STRATEGY STUDIO / PUBLIC DATA EXPLORER

TEAMSTERS WESTERN REGION AND NEW JERSEY HEALTH CARE FUND: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
TEAMSTERS WESTERN REGION AND NEW JERSEY HEALTH CARE FUND (EIN 86-6052021)
Tax period
2021-12-01 to 2022-11-30
Filed
2023-09-14
IRS object ID
202332579349301363
Schema version
2021v4.2
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)
Return2023-09-14T11:27:40-05:00ReturnTs
Tax Period End2022-11-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN542189926PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Henningfield & Associates IncBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line128296 Constellation RoadAddressLine1Txt
CityValenciaCityNm
State AbbreviationCAStateAbbreviationCd
ZIP91355ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-12-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN866052021EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1TEAMSTERS WESTERN REGION AND NEW JERSEYBusinessNameLine1Txt
Business Name Line2HEALTH CARE FUNDBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlTEAMBusinessNameControlTxt
Phone6022493582PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12550 W UNION HILLS DRIVE SUITE 29AddressLine1Txt
CityPHOENIXCityNm
State AbbreviationAZStateAbbreviationCd
ZIP85027ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonANDREW MARSHALLPersonNm
Person TitleTRUSTEEPersonTitleTxt
Phone6022493582PhoneNum
Signature2023-09-03SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstANDREWPersonFirstNm
Person LastMARSHALLPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonRANDY D HENNINGFIELDPreparerPersonNm
PTINP01364367PTIN
Phone6612953363PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerANDREW MARSHALLPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1450 CARSON PLAZA DRIVEAddressLine1Txt
CityCARSONCityNm
State AbbreviationCAStateAbbreviationCd
ZIP90746ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,572,573,530GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501cYes (X)Organization501cInd
Website AddressN/AWebsiteAddressTxt
Type Of Organization TrustYes (X)TypeOfOrganizationTrustInd
Formation1950FormationYr
Legal Domicile StateAZLegalDomicileStateCd
Activity Or MissionHEALTH & WELFARE BENEFITS PROVIDED TO MEMBERS WHO ARE COVERED BY COLLECTIVE BARGAINING AGREEMENTS BETWEEN UNION AND EMPLOYERS.ActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$1,015,794,797PYProgramServiceRevenueAmt
CY Program Service Revenue$1,082,533,188CYProgramServiceRevenueAmt
PY Investment Income$54,915,882PYInvestmentIncomeAmt
CY Investment Income$96,991,369CYInvestmentIncomeAmt
PY Other Revenue$34,093,055PYOtherRevenueAmt
CY Other Revenue$45,180,081CYOtherRevenueAmt
PY Total Revenue$1,104,803,734PYTotalRevenueAmt
CY Total Revenue$1,224,704,638CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$691,423,449PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$752,298,738CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$41,657,051PYOtherExpensesAmt
CY Other Expenses$45,232,862CYOtherExpensesAmt
PY Total Expenses$733,080,500PYTotalExpensesAmt
CY Total Expenses$797,531,600CYTotalExpensesAmt
PY Revenues Less Expenses$371,723,234PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$427,173,038CYRevenuesLessExpensesAmt
Total Assets BOY$2,785,434,314TotalAssetsBOYAmt
Total Assets EOY$2,901,404,610TotalAssetsEOYAmt
Total Liabilities BOY$99,951,056TotalLiabilitiesBOYAmt
Total Liabilities EOY$94,428,984TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$2,685,483,258NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$2,806,975,626NetAssetsOrFundBalancesEOYAmt
MissionHEALTH & WELFARE BENEFITS PROVIDED TO MEMBERS WHO ARE COVERED BY COLLECTIVE BARGAINING AGREEMENTS BETWEEN UNION AND EMPLOYERS.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$752,298,738ExpenseAmt
DescHEALTH & WELFARE BENEFITS PROVIDED TO MEMBERS WHO ARE COVERED BY COLLECTIVE BARGAINING AGREEMENTS BETWEEN UNION AND EMPLOYERS.Desc
Total Program Service Expenses$752,298,738TotalProgramServiceExpensesAmt
Described In Section501c30DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment0ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document1769IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members9GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SOUTHWEST SERVICE ADMINISTRATORSBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone6022493582PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12550 W UNION HILLS DRIVE STE 290AddressLine1Txt
CityPHOENIXCityNm
State AbbreviationAZStateAbbreviationCd
ZIP85027ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (9 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
KARLA SCHUMANN
TRUSTEE4.00Yes (X)$0$0$0
DOUGLAS RUYGROK
TRUSTEE15.00Yes (X)$45,100$0$0
ANDREW MARSHALL
TRUSTEE4.00Yes (X)$0$0$0
ANTHONY DECOSMO
TRUSTEE4.00Yes (X)$0$0$0
CHRIS LANGAN
TRUSTEE4.00Yes (X)$0$0$0
ALFRED BETTS
TRUSTEE4.00Yes (X)$0$0$0
MARK DAVISON
TRUSTEE4.00Yes (X)$0$0$0
BRIAN PERSON
TRUSTEE4.00Yes (X)$0$0$0
CHRIS ELTZHOLTZ
TRUSTEE4.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$45,100TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
BLUE CROSS BLUE SHIELD AZ
8220 N 23RD AVENUEPHOENIXAZ85021PPO NETWORK / CLAIMS PROCESSING$15,099,511
AETNA
4500 E COTTON CENTER BLVDPHOENIXAZ85040PPO NETWORK / CLAIMS PROCESSING$8,251,889
SOUTHWEST SERVICE ADMINISTRATORS
2500 W UNION HILLS DRIVE STE 29PHOENIXAZ85027CONTRACT ADMINISTRATOR$4,935,886
CAMDEN BONDS PLUS FUND
11111 SANTA MONICA BLVD STE 300LOS ANGELESCA90025INVESTMENT MGMT$4,566,731
BILLER AND ASSOCIATES
535 MIDDLEFIELD RD STE 230MENLO PARKCA94025INVESTMENT MGMT$1,554,399
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K28CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
EMPLOYER CONTRIB480000$1,072,672,606$1,072,672,606
PARTICIPANT CONTRIB480000$9,860,582$9,860,582
FieldValueIRS element (for citing)
Total Program Service Revenue$1,082,533,188TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$40,485,760TotalRevenueColumnAmt
Exclusion$40,485,760ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$404,374,501SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$347,868,892SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$56,505,609SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$56,505,609TotalRevenueColumnAmt
Exclusion$56,505,609ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PRESCRIPTION REBATES480000$44,458,126$44,458,126
RETIREE PRESCRIPTION SUBSIDY480000$433,812$433,812
COBRA SUBSIDY INCOME480000$205,541$205,541

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$82,602TotalRevenueColumnAmt
Related Or Exempt Func Income$82,602RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$45,180,081OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,224,704,638TotalRevenueColumnAmt
Related Or Exempt Func Income$1,127,713,269RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$96,991,369ExclusionAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$752,298,738TotalAmt
Program Services$752,298,738ProgramServicesAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$4,935,886TotalAmt
Management And General$4,935,886ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$269,625TotalAmt
Management And General$269,625ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$242,881TotalAmt
Management And General$242,881ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$13,020,102TotalAmt
Management And General$13,020,102ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$503,885TotalAmt
Management And General$503,885ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,169,628TotalAmt
Management And General$1,169,628ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$90,412TotalAmt
Management And General$90,412ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$208,100TotalAmt
Management And General$208,100ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmt
COST CONTAINMENT FEES$23,639,438$23,639,438
ADMINISTRATION - EXTERN$593,215$593,215
DISABILITY PAYROLL TAXE$308,551$308,551
PCORI FEES$211,621$211,621

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$39,518TotalAmt
Management And General$39,518ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$797,531,600TotalAmt
Program Services$752,298,738ProgramServicesAmt
Management And General$45,232,862ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$18,058,752BOYAmt
EOY$49,176,088EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$86,755,798BOYAmt
EOY$93,257,007EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$155,488BOYAmt
EOY$137,786EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$2,680,464,276BOYAmt
EOY$2,758,833,729EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$2,785,434,314BOYAmt
EOY$2,901,404,610EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$5,185,770BOYAmt
EOY$3,263,408EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$657,029BOYAmt
EOY$739,185EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$94,108,257BOYAmt
EOY$90,426,391EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$99,951,056BOYAmt
EOY$94,428,984EOYAmt
FieldValueIRS element (for citing)
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

FieldValueIRS element (for citing)
BOY$2,685,483,258BOYAmt
EOY$2,806,975,626EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,685,483,258BOYAmt
EOY$2,806,975,626EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,785,434,314BOYAmt
EOY$2,901,404,610EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$427,173,038ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$305,680,670NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
CLAIMS PAYABLE AND IBNR$97,635,000
PREMIUMS PAYABLE-$7,208,609
FieldValueIRS element (for citing)
Total Liability$90,426,391TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$907,558,265TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$305,680,670NetUnrealizedGainsInvstAmt
Revenue Not Reported-$305,680,670RevenueNotReportedAmt
Revenue Subtotal$1,213,238,935RevenueSubtotalAmt
Investment Expenses Not Incld$11,465,703InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt$11,465,703RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$1,224,704,638TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$789,747,763TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$789,747,763ExpensesSubtotalAmt
Investment Expenses Not Incld2$11,465,703InvestmentExpensesNotIncld2Amt
Other Expenses Not Included-$3,681,866OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$7,783,837ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$797,531,600TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart XII, Line 4b - Other Adjustments:FormAndLineReferenceDesc
ExplanationCHANGES IN CLAIMS PAYABLE AND IBNR CHANGE IN PREMIUMS PAYABLEExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 3THE TRUSTEES HAVE CONTRACTED WITH A THIRD PARTY ADMINISTRATOR TO PERFORM THE EVERYDAY ADMINISTRATION OF THE FUND.
Form 990, Part VI, Section B, line 11bA COPY OF FORM 990 WAS PRESENTED TO THE TRUSTEES FOR REVIEW AND SIGNATURES.
Form 990, Part VI, Section B, line 12cMONITORING AND ENFORCEMENT OF CONFLICT OF INTEREST POLICY IS APPROVED ANNUALLY AT BOARD OF TRUSTEES MEETING.
Form 990, Part VI, Section C, line 19SUMMARY ANNUAL REPORTS ARE PROVIDED TO ALL PARTICIPANTS ANNUALLY. SPDS ARE AVAILABLE VIA WEBSITE AND FROM THE ADMINISTRATOR UPON REQUEST. AUDITED FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC BY REQUEST OF THE DOL OR ADMINISTRATION.
Form 990, Part VII Contact Addresses for Officers, Directors, EtcKARLA SCHUMANN - 1450 S 27TH STREET, PHOENIX, AZ 85009. DOUGLAS RUYGROK - 2102 LA CANADA CREST DRIVE, LA CANADA, CA 91011. ANDREW MARSHALL - 450 CARSON PLAZA DRIVE, CARSON, CA 90746. ANTHONY DECOSMO - 6900 S YOSEMITE ST, CENTENNIAL, CO 80012. CHRIS LANGAN - 2618 CORRAL DR, CELINA, TX 75009. ALFRED BETTS - 282 HILLSIDE AVE, HILLSIDE, NJ 07205. MARK DAVISON - 1850 NE 162ND AVENUE, PORTLAND, OR 97230. BRIAN PERSON - 55 GLENLAKE PKWY, ATLANTA, GA 30328. CHRIS ELTZHOLTZ - 282 HILLSIDE AVE, HILLSIDE, NJ 07205.

Schedule R IRS990ScheduleR

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (26 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
ALLIANCE BEVERAGE DISTRIBUTING CO LLC
1115 N 47TH AVEPHOENIXAZ85043860933201SALES AND DISTRIBUTION OF ALCOHOLIC BEVERAGESAZC0
ARIZONA STATE AFL-CIO
3117 N 16TH STREET STE 200PHOENIXAZ85016866053031LABOR MOVEMENTAZC0
ATLAS LOGISTICS GROUP RETAIL SERVICES
500 W 99TH AVENUETOLLESONAZ85353271976487WAREHOUSINGAZC0
BAKER COMMODITIES INC
3602 W ELWOOD STREETPHOENIXAZ85009952137748RECYCLINGAZC0
CALIPORTLAND COMPANY
2400 N CENTRAL AVE STE 301PHOENIXAZ85004950597220CONTRETE, SAND AND GRAVEL PRODUCTIONAZC0
CALMAT CO VULCAN MATERIALS
500 N BRAND BLVD STE 500GLENDALECA91203950645790CONSTRUCTION MATERIALSALC0
CENTURY MATERIALS INC
100 S PRICE ROADTEMPEAZ85281860431562TRANSPORTATION & EQUIPMENT MAINTENANCE FOR CONSTRUCTIONAZC0
THE HERTZ CORPORATION
225 BRAE BLVDPARK RIDGENJ07656131938568RENTAL OF PASSENGER VEHICLESNJC0
INTERSTATE BRANDS
12 E ARMOUR BLVDKANSAS CITYMO64111440296705FOOD MANUFACTURERTXC0
KELLOGG COMPANY
ONE KELLOGG SQUAREBATTLE CREEKMI49017380710690MANUFACTURINGMIC0
MARTENS HEAVY EQUIPMENT REPAIR LLC
4385 N BAKER DRIVEKINGMANAZ86409274369965REPAIR, SERVICE AND TRANSPORT - TRUCKS AND HEAVY EQUIPMENTAZS0
MISSION LINEN SUPPLY
702 E MONTECITO STSANTA BARABARACA93103951942549TEXTILE RENTAL SERVICECAS0
CLINTON CAMPBELL CONTR INC PHOENIX BRICK YARD
1814 S 7TH AVEPHOENIXAZ85007860010120CLAY BRICK DISTRIBUTORAZC0
RELIANCE STEEL & ALUMINUM CO
350 S GRAND AVE STE 5100LOS ANGELESCA90071951142616METAL DISTRIBUTORCAC0
RUAN TRANSPORT CORPORATION
666 GRAND AVEDES MOINESIA50309420619339TRANSPORTATION - HAULING OF GOODSIAC0
SAFEWAY INC
5918 STONERIDGE MALL ROADPLEASANTONCA94588943019135RETAILCAC0
EARTHGRAINS BAKING COMPANIES INC SARA LEE BAKERY
225 STEWART ROADHANOVER TWPPA18706710051040MANUFACTURINGPAC0
SMITH PIPE AND STEEL COMPANY
735 N 19TH AVEPHOENIXAZ85009860351813STEEL SERVICE CENTERAZC0
STAKER AND PARSON CO
2350 SO 1900 WESTOGDENUT84401870674587CONSTRUCTION, CONCRETE, PAVINGUTC0
PROFESSIONAL TRANSIT MANAGEMENT OF TICSON INC SUN TRAN
3920 N SUN TRAN BLVDTUCSONAZ85705311654328CITY BUSY SYSTEMAZC0
SYSCO ARIZONA INC
611 SO 80TH AVETOLLESONAZ85353760254397WHOLESALE FOOD DISTRIBUTORAZC0
T PAC A DIVISION OF KIEWIT WESTERN
12720 I STREETOMAHANE68137470640264CONSTRUCTIONNEC0
UNITED DAIRYMEN OF ARIZONA
2008 S HARDTY DRTEMPEAZ85282860098125TRANSPORTATION AND MANUFACTURING OF DAIRY PRODUCTSAZC0
VEOLIA TRANSPORTATION SERVICES
2225 N LOWER BUCKEYE ROADPHOENIXAZ85009521493194CITY BUSY SYSTEMAZC0
YOUNG'S MARKET CO OF ARIZONA
624 N 44TH AVEPHOENIXAZ85043452501820WINE AND SPIRITS DISTRIBUTIONAZC0
UNITED PARCEL SERVICE
55 GLENLAKE PKWYATLANTAGA30328362407381PARCEL SERVICEGAC0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd