2025-05-15T10:31:27-04:00 2024-07-31 WITHUMSMITHBROWNPC 6101 BOLLINGER CANYON RD STE 400 SAN RAMON CA 94583 990 2023-08-01 686097704 TEAMSTERS RETIREE TRUST % DELTA FUND ADMINISTRATORS TEAM 2099488483 PO BOX 2300 STOCKTON CA 95201 Peter Nunez co-chair 2099488483 2025-05-08 true true DONNIE J SPRINGER P01451649 9252779100 2023 2025-03-06 01:10:19Z Peter Nunez PO BOX 2300 STOCKTON CA 95201 50171035 false X N/A X 1993 CA TO PROVIDE HEALTH AND WELFARE BENEFITS FOR RETIRED EMPLOYEES AND THEIR DEPENDENTS. 7 0 1 0 0 0 0 0 40708251 46755008 370814 604650 0 0 41079065 47359658 0 0 36758428 44045989 0 0 0 0 0 2186556 2387173 38944984 46433162 2134081 926496 21394246 22683403 5268527 4869718 16125719 17813685 TO PROVIDE HEALTH AND WELFARE BENEFITS FOR RETIRED EMPLOYEES AND THEIR DEPENDENTS. false false PROVIDED HEALTH AND WELFARE BENEFITS FOR RETIRED EMPLOYEES AND THEIR DEPENDENTS. false false false false false false false false false false false false true true 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 5 0 true 1 true false false false false false false false false X 7 0 false true false false false false false true false false true true true true true true false false false CA X DELTA FUND ADMINISTRATORS 2099405100 3244 BROOKSIDE RD SUITE 230 STOCKTON CA 95219 X Deb Ostendorp Co-Chair 0.5 0.0 X X 0 0 0 Dave Hawley Co-Chair 0.5 0.0 X X 0 0 0 Walter Mendez Trustee 0.5 0.0 X 0 0 0 Allen Cheek trustee 0.5 0.0 X 0 0 0 Peter Nunez trustee 0.5 0.0 X 0 0 0 Jeff Berdion Trustee 0.5 0.0 X 0 0 0 Derek Hawley Trustee - EFF. 02/2024 0.5 0.0 X 0 0 0 SEE SCH O FOR COMPENSATION PAID BY RELATED ORGANIZATIONS 0.0 0.0 X 0 0 0 0 0 0 0 false false false Delta Fund Administrators LLC 3244 Brookside Road Suite 230 STOCKTON CA 95219 CONTRACT ADMIN 1627595 ANTHEM BLUE CROSS 2121 N California Blvd WALNUT CREEK CA 94956 Claims ADMIN 208812 2 0 RESERVE SUBSIDY 900099 21466185 21466185 ACTIVE SUBSIDY 900099 12044873 12044873 PARTICIPANT CONTRIBUTIONS 900099 7597846 7597846 PRESCRIPTION REBATES 900099 2696170 2696170 EMPLOYER CONTRIBUTIONS 900099 2047506 2047506 902428 902428 46755008 581689 581689 0 0 0 0 0 2834338 2811377 22961 22961 22961 0 0 0 0 0 0 0 0 0 0 47359658 46755008 0 604650 0 0 0 44045989 0 0 0 0 0 0 1809158 24313 41250 0 0 42755 382033 0 21481 0 0 0 0 0 36638 0 0 0 29545 46433162 X 0 0 5095229 6111842 0 0 2355710 1290730 0 0 0 0 0 0 0 0 170 4562 0 0 13943137 15276269 0 0 0 0 0 0 0 0 21394246 22683403 184394 50910 0 0 35309 180200 0 0 0 0 0 0 0 0 0 0 5048824 4638608 5268527 4869718 X 0 0 0 0 16125719 17813685 16125719 17813685 21394246 22683403 926496 761470 X X false true X true false 0 BENEFIT OBLIGATIONS 4638608 4638608 X 48078373 761470 761470 47316903 42755 42755 47359658 46800623 46800623 42755 -410216 -367461 46433162 PART X, LINE 2: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE THE TAX POSITIONS TAKEN BY THE PLAN AND TO RECOGNIZE A TAX LIABILITY IF THE PLAN HAS TAKEN AN UNCERTAIN POSITION THAT, MORE LIKELY THAN NOT, WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE. THE PLAN HAS ANALYZED THE TAX POSITIONS TAKEN BY THE PLAN AND HAS CONCLUDED THAT, AS OF JULY 31, 2024 AND 2023, THERE ARE NO UNCERTAIN POSITIONS TAKEN, OR EXPECTED TO BE TAKEN, THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY THE TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS iN PROGRESS. THE PLAN BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR THE FISCAL YEARS PRIOR TO 2021. PART XII, LINE 4B - OTHER ADJUSTMENTS: CHANGE IN BENEFIT OBLIGATIONS FORM 990, PART VI, SECTION A, LINE 3: THE GOVERNING BODY HAS APPOINTED MANAGEMENT DUTIES TO A THIRD-PARTY ADMINISTRATOR. FORM 990, PART VI, SECTION A, LINE 8B: THE PLAN DOES NOT HAVE A COMMITTEE TO ACT WITH AUTHORITY ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B: THE GOVERNING BODY IS PROVIDED WITH A COPY OF THE FORM 990 PRIOR TO BEING FILED. THE PLAN'S ADMINISTRATOR IS RESPONSIBLE FOR CONDUCTING A DETAILED REVIEW OF THE FORM 990 PRIOR TO IT BEING FILED WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C: THE CONFLICT-OF-INTEREST POLICY APPLIES TO ALL TRUSTEES AS WELL AS ANY OTHER INDIVIDUALS WHO EXERCISE DISCRETIONARY AND/OR FIDUCIARY AUTHORITY OVER THE AFFAIRS OF THE TRUST, AND THE POLICY IS REGULARLY AND CONSISTENTLY MONITORED AND ENFORCED BY THE ORGANIZATION BY REQUIRING THE TRUSTEES TO ANNUALLY DISCLOSE TO THE BOARD ANY CONFLICTS OF INTEREST. THE BOARD HAS DISCRETIONARY AUTHORITY TO DETERMINE WHETHER THE TRANSACTION IS IN THE BEST INTEREST OF THE TRUST. SUCH DETERMINATIONS ARE TO BE MADE WITHOUT THE INPUT OR PARTICIPATION OF THE CONFLICTED INDIVIDUALS. FORM 990, PART VI, SECTION B, LINE 15: THE ORGANIZATION DOES NOT COMPENSATE TRUSTEES. 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 VII, SECTION A, LINE 7A: TRUSTEES ARE NOT COMPENSATED BY THE TRUST. COMPENSATION PAID TO TRUSTEES EMPLOYED BY OTHER RELATED ORGANIZATIONS IS REPORTED ON THE FORM 990 FILED WITH THE INTERNAL REVENUE SERVICE BY THE RELATED TAX-EXEMPT ORGANIZATION. IF YOU WOULD LIKE ADDITIONAL INFORMATION, PLEASE CONTACT THE THIRD-PARTY ADMINISTRATOR, DELTA FUND ADMINISTRATOR SERVICES, LLC. FORM 990, PART XII, LINE 2C: THE BOARD OF TRUSTEES IS RESPONSIBLE FOR OVERSIGHT OF THE AUDIT AND SELECTION OF AN INDEPENDENT AUDITOR. THIS PROCESS HAS NOT CHANGED. Northern California General Teamsters Se pO BOX 2300 Stockton CA 95201 946073033 To provide he CA 501(C)(9) N/A NA false Teamsters Local union 948 1933 W Caldwell Visalia CA 93277 941310598 local union/S CA 501(C)(5) N/A NA false Teamsters Local union 137 3540 S Market Redding CA 96001 940577278 local union/S CA 501(C)(5) N/A NA false Teamsters Local union 150 7120 E parkway sacramento CA 95823 940380120 local union/S CA 501 (C)(5) N/A NA false teamsters Local union 386 1225 Thirteenth st modesto CA 95354 940577279 local union/S CA 501(C)(5) N/A NA false TEAMSTERS LOCAL UNION 431 1140 W OLIVE STREET FRESNO CA 93278 940577293 LABOR ORG CA 501(C)(5) NA NA false TEAMSTERS LOCAL UNION 517 512 W OAK ST VISALIA CA 93291 941069921 LABOR ORG CA 501(C)(5) NA NA false TEAMSTERS LOCAL UNION 533 240 GENRTY WAY RENO CA 89502 880046825 LABOR ORG. CA 501(C)(5) N/A NA false TEAMSTERS LOCAL UNION 87 2531 G STREET BAKERSFIELD CA 93301 950865989 LABOR ORG CA 501(C)(5) N/A NA false false false false false false false false false false false false false false false false false false false false SCHEDULE R, PART VII, SUPPLEMENTAL INFORMATION THE FILING ORGANIZATION IS A TAFT-HARTLEY MULTIEMPLOYER TRUST THAT PROVIDES HEALTH AND WELFARE BENEFITS TO ELIGIBLE EMPLOYEES AND THEIR DEPENDENTS. AS OF JULY 31, 2024, THERE ARE APPROXIMATELY 10 EMPLOYERS THAT CONTRIBUTE TO THE TRUST. THE ADMINISTRATIVE OFFICE MAINTAINS A DATABASE OF THESE CONTRIBUTING EMPLOYERS, INCLUDING NAMES, ADDRESSES AND OTHER CONTACT INFORMATION. THE FEDERAL TAX CLASSIFICATION (DISREGARDED ENTITY, TAX EXEMPT ORGANIZATION, PARTNERSHIP, TAXABLE CORPORATION OR TRUST) FOR EACH CONTRIBUTING EMPLOYER IS NOT ON FILE WITH THE ADMINISTRATIVE OFFICE AND IT COULD NOT BE REASONABLY OBTAINED. AS A RESULT THE NAMES OF THE CONTRIBUTING EMPLOYERS ARE LISTED ON PART VII BELOW AND NOT ON PARTS II THROUGH IV BY FEDERAL TAX CLASSIFICATION. ANDERSON FIRE CASCADE UNION ELEMENTARY CITY OF RED BLUFF COUNTY OF BUTTE POST HOLDINGS INC THE KRAFT HEINZ CO SHASTA COUNTY SHASTA COUNTY SUPERIOR COURT SILGAN CAN CO UNIFIED GROCERS