2012-07-12T10:06:49-05:00 2011-12-31 952556670 BERNARD KOTKIN & COMPANY LLP 533 S FREMONT AVENUE SUITE 802 LOS ANGELES CA 90071 990 2011-01-01 956042873 SOUTHWEST CARPENTERS HEALTH AND WELFARE TRUST SOUT 2133868590 533 SOUTH FREMONT AVENUE LOS ANGELES CA 90071 RONALD SCHOEN 2133868590 2012-07-11 VINCENT P ROGERS P01236562 2138929090 2011 2016-02-24 21:20:13Z RONALD SCHOEN 533 S FREMONT AVE LOS ANGELES CA 90071 321176715 0 X CARPENTERSSW.ORG/HEALTHWELFARE.HTML X 1955 CA TO PROVIDE MEDICAL AND RELATED BENEFITS 15 15 0 0 0 0 0 0 189728686 235708108 6088067 1271821 0 0 195816753 236979929 0 0 232312568 218498505 0 0 0 0 0 10422174 7988222 242734742 226486727 -46917989 10493202 123135509 110557330 164408822 145637020 -41273313 -35079690 TO PROVIDE MEDICAL AND RELATED BENEFITS TO PARTICIPANTS AND QUALIFYING DEPENDENTS IN ACCORDANCE WITH THE TRUST AGREEMENT. 0 0 225987543 TO PROVIDE MEDICAL AND RELATED BENEFITS TO APPROXIMATELY 26,088 PARTICIPANTS AND QUALIFYING DEPENDENTS IN ACCORDANCE WITH THE TRUST AGREEMENT. 225987543 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 3029 0 1 0 0 0 0 0 0 0 0 0 X 15 15 0 0 0 0 0 0 0 1 1 0 0 1 0 0 1 0 0 0 CA X CARPENTERS SOUTHWEST ADMIN CORP 2133868590 533 S FREMONT AVENUE LOS ANGELES CA 90071 DOUGLAS MC CARRON 1.00 X 0 0 0 WAYNE CATALANO 1.00 X 0 0 0 JAMES K BERNSEN 1.00 X 0 0 0 CURTIS CONYERS JR 1.00 X 0 0 0 KIM FROMER 1.00 X 0 0 0 RICHARD HARRIS 1.00 X 0 0 0 BERT LEWITT 1.00 X 0 0 0 RONALD N TUTOR 1.00 X 0 0 0 FLOYD CLAY 1.00 X 0 0 0 TRAVIS WINSOR 1.00 X 0 0 0 MIKE MCCARRON 1.00 X 0 0 0 GORDON HUBEL 1.00 X 0 0 0 RALPH LARISON 1.00 X 0 0 0 RANDY HIGHLAND 1.00 X 0 0 0 MARC FURMAN 1.00 X 0 0 0 RONALD SCHOEN 40.00 X 0 222006 28722 0 222006 28722 0 0 1 0 DECARLO CONNOR AND SHANLEY 533 SOUTH FREMONT AVENUE LOS ANGELES CA 90071 LEGAL 702960 THE SEGAL COMPANY PO BOX 4070 NEW YORK NY 10261 ACTUARY 348787 MANATT PHELPS PHILLIPS 11355 W OLYMPIC BLVD LOS ANGELES CA 90064 LEGAL 199907 3 EMPLOYERS CONTRIBUTION 900099 217874933 217874933 PARTICIPANT CONTRIBUTI 900099 11501464 11501464 VACATION TRUST DISTRIB 900099 6240317 6240317 LIQUIDATED DAMAGES 900099 91394 91394 235708108 1092706 1092706 84375901 84196786 179115 179115 179115 236979929 236979929 0 0 218498505 218498505 456335 456335 42849 42849 77923 77923 ADMINISTRATIVE SERVICES 2924648 2924648 MEDICAL CLAIMS PROCESSI 2372552 2372552 PREFERRED PROVIDER NETW 915200 915200 LEGAL FEES COLLECTION P 423760 423760 774955 774955 226486727 225987543 499184 0 8035976 853613 16013037 36838201 14996571 29400252 42430 30411 60476061 24853279 22861791 17873355 709643 708219 123135509 110557330 505822 379181 163903000 145257839 164408822 145637020 X 0 0 0 0 -41273313 -35079690 -41273313 -35079690 123135509 110557330 X 10493202 -4299579 X X 0 1 1 X 0 0 17873355 F 17873355 GROUP INSURANCE PREMIUMS AND MEDICAL CLAIMS PAYABLE 144274800 DRAFTS OUTSTANDING 263959 ACCOUNTS PAYABLE- CARPENTERS SOUTHWEST ADMIN. CORP. 719080 145257839 236979929 226486727 10493202 -4299579 -4299579 6193623 232602427 0 232602427 77923 4299579 4377502 236979929 241970804 159836800 159836800 82134004 77923 144274800 144352723 226486727 PART XII, LINE 4B - OTHER ADJUSTMENTS: UNREALIZED DEPRECIATION IN CURRENT VALUE OF INVESTMENTS HELD 4,299,579. PART XIII, LINE 2D - OTHER ADJUSTMENTS: BENEFIT OBLIGATIONS AT DECEMBER 31, 2010 159,836,800. PART XIII, LINE 4B - OTHER ADJUSTMENTS: BENEFIT OBLIGATIONS AT DECEMBER 31, 2011 144,274,800. X 0 0 0 RONALD SCHOEN 0 213096 0 0 0 8910 0 20833 0 7889 0 250728 0 0 FORM 990, PART VI, SECTION B, LINE 11 FORM 990 IS REVIEWED BY RONALD A. SCHOEN, EXECUTIVE ADMINISTRATOR. FORM 990, PART VI, SECTION C, LINE 19 ORGANIZATIONAL DOCUMENTS AND FINANCIAL INFORMATION ARE AVAILABLE BY APPOINTMENT AT THE ADMINISTRATORS OFFICE. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -4,299,579. FORM 990. PART XII, LINE 2B AND 2C- THE BOARD OF TRUSTESS APPROVE THE AUDITED FINANCIAL STATEMENTS AT THEIR TRUSTEES' MEETING. THE ANNUAL AUDITOR'S ENGAGEMENTS ARE APPROVED BY THE BOARD OF TRUSTEES. SOUTHWEST CARPENTERS PENSION TRUST 533 SOUTH FREMONT AVENUE LOS ANGELES CA 90071 956042875 TO PROVIDE PENSION BENEFITS CA 501(A) NONE N/A 0 SOUTHWEST CARPENTERS TRAINING TRUST 533 SOUTH FREMONT AVENUE LOS ANGELES CA 90071 952106266 TO PROVIDE EDUCATION AND TRAINING CA 501(C)(5) NONE N/A 0 SOUTHWEST CARPENTERS VACATION TRUST 533 SOUTH FREMONT AVENUE LOS ANGELES CA 90071 956042279 TO PROVIDE VACATION BENEFITS CA 501(C)(9) NONE N/A 0 CARPENTERS SOUTHWEST ADMINISTRATIVE CORPORATION 533 SOUTH FREMONT AVENUE LOS ANGELES CA 90071 953687194 TO PROVIDE ADMINISTRATIVE SERVICES CA NONE C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 CARPENTERS SOUTHWEST ADMINISTRATIVE CORPORATION O 2985989 PERCENTAGE ALLOCATION CARPENTERS SOUTHWEST ADMINISTRATIVE CORPORATION- CLAIMS O 2372552 PERCENTAGE ALLOCATION CARPENTERS CONTRACTORS COOPERATION COMMITTEE INC R 4393561 TRUST AGREEMENT