2024-05-15T21:41:29-05:00 2023-06-30 MILLER KAPLAN ARASE LLP 2101 4TH AVE STE 1830 SEATTLE WA 981212345 990 2022-07-01 263902233 SEIU Local 721 Employee Benefits Trust Fund % RHONDA ECKERT SEIU 6267322540 1325 N Grand Ave Ste 200 Covina CA 91724 DAVID GREEN PRESIDENT 4155368280 2024-05-14 true DAVID GREEN 999009999 Catalina Kirby P02018896 2065963930 2 2022 2023-04-26 12:10:37Z ROBERT SCHOONOVER 1545 WILSHIRE BLVD STE 100 LOS ANGELES CA 90017 10346178 false X N/A X 1973 CA SEE SCHEDULE O 4 0 0 0 0 0 0 0 5028413 4753362 89524 100985 23816 22575 5141753 4876922 0 0 3235368 3089437 0 0 0 0 0 794247 776592 4029615 3866029 1112138 1010893 8603622 9594178 163633 79265 8439989 9514913 X SEE SCHEDULE O false false SEE SCHEDULE O false false false false false false false false false false false false true false 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 true false false true 0 0 0 false false false false false false false false X 4 0 false false false false false false false true false false false false true true true true true false false false X RHONDA ECKERT 6267322540 1325 N GRAND AVE STE 200 COVINA CA 91724 X SIMBOA WRIGHT TRUSTEE 1.0 0.0 X 0 0 0 JAIME LOPEZ TRUSTEE 1.0 0.0 X 0 0 0 RAMON RUBACLAVA Alternative Trustee 1.0 0.0 X 0 0 0 BOB SCHOONOVER Chairperson 1.0 0.0 X 0 0 0 DAVID GREEN Trustee 1.0 0.0 X 0 0 0 0 0 0 0 false false false ZENITH AMERICAN SOLUTIONS INC 1325 N GRAND AVE STE 200 COVINA CA 91724 ADMINISTRATION 565493 1 0 EMPLOYER CONTRIBUTIONS 900099 1829478 1829478 0 0 EMPLOYEE CONTRIBUTIONS 900099 2923884 2923884 0 0 4753362 173774 0 0 173774 0 0 0 0 0 5396467 5469256 -72789 -72789 0 0 -72789 0 0 0 0 0 0 0 0 0 OPEN ENROLLMENT REIMBURSEMENTS 900099 22575 22575 0 0 22575 4876922 4775937 0 100985 0 0 0 3089437 0 0 0 0 0 0 548092 22000 23341 0 0 29378 58907 0 24376 0 0 0 0 0 8049 0 0 0 12570 OPEN ENROLLMENT FEES 49879 3866029 2230047 1265917 175678 151722 0 0 449485 455165 0 0 0 0 0 0 0 0 8385 10726 0 0 5740027 7710648 0 0 0 0 0 0 0 0 8603622 9594178 12504 11973 0 0 115813 32745 0 0 0 0 0 0 0 0 0 0 35316 34547 163633 79265 X 0 0 0 0 8439989 9514913 8439989 9514913 8603622 9594178 1010893 64031 X false true X true 0 PREMIUMS PAYABLE 34547 34547 X 4940953 64031 64031 4876922 4876922 3866799 3866799 -770 -770 3866029 PART X, LINE 2: Accounting principles generally accepted in the United States of America require management to evaluate tax positions taken by the Plan and recognize a tax liability if the Plan has taken a tax position that more likely than not would not be sustained upon examination by a tax authority. The Plan is subject to routine audits by taxing jurisdictions; however, there are currently no audits for any tax periods in progress. PART XII, LINE 4B: CHANGE IN BENEFIT OBLIGATIONS. PART I, LINE 1 AND PART III, LINES 1 AND 4A: THE PLAN IS DESIGNED TO PROVIDE BENEFITS FOR ELIGIBLE PARTICIPANTS OF THE PLAN, SUCH AS DENTAL, VISION, CANCER AND CATASTROPHIC, CUSTODIAL CARE, LIFE, ACCIDENTAL DEATH AND DISMEMBERMENT AND DISABILITY INSURANCE. PART VI, SECTION A, LINE 8B: THE PLAN DOES NOT HAVE COMMITTEES WITH THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. PART VI, SECTION B, LINE 11B: FORM 990 IS REVIEWED BY THE PLAN ADMINISTRATOR AND APPROVED PRIOR TO FILING. THE PLAN ADMINISTRATOR REPORTS TO THE BOARD OF TRUSTEES. PART VI, SECTION B, LINE 12C: THE TRUSTEES OF THE PLAN COMPLETE AND SIGN CONFLICT OF INTEREST POLICY FORMS ANNUALLY AT THEIR BOARD OF TRUSTEE MEETING. PART VI, SECTION C, LINE 19: THE PLAN DOCUMENT AND ANY OTHER GOVERNING DOCUMENTS, INCLUDING THE FINANCIAL STATEMENTS ARE MAINTAINED AT THE PLAN ADMINISTRATOR'S OFFICE AND ARE AVAILABLE UPON REQUEST. Part VII, Line 1A, Columns (E) and (F): The Board of Trustees serve without compensation. The Plan does not maintain the information on compensation from Related Organizations but believes that such compensation, if any, is appropriately reported on the returns of those organizations. See Part VII - Supplemental Information See Part VII-Supplemental Information NA See Part VII - Supplemental Information NA false false false false false false false false false false false false false false false false false false true PARTS II, III, AND IV IDENTIFICATION OF RELATED TAX-EXEMPT ORGANIZATIONS AND RELATED ORGANIZATIONS TAXABLE AS PARTNERSHIP, CORPORATION OR TRUST: A CONTRIBUTING EMPLOYER IS A RELATED ORGANIZATION SOLELY TO THE EXTENT THAT THE EMPLOYER IS SIGNATORY TO A COLLECTIVE BARGAINING AGREEMENT OR PARTICIPANT AGREEMENT REQUIRING CONTRIBUTIONS TO THE TRUST. THE PLAN ADMINISTRATOR DOES NOT MAINTAIN INFORMATION CONCERNING THE ENTITY TYPE OF EACH OF THE TRUST'S CONTRIBUTING EMPLOYERS.