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NORTHERN CALIF PLASTERERS HEALTH & WELFARE TRUST: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
NORTHERN CALIF PLASTERERS HEALTH & WELFARE TRUST (EIN 94-6251593)
Tax period
2018-07-01 to 2019-06-30
Filed
2020-03-10
IRS object ID
202000709349301245
Schema version
2018v3.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2020-03-10T17:36:37-05:00ReturnTs
Tax Period End2019-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN522385296PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1LINDQUIST LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line15000 EXECUTIVE PARKWAY SUITE 400AddressLine1Txt
CitySAN RAMONCityNm
State AbbreviationCAStateAbbreviationCd
ZIP94583ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN946251593EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1NORTHERN CALIFORNIA PLASTERERS HEALTHBusinessNameLine1Txt
Business Name Line2AND WELFARE TRUST FUNDBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlNORTBusinessNameControlTxt
Phone9258337300PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14160 DUBLIN BLVD NO 400AddressLine1Txt
CityDUBLINCityNm
State AbbreviationCAStateAbbreviationCd
ZIP94568ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonNANCY BRINKERHOFFPersonNm
Person TitleTRUSTEEPersonTitleTxt
Phone9258337300PhoneNum
Signature2020-03-10SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDEBBIE ROESSL DIMERYPreparerPersonNm
PTINP01065763PTIN
Phone9252779100PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address66.7.226.66IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-03-10IPDt
IP Tm15:36:21IPTm
IP TimezonePDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdD85FB602DC4FA66F28A631CB81EF53DF59ECABFAAtSubmissionCreationDeviceId
At Submission Filing Device IdD85FB602DC4FA66F28A631CB81EF53DF59ECABFAAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2020-09-23 17:36:50ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerNANCY BRINKERHOFFPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line14160 DUBLIN BLVD NO 400AddressLine1Txt
CityDUBLINCityNm
State AbbreviationCAStateAbbreviationCd
ZIP94568ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$17,250,923GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501cYes (X)Organization501cInd
Website AddressN/AWebsiteAddressTxt
Type Of Organization TrustYes (X)TypeOfOrganizationTrustInd
Formation1953FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionTO PROVIDE HEALTH AND WELFARE BENEFITS TO PARTICIPANTS AND THEIR DEPENDENTS.ActivityOrMissionDesc
Voting Members Governing Body8VotingMembersGoverningBodyCnt
Voting Members Independent0VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$10,533,989PYProgramServiceRevenueAmt
CY Program Service Revenue$13,254,722CYProgramServiceRevenueAmt
PY Investment Income$523,619PYInvestmentIncomeAmt
CY Investment Income$923,224CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$11,057,608PYTotalRevenueAmt
CY Total Revenue$14,177,946CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$10,271,507PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$11,705,299CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$519,715PYOtherExpensesAmt
CY Other Expenses$599,092CYOtherExpensesAmt
PY Total Expenses$10,791,222PYTotalExpensesAmt
CY Total Expenses$12,304,391CYTotalExpensesAmt
PY Revenues Less Expenses$266,386PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,873,555CYRevenuesLessExpensesAmt
Total Assets BOY$20,685,423TotalAssetsBOYAmt
Total Assets EOY$24,262,168TotalAssetsEOYAmt
Total Liabilities BOY$6,022,574TotalLiabilitiesBOYAmt
Total Liabilities EOY$7,748,341TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$14,662,849NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$16,513,827NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE HEALTH AND WELFARE BENEFITS TO PARTICIPANTS AND THEIR DEPENDENTS.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
DescPROVIDED HEALTH AND WELFARE BENEFITS TO PARTICIPANTS AND THEIR DEPENDENTS.Desc
Described In Section501c30DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building Equipment0ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document3IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members8GoverningBodyVotingMembersCnt
Independent Voting Member0IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of Committees0MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy0ConflictOfInterestPolicyInd
Whistleblower Policy0WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HEALTH SERVICES & BENEFIT ADMINISTRATORSBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone9258334337PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14160 DUBLIN BLVD SUITE 400AddressLine1Txt
CityDUBLINCityNm
State AbbreviationCAStateAbbreviationCd
ZIP94568ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (10 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
NANCY BRINKERHOFF
CHAIR1.00Yes (X)$0$0$0
ROGER HENLEY
TRUSTEE1.00Yes (X)$0$0$0
JAMES RUANE
TRUSTEE1.00Yes (X)$0$0$0
CHET O'DONNELL
TRUSTEE1.00Yes (X)$0$0$0
MARSHALL VASQUEZ
TRUSTEE1.00Yes (X)$0$0$0
EMILIO ALDANA
CO-CHAIR & SECRETARY1.00Yes (X)$0$0$0
JEFF CROTHERS
TRUSTEE-PAST1.00Yes (X)$0$0$0
ROBERT NOTO
TRUSTEE1.00Yes (X)$0$0$0
ISRAEL VARGAS
TRUSTEE1.00Yes (X)$0$0$0
SEE SCHDULE O FOR COMPENSATION
PAID BY RELATED ORGANIZATION0.00Yes (X)$0$1$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (2 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
HS&BA
4160 DUBLIN BLVD SUITE 400DUBLINCA94568CONTRACT ADMINISTRATION$157,096
LINDQUIST LLP
5000 EXECUTIVE PARKWAY SUITE 400SAN RAMONCA94583ACCOUNTING$113,603
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K2CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
EMPLOYER CONTRIBUTIONS900099$12,402,082$12,402,082
PARTICIPANT CONTRIBUTIONS900099$779,182$779,182
LIQUIDATED DAMAGES AND OTHER INCO900099$73,458$73,458
FieldValueIRS element (for citing)
Total Program Service Revenue$13,254,722TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$452,503TotalRevenueColumnAmt
Exclusion$452,503ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$3,543,698SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$3,072,977SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$470,721SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$470,721TotalRevenueColumnAmt
Exclusion$470,721ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$14,177,946TotalRevenueColumnAmt
Related Or Exempt Func Income$13,254,722RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$923,224ExclusionAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$11,705,299TotalAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$153,000TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$90,306TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$79,472TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$52,000TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$140,784TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$56,590TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$7,415TotalAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$18,730TotalAmt

Other Expenses OtherExpensesGrp

FieldValueIRS element (for citing)
DescMISCELLANEIOUS EXPENSESDesc
Total$795TotalAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$12,304,391TotalAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$3,732,600BOYAmt
EOY$6,182,787EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$123,550BOYAmt
EOY$48,992EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$995,216BOYAmt
EOY$1,301,589EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$8,247BOYAmt
EOY$10,468EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$15,825,810BOYAmt
EOY$16,718,332EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$20,685,423BOYAmt
EOY$24,262,168EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$53,947BOYAmt
EOY$55,492EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$5,968,627BOYAmt
EOY$7,692,849EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$6,022,574BOYAmt
EOY$7,748,341EOYAmt
FieldValueIRS element (for citing)
Org Does Not Follow SFAS117Yes (X)OrgDoesNotFollowSFAS117Ind

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

FieldValueIRS element (for citing)
BOY$14,662,849BOYAmt
EOY$16,513,827EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$14,662,849BOYAmt
EOY$16,513,827EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$20,685,423BOYAmt
EOY$24,262,168EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$1,873,555ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$22,577NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
ACCUMULATED ELIGIBILITY CREDITS$5,621,000
DUE TO RELATED ENTITIES$2,010,589
PREMIUM PAYABLE$13,301
CLAIMS PAYABLE AND IBNR$47,959
FieldValueIRS element (for citing)
Total Liability$7,692,849TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$14,103,369TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$22,577NetUnrealizedGainsInvstAmt
Revenue Not Reported-$22,577RevenueNotReportedAmt
Revenue Subtotal$14,125,946RevenueSubtotalAmt
Investment Expenses Not Incld$52,000InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt$52,000RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$14,177,946TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$11,125,480TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$11,125,480ExpensesSubtotalAmt
Investment Expenses Not Incld2$52,000InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$1,126,911OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$1,178,911ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$12,304,391TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART X, LINE 2:THE PLAN'S ADMINISTRATOR HAS ANALYZED THE TAX POSITIONS TAKEN BY THE PLAN AND HAS CONCLUDED THAT, AS OF JUNE 30, 2019, THERE ARE NO UNCERTAIN POSITIONS TAKEN, OR EXPECTED TO BE TAKEN, THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY THE TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. THE PLAN'S ADMINISTRATOR BELIEVES THE PLAN IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR THE FISCAL YEARS PRIOR TO 2016.
PART XII, LINE 4B - OTHER ADJUSTMENTS:CHANGE IN BENEFIT OBLIGATIONS

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 3THE GOVERNING BODY HAS APPOINTED MANAGEMENT DUTIES TO A THIRD-PARTY ADMINISTRATOR.
FORM 990, PART VI, SECTION A, LINE 8BTHE ORGANIZATION DOES NOT HAVE A COMMITTEE WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY.
FORM 990, PART VI, SECTION B, LINE 11BTHE 990 IS REVIEWED BY TRUSTEES PRIOR TO FILING.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART VII, SECTION A, LINE 1A:TRUSTEES ARE NOT COMPENSATED BY THE TRUST. COMPENSATION PAID TO TRUSTEES EMPLOYED BY OTHER RELATED ORGANIZATIONS IS REPORTED ON THE FORM 990 FILED WITH THE INTERNAL REVENUE SERVICE BY THE TAX EXEMPT ORGANIZATIONS. IF YOU WOULD LIKE ADDITIONAL INFORMATION, PLEASE CONTACT THE ADMINISTRATOR.
FORM 990, PART XII, LINE 2CTHE BOARD OF TRUSTEES ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationInd
NORTHERN CALIFORNIA PLASTERERS PENSION PLAN
4160 DUBLIN BLVD SUITE 400DUBLINCA94588946129382TO PROVIDE RETIREMENT BENEFITS TO ELIGIBLE PARTICIPANTSCA501AN/AN/A0
PLASTERERS LOCAL 66 RETIREMENT PLAN
4160 DUBLIN BLVD SUITE 400DUBLINCA94588946273369TO PROVIDE RETIREMENT BENEFITS TO ELIGIBLE PARTICIPANTSCA501AN/AN/A0
PLASTERERS & CEMENT MASONS LOCAL 300
8400 ENTERPRISE WAY SUITE 111OAKLANDCA94621943249920IMPROVE UNION MEMBERS' WELFARECA501(C)5N/AN/A0
PLASTERERS LOCAL 66
39 SOUTH LINDEN AVENUES SAN FRANCSICOCA94080946243230IMPROVE UNION MEMBERS' WELFARECA501(C)5N/AN/A0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE R, IDENTIFICATION OF RELATED ORGANIZATIONS:FormAndLineReferenceDesc
ExplanationTHE FILING ORGANIZATION IS A TAFT-HARTLEY MULTIEMPLOYER TRUST THAT PROVIDES HEALTH AND WELFARE BENEFITS TO ELIGIBLE EMPLOYEES AND THEIR DEPENDENTS. AS OF JUNE 30, 2019, THERE ARE APPROXIMATELY 63 EMPLOYERS THAT CONTRIBUTE TO THE TRUST. THE ADMINISTRATIVE OFFICE MAINTAINS A DATABASE OF THESE CONTRIBUTING EMPLOYERS, INCLUDING NAMES, ADDRESSES AND OTHER CONTACT INFORMATION. THE FEDERAL TAX CLASSIFICATION (DISREGARDED ENTITY, TAX EXEMPT ORGANIZATION, PARTNERSHIP, TAXABLE CORPORATION OR TRUST) FOR EACH CONTRIBUTING EMPLOYER IS NOT ON FILE WITH THE ADMINISTRATIVE OFFICE AND IT COULD NOT BE REASONABLY OBTAINED. AS A RESULT, THE NAMES OF THE CONTRIBUTING EMPLOYERS ARE LISTED ON PART VII BELOW AND NOT ON PARTS II THROUGH IV BY FEDERAL TAX CLASSIFICATION. A GOOD SIGN & GRAPHICS CO. ACCURATE FIRESTOP INC. ALCAL SPECIALTY CONTRACT AMERICAN FIREPROOFING INC ANNING JOHNSON COMPANY BEST CONTRACTING BOYETT CONSTRUCTION INC. BRADY CO CENTRAL CA INC BURKETT'S POOL DAS CALIFORNIA DRYWALL CO CUSTOM SPRAY SYSTEMS D.H. SMITH CO INC. DAS DALEY'S DRYWALL TAPING DAVIDSON'S PLASTERING ELITE PLASTERING F 3 FIREPROOFING INC F.C. BICKERT CO **DAS** FREAS PLASTERING COMPANY FREY PLASTERING INC FRIIS PLASTERING - NON BARGAIN GORDON PLASTERING, INC. GREEN WALL TECH, INC. HARRISON DRYWALL HARTLEY CONSTRUCTION, INC. HENLEY & CO HINDS BROTHERS CO INC IRONWOOD COMMERCIAL BUILD J J ACOUSTICS INC JOHN JORY CORPORATION KARSYN CONSTRUCTION KHS & S CONTRACTORS INC KHS S CONTRACTORS INC. LEVEL 5, INC MAGNUM DRYWALL NATIONAL PLASTERING IND. NATIONAL PLASTERING INDUSTRY'S NEVELL GROUP INC NORTHSTAR CONTRACTING GRP O'DONNELL PLASTERING INC OLEA PLASTERING ONYX BUILDING GROUP INC OP CMIA LOCAL 300 - NON BARGAI PACIFIC WEST LATH PATRICK J RUANE INC PERFORMANCE CONTRACTING PLASTERERS CEMENT JATC - NB 30 PLASTERERS CEMENT JATC - NB 66 PLASTERERS LOCAL 66 - NON BARG PLASTERERS MGMT COMMITTEE - FL PLASTERES CEMENT JATC - NB 300 RAYMOND NORTHERN CALIFORNIA IN REX ALVERA PLASTERING D.A.S RFJ MEISWINKEL CO ROBERT BOEGER ROLLING PLAINS CONSTRUCT S & H PLASTERING, INC. S & R DRYWALL, INC. SERVICE PLASTERING II SUPERIOR CONTRACTING CORPORATI SUPERIOR STUCCO D.A.S TARLTON & SON INC VALDEZ PLASTERING WESTERN PARTITIONS INCExplanationTxt