STRATEGY STUDIO / PUBLIC DATA EXPLORER

PAMCAH UA LOCAL 675 HEALTH & WELFARE FUND: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
PAMCAH UA LOCAL 675 HEALTH & WELFARE FUND (EIN 99-6009435)
Tax period
2020-08-01 to 2021-07-31
Filed
2022-06-03
IRS object ID
202201549349301045
Schema version
2020v4.2
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)
Return2022-06-03T17:33:48-05:00ReturnTs
Tax Period End2021-07-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN990155373PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1LEMKE CHINEN & TANAKA CPA INCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1500 ALA MOANA BLVD BLDG 2 302AddressLine1Txt
CityHONOLULUCityNm
State AbbreviationHIStateAbbreviationCd
ZIP96813ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-08-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN996009435EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PAMCAH-UA LOCAL 675BusinessNameLine1Txt
Business Name Line2HEALTH & WELFARE FUNDBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlPAMCBusinessNameControlTxt
Phone8085364408PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11109 BETHEL STREET RM 403 NO 403AddressLine1Txt
CityHONOLULUCityNm
State AbbreviationHIStateAbbreviationCd
ZIP96813ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKENT MATSUZAKI - TRUSTEEPersonNm
Person TitleVALENTINO CERIA - TRUSTEEPersonTitleTxt
Phone8085364408PhoneNum
Signature2022-05-16SignatureDt

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstKENTPersonFirstNm
Person LastMATSUZAKI - TRUSTEEPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDIANE HOSOKAWAPreparerPersonNm
PTINP00922102PTIN
Phone8085336254PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerKENT MATSUZAKI - TRUSTEEPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11109 BETHEL STREET RM 403 NO 403AddressLine1Txt
CityHONOLULUCityNm
State AbbreviationHIStateAbbreviationCd
ZIP96813ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$47,292,969GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501cYes (X)Organization501cInd
Website AddressN/AWebsiteAddressTxt
Type Of Organization TrustYes (X)TypeOfOrganizationTrustInd
Formation1961FormationYr
Legal Domicile StateHILegalDomicileStateCd
Activity Or MissionTO PROVIDE HEALTH & WELFARE BENEFITS TO ELIGIBLE EMPLOYEES AND THEIR FAMILIES. THE PLAN IS A COLLECTIVELY BARGAINED MULTIEMPLOYER PLAN.ActivityOrMissionDesc
Voting Members Governing Body6VotingMembersGoverningBodyCnt
Voting Members Independent0VotingMembersIndependentCnt
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$26,013,972PYProgramServiceRevenueAmt
CY Program Service Revenue$27,700,748CYProgramServiceRevenueAmt
PY Investment Income$726,816PYInvestmentIncomeAmt
CY Investment Income$1,896,893CYInvestmentIncomeAmt
PY Other Revenue$56,656PYOtherRevenueAmt
CY Other Revenue$43,182CYOtherRevenueAmt
PY Total Revenue$26,797,444PYTotalRevenueAmt
CY Total Revenue$29,640,823CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$20,361,165PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$17,213,051CYBenefitsPaidToMembersAmt
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$2,028,449PYOtherExpensesAmt
CY Other Expenses$2,055,909CYOtherExpensesAmt
PY Total Expenses$22,389,614PYTotalExpensesAmt
CY Total Expenses$19,268,960CYTotalExpensesAmt
PY Revenues Less Expenses$4,407,830PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$10,371,863CYRevenuesLessExpensesAmt
Total Assets BOY$48,175,118TotalAssetsBOYAmt
Total Assets EOY$68,839,865TotalAssetsEOYAmt
Total Liabilities BOY$98,052TotalLiabilitiesBOYAmt
Total Liabilities EOY$46,554TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$48,077,066NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$68,793,311NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE HEALTH & WELFARE BENEFITS TO ELIGIBLE EMPLOYEES AND THEIR FAMILIES. THE PLAN IS A COLLECTIVELY BARGAINED MULTIEMPLOYER PLAN.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$15,570,498ExpenseAmt
DescPROVIDING SELF-INSURED BENEFITS TO ELIGIBLE PARTICIPANTS BY PAYING FOR INCURRED CLAIMS (MEDICAL CLAIMS $11,786,383, DENTAL CLAIMS $1,837,370, DRUG CLAIMS $1,694,052, AND VISION CLAIMS $252,693).Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$1,642,553ExpenseAmt
DescPROVIDING HEALTH AND WELFARE BENEFITS BY PAYING FOR MONTHLY INSURANCE PREMIUMS TO INSURANCE CARRIERS (PACIFIC GUARDIAN LIFE $583,108, INSURANCE STOP-LOSS FEES $557,307, AND HAWAII MEDICAL SERVICE ASSOCIATION $502,138).Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$1,026,410ExpenseAmt
DescPROVIDING SELF-INSURED BENEFITS TO ELIGIBLE PARTICIPANTS BY PAYING FOR CLAIMS ADMINISTRATIVE FEES (MEDICAL $778,029, DENTAL $165,383, PRESCRIPTION DRUG $47,011, AND VISION $35,987).Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$18,239,461TotalProgramServiceExpensesAmt
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 EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
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 Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
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 Members6GoverningBodyVotingMembersCnt
Independent Voting Member0IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
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 AddressYes (1)OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
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 VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PAMCAH-UA LOCAL 675 ADMINISTRATIVEBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8085364408PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11109 BETHEL ST 403AddressLine1Txt
CityHONOLULUCityNm
State AbbreviationHIStateAbbreviationCd
ZIP96813ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (7 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
VALENTINO CERIA
UNION TRUSTEE1.00Yes (X)$0$0$0
MATTHEW BRADY
UNION TRUSTEE1.00Yes (X)$0$0$0
KENT A MATSUZAKI
MANAGEMENT TRUSTEE1.00Yes (X)$0$0$0
MARK SUZUKI
MANAGEMENT TRUSTEE1.00Yes (X)$0$0$0
SAMUEL FUJIKAWA
MANAGEMENT TRUSTEE1.00Yes (X)$0$0$0
GREGG SERIKAKU
MANAGEMENT TRUSTEE (ALT)1.00Yes (X)$0$0$0
BENJAMIN PANIS
UNION TRUSTEE1.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
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 (3 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
HAWAII MEDICAL SERVICE ASSOCIATION
818 KEEAUMOKU STREETHONOLULUHI96814MEDICAL CLAIMS ADMINISTRATOR$711,951
THE SEGAL COMPANY
180 HOWARD STREET 1100SAN FRANCISCOCA94105ACTUARY/CONSULTANT$275,418
HAWAII DENTAL SERVICE
700 BISHOP STREET 700HONOLULUHI96813DENTAL CLAIMS PROCESSOR$151,590
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K3CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
EMPLOYER CONTRIBUTIONS900099$25,913,117$25,913,117
RETIREE CONTRIBUTIONS900099$1,754,417$1,754,417
LIQUIDATED DAMAGES AND900099$33,214$33,214
FieldValueIRS element (for citing)
Total Program Service Revenue$27,700,748TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,295,453TotalRevenueColumnAmt
Exclusion$1,295,453ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$18,253,586SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$17,652,146SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$601,440SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$601,440TotalRevenueColumnAmt
Exclusion$601,440ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
OTHER INCOME900099$29,107$29,107
RENTAL INCOME531190$14,075$14,075
FieldValueIRS element (for citing)
Other Revenue Total$43,182OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$29,640,823TotalRevenueColumnAmt
Related Or Exempt Func Income$27,700,748RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$1,940,075ExclusionAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$17,213,051TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$58,010TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$56,021TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$155,754TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$24,122TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$2,618TotalAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$6,012TotalAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmt
ADMINISTRATIVE FEE - ME$778,029
REIMBURSEMENT - ADMINIS$401,032
CONSULTANT FEES$291,242
ADMINISTRATIVE FEE - DE$165,383

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$117,686TotalAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$19,268,960TotalAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$165,189BOYAmt
EOY$178,880EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$6,355,823BOYAmt
EOY$6,116,840EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$3,013,991BOYAmt
EOY$4,253,698EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$7,358BOYAmt
EOY$7,432EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$287,116LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$96,479LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$166,177BOYAmt
EOY$190,637EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$35,419,133BOYAmt
EOY$55,078,867EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$2,837,041BOYAmt
EOY$2,823,093EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$210,406BOYAmt
EOY$190,418EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$48,175,118BOYAmt
EOY$68,839,865EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$87,591BOYAmt
EOY$24,292EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$10,461BOYAmt
EOY$22,262EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$98,052BOYAmt
EOY$46,554EOYAmt
FieldValueIRS element (for citing)
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

FieldValueIRS element (for citing)
BOY$48,077,066BOYAmt
EOY$68,793,311EOYAmt

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$0BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$48,077,066BOYAmt
EOY$68,793,311EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$48,175,118BOYAmt
EOY$68,839,865EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$10,371,863ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$10,344,382NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
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

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$274,027OtherCostOrOtherBasisAmt
Depreciation$87,535DepreciationAmt
Book Value$186,492BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$13,089OtherCostOrOtherBasisAmt
Depreciation$8,944DepreciationAmt
Book Value$4,145BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$190,637TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
SECURITY DEPOSIT$9,644
EMPLOYEES' CONTRIBUTIONS$12,618
FieldValueIRS element (for citing)
Total Liability$22,262TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$39,829,451TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$10,344,382NetUnrealizedGainsInvstAmt
Revenue Not Reported$10,344,382RevenueNotReportedAmt
Revenue Subtotal$29,485,069RevenueSubtotalAmt
Investment Expenses Not Incld$155,754InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt$155,754RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$29,640,823TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$19,113,206TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$19,113,206ExpensesSubtotalAmt
Investment Expenses Not Incld2$155,754InvestmentExpensesNotIncld2Amt
Expenses Not Rpt Fincl Stmt$155,754ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$19,268,960TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationTHE AUDITED FINANCIAL STATEMENTS CONTAIN THE FOLLOWING DISCLOSURE PERTAINING TO FIN 48 (ASC 740): "THE TRUST FUNDING CERTAIN BENEFITS OF THE PLAN RECEIVED AN EXEMPTION LETTER FROM THE IRS DATED MARCH 14, 1983, STATING THAT THE TRUST IS TAX-EXEMPT UNDER THE PROVISIONS OF SECTION 501(C)(9) OF THE IRC. HOWEVER, AS A RESULT OF THE PLAN'S FUNDING POLICY, FROM TIME TO TIME THE TRUST MAY BE SUBJECT TO INCOME TAXES. NO FEDERAL OR STATE INCOME TAXES HAVE BEEN RECORDED IN 2021 AND 2020 FOR UNRELATED BUSINESS TAXABLE INCOME. IN ADDITION, THE PLAN AND THE TRUST ARE REQUIRED TO OPERATE IN CONFORMITY WITH THE IRC TO MAINTAIN THE TAX-EXEMPT STATUS OF THE TRUST. THE PLAN ADMINISTRATOR BELIEVES THAT THE PLAN IS BEING OPERATED IN COMPLIANCE WITH THE APPLICABLE REQUIREMENTS OF THE IRC AND, THEREFORE, BELIEVES THAT THE RELATED TRUST IS TAX-EXEMPT. 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 IF IT HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. "ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BTHE FORM 990 IS REVIEWED BY THE ADMINISTRATOR. AN ELECTRONIC COPY OF THE FORM 990 IS SENT TO THE CHAIR AND CO-CHAIR PRIOR TO SIGNING AND FILING.
FORM 990, PART VI, SECTION B, LINE 12CPRIOR TO MAY 2019, A WRITTEN CONFLICT OF INTEREST POLICY WAS SIGNED BY ALL TRUSTEES. THE REVISED POLICY WILL REQUIRE ANNUAL DISCLOSURE OF INTERESTS THAT COULD GIVE RISE TO ANY CONFLICTS OF INTERESTS.
FORM 990, PART VI, SECTION C, LINE 19NO DOCUMENTS AVAILABLE TO THE PUBLIC.
FORM 990, PART VII CONTACT ADDRESSES FOR OFFICERS, DIRECTORS, ETCVALENTINO CERIA - 1109 BETHEL ST BASEMENT, HONOLULU, HI 96813. MATTHEW BRADY - 1109 BETHEL ST BASEMENT, HONOLULU, HI 96813. KENT A. MATSUZAKI - 1029 ULUPONO STREET, HONOLULU, HI 96819. MARK SUZUKI - 1820 COLBURN STREET, HONOLULU, HI 96819. SAMUEL FUJIKAWA - 2149 PUUHALE PLACE, HONOLULU, HI 96819. GREGG SERIKAKU - 1088 BISHOP STREET #408, HONOLULU, HI 96813. BENJAMIN PANIS - 1109 BETHEL ST BASEMENT, HONOLULU, HI 96813.
FORM 990, PART XII, LINE 2CBOARD OF TRUSTEES SELECTS AN INDEPENDENT AUDITOR. THE ADMINISTRATOR AND MANAGEMENT AND UNION TRUSTEE REPRESENTATIVES REVIEW AND APPROVE THE FINANCIAL STATEMENTS. THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationInd
PAMCAH-UA LOCAL 675 ANNUITY PLAN
1109 BETHEL STREET 403HONOLULUHI96813990221545TO PROVIDE ANNUITY BENEFITS TO ELIGIBLE MEMBERSHI401(A)N/A0
PAMCAH-UA LOCAL 675 COOPERATION FUND
1109 BETHEL STREET 403HONOLULUHI96813990266164TO PROMOTE THE INDUSTRY AND IMPROVE RELATIONSHIPS BETWEEN LABOR AND MGMT.HI501(C)(5)N/A0
PAMCAH-UA LOCAL 675 TRAINING PLAN
1109 BETHEL STREET 403HONOLULUHI96813996009433TO PROVIDE EDUCATIONAL BENEFITS TO ELIGIBLE MEMBERS AND EMPLOYERSHI501(C)(5)N/A0
PAMCAH-UA LOCAL 675 VACATION & HOLIDAY PLAN
1109 BETHEL STREET 403HONOLULUHI96813996009438TO PROVIDE VACATION AND HOLIDAY BENEFITS TO ELIGIBLE MEMBERSHI501(C)(9)N/A0
PAMCAH-UA LOCAL 675 PENSION PLAN
1109 BETHEL STREET 403HONOLULUHI96813996024083TO PROVIDE PENSION BENEFITS TO ELIGIBLE MEMBERSHI401(A)N/A0

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1PAMCAH-UA LOCAL 675 ADMINISTRATIVE OFFICEBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11109 BETHEL STREET 403AddressLine1Txt
CityHONOLULUCityNm
State AbbreviationHIStateAbbreviationCd
ZIP96813ZIPCd
FieldValueIRS element (for citing)
EIN990110375EIN
Primary ActivitiesTO ALLOCATE COMMON EXPENSES AMOUNG THE PAMCAH TRUST FUNDSPrimaryActivitiesTxt
Legal Domicile StateHILegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd
Entity TypeCEntityTypeTxt
Controlled Organization0ControlledOrganizationInd
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 OrgYes (1)RentalOfFacilitiesToOthOrgInd
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 OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
PAMCAH-UA LOCAL 675 ADMINISTRATIVE OFFICE
P$529,624PERCENTAGE ALLOCATION
PAMCAH-UA LOCAL 675 TRAINING PLAN
J$59,843PERCENTAGE OWNERSHIP

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceFORM 990, SCHEDULE R, PARTS II, III, IVFormAndLineReferenceDesc
ExplanationTHE FILING ORGANIZATION IS A TAFT-HARTLEY MULTIEMPLOYER PLAN THAT PROVIDES HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS. THE ADMINISTRATIVE OFFICE MAINTAINS A DATABASE FO THESE CONTRIBUTING EMPLOYERS INCLUDING THE NAMES, ADDRESSES, AND OTHER CONTACT INFORMATION. HOWEVER, THE LEGAL STRUCTURE (CORPORATION, PARTNERSHIP, ETC) FOR EACH CONTRIBUTING EMPLOYER IS NOT ON FILE WITH THE ADMINISTRATIVE OFFICE AND COULD NOT BE REASONABLY OBTAINED. AS A RESULT, THE CONTRIBUTING EMPLOYERS COULD NOT BE SEPARATED BY TYPE OF ORGANIZATION. HOWEVER THEY ARE LISTED BELOW: A & I REFRIGERATION SALES & SERVICE, INC. A & I REFRIGERATION, INC. A G REPAIR LLC ADVANCE PLUMBING SYSTEMS CORP. AIR CENTRAL, INC. AIR ENGINEERING CO. ALAKAI MECHANICAL CORPORATION ALCO MECHANICAL, INC. ALOHA FIRE SYSTEMS, LLC AMERICAN PIPING & BOILER COMPANY APB CONSTRUCTION CORP. C S MECHANICAL CARRIER BUILDING SERVICES CENTRAL AIR SYSTEMS, INC. CHECKPOINT FIRE SERVICE, LLC CLIMATE PROS CLYDE'S PLUMBING COMMERCIAL PLUMBING, INC. CONSTRUCTION MANAGEMENT SERVICES LLC CONTINENTAL MECHANICAL OF THE PACIFIC CONTINENTAL MECHANICAL SERVICES, LLC COOL AIR, INC. CREATIVE PLUMBING, INC. D & C PLUMBING, INC. DELIMA'S PLUMBING DELTA PLUMBING DIAMOND PLUMBING, INC. DORVIN D. LEIS COMPANY, INC. DULUTH BUILDING TRADES HEALTH FUND DWAYNE MATSUMOTO, LLC DYNAMIC AIR, INC. ECONOMY PLBG & SHEETMETAL, INC. ELITE MECHANICAL, INC. FURUTA PLUMBING GORDON MECHANICAL LLC HAGIO PLUMBING, LLC HAKO PLUMBING, INC. DBA KAO CONSTRUCTION HAWAII SHEETMETAL & MECHANICAL, INC. HAWAIIAN DREDGING CONSTRUCTION CO., INC. (POWER & INDUSTRIAL DIVISION OF HAWAIIAN DREDGING COMPANY, INC.) HEIDE & COOK, LLC HILO MECHANICAL, INC. HI-TECH PLUMBING CORPORATION HMS CONSTRUCTION, INC. HONEYWELL, INC. HONOLULU FIRE PROTECTION LLC HONOLULU PLUMBING COMPANY, LTD. HSI AIR CONDITIONING & MECHANICAL INDUSTRIAL FIRE SPRINKLER CO. INNOVATIVE PLUMBING LLC ISLAND CONTROLS, INC. ISLAND WIDE A/C SERVICE, LLC ISLANDWIDE MECHANICAL SERIVCE INC. JEBSCO MECHANICAL INC. JOHNSON CONTROLS, INC. J'S PLUMBING K & R PLUMBING KAUAI AIR CONDITIONING MASON'S PLUMBING SERVICES, INC. MG PLUMBING SOLUTION, LLC NAKAMURA - R.M. NAKAMURA PLBG. & MECHANICAL CONTRACTORS NARITO SHEETMETAL & MECHANICAL CORP. NO SWEAT AIR CONDITIONING, INC. NOZOMI PLUMBING LLC OAHU AIR CONDITIONING SERVICE INC. OAHU PLUMBING & SHEET METAL PAMCAH-UA LOCAL 675 ADMINISTRATIVE OFFICE PAN-PACIFIC PLUMBING CO., INC. PERFORMANCE PLUMBING LLC PLBG & MECHANICAL CONTRACTORS ASSOCIATION OF HAWAII PLUMBERS & FITTERS, UA LOCAL 675, AFL-CIO PLUMBERS & PIPEFITTERS LOCAL #32 PLUMBERS & PIPEFITTERS LOCAL #434 PREFERRED AC SERVICE, LLC PUKANA'S OHANA PLUMBING LLC QUALIFIED PLUMBING, INC. RAY'S PLUMBING, INC. REGENT PLUMBING SERVICE AIR CONDITIONING & PLUMBING INC. SHOBU'S REFRIGERATION & AIR CONDITIONING SKIPPY'S PLUMBING & REPAIR, INC. STANDARD SHEETMETAL & MECHANICAL, INC. STRIKER CONSTRUCTION, LLC STS PLUMBING, INC. TABLA MECHANICAL LLC TANAKA - H. TANAKA PLUMBING, INC. TITAN INDUSTRIES LLC TNH PLUMBING, INC. TRADEWINDS COOLING, LLC TRANE PACIFIC SERVICE U.A. LOCAL 290 PLUMBER, STEAMFITTER, SHIPFITTER INDUSTRY WAIALUA PLUMBING & MECHANICAL, INC. WISCONSIN PIPE TRADERS HEALTH FUNDExplanationTxt