2012-03-15T13:59:44-05:00 2011-09-30 LINDQUIST LLP 5000 EXECUTIVE PARKWAY SUITE 400 SAN RAMON CA 94583 990 2010-10-01 776009955 CALIFORNIA'S VALUED TRUST CALI 5594372960 520 EAST HERNDON AVENUE FRESNO CA 93720 VALERIE CORNUELLE 5594372960 2012-03-16 1 9252779100 2010 2016-02-24 21:20:13Z VALERIE CORNUELLE 520 EAST HERNDON AVENUE FRESNO CA 93720 571189875 0 X WWW.CVTRUST.ORG X 1984 CA PROVIDE HEALTH AND WELFARE BENEFITS. 12 12 29 0 0 0 0 0 521700015 551516592 4953696 6226443 22471 24284 526676182 557767319 0 0 505308934 529541166 3224151 3079868 0 0 0 19651479 19315855 528184564 551936889 -1508382 5830430 105960246 114279129 50715638 57044713 55244608 57234416 TO PROVIDE HEALTH AND WELFARE BENEFITS. 0 0 PROVIDED HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS. 0 0 0 0 0 0 0 0 1 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 0 0 0 0 1 8 0 1 29 1 0 0 0 0 0 0 X 12 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X ROBERT POWERS 5594372960 520 E HERNDON FRESNO CA 93720 MICHAEL PARKS 4.00 X 0 0 227 RAMIRO CARREON 4.00 X 0 0 227 CAROLE ANNE LUCKENBACH 4.00 X 0 0 95 ELIZABETH ZULUETA 4.00 X 0 0 227 SUE EUSTICE 4.00 X 0 0 227 ELAINE CASH 4.00 X 0 0 227 NANCY SMITH 4.00 X 0 0 227 JOHN PESTORICH 4.00 X 0 0 227 LARRY YEGHOIAN 4.00 X 0 0 227 CARYN COSS 4.00 X 0 0 0 LEE COELHO 4.00 X 0 0 227 ANTHONY PARREIRA 4.00 X 0 0 227 VALERIE CORNUELLE 40.00 X 134120 0 24952 ROBERT POWERS 40.00 X 109725 0 23123 VALERIE CORNUELLE 40.00 X 134120 0 24952 243845 0 50440 3 0 1 0 ANTHEM BLUE CROSS 11050 OLSON DRIVE SUITE 110 RANCHO CORDOVA CA 95670 CLAIMS ADMINISTRATIVE SERVICES 11209954 DELTA DENTAL 100 FIRST STREET 6TH FLOOR SAN FRANCISCO CA 94105 CLAIMS ADMINISTRATIVE SERVICES 3793138 VISION SERVICE PLAN 3333 QUALITY DRIVE RANCHO CORDOVA CA 95670 CLAIMS ADMINISTRATIVE SERVICES 875056 CVS CAREMARK 9501 E SHEA BLVD MC 045 SCOTTSDALE AZ 85260 CLAIMS ADMINISTRATIVE SERVICES 578875 MERCER 777 SOUTH FIGUEROA STREET SUITE 19 LOS ANGELES CA 90017 ACTUARIAL SERVICES 537886 10 EMPLOYER CONTRIBUTIONS 900099 514543553 514543553 PARTICIPANT CONTRIBUTI 900099 25515871 25515871 STOP LOSS INCOME 900099 10090709 10090709 EARLY RETIREMENT REIMB 900099 967164 967164 COBRA SUBSIDY 900099 399295 399295 551516592 3802676 3802676 15846323 13422556 2423767 2423767 2423767 ADMINISTRATIVE SERVICE 900099 24284 24284 24284 557767319 551540876 0 6226443 529541166 195451 1794687 122508 813211 154011 160876 110913 144504 17623462 58845 366556 57068 91386 92829 127518 1093 389881 90924 551936889 -1163692 6177918 14900228 23734645 128628 101627 3909184 1649194 2584843 2259990 55616368 44769398 33893871 37235551 105960246 114279129 1656118 1508720 8784930 11959099 40274590 43576894 50715638 57044713 X 0 0 0 0 55244608 57234416 55244608 57234416 105960246 114279129 X 5830430 -3840622 X X 0 1 1 X 0 1012000 1012000 1547610 525935 1021675 1349574 1123259 226315 2259990 COMMON/COLLECTIVE TRUST 31414926 F LIMITED PARTNERSHIP 5575132 F SHORT TERM INVESTMENTS 245493 F 37235551 CLAIMS/IBNR AND PREMIUMS PAYABLE 41216631 OBLIGATIONS FOR BENEFITS OF OTHERS 241069 POST RETIREMENT BENEFIT COST 1873700 DUE TO BROKER FOR SECURITIES PURCHASED 245494 43576894 557767319 551936889 5830430 -3840622 3298301 -542321 5288109 553782193 -3840622 -3840622 557622815 144504 144504 557767319 548494084 0 548494084 144504 3298301 3442805 551936889 PART XI, LINE 8 - OTHER ADJUSTMENTS: CHANGE IN BENEFIT OBLIGATIONS PART XIII, LINE 4B - OTHER ADJUSTMENTS: CHANGE IN BENEFIT OBLIGATIONS X 0 0 0 VALERIE CORNUELLE 134120 0 0 0 0 0 10059 0 14893 0 159072 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 A COPY OF THE FORM 990 WAS PROVIDED TO THE ORGANIZATION'S GOVERNING BODY PRIOR TO THE FORM 990 BEING FILED. THE FORM 990 WAS REVIEWED BY THE ORGANIZATION'S AUDIT COMMITTEE AND THE DIRECTOR OF FINANCE BEFORE IT WAS FILED. FORM 990, PART VI, SECTION B, LINE 12C AT LEAST ANNUALLY, DIRECTORS AND OTHER FIDUCIARIES ARE ASKED TO DISCLOSE ANY RELATIONSHIPS OR INTERESTS THAT COULD GIVE RISE TO A CONFLICT. IF THERE IS A CONFLICT OF INTEREST, THE CONFLICTING INTEREST IS FULLY DISCLOSED AND DOCUMENTED IN WRITING; THE DIRECTOR OR FIDUCIARY WITH THE CONFLICT OF INTEREST IS EXCLUDED FROM THE DISCUSSION AND APPROVAL OF SUCH TRANSACTIONS; AND THE BOARD DETERMINES THAT THE TRANSACTION IS IN THE BEST INTEREST OF THE TRUST AND THE TERMS OF THE TRANSACTION ARE FAIR WITH RESPECT TO TERMS AVAILABLE THROUGH ARMS-LENGTH TRANSACTIONS IN THE MARKETPLACE. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION FOR THE EXECUTIVE DIRECTOR WAS APPROVED BY THE BOARD OF TRUSTEES IN 2010. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XII, LINE 2C: THE AUDIT COMMITTEE ASSUMES RESPONSIBILITY FOR THE AUDITED FINANCIAL STATEMENTS AND THE SELECTION OF THEIR INDEPENDENT ACCOUNTANT THAT AUDITS THE ORGANIZATION'S FINANCIAL STATEMENTS. FORM 990, PART XI, LINE 5, CHANGES IN NET ASSETS: NET UNREALIZED LOSSES ON INVESTMENTS: $-3,840,622