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TEAMSTER BENEFIT TRUST: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
TEAMSTER BENEFIT TRUST (EIN 94-2848389)
Tax period
2020-10-01 to 2021-09-30
Filed
2022-08-08
IRS object ID
202202209349301870
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)
Return2022-08-08T17:26:50-05:00ReturnTs
Tax Period End2021-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN222027092PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1WITHUMSMITHBROWN PCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line15000 EXECUTIVE PARKWAY SUITE 400AddressLine1Txt
CitySAN RAMONCityNm
State AbbreviationCAStateAbbreviationCd
ZIP94583ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN942848389EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1TEAMSTERS BENEFIT TRUSTBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlTEAMBusinessNameControlTxt
Phone5107964676PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1POST OFFICE BOX 5820AddressLine1Txt
CityFREMONTCityNm
State AbbreviationCAStateAbbreviationCd
ZIP94537ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKEITH FLEMINGPersonNm
Person TitleTRUSTEEPersonTitleTxt
Phone5107964676PhoneNum
Signature2022-08-08SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstKEITHPersonFirstNm
Person LastFLEMINGPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJESSICA R ROSTERPreparerPersonNm
PTINP01317380PTIN
Phone9252779100PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
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 OfficerKEITH FLEMINGPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1POST OFFICE BOX 5820AddressLine1Txt
CityFREMONTCityNm
State AbbreviationCAStateAbbreviationCd
ZIP94537ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$385,227,503GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501cYes (X)Organization501cInd
Website AddressWWW.TEAMSTERSBENEFITTRUST.COMWebsiteAddressTxt
Type Of Organization TrustYes (X)TypeOfOrganizationTrustInd
Formation1982FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionTO PROVIDE HEALTH AND WELFARE BENEFITS.ActivityOrMissionDesc
Voting Members Governing Body13VotingMembersGoverningBodyCnt
Voting Members Independent0VotingMembersIndependentCnt
Total Employee1TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$155,877TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$154,877NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$327,670,582PYProgramServiceRevenueAmt
CY Program Service Revenue$330,464,129CYProgramServiceRevenueAmt
PY Investment Income$10,070,924PYInvestmentIncomeAmt
CY Investment Income$29,565,933CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$337,741,506PYTotalRevenueAmt
CY Total Revenue$360,030,062CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$289,734,163PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$290,625,391CYBenefitsPaidToMembersAmt
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$12,902,780PYOtherExpensesAmt
CY Other Expenses$12,748,300CYOtherExpensesAmt
PY Total Expenses$302,636,943PYTotalExpensesAmt
CY Total Expenses$303,373,691CYTotalExpensesAmt
PY Revenues Less Expenses$35,104,563PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$56,656,371CYRevenuesLessExpensesAmt
Total Assets BOY$515,238,654TotalAssetsBOYAmt
Total Assets EOY$647,016,311TotalAssetsEOYAmt
Total Liabilities BOY$37,781,871TotalLiabilitiesBOYAmt
Total Liabilities EOY$40,035,308TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$477,456,783NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$606,981,003NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE HEALTH AND WELFARE BENEFITS TO PLAN PARTICIPANTS.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
DescPROVIDED HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS.Desc
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 SecYes (1)ReportInvestmentsOtherSecInd
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 Document1197IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee1EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
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 Members13GoverningBodyVotingMembersCnt
Independent Voting Member0IndependentVotingMemberCnt
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 Committees0MinutesOfCommitteesInd
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 Line1LIPMAN INSURANCE ADMINISTRATORS INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5107964676PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line139420 LIBERTY ST SUITE 260AddressLine1Txt
CityFREMONTCityNm
State AbbreviationCAStateAbbreviationCd
ZIP94538ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (14 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
WILLIAM ALBANESE
TRUSTEE1.00Yes (X)$0$0$0
ROME ALOISE
TRUSTEE5.00Yes (X)$0$0$0
KEITH FLEMING
TRUSTEE5.00Yes (X)$0$0$0
JOHN BOUCHARD
TRUSTEE1.00Yes (X)$0$0$0
RICHARD JORDAN
TRUSTEE1.00Yes (X)$0$0$0
DENNIS HART
TRUSTEE1.00Yes (X)$0$0$0
RICHARD MURPHY
TRUSTEE1.00Yes (X)$0$0$0
BILL ROSSI
TRUSTEE1.00Yes (X)$0$0$0
BILL HOYT
TRUSTEE1.00Yes (X)$0$0$0
RON PAREDES
TRUSTEE1.00Yes (X)$0$0$0
MIKE CARNEFIX
TRUSTEE1.00Yes (X)$0$0$0
CARLOS BORBA
TRUSTEE1.00Yes (X)$0$0$0
ALBERTO RUIZ
TRUSTEE1.00Yes (X)$0$0$0
SEE SCHEDULE O FOR COMPENSATION
PAID BY RELATED ORGANIZATIONS0.00Yes (X)$0$1$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1TotReportableCompRltdOrgAmt
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
LIPMAN INSURANCE ADMINISTRATORS INC
39420 LIBERTY STREET SUITE 260FREMONTCA94538ADMINISTRATOR$7,391,512
ANTHEM BLUE CROSS
11030 WHITE ROCK ROADRANCHO CORDOVACA95670ADMINISTRATIVE$886,120
LINDQUIST LLP
5000 EXECUTIVE PARKWAY SUITE 400SAN RAMONCA94583AUDIT SERVICES$436,388
BEESON TAYER & BODINE
ROSS HOUSE 483 NINTH ST 2ND FLOOROAKLANDCA94607LEGAL SERVICES$300,786
RAEL & LETSON
2929 CAMPUS DRIVE SUITE 400SAN MATEOCA94403CONSULTING$251,000
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K11CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
EMPLOYER CONTRIBUTIONS900099$318,436,424$318,436,424
PARTICIPANT CONTRIBUTIONS900099$10,188,962$10,188,962
MEDICARE PART D SUBSIDY900099$1,191,081$1,191,081
STOP LOSS REFUNDS900099$348,404$348,404
LIQUIDATED DAMAGES900099$299,258$299,258
FieldValueIRS element (for citing)
Total Program Service Revenue$330,464,129TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$12,323,057TotalRevenueColumnAmt
Unrelated Business Revenue$155,877UnrelatedBusinessRevenueAmt
Exclusion$12,167,180ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$42,440,317SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$25,197,441SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$17,242,876SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$17,242,876TotalRevenueColumnAmt
Exclusion$17,242,876ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$360,030,062TotalRevenueColumnAmt
Related Or Exempt Func Income$330,464,129RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$155,877UnrelatedBusinessRevenueAmt
Exclusion$29,410,056ExclusionAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$290,625,391TotalAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$7,505,377TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$328,362TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$536,010TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$1,662,379TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$2,049,644TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$344,099TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$33,677TotalAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$152,432TotalAmt

Other Expenses OtherExpensesGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUS EXPENSEDesc
Total$136,320TotalAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$303,373,691TotalAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY-$914,165BOYAmt
EOY-$984,372EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$10,710,401BOYAmt
EOY$15,335,856EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$30,906,369BOYAmt
EOY$30,822,817EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$794,023BOYAmt
EOY$755,688EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$295,721,794BOYAmt
EOY$404,230,002EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$177,559,032BOYAmt
EOY$196,395,120EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$461,200BOYAmt
EOY$461,200EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$515,238,654BOYAmt
EOY$647,016,311EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$16,831,972BOYAmt
EOY$18,052,395EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$46,299BOYAmt
EOY$28,613EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$20,903,600BOYAmt
EOY$21,954,300EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$37,781,871BOYAmt
EOY$40,035,308EOYAmt
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$477,456,783BOYAmt
EOY$606,981,003EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$477,456,783BOYAmt
EOY$606,981,003EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$515,238,654BOYAmt
EOY$647,016,311EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$56,656,371ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$72,867,849NetUnrlzdGainsLossesInvstAmt
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

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

Other Securities OtherSecuritiesGrp (2 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
LIMITED PARTNERSHIPS$183,496,419F
LIMITED LIABILITY COMPANY$12,898,701F
FieldValueIRS element (for citing)
Total Book Value Securities$196,395,120TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescACCUMULATED ELIGIBILITY CREDITSDesc
Amt$21,954,300Amt
FieldValueIRS element (for citing)
Total Liability$21,954,300TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$431,235,532TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$72,867,849NetUnrealizedGainsInvstAmt
Revenue Not Reported$72,867,849RevenueNotReportedAmt
Revenue Subtotal$358,367,683RevenueSubtotalAmt
Investment Expenses Not Incld$1,662,379InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt$1,662,379RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$360,030,062TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$299,451,211TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$299,451,211ExpensesSubtotalAmt
Investment Expenses Not Incld2$1,662,379InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$2,260,101OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$3,922,480ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$303,373,691TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART X, LINE 2:THE PLAN'S ADMINISTRATOR HAS ANALYZED THE TAX POSITIONS TAKEN BY THE PLAN AND HAS CONCLUDED THAT, AS OF SEPTEMBER 30, 2021, 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'S ADMINISTRATOR BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR THE FISCAL YEARS PRIOR TO 2018.
PART XII, LINE 4B - OTHER ADJUSTMENTS:CHANGE IN BENEFIT OBLIGATIONS

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 3THE TRUST HAS CONTRACTED WITH LIPMAN INSURANCE ADMINISTRATORS TO PROVIDE ADMINISTRATIVE SERVICES FOR THE ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 8BTHE ORGANIZATION HAS NO COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE BOARD OF TRUSTEES.
FORM 990, PART VI, SECTION B, LINE 11BA COPY OF FORM 990 WAS PROVIDED TO EACH MEMBER OF THE GOVERNING BODY FOR REVIEW PRIOR TO FILING WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CAT LEAST ONCE A YEAR, TRUSTEES AND OTHER FIDUCIARIES SUBJECT TO THE CONFLICT-OF-INTEREST POLICY WILL BE ASKED TO DISCLOSE IN WRITING ANY RELATIONSHIP OR INTERESTS THAT COULD GIVE RISE TO A CONFLICT. SHOULD ANY INDIVIDUAL COVERED BY THE POLICY DETERMINE OR SUSPECT THAT HE OR SHE POSSESSES AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST, SUCH INDIVIDUAL MUST DISCLOSE THE EXISTENCE OF THE FINANCIAL INTEREST OR RELATIONSHIP GIVING RISE TO THE CONFLICT AND DISCLOSE ALL RELEVANT FACTS PRIOR TO ANY DECISION TO ENTER INTO ANY PROPOSED TRANSACTION OR ARRANGEMENT OR, IF LATER, AS SOON AS THE ACTUAL OR POTENTIAL CONFLICT IS RECOGNIZED. THE TRUSTEE OR OTHER FIDUCIARY WITH THE CONFLICT OF INTEREST MUST BE EXCLUDED FROM THE DISCUSSION AND APPROVAL OF SUCH TRANSACTION AND THE CONFLICTED INDIVIDUAL IS NOT ALLOWED TO INFLUENCE THE BOARD'S DECISION IN ANY WAY.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES IT GOVERNING DOCUMENTS, CONFLICT-OF-INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO PARTICIPANTS UPON REQUEST.
FORM 990, PART VII, SECTION A, LINE 1A: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, LIPMAN INSURANCE ADMINISTRATORS.
FORM 990, PART XII, LINE 2C:THE ORGANIZATION HAS A BOARD OF TRUSTEES THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED.
FORM 990, PART V, LINE 2A:THE PLAN DOES NOT HAVE EMPLOYEES. HOWEVER, CERTAIN PARTICIPANTS OF THE PLAN RECEIVED A FORM W-2 FOR TAXABLE DOMESTIC PARTNER BENEFITS.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1SEE EXPLANATION AT PART VIIBusinessNameLine1Txt
FieldValueIRS element (for citing)
Primary ActivitiesVARIOUSPrimaryActivitiesTxt
Legal Domicile StateCALegalDomicileStateCd
Controlled OrganizationYes (1)ControlledOrganizationInd
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

Supplemental Information Detail SupplementalInformationDetail

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Form And Line ReferenceSCHEDULE R, IDENTIFICATION OF RELATED ORGANIZATIONS:FormAndLineReferenceDesc
ExplanationTHE FILING ORGANIZATION IS A TAFT-HARTLEY MULTIEMPLOYER TRUST THAT PROVIDES HEALTH AND WELFARE BENEFITS TO ELIGIBLE EMPLOYEES AND THEIR DEPENDENTS. AS OF SEPTEMBER 30, 2021, THERE ARE APPROXIMATELY 265 CONTRIBUTING EMPLOYERS AND SPONSORING ORGANIZATIONS. THE ADMINISTRATIVE OFFICE MAINTAINS A DATABASE OF THESE CONTRIBUTING EMPLOYERS AND SPONSORING ORGANIZATIONS, 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. A. TEICHERT & SON, INC. AAK USA RICHMOND CORP ABERCROMBIE PIPELINE SERVICES, LLC ABF FREIGHT SYSTEM, INC ACTION SWEEPING SERVICES, INC ADVANCED CONCRETE AIR CONDITIONING CO, INC ALL MODULAR SYSTEMS ALLIANCE GRAPHICS/MECA ALLIANCE READY MIX, INC ALLIED WASTE/SHOP LABORER ALPHA PRESS, INC. ALSCO ANDREINI BROTHERS, INC. APRO INTERNATIONAL ARAMARK UNIFORM SERV(517) ARB - LOCAL 431 ARGONAUT CONSTRUCTORS B K MILL & FIXTURE BAKEMARK USA LLC BAUMAN LANDSCAPE, INC. BAY AREA PAVING CO. BAY CITIES PAVING & GRADI BAY CITIES REFUSE SERVICE BAY COUNTIES WASTE SERV BAY VIEW REFUSE & RECYCLI BERONIO LUMBER CO BFI NEWBY ISLAND REC. BFI-OX MOUNTAIN LANDFILL BLACK POINT PRODUCTIONS BUBBA'S WATER TRUCK SERVICE, INC C.F. ARCHIBALD PAVING, IN CALIF LABOR FED, AFL-CIO CALIF WASTE SOL-CLERICAL CALIFORNIA TRADE BINDERY CALMAT CO DBA SHAMROCK CARONE & COMPANY, INC CARPENTER RIGGING LO2785 CEMEX - DRIVERS - LO 150 CEMEX USA SHARED SERVICES CEN CAL SERVICES CENTRAL CONCRETE SUPPLY C CERUTTI& SONS TRANSPORT CHALLENGE DAIRY PRODUCTS CHANNEL LUMBER CO CHAUFFEURS, TMSTRS & HELP CHUCK MACK AND ASSOCIATE CITY OF YAKIMA POLICE CONCEPT SERVICES, INC. CONCORD DISPOSAL SERVICE CONSOLIDATED PRINTING CO CONTRA COSTA BUILDING CT COUNTRY HEARTS TOO TRUCKING CURTIN CONVENTION CURTIN THEATRICAL MOV-SR- CZARNOWSKI EXHIBIT D.A.V.E. TRUCKING& SWEEP DALY CITY SCAVENGER CO, I DARLING INTERNATIONAL, IN DELTA SAND GRAVEL & RECYCLING, INC DHL LOCAL 287- H&W DINWIDDIE CONSTRUCTION CO DONALD MIRANDA TRUCKING, INC DRAGADOS FLAT IRON JV DRILL TECH DRILLING & SHORING, INC. DUMBARTON QUARRY ASSOCIAT EAGLE DISTRIBUTION EARLE M JORGENSEN CO EAST BAY FORKLIFT EAST BAY RESTAURANT SUPPL EAST BAY SANITARY COMPANY ECONOMY LUMBER CO EMPLOYCO SERVICES, INC ENGEL AND GRAY, INC. EVENT PRODUCTIONS, INC FERMA CORPORATION FERMA GREENBOX, INC. FLOYD JOHNSTON CONST. CO. FOREFRONT DEEP FOUNDATIONS FOSTER FARMS - HAYWARD FOUR M CONTRACTING, INC. FREEMAN EXPOSITIONS,LLC FREMONT UNIVERSAL TRANS G & J HEAVY HAUL G. BORTOLOTTO & COMPANY GALLO SALES COMPANY GARDEN CITY SAN-CLERICAL GES, INC GHILOTTI BROTHERS, INC GHILOTTI CONSTRUCTION CO GILLIG CORPORATION GILLIS & LANE, INC GLOBE - BAY AREA FORKLIFT GOLDEN GATE APPAREL ASSOC GOLDEN GATE DISPOS & RECY GOODFELLOW BROS. CA,LLC. GOODLAND LANDSCAPE CONSTRUCTION INC GRANITE CONSTRUCTION CO GRANITE ROCK BERRYESSA853 GREEN TEAM OF SAN JOSE GREIF BROTHERS CORP GRIFFITH COMPANY GUITTARD CHOCOLATE COMPANY HALF MOON BAY GRADING & P HANSON AGGREGATES MID-PAC HAROLD SMITH & SONS, INC HENKELS & MCCOY, INC HILL BROTHERS CHEMICAL CO IBT - ACTIVES IEDA (ACTIVES) IN TERMINAL SERV (GATE) INSIGHT EXHIBITS INTERSTATE GRADING & PAVI IOX, LLC J & M, INC. J F C INTERNATIONAL, INC JBS BAKESERVICE JERRY THOMPSON & SONS KATCH ENVIRONMENTAL KIEWIT INFRA WEST CO. KNIFE RIVER CONSTRUCTION KODIAK TRUCKING, INC LARSEN BROS, INC LAWSON DRAYAGE, INC LIPMAN INSURANCE ADMIN/NB LITHOTYPE COMPANY, INC. LUND CONSTRUCTION MAGGIORA & GHILOTTI INC MARIN SANITARY SERVICE MATERIAL RECOVERY SYSTEMS MATHESON TRI-GAS MAXUM EXPO SERVICES MCGUIRE AND HESTER MICHELS PACIFIC ENERGY MICHELS PIPELINE CONSTR MISSION TRAIL WASTE SYSTE MON ROC ADMINISTRATORS MONDELEZ MONTEREY MECHANICAL CO. MOUNTAIN CASCADE INC. NAPA RECYCLING & WASTE NATIONAL CONVENTION SERVICES NO CA TEAMSTERS APP TRAIN NUVISTA EVENT MANAGEMENT SERVICES O C JONES & SONS, INC ODIN CONSTRUCTION O'GRADY PAVING, INC. OLYMPIC PROPERTY SERVICES ON POINT DECORATING, LLC. OPERATING ENGIN. INTERNAT OSBORNE LUMBER CO INC PACIFIC RACING ASSOCIATIO PALMISANO DELIVERY - MO PATTERSON HEAVY HAUL PENINSULA CRANE & RIGGING PINE CONE LUMBER PLANT RECLAMATION PLEASANTON READY MIX POTRERO HILLS LANDFILL PREMIUM POWER PRICE STAGE LINE LLC PRODUCTION PAYROLL PYRAMID PAINTING Q & D CONSTRUCTION QLM, INC RANSOME COMPANY RE MASON ENGINEERING INC RECOLOGY - SAN BRUNO GARB RECOLOGY HAY RD LANDFILL RECOLOGY MOUNTAIN VIEW RECOLOGY OF S.M.-DRIVERS RECOLOGY OF THE COAST RECOLOGY S.F.REC CLERICAL RECOLOGY SOUTH VALLEY RECOLOGY VALLEJO REED & GRAHAM (BOTM DUMP) REEVE TRUCKING CO RELIANCE SHEET & STRIP CO RELIANCE STEEL & ALUMINUM RENAISSANCE MANAGEMENT REPUBLIC SERVICES (CRP) REYES COCA COLA BOTTLING RICH READIMIX CONCRETE, INC. RICHMOND SANITARY SERVICE ROSSI EXPOSITIONS, INC SAFEWAY,INC. SAN MATEO LUMBER SAN RAFAEL ROCK QUARRY, INC SANTA CLARA CHMBR OF COMM SAVE MART SUPERMARKETS SCHAWK, INC. SECURITY PAVING CO, INC SERVICE WEST SHEEDY DRAYAGE CO SHELDON GAS SHEPARD EXPOSITION SERV SIERRA MOUNTAIN CONSTR SIERRA POINT LUMBER SIMSMETAL USA SNELSON COMPANIES, INC. SO SAN FRANCISCO SCAVENGE SOLANO GARBAGE DRIVERS SOLANO RECYCLES SOUTH BAY REC-DRIVERS SOUTH CITY LUMBER & SUPP SOUTHERN WINE SPECIALTY SOLID WASTE & R SPER CONTRACTING CORP STATE BUILD & CON TRADE STATEWIDE CONST SWEEPING STEVE P RADOS, INC SUKUT CONSTRUCTION LLC SUNSET SCAVENGER COMPANY SYAR CONCRETE SYAR INDUSTRIES, INC. SYSCO SAN FRANCISCO INC. T3 EXPO LLC TDW CONSTRUCTION, INC TEAM GHILOTTI INC. TEAM SAN JOSE-CON & TRADE TEAMSTERS ASSISTANCE PROG TEAMSTERS LO 2010 TEAMSTERS LO 2785 B/A'S TEAMSTERS LO 315-B/A'S TEAMSTERS LO 350-B/A'S TEAMSTERS LO 665 TEAMSTERS LO 760 TEAMSTERS LO 853-BA/OFFST TEAMSTERS LO 890 TEAMSTES LO 912 TEICHERT AGGREGATES LO150 THE GRAND FUND THE HDD COMPANY, INC TOMMY'S WATER TRUCK RENTL TRAHAN ENTERPRISES TRI-CED COMMUNITY RECYCLI TRI-VALLEY WATER TRUCKS TRUITT & WHITE LUMBER CO TRUNXAI CONSTRUCTION TUTOR-PERINI ZACHARY PARS UNION PAYROLL AGENCY INC UNION PLAZA APARTMENTS UNITED PARADYNE CORPORATI UNITED PARCEL SERV. L.315 UNIVAR SOLUTIONS USA, INC. URBAN ART LITHOGRAPHY VACAVILLE SANITARY SERV VALVERDE CONSTRUCTION VANGUARD CONSTRUCTION VERITIV OPERATING CO VULCAN MATERIALS COMPANY W A RASIC CONSTRUCTION W R FORDE ASSOCIATES WELLS SWEEPING WEST CC SANITARY LANDFILL WEST COUNTY RESOURCE RECO WEST COUNTY RESOURCE RECO WEST VALLEY COLLECTION WEST VALLEY CONSTRUCTION WESTROCK WESTSIDE BUILDING MATERIA WHITE BROTHERS WILLWORK, INC EXHIBIT SER YOUNG'S MARKET LO 665 YRC FREIGHTExplanationTxt