2022-07-15T19:57:05-05:00 2021-08-31 450250958 EIDE BAILLY LLP 10681 FOOTHILL BLVD STE 300 RANCHO CUCAMONGA CA 917303831 990 2020-09-01 941234856 CARPENTERS HEALTH AND WELFARE TRUST FUND FOR NORTHERN CALIFORNIA CARP 5106330333 265 HEGENBERGER ROAD NO 100 OAKLAND CA 94621 WILLIAM FEYLING SECRETARY 5106330333 2022-07-15 1 WILLIAM FEYLING 999009999 CATHERINE L GRAY CPA P01294460 9094664410 2022-07-15 3 AAL1 IAL1 2020 2022-09-23 18:48:47Z X WILLIAM FEYLING 265 HEGENBERGER ROAD NO 100 OAKLAND CA 94621 1932260236 0 X N/A X 1953 CA HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS COVERED BY COLLECTIVE BARGAINING AGREEMENTS 14 14 1302 14 49389144 0 0 0 466286894 438903046 11591095 49389144 24568101 20172879 502446090 508465069 0 0 435166585 473336837 0 0 0 0 0 14320687 15369055 449487272 488705892 52958818 19759177 756851740 807414321 274068465 272862719 482783275 534551602 NONE 0 0 TO PROVIDE HEALTH AND WELFARE BENEFITS TO APPROXIMATELY 26,749 ELIGIBLE PARTICIPANTS COVERED BY COLLECTIVE BARGAINING AGREEMENTS BETWEEN EMPLOYERS AND THE UNION. 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 1 572 0 1 1302 1 1 1 0 0 0 0 0 0 0 X 14 14 0 1 0 0 0 0 0 1 0 0 0 0 1 1 0 1 1 0 0 0 CA X CARPENTER FUNDS ADMINISTRATIVE OFFICE 5106330333 265 HEGENBERGER ROAD NO 100 OAKLAND CA 94621 X JAY BRADSHAW CHAIR 5.00 40.00 X X 0 181220 27904 RANDY JENCO CO-CHAIR 5.00 X X 0 0 0 EDDY LUNA TRUSTEE 5.00 40.00 X 0 152901 27904 ROY VAN PELT TRUSTEE 5.00 X 0 0 0 MIKE MENCARINI TRUSTEE 5.00 X 0 0 0 JACOB ADIARTE TRUSTEE 5.00 40.00 X 0 149099 27904 EDWARD GABLE TRUSTEE 5.00 40.00 X 0 152901 27904 CHUCK PALLEY TRUSTEE 5.00 X 0 0 0 DON DOLLY TRUSTEE 5.00 X 0 0 0 DANIEL GREGG TRUSTEE 5.00 40.00 X 0 141107 27904 LARRY NIBBI TRUSTEE 5.00 X 0 0 0 SCOTT SMITH TRUSTEE 5.00 X 0 0 0 SEAN HEBARD TRUSTEE 5.00 40.00 X 0 153599 27904 DANIEL NUNCIO TRUSTEE 5.00 40.00 X 0 141107 27904 0 1071934 195328 0 0 1 0 CARPENTER FUNDS ADMINISTRATIVE OFFICE OF 265 HEGENBERGER RD SUITE 100 OAKLAND CA 94621 ADMINISTRATION 6670584 BLUE CROSS OF CALIFORNIA 220 VIRGINIA AVENUE INDIANAPOLIS IN 46204 BENEFITS ADMINISTRATOR 2548683 DELTA DENTAL 560 MISSION ST 1300 SAN FRANCISCO CA 94105 BENEFITS ADMINISTRATOR 1367109 INDEMNITY PLAN ADMINISTRATION 265 HEGENBERGER ROAD SUITE 100 OAKLAND CA 94621 BENEFITS ADMINISTRATOR 1094217 MEDCO HEALTH SOLUTION 100 PARSONS POND DRIVE FRANKLIN LAKES NJ 07417 BENEFITS ADMINISTRATOR 687542 5 EMPLOYER CONTRIBUTIONS 900099 407404683 407404683 EMPLOYEE CONTRIBUTIONS 900099 31498363 31498363 438903046 8734974 8734974 1464449337 1423795167 40654170 40654170 40654170 REBATES AND REFUNDS 900099 16935934 16935934 COBRA 900099 2410685 2410685 OTHER INCOME 900099 753428 753428 72832 72832 20172879 508465069 459075925 49389144 0 473336837 12478264 228301 45168 1657128 356566 294720 6561 119362 BANKING EXPENSE 70006 PATIENT CARE OUTCOME RE 57412 OUTSIDE SERVICES 52681 MISCELLANEOUS 2886 488705892 41686680 38137014 54201277 52829024 43436836 37052629 149190 2466157 284623809 297498004 320392656 373762947 12361292 5668546 756851740 807414321 154150 239364 273914315 272623355 274068465 272862719 X 0 0 0 0 482783275 534551602 482783275 534551602 756851740 807414321 19759177 32009150 0 X X 0 1 X 1 0 0 REAL ESTATE FUND 108066677 F LIMITED PARTNERSHIP 265696270 F 373762947 PREMIUMS PAYABLE 44512843 CLAIMS PAYABLE AND IBNR 58945005 FUTURE BENEFIT LIABILITY 157715000 RETIREE REFUND PAYABLE 7125604 DUE TO BROKER 1802727 CONTRIBUTIONS IN TRANSIT 2484650 DUE TO CARPENTERS FUNDS ADMINISTRATIVE OFFICE OF NORTHERN CALIFORNIA 19719 DUE TO OTHER TRUST FUNDS 17807 272623355 X 538817091 32009150 32009150 506807941 1657128 1657128 508465069 486599574 0 486599574 1657128 449190 2106318 488705892 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 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 IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. PART XII, LINE 4B - OTHER ADJUSTMENTS: CHANGE IN BENEFIT OBLIGATION 449,190. 0 0 0 JAY BRADSHAW CHAIR 0 181220 0 0 0 0 0 7800 0 20104 0 209124 0 0 SEAN HEBARD TRUSTEE 0 153599 0 0 0 0 0 7800 0 20104 0 181503 0 0 EDDY LUNA TRUSTEE 0 152901 0 0 0 0 0 7800 0 20104 0 180805 0 0 EDWARD GABLE TRUSTEE 0 152901 0 0 0 0 0 7800 0 20104 0 180805 0 0 JACOB ADIARTE TRUSTEE 0 149099 0 0 0 0 0 7800 0 20104 0 177003 0 0 DANIEL GREGG TRUSTEE 0 141107 0 0 0 0 0 7800 0 20104 0 169011 0 0 DANIEL NUNCIO TRUSTEE 0 141107 0 0 0 0 0 7800 0 20104 0 169011 0 0 FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION HAS DELEGATED CONTROL OVER MANAGEMENT DUTIES CUSTOMARILY PERFORMED BY OR UNDER THE DIRECT SUPERVISION OF OFFICERS, DIRECTORS, TRUSTEES OR KEY EMPLOYEES TO THE ADMINISTRATOR, THE CARPENTER FUNDS ADMINISTRATIVE OFFICE. FORM 990, PART VI, SECTION A, LINE 8B THE ORGANIZATION DOES NOT HAVE ANY SUBCOMMITTEES WITH THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B THE TRUSTEES HAVE DESIGNATED THE ADMINISTRATOR TO REVIEW THE FORM 990 PRIOR TO SIGNING AND FILING. FORM 990, PART VI, SECTION B, LINE 12 IN CONNECTION WITH ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST, A TRUSTEE SHOULD DISCLOSE TO ALL OTHER TRUSTEES AND FUND COUNSEL THE EXISTENCE AND NATURE OF THE FINANCIAL INTEREST OR BENEFIT INVOLVED INCLUDING DISCLOSURE OF ALL MATERIAL FACTS ATTENDANT TO THE TRANSACTION. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. FORM 990 PART VII SECTION A COLUMN F THE ORGANIZATION PARTICIPATES IN A COLLECTIVE BARGAINED MULTI EMPLOYER PLAN, A DEFINED BENEFIT PLAN,DUE TO THE SIZE AND VARIED PARTICIPANTS IN THIS PLAN THE ACTUARIAL VALUE IS NOT CALCULATED ON A PER EMPLOYEE BASIS. NO AMOUNT IS INCLUDED IN COLUMN F FOR A REASONABLE ESTIMATE OF THE INCREASE IN ACTUARIAL VALUE. PART VII EMPLOYER DIRECTORS OF THE ORGANIZATION ARE EMPLOYEES OF CONTRIBUTING EMPLOYERS THAT ARE CONSIDERED RELATED ORGANIZATIONS UNDER THE DEFINITIONS IN SCHEDULE R. THE RELATED ORGANIZATIONS ARE FOR-PROFIT ORGANIZATIONS, ARE NOT OWNED OR CONTROLLED, DIRECTLY OR INDIRECTLY, BY THE ORGANIZATION OR ONE OR MORE RELATED TAX-EXEMPT ORGANIZATIONS, AND DO NOT PROVIDE MANAGEMENT SERVICES FOR A FEE TO THE ORGANIZATION. AS SUCH COMPENSATION PAID BY RELATED ORGANIZATIONS IS NOT SHOWN UNDER THE VOLUNTEER EXCEPTION. FORM 990, PART XII, LINE 2C THE BOARD OF TRUSTEES ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF THE ORGANIZATION'S FINANCIAL STATEMENTS AND THE SELECTION OF THE INDEPENDENT AUDITOR. CARPENTER FUNDS ADMINISTRATIVE OFFICE OF NORTHERN CALIFORNIA INC 265 HEGENBERGER ROAD SUITE 100 OAKLAND CA 94621 941557079 TO PROVIDE ADMINISTRATIVE SERVICES FOR VARIOUS RELATED CARPENTER TRUST FUNDS CA 501(C)(9) N/A 0 BASIC CRAFTS WORKERS' COMPENSATION BENEFITS TRUST FUND 265 HEGENBERGER ROAD SUITE 100 OAKLAND CA 94621 810650114 A VEHICLE THROUGH WHICH WORKERS' COMPENSATION BENEFITS CA 501(C)(9) N/A 0 CARPENTERS PENSION TRUST FUND FOR NOTHERN CALFORNIA 265 HEGENBERGER ROAD SUITE 100 OAKLAND CA 94621 946050970 TO PROVIDE PENSION BENEFITS FOR ELIGIBLE PARTICIPANTS. CA 401(A) N/A 0 CARPENTERS VACATION HOLIDAY AND SICK LEAVE TRUST FUND FOR NORTHERN CALIFORN 265 HEGENBERGER ROAD SUITE 100 OAKLAND CA 94621 946276537 TO PROVIDE VACATION AND HOLIDAY BENEFITS TO ELIGIBLE PARTICIPANTS CA 501(C)(9) N/A 0 CARPENTERS ANNUITY TRUST FUND FOR NOTHERN CALFORNIA 265 HEGENBERGER ROAD SUITE 100 OAKLAND CA 94621 946534591 TO PROVIDE ANNUITY BENEFITS FOR ELIGIBLE PARTICIPANTS. CA 401(A) N/A 0 CARPENTERS TRAINING TRUST FUND FOR NORTHERN CALIFORNIA 265 HEGENBERGER ROAD SUITE 100 OAKLAND CA 94621 931079534 TO PROVIDE APPRENTICESHIP TRAINING TO ELIGIBLE CARPENTERS COVERED BY THE CBA CA 501(C)(5) N/A 0 NORTHERN CALIFORNIA CARPENTERS 401(K) TRUST FUND 265 HEGENBERGER ROAD SUITE 100 OAKLAND CA 94621 800204601 TO PROVIDE 401K BENEFITS FOR ELIGIBLE PARTICIPANTS. CA 401(A) N/A 0 NORTHERN CALIFORNIA CARPENTERS REGIONAL COUNCIL 265 HEGENBERGER RD SUITE 200 OAKLAND CA 94621 CA 501(C)(5) N/A CARPENTERS LOCAL UNION #35 CA 501(C)(5) N/A CARPENTERS LOCAL UNION #46 CA 501(C)(5) N/A CARPENTERS LOCAL UNION #180 CA 501(C)(5) N/A CARPENTERS LOCAL UNION #751 CA 501(C)(5) N/A CARPENTERS LOCAL UNION #1599 CA 501(C)(5) N/A CARPENTERS LOCAL UNION #1789 CA 501(C)(5) N/A DRYWALL LATHERS LOCAL UNION #9109 CA 501(C)(5) N/A CARPENTERS LOCAL UNION #22 CA 501(C)(5) N/A CARPENTERS LOCAL UNION #152 CA 501(C)(5) N/A CARPENTERS LOCAL UNION #713 CA 501(C)(5) N/A INDUSTRIAL CARPENTERS LOCAL UNION #2236 CA 501(C)(5) N/A DRYWALL LATHERS LOCAL UNION #9068 CA 501(C)(5) N/A PILE DRIVERS LOCAL UNION #34 CA 501(C)(5) N/A MILLWRIGHTS LOCAL UNION #102 CA 501(C)(5) N/A CARPENTERS LOCAL UNION #217 CA 501(C)(5) N/A CARPENTERS LOCAL UNION #405 CA 501(C)(5) N/A CARPENTERS LOCAL UNION #505 CA 501(C)(5) N/A CARPENTERS LOCAL UNION #605 CA 501(C)(5) N/A CARPENTERS LOCAL UNION #701 CA 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