2019-07-25T12:50:28-05:00 2018-09-30 522385296 LINDQUIST LLP 600 CITY PARKWAY WEST SUITE 300 ORANGE CA 92868 990 2017-10-01 956049026 OPERATING ENGINEERS LOCAL 501 SECURITY FUND OPER 6266461079 PO BOX 990 WEST COVINA CA 91793 EDWARD CURLY CHAIRMAN 6266461079 2019-07-25 1 RICHARD G THIERMANN P00974294 7142570100 66.7.226.66 2019-07-25 10:50:15 PD P 92C7F91AD246760067C653CBF66B8BF12B4D5FD1 92C7F91AD246760067C653CBF66B8BF12B4D5FD1 2017 2019-02-21 02:37:17Z EDWARD CURLY PO BOX 990 WEST COVINA CA 91793 46175139 0 X N/A X 1952 CA TO PROVIDE HEALTH AND WELFARE BENEFITS. 8 0 0 0 0 0 0 0 44879292 45291453 742875 869643 500 14043 45622667 46175139 0 0 34022298 34729238 0 0 0 0 0 2005351 1922033 36027649 36651271 9595018 9523868 58093638 71260739 8417477 13023135 49676161 58237604 TO PROVIDE HEALTH AND WELFARE BENEFITS. 0 0 PROVIDED HEALTH AND WELFARE BENEFITS FOR PARTICIPANTS AND THEIR DEPENDENTS. 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 1096 0 1 0 0 0 0 0 0 0 X 8 0 0 1 0 0 0 0 0 1 0 0 0 1 1 0 0 1 1 0 0 0 X BARRY OSHAROW PLAN MANAGER BENESYS ADMINISTRATORS 6266461079 PO BOX 990 WEST COVINA CA 91793 X MIKE NAREZ TRUSTEE 5.00 X 0 0 0 DENISE VUKOJEVICH VICE CHAIRMAN 5.00 X 0 0 0 EDWARD CURLY CHAIRMAN 5.00 X 0 0 0 THOMAS O'MAHAR TRUSTEE 5.00 X 0 0 0 ERIC FLETT ALTERNATE TRUSTEE 5.00 X 0 0 0 JEFF PALMER ASSISTANT SECRETARY 5.00 X 0 0 0 KEVIN GLEASON SECRETARY 5.00 X 0 0 0 THOMAS CROSSER TRUSTEE 5.00 X 0 0 0 WILL WEBSTER TRUSTEE 5.00 X 0 0 0 SEE SCHEDULE O FOR COMPENSATION PAID BY RELATED ORGANIZATION 0.00 X 0 1 0 0 1 0 0 0 0 0 BENESYS INC 1050 LAKE DR WEST COVINA CA 91790 CONTRACT ADMINISTRATOR 988635 LINDQUIST LLP 600 CITY PARKWAY WEST SUITE 300 ORANGE CA 92868 AUDIT 315618 ANTHEM BLUE CROSS OF CALIFORNIA 21555 OXNARD ST WOODLAND HILLS CA 91367 NETWORK ACCESS FEES 138074 MILLIMAN 650 CALIFORNIA STREET 17TH FL SAN FRANCISCO CA 941082702 ACTUARY 125685 WEINBERG ROGER & ROSENFELD 800 WILSHIRE BLVD LOS ANGELES CA 90017 LEGAL SERVICE 116686 5 EMPLOYER CONTRIBUTIONS 900099 41898955 41898955 PARTICIPANT CONTRIBUTIONS 900099 2349079 2349079 PRESCRIPTION REBATE 900099 844545 844545 STOP LOSS REIMBURSEMENT 900099 198874 198874 45291453 869643 869643 MISC. REVENUE 900099 14043 14043 14043 46175139 45305496 0 869643 34729238 950868 171218 223210 31522 406879 85153 6315 43452 MEMBERSHIP DUES 3416 36651271 22508621 35622756 3882804 4026838 10413 12128 31691800 31599017 58093638 71260739 41819 54052 436712 1221525 7938946 11747558 8417477 13023135 X 0 0 0 0 49676161 58237604 49676161 58237604 58093638 71260739 9523868 -962425 0 X X 0 1 X 1 0 0 CLAIMS PAYABLE AND IBNR 2610900 ACCUMULATED ELIGIBILITY CREDITS 5887000 DUE TO RELATED PLANS 3249658 11747558 X 45181192 -962425 -962425 46143617 31522 31522 46175139 35777849 0 35777849 31522 841900 873422 36651271 PART X, LINE 2: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE THE TAX POSITIONS TAKEN BY THE PLAN AND TO RECOGNIZE A TAX LIABILITY IF THE PLAN HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE. THE PLAN HAS ANALYZED THE TAX POSITIONS TAKEN BY THE PLAN AND HAS CONCLUDED THAT, AS OF SEPTEMBER 30, 2018, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY THE TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. THE PLAN BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR THE FISCAL YEARS PRIOR TO 2015. PART XII, LINE 4B - OTHER ADJUSTMENTS: CHANGE IN BENEFIT OBLIGATION FORM 990, PART VI, SECTION A, LINE 3 THE PLAN HAS A CONTRACT WITH A THIRD-PARTY ADMINISTRATOR TO PROVIDE DAY TO DAY ADMINISTRATIVE SERVICES FOR THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 8B THERE ARE NO OTHER COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B PRIOR TO FILING, THE FORM 990 IS REVIEWED BY THE FUND MANAGER AND THEN BY THE BOARD OF TRUSTEES. 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. PART VII, SECTION A, LINE 1A: TRUSTEES ARE NOT COMPENSATED BY THE TRUST. COMPENSATION PAID TO TRUSTEES EMPLOYED BY OTHER RELATED ORGANIZATIONS IS REPORTED ON THE FORM 990 FILED WITH THE INTERNAL REVENUE SERVICE BY THE RELATED TAX-EXEMPT ORGANIZATION. IF YOU WOULD LIKE ADDITIONAL INFORMATION, PLEASE CONTACT THE THIRD-PARTY ADMINISTRATOR, BENESYS ADMINISTRATORS. FORM 990, PART XII, LINE 2C: THE BOARD OF TRUSTEES ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE ANNUAL AUDIT AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THERE HAS BEEN NO CHANGE IN THIS PROCESS FROM PRIOR YEAR. INTERNATIONAL UNION OF OPERATING ENGINEERS LOCAL NO 501 2405 WEST 3RD STREET LOS ANGELES CA 90057 951751526 LABOR UNION CA 501(C)(5) N/A N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 SCHEDULE R, IDENTIFICATION OF RELATED ORGANIZATIONS: THE FILING ORGANIZATION IS A TAFT-HARTLEY MULTIEMPLOYER TRUST THAT PROVIDES HEALTH AND WELFARE BENEFITS TO ELIGIBLE EMPLOYEES AND THEIR DEPENDENTS. AS OF SEPTEMBER 30, 2018, THERE ARE 89 EMPLOYERS THAT CONTRIBUTE TO THE TRUST. THE ADMINISTRATIVE OFFICE MAINTAINS A DATABASE OF THESE CONTRIBUTING EMPLOYERS, INCLUDING NAMES, ADDRESSES AND OTHER CONTACT INFORMATION. THE FEDERAL TAX CLASSIFICATION (DISREGARDED ENTITY, TAX-EXEMPT ORGANIZATION, PARTNERSHIP, TAXABLE CORPORATION OR TRUST) FOR EACH CONTRIBUTING EMPLOYER IS NOT ON FILE WITH THE ADMINISTRATIVE OFFICE AND IT COULD NOT BE REASONABLY OBTAINED. AS A RESULT, THE NAMES OF THE CONTRIBUTING EMPLOYERS ARE LISTED ON PART VII BELOW AND NOT ON PARTS II THROUGH IV BY FEDERAL TAX CLASSIFICATION. 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JOHN HANCOCK LIFE INSURANCE JOINT APPRENTICESHIP COMMITTEE JONES LANG LASALLE AMERICAS KCORP TECHNOLOGY SERVICES INC KILROY REALTY CORPORATION L.A. ARENA CO/L.A. LIVE THEATRE (UTILITY) LA LIVE PROPERTIES (UTILITY) GENERAL GROWTH SERVICES, INC. GEORGE S. HALL, INC. LOS ANGELES ARENA CO (ENG) LOS ANGELES COLD STORAGE METRO SERVICES GROUP MILLENNIUM BILTMORE HOTEL MUSIC CENTER MISSION SUPPORT AND TEST SERVICES, LLC. SHEN ZHEN NEW WORLD I, LLC NORTHWIND ALADDIN, LLC OPERATING ENG LOCAL 501 PACIFIC DESIGN CO PARAGON SERVICES ENGINEERING PARBALL CORP-CAESARS ENTR LAUN PASADENA HILTON HOTEL PLAZA HOTEL AND CASINO PRAXAIR DISTRIBUTION INC RALPHS GROCERY CO. WALDORF ASTORIA BEVERLY HILLS RITE AID CORPORATION ROCKVIEW DAIRIES, INC. 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