2011-06-10T12:55:27-05:00 2010-08-31 HEMMING MORSE CPA'S AND CONSULTANTS 160 SPEAR STREET SUITE 1900 SAN FRANCISCO CA 94105 990 2009-09-01 996014749 Hawaii Laborers Health and Welfare Plan HAWA 8084418600 1440 Kapiolani Blvd No 800 Honolulu HI 96814 trustee 8084418600 2011-06-10 1 4158364000 2009 2016-02-24 21:20:13Z 1440 Kapiolani Blvd No 800 Honolulu HI 96814 387161322 0 X N/A X 1967 HI SEE PART III line 4A 10 10 0 0 0 0 0 24475863 22059104 18519622 4633422 547332 249407 43542817 26941933 0 19433750 21573814 0 0 0 2298269 2243991 21732019 23817805 21810798 3124128 96256681 101091516 12872862 14785603 83383819 86305913 0 0 TO 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. 0 0 0 0 0 0 0 0 1 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 1 638 0 0 0 0 0 0 0 0 0 0 0 10 10 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 0 0 0 X PACIFIC ADMINISTRATORS INC 8084418600 1440 KAPIOLANI BLVD SUITE 800 HONOLULU HI 96814 X ALFONSO OLIVER 5.00 X 0 0 0 peter ganaban 5.00 X 0 0 0 DANIEL NAKAMURA 5.00 X 0 0 0 ANACLETO ALCANTRA 5.00 X 0 0 0 ismael solis 5.00 X 0 0 0 MARK MATSUMOTO 5.00 X 0 0 0 TONI FIGUEROA 5.00 X 0 0 0 LARRY LUM 5.00 X 0 0 0 RON PRESCOTT 5.00 X 0 0 0 robert tasaka 5.00 X 0 0 0 0 0 0 0 0 0 0 PACIFIC ADMINISTRATORS INC 1440 KAPIOLANI BLVD SUITE 800 HONOLULU HI 96814 plan ADMINISTRATION 1489021 PACIFIC ADMINISTRATORS INC 1440 KAPIOLANI BLVD SUITE 800 HONOLULU HI 96814 PAYROLL AUDITOR 118499 2 EMPLOYER CONTRIBUTIONS 900099 20922843 20922843 PARTIC. CONTRIBUTIONS 900099 937788 937788 COBRA CONTRIBUTIONS 900099 198473 198473 22059104 3179493 3179493 361673318 360219389 1453929 1453929 1453929 COBRA SUBSIDY 900099 180500 180500 LIQUIDATED DAMAGES 900099 56442 56442 OTHER INCOME 900099 12465 12465 249407 26941933 23762440 0 3179493 21573814 1484361 60595 150449 272619 100591 23844 10041 CONSULTANT 87678 NATIONAL HEALTH FUND 46495 BANK CHARGES 7318 23817805 7843445 19746086 1777964 1704068 81602325 78417369 5032947 1223993 96256681 101091516 95476 65599 12777386 14720004 12872862 14785603 X 0 0 0 0 83383819 86305913 83383819 86305913 96256681 101091516 X 0 1 1 X 0 0 CLAIMS INCURRED BUT NOT REPORTED 2065377 ACCUMULATED ELIGIBILITY CREDITS 10227713 SURVIVING SPOUSE AND DEPENDENTS 247595 DUE TO OTHER FUNDS 7948 DUE TO BROKER 2171371 14720004 26941933 23817805 3124128 -202034 -202034 2922094 27143967 202034 202034 26941933 0 26941933 23817805 0 23817805 0 23817805 Form 990, Part VI, Section A, line 8b THE 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 11 THE 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 12c DURING 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 19 THE 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.