2019-11-04T22:13:28-06:00 2018-12-31 450250958 EIDE BAILLY LLP 3130 CROW CANYON PL STE 300 SAN RAMON CA 945831386 990 2018-01-01 941229312 HOTEL AND RESTAURANT EMPLOYEES HEALTH AND WELFARE TRUST HOTE 2067263271 2323 EASTLAKE AVE E SEATTLE WA 98102 TRUSTEE TRUSTEE TRUSTEE 2067263271 2019-11-04 1 TERRI MONTGOMERY P00232100 9254804000 209.58.196.114 2019-11-04 22:13:25 PS P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 F52D36390EBCF6BF15030359CEDEDEC3AB6B140A 2018 2020-03-31 21:24:44Z 2323 EASTLAKE AVE E SEATTLE WA 98102 26421102 0 X N/A X 1963 CA TO PROVIDE HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS 6 6 0 0 0 0 0 0 22745185 23505747 407374 497561 9730 223295 23162289 24226603 0 0 18069946 21091213 0 0 0 0 0 547336 497860 18617282 21589073 4545007 2637530 18114267 18273619 3465648 2036330 14648619 16237289 NONE 0 0 TO PROVIDE HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS COVERED BY COLLECTIVE BARGAINING AGREEMENTS BETWEEN THE UNIONS AND THE EMPLOYERS. 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 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 6 0 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 1 1 0 0 1 1 0 0 0 X NORTHWEST ADMINISTRATORS INC 2067263271 2323 EASTLAKE AVE E SEATTLE WA 98102 X YULISA ELENES TRUSTEE 5.00 X 0 0 0 JOSE ZARATE TRUSTEE 5.00 X 0 0 0 KEVIN GLEASON TRUSTEE 5.00 X 0 0 0 WEI-LING HUBER TRUSTEE 5.00 X 0 0 0 DOUGLAS CORNFORD TRUSTEE 5.00 X 0 0 0 LIAN ALAN TRUSTEE 5.00 X 0 0 0 0 0 0 0 0 0 0 NORTHWEST ADMINISTRATORS INC 1182 MARKET ST SUITE 320 SAN FRANCISCO CA 94102 ADMINISTRATOR 192284 1 EMPLOYER CONTRIBUTIONS 900099 23485286 23485286 PARTICIPANT CONTRIB 900099 20461 20461 23505747 496793 496793 2195267 2194499 768 768 768 EXPERIENCE REFUND 900099 220142 220142 LIQUIDATED DAMAGES 900099 3153 3153 223295 24226603 23729810 0 496793 21091213 192284 21859 67810 56098 71700 12340 5285 MEDICAL REVIEW 31215 KAISER PILOT PROGRAM 14579 PRINTING, POSTAGE AND S 11392 LITIGATION EXPENSE 11068 2230 21589073 5047632 6133510 1725771 836199 1558015 1675386 2352 1304142 9780497 8324382 18114267 18273619 47813 30520 3417835 2005810 3465648 2036330 X 0 0 0 0 14648619 16237289 14648619 16237289 18114267 18273619 2637530 -1048860 0 X X 0 1 X 1 0 0 INSURANCE PREMIUMS PAYABLE 2004280 DUE TO OTHER TRUSTS 1530 2005810 X 23121645 -1048860 -1048860 24170505 56098 56098 24226603 22946530 1413555 1413555 21532975 56098 56098 21589073 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. INFORMATIONAL TAX RETURNS, FOR TAX YEARS FOR WHICH THE APPLICABLE STATUTES OF LIMITATIONS HAVE NOT EXPIRED, ARE SUBJECT TO EXAMINATION BY AUTHORITIES. PART XII, LINE 2D - OTHER ADJUSTMENTS: DECREASE IN BENEFIT OBLIGATIONS 1,413,555. FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION DELEGATES CONTROL OVER MANAGEMENT DUTIES CUSTOMARILY PERFORMED BY OR UNDER THE DIRECT SUPERVISON 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 TRUSTEES ARE MAILED THE FORM AND ASKED TO REMARK IF THEY HAVE CHANGES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC, UPON REQUEST. FORM 990, PART XI LINE 2C THE BOARD OF TRUSTEES ASSUMES RESPONSIBILITY FOR OVERSEEING THE AUDIT OF THE ORGANIZATION'S FINANCIAL STATEMENTS AND FOR SELECTING THE INDEPENDENT AUDITOR. EAST BAY RESTAURANT AND TAVERN RETIREMENT PLAN 1182 MARKET STREET SAN FRANCISCO CA 94120 946076428 TO PROVIDE PENSION BENEFITS TO ELIGIBLE PARTICIPANTS CA 401A N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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.