Suite 100 Honolulu HI 96817 990264270 To explore joint employer/employee work opportunities HI 501(c)(5) None 0 Hawaii Carpenters Drywall Training Fund 200 N Vineyard Blvd Suite 100 Honolulu HI 96817 990143105 To provide education and training benefits to unionized employees HI 501(c)(5) None 0 Hawaii Carpenters Vacation & Holiday Fund 200 N Vineyard Blvd Suite 100 Honolulu HI 96817 996025504 To provide vacation and holiday benefits to unionized employees HI 501(c)(9) None 0 Hawaii Carpenters Financial Security Fund 200 N Vineyard Blvd Suite 100 Honolulu HI 96817 990264272 Employee benefit plan providing retirement benefits HI None 0 Hawaii Carpenters 401(k) Fund 200 N Vineyard Blvd Suite 100 Honolulu HI 96817 550822045 Employee benefit plan providing retirement benefits HI None 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. As of August 31, 2012 there are over 200 employers that contribute to the Trust. The administrative office maintains a database of these contributing employers, including names, addresses and other contact information. However, certain information that is required to be reported on Schedule R, such as employer identification numbers and legal structure (corporation, partnership, etc.) for each contributing employer is not on file with the administrative office. The administrative office made a reasonable attempt to collect this information but the information was not obtained. As a result, the contributing employers have not been included on Schedule R.