2020-10-27T09:04:33-05:00 2019-12-31 470900880 CALIBRE CPA GROUP PLLC 7501 WISCONSIN AVENUE SUITE 1200 WEST BETHESDA MD 20814 990 2019-01-01 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 2020-10-27 1 SCOTT E HALLBERG CPA P01081188 2023319880 38.100.43.98 2020-10-27 10:03:45 ED P 503212571B492C6734ECC8D7D4B0C3065084245C 2A1264631413402ED07D1720FD2C9A4C172C9560 2019 2021-04-22 16:20:28Z DANIEL LANGFORD 533 SOUTH FREMONT AVENUE LOS ANGELES CA 90071 632204165 0 X CARPENTERSSW.ORG X 1955 CA TO PROVIDE MEDICAL AND RELATED BENEFITS 15 8 0 0 0 0 0 0 392975129 446880042 3883391 8140823 5372 3177045 396863892 458197910 0 0 322338694 327234267 0 0 0 0 0 9717301 15264046 332055995 342498313 64807897 115699597 332007948 491284391 4429918 20907169 327578030 470377222 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 33,000 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 1 351 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 1 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 Mark A Thurman 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 222693 80989 Josh Raper Trustee 1.00 40.00 X 0 150277 63038 Mercy Urrea Trustee 1.00 40.00 X 0 152168 63038 Sean Hartranft Trustee 1.00 40.00 X 0 138470 59986 Gordon Hubel Trustee (Resigned) 1.00 40.00 X 0 0 0 Harry Beggs Trustee 1.00 40.00 X 0 194296 74258 Daniel Langford Trustee 1.00 40.00 X 0 301887 101758 Frank Hawk Trustee 1.00 40.00 X 0 221107 87850 0 1380898 530917 0 0 1 0 ANTHEM BLUE CROSS OF CALIFORNIA PO BOX 629 WOODLAND HILLS CA 90071 MEDICAL CLAIMS PROCESSING 8169697 CARPENTERS SOUTHWEST ADMINISTRATIVE CORP 533 SOUTH FREMONT AVENUE LOS ANGELES CA 90071 ADMINISTRATIVE SERVICES 4828326 DECARLO SHANLEY ATTORNEYS AT LAW 533 SOUTH FREMONT AVENUE LOS ANGELES CA 90071 LEGAL 701430 CONTINENTAL COLORCRAFT 1166 W GARVEY AVE MONTEREY PARK CA 91754 PRINTING 492644 THE SEGAL COMPANY PO BOX 4070 NEW YORK NY 10261 CONSULTANT/ACTUARY 248405 6 EMPLOYER CONTRIBUTIONS 900099 444934581 444934581 PARTICIPANT CONTRIBUTIONS 900099 1540980 1540980 LIQUIDATED DAMAGES 900099 404481 404481 446880042 8679481 8679481 173467597 174006255 -538658 -538658 -538658 TRANSITION FUNDING FROM COLORADO 900099 2779643 2779643 OPEN ENROLLMENT AND CONSUMERISM E 900099 356330 356330 OTHER REVENUE 900099 41072 41072 3177045 458197910 450057087 0 8140823 327234267 3357708 735642 39500 153222 10119270 783342 7772 62200 DUES AND SUBSCRIPTIONS 5390 342498313 70700545 3694483 36883103 35675955 20968 24739 221804840 448420366 2598492 3468848 332007948 491284391 539964 928869 3889954 19978300 4429918 20907169 X 0 0 0 0 327578030 470377222 327578030 470377222 332007948 491284391 115699597 27099595 0 X X 0 1 X 1 0 0 ESTIMATED LIABILITY FROM CLAIMS IBNR 19978300 19978300 X 485144283 27099595 27099595 458044688 153222 153222 458197910 325619691 0 325619691 153222 16725400 16878622 342498313 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 16,725,400. 0 0 0 Pete Rodriguez Trustee 0 222693 0 0 0 0 0 65129 0 15860 0 303682 0 0 Josh Raper Trustee 0 150277 0 0 0 0 0 47178 0 15860 0 213315 0 0 Mercy Urrea Trustee 0 152168 0 0 0 0 0 47178 0 15860 0 215206 0 0 Sean Hartranft Trustee 0 138470 0 0 0 0 0 44126 0 15860 0 198456 0 0 Harry Beggs Trustee 0 194296 0 0 0 0 0 58398 0 15860 0 268554 0 0 Daniel Langford Trustee 0 301887 0 0 0 0 0 85898 0 15860 0 403645 0 0 Frank Hawk Trustee 0 221107 0 0 0 0 0 71990 0 15860 0 308957 0 0 Form 990, Part VI, Section B, line 11b FORM 990 IS REVIEWED BY THE EXECUTIVE ADMINSTRATOR 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 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 CALIFORNIA DEPT OF CORREC CARP INTERNATIONAL TRNG F CARP JT APPRNT COMM FUND CARP LOCAL #1607 CARP LOCAL 1912 CARPENTERS LOCAL #1319 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-CONTRS COOP CO CITY OF LOS ANGELES COUNTY OF LOS ANGELES UNITED BROTHERHD CARP-CET UNITED BRTHRD CARP-JOB CO CARPENTERS SOUTHWEST ADMINISTRATION CORPORATION 533 SOUTH FREMONT LOS ANGELES CA 90071 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