2022-07-15T20:15:19-05:00 2021-08-31 450250958 EIDE BAILLY LLP 10681 FOOTHILL BLVD STE 300 RANCHO CUCAMONGA CA 917303831 990 2020-09-01 996014749 HAWAII LABORERS HEALTH AND WELFARE PLAN HAWA 8084418600 1440 KAPIOLANI BLVD NO 800 HONOLULU HI 96814 MARK MATSUMOTO TRUSTEE 8084418600 2022-07-15 1 MARK MATSUMOTO 999009999 CATHERINE L GRAY CPA P01294460 9094664410 2022-07-15 3 AAL1 IAL1 2020 2022-09-23 18:48:47Z ALFONSO OLIVER 1440 KAPIOLANI BLVD NO 800 HONOLULU HI 96814 248176578 0 X N/A X 1967 HI TO PROVIDE HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR BENEFICIARIES 10 10 1 10 4298635 0 0 0 40282674 42302749 3137917 4298635 114268 10629 43534859 46612013 0 0 32994032 40967067 0 0 0 0 0 3263617 3121039 36257649 44088106 7277210 2523907 104718400 112765568 22880666 28767143 81837734 83998425 NONE 0 0 TO PROVIDE HEALTH AND WELFARE BENEFITS TO APPROXIMATELY 3,500 ELIGIBLE PARTICIPANTS AND THEIR BENEFICIARIES ACCORDING TO THE TERMS OF THE COLLECTIVE BARGAINING AGREEMENTS BETWEEN THE 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 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 5 0 1 1 1 1 1 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 0 0 0 X PACIFIC ADMINISTRATORS INC 8084418600 1440 KAPIOLANI BLVD NO 800 HONOLULU HI 96814 X X ALFONSO OLIVER CHAIR 5.00 X X 0 0 0 TONY FIGUEROA SECRETARY 2.00 X X 0 0 0 PETER GANABAN TRUSTEE 2.00 X 0 0 0 MARK TRAVALINO TRUSTEE 2.00 X 0 0 0 ANACLETO ALCANTRA TRUSTEE 2.00 X 0 0 0 MARK MATSUMOTO TRUSTEE 2.00 X 0 0 0 RUSSELL NONAKA CO-CHAIR 2.00 X X 0 0 0 MARK TAMASHIRO TRUSTEE 2.00 X 0 0 0 MARK TAGAMI TRUSTEE 2.00 X 0 0 0 KAALA ODA TRUSTEE 2.00 X 0 0 0 DONNA LEONARD DIRECTOR OF HEALTH CARE MANAGEMENT 40.00 X 0 120025 8325 0 120025 8325 0 0 0 0 PACIFIC ADMINISTRATORS INC 1440 KAPIOLANI BLVD HONOLULU HI 96814 THIRD PARTY ADMINISTRATOR 2069972 DCC INC DBARENALOGIC PO BOX 718 SANDPOINT ID 83864 PROVIDES RENAL SERVICES TO MEMEBERS 123286 MILLIMAN INC 2175 N CALIFORNIA BLVD WALNUT CREEK CA 94596 MEDICAL CONSULTANT 118123 3 EMPLOYER CONTRIBUTIONS 900099 41178593 41178593 PARTIC. CONTRIBUTIONS 900099 974189 974189 LIQUIDATED DAMAGES 900099 84171 84171 COBRA CONTRIBUTIONS 900099 65796 65796 42302749 2860016 2860016 203003184 201564565 1438619 1438619 1438619 OTHER INCOME 900099 10629 10629 10629 46612013 42313378 4298635 0 40967067 2272046 134655 21058 206482 307944 66751 19565 3190 22187 NATIONAL HEALTH FUND 57631 PCORI FEE 9817 OTHER -287 44088106 196830 129497 10233420 16130120 3426849 3465539 89705879 91557034 1155422 1483378 104718400 112765568 11114 10947 22869552 28756196 22880666 28767143 X 0 0 0 0 81837734 83998425 81837734 83998425 104718400 112765568 2523907 -363216 0 X X 0 1 X 0 0 0 CORPORATE OBLIGATIONS 19330409 F MUTUAL FUNDS 72226625 F 91557034 CLAIMS INCURRED BUT NOT REPORTED 3413247 ACCUMULATED ELIGIBILITY CREDIT 25342949 28756196 X 46114127 -363216 -363216 46477343 134670 134670 46612013 38066792 0 38066792 134670 5886644 6021314 44088106 PART X, LINE 2: THE TRUST HAS ADOPTED GUIDANCE ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES ISSUED BY THE FINANCIAL ACCOUNTING STANDARDS BOARD. THE TRUST MANAGEMENT BELIEVES THAT THE TRUST HAS NOT TAKEN UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO THE FINANCIAL STATEMENTS AS A TAX LIABILITY. PART XII, LINE 4B - OTHER ADJUSTMENTS: CHANGE IN BENEFIT OBLIGATION 5,886,644. FORM 990, PART VI, SECTION A, LINE 8B THERE ARE NO COMMITTIES WITH THE AUTHORITY TO ACT ON BEHALF OF THE TRUSTEES. FORM 990, PART VI, SECTION B, LINE 11B THE CHAIR AND CO-CHAIR REVIEW THE FORM; THE TRUSTEES ARE PROVIDED A COPY OF THE FORM 990 FOR THEIR REVIEW PRIOR TO SIGNING AND FILING. FORM 990, PART VI, SECTION B, LINE 12C DURING EACH REGULARLY SCHEDULED BOARD OF TRUSTEE MEETING, THE CONSULTANTS GIVE DETAILED REPORTS ON VARIOUS ASPECTS OF THE FUND'S ACTIVITIES. IN THE COURSE OF THESE REPORTS, POTENTIAL OR ACTUAL CONFLICTS OF INTEREST MAY BE REVEALED. EVERY SITUATION, SHOULD THEY ARISE, IS DEALT WITH IN THE APPROPRIATE MANNER BASED ON THE GUIDELINES SET FORTH IN THE POLICY. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS AND FINANCIAL INFORMATION ARE AVAILABLE UPON REQUEST AS STATED IN THE SUMMARY ANNUAL REPORTS THAT ARE DISTRIBUTED EACH PLAN YEAR TO ALL PLAN PARTICIPANTS. FORM 990, PART VII: TRUSTEES OF THE TRUST 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 VII SECTION A COLUMN E AND F TRUSTEES OF THE TRUST 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 THE TRUSTEES BY RELATED ORGANIZATIONS AS IT WAS UNABLE TO OBTAIN THE INFORMATION AFTER MAKING REASONABLE EFFORTS. THE TRUST REQUESTED THE COMPENSATION INFORMATION FROM THE TRUSTEE(S) BY PROVIDING A QUESTIONNAIRE REQUESTING THE REQUIRED INFORMATION ALONG WITH INSTRUCTIONS TO EXPLAIN THE INFORMATION NEEDED. THE QUESTIONNAIRES FOR THE TRUSTEES WERE NOT RECEIVED BACK PRIOR TO FILING THE TAX RETURN. FORM 990, PART XI, LINE 2C: THE BOARD OF TRUSTEES ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF THE PLAN'S FINANCIAL STATEMENTS AND SELECTION OF THE INDEPENDENT AUDITOR. HAWAII LABORERS ANNUITY PLAN 1440 KAPIOLANI BLVD SUITE 808 HONOLULU HI 96814 990322478 TO PROVIDE ANNUITY BENEFITS TO ELIGIBLE PLAN PARTICIPANTS HI 401(A) NONE 0 HAWAII LABORERS VACATION AND HOLIDAY TRUST FUND 1440 KAPIOLANI BLVD SUITE 808 HONOLULU HI 96814 996025505 TO PROVIDE VACATION AND HOLIDAY BENEFITS TO ELIGIBLE PARTICIPANTS. 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WAIALUA PLUMBING & MECHANICAL INC WASA ELECTRICAL SERVICES INC WATTS CONSTRUCTORS INC WDI COMPANIES INC WERNER CONSTRUCTION INC WESTERN WATER FEATURES INC YHB HI KAI GC DBA HAWAII KAI GOLF COURSE YHB MILILANI GC LLC 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 PARTS II, III, AND IV - IDENTIFICATION OF RELATED TAX ORGANIZATIONS IN A MULTIEMPLOYER PLAN, A CONTRIBUTING EMPLOYER IS CONSIDERED A RELATED ORGANIZATION BECAUSE THEY ARE OBLIGATED TO CONTRIBUTE TO THE PLAN PURSUANT TO THE TERMS IN THE COLLECTIVE BARGAINING OR PARTICIPATION AGREEMENT. THE ADMINISTRATIVE OFFICE ONLY MAINTAINS THE DATA NECESSARY TO FULFILL THE OBLIGATION TO CONTRIBUTE, IT DOES NOT MAINTAIN SPECIFIC BUSINESS DATA REGARDING THE EMPLOYERS, SUCH AS ENTITY TYPE OR TAX INFORMATION.