2021-11-09T12:12:48-06:00 2020-12-31 450250958 EIDE BAILLY LLP 10681 FOOTHILL BLVD STE 300 RANCHO CUCAMONGA CA 917303831 990 2020-01-01 941229312 HOTEL AND RESTAURANT EMPLOYEES HEALTH AND WELFARE TRUST HOTE 2063294900 2323 EASTLAKE AVE E SEATTLE WA 98102 SENIOR DIRECTOR LABOR SENIOR DIRECTOR, LABOR 2063294900 2021-11-09 1 SENIOR DIRECTOR LABOR 999009999 CATHERINE L GRAY P01294460 9094664410 2021-11-09 3 AAL1 IAL1 2020 2022-09-23 18:48:47Z KEVIN GLEASON 2323 EASTLAKE AVE E SEATTLE WA 98102 24807880 0 X N/A X 1963 CA TO PROVIDE HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS 6 6 0 6 985339 0 0 0 24302040 12294944 844225 985339 73960 821090 25220225 14101373 0 0 24108989 19100085 0 0 0 0 0 490846 499654 24599835 19599739 620390 -5498366 21366728 13204491 4963099 2022901 16403629 11181590 TO PROVIDE HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS 0 0 TO PROVIDE HEALTH AND WELFARE BENEFITS TO APPROXIMATELY 1,400 ELIGIBLE PARTICIPANTS COVERED BY COLLECTIVE BARGAINING AGREEMENTS BETWEEN THE UNIONS AND THE EMPLOYERS. 0 0 0 0 0 0 0 0 0 0 0 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 6 0 1 0 1 1 0 0 0 0 0 0 0 X 6 6 0 1 0 0 0 0 0 1 0 0 0 1 1 0 0 1 1 0 0 0 X NORTHWEST ADMINISTRATORS INC 2067263271 2323 EASTLAKE AVE E SEATTLE WA 98102 X X DOUGLAS CORNFORD CHAIRMAN 5.00 X X 0 0 0 LIAN ALAN CO-CHAIR 5.00 X X 0 0 0 KEVIN GLEASON SENIOR DIRECTOR, LABOR 5.00 X X 0 0 0 TAYLOR HUDSON TRUSTEE 5.00 X 0 0 0 JOSE ZARATE TRUSTEE 5.00 X 0 0 0 YULISA ELENES TRUSTEE 5.00 X 0 0 0 0 0 0 0 0 0 0 NORTHWEST ADMINISTRATORS INC 2323 EASTLAKE AVE E 410 SEATTLE WA 98102 ADMINISTRATIVE SERVICES 177852 1 EMPLOYER CONTRIBUTIONS 900099 12257782 12257782 PARTICIPANT CONTRIB 900099 37162 37162 12294944 401406 401406 11290440 10706507 583933 583933 583933 KAISER REFUND 900099 493010 493010 LIQUIDATED DAMAGES 900099 237274 237274 EXPERIENCE REFUND 900099 90806 90806 821090 14101373 13116034 985339 0 19100085 177852 32373 69741 4949 164483 4268 6456 PRINTING, POSTAGE AND S 30381 AD HOC GROUP EXPENSES 7531 BANK CHARGES 1620 19599739 3466929 1123139 4830946 3119445 2736089 620080 2931 4573 10329833 8330159 0 7095 21366728 13204491 21328 50562 4941771 1972339 4963099 2022901 X 0 0 0 0 16403629 11181590 16403629 11181590 21366728 13204491 -5498366 276327 0 X X 0 1 X 1 0 0 INSURANCE PREMIUMS PAYABLE 1972339 1972339 X 14372751 276327 276327 14096424 4949 4949 14101373 21724723 2129933 2129933 19594790 4949 4949 19599739 PART X, LINE 2: THE PLAN HAS ADOPTED GUIDANCE ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES ISSUED BY THE FINANCIAL ACCOUNTING STANDARDS BOARD. THE PLAN BELIEVES THAT THE PLAN HAS NOT TAKEN UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO THE FINANCIAL STATEMENTS AS A TAX LIABILITY. INFORMATIONAL TAX RETURNS, FOR TAX YEARS FOR WHICH THE APPLICABLE STATUTES OF LIMITATIONS HAVE NOT EXPIRED, ARE SUBJECT TO EXAMINATION BY AUTHORITIES. PART XII, LINE 2D - OTHER ADJUSTMENTS: NET CHANGE IN BENEFIT OBLIGATIONS 2,129,933. FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION DELEGATES CONTROL OVER MANAGEMENT DUTIES CUSTOMARILY PERFORMED BY OR UNDER THE DIRECT SUPERVISON OF OFFICERS, DIRECTORS, TRUSTEES, OR KEY EMPLOYEES TO THE CONTRACT ADMINISTRATOR, NORTHWEST ADMINISTRATORS, INC. 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 TRUSTEES ARE MAILED THE FORM AND ASKED TO REMARK IF THEY HAVE CHANGES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC, UPON REQUEST. 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 OVERSEEING THE AUDIT OF THE ORGANIZATION'S FINANCIAL STATEMENTS AND FOR SELECTING THE INDEPENDENT AUDITOR. EAST BAY RESTAURANT AND TAVERN RETIREMENT PLAN 1182 MARKET STREET SAN FRANCISCO CA 94120 946076428 TO PROVIDE PENSION BENEFITS TO ELIGIBLE PARTICIPANTS CA 401A N/A 0 UNITE HERE LOCAL 2850 HFF OAK VENTURE LLC VINO VOLO SSP AMERICA INC - FIREWOOD CAF AT OAKLAND INT'L AIRPORT FLAGSHIP FACILITY SERVICES - FACEBOOK DOUBLETREE HOTEL ALOFT HOTEL SILICON VALLEY CASPER'S - C STREET CASPER'S - DUBLIN CASPER'S - FOOTHILL CASPER'S - TELEGRAPH CASPER'S - AP HILL CASPER'S - RICHMOND CASPER'S - WALNUT CREEK CASTLEWOOD COUNTRY CLUB CLAREMONT HOTEL-F& B & 1877 CLAREMONT RESORT & SPA HILTON GARDEN INN BAY BRIDGE LEVY'S RESTAURANT-PREMIUM LEVY'S RESTAURANT-GEN'L CONCESSIONS SODEXO CONNOR PHILLIPS MASSIMO'S OAKLAND AIRPORT HILTON HYATT HOUSE (W SAN FRANCISCO CULINARY PENSION FUND) OAKS CORNER ARAMARK - PREMIUM ARAMARK - GENERAL CONCESSIONS PACIFIC RACING OAKLAND MARRIOTT CITY CENTER DOWNTOWN COURTYARD SODEXO-LAWRENCE LIVERMORE LAB SODEXO AT CSAA CROWNE PLAZA WORLD DUTY FREE GROUP 0 0 1 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.