2012-03-01T14:52:07-06:00 2011-05-31 MILLER KAPLAN ARASE & CO LLP 180 MONTGOMERY STREET SUITE 1840 SAN FRANCISCO CA 941044233 990 2010-06-01 946250011 ELECTRICAL WORKERS HEALTH AND WELFARE TRUST FUND ELEC 4085883768 1731 TECHNOLOGY DRIVE SAN JOSE CA 951101326 ANDY HARTMAN 2012-01-30 true Catherine Gardner 4159563600 2010 2016-02-24 21:20:13Z LIZ JESINGER 1731 TECHNOLOGY DR STE 570 SAN JOSE CA 951101326 3621634 false X N/A X 1971 CA TO PROVIDE HEALTH BENEFITS TO PARTICIPANTS ON WHOSE BEHALF EMPLOYERS CONTRIBUTE IN ACCORDANCE WITH THEIR COLLECTIVE BARGAINING AGREEMENT. 6 6 0 0 0 0 0 3859484 3434820 36017 36082 43758 150732 3939259 3621634 0 3936705 3030320 0 0 0 337516 333750 4274221 3364070 -334962 257564 3755734 4200823 2062393 2237767 1693341 1963056 TO PROVIDE HEALTH BENEFITS TO PARTICIPANTS ON WHOSE BEHALF EMPLOYERS CONTRIBUTE IN ACCORDANCE WITH THEIR COLLECTIVE BARGAINING AGREEMENT. false false TO PROVIDE HEALTH BENEFITS TO PARTICIPANTS ON WHOSE BEHALF EMPLOYERS CONTRIBUTE IN ACCORDANCE WITH THEIR COLLECTIVE BARGAINING AGREEMENT. false false false false false false false false false false false false true true true false false false false false false false false false false false false false false false false false false false false false false false false false false false false true 263 0 true 0 false false false false false false X 6 6 false false false false false false false true false false false true true true true true false X LIZ JESINGER 4085883768 1731 TECHNOLOGY DRIVE SUITE 570 SAN JOSE CA 951101326 X FREDERICK JENSEN 1.0 X 0 0 0 PAUL LAUESEN 1.0 X 0 0 0 JERRI CHAMPLIN 1.0 X 0 0 0 KENNETH SCHERPINSKI 1.0 X 0 0 0 ANDREW HARTMANN 1.0 X 0 0 0 DENNIS M IHNOT 1.0 X 0 0 0 0 0 0 0 false false false SAN JOSE HEALTHCARE SYSTEM LP PO BOX 402269 ATLANTA CA 303842269 MEDICAL PROVIDER 586636 SALINAS VALLEY MEMORIAL HOSPITAL 450 E ROMIE LANE SALINAS CA 93901 MEDICAL PROVIDER 436578 COMMunity HOSPITAL OF THE MONT DEPartment 33290 PO BOX 39000 SAN FRANCISCO CA 94139 MEDICAL PROVIDER 127810 stanford hospital clinics PO BOX 60000 FILE 74432 SAN FRANCISCO CA 94160 MEDICAL PROVIDER 100411 BENESYS INC 1731 TECHNOLOGY DR STE570 SAN JOSE CA 951101326 ADMINISTRATIVE SRVCS 113640 5 0 EMPLOYER CONTRIBUTIONS 900099 3227648 3227648 EMPLOYEE CONTRIBUTIONS 900099 207172 207172 3434820 36082 36082 0 0 0 0 0 0 MEDICARE PART D SUBSIDY 900099 68201 68201 COBRA SUBSIDY 900099 10941 10941 ERRP SUBSIDY 900099 60000 60000 11590 11590 150732 3621634 3585552 36082 0 0 0 3030320 0 0 0 0 0 0 113640 12600 61214 0 0 0 32300 0 25658 2180 0 0 0 0 103 0 0 0 3893 MED ADMIN FEES & REIMB 70662 ERRP SERVICES 11500 3364070 253011 122388 3104933 3043961 392679 1029536 5111 4938 3755734 4200823 105354 54005 1957039 2183762 2062393 2237767 X 1693341 1963056 1693341 1963056 3755734 4200823 X 257564 12151 X false true true X 0 BENEFIT OBLIGATIONS 2183762 2183762 3621634 3364070 257564 12151 226723 238874 496438 3633785 12151 12151 3621634 3621634 3137347 3137347 226723 226723 3364070 PART X, LINE 2: The Fund has adopted guidance on accounting for uncertainty in income taxes issued by the Financial Accounting Standards Board. The Fund administrator believes that the Fund has taken no uncertain tax positions that require adjustment to the financial statements to comply with the provisions of this guidance. Information returns for years for which the applicable statutes of limitations have not expired are subject to examination by authorities. PART XI, LINE 8: CHANGE IN BENEFIT OBLIGATIONS: BENEFIT OBLIGATIONS OTHER THAN POSTRETIREMENT BENEFIT OBLIGATIONS AT MAY 31, 2011 $2,183,762 BENEFIT OBLIGATIONS OTHER THAN POSTRETIREMENT BENEFIT OBLIGATIONS AT MAY 31, 2010 ( 1,957,039) $ 226,723 PART XIII, LINE 4B: BENEFIT OBLIGATIONS OTHER THAN POSTRETIREMENT BENEFIT OBLIGATIONS AT MAY 31, 2011 $2,183,762 BENEFIT OBLIGATIONS OTHER THAN POSTRETIREMENT BENEFIT OBLIGATIONS AT MAY 31, 2010 ( 1,957,039) $ 226,723 PART VI, SECTION B - LINE 11B: THE PLAN'S CPA PREPARES THE FORM 990 AND PROVIDES IT TO THE PLAN'S THIRD PARTY ADMINISTRATOR FOR REVIEW; THE CO-CHAIRS ARE THEN GIVEN THE RETURN FOR REVIEW AND SIGNATURE. THE COMPLETED FORM 990 IS AVAILABLE TO ALL TRUSTEES UPON REQUEST. PART VI, SECTION B - LINE 12C: THE BOARD OF TRUSTEES MEET QUARTERLY AND TRUSTEES ARE REQUIRED TO DISCLOSE ANY CONFLICTS AT THESE MEETINGS. PART VI, SECTION C - LINE 19: THE PLAN MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO PARTICIPANTS UPON REQUEST. ON AN ANNUAL BASIS, A FORM 5500 ANNUAL RETURN/REPORT OF EMPLOYEE BENEFIT PLAN IS FILED WITH THE DEPARTMENT OF LABOR. THIS REPORT IS AVAILABLE ON THEIR WEBSITE. PART XI, LINE 5: OTHER CHANGES IN NET ASSETS OR FUND BALANCES $12,151 REPRESENTS NET UNREALIZED GAINS ON SAVINGS AND TEMPORARY CASH INVESTMENTS - CERTIFICATES OF DEPOSIT.