PAMCAH UA LOCAL 675 HEALTH & WELFARE FUND: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
PAMCAH UA LOCAL 675 HEALTH & WELFARE FUND (EIN 99-6009435)
Tax period
2010-08-01 to 2011-07-31
Filed
2012-06-06
IRS object ID
201211589349300801
Schema version
2010v3.4
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-06-06T19:13:43-05:00Timestamp
Tax Period End Date2011-07-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1LEMKE CHINEN & TANAKA CPA INCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1210 WARD AVENUE SUITE 336AddressLine1
CityHONOLULUCity
StateHIState
ZIP Code968144012ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-08-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN996009435EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1PAMCAH-UA LOCAL 675 HEALTH & WELFARE FUNDBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlPAMCNameControl
Phone8085364408Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11109 BETHEL ST NO 403AddressLine1
CityHONOLULUCity
StateHIState
ZIP Code96813ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameKENT MATSUZAKI - MGT TRUSTEEName
TitleREGINALD CASTANARES - UNION TRUSTEETitle
Phone8085364408Phone
Date Signed2012-05-18DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameDIANE HOSOKAWAName
Phone8085336254Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonKENT MATSUZAKI - MGT TRUSNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11109 BETHEL ST NO 403AddressLine1
CityHONOLULUCity
StateHIState
ZIP Code96813ZIPCode
FieldValueIRS element (for citing)
Gross Receipts48792893GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteN/AWebSite
Type Of Organization TrustXTypeOfOrganizationTrust
Year Formation1961YearFormation
State Legal DomicileHIStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE HEALTH & WELFARE BENEFITS TO PARTICIPATING EMPLOYEES AND THEIR BENEFICIARIES.ActivityOrMissionDescription
Nbr Voting Members Governing Body6NbrVotingMembersGoverningBody
Nbr Independent Voting Members6NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year926539ProgramServiceRevenuePriorYear
Program Service Revenue CY1894824ProgramServiceRevenueCY
Investment Income Prior Year802693InvestmentIncomePriorYear
Investment Income Current Year3780008InvestmentIncomeCurrentYear
Other Revenue Prior Year2458884OtherRevenuePriorYear
Other Revenue Current Year-975097OtherRevenueCurrentYear
Total Revenue Prior Year4188116TotalRevenuePriorYear
Total Revenue Current Year4699735TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year11932318BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY12361343BenefitsPaidToMembersCY
Salaries Etc Prior Year0SalariesEtcPriorYear
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year1501107OtherExpensePriorYear
Other Expenses Current Year1416959OtherExpensesCurrentYear
Total Expenses Prior Year13433425TotalExpensesPriorYear
Total Expenses Current Year13778302TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-9245309RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-9078567RevenuesLessExpensesCY
Total Assets BOY34405613TotalAssetsBOY
Total Assets EOY24131946TotalAssetsEOY
Total Liabilities BOY1602341TotalLiabilitiesBOY
Total Liabilities EOY407241TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY32803272NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY23724705NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS, THEIR DEPENDENTS, AND RETIREES.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense10951951Expense
DescriptionPROVIDING SELF-INSURED BENEFITS TO ELIGIBLE PARTICIPANTS BY PAYING FOR INCURRED CLAIMS AND CLAIMS ADMINISTRATIVE FEES (MEDICAL CLAIMS $7,685,190, DRUG CLAIMS $2,359,048, VISION CLAIMS $240,043, INSURANCE STOP LOSS FEES $188,256, MEDICAL CLAIMS ADMINISTRATION FEES $455,171, AND VISION CLAIMS ADMINISTRATION FEES $24,243).Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense2077062Expense
DescriptionPROVIDING HEALTH AND WELFARE BENEFITS BY PAYING FOR MONTHLY INSURANCE PREMIUMS TO INSURANCE CARRIERS (HAWAII DENTAL SERVICE $1,581,576, PACIFIC GUARDIAN LIFE $408,931, AND HAWAII MEDICAL SERVICE ASSOCIATION $86,555).Description
FieldValueIRS element (for citing)
Total Program Service Expense13029013TotalProgramServiceExpense
Described In501 C30DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees0NumberOfEmployees
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members6NbrVotingGoverningBodyMembers
Number Independent Voting Members6NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address1OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture1InvestmentInJointVenture
Written Policy Or Procedure1WrittenPolicyOrProcedure
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1PAMCAH-UA LOCAL 675 ADMINISTRATIVEBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number8085364408TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11109 BETHEL ST 403AddressLine1
CityHONOLULUCity
StateHIState
ZIP Code96813ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (7 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
REGINALD V CASTANARES JR
UNION TRUSTEE1.00X000
VALENTINO CERIA
UNION TRUSTEE1.00X000
DONOVAN LEWIS
UNION TRUSTEE1.00X000
KENT A MATSUZAKI
MANAGEMENT TRUSTEE1.00X000
MARK SUZUKI
MANAGEMENT TRUSTEE1.00X000
SAMUEL FUJIKAWA
MANAGEMENT TRUSTEE1.00X000
GREGG SERIKAKU
MANAGEMENT TRUSTEE (ALT)1.00X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
HAWAII MEDICAL SERVICE ADMINISTRATION
818 KEEAUMOKU STREETHONOLULUHI96814MEDICAL CLAIMS ADMINISTRATOR455171
HAWAII DENTAL SERVICE
700 BISHOP STREET 700HONOLULUHI96813CLAIMS PROCESSOR131092
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PREMIUM SUBSIDY900099949671949671
EMPLOYER CONTRIBUTION900099942026942026
COBRA CONTRIBUTIONS90009931273127
FieldValueIRS element (for citing)
Total Program Service Revenue1894824TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column552035TotalRevenueColumn
Exclusion$552,035ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real140132Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real14490Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real125642Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column125642TotalRevenueColumn
Exclusion$125,642ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities47306641Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities44078668Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities3227973Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column3227973TotalRevenueColumn
Exclusion$3,227,973ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
OTHER INCOME90009924790$24,790
UNREALIZED GAINS/LOSSE900099-1125529-$1,125,529
FieldValueIRS element (for citing)
Total Other Revenue-1100739TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column4699735TotalRevenueColumn
Related Or Exempt Function Income1894824RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$2,804,911ExclusionAmount

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total12361343Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total58423Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total46859Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total115005Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total4297Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total30444Total

Insurance Insurance

FieldValueIRS element (for citing)
Total14734Total

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotal
ADMINISTRATIVE FEE - ME455171
ADMINISTRATIVE FEE289892
INSURANCE - STOP LOSS188256
CONSULTANT FEES92502
TAXES FICA & FUTA28980

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total92396Total

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total13778302Total

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY5960757BOY
EOY2429292EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY501278BOY
EOY1148743EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY18862BOY
EOY16209EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis39067LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec8066LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY28203BOY
EOY31001EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY25501191BOY
EOY18352361EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY2212936BOY
EOY2025017EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY182386BOY
EOY129323EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY34405613BOY
EOY24131946EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY742103BOY
EOY66612EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY860238BOY
EOY340629EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1602341BOY
EOY407241EOY
FieldValueIRS element (for citing)
Do Not Follow SFAS117XDoNotFollowSFAS117

Cap Stck Trst Prin Current Funds CapStckTrstPrinCurrentFunds

FieldValueIRS element (for citing)
BOY32803272BOY
EOY23724705EOY

Paid In Cap Srpls Land Bldg Eqp Fund PaidInCapSrplsLandBldgEqpFund

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY32803272BOY
EOY23724705EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY34405613BOY
EOY24131946EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-9078567ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis39067OtherCostOrOtherBasis
Depreciation8066Depreciation
Book Value31001BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings31001TotalOfBookValueLandBuildings

Other Securities OtherSecurities (2 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
REAL ESTATE - IWILEI PROPERTY1422817F
REAL ESTATE - KAPOLEI PROPERTY602200F
FieldValueIRS element (for citing)
Total Of Book Value Securities2025017TotalOfBookValueSecurities

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
BANK OVERDRAFT$332,941
SECURITY DEPOSIT$7,688
FieldValueIRS element (for citing)
Total Of Amounts340629TotalOfAmounts
Total Revenue4699735TotalRevenue
Total Expenses13778302TotalExpenses
Excess Or Deficit For Year-9078567ExcessOrDeficitForYear
Total Adjustments0TotalAdjustments
Excess Or Deficit Per FS-9078567ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt4523109TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal4523109RevenueSubtotal
Investment Expenses Not Included148961InvestmentExpensesNotIncluded
Other Revenues Not Included27665OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt176626RevenueNotRptdOnFinStmt
Total Revenue Per Form9904699735TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt13601676TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal13601676ExpensesSubtotal
Investment Expenses Not Included2148961InvestmentExpensesNotIncluded2
Other Expenses Not Included27665OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt176626ExpensesNotRptdOnFinStmt
Total Expenses Per Form99013778302TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierExplanationExplanation
PART XII, LINE 4B - OTHER ADJUSTMENTS:BAD DEBT EXPENSE 27665.
PART XIII, LINE 4B - OTHER ADJUSTMENTS:BAD DEBT EXPENSE 27665.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION B, LINE 11ALL DOCUMENTS ARE REVIEWED BY UNION AND MANAGEMENT TRUSTEE REPRESENTATIVES BEFORE SIGNING AND FILING.
POLICY IS REVIEWED BY THE BOARD OF TRUSTEES ANNUALLYFORM 990, PART VI, SECTION B, LINE 12C
POLICIES ARE MADE AVAILABLE UPON REQUEST.FORM 990, PART VI, SECTION C, LINE 19
CONTACT ADDRESSES FOR OFFICERS, DIRECTORS, ETCREGINALD V. CASTANARES JR. - 1109 BETHEL ST BASEMENT, HONOLULU, HI 96813. VALENTINO CERIA - 1109 BETHEL ST BASEMENT, HONOLULU, HI 96813. DONOVAN LEWIS - 1109 BETHEL ST BASEMENT, HONOLULU, HI 96813. KENT A. MATSUZAKI - 1029 ULUPONO STREET, HONOLULU, HI 96819. MARK SUZUKI - 1820 COLBURN STREET, HONOLULU, HI 96819. SAMUEL FUJIKAWA - 2149 PUUHALE PLACE, HONOLULU, HI 96819. GREGG SERIKAKU - 1314 S KING STREET #961, HONOLULU, HI 96814.FORM 990, PART VII
FORM 990, PART XII, LINE 2C: BOARD OF TRUSTEES SELECT THE INDEPENDENT AUDITOR AND APPOINTS THE ADMINISTRATIVE OFFICE TO REVIEW THE FINANCIAL STATEMENTS. THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrg
PAMCAH-UA LOCAL 675 ANNUITY PLAN
1109 BETHEL STREET 403HONOLULUHI96813990221545TO PROVIDE ANNUITY BENEFITS TO ELIGIBLE MEMBERSHI401(A)N/A0
PAMCAH-UA LOCAL 675 COOPERATION FUND
1109 BETHEL STREET 403HONOLULUHI96813990266164TO PROMOTE THE INDUSTRY AND IMPROVE RELATIONSHIPS BETWEEN LABOR AND MGMT.HI501(C)(5)N/A0
PAMCAH-UA LOCAL 675 TRAINING PLAN
1109 BETHEL STREET 403HONOLULUHI96813996009433TO PROVIDE EDUCATIONAL BENEFITS TO ELIGIBLE MEMBERS AND EMPLOYERSHI501(C)(5)N/A0
PAMCAH-UA LOCAL 675 VACATION & HOLIDAY PLAN
1109 BETHEL STREET 403HONOLULUHI96813996009438TO PROVIDE VACATION AND HOLIDAY BENEFITS TO ELIGIBLE MEMBERSHI501(C)(9)N/A0
PAMCAH-UA LOCAL 675 PENSION PLAN
1109 BETHEL STREET 403HONOLULUHI96813996024083TO PROVIDE PENSION BENEFITS TO ELIGIBLE MEMBERSHI401(A)N/A0

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1PAMCAH-UA LOCAL 675 ADMINISTRATIVE OFFICEBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11109 BETHEL STREET 403AddressLine1
CityHONOLULUCity
StateHIState
ZIP Code96813ZIPCode
FieldValueIRS element (for citing)
EIN990110375EIN
Primary ActivityTO ALLOCATE COMMON EXPENSES AMOUNG THE PAMCAH TRUST FUNDSPrimaryActivity
Legal Domicile StateHILegalDomicileState
Direct Controlling Entity NAN/ADirectControllingEntityNA
Type Of EntityCTypeOfEntity
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs1RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1PAMCAH-UA LOCAL 675 ADMINISTRATIVE OFFICEBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeOTransactionType
Amount Involved381571AmountInvolved

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