2020-10-09T15:15:43-05:00 2019-11-30 450250958 EIDE BAILLY LLP 3130 CROW CANYON PL STE 300 SAN RAMON CA 945831386 990 2018-12-01 946093929 BAKERS HEALTH AND WELFARE FUND BAKE 8003380508 1600 HARBOR BAY PARKWAY SUITE 200 ALAMEDA CA 945023035 JAMES HAM CHAIR 8003380508 2020-10-09 1 THERESA MONTGOMERY P00232100 9254804000 2020-10-08 99.110.55.147 2020-10-09 15:15:00 PD P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 327E456370A643C83A1BB4325D39191A230D016A 2018 2021-09-10 13:11:23Z JAMES HAM 1600 HARBOR BAY PARKWAY SUITE 200 ALAMEDA CA 945023035 17138717 0 X N/A X 1952 CA TO PROVIDE HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS. 6 6 0 6 0 0 0 0 13386943 12701923 113692 180150 75577 19056 13576212 12901129 0 0 12090212 12856562 0 0 0 0 0 454722 443087 12544934 13299649 1031278 -398520 10660101 10338216 1104677 913899 9555424 9424317 NONE 0 0 TO PROVIDE HEALTH AND WELFARE BENEFITS TO APPROXIMATELY 900 ELIGIBLE PARTICIPANTS COVERED UNDER THE COLLECTIVE BARGAINING AGREEMENTS BETWEEN THE UNION AND THE EMPLOYEES. 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 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 X 6 6 0 1 0 0 0 0 0 1 0 0 0 0 1 1 1 1 1 0 0 0 CA X ZENITH ADMINISTRATORS INC 8002515013 1600 HARBOR BAY PARKWAY SUITE 200 ALAMEDA CA 945023035 X NORM ANDREWS TRUSTEE 5.00 X 0 0 0 JAMES R HAM CHAIR 5.00 X 0 0 0 FELISA CASTILLO TRUSTEE 5.00 X 0 0 0 JOE BIRINGER CO-CHAIR 5.00 X 0 0 0 JOHN ONTIVEROS TRUSTEE 5.00 X 0 0 0 OSCAR HERNANDEZ TRUSTEE 5.00 X 0 0 0 0 0 0 0 0 0 0 ZENITH AMERICAN SOLUTIONS 1600 HARBOR BAY PARKWAY SUITE 200 ALAMEDA CA 94502 ADMINISTRATOR 222251 1 EMPLOYER CONTRIBUTIONS 900099 12386540 12386540 EMPLOYEE CONTRIBUTIONS 900099 315383 315383 12701923 181271 181271 4236467 4237588 -1121 -1121 -1121 PRESCRIPTION REBATES 900099 19056 19056 19056 12901129 12719858 0 181271 12856562 222251 9390 29435 34846 87683 19848 20069 7397 BANK CHARGES 7566 DENTAL CONSULTANT 3600 PCORI FEES 684 MISCELLANEOUS 318 13299649 3072714 1807181 89057 163476 1029751 989475 14239 7397 653795 813886 5744838 6514701 55707 42100 10660101 10338216 60654 47465 1044023 866434 1104677 913899 X 0 0 0 0 9555424 9424317 9555424 9424317 10660101 10338216 -398520 267413 0 X X 0 1 X 1 0 0 GOVERNMENT BONDS 3508312 F CORPORATE BONDS 3006389 F 6514701 GROUP INSURANCE PREMIUMS PAYABLE 756289 CLAIMS LIABILITY 15145 CLAIMS INCURRED BUT NOT REPORTED 95000 866434 X 13168542 267413 267413 12901129 0 12901129 13477236 177587 177587 13299649 0 13299649 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 2D - OTHER ADJUSTMENTS: INCREASE / DECREASE IN BENEFIT OBLIGATIONS 177,587. FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION HAS DELEGATED CONTROL OVER MANAGEMENT DUTIES TO A THIRD PARTY ADMINISTRATOR, ZENITH ADMINISTRATORS, INC. FORM 990, PART VI, SECTION A, LINE 8B THE ORGANIZATION DOES NOT HAVE ANY SUB-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 REVIEW THE FORM 990 BEFORE IT IS FILED. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY IS MONITORED AT BOARD OF TRUSTEE MEETINGS FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST. FORM 990 PART XII, LINE 2C THERE WERE NO CHANGES FROM THE PRIOR YEAR.