2023-11-10T01:10:20-06:00 2022-12-31 450250958 EIDE BAILLY LLP 10681 FOOTHILL BLVD STE 300 RANCHO CUCAMONGA CA 917303831 990 2022-01-01 274271742 SOUTHERN CALIFORNIA PIPE TRADES PENSIONERS & SURVIVING SPOUSES HEALTH SOUT 2133856161 501 SHATTO PLACE 5TH FLOOR LOS ANGELES CA 90020 RODNEY COBOS CO-CHAIRMAN 2133856161 2023-11-09 1 RODNEY COBOS 999009999 0 CATHERINE L GRAY CPA P01294460 9094664410 2023-11-09 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z RODNEY COBOS 501 SHATTO PLACE 5TH FLOOR LOS ANGELES CA 90020 68097259 0 X WWW.SCPTAC.ORG X 2011 CA TO PROVIDE VARIOUS MEDICAL BENEFITS. 22 0 0 24 0 0 0 0 12741373 13357074 455180 -82370 5029 7331 13201582 13282035 0 0 9627731 9792474 0 0 0 0 0 1687406 1784782 11315137 11577256 1886445 1704779 35941509 36693055 3058023 3096329 32883486 33596726 TO PROVIDE BENEFIT PAYMENTS FOR MEDICAL, HOSPITALIZATION, AND PRESCRIPTION DRUG BENEFITS TO RETIRED PARTICIPANTS AND THEIR BENEFICIARIES IN COMPLIANCE WITH THE TRUST AGREEMENT. 0 0 PROVIDED BENEFIT PAYMENTS FOR MEDICAL, HOSPITALIZATION, AND PRESCRIPTION DRUG BENEFITS TO APPROXIMATELY 2,037 RETIRED PARTICIPANTS AND THEIR BENEFICIARIES. 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 7 0 1 0 0 0 0 0 0 0 0 0 0 0 X 22 0 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 0 1 0 0 0 CA X NAHUEL COSTILLA 2133856161 501 SHATTO PLACE 5TH FLOOR LOS ANGELES CA 90020 X AL POWERS TRUSTEE - UNION 2.00 10.00 X 0 0 0 ANTHONY NOVELLO TRUSTEE - UNION (PART YEAR) 2.00 10.00 X 0 0 0 BEN CLAYTON TRUSTEE - UNION 2.00 10.00 X 0 199743 44626 BRYAN SUTTLES TRUSTEE 2.00 10.00 X 0 0 0 CHIP MARTIN TRUSTEE 2.00 10.00 X 0 0 0 DAVID BALDWIN TRUSTEE - UNION 2.00 10.00 X 0 158064 41227 DAVID ZECH TRUSTEE 2.00 10.00 X 0 0 0 DON CHASE CHAIR 2.00 10.00 X X 0 0 0 GREG LEWIS TRUSTEE - UNION 2.00 10.00 X 0 140000 37966 JASON GORDON TRUSTEE 2.00 10.00 X 0 0 0 JEREMY DIAZ TRUSTEE - UNION 2.00 10.00 X 0 203305 44601 JOHN FEIKEMA TRUSTEE (PART YEAR) 2.00 10.00 X 0 0 0 JOHN MODJESKI TRUSTEE 2.00 10.00 X 0 0 0 LAWRENCE VERNE TRUSTEE 2.00 10.00 X 0 0 0 MICHAEL LOPEZ TRUSTEE - UNION 2.00 10.00 X 0 114602 37854 MICHAEL SHANE BOSTON TRUSTEE - UNION/SECRETARY 2.00 10.00 X X 0 140502 38902 RICARDO PEREZ TRUSTEE - UNION 2.00 10.00 X 0 161258 44626 ROBERT FELIX CO-SECRETARY 2.00 10.00 X X 0 0 0 ROBERT JAMES TRUSTEE - UNION 2.00 10.00 X 0 136604 37834 RODNEY COBOS CO-CHAIR 2.00 10.00 X X 0 271065 48350 STEVE BERINGER TRUSTEE - UNION 2.00 10.00 X 0 134071 37014 STEVEN GOMEZ TRUSTEE - UNION 2.00 10.00 X 0 157974 41240 WALTER SCOTT BAKER TRUSTEE 2.00 10.00 X 0 0 0 WILLIAM STEINER TRUSTEE - UNION 2.00 10.00 X 0 169454 40431 0 1986642 494671 0 0 1 0 SOUTHERN CALIFORNIA PIPE TRADES ADMINIST 501 SHATTO PL STE 500 LOS ANGELES CA 90020 ADMINISTRATOR 785738 BLUE SHIELD 50 BEALE STREET SAN FRANCISCO CA 94105 CLAIMS PROCESSOR 589006 NATIONAL INVESTMENT SERVICE 777 E WISCONSIN AVE MILWAUKEE WI 53202 INVESTMENT MANAGEMENT 105125 3 EMPLOYER CONTRIBUTIONS 900099 7982552 7982552 SELF-PAY CONTRIBUTIONS 900099 5261647 5261647 PRESCRIPTION REBATES 900099 112875 112875 13357074 529067 529067 54203787 54815224 -611437 -611437 -611437 OTHER INCOME 900099 7331 7331 7331 13282035 13364405 0 -82370 9792474 785738 26234 52900 120487 719917 39499 409 5753 IT MAINTENANCE 14951 FILING FEES 10233 BANK CHARGES-ACCOUNT AN 8618 OTHER EXPENSES 43 11577256 772147 480443 991526 915740 1036251 1316365 3954 1635 27569749 28695849 5567882 5283023 35941509 36693055 159421 184132 2898602 2912197 3058023 3096329 X 0 0 0 0 32883486 33596726 32883486 33596726 35941509 36693055 1704779 -991539 0 X X 0 1 X 1 0 0 COMMINGLED FUND 5283023 F 5283023 HEALTH CLAIMS PAYABLE 973197 ESTIMATED HEALTH CLAIMS INCURRED BUT NOT REPORTED 1939000 2912197 X 12170009 -991539 -991539 13161548 120487 120487 13282035 11443174 -13595 -13595 11456769 120487 120487 11577256 PART X, LINE 2: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE PLAN MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE PLAN AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF IT HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE OR FRANCHISE TAX BOARD. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. PART XII, LINE 2D - OTHER ADJUSTMENTS: BENEFIT OBLIGATION -13,595. 0 0 0 RODNEY COBOS CO-CHAIR 0 271065 0 0 0 0 0 37584 0 10766 0 319415 0 0 JEREMY DIAZ TRUSTEE - UNION 0 203305 0 0 0 0 0 33835 0 10766 0 247906 0 0 BEN CLAYTON TRUSTEE - UNION 0 199743 0 0 0 0 0 33860 0 10766 0 244369 0 0 WILLIAM STEINER TRUSTEE - UNION 0 169454 0 0 0 0 0 29665 0 10766 0 209885 0 0 RICARDO PEREZ TRUSTEE - UNION 0 161258 0 0 0 0 0 33860 0 10766 0 205884 0 0 DAVID BALDWIN TRUSTEE - UNION 0 158064 0 0 0 0 0 30461 0 10766 0 199291 0 0 STEVEN GOMEZ TRUSTEE - UNION 0 157974 0 0 0 0 0 30474 0 10766 0 199214 0 0 MICHAEL SHANE BOSTON TRUSTEE - UNION/SECRETARY 0 140502 0 0 0 0 0 28136 0 10766 0 179404 0 0 GREG LEWIS TRUSTEE - UNION 0 140000 0 0 0 0 0 27200 0 10766 0 177966 0 0 ROBERT JAMES TRUSTEE - UNION 0 136604 0 0 0 0 0 27068 0 10766 0 174438 0 0 STEVE BERINGER TRUSTEE - UNION 0 134071 0 0 0 0 0 26248 0 10766 0 171085 0 0 MICHAEL LOPEZ TRUSTEE - UNION 0 114602 0 0 0 0 0 27088 0 10766 0 152456 0 0 FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION'S MANAGEMENT DUTIES, INCLUDING ACCOUNTING FUNCTIONS AND PAYMENT OF MEDICAL BENEFITS ARE PERFORMED BY SOUTHERN CALIFORNIA PIPE TRADES ADMINISTRATIVE CORPORATION. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 IS REVIEWED AND APPROVED BY THE BOARD OF TRUSTEES PRIOR TO THE RETURN BEING SUBMITTED TO THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD OF TRUSTEES ARE FIDUCIARIES WHO ARE OBLIGATED TO COMPLY WITH THE EMPLOYEE RETIREMENT INCOME SECURITY ACT OF 1974 (ERISA), A MANDATORY AND DETAILED STATUTORY, REGULATORY AND FEDERAL COMMON LAW ADDRESSING THEIR DUTY AS FIDUCIARIES TO IDENTIFY, AVOID AND DISCLOSE CONFLICTS OF INTEREST, AS WELL AS PROHIBITED TRANSACTIONS. AS REQUIRED UNDER ERISA, THE TRUSTEES ANNUALLY EVALUATE AND MONITOR POTENTIAL CONFLICTS IN THEIR RETENTION AND DEALINGS WITH SERVICE PROVIDERS AND AS OTHER CIRCUMSTANCES WARRANT. TRUSTEES ARE EXPECTED TO RECUSE THEMSELVES FROM DELIBERATIONS WHEN AN UNAVOIDABLE CONFLICT EXISTS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION INTENDS TO COMPLY WITH ALL REQUIREMENTS UNDER FEDERAL LAW, INCLUDING THE TAX CODE AND THE EMPLOYEE RETIRMENT INCOME SECURITY ACT. IT MAKES ITS GOVERNING DOCUMENTS, POLICIES AND FINANCIAL STATEMENTS AVAILABLE TO ALL PARTICIPANTS UPON REQUEST. THE GENERAL PUBLIC HAS ACCESS TO MANY DOCUMENTS THROUGH ANNUAL GOVERNMENT FILINGS MADE BY THE ORGANIZATION. FORM 990, PART VII TRUSTEES OF THE TRUST, FOR WHICH THERE IS NO APPLICABLE REPORTING EXEMPTION, ARE EMPLOYEES OF CONTRIBUTING EMPLOYERS THAT ARE CONSIDERED RELATED ORGANIZATIONS UNDER THE DEFINITIONS IN SCHEDULE R. THE TRUST IS UNABLE TO REPORT COMPENSATION AND BENEFITS PAID TO CERTAIN TRUSTEES BY RELATED ORGANIZATIONS AS IT WAS UNABLE TO OBTAIN THE INFORMATION AFTER MAKING REASONABLE EFFORTS. THE TRUST REQUESTED THE COMPENSATION INFORMATION FROM ALL TRUSTEES BY DISTRIBUTING AN ANNUAL QUESTIONNAIRE REQUESTING THE REQUIRED INFORMATION ALONG WITH INSTRUCTIONS TO EXPLAIN THE INFORMATION NEEDED. THE COMPENSATION INFORMATION FOR THESE CERTAIN TRUSTEES WAS NOT RECEIVED PRIOR TO FILING THE TAX RETURN. FORM 990, PART XII, LINE 2C: AUDIT COMMITTEE: THE ORGANIZATION DOES NOT HAVE A SEPARATE AUDIT COMMITTEE. HOWEVER, THE BOARD OF TRUSTEES AND THE FINANCE COMMITTEE HAVE RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND THE SELECTION OF INDEPENDENT AUDITOR. SOUTHERN CALIFORNIA PIPE TRADES DEFINED CONTRIBUTION FUND 501 SHATTO PLACE 5TH FLOOR LOS ANGELES CA 90020 954388338 401(K) PLAN CA 401(K) NONE 0 SOUTHERN CALIFORNIA PIPE TRADES HEALTH & WELFARE FUND 501 SHATTO PLACE 5TH FLOOR LOS ANGELES CA 90020 951867598 PROVIDE MEDICAL BENEFITS CA 501(C)(9) NONE 0 SOUTHERN CALIFORNIA PIPE TRADES RETIREMENT FUND 501 SHATTO PLACE 5TH FLOOR LOS ANGELES CA 90020 516108443 PROVIDE RETIREMENT BENEFITS CA 401(A) NONE 0 A&J TRAINING TRUST FUND 7850 HASKELL AVE VAN NUYS CA 91406 951936049 PROVIDE TRAINING PROGRAMS CA 501(C)(3) LINE 7 NONE 0 SOUTHERN CALIFORNIA PIPE TRADES CHRISTMAS BONUS FUND 501 SHATTO PLACE 5TH FLOOR LOS ANGELES CA 90020 954349805 MANAGE AND DISBURSE BONUS FUNDS CA 501(C)(9) NONE 0 DEPARTMENT OF WATER & P UA LOCAL 78 UA LOCAL 114 UA LOCAL 230 UA LOCAL 250 UA LOCAL 460 UA LOCAL 364 UA LOCAL 398 UA LOCAL 403 UA LOCAL 484 UA LOCAL 582 UA LOCAL 345 UA LOCAL 761 DC 16 SOUTHERN CAL PIPE CITY OF LA HOUSING AU LA COUNTY FAIR ASSOCI STATE OF CA MENS COLONY STATE OF CAINSTMENCH STATE OF CA DEPT OF COR STATE OF CA DEPT OF GE LMCC AB&A TEST COMPANY AEG MANAGEMENT LACC LLC ARROW AUTOMATIC FIRE SPRINKLER BASELINE FIRE PROTECTION INC CALIFORNIA FIRE PROTECTION CASS FIRE PROTECTION SC #36 PIPE TRADES EDISON FIRE PROTECTION INLAND REFRIGERATION TRUST FUND INTERNATIONAL TRAINING FUND JF AHERN CO LA COUNTY FIRE DEPARTMENT LA COUNTY SHERIFF LA COUNTY USC MEDICAL LC 299 NORTHERN ROCY MOUNTAIN PIPE RCM FIRE PROTECTION RECIPROCITY ACCT ENTRIES UA LOCAL 192 B&L AUTOMATIC FIRE PROTECTION MADISON INDUSTRIAL SERVICES LIMBACH COMPANY LP R C SCHEU PLUMBING SHAMBAUGH & SON L P VALTECH ENGINEERING SOUTHERN CALIFORNIA PIPE TRADES ADMINISTRATIVE CORPORATION 501 SHATTO PLACE 5TH FLOOR LOS ANGELES CA 90020 954557526 ADMINISTRATIVE SERVICE CA NONE C 0 1 TEAM FIRE PROTECTION CO INC C 0 1 TEAMWORK FIRE PROTECTION C 0 2020 PLUMBING & HEATING INC C 0 24 7 FIRE PROTECTION SRV INC C 0 24-7 SAFETY STAFFING AND C 0 4G'S PLUMBING C 0 A & J REFRIGERATION C 0 A J 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CONTROL SERVICES WATKIN & BORTOLUSSI INC WEATHERITE CORPORATION WEBER'S PLUMBING WEST CPM WEST COAST FIRE PROTECTION WEST COAST FIRE STOPPING INC WEST COAST WELDING & PIPING WEST VALLEY CONSTR CO INC WESTCO SERVICE COMPANY WESTERN ALLIED CORP WESTERN GARDENS LANDSCAPING WESTERN STATES FIRE PROTECTION WILCO ENGINEERING INC WINGATE MECHANICAL INC WOLVERINE FIRE PROTECTION INC WORLD MECHANICAL INC XCEL MECHANICAL SYSTEMS INC XL FIRE PROTECTION COMPANY YOUMAN WELDING ZORRO LANDSCAPING INC ZUNIGASCAPES INC 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 0 0 1 SOUTHERN CALIFORNIA PIPE TRADES ADMINISTRATIVE CORPORATION P 785738 PERCENTAGE, ALLOCATION FORMULA