2012-04-17T11:09:39-05:00 2011-06-30 BERNARD KOTKIN AND COMPANY LLP 533 SOUTH FREMONT AVENUE LOS ANGELES CA 90071 990 2010-07-01 300042023 IATSE LOCAL 857 WELFARE FUND IATS 5624635000 13191 CROSSROADS PKWY NORTH NO 205 CITY OF INDUSTRY CA 91746 SERGIO MEDINA 5624635015 2012-04-13 1 2138929090 2010 2016-02-24 21:20:13Z SERGIO MEDINA 13191 CROSSROADS PKWY N SUITE 205 CITY OF INDUSTRY CA 91746 1427013 0 X N/A X 1958 CA TO PROVIDE HEALTH AND WELFARE BENEFITS. 6 6 0 0 0 0 0 0 874995 942089 19239 59304 0 0 894234 1001393 0 0 966752 994075 0 0 0 0 0 47201 64454 1013953 1058529 -119719 -57136 1158137 1152043 361870 372342 796267 779701 THE FUND PROVIDES ELIGIBLE MEMBERS AND THEIR DEPENDENTS WITH MEDICAL AND OTHER HEALTH BENEFITS. 0 0 1053868 TO PROVIDE MEDICAL, DENTAL, VISION, LIFE AND ACCIDENTAL DEATH AND DISMEMBERMENT INSURANCE BENEFITS TO APPROXIMATELY 145 ELIGIBLE MEMBERS. 1053868 0 0 0 0 0 0 0 0 0 0 0 0 1 0 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 0 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 X 6 6 0 0 0 0 0 0 0 1 1 0 0 1 0 0 1 0 0 0 X BENEFIT PROGRAM ADMINISTRATION 5624635000 13191 CROSSROADS PKWY NORTH SUITE CITY OF INDUSTRY CA 91746 X SERGIO MEDINA 2.00 X 0 0 0 KAREN SARPOLUS 2.00 X 0 0 0 MICHAEL DEMARTINI 2.00 X 0 0 0 TOM SHEPPARD 2.00 X 0 0 0 JEFF LOEB 2.00 X 0 0 0 MICHAEL THOMPSON 2.00 X 0 0 0 0 0 0 0 0 0 0 0 EMPLOYER CONTRIBUTIONS 900099 829623 829623 EMPLOYEE CONTRIBUTIONS 900099 112466 112466 942089 25974 25974 458950 425620 33330 33330 33330 1001393 1001393 0 0 994075 994075 875 875 3786 3786 5303 5303 14379 14379 4117 4117 ADMINISTRATIVE 35994 35994 1058529 1053868 4661 0 12174 2236 349582 86568 65549 69014 7116 1743 723716 992482 1158137 1152043 3406 7573 358464 364769 361870 372342 X 0 0 0 0 796267 779701 796267 779701 1158137 1152043 X -57136 40570 X X 0 1 1 X 0 0 BENEFIT OBLIGATIONS PAYABLE 364769 364769 1001393 1058529 -57136 40570 40570 -16566 1041963 40570 40570 1001393 0 1001393 1052224 0 1052224 6305 6305 1058529 PART XIII, LINE 4B - OTHER ADJUSTMENTS: CHANGE IN BENEFIT LIABILITY 6,305. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 WAS PROVIDED TO MANAGEMENT FOR REVIEW PRIOR TO FILING. FORM 990, PART VI, SECTION C, LINE 19 THE FORM 990 IS AVAILABLE FOR REVIEW AT THE ADMINISTRATORS OFFICE BY APPOINTMENT ONLY. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 40,570. AUDIT COMMITTEE FORM 990, PART XII, LINE 2C THE BOARD OF TRUSTEES HAS RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND THE SELECTION OF INDEPENDENT ACCOUNTANTS.