HAWAII LABORERS HEALTH AND WELFARE TRUST FUND: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
HAWAII LABORERS HEALTH AND WELFARE TRUST FUND (EIN 99-6014749)
Tax period
2009-09-01 to 2010-08-31
Filed
2011-06-10
IRS object ID
201131619349300613
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)
Timestamp2011-06-10T12:55:27-05:00Timestamp
Tax Period End Date2010-08-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1HEMMING MORSE CPA'S AND CONSULTANTSBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1160 SPEAR STREET SUITE 1900AddressLine1
CitySAN FRANCISCOCity
StateCAState
ZIP Code94105ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-09-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN996014749EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Hawaii Laborers Health and Welfare PlanBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlHAWANameControl
Phone8084418600Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11440 Kapiolani Blvd No 800AddressLine1
CityHonoluluCity
StateHIState
ZIP Code96814ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NametrusteeName
TitletrusteeTitle
Phone8084418600Phone
Date Signed2011-06-10DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone4158364000Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11440 Kapiolani Blvd No 800AddressLine1
CityHonoluluCity
StateHIState
ZIP Code96814ZIPCode
FieldValueIRS element (for citing)
Gross Receipts387161322GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteN/AWebSite
Type Of Organization TrustXTypeOfOrganizationTrust
Year Formation1967YearFormation
State Legal DomicileHIStateLegalDomicile
Activity Or Mission DescriptionSEE PART III line 4AActivityOrMissionDescription
Nbr Voting Members Governing Body10NbrVotingMembersGoverningBody
Nbr Independent Voting Members10NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year24475863ProgramServiceRevenuePriorYear
Program Service Revenue CY22059104ProgramServiceRevenueCY
Investment Income Prior Year18519622InvestmentIncomePriorYear
Investment Income Current Year4633422InvestmentIncomeCurrentYear
Other Revenue Prior Year547332OtherRevenuePriorYear
Other Revenue Current Year249407OtherRevenueCurrentYear
Total Revenue Prior Year43542817TotalRevenuePriorYear
Total Revenue Current Year26941933TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year19433750BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY21573814BenefitsPaidToMembersCY
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year2298269OtherExpensePriorYear
Other Expenses Current Year2243991OtherExpensesCurrentYear
Total Expenses Prior Year21732019TotalExpensesPriorYear
Total Expenses Current Year23817805TotalExpensesCurrentYear
Revenues Less Expenses Prior Year21810798RevenuesLessExpensesPriorYear
Revenues Less Expenses CY3124128RevenuesLessExpensesCY
Total Assets BOY96256681TotalAssetsBOY
Total Assets EOY101091516TotalAssetsEOY
Total Liabilities BOY12872862TotalLiabilitiesBOY
Total Liabilities EOY14785603TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY83383819NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY86305913NetAssetsOrFundBalancesEOY
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
DescriptionTO PROVIDE HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR BENEFICIARIES ACCORDING TO THE TERMS OF THE COLLECTIVE BARGAINING AGREEMENTS BETWEEN THE EMPLOYERS AND THE UNION.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 Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096638NumberFormsTransmittedWith1096
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
Nbr Voting Governing Body Members10NbrVotingGoverningBodyMembers
Number Independent Voting Members10NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
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 Committees0MinutesOfCommittees
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 Line1PACIFIC ADMINISTRATORS INCBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number8084418600TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11440 KAPIOLANI BLVD SUITE 800AddressLine1
CityHONOLULUCity
StateHIState
ZIP Code96814ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (10 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
ALFONSO OLIVER
TRUSTEE5.00X000
peter ganaban
trustee5.00X000
DANIEL NAKAMURA
TRUSTEE5.00X000
ANACLETO ALCANTRA
TRUSTEE5.00X000
ismael solis
trustee5.00X000
MARK MATSUMOTO
TRUSTEE5.00X000
TONI FIGUEROA
TRUSTEE5.00X000
LARRY LUM
TRUSTEE5.00X000
RON PRESCOTT
TRUSTEE5.00X000
robert tasaka
trusTEE5.00X000
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
PACIFIC ADMINISTRATORS INC
1440 KAPIOLANI BLVD SUITE 800HONOLULUHI96814plan ADMINISTRATION1489021
PACIFIC ADMINISTRATORS INC
1440 KAPIOLANI BLVD SUITE 800HONOLULUHI96814PAYROLL AUDITOR118499
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
EMPLOYER CONTRIBUTIONS9000992092284320922843
PARTIC. CONTRIBUTIONS900099937788937788
COBRA CONTRIBUTIONS900099198473198473
FieldValueIRS element (for citing)
Total Program Service Revenue22059104TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column3179493TotalRevenueColumn
Exclusion$3,179,493ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities361673318Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities360219389Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities1453929Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column1453929TotalRevenueColumn
Related Or Exempt Function Income1453929RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
COBRA SUBSIDY900099180500180500
LIQUIDATED DAMAGES9000995644256442
OTHER INCOME9000991246512465
FieldValueIRS element (for citing)
Total Other Revenue249407TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column26941933TotalRevenueColumn
Related Or Exempt Function Income23762440RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$3,179,493ExclusionAmount

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total21573814Total

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total1484361Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total60595Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total150449Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total272619Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total100591Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total23844Total

Insurance Insurance

FieldValueIRS element (for citing)
Total10041Total

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotal
CONSULTANT87678
NATIONAL HEALTH FUND46495
BANK CHARGES7318

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total23817805Total

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY7843445BOY
EOY19746086EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1777964BOY
EOY1704068EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY81602325BOY
EOY78417369EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY5032947BOY
EOY1223993EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY96256681BOY
EOY101091516EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY95476BOY
EOY65599EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY12777386BOY
EOY14720004EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY12872862BOY
EOY14785603EOY
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)
BOY83383819BOY
EOY86305913EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY83383819BOY
EOY86305913EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY96256681BOY
EOY101091516EOY
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 Liabilities OtherLiabilities (5 entries)

DescriptionDescriptionAmountAmount
CLAIMS INCURRED BUT NOT REPORTED$2,065,377
ACCUMULATED ELIGIBILITY CREDITS$10,227,713
SURVIVING SPOUSE AND DEPENDENTS$247,595
DUE TO OTHER FUNDS$7,948
DUE TO BROKER$2,171,371
FieldValueIRS element (for citing)
Total Of Amounts14720004TotalOfAmounts
Total Revenue26941933TotalRevenue
Total Expenses23817805TotalExpenses
Excess Or Deficit For Year3124128ExcessOrDeficitForYear
Net Unrealized GL On Investments-202034NetUnrealizedGLOnInvestments
Total Adjustments-202034TotalAdjustments
Excess Or Deficit Per FS2922094ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt27143967TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments202034NetUnrealizedGainsInvestments
Revenue Not Rptd F990202034RevenueNotRptdF990
Revenue Subtotal26941933RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99026941933TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt23817805TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal23817805ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99023817805TotalExpensesPerForm990

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierExplanationExplanation
Form 990, Part VI, Section A, line 8bTHE TRUST FUND DOES NOT HAVE ANY COMMITTEES WITH THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY.
Form 990, Part VI, Section B, line 11THE ADMINISTRATOR PERFORMS A REVIEW OF THE 990 FOR REASONABLENESS BASED ON THE PRIOR YEAR RETURN AND AUDITED FINANCIAL STATEMENTS; THE TRUSTEES ARE PROVIDED A COPY OF THE FORM 990 FOR THEIR REVIEW PRIOR TO SIGNING AND FILING.
Form 990, Part VI, Section B, line 12cDURING EACH REGULARLY SCHEDULED BOARD OF TRUSTEE MEETING, THE FUND'S consultants GIVE DETAILED REPORTS ON VARIOUS ASPECTS OF THE FUND'S ACTIVITIES. IN THE COURSE OF THESE REPORTS, POTENTIAL OR ACTUAL CONFLICTS OF INTEREST MAY BE REVEALED. EVERY SITUATION, SHOULD they ARISE, IS DEALT WITH IN THE APPROPRIATE MANNER BASED ON THE GUIDELiNeS SET FORTH IN THE POLICY.
Form 990, Part VI, Section C, line 19THE GOVERNING DOCUMENTS AND FINANCIAL INFORMATION ARE AVAILABLE UPON REQUEST AS STATED IN THE SUMMARY ANNUAL REPORTS THAT ARE DISTRIBUTED EACH PLAN YEAR TO ALL PLAN PARTICIPANTS. THE CONFLICT OF INTEREST POLICY IS ALSO AVAILABLE UPON REQUEST.
FORM 990, PART XI, LINE 2C:THE BOARD OF TRUSTEES ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF THE PLAN'S FINANCIAL STATEMENTS AND SELECTION OF THE INDEPENDENT AUDITOR.

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