2020-02-18T09:52:56-06:00 2019-03-31 450250958 EIDE BAILLY LLP 3130 CROW CANYON PL STE 300 SAN RAMON CA 945831386 990 2018-04-01 941645611 SAN FRANCISCO CULINARY BARTENDERS & SERVICE EMPLOYEES WELFARE FUND SANF 2067263271 2323 EASTLAKE AVE E SEATTLE WA 98102 TRUSTEE TRUSTEE TRUSTEE 2067263271 2020-02-18 1 THERESA MONTGOMERY P00232100 9254804000 2020-02-18 12.200.143.198 2020-02-18 09:52:19 PS P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 F52D36390EBCF6BF15030359CEDEDEC3AB6B140A 2018 2020-09-23 17:36:50Z 2323 EASTLAKE AVE E SEATTLE WA 98102 311591544 0 X N/A X 1958 CA TO PROVIDE HEALTH CARE BENEFITS TO ELIGIBLE PARTICIPANTS. 8 0 24 0 0 0 0 0 169630369 161549125 2228165 15285695 28263 88090 171886797 176922910 0 0 134746644 153010280 361522 385337 0 0 0 2006932 2249269 137115098 155644886 34771699 21278024 154447754 166518028 25717570 28621831 128730184 137896197 TO PROVIDE HEALTH CARE BENEFITS TO ELIGIBLE PARTICIPANTS. 0 0 TO PROVIDE HEALTH CARE BENEFITS TO ELIGIBLE PARTICIPANTS COVERED UNDER THE COLLECTIVE BARGAINING AGREEMENTS BETWEEN THE UNION & EMPLOYERS. 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 1 0 0 1 257 0 1 24 1 0 0 0 0 0 0 0 0 X 8 0 0 1 0 0 0 0 0 1 0 0 0 0 0 1 1 0 0 0 X NORTHWEST ADMINISTRATORS INC 2067263271 2323 EASTLAKE AVE E SEATTLE WA 98102 MICHAEL CASEY TRUSTEE 5.00 X 0 0 0 DOUGLAS CORNFORD TRUSTEE 5.00 X 0 0 0 ANAND SINGH TRUSTEE 5.00 X 0 0 0 ROBERT BERGER TRUSTEE 5.00 X 0 0 0 KIM WIRSHING TRUSTEE 5.00 X 0 0 0 DEAN LEHR TRUSTEE 5.00 X 0 0 0 IAN LEWIS TRUSTEE 5.00 X 0 0 0 RICHARD SAWHILL TRUSTEE 5.00 X 0 0 0 LOUISE RUSH EXECUTIVE DIRECTOR 40.00 X 110000 0 27500 110000 0 27500 1 0 0 0 NORTHWEST ADMINISTRATORS 2323 EASTLAKE AVE E SEATTLE WA 98102 CONTRACT ADMINISTRATOR 720147 DELTA DENTAL 100 FIRST STREET SAN FRANCISCO CA 94105 CLAIMS ADMINISTRATOR 447097 INVESCO ADVISORS 1555 PEACHTREE STREET NE TWO PEACH ATLANTA GA 30309 INVESTMENT MANAGER 154733 INCOME RESEARCH MANAGEMENT 100 FEDERAL STREET 30TH FLOOR BOSTON MA 02110 DATA WAREHOUSING 125426 RAEL & LETSON PO BOX 740722 LOS ANGELES CA 90074 ACTUARY 115650 5 EMPLOYER CONTRIBUTIONS 900099 160796515 160796515 EMPLOYEE CONTRIBUTIONS 900099 752610 752610 161549125 2461911 2461911 147492418 134668634 12823784 12823784 12823784 LIQUIDATED DAMAGES 900099 86574 86574 OTHER INCOME 900099 1516 1516 88090 176922910 174460999 0 2461911 153010280 110000 275337 720147 31274 46083 365035 46775 17975 19576 CLAIMS ADMINISTRATION 450450 BENEFIT CONSULTANTS 271287 SOFTWARE LICENSING FEE 103507 PRINTING AND POSTAGE 94899 82261 155644886 5324786 2861320 49871031 56910191 13034377 13303329 21983 92397 50029212 55479148 22348406 36505740 13817959 1365903 154447754 166518028 251788 325956 25465782 28295875 25717570 28621831 X 0 0 0 0 128730184 137896197 128730184 137896197 154447754 166518028 X 21278024 -12207481 95470 X X 0 1 X 1 0 0 103-12 ENTITIES 22533283 F POOLED FUNDS 13972457 F 36505740 CLAIMS INCURRED BUT NOT REPORTED 1102000 DUE TO BROKER 2936838 DUE TO OTHER FUNDS 458564 GROUP INSURANCE PREMIUMS PAYABLE 21275690 SELF-FUNDED BENEFIT CLAIMS PAYABLE 2522783 28295875 X 164350394 -12207481 -12207481 176557875 365035 365035 176922910 155279851 0 155279851 365035 365035 155644886 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. FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION DELEGATES CONTROL OF MANAGEMENT DUTIES CUSTOMARILY PERFORMED BY OR UNDER THE DIRECT SUPERVISION OF OFFICERS, DIRECTORS, TRUSTEES OR KEY EMPLOYEES TO THE CONTRACT ADMINISTRATOR. 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 THE CHAIR AND CO-CHAIR ARE PROVIDED A COPY OF THE FORM 990 TO REVIEW PRIOR TO SIGNING. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: CHANGE IN NET BENEFIT OBLIGATIONS 95,470. FORM 990, PART XII, LINE 2C THE BOARD OF TRUSTEES ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF THE ORGANIZATION'S FINANCIAL STATEMENTS AND FOR SELECTING THE INDEPENDENT AUDITOR. SAN FRANCISCO CULINARY BARTENDERS AND SERVICE EMPLOYEES PENSION FUND 1182 MARKET STREET SAN FRANCISCO CA 94102 946118925 TO PROVIDE PENSION BENEFITS TO ELIGIBLE PARTICIPANTS CA 401A N/A 0 SAN FRANCISCO CULINARY BARTENDERS & SERVICE EMPLOYEES LEGAL SERVICES FUND 1182 MARKET STREET SAN FRANCISCO CA 94102 946625180 TO PROVIDE GROUP LEGAL SERVICES BENEFITS TO ELIGIBLE PARTICIPANTS CA 501C N/A 0 SAN FRANCISCO HOTEL RESTAURANT LABOR MANAGEMENT EDUCATION FUND 1182 MARKET STREET SAN FRANCISCO CA 94102 237103043 TO PROVIDE TRAINING AND EDUCATION PROGRAMS TO ELIGIBLE PARTICIPANTS CA 501C N/A 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 1 SAN FRANCISCO CULINARY BARTENDERS & SERVICE EMPLOYEES LEGAL SERVICES FUND B 458564 CASH SAN FRANCISCO CULINARY BARTENDERS & SERVICE EMPLOYEES LEGAL SERVICES FUND Q 12630 CASH SAN FRANCISCO CULINARY BARTENDERS & SERVICE EMPLOYEES PENSION PLAN S 160796515 CASH 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. PART VII - EXPLANATION OF TRANSACTIONS WITH RELATED ORGANIZATIONS SAN FRANCISCO CULINARY BARTENDERS & SERVICE EMPLOYEES WELFARE FUND HOLDS THE TRANSIT ACCOUNT THAT COLLECTS CONTRIBUTIONS ON BEHALF OF THE PLANS. THEY ARE TRANSFERRED ON A MONTHLY BASIS TO THE OTHER FUNDS. SAN FRANCISCO CULINARY BARTENDERS & SERVICE EMPLOYEES WELFARE FUND ALSO PAYS ALL COMMON EXPENSES, THEY ARE THEN ALLOCATED PER THE EXPENSE POLICY AND REIMBURSED BY THE OTHER FUNDS.