2021-02-12T19:07:24-06:00 2020-03-31 450250958 EIDE BAILLY LLP 3130 CROW CANYON PL STE 300 SAN RAMON CA 945831386 990 2019-04-01 941645611 SAN FRANCISCO CULINARY BARTENDERS & SERVICE EMPLOYEES WELFARE FUND SANF 2063294900 2323 EASTLAKE AVE E SEATTLE WA 98102 MICHAEL CASEY CHAIRMAN 2063294900 2021-02-12 1 THERESA MONTGOMERY CPA P00232100 9254804000 2021-02-07 2019 2022-09-23 18:48:47Z MICHAEL CASEY 2323 EASTLAKE AVE E SEATTLE WA 98102 353449033 0 X N/A X 1958 CA TO PROVIDE HEALTH CARE BENEFITS TO ELIGIBLE PARTICIPANTS. 8 0 25 8 0 0 0 0 161549125 169641762 15285695 3931534 88090 759558 176922910 174332854 0 0 153010280 151984606 385337 424404 0 0 0 2249269 2376755 155644886 154785765 21278024 19547089 166518028 183388674 28621831 25466630 137896197 157922044 TO PROVIDE HEALTH CARE BENEFITS TO ELIGIBLE PARTICIPANTS. 0 0 TO PROVIDE HEALTH CARE BENEFITS TO ELIGIBLE PARTICIPANTS COVERED UNDER THE COLLECTIVE BARGAINING AGREEMENTS BETWEEN THE UNION & EMPLOYERS. AT THE END OF THE PLAN YEAR, THERE WERE APPROXIMATELY 11,800 PARTICIPANTS IN THE PLAN. 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 1 236 0 1 25 1 0 0 0 0 0 0 0 0 X 8 0 0 1 0 0 0 0 0 1 0 0 0 0 0 1 1 0 0 0 X NORTHWEST ADMINISTRATORS INC 2067263271 2323 EASTLAKE AVE E SEATTLE WA 98102 X MICHAEL CASEY CHAIRMAN 5.00 X 0 0 0 DOUGLAS CORNFORD TRUSTEE 5.00 X 0 0 0 ANAND SINGH TRUSTEE 5.00 X 0 0 0 ROBERT BERGER TRUSTEE 5.00 X 0 0 0 KIM WIRSHING TRUSTEE 5.00 X 0 0 0 DEAN LEHR TRUSTEE 5.00 X 0 0 0 IAN LEWIS TRUSTEE 5.00 X 0 0 0 RICHARD SAWHILL TRUSTEE 5.00 X 0 0 0 0 0 0 1 0 0 0 NORTHWEST ADMINISTRATORS 2323 EASTLAKE AVE E SEATTLE WA 98102 CONTRACT ADMINISTRATOR 731670 DELTA DENTAL 100 FIRST STREET SAN FRANCISCO CA 94105 CLAIMS ADMINISTRATOR 449332 INVESCO ADVISORS 1555 PEACHTREE STREET NE TWO PEACH ATLANTA GA 30309 INVESTMENT MANAGER 222307 INCOME RESEARCH MANAGEMENT 100 FEDERAL STREET 30TH FLOOR BOSTON MA 02110 DATA WAREHOUSING 159635 RAEL & LETSON PO BOX 740722 LOS ANGELES CA 90074 ACTUARY 120850 7 EMPLOYER CONTRIBUTIONS 900099 168877806 168877806 EMPLOYEE CONTRIBUTIONS 900099 763956 763956 169641762 3049351 3049351 179998362 179116179 882183 882183 882183 OVERPAYMENT REFUND 900099 720235 720235 LIQUIDATED DAMAGES 900099 19539 19539 MISCELLANEOUS INCOME 900099 16392 16392 3392 3392 759558 174332854 170401320 0 3931534 151984606 424404 731671 24449 36879 501399 266432 14739 115456 28133 2095 26099 CLAIMS ADMINISTRATION 452702 PRINTING AND POSTAGE 129424 PATIENT CARE OUTCOME RE 39602 BANK CHARGES 5598 2077 154785765 2861320 5056136 56910191 33825933 13303329 14244445 92397 49970 55479148 77318856 36505740 52393984 1365903 499350 166518028 183388674 325956 264699 28295875 25201931 28621831 25466630 X 0 0 0 0 137896197 157922044 137896197 157922044 166518028 183388674 19547089 478758 0 X X 0 1 X 1 0 0 103-12 ENTITIES 32328466 F POOLED FUNDS 20065518 F 52393984 CLAIMS INCURRED BUT NOT REPORTED 1087000 DUE TO BROKER 770915 DUE TO OTHER FUNDS 428421 GROUP INSURANCE PREMIUMS PAYABLE 21337257 SELF-FUNDED BENEFIT CLAIMS PAYABLE 986758 LOCKBOX PAYABLE 591580 25201931 X 174310213 478758 478758 173831455 501399 501399 174332854 155773824 0 155773824 501399 -1489458 -988059 154785765 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 ADMINISTRATOR 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: NET CHANGE IN BENEFIT OBLIGATION -1,489,458. FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION DELEGATES CONTROL OF MANAGEMENT DUTIES CUSTOMARILY PERFORMED BY OR UNDER THE DIRECT SUPERVISION OF OFFICERS, DIRECTORS, TRUSTEES OR KEY EMPLOYEES TO THE CONTRACT ADMINISTRATOR. FORM 990, PART VI, SECTION A, LINE 8B THE ORGANIZATION DOES NOT HAVE ANY COMMITTEES WITH THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B THE CHAIR AND CO-CHAIR ARE PROVIDED A COPY OF THE FORM 990 TO REVIEW PRIOR TO SIGNING. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XII, LINE 2C THE BOARD OF TRUSTEES ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF THE ORGANIZATION'S FINANCIAL STATEMENTS AND FOR SELECTING THE INDEPENDENT AUDITOR. SAN FRANCISCO CULINARY BARTENDERS AND SERVICE EMPLOYEES PENSION FUND 1182 MARKET STREET SAN FRANCISCO CA 94102 946118925 TO PROVIDE PENSION BENEFITS TO ELIGIBLE PARTICIPANTS CA 401A N/A 0 SAN FRANCISCO CULINARY BARTENDERS & SERVICE EMPLOYEES LEGAL SERVICES FUND 1182 MARKET STREET SAN FRANCISCO CA 94102 946625180 TO PROVIDE GROUP LEGAL SERVICES BENEFITS TO ELIGIBLE PARTICIPANTS CA 501(C)(9) N/A 0 SAN FRANCISCO HOTEL RESTAURANT LABOR MANAGEMENT EDUCATION FUND 1182 MARKET STREET SAN FRANCISCO CA 94102 237103043 TO PROVIDE TRAINING AND EDUCATION PROGRAMS TO ELIGIBLE PARTICIPANTS CA 501(C)(5) N/A 0 ABLE BUILDING MAINT - FAIRMONT HOTEL CA AMERICAN EMPIRE BLDG CA BEI HOTEL SAN FRANCISCO CA BOHEMIAN CLUB CA BON APPETIT (USF) CA CARLTON HOTEL CA CASTAGNOLA INC CA CENTERPLATE-AT&T PARK CA CENTERPLATE-BON APPETIT CA CHANCELLOR HOTEL CA CLIFT ROYAL SONESTA HOTEL CA COMFORT INN BY THE BAY CA COURTYARD BY MARRIOTT FISH WHARF CA DIVA HOTEL - HIGHGATE CA EMPIRE UNISTAR - PALACE HOTEL CA EMPIRE UNISTAR - ST REGIS CA EMPIRE UNISTAR - W HOTEL CA ESP GRAND HYATT SF CA ESP GREEN - SF HILTON CA FAIRMONT HERITAGE-GHIRARDELLI SQ CA FAIRMONT HOTEL LOC 2 CA FLAGSHIP FACILITY SERVICES CA FOUR SEASONS HOTEL CA FRANCISCA CLUB CA GHIRARDELLI CHOCOLATE CO CA GLOBAL GOURMET CA GRAND HYATT HOTEL CA HANDLERY UNION SQ HOTEL CA HILTON HTLS CORP 600 CA HILTON SF FINANCIAL DISTRICT CA HOLIDAY INN - FWHARF CA HOLIDAY INN - GOLDEN GATEWAY CA HOLIDAY INN EXPRESS CA HOTEL SPERO L-2 CA HOTEL VITALE CA HOTEL WHITCOMB CA HOTEL ZEPHYR CA HOTEL & RESTAURANT EMP #2850 CA HUNTINGTON HOTEL L-2 CA HYATT REGENCY SF CA INTERCONTINENTAL HOTEL OF SF CA KNIGHTS CATER & DEL CA KPH MANAGEMENT LLC CA LAKESIDE GOLF & CLUB CA LARKSPUR HOTEL UNION SQUARE CA LAUREL MOTOR INN CA MARK HOPKINS HOTEL CA MARRIOTT AT WHARF #2 CA MARRIOTT AT WHARF #2 (H&W ONLY) CA MARRIOTT VACATION CLUB PULSE SAN FRANCISCO CA METROPOLIS HOTEL CA MIYAKO HOTEL-HOTEL KABUKI CA NO MORE DIRT - OLYMPIC CLUB CA NO MORE DIRT INC-FOUR SEASONS CA OAKLAND MARRIOTT CITY CENTER CA OLYMPIC CLUB CA OMNI SF HOTEL CA OXFORD HOTELS AND RESORTS LLC CA PACIFIC UNION CLUB CA PARC 55 HOTEL CA PARK CENTRAL HOTEL - VIVA SOMA LESEE CA PICKWICK HOTEL CA ROYAL PACIFIC MOTEL CA S F CULINARY WELFARE CA S F CULINARY WELFAREIND BQT CA SMG FOOD & BEVERAGE LLC CA SAMS GRILL CA SAN FRANCISCO MARRIOTT MARQUIS CA SCOMAS CA SEAL ROCK INN CA SF DOWNTOWN COURTYARD CA SF HOTEL COMPANY LLC DBA HOTEL G CA SF MARRIOTT UNION SQUARE CA SHERATON AT WHARF CA SHERATON PALACE HOTEL CA SIR FRANCIS DRAKE HOTEL CA SOMA HOTEL CA SPECS 12 ADLER PLACE CA ST FRANCIS YACHT CLUB - ON THE MARINA CA ST REGIS HOTEL CA STANFORD COURT HOTEL CA THE BIG FOUR RESTAURANT CA THE BUCHANAN HOTEL CA THE FAMILY CLUB CA THE WESTIN ST FRANCIS - CLOCK BAR CA THE WESTIN ST FRANCIS HOTEL CA TOMMY'S JOYNT RESTAURANT CA TOWN & COUNTRY CLUB CA UNION SQUARE HOTEL-HIGHGATE CA UNITE HERE LOCAL 2 CA UNITED IRISH CULTURAL CENTER CA UNIVERSITY CLUB CA VOLUME SERVICESSF ZOO CA W HOTEL SF - FOOD & BEV CA W HOTEL SF - HOUSEKEEPING CA W HOTEL SF - MISC CA WHARF INN CA 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 1 SAN FRANCISCO CULINARY BARTENDERS & SERVICE EMPLOYEES LEGAL SERVICES FUND S 2109734 CASH SAN FRANCISCO HOTEL RESTAURANT LABOR MANAGEMENT EDUCATION FUND S 290846 CASH SAN FRANCISCO CULINARY BARTENDERS AND SERVICE EMPLOYEES PENSION FUND S 114038 CASH PART VII - EXPLANATION OF TRANSACTIONS WITH RELATED ORGANIZATIONS SAN FRANCISCO CULINARY BARTENDERS & SERVICE EMPLOYEES WELFARE FUND HOLDS THE TRANSIT ACCOUNT THAT COLLECTS CONTRIBUTIONS ON BEHALF OF THE PLANS. THEY ARE TRANSFERRED ON A MONTHLY BASIS TO THE OTHER FUNDS. SAN FRANCISCO CULINARY BARTENDERS & SERVICE EMPLOYEES WELFARE FUND ALSO PAYS ALL COMMON EXPENSES, THEY ARE THEN ALLOCATED PER THE EXPENSE POLICY AND REIMBURSED BY THE OTHER FUNDS.