2012-04-09T17:00:46-05:00 2011-06-30 LINDQUIST LLP 600 CITY PARKWAY WEST SUITE 300 ORANGE CA 92868 990 2010-07-01 953846186 LOS ANGELES COUNTY FIRE FIGHTERS LOCAL 1014 HEALTH AND WELFARE PLAN LOSA 3106391014 3460 FLETCHER AVENUE EL MONTE CA 91731 JOHN A HOFFMAN 3106391014 2012-04-09 1 7142570100 2010 2016-02-24 21:20:13Z JOHN A HOFFMAN 3460 FLETCHER AVENUE EL MONTE CA 91731 58989581 0 X N/A X 1978 CA TO PROVIDE HEALTH AND WELFARE BENEFITS. 7 7 24 0 0 0 0 0 44919787 50353343 1863156 1436335 4282 7446 46787225 51797124 0 0 37711212 38682100 1703675 1935222 0 0 0 2050755 2230830 41465642 42848152 5321583 8948972 52434809 68051338 8835178 8636784 43599631 59414554 TO PROVIDE HEALTH AND WELFARE BENEFITS. 0 0 PROVIDED MEDICAL, MENTAL HEALTH, SUBSTANCE ABUSE, DENTAL, LIFE INSURANCE, ACCIDENTAL DEATH AND DISMEMBERMENT, PRESCRIPTION DRUG, AND VISION BENEFITS FOR ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS. 0 0 0 0 0 0 0 0 1 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 19 0 1 24 1 0 0 0 0 0 0 X 7 7 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 1 0 0 X ALFRED CAIN 3106391014 3460 FLETCHER AVENUE EL MONTE CA 91731 X JOHN HOFFMAN 2.50 X 0 0 0 GERARDO SILVA 2.50 X 0 0 0 XAVIER CAMPOS 2.50 X 0 0 0 MARK BARTHOLOMEW 2.50 X 0 0 0 DAVE GILLOTTE 2.50 X 0 0 0 DON LASSIG 2.50 X 0 0 0 JOHN BISHOP 2.50 X 0 0 0 ALFRED CAIN 40.00 X 117031 0 24614 117031 0 24614 1 0 0 0 ANTHEM BLUE CROSS 21555 OXNARD STREET WOODLAND HILLS CA 91367 CLAIMS PROCESSING 615993 EPLAN LLC 4949 SOUTH SYRACUSE STREET STE 550 DENVER CO 80237 CONSULTANTS 282701 REED CONNER BIRDWELL 11111 SANTA MONICA BLVD STE 1700 LOS ANGELES CA 90025 INVESTMENT MANAGER 134230 SILEO SYSTEMS INC 2219 W OLIVE AVE STE 249 BURBANK CA 91506 CONSULTANTS 120700 BASYS INC 857 ELKRIDGE LANDING RD 7TH FL LINTHICUM HTS MD 21090 CONSULTANTS 105254 5 EMPLOYEE CONTRIBUTIONS 900099 28844810 28844810 EMPLOYER CONTRIBUTIONS 900099 21508533 21508533 50353343 756629 756629 7872163 7192457 679706 679706 679706 MISCELLANEOUS 900099 7446 7446 7446 51797124 50353343 0 1443781 38682100 1462324 112303 242331 118264 8070 38613 223324 1160238 299800 298922 51210 37930 4008 42100 66615 42848152 754699 2201329 22711462 12891421 561037 1213335 15745 16552 639859 578876 82525 60983 28309341 51667718 52434809 68051338 123178 178875 8712000 8457909 8835178 8636784 X 0 0 0 0 43599631 59414554 43599631 59414554 52434809 68051338 X 8948972 6865951 X X 0 1 1 X 0 639859 578876 60983 60983 CLAIMS PAYABLE AND IBNR 7305000 DUE TO BROKER 1152909 8457909 51797124 42848152 8948972 6865951 -1407000 5458951 14407923 58439751 6865951 6865951 51573800 223324 223324 51797124 44031828 0 44031828 223324 -1407000 -1183676 42848152 PART XI, LINE 8 - OTHER ADJUSTMENTS: CHANGE IN BENEFIT OBLIGATIONS PART XIII, LINE 4B - OTHER ADJUSTMENTS: CHANGE IN BENEFIT OBLIGATIONS FORM 990, PART VI, SECTION A, LINE 8B THE ORGANIZATION DOES NOT HAVE COMMITTEES WITH THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11 THE ORGANIZATION PROVIDED ALL MEMBERS OF THE GOVERNING BODY WITH A COPY OF THE FORM 990 VIA E-MAIL. A HARD COPY WAS ALSO PROVIDED TO EACH MEMBER AT THE PLAN'S REGULAR BOARD MEETING. THE FORM 990 WAS REVIEWED BY THE CHAIRMAN OF THE BOARD OF TRUSTEES AND THE ADMINISTRATIVE MANAGER. THE FORM 990 WAS COMPARED AND RECONCILED AGAINST EACH LINE ITEM OF THE AUDITED FINANCIAL STATEMENTS. THE FORM 990 WAS REVIEWED PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. ALL CONTRACTS AND AGREEMENTS FOR SERVICES, AND ANY PAYMENTS MADE ARE ALL APPROVED BY THE ADMINISTRATIVE MANAGER TO ENSURE THAT THERE IS NO RELATIONSHIP WITH A PARTY IN INTEREST. HIRING OF ALL EMPLOYEES IS ALSO APPROVED BY THE ADMINISTRATIVE MANAGER. ANY CONFLICT OF INTEREST IS REPORTED TO THE CHAIRMAN OF THE BOARD OF TRUSTEES FOR ACTION. FORM 990, PART VI, SECTION B, LINE 15A COMPENSATION FOR THE ORGANIZATION'S TOP MANAGEMENT IS REVIEWED AND APPROVED BY THE BOARD OF TRUSTEES. THE ORGANIZATION USES THE "EMPLOYERS GROUP COMPENSATION & BENEFITS SURVEY SUITE" SOFTWARE TO DETERMINE COMPARABLE COMPENSATION FOR FUNCTIONALLY COMPARABLE POSITIONS AT SIMILAR ORGANIZATIONS. THE ORGANIZATION DOCUMENTS THE DELIBERATION AND DECISION MADE FOR COMPENSATION ARRANGEMENTS IN THE EXECUTIVE SESSION MINUTES. THIS PROCESS WAS LAST USED FEBRUARY 2008. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 6,865,951. FORM 990, PART XII, LINE 2C: THE BOARD OF TRUSTEES ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND THE SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED.