CALIFORNIA TEACHERS ASSOCIATION EMP HEALTH & WEL BENEFITS TR 011994: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
CALIFORNIA TEACHERS ASSOCIATION EMP HEALTH & WEL BENEFITS TR 011994 (EIN 94-6667029)
Tax period
2009-09-01 to 2010-08-31
Filed
2011-06-15
IRS object ID
201101669349300615
Schema version
2009v1.7
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)
Timestamp2011-06-15T16:07:06-05:00Timestamp
Tax Period End Date2010-08-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Lindquist LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line15000 executive parkway suite 400AddressLine1
Citysan ramonCity
StateCAState
ZIP Code94583ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-09-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN946667029EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1CALIFORNIA TEACHERS ASSOC EMPLOYEES'BusinessNameLine1
Business Name Line2HEALTH AND WELFARE BENEFITS TRUSTBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlCALINameControl
Phone5032825581Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 4148AddressLine1
CityPortlandCity
StateORState
ZIP Code97208ZIPCode

Officer Officer

FieldValueIRS element (for citing)
Namedean vogelName
TitleTrusteeTitle
Phone5032825581Phone
Date Signed2011-06-15DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone9252779100Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonDean VogelNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1PO BOX 4148AddressLine1
CityPortlandCity
StateORState
ZIP Code97208ZIPCode
FieldValueIRS element (for citing)
Gross Receipts42523995GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web Siten/aWebSite
Type Of Organization TrustXTypeOfOrganizationTrust
Year Formation1993YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission Descriptionprovide health and welfare benefits to eligible participantsActivityOrMissionDescription
Nbr Voting Members Governing Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year18962630ProgramServiceRevenuePriorYear
Program Service Revenue CY19429155ProgramServiceRevenueCY
Investment Income Prior Year705447InvestmentIncomePriorYear
Investment Income Current Year1242477InvestmentIncomeCurrentYear
Other Revenue Prior Year430OtherRevenuePriorYear
Other Revenue Current Year4391OtherRevenueCurrentYear
Total Revenue Prior Year19668507TotalRevenuePriorYear
Total Revenue Current Year20676023TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year16993601BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY19464087BenefitsPaidToMembersCY
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year1595748OtherExpensePriorYear
Other Expenses Current Year1794223OtherExpensesCurrentYear
Total Expenses Prior Year18589349TotalExpensesPriorYear
Total Expenses Current Year21258310TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1079158RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-582287RevenuesLessExpensesCY
Total Assets BOY20221296TotalAssetsBOY
Total Assets EOY19727540TotalAssetsEOY
Total Liabilities BOY1931938TotalLiabilitiesBOY
Total Liabilities EOY1642621TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY18289358NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY18084919NetAssetsOrFundBalancesEOY
Mission DescriptionTo provide health and welfare benefits to eligible participants.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
DescriptionProvided health and welfare benefits to eligible active and retired participants and their dependents.Description
Described In501 C30DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Balance Sheet Amounts Reported1BalanceSheetAmountsReported
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
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10964NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Nbr Voting Governing Body Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties1DelegationOfManagementDuties
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 Address0OfficerMailingAddress
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 Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1wc earhart company incBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number5032825581TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line13140 ne broadway streetAddressLine1
CityPortlandCity
StateORState
ZIP Code97232ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (11 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
dean vogel
Co-chair3.00X000
roseanne N BECHER
co-chair3.00X000
david sanchez
trustee2.00X000
merri BOSTON
TRUSTEE2.00X000
carolyn doggett
trustee2.00X000
shannon o'hara
trustee - Past2.00X000
john stephens jr
trustee2.00X000
lisa eck
trustee - Past2.00X000
liz tokar
trustee2.00X000
Gerry Fong
Trustee2.00X000
Lisa Adams
trustee2.00X000
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 (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
BLUE CROSS OF CALIFORNIA
801 S FIGUEROA STREET 5TH FLOORLOS ANGELESCA90017CLAIMS ADMINISTRATION670307
Horizon Consulting
6120 Rolling Road DrMiamiFL33156Consulting192061
THE WILLIAM C EARHART COMPANY
PO BOX 4148PORTLANDOR97208CONTRACT ADMINISTRATION176765
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Employer Contributions9000991897617318976173
Retiree Medicare Subsi900099360771360771
Participant Contributi9000999221192211
FieldValueIRS element (for citing)
Total Program Service Revenue19429155TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column786527TotalRevenueColumn
Exclusion$786,527ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities22303922Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities21847972Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities455950Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column455950TotalRevenueColumn
Exclusion$455,950ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionOther IncomeDescription
Business Code900099BusinessCode
Total Revenue Column4391TotalRevenueColumn
Related Or Exempt Function Income4391RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue4391TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column20676023TotalRevenueColumn
Related Or Exempt Function Income19433546RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$1,242,477ExclusionAmount

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total19464087Total

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total177000Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total99723Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total52100Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total25000Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1206749Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total71109Total

Travel Travel

FieldValueIRS element (for citing)
Total13677Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total73422Total

Insurance Insurance

FieldValueIRS element (for citing)
Total47140Total

Other Expenses OtherExpenses

FieldValueIRS element (for citing)
DescriptionOther ExpensesDescription
Total28303Total

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total21258310Total

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY-364808BOY
EOY-201959EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY2056187BOY
EOY1063058EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1346959BOY
EOY1360873EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY85804BOY
EOY62314EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY17097154BOY
EOY17443254EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY20221296BOY
EOY19727540EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY221938BOY
EOY156421EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1710000BOY
EOY1486200EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1931938BOY
EOY1642621EOY
FieldValueIRS element (for citing)
Do Not Follow SFAS117XDoNotFollowSFAS117

Cap Stck Trst Prin Current Funds CapStckTrstPrinCurrentFunds

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Paid In Cap Srpls Land Bldg Eqp Fund PaidInCapSrplsLandBldgEqpFund

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc

FieldValueIRS element (for citing)
BOY18289358BOY
EOY18084919EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY18289358BOY
EOY18084919EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY20221296BOY
EOY19727540EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Total Of Book Value Land Buildings0TotalOfBookValueLandBuildings

Other Securities OtherSecurities

FieldValueIRS element (for citing)
DescriptionMutual fundsDescription
Book Value17443254BookValue
Method Of ValuationCMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities17443254TotalOfBookValueSecurities

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
Descriptionclaims payable and incurred but not reportedDescription
Amount$1,486,200Amount
FieldValueIRS element (for citing)
Total Of Amounts1486200TotalOfAmounts
Total Revenue20676023TotalRevenue
Total Expenses21258310TotalExpenses
Excess Or Deficit For Year-582287ExcessOrDeficitForYear
Net Unrealized GL On Investments377848NetUnrealizedGLOnInvestments
Other-$223,800OtherAmount
Total Adjustments154048TotalAdjustments
Excess Or Deficit Per FS-428239ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt21028871TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments377848NetUnrealizedGainsInvestments
Revenue Not Rptd F990377848RevenueNotRptdF990
Revenue Subtotal20651023RevenueSubtotal
Investment Expenses Not Included25000InvestmentExpensesNotIncluded
Revenue Not Rptd On Fin Stmt25000RevenueNotRptdOnFinStmt
Total Revenue Per Form99020676023TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt21457110TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal21457110ExpensesSubtotal
Investment Expenses Not Included225000InvestmentExpensesNotIncluded2
Other Expenses Not Included-223800OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt-198800ExpensesNotRptdOnFinStmt
Total Expenses Per Form99021258310TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierExplanationExplanation
Part XI, Line 8 - Other Adjustments:change in benefit obligations
Part XIII, Line 4b - Other Adjustments:CHANGE IN BENEFIT OBLIGATIONS

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierExplanationExplanation
Form 990, Part VI, Section A, line 3the organization has contracted with W.C. Earhart Company, Inc. to provide administrative services for the organization.
Form 990, Part VI, Section B, line 11the form 990 was provided to all members of the board prior to filing. the board reviewed the form 990 with the administrative manager.
Form 990, Part VI, Section B, line 12cif and when a potential conflict of interest is disclosed, the conflict of interest officer (organization's legal counsel) will evaluate if the matter would likely prevent an unbiased or objective decision by a trustee, and as appropriate, disclipinary or corrective action will be taken.
Form 990, Part VI, Section C, line 19The organization makes its financial statements, governing documents and conflict of interest policy available to the public upon request.
Form 990, Part XI, Line 2c:The Board of Trustees has responsibility for oversight of the audit and selection of an independent accountant. The process has not changed from the prior year.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1CALIFORNIA TEACHERS ASSOCIATION EMPLOYEES RETIREMENT BENEFITSBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line14160 DUBLIN BLVD SUITE 400AddressLine1
CityDUBLINCity
StateCAState
ZIP Code94568ZIPCode
FieldValueIRS element (for citing)
Primary ActivitiesTO PROVIDE RETIREMENT BENEFITSPrimaryActivities
Legal Domicile StateCALegalDomicileState
Exempt Code Section501(A)ExemptCodeSection
Public Charity StatusN/APublicCharityStatus
Direct Controlling Entity NAN/ADirectControllingEntityNA
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 Orgs0RentalOfFacilitiesToOtherOrgs
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 Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

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