2023-11-08T13:58:13-06:00 2022-12-31 WITHUMSMITHBROWNPC 5000 EXECUTIVE PARKWAY SUITE 400 SAN RAMON CA 945834210 990 2022-01-01 412261950 DISTRICT COUNCIL 16 OF NORTHERN CALIFORNIA HEALTH & WELFARE TRUST % HEALTH SERVICES & BENEFITS A DIST 8009229902 4160 DUBLIN BLVD Suite 400 DUBLIN CA 945687723 ROBERT WILLIAMS III TRUSTEE - CHAIRMAN 8009229902 2023-11-15 true ROBERT WILLIAMS III 999009999 JOSEPH M THIERMANN P01066616 9252779100 2023-11-02 2022 2023-04-26 12:10:37Z ROBERT WILLIAMS III 4160 DUBLIN BLVD 400 DUBLIN CA 945687723 197129222 false X HTTP://www.dc16trustfund.org X 2008 CA TO PROVIDE HEALTH AND WELFARE BENEFITS. 8 0 96 0 0 0 0 0 131146187 124131375 5497741 -7259988 0 0 136643928 116871387 0 0 124776040 115010002 0 0 0 0 0 4961826 4702731 129737866 119712733 6906062 -2841346 250454926 226951913 63032322 57355782 187422604 169596131 TO PROVIDE HEALTH AND WELFARE BENEFITS. false false PROVIDED HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR BENEFICIARIES. false 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 2 0 true 96 true false false false false false 0 0 false false false X 8 0 false true false false false false false true true false false true true true true true true false false false CA X HEALTH SERVICES BENEFITS A 8009229902 4160 DUBLIN BLVDSTE 400 DUBLIN CA 945687756 X JAMES BOSTER Trustee 1.0 0.0 X 0 0 0 MADISON HULL TRUSTEE 1.0 0.0 X 0 0 0 John Maggiore Trustee-SECRETARY 1.0 0.0 X X 0 0 0 ROBERT WILLIAMS III TRUSTEE-CHAIRMAN 1.0 0.0 X X 0 0 0 STEVE ECKSTROM TRUSTEE 1.0 0.0 X 0 0 0 JAMES HEWETT TRUSTEE 1.0 0.0 X 0 0 0 SAL MADRIGAL TRUStee 1.0 0.0 X 0 0 0 JEANNIE SIMPLEO ALT TRUSTEE 1.0 0.0 X 0 0 0 LANCE RYKEN ALT TRUSTEE 1.0 0.0 X 0 0 0 FRANK NUNES ALT TRUSTEE 1.0 0.0 X 0 0 0 MIKE GREENLEE ALT TRUSTEE 1.0 0.0 X 0 0 0 SEE SCH O FOR COMPENSATION PAID BY RELATED ORGANIZATION 0.0 0.0 X 0 0 0 0 0 0 0 false false false HEALTH SERVICES AND BENEFIT ADMINIS 4160 DUBLIN BLVD SUITE 400 DUBLIN CA 94568 Fund Admin 1989040 Anthem Blue Cross 700 Broadway Denver CO 80273 Cost Containmen 565139 WITHUMSMITHBROWN PC 5000 Executive Parkway Suite 400 San Ramon CA 94583 Auditor 633286 Delta Dental 100 First Street San Francisco CA 94105 Benefits Admin 398386 Saltzman and Johnson 44 Montgomery Street Suite 2110 San Francisco CA 94104 Attorney 428127 9 0 Employer Contributions 900099 113938219 113938219 Participant Contributions 900099 6686681 6686681 Prescription Rebates 900099 1841236 1841236 Retiree Drug Subsidy 900099 1538132 1538132 Liquidated DamAges 900099 109055 109055 18052 18052 124131375 4472699 4472699 0 0 0 0 0 68525148 80257835 -11732687 -11732687 -11732687 0 0 0 0 0 0 0 0 0 0 0 116871387 124131375 0 -7259988 0 0 0 115010002 0 0 0 0 0 0 1848677 428127 633286 0 0 201629 1311835 0 212931 0 0 0 0 0 7127 0 0 0 59119 119712733 19904777 22230175 4750508 6181272 0 0 12237443 11083401 0 0 0 0 0 0 0 0 9638 78301 0 0 213365970 187219800 0 0 0 0 0 0 186590 158964 250454926 226951913 980008 241698 0 0 394864 344254 0 0 0 0 0 0 0 0 0 0 61657450 56769830 63032322 57355782 X 0 0 0 0 187422604 169596131 187422604 169596131 250454926 226951913 -2841346 -14985127 X X false true X true false 0 ACCUMULATED ELIGIBILITY CREDITS 18330703 BENEFITS CLAIMS PAYABLE & IBNR 8918924 EMPLOYER BOND DEPOSITS 79114 CASH BANK LIABILITY 29441089 56769830 X 101684631 -14985127 -14985127 116669758 201629 201629 116871387 124398724 124398724 201629 -4887620 -4685991 119712733 PART X , LINE 2 THE PLAN'S ADMINISTRATOR HAS ANALYZED THE TAX POSITIONS TAKEN BY THE PLAN, AND HAS CONCLUDED THAT, AS OF DECEMBER 31, 2022, 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. PART XII, LINE 4B-OTHER ADJUSTMENTS: CHANGE IN BENEFIT OBLIGATIONS. FORM 990, PART VI, SECTION B, LINE 11B: A COPY OF FORM 990 IS PROVIDED TO THE ORGANIZATION'S GOVERNING BODY FOR REVIEW BEFORE FILING. FORM 990 PART VI, SECTION A, LINE 3 The organization has delegated certain management duties to a third-party administrator under the supervision of the governing body. FORM 990, PART VI, SECTION B, LINE 12C: THE BOARD OF TRUSTEES IS SUBJECT TO THE FIDUCIARY RESPONSIBILITY PROVISIONS OF THE EMPLOYEE RETIREMENT INCOME SECURITY ACT OF 1974 (ERISA), AS AMENDED, INCLUDING THE CONFLICT-OF-INTEREST PROVISIONS OF ERISA SECTION 406. ANNUALLY AT THE BOARD OF TRUSTEES MEETING, THE TRUSTEES ARE REQUIRED TO DISCLOSE IF THERE ARE ANY CONFLICTS OF INTEREST. IF A CONFLICTING INTEREST EXISTS, THE PERSON WITH THE CONFLICT IS EXCLUDED FROM THE DISCUSSION AND APPROVAL OF SUCH TRANSACTION. 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 1A TRUSTEES ARE NOT COMPENSATED BY THE TRUST. COMPENSATION PAID TO TRUSTEES EMPLOYED BY OTHER 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 ADMINISTRATOR. FORM 990, PART XIII, LINE 2C: THE BOARD OF TRUSTEES ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND SELECTION OF THE INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED. District Council No 16 2705 Constitution Drive Livermore CA 945509206 940433056 EE SPONSORING 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 IDENTIFICATION OF RELATED ORGANIZATIONS THE FILING ORGANIZATION IS A TAFT-HARTLEY MULTIEMPLOYER TRUST THAT PROVIDES HEALTH AND WELFARE BENEFITS TO ELIGIBLE EMPLOYEES AND THEIR DEPENDENTS. AS OF DECEMBER 31, 2022, THERE ARE APPROXIMATELY 477 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. EMPLOYER NAME 345 CONSTRUCTION & FLOORING 808 MAINTENANCE INC. A & A FLOORING INC. DBA A & S FLOOR A & A PAINTING COMPANY A & B PAINTING INC A AMERICAN CUSTOM FLOORING INC. A1 - PRE FAB LLC AAC GLASS INC. ABCO RESTORATION & WATERPROOFING INC ABM INDUSTRY GROUPS LLC ACR GLASS AND DOORS ADVANCED INDUSTRIAL SERVICES INC. AJS PAINTING AKIMA CONSTRUCTION SERVICES LLC ALAN GARTHWAITE INDUSTRIES ALCAL GLASS SYSTEMS INC. ALCOSTA SHOWER DOOR ALL BAY AREA GLASS INC. ALL COUNTY FLOORING ALL SOURCE TILE INC ALLIANCE GLASS COMPANY ALLIED FLOOR CORPORATION ALLIED PAINTING INC. AMERICAN GLASS AMERICAN SPORTS CONSTRUCTION ANDRE'S GLASS SERVICE ANNING & JOHNSON COMPANY APACHE INDUSTRIAL UNITED INC. APPLIED FINISHES APPLY A LINE INC APPRENTICE CMTE ARCHITECTURAL GLASS & ALUMINUM ARROW GLASS CO ASSOCIATED TANK CONSTRUCTORS INC. AST BUILDERS INC. ATLAS GLASS CO. INC. ATTILA ARIAN CONSTRUCTION/SCHUCO USA LLL B & C PAINTING & DECORATING B & G GLASS INC. B&C PTG & DECORATING/JERRY THOMPSON JV B.T. MANCINI CO. INC. BACA & SONS PAINTING BAGATELOS ARCH GLASS SYSTEMS BASCO DRYWALL & PAINTING CO. BAY AREA SOLAR CONTROL BAY AREA TINTWORKS BAY CITIES PTRS & DEC BAYSIDE INTERIORS INC BAYVIEW CONSTRUCTION & PAINTING INC. BELL PAINTING BENASSI'S CARPET SERVICE BENSON INDUSTRIES LLC BEST CONTRACTING SERVICES INC BLASTCO INC. BLG INC. BLUE SKIES PAINTING BMD FLOORING BMK CONSTRUCTION LLC BMK CONSTRUCTION OF WA LLC BORBON INC. BOYETT CONSTRUCTION INC BRADY COMPANY/CENTRAL CA INC. BRADY WEST INC. BRAND ENERGY SVC OF CA INC BRITE PAINTING BROWARD BUILDERS INC. BRUCE K HALL CONSTRUCTION INC BUDGET HOLDINGS INC DBA SOLAR ART BUDGET HOLDINGS INC. DBA SOLAR ART C & J PAINTING C & O PAINTING INC C & S FLOOR SYSTEMS INC. C A BUCHER PTG SERVICE C.D.C.R C/S ERECTORS INC C-3 CONCRETE SURFACE INC. CALIFORNIA CUSTOM TINTING INC. CALIFORNIA DRYWALL COMPANY CALIFORNIA ENGINEERING CANVAS CONSTRUCTION SERVICES LLC CAPITAL INDUSTRIAL COATINGS LLC CAPITOL GLASS COMPANY CARPET DIMENSION INC. CARPET LAYERS TRAINING FUND CARPET LAYERS UNION LOCAL 1926 CDCR REGIONAL ACCTING OFFICE-PAINTERS CDCR REGIONAL ACCTING OFFICE-TAPERS CEE GEE PKG LOT STRIPING CENTER GLASS COMPANY CENTERLINE STRIPING CENTRAL STRIPING SERVICE INC CENTURY FLOOR COVERINGS INC. CERTIFIED COATINGS COMPANY CHRISP COMPANY CHRISTIAN BROS FLR & INTERIORS INC. CITY & COUNTY OF SF LOC 12 CITY & COUNTY OF SF LOC 718 CLARK PACIFIC CLASSIC GLASS INC CLIMER DRYWALL INC. CLINE GLASS CONTRACTORS INC. CLOSE CONSTRUCTION INC CNJ ENTERPRISES INC. COAST COUNTIES GLASS COAST TO COAST DRYWALL COATING'S UNLIMITED CODY FLOOR COVERING & TILE COFFEY BUILDING GROUP INC. COLE SPECIALTY COMPANY COMMERCE COATING SERVICES INC COMMERCE COATING SERVICES INC. COMMERCIAL GLASS & ALUM INC COMPONENT WEST INC. CONCORD DRYWALL INC CONKLIN BROS S F CONSOLIDATED SPECIALTIES INC. COOL PAINTING COX COMMERCIAL FLOORING INC CREATIVE CEILINGS INC. CREATIVE SHOWER DOOR CROWN SHEET METAL & SKYLIGHTS CUSTOM DRYWALL INC CYC COMMERCIAL INTERIORS INC. D & B PAINTING COMPANY D & C GLASS AND ALUMINUM INC. D & R GLASS INC. D C VIENT INC D ZELINSKY & SON INC D.S. BAXLEY INC. DBA DSB+ EAST BAY D2 SQUARED INDUSTRIAL SERVICES LLC DALEYS DRYWALL INC DARDEN PAINTING INC DDPD INC DELTA CITY DRYWALL INC DEPT OF GENERAL SERVICES DESIGN WORKSHOPS DEVCO DRYWALL INTERIORS INC. DFS FLOORING INC. DI INDUSTRIAL COATINGS INC. DIETLIN PNTG & DEC DISTRICT COUNCIL 16 DIVERSIFIED FLOORING SERV DIVERSIFIED WINDOW COVERINGS DMS DRYWALL & INTERIOR SYSTEMS INC. 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INNOVATIVE CONSTRUCTION INTEGRATED GLASS CONCEPTS INC. INTEGRATED SURFACES FLOORING INC. INTEGRO BUILDING SYSTEMS INTERIOR GLASS SYSTEM INTERIOR INSTALLATION SERVICES INC. IRONWOOD COMMERCIAL BLDRS INC J & J ACOUSTICS INC J & L WALL COVERING INC. J & R THOMPSON INC J.T. THORPE & SON INC. JAMES HAGUE WALLCOVERINGS JAMES L. HARRIS PAINTING INC JEFFCO PAINTING & COATING INC. JERRY THOMPSON & SONS INC JJJ FLOOR COVERING INC JMW CARPET & FLOORING INC. JOHN JORY CORPORATION JR CONSTRUCTION KAHULUI CARPET & DRAPERY PRODUCTS KAISER FOUNDATION HOSP CPFC KARSYN CONSTRUCTION INC KBI PAINTING INC. KEENAN HOPKINS AND SUDER KIM'S FLOORING INC KINGDOM DRYWALL KIRK BUILDERS KLW CONSTRUCTION INC. KOVACH ENCLOSURE SYSTEMS LLC KYO-YA HOTELS & RESORTS LP LANCE'S CARPET COMPANY INC LARRY SILVESTRI INC LEDEIT & SONS GLASS INC LENNEN COMMERCIAL BUILDERS INC LEVEL 5 INC. LEVEL IT INSTALLATIONS LTD. LIBERTY MAINTENANCE INC. LINCOLN GLASS & MIRROR CO LINOLEUM SALES CO INC LINOLEUM SALES CO. 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OM3 INC ONEILL GLASS INC ONPOINT CONSTRUCTION OREILLY & FAINA GLASS CO INC PACIFIC GLAZING CONTRACTORS PACIFIC MASONRY RESTORATIONS LLC PACIFIC PERFORMANCE DRYWALL INC. PACIFIC RACING ASSN PACIFIC SEALANTS PACIFIC SHORES CONSTRUCTION PAIGE FLOOR COVERING SPECIALIST PAIGE STRUCTURAL GLASS PAINTERS DISTRICT COUNCIL #5 PARADA PAINTING INC. PARAMOUNT GLASS LLC PARI & GERSHON INC. PATRICK J RUANE INC PAVIMENTO HAWAII LLC PAW ARCHITECTURAL WOODWORK INC. PEAK GENERAL CONTRACTORS INC. PENINGTON PAINTING COMPANY LLC PERFORMANCE CONTRACTING INC. PERFORMANCE WATERPROOFING PERMASTEELISA NORTH AMERICA CO PHOENIX GLASS INC. PICTURE PAINTING & DECORATING INC. PINGUELO CONSTRUCTION PINNACLE INSTALLATIONS INC. PLATINUM MAINTENANCE SERVICES CORP PMR PACIFIC SEALANTS LLC PREMIUM GLASS PRESIDIO BUILDERS INC. PRIMAL PAINT INC. PRIME COAT PRO ACCESS SOLUTIONS INC. PRO GRASS WEST PRO INSTALLATION INC DBA PROSPECTRA PROGRESS GLASS PROGRESSIVE SURFACE SOLUTIONS LLC P