2021-04-28T17:19:31-05:00 2020-06-30 MILLER KAPLAN ARASE LLP 600 STEWART ST STE 618 SEATTLE WA 98101 990 2019-07-01 263902233 SEIU LOCAL 721 EMPLOYEE BENEFITS TRUST FUND % LISA NAVARRO SEIU 6267322540 1325 NORTH GRAND AVE STE 200 COVINA CA 91724 ROBERT SCHOONOVER PRESIDENT 4155368280 2021-04-26 true Edmond Avaness CPA P00966890 8187692010 2019 2022-09-23 18:48:47Z BOB SCHOONOVER 221 MAIN ST STE 250 SAN FRANCISCO CA 94105 7891056 false X N/A X 1973 CA SEE SCHEDULE O 5 0 0 0 0 0 0 0 5553862 5462394 36902 87288 2245 216988 5593009 5766670 0 0 4096713 3963836 0 0 0 0 0 791932 789447 4888645 4753283 704364 1013387 6382203 6992526 718405 192564 5663798 6799962 SEE SCHEDULE O false false SEE SCHEDULE O false false false false false false false false false false false false true true true false false false false false false false false false false false false false false false false false false false false false false false false true false false false 0 0 true 0 false false false false false false false false X 5 0 false false false false false false false true false false false false true true true true true false false false X LISA NAVARRO 6267322540 1325 NORTH GRAND AVE STE 200 COVINA CA 91724 ROBERT SCHOONOVER CHAIRPERSON 1.0 0.0 X 0 0 0 SIMBOA WRIGHT TRUSTEE 1.0 0.0 X 0 0 0 LINDA DENT TRUSTEE 1.0 0.0 X 0 0 0 JAIME LOPEZ TRUSTEE 1.0 0.0 X 0 0 0 RAMON RUBALCAVA ALTERNATE TRUSTEE 1.0 0.0 X 0 0 0 0 0 0 0 false false false ZENITH AMERICAN SOLUTIONS INC 221 MAIN ST STE 250 SAN FRANCISCO CA 94105 ADMINISTRATION 524545 1 0 EMPLOYER CONTRIBUTIONS 900099 1576579 1576579 0 0 EMPLOYEE CONTRIBUTIONS 900099 3885815 3885815 0 0 5462394 78531 0 0 78531 0 0 0 0 0 2133143 2124386 8757 8757 0 0 0 0 0 0 0 0 0 OPEN ENROLLMENT REIMBURSEMENTS 900099 15842 0 0 0 ADMINISTRATIVE INCOME - TRUSTMARK 900099 201146 0 0 0 216988 5766670 5462394 0 78531 0 0 0 3963836 0 0 0 0 0 0 524545 24010 20000 0 0 10076 63908 0 83512 0 0 0 0 0 8074 0 0 0 9280 OPEN ENROLLMENT FEES 46042 4753283 2540325 2953872 89286 108278 0 0 718017 704298 0 0 0 0 0 0 0 0 4035 3746 0 0 3030540 3222332 0 0 0 0 0 0 0 0 6382203 6992526 110690 100320 0 0 0 0 0 0 0 0 0 0 0 0 0 0 607715 92244 718405 192564 X 0 0 0 0 5663798 6799962 5663798 6799962 6382203 6992526 1013387 122777 X false true X true 0 PREMIUMS PAYABLE 88906 DEFERRED CONTRIBUTIONS 3338 92244 X 5889447 122777 122777 5766670 5766670 5066712 5066712 -313429 -313429 4753283 PART X, LINE 2: Accounting principles generally accepted in the United States of America require management to evaluate tax positions taken by the Plan and recongnize a tax liability if the Plan has taken a tax position that more likely than not would not be sustained upon examination by a tax authority. 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: CHANGE IN BENEFIT OBLIGATIONS -$313,249 PART I, LINE 1 AND PART III, LINES 1 AND 4A: THE PLAN IS DESIGNED TO PROVIDE BENEFITS FOR ELIGIBLE PARTICIPANTS OF THE PLAN, SUCH AS DENTAL, VISION, CANCER AND CATASTROPHIC, CUSTODIAL CARE, LIFE, ACCIDENTAL DEATH AND DISMEMBERMENT AND DISABILITY INSURANCE. PART VI, SECTION A, LINE 8B: THE PLAN DOES NOT HAVE COMMITTEES WITH THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. PART VI, SECTION B, LINE 11B: FORM 990 IS REVIEWED BY THE PLAN ADMINISTRATOR AND APPROVED PRIOR TO FILING. THE PLAN ADMINISTRATOR REPORTS TO THE BOARD OF TRUSTEES. PART VI, SECTION B, LINE 12C: THE TRUSTEES OF THE PLAN COMPLETE AND SIGN CONFLICT OF INTEREST POLICY FORMS ANNUALLY AT THEIR BOARD OF TRUSTEE MEETING. PART VI, SECTION C, LINE 19: THE PLAN DOCUMENT AND ANY OTHER GOVERNING DOCUMENTS, INCLUDING THE FINANCIAL STATEMENTS ARE MAINTAINED AT THE PLAN ADMINISTRATOR'S OFFICE AND ARE AVAILABLE UPON REQUEST. Part VII, Line 1A, Columns (E) and (F): The Board of Trustees serve without compensation. The Plan does not maintain the information on compensation from Related Organizations but believes that such compensation, if any, is appropriately reported on the returns of those organizations. the returns of those organizations. See Part VII - Supplemental Information See Part VII - Supplemental Information NA See Part VII - Supplemental Information NA false false false false false false false false false false false false false false false false false false true PARTS II, III, AND IV IDENTIFICATION OF RELATED TAX-EXEMPT ORGANIZATIONS AND RELATED ORGANIZATIONS TAXABLE AS A PARTNERSHIP, CORPORATION OR TRUST: A CONTRIBUTING EMPLOYER IS A RELATED ORGANIZATION SOLELY TO THE EXTENT THAT THE EMPLOYER IS SIGNATORY TO A COLLECTIVE BARGAINING AGREEMENT OR PARTICIPANT AGREEMENT REQUIRING CONTRIBUTIONS TO THE TRUST. THE PLAN ADMINISTRATOR DOES NOT MAINTAIN INFORMATION CONCERNING THE ENTITY TYPE OF EACH OF THE TRUST'S CONTRIBUTING EMPLOYERS.