2012-06-25T15:29:16-05:00 2011-08-31 James P Hasselman CPA LLC PO Box 11149 Honolulu HI 96828 990 2010-09-01 996014752 Hawaii Carpenters Health & Welfare Fund HAWA 8088417575 200 N Vineyard Blvd No 100 Honolulu HI 96817 Paul CK Chang 8088417575 2012-05-21 1 James Hasselman 8087215483 2012-05-21 X 2010 2016-02-24 21:20:13Z Paul CK Chang 200 N Vineyard Blvd No 100 Honolulu HI 96817 42727217 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 34107181 35606894 2600383 3885182 0 0 36707564 39492076 0 0 32214853 29204311 57280 857 0 0 0 1682531 1656668 33954664 30861836 2752900 8630240 125489543 139772673 164286 145520 125325257 139627153 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 1 0 0 0 0 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 76 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 1466 49358 15738 George Ehara 0.10 X 0 0 0 Keith Hirota 0.10 X 735 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 2201 49358 15738 0 0 0 0 Hawaii Benefit Administrators Inc 200 N Vineyard Blvd Ste 100 Honolulu HI 96817 Plan administration 472756 Benefit Plan Solutions Inc 680 Iwilei Road Suite 528 Honolulu HI 96817 Plan consulting 108206 2 Employer contributions 230000 32699860 32699860 Employee contributions 230000 2023546 2023546 COBRA subsidy 230000 883488 883488 35606894 3120323 3120323 4000000 3235141 764859 764859 764859 39492076 36371753 0 3120323 29204311 857 40804 69644 694034 50872 27776 5816 9903 Claims processing expen 756652 Miscellaneous expenses 1167 30861836 34430316 11892975 3517019 3461106 2599 5544 71526091 107576154 14950033 15701500 1063485 1135394 125489543 139772673 164286 145520 164286 145520 X 0 0 0 0 125325257 139627153 125325257 139627153 125489543 139772673 X 8630240 5671656 X X 0 1 1 X 0 0 SSI HCIF LP hedge fund 11724216 F SSI TAH LP hedge fund 3977284 F 15701500 39492076 30861836 8630240 5671656 5671656 14301896 45163732 5671656 5671656 39492076 0 39492076 30861836 0 30861836 0 30861836 Hawaii Benefit Administrators Inc (HBAI) One or more trustees of the organization is a director of HBAI. 472756 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 United Brotherhood of Carpenters and Joiners, Local 745; 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: 5,671,656. The process for reviewing the annual audit by the board of trustees is unchanged 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 Hawaii Benefit Administrators Inc 200 N Vineyard Blvd Ste 100 Honolulu HI 96817 990329747 Administrative services to employee benefit plans HI None Coastal Construction 1900 Hau Street Honolulu HI 96819 Construction HI C 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 Hawaii Benefit Administrators Inc L 472756 Service agreement Coastal Construction R 3693797 Collective bargaining agreement