2020-11-04T16:59:42-06:00 2019-12-31 990155373 LEMKE CHINEN & TANAKA CPA INC 500 ALA MOANA BLVD STE 2-302 HONOLULU HI 96813 990 2019-01-01 996008823 AFL HOTEL & RESTAURANT WORKERS HEALTH & WELFARE PLAN AFLH 8085230199 560 N NIMITZ HWY NO 209 HONOLULU HI 96817 ERIC GILLJULIE WALKER TRUSTEES 8085230199 2020-10-23 TERRY TAKAKI P00036112 8085336254 72.253.73.75 2020-10-23 18:55:25 HS P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 01ED5CE0EBE8940C1C05B4911D1F0A34EBC42262 2019 2021-04-22 16:20:28Z ERIC GILLJULIE WALKER 560 N NIMITZ HWY NO 209 HONOLULU HI 96817 163654807 0 X N/A X 1955 HI TO PROVIDE HEALTH & WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS AS PRESCRIBED BY THE PLAN 6 0 0 0 0 0 0 0 108010381 124251584 2310792 3515847 16615 87417 110337788 127854848 0 0 109262239 114389293 0 0 0 0 0 3959540 3939293 113221779 118328586 -2883991 9526262 115630289 132403421 0 2663862 115630289 129739559 TO PROVIDE MEDICAL, DENTAL,PRESCRIPTION DRUG, CHIROPRACTIC CARE, VISION, AND DEATH BENEFITS TO ELIGIBLE MEMBERS 0 0 66582961 TO PROVIDE SELF FUNDED HEALTH BENEFITS TO ELIGIBLE PARTICIPANTS IN ACCORDANCE WITH TERMS SET FORTH IN THE TRUST AGREEMENTS, RULES AND REGULATIONS OF THE PLAN AND CBA 47806332 PROVIDE INSURED HEALTH BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS 114389293 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 1 6 0 1 0 0 0 0 0 0 0 0 0 X 6 0 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 0 0 0 X BENEFIT RISK MANAGEMENT SERVICES 8085230199 560 N NIMITZ HWY NO 209 HONOLULU HI 96817 X ERIC GILL LABOR TRUSTEE 0.50 X 0 0 0 JULIE NAKAYAMA MANAGEMENT TRUSTEE 0.50 X 0 0 0 DORYNE JARDINE LABOR TRUSTEE 0.50 X 0 0 0 JULIE WALKER MANAGEMENT TRUSTEE 0.50 X 0 0 0 ROSS BANIAGA LABOR TRUSTEE 0.50 X 0 0 0 KEVIN GLEASON MANAGEMENT TRUSTEE 0.50 X 0 0 0 MORGAN EVANS ALT LABOR TRUSTEE 0.50 X 0 0 0 DANIEL KERWIN ALT LABOR TRUSTEE 0.50 X 0 0 0 MARSHA BRUHN ALT LABOR TRUSTEE 0.50 X 0 0 0 CARLA THOMAS ALT MANAGEMENT TRUSTEE 0.50 X 0 0 0 KRISTEN PALAGANO ALT MANAGEMENT TRUSTEE 0.50 X 0 0 0 SHANNON LADD ALT MANAGEMENT TRUSTEE 0.50 X 0 0 0 EILEEN CALDWELL ALT MANAGEMENT TRUSTEE 0.50 X 0 0 0 0 0 0 0 0 0 0 PACIFIC SOUTHWEST ADMINISTRATORS 4399 SANTA ANITA AVENUE SUITE 200 EL MONTE CA 91731 MEDICAL CLAIMS ADMINISTRATOR 1877741 BENEFIT RISK & MANAGEMENT SERVICES 560 N NIMITZ HWY STE 209 HONOLULU HI 96817 PLAN ADMINISTRATOR 870331 HAWAII DENTAL SERVICE 700 BISHOP STREET 700 HONOLULU HI 96813 DENTAL CLAIMS ADMINISTRATOR 397185 BENEFIT PLAN SOLUTIONS 680 IWILEI ROAD SUITE 528 HONOLULU HI 96817 CONSULTANT 206414 FIRST HAWAIIAN BANK 999 BISHOP STREET HONOLULU HI 96813 INVESTMENT FEES 156094 5 EMPLOYER CONTRIBUTONS 900099 123912667 123912667 PARTICIPANT CONTRIBUTIONS 900099 338917 338917 124251584 3206228 3206228 36109578 35799959 309619 309619 309619 OTHER INCOME 900099 49257 49257 LIQUIDATED DAMAGES 900099 38160 38160 87417 127854848 124251584 0 3603264 114389293 67740 43165 186808 87177 17135 1976 MEDICAL ADMINISTRATIVE 2038714 PLAN ADMINISTRATIVE FEE 737760 DENTAL ADMINISTRATIVE F 397185 CONSULTANT FEES 264513 97120 118328586 37027 13533745 21981947 12418156 13208136 75204349 74173627 14437012 23039711 115630289 132403421 0 2663862 0 2663862 X 115630289 129739559 0 0 0 0 115630289 129739559 115630289 132403421 9526262 4583008 0 X X 0 1 X 1 0 0 NORTHERN TRUST COMMON S&P 500 INDEX FUND - NON-LENDING 12584297 F PINEBRIDGE SENIOR SECURED LOAN SUB-TRUST 2 5267307 F VOYA SENIOR LOAN COMMON TRUST FUND 5188107 F 23039711 BANK OVERDRAFT 2663862 2663862 X 132251048 4583008 4583008 127668040 186808 186808 127854848 118141778 0 118141778 186808 186808 118328586 PART X, LINE 2: THE FINANCIAL STATEMENTS CONTAIN THE FOLLOWING DISCLOSURE PERTAINING TO FIN 48 (ASC 740): "THE TRUST FUNDING CERTAIN BENEFITS OF THE PLAN RECEIVED AN EXEMPTION LETTER FROM THE IRS DATED JUNE 25, 1996, STATING THAT THE TRUST IS TAX-EXEMPT UNDER THE PROVISIONS OF SECTION 501(C)(9) OF THE IRC. HOWEVER, AS A RESULT OF THE PLAN'S FUNDING POLICY, FROM TIME TO TIME THE TRUST MAY BE SUBJECT TO INCOME TAXES. NO FEDERAL OR STATE INCOME TAXES HAVE BEEN RECORDED IN 2019 FOR UNRELATED BUSINESS TAXABLE INCOME. IN ADDITION, THE PLAN AND THE TRUST ARE REQUIRED TO OPERATE IN CONFORMITY WITH THE IRC TO MAINTAIN THE TAX-EXEMPT STATUS OF THE TRUST. THE PLAN ADMINISTRATOR BELIEVES THAT THE PLAN IS BEING OPERATED IN COMPLIANCE WITH THE APPLICABLE REQUIREMENTS OF THE IRC AND, THEREFORE, BELIEVES THAT THE RELATED TRUST IS TAX-EXEMPT. 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 (OR ASSET) IF IT HAS TAKEN AN UNCERTAIN POSITION THAT MORE THAN LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS." PINEBRIDGE SSL SUB TRUST 2 CLASS A (NON-GRANTOR TRUST) 0 0 PASSIVE INVESTMENT 5267307 0 0 0 0 0 0 5267307 0 5267307 0 1 0 0 0 0 PART I, LINE 2: THERE WERE INVESTMENT FEES OF $25,525 AND DISTRIBUTIONS RECEIVED IN THE AMOUNT OF $271,214 ASSOCIATED WITH THE PINEBRIDGE SSL SUB TRUST 2 CLASS A CAYMAN ISLANDS INVESTMENT PART III ACCOUNTING METHOD: HAWAII COMMUNITY HEALTH ALLIANCE LLC ORGANIZATION HAS 2 COMMON OFFICERS WITH ENTITY 110877 HEALTH CLAIMS NETWORK PROVIDER 0 FORM 990, PART VI, SECTION B, LINE 11B ALL DOCUMENTS ARE REVIEWED BY THIRD PARTY ADMINISTRATOR, MANAGEMENT TRUSTEE AND UNION TRUSTEE REPRESENTATIVES BEFORE SIGNING AND FILING FORM 990, PART VI, SECTION B, LINE 12C POLICY IS EXECUTED ANNUALLY BY TRUSTEES FORM 990, PART VI, SECTION C, LINE 19 POLICIES ARE MADE AVAILABLE TO MEMBERS UPON REQUEST FORM 990, PART XII, LINE 2C: NO CHANGE IN REVIEW PROCESS FROM PRIOR YEAR. BOARD OF TRUSTEES SELECT AN INDEPENDENT AUDITOR. ADMINISTRATOR FORMALLY REVIEWS AND APPROVES THE FINANCIAL STATEMENTS. BOARD OF TRUSTEES REVIEW AND APPROVE THE FINANCIAL STATEMENTS. HOTEL AND RESTAURANT INDUSTRY EMPLOYMENT AND TRAINING PLAN 560 N NIMITZ HIGHWAY 209 HONOLULU HI 96817 996009966 PROVIDE TRAINING BENEFITS TO ELIGIBLE EMPLOYEES HI 501(C)(5) N/A N/A 0 HOTEL UNION AND HOTEL INDUSTRY OF HAWAII PENSION PLAN 560 N NIMITZ HIGHWAY 209 HONOLULU HI 96817 990155373 PROVIDE RETIREMENT BENEFITS TO ELIGIBLE PARTICIPANTS HI 401(A) N/A N/A 0 HOTEL 401(K) RETIREMENT SAVINGS PLAN 222 S VINEYARD STREET SUITE PH-4 HONOLULU HI 96813 990292187 PROVIDE RETIREMENT BENEFITS TO ELIGIBLE PARTICIPANTS HI 401(A) N/A N/A 0 SEE ATTACHED SUPPLEMENTAL INFORMATION SEE ATTACHED SUPPLEMENTAL INFORMATION 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 FORM 990, SCHEDULE R, PARTS III, IV THE FILING ORGANIZATION IS A TAFT-HARTLEY MULTIEMPLOYER PLAN THAT PROVIDES HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS. THE ADMINISTRATORS OFFICE MAINTAINS A DATABASE OF THESE CONTRIBUTING EMPLOYERS INCLUDING THE NAMES, ADDRESSES, AND OTHER CONTACT INFORMATION. HOWEVER, THE LEGAL STRUCTURE (CORPORATION, PARTNERSHIP, ETC) FOR EACH CONTRIBUTING EMPLOYER IS NOT ON FILE WITH THE ADMINISTRATIVE OFFICE AND COULD NOT BE REASONABLY OBTAINED. AS A RESULT, THE CONTRIBUTING EMPLOYERS COULD NOT BE SEPARATED BY TYPE OF ORGANIZATION. HOWEVER, THEY ARE LISTED BELOW: 1 - ALA MOANA HOTEL 2 - BANQUET SOLUTIONS OF HAWAII, INC. 3 - HILTON GARDEN INN WAIKIKI 4 - HILTON HAWAIIAN VILLAGE 5 - HYATT CENTRIC WAIKIKI 6 - HYATT REGENCY WAIKIKI 7 - ILIKAI HOTEL 8 - IMPERIAL HAWAII RESORT 9 - KAHALA HOTEL & RESORT 10 - KAHALA SHOPPING CENTER 11 - KAANAPALI BEACH CLUB 12 - KYO-YA COMPANY LTD 13 - QUEEN KAPIOLANI HOTEL 14 - RAMADA PLAZA WAIKIKI 15 - ROYAL KONA RESORT 16 - SHERATON KAUAI RESORT 17 - SHERATON MAUI HOTEL 18 - THE MODERN HONOLULU 19 - THE PLAZA HOTEL 20 - TURTLE BAY RESORT 21 - UNITE H.E.R.E. 22 - WAIKIKI BEACH MARRIOTT RESORT & SPA 23 - WAIKIKI RESORT HOTEL 24 - WAIKOLOA BEACH MARRIOTT