2021-11-11T20:13:58-06:00 2020-12-31 470900880 CALIBRE CPA GROUP PLLC 7501 WISCONSIN AVENUE SUITE 1200 WEST BETHESDA MD 20814 990 2020-01-01 956042873 JOINT BOARD OF TRUSTEES SOUTHWEST CARPENTERS HEALTH AND WELFARE TRUST SOUT 2133868590 533 SOUTH FREMONT AVENUE LOS ANGELES CA 90071 DANIEL LANGFORD TRUSTEE 2133868590 2021-11-11 1 DANIEL LANGFORD 999009999 SCOTT E HALLBERG CPA P01081188 2023319880 3 AAL1 IAL1 2020 2022-09-23 18:48:47Z DANIEL LANGFORD 533 SOUTH FREMONT AVENUE LOS ANGELES CA 90071 783831595 0 X CARPENTERSSW.ORG X 1955 CA TO PROVIDE MEDICAL AND RELATED BENEFITS 15 8 0 0 0 0 0 0 446880042 456883316 8140823 12559853 3177045 71092 458197910 469514261 0 0 327234267 358580555 0 0 0 0 0 15264046 16003715 342498313 374584270 115699597 94929991 491284391 578112268 20907169 21900400 470377222 556211868 TO PROVIDE MEDICAL AND RELATED BENEFITS TO PARTICIPANTS AND THEIR QUALIFYING DEPENDENTS IN ACCORDANCE WITH THE TRUST AGREEMENT. 0 0 TO PROVIDE MEDICAL AND RELATED BENEFITS TO APPROXIMATELY 34,000 PARTICIPANTS AND THEIR QUALIFYING DEPENDENTS IN ACCORDANCE WITH THE TRUST AGREEMENT. 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 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 374 0 1 0 0 0 0 0 0 0 0 0 X 15 8 0 0 0 0 0 0 0 1 1 0 0 0 0 0 1 0 0 0 CA X CARPENTERS SOUTHWEST ADMIN CORP 2133868590 533 SOUTH FREMONT AVENUE LOS ANGELES CA 90071 Curtis Conyers Jr Trustee 1.00 X 0 0 0 Kim Fromer Trustee 1.00 X 0 0 0 Richard Harris Trustee 1.00 X 0 0 0 Clint Larison Trustee 1.00 X 0 0 0 Bert Lewitt Trustee 1.00 X 0 0 0 Calvin Yoshida Trustee 1.00 X 0 0 0 Travis Winsor Trustee 1.00 X 0 0 0 Steve Jones Trustee 1.00 X 0 0 0 Pete Rodriguez Trustee 1.00 40.00 X 0 249185 89646 Josh Raper Trustee 1.00 40.00 X 0 152105 65926 Mercy Urrea Trustee 1.00 40.00 X 0 153312 65926 Sean Hartranft Trustee 1.00 40.00 X 0 153595 65926 Barry Jenkins Trustee 1.00 40.00 X 0 221720 83397 Daniel Langford Trustee 1.00 40.00 X 0 304687 104646 Frank Hawk Trustee 1.00 40.00 X 0 247599 96420 Harry Beggs resigned Trustee 1.00 40.00 X 0 198714 77146 0 1680917 649033 0 0 1 0 ANTHEM BLUE CROSS OF CALIFORNIA PO BOX 629 WOODLAND HILLS CA 90071 MEDICAL CLAIMS PROCESSING 9503330 CARPENTERS SOUTHWEST ADMINISTRATIVE CORP 533 SOUTH FREMONT AVENUE LOS ANGELES CA 90071 ADMINISTRATIVE SERVICES 3973007 DECARLO SHANLEY ATTORNEYS AT LAW 533 SOUTH FREMONT AVENUE LOS ANGELES CA 90071 LEGAL 939395 CONTINENTAL COLORCRAFT 1166 W GARVEY AVE MONTEREY PARK CA 91754 PRINTING 654184 THE SEGAL COMPANY PO BOX 4070 NEW YORK NY 10261 CONSULTANT/ACTUARY 302250 6 EMPLOYER CONTRIBUTIONS 900099 455078948 455078948 PARTICIPANT CONTRIBUTIONS 900099 1584182 1584182 LIQUIDATED DAMAGES 900099 220186 220186 456883316 9117871 9117871 317759316 314317334 3441982 3441982 3441982 TRANSITION FUNDING FROM COLORADO 900099 64434 64434 OTHER REVENUE 900099 4216 4216 OPEN ENROLLMENT AND CONSUMERISM E 900099 2442 2442 71092 469514261 456954408 0 12559853 358580555 2870142 1036454 40250 181266 11400099 394725 3910 71479 DUES AND SUBSCRIPTIONS 5390 374584270 3694483 76371377 35675955 37344374 24739 28044 448420366 460522337 3468848 3846136 491284391 578112268 928869 714300 19978300 21186100 20907169 21900400 X 0 0 0 0 470377222 556211868 470377222 556211868 491284391 578112268 X 94929991 -16413357 7318012 X X 0 1 X 1 0 0 ESTIMATED LIABILITY FROM CLAIMS IBNR 21186100 21186100 X 452919638 -16413357 -16413357 469332995 181266 181266 469514261 373195204 0 373195204 181266 1207800 1389066 374584270 Part X, Line 2: The trust established under the Plan to hold the Plan's assets is qualified pursuant to Section 501(c)(9) of the Internal Revenue Code (IRC) as a tax exempt organization. The Plan has obtained a favorable determination letter from the Internal Revenue Service and the Plan Sponsor believes that the Plan, as amended, continues to qualify and to operate in accordance with applicable provisions of the IRC. Therefore, no provision for income taxes has been included in the Plan's financial statements. 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 if the Plan has taken an uncertain position that more likely than not would not be sustained upon examination by the taxing authorities. 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: INCREASE IN ESTIMATED LIABILITY FOR CLAIMS IBNR 1,207,800. 0 0 0 Daniel Langford Trustee 0 304687 0 0 0 0 0 88138 0 16508 0 409333 0 0 Frank Hawk Trustee 0 247599 0 0 0 0 0 79912 0 16508 0 344019 0 0 Pete Rodriguez Trustee 0 249185 0 0 0 0 0 73138 0 16508 0 338831 0 0 Barry Jenkins Trustee 0 221720 0 0 0 0 0 66889 0 16508 0 305117 0 0 Harry Beggs resigned Trustee 0 198714 0 0 0 0 0 60638 0 16508 0 275860 0 0 Sean Hartranft Trustee 0 153595 0 0 0 0 0 49418 0 16508 0 219521 0 0 Mercy Urrea Trustee 0 153312 0 0 0 0 0 49418 0 16508 0 219238 0 0 Josh Raper Trustee 0 152105 0 0 0 0 0 49418 0 16508 0 218031 0 0 Form 990, Part VI, Section B, line 11b FORM 990 IS REVIEWED BY THE ADMINISTRATOR PRIOR TO FILING, AND AFTER APPROVAL OF THE AUDITED FINANCIAL STATEMENTS BY THE BOARD OF TRUSTEES . Form 990, Part VI, Section C, line 19 ORGANIZATIONAL DOCUMENTS AND FINANCIAL INFORMATION ARE AVAILABLE BY APPOINTMENT AT THE ADMINISTRATORS OFFICE. Form 990, Part XI, line 9: Merger proceeds from Carpenters and Millwrights' Health Benefit Trust Fund 7,318,012. Form 990, Part XII, Line 2c THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. SOUTHWEST CARPENTERS PENSION TRUST 533 SOUTH FREMONT AVENUE LOS ANGELES CA 90071 956042875 TO PROVIDE PENSION BENEFITS CA 501(A) 0 SOUTHWEST CARPENTERS TRAINING TRUST 533 SOUTH FREMONT AVENUE LOS ANGELES CA 90071 952106266 TO PROVIDE EDUCATION BENEFITS CA 501(c)(5) 0 SOUTHWEST CARPENTERS VACATION TRUST 533 SOUTH FREMONT AVENUE LOS ANGELES CA 90071 956042279 TO PROVIDE VACATION BENEFITS CA 501(c)(9) 0 UNITED BROTHERHOOD OF CARPENTERS AND JOINERS OF AMERICA SW REGIONAL COUNCIL CABINET MAKERS LOC 721 CALIFORNIA DEPT OF CORREC CARP INTERNATIONAL TRNG F CARPENTERS LOCAL #1319 CARPENTERS LOCAL #1607 CARPENTERS LOCAL #1912 CARPENTERS LOCAL #1977 CARPENTERS LOCAL #213 CARPENTERS LOCAL #562 CARPENTERS LOCAL #619 CARPENTERS LOCAL #661 CARPENTERS LOCAL #714 CARPENTERS LOCAL #805 CARPENTERS LOCAL #909 CARPENTERS LOCAL #951 CARPENTERS-CONTRS COOP CO CITY OF LOS ANGELES COUNTY OF LOS ANGELES COUNTY OF LOS ANGELES ART MUSEUM LOS ANGELES DEPT OF WATER & POWER UNITED BROTHERHD CARP-CET UNITED BRTHRD CARP-JOB CO CARPENTERS SOUTHWEST ADMINISTRATION CORPORATION 533 SOUTH FREMONT AVENUE LOS ANGELES CA 90071 953687194 TO PROVIDE ADMINSTRATIVE SERVICES CA C 0 1ST RATE FABRICATORS LLP A & A BUILDERS GROUP INC A & B CONSTRUCTION INC A & P DEVELOPMENT & CONSTRUCTION A & R DRYWALL SERVICE INC A & S CEMENT CONTRACTORS A A GONZALEZ INC A C L CONSTR CO INC A E C O M POWER E & C INC A GOOD SIGN & GRAPHICS CO A J FISTES CORPORATION A M CONSTRUCTION A N C C A CORP DBA N-U EN A R B INC A R B STRUCTURES INC A T I DRYWALL & METAL FRAMING INC A T INSTALLATION INC A THROUGH Z CONCRETE FORM SYSTEMS AJA CONST SERVICES I A CONSTRUCTION COMPANY INC A-1 PLASTICS INC A1 QUALITY BLINDS A2 RAILLA DEVELOPMENT INC ABC SCHOOL EQUIPMENT INC ABDELLATIF ENTERPRISES INC ABSOLUTE METALS LLC ACADEMIC SPECIALTIES INC ACCESS PACIFIC INC ACCESS SOLUTIONS INC ACCURATE CONCRETE SAWING ACE RESTORATION & WATERPROOFING ACOUSTIC SOLUTION INTERIO SYST INC ACOUSTICAL IND ADV FUND ACTION GYPSUM SUPPLY WEST LP ADVANCED 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