OCU HEALTH & WELFARE TRUST: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
OCU HEALTH & WELFARE TRUST (EIN 26-1574455)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-10-14
IRS object ID
201102879349300970
Schema version
2010v3.4
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)
Timestamp2011-10-14T17:13:37-05:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Henningfield & Associates IncBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line127913 Smyth DriveAddressLine1
CityValenciaCity
StateCAState
ZIP Code91355ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN261574455EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1OCU HEALTH AND WELFARE TRUSTBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlOCUHNameControl
Phone6262793000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line14399 SANTA ANITA AVENUE No 150AddressLine1
CityEL MONTECity
StateCAState
ZIP Code91731ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMARSHA THRALLName
TitleTRUSTEETitle
Phone6262793000Phone
Date Signed2011-09-29DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameRANDY D HENNINGFIELDName
Phone6612953363Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line14399 SANTA ANITA AVENUE No 150AddressLine1
CityEL MONTECity
StateCAState
ZIP Code91731ZIPCode
FieldValueIRS element (for citing)
Gross Receipts43847137GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteN/AWebSite
Type Of Organization TrustXTypeOfOrganizationTrust
Year Formation2008YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission DescriptionHEALTH & WELFARE BENEFITS PROVIDED TO MEMBERS WHOSE EMPLOYERS CONTRIBUTE TO THE FUND.ActivityOrMissionDescription
Nbr Voting Members Governing Body6NbrVotingMembersGoverningBody
Nbr Independent Voting Members6NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year32236208ProgramServiceRevenuePriorYear
Program Service Revenue CY27409843ProgramServiceRevenueCY
Investment Income Prior Year35696InvestmentIncomePriorYear
Investment Income Current Year589484InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year32271904TotalRevenuePriorYear
Total Revenue Current Year27999327TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year11843444BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY14234155BenefitsPaidToMembersCY
Salaries Etc Prior Year0SalariesEtcPriorYear
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year682805OtherExpensePriorYear
Other Expenses Current Year609166OtherExpensesCurrentYear
Total Expenses Prior Year12526249TotalExpensesPriorYear
Total Expenses Current Year14843321TotalExpensesCurrentYear
Revenues Less Expenses Prior Year19745655RevenuesLessExpensesPriorYear
Revenues Less Expenses CY13156006RevenuesLessExpensesCY
Total Assets BOY27186891TotalAssetsBOY
Total Assets EOY43506470TotalAssetsEOY
Total Liabilities BOY1277617TotalLiabilitiesBOY
Total Liabilities EOY1486326TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY25909274NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY42020144NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE HEALTH & WELFARE BENEFITS TO MEMBERS WHOSE EMPLOYERS CONTRIBUTE TO THE FUND.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
DescriptionHEALTH & WELFARE BENEFITS PROVIDED TO MEMBERS WHOSE EMPLOYERS CONTRIBUTE TO THE FUND.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense14843321Expense
FieldValueIRS element (for citing)
Total Of Other Program Service Exp14843321TotalOfOtherProgramServiceExp
Total Program Service Expense14843321TotalProgramServiceExpense
Described In501 C30DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip0ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
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 Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109628NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees0NumberOfEmployees
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members6NbrVotingGoverningBodyMembers
Number Independent Voting Members6NumberIndependentVotingMembers
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 Policy0ConflictOfInterestPolicy
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledCAStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1ROBERT GLAZABusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number6262793000TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line14399 SANTA ANITA AVENUE STE 150AddressLine1
CityEL MONTECity
StateCAState
ZIP Code91731ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (6 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
JOHN OCHS
TRUSTEE10.00X000
MARK HARDING
TRUSTEE10.00X000
MARSHA THRALL
TRUSTEE10.00X000
JOHN FAGEAUX
TRUSTEE10.00X000
DEBBIE KARMELICH
TRUSTEE10.00X000
STEVE SCHWAB
TRUSTEE10.00X000
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 (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
SEYFARTH SHAW
2029 CENTURY PARK EASTLOS ANGELESCA90067LEGAL150266
GUARDIAN
PO BOX 2454SPOKANEWA99210DENTAL & VISION CLAIMS PROCESSING100617
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
CONTRIBUTIONS - ACTIVE5610002343983423439834
CONTRIBUTIONS - RETIRE56100038174853817485
CONTRIBUTIONS - TEMP561000140511140511
CONTRIBUTIONS - COBRA5610001201312013
FieldValueIRS element (for citing)
Total Program Service Revenue27409843TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column711828TotalRevenueColumn
Exclusion$711,828ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities15725466Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities15847810Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-122344Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-122344TotalRevenueColumn
Related Or Exempt Function Income-122344RelatedOrExemptFunctionIncome

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column27999327TotalRevenueColumn
Related Or Exempt Function Income27287499RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$711,828ExclusionAmount

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total14234155Total
Program Services14234155ProgramServices

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total60000Total
Program Services60000ProgramServices

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total198096Total
Program Services198096ProgramServices

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total35879Total
Program Services35879ProgramServices

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total16802Total
Program Services16802ProgramServices

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total6646Total
Program Services6646ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total19040Total
Program Services19040ProgramServices

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
ADMINISTRATION - DENTAL100617100617
ACTUARIAL SERVICES9113491134
CUSTODIAL FEES2400024000
PRINTING AND SUPPLIES1641616416
BANK FEES AND SERVICE C1395713957

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total26579Total
Program Services26579ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total14843321Total
Program Services14843321ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY-45488BOY
EOY-9427EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY14563063BOY
EOY3434764EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY648623BOY
EOY768048EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY19040BOY
EOY382691EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY12001653BOY
EOY38930394EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY27186891BOY
EOY43506470EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY797917BOY
EOY1057626EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY479700BOY
EOY428700EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1277617BOY
EOY1486326EOY
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)
BOY25909274BOY
EOY42020144EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY25909274BOY
EOY42020144EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY27186891BOY
EOY43506470EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses13156006ReconcilationRevenueExpenses
Reconcilation Other Changes2954864ReconcilationOtherChanges
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 Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionBENEFITS PAYABLE (IBNR)Description
Amount$428,700Amount
FieldValueIRS element (for citing)
Total Of Amounts428700TotalOfAmounts
Total Revenue27999327TotalRevenue
Total Expenses14843321TotalExpenses
Excess Or Deficit For Year13156006ExcessOrDeficitForYear
Net Unrealized GL On Investments2954864NetUnrealizedGLOnInvestments
Total Adjustments2954864TotalAdjustments
Excess Or Deficit Per FS16110870ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt30937389TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments2954864NetUnrealizedGainsInvestments
Revenue Not Rptd F9902954864RevenueNotRptdF990
Revenue Subtotal27982525RevenueSubtotal
Investment Expenses Not Included16802InvestmentExpensesNotIncluded
Revenue Not Rptd On Fin Stmt16802RevenueNotRptdOnFinStmt
Total Revenue Per Form99027999327TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt14877519TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal14877519ExpensesSubtotal
Investment Expenses Not Included216802InvestmentExpensesNotIncluded2
Other Expenses Not Included-51000OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt-34198ExpensesNotRptdOnFinStmt
Total Expenses Per Form99014843321TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierPart XIII, Line 4b - Other Adjustments:Identifier
ExplanationCHANGE IN IBNR -51,000.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
Form 990, Part VI, Section A, line 3THE TRUSTEES HAVE CONTRACTED WITH A THIRD PARTY ADMINISTRATOR TO PERFORM THE EVERYDAY ADMINISTRATION OF THE FUND.
Form 990, Part VI, Section B, line 11A COPY OF FORM 990 WAS PRESENTED TO THE TRUSTEES FOR REVIEW AND SIGNATURES.
SUMMARY ANNUAL REPORTS ARE PROVIDED TO ALL PARTICIPANTS ANNUALLY AND SPDS AND AUDITED FINANCIAL STATEMENTS ARE AVAILABLE FROM THE PLAN ADMINISTRATOR UPON REQUEST, AS WELL AS THE DOL WEBSITE.Form 990, Part VI, Section C, line 19
Contact Addresses for Officers, Directors, EtcJOHN OCHS - 4399 SANTA ANITA AVENUE, EL MONTE, CA 91731. MARK HARDING - 4399 SANTA ANITA AVENUE, EL MONTE, CA 91731. MARSHA THRALL - 4399 SANTA ANITA AVENUE, EL MONTE, CA 91731. JOHN FAGEAUX - 4399 SANTA ANITA AVENUE, EL MONTE, CA 91731. DEBBIE KARMELICH - 4399 SANTA ANITA AVENUE, EL MONTE, CA 91731. STEVE SCHWAB - 4399 SANTA ANITA AVENUE, EL MONTE, CA 91731.Form 990, Part VII
Changes in Net Assets or Fund Balances:Net unrealized gains on investments: 2,954,864.Form 990, Part XI, line 5:

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