2024-11-11T11:21:33-06:00 2023-12-31 470900880 CALIBRE CPA GROUP PLLC 7501 WISCONSIN AVENUE SUITE 1200 WEST BETHESDA MD 20814 990 2023-01-01 956093677 LABORERS HEALTH & WELFARE TRUST FOR SOUTHERN CALIFORNIA % ROBERT GLAZA LABO 6262793000 1123 PARK VIEW DRIVE STE 200 COVINA CA 91724 JON P PRECIADO TRUSTEE 6262793000 2024-11-11 1 1 SCOTT E HALLBERG CPA P01081188 2023319880 2023 2024-10-15 13:58:12Z ROBERT GLAZA 1123 PARK VIEW DRIVE STE 200 COVINA CA 91724 384494349 0 X N/A X 1954 CA PROVISION OF AFFORDABLE AND COMPREHENSIVE HEALTH INSURANCE. ADMINISTRATION OF HEALTH AND WELFARE BENEFITS FOR ELIGIBLE PARTICIPANTS. 17 8 0 0 0 0 0 0 320199811 350685171 2188599 4342459 0 0 322388410 355027630 0 0 333797376 311394199 0 0 0 0 0 11083815 15925538 344881191 327319737 -22492781 27707893 191102147 218590628 157063423 150018190 34038724 68572438 PROVISION OF AFFORDABLE AND COMPREHENSIVE HEALTH INSURANCE. ADMINISTRATION OF HEALTH AND WELFARE BENEFITS FOR ELIGIBLE PARTICIPANTS. 0 0 PROVISION OF AFFORDABLE AND COMPREHENSIVE HEALTH INSURANCE. ADMINISTRATION OF HEALTH AND WELFARE BENEFITS FOR ELIGIBLE PARTICIPANTS. 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 1 135 0 1 0 0 0 0 0 0 0 0 0 X 17 8 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 0 0 0 X ROBERT GLAZA 6262793000 1123 PARK VIEW DRIVE STE 200 COVINA CA 91724 X CATHERINE MONCADA MANAGEMENT TRUSTEE 4.00 X 0 0 0 JOHN COOPER MANAGEMENT TRUSTEE 4.00 X 0 0 0 JEROME DI PADOVA MANAGEMENT TRUSTEE 4.00 X 0 0 0 BILL BOYD MANAGEMENT TRUSTEE 4.00 X 0 0 0 GARRETT FRANCIS MANAGEMENT TRUSTEE 4.00 X 0 0 0 TONY NARANJO MANAGEMENT TRUSTEE 4.00 X 0 0 0 DAN NGO MANAGEMENT TRUSTEE 4.00 X 0 0 0 DEREK RADOS MANAGEMENT TRUSTEE 4.00 X 0 0 0 ALEX ARTIAGA UNION TRUSTEE 4.00 40.00 X 0 205817 94478 MICHAEL DEA UNION TRUSTEE 4.00 40.00 X 0 314825 130554 ADRIAN ESPARZA UNION TRUSTEE 4.00 40.00 X 0 275683 107240 VAL MACEDO UNION TRUSTEE 4.00 40.00 X 0 296926 115106 ANTHONY MIRELES UNION TRUSTEE 4.00 40.00 X 0 152460 75874 JON P PRECIADO UNION TRUSTEE 4.00 40.00 X 0 428480 160886 HERTZ RAMIREZ UNION TRUSTEE 4.00 40.00 X 0 190900 93728 SERGIO RASCON UNION TRUSTEE 4.00 40.00 X 0 437217 163853 PETER SANTILLAN UNION TRUSTEE 4.00 40.00 X 0 320390 129540 0 2622698 1071259 0 0 1 0 PACIFIC SOUTHWEST ADMINISTRATORS 1055 PARK VIEW DR STE 200 COVINA CA 91724 ADMINISTRATION 7722456 CONSTRUCTION LABORERS TRUST FUNDS ADMIN 1123 PARK VIEW DR STE 201 COVINA CA 91724 COLLECTIONS 1483662 ANTHEM BLUE CROSS 3080 BRISTOL ST STE 200 COSTA MESA CA 92626 CLAIMS PROCESSING ADMIN FEES 436082 OPTUM RX 1125 SANCTUARY PKWY STE 300 ALPHARETTA GA 30009 PRESCRIPTION ADMIN FEES 268491 MILLER KAPLAN ARASE LLP 4123 LANKERSHIM BLVD NORTH HOLLYWOOD CA 91602 AUDITING 173191 7 EMPLOYER CONTRIBUTIONS 900099 333917002 333917002 EXPERIENCE RATED REFUNDS 900099 11216449 11216449 RETIREE CONTRIBUTIONS 900099 4187073 4187073 EMPLOYEE CONTRIBUTIONS 900099 895359 895359 LIQUIDATED DAMAGES 900099 469288 469288 350685171 4101889 4101889 29707289 29466719 240570 240570 240570 355027630 350685171 0 4342459 311394199 7722456 240607 155191 203850 6337174 735279 6100 81341 ADR PROGRAM FEES 297060 PCORI FEES 111915 CUSTODIAN FEES 28930 MISCELLANEOUS EXPENSE 3660 1975 327319737 12485718 27315503 2417225 5060487 29229230 28645054 48330 54679 99228789 105422634 47692855 49867074 0 2225197 191102147 218590628 7519508 3756422 149543915 146261768 157063423 150018190 X 0 0 0 0 34038724 68572438 34038724 68572438 191102147 218590628 27707893 6825821 0 X X 0 1 X 1 0 0 MUTUAL FUNDS (CLOSED-ENDED) 30605289 F COMMON COLLECTIVE TRUSTS 7343370 F LIMITED PARTNERSHIPS 11918415 F 49867074 ESTIMATED LIABILITY FROM CLAIMS PAYABLE, IBNR, AND EXTENDED ELIGIBILITY 146261768 146261768 X 361323611 6825821 6825821 354497790 232780 297060 529840 355027630 330072044 0 330072044 232780 -2985087 -2752307 327319737 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 XI, LINE 4B - OTHER ADJUSTMENTS: ADR PROGRAM FEES AND EXPENSES NETTED 297,060. PART XII, LINE 4B - OTHER ADJUSTMENTS: DECREASE IN ESTIMATED LIABILITY FOR CLAIMS PAYABLE, IBNR, AND EXTENDED ELIG -3,282,147. ADR PROGRAM FEES AND EXPENSES 297,060. 0 0 0 SERGIO RASCON UNION TRUSTEE 0 437217 0 0 0 0 0 150197 0 13656 0 601070 0 0 JON P PRECIADO UNION TRUSTEE 0 428480 0 0 0 0 0 147100 0 13786 0 589366 0 0 PETER SANTILLAN UNION TRUSTEE 0 320390 0 0 0 0 0 115754 0 13786 0 449930 0 0 MICHAEL DEA UNION TRUSTEE 0 314825 0 0 0 0 0 116898 0 13656 0 445379 0 0 VAL MACEDO UNION TRUSTEE 0 296926 0 0 0 0 0 101960 0 13146 0 412032 0 0 ADRIAN ESPARZA UNION TRUSTEE 0 275683 0 0 0 0 0 94094 0 13146 0 382923 0 0 ALEX ARTIAGA UNION TRUSTEE 0 205817 0 0 0 0 0 81417 0 13061 0 300295 0 0 HERTZ RAMIREZ UNION TRUSTEE 0 190900 0 0 0 0 0 80072 0 13656 0 284628 0 0 ANTHONY MIRELES UNION TRUSTEE 0 152460 0 0 0 0 0 62088 0 13786 0 228334 0 0 FORM 990, PART VI, SECTION A, LINE 8B THERE ARE NO COMMITTEES WHO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B THERE IS NO FORMAL REVIEW POLICY. THE TRUSTEES RECEIVE A COPY OF THE 990 PRIOR TO SIGNING. FORM 990, PART VI, SECTION B, LINE 12C TRUSTEES HAVE PERIODIC MEETINGS WHERE ALL ISSUES ARE DISCUSSED. FORM 990, PART VI, SECTION C, LINE 19 ALL DOCUMENTS ARE AVAILABLE AT THE STATED ADDRESS PART VII RELATED ORGANIZATION COMPENSATION FOR TRUSTEES IS BASED ON THE MOST RECENT FORM 990 FILED FOR THE RELATED ORGANIZATION. PART XII, LINE 2C NO CHANGE IN PROCESS FROM PRIOR YEAR. 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