2024-07-11T08:48:20-05:00 2023-08-31 450250958 EIDE BAILLY LLP 10681 FOOTHILL BLVD STE 300 RANCHO CUCAMONGA CA 917303831 990 2022-09-01 941291152 CEMENT MASONS HEALTH & WELFARE FUND FOR NORTHERN CALIFORNIA CEME 4155368253 1600 HARBOR BAY PARKWAY 200 ALAMEDA CA 94502 BRIAN GARDNER CHAIRMAN 4155368253 2024-07-09 1 BRIAN GARDNER 999009999 0 CATHERINE L GRAY CPA P01294460 9094664410 2024-07-01 3 AAL1 IAL1 2022 2023-04-26 12:10:37Z GREG LEVY 1600 HARBOR BAY PARKWAY 200 ALAMEDA CA 94502 41954441 0 X N/A X 1953 CA TO PROVIDE HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS 8 8 0 8 609627 0 0 0 41753245 38636266 4373383 609627 0 0 46126628 39245893 0 0 32647556 38764522 0 0 0 0 0 3280718 2123176 35928274 40887698 10198354 -1641805 81346913 81233777 19864492 19850489 61482421 61383288 NONE 0 0 TO PROVIDE HEALTH AND WELFARE BENEFITS TO APPROXIMATELY 3,086 ELIGIBLE PARTICIPANTS ACCORDING TO THE TERMS OF THE COLLECTIVE BARGAINING AGREEMENTS BETWEEN THE EMPLOYERS AND THE UNION 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 1 1 0 0 0 0 0 0 0 X 8 8 0 1 0 0 0 0 0 1 0 0 0 0 1 1 1 1 1 0 0 0 CA X DANIEL FSEHA 4155368253 1600 HARBOR BAY PARKWAY 200 ALAMEDA CA 94502 BRIAN GARDNER CHAIRMAN 5.00 X X 0 0 0 SHAWN BARNES TRUSTEE 5.00 X 0 0 0 JENNA CARLSON TRUSTEE 5.00 X 0 0 0 ANDREW VASCONI TRUSTEE 5.00 X 0 0 0 GREG LEVY CO CHAIRMAN 5.00 40.00 X X 0 131287 43638 JEFF PATTON TRUSTEE 5.00 40.00 X 0 122557 43638 EMILIO ALDANA TRUSTEE 5.00 40.00 X 0 147988 43638 CODY BIK TRUSTEE 5.00 40.00 X 0 149431 43638 0 551263 174552 0 0 1 0 ZENITH AMERICAN SOLUTION 1600 HARBOR BAY PARKWAY SUITE 200 ALAMEDA CA 94502 CONTRACT ADMIN 384022 THE SEGAL COMPANY 180 HOWARD STREET SUITE 1100 SAN FRANCISCO CA 94105 PROFESSIONAL 378763 NORTHERN CALIFORNIA CEMENT MASONS FUND 5417 PECK RD ARCADIA CA 91006 CONTRACT ADMIN 324654 HEALTH SERVICES & BENEFIT ADMINISTRATORS 4160 DUBLIN BLVD SUITE 400 DUBLIN CA 94568 PROFESSIONAL 274500 EIDE BAILLY LLP 300 N LAKE AVE PASADENA CA 91101 PROFESSIONAL 114999 5 EMPLOYER CONTRIBUTIONS 34908028 34908028 EMPLOYEE CONTRIBUTIONS 1877131 1877131 COBRA CONTRIBUTIONS 1342665 1342665 ALLOWANCE FOR BAD DEBTS 335676 335676 STOP LOSS REIMBURSMENT 149610 149610 23156 23156 38636266 1478086 1478086 1840089 2708548 -868459 -868459 -868459 39245893 38636266 609627 0 38764522 983176 206155 116044 173885 432615 106255 1185 30296 BENEFIT SERVICE FEES 24561 TAX & LICENSE 23420 SOFTWARE DEVELOPMENT 12189 BANK CHARGES 10117 3278 40887698 27003368 30256046 11017979 4591657 3009023 30000 30000 8244 16494 34491458 44990669 4204207 2931545 81346913 81233777 5201369 5187366 14663123 14663123 19864492 19850489 X 0 0 0 0 61482421 61383288 61482421 61383288 81346913 81233777 -1641805 1772139 -229467 0 X X 0 1 X 1 0 0 U.S. GOVERNMENT OBLIGATIONS 20033695 F CORPORATE OBLIGATIONS 12810186 F MUTUAL FUND 8466213 F COMMON STOCK 3680575 C 44990669 CLAIMS INCURRED BUT NOT REPORTED 1809123 BANK OF HOURS LIABILITY 12854000 14663123 X 40844147 1772139 1772139 39072008 173885 173885 39245893 40713814 0 40713814 173885 173885 40887699 PART X, LINE 2: THE TRUST HAS ADOPTED GUIDANCE ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES ISSUED BY THE FINANCIAL ACCOUNTING STANDARDS BOARD. THE TRUST ADMINISTRATOR BELIEVES THAT THE TRUST HAS NOT TAKEN UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO THE FINANCIAL STATEMENTS AS A TAX LIABILITY. 0 0 0 CODY BIK TRUSTEE 0 149431 0 0 0 0 0 25189 0 18449 0 193069 0 0 EMILIO ALDANA TRUSTEE 0 147988 0 0 0 0 0 25189 0 18449 0 191626 0 0 GREG LEVY CO CHAIRMAN 0 131287 0 0 0 0 0 25189 0 18449 0 174925 0 0 JEFF PATTON TRUSTEE 0 122557 0 0 0 0 0 25189 0 18449 0 166195 0 0 FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION HAS DELEGATED CONTROL OVER MANAGEMENT DUTIES CUSTOMARILY PERFORMED BY OR UNDER THE DIRECT SUPERVISION OF OFFICERS, DIRECTORS, TRUSTEES OR KEY EMPLOYEES TO THE ADMINISTRATOR, THE NORTHERN CALIFORNIA CEMENT MASONS FUNDS ADMINISTRATION, INC FORM 990, PART VI, SECTION A, LINE 8B THE ORGANIZATION DOES NOT HAVE ANY COMMITTEES WITH THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B THE TRUSTEES HAVE DESIGNATED THE ADMINISTRATOR TO REVIEW THE FORM 990 PRIOR TO SIGNING AND FILING. THE CHAIRMAN AND CO-CHAIRMAN REVIEW THE FORM. FORM 990, PART VI, SECTION B, LINE 12C THE ENTITY REGULARLY AND CONSISTENTLY MONTIORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY DURING BOARD MEETINGS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XII, LINE 2C THE BOARD OF TRUSTEES ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF THE ORGANIZATION'S FINANCIAL STATEMENTS AND THE SELECTION OF THE INDEPENDENT AUDITOR. CEMENT MASONS PENSION FUND FOR NORTHERN CALIFORNIA 1600 HARBOR BAY PARKWAY SUITE 200 ALAMEDA CA 94502 946277669 TO PROVIDE PENSION BENEFITS TO ELIGIBLE PARTICIPANTS CA 401A N/A 0 CEMENT MASONS VACATION AND HOLIDAY FUND FOR NORTHERN CALIFORNIA 1600 HARBOR BAY PARKWAY SUITE 200 ALAMEDA CA 94502 946108055 TO PROVIDE VACATION AND HOLIDAY BENEFITS TO ELIGIBLE PARTICIPANTS CA 501(C)(9) N/A 0 CEMENT MASONS APPRENTICESHIP AND TRAINING FUND FOR NORTHERN CALIFORNIA 1600 HARBOR BAY PARKWAY SUITE 200 ALAMEDA CA 94502 946428343 TO PROVIDE TRAINING TO ELIGIBLE PARTICIPANTS CA 501(C)(5) N/A 0 CEMENT MASONS & PLASTERERS LOCAL 528 CEMENT MASONS & PLASTERS LU797 CEMENT MASONS 400 CEMENT MASONS-JATC 7M GENERAL ENGINEERING INC A C L CONSTRUCTION CO INC A GOOD SIGN & GRAPHICS CO A J BUILDING SPECIALTIES A M CONCRETE INC A RUIZ CONSTRUCTION CO & ASSOC INC AM STEPHENS CONCRETE INC AA JOHNSON & SON INC AAA CONCRETE CONSTRUCTION ABBETT ELECTRIC CORPORATE ABEL'S CONCRETE ABIDE BUILDERS INC ACCURATE EARTHWORKS 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THE COLLECTIVE BARGAINING OR PARTICIPATION AGREEMENT. THE ADMINISTRATIVE OFFICE ONLY MAINTAINS THE DATA NECESSARY TO FULFILL THE OBLIGATION TO CONTRIBUTE, IT DOES NOT MAINTAIN SPECIFIC BUSINESS DATA REGARDING THE EMPLOYERS, SUCH AS ENTITY TYPE OR TAX INFORMATION.