2018-11-13T15:16:11-06:00 2017-12-31 952648289 VAVRINEK TRINE DAY & CO LLP 1900 S NORFOLK STREET SUITE 225 SAN MATEO CA 94403 990 2017-01-01 946082955 PIPE TRADES DISTRICT COUNCIL #36 HEALTH AND WELFARE TRUST FUND PIPE 9258334314 1600 HARBOR BAY PKWY NO 200 ALAMEDA CA 94502 TRUSTEE TRUSTEE TRUSTEE 9258334314 2018-11-13 1 MELISSA EVJENTH P01781096 9094664410 65.60.100.226 2018-11-13 13:08:25 PS P C8485762D0A103083B9EABF22E0AFFE603142D80 A8923EACCE2D6A4F1290DCBC04922AB836540ED7 2017 2019-02-21 02:37:17Z 1600 HARBOR BAY PKWY NO 200 ALAMEDA CA 94502 33759347 0 X N/A X 1954 CA TO PROVIDE HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS. 10 10 0 0 0 0 0 0 21118708 23093712 107669 112909 245713 0 21472090 23206621 0 0 14686405 18873521 59552 51191 0 0 0 1240115 1188642 15986072 20113354 5486018 3093267 27661598 34426619 7702512 11276462 19959086 23150157 NONE. 0 0 TO PROVIDE HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS. 0 0 0 0 0 0 0 0 0 0 0 0 1 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 26 0 0 0 0 0 0 0 0 0 0 0 0 X 10 10 1 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X ZENITH AMERICAN SOLUTIONS 9258334314 1600 HARBOR BAY PKWY SUITE 200 ALAMEDA CA 94502 X ANDREW BOOTH TRUSTEE 5.00 X 0 0 0 LONNIE PETTY TRUSTEE 5.00 X 0 0 0 BLUE WILSON TRUSTEE 5.00 X 0 0 0 DANNY WRIGHT TRUSTEE 5.00 X 0 0 0 BILL TAYLOR CO-CHAIRMAN 5.00 X 0 0 0 SCOTT STRAWBRIDGE CHAIRMAN 5.00 X 0 0 0 MARK MULLINER TRUSTEE 5.00 X 0 0 0 STEVE MACARTHUR TRUSTEE 5.00 X 0 0 0 DUSTIN SACCONE TRUSTEE 5.00 X 0 0 0 CHAD PETTY TRUSTEE 5.00 X 0 0 0 0 0 0 0 0 0 0 HEALTH SERVICES & BENEFIT ADMINISTRATORS 4160 DUBLIN BLVD SUITE 400 DUBLIN CA 94568 ADMINISTRATOR 287690 BLUE CROSS OF CALIFORNIA PO BOX 70000 VAN NUYS CA 914701000 CLAIMS ADMINISTRATOR 186672 KAUFMANN AND GOBLE 160 WEST SANTA CLARA STREET SUITE SAN JOSE CA 95113 CONSULTANT 149482 BENESYS ADMINISTRATORS 7180 KOLL CENTER PKWY SUITE 200 PLEASANTON CA 94566 ADMINISTRATOR 116743 4 EMPLOYER CONTRIBUTION 900099 20748076 20748076 PARTICIPANT CONTRIBUTIONS 900099 2345636 2345636 23093712 184168 184168 10481467 10552726 -71259 -71259 -71259 23206621 23022453 0 184168 18873521 51191 404433 35737 77321 27148 22853 10272 4306 MED CONSULT/ADMIN 335534 CONSULTANT 149482 REIMBURSEMENT TO OTHER 58835 MISCELLANEOUS 37880 24841 20113354 8428394 10616788 1562921 3177420 2536620 2373197 1818 13721 13112618 12267409 2019227 5978084 27661598 34426619 140743 577453 7561769 10699009 7702512 11276462 X 0 0 0 0 19959086 23150157 19959086 23150157 27661598 34426619 3093267 97804 0 X X 0 1 X 1 0 0 ACCRUED INTEREST AND DIVIDENDS 22155 OTHER RECEIVABLES 179 DUE FROM OTHER TRUSTS 5955750 5978084 BENEFIT OBLIGATIONS 10505591 RECIPROCITY PAYABLE 132336 DUE TO OTHER TRUSTS 61082 10699009 X 23304425 97804 97804 23206621 0 23206621 20113354 0 20113354 0 20113354 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 2 LONNIE PETTY, TRUSTEE, IS THE FATHER OF CHAD PETTY, TRUSTEE. FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION DELEGATES CONTROL OVER 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 B, LINE 11B CHAIR AND CO-CHAIR REVIEW THE FORM. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST POLICY IS REVIEWED ANNUALLY AT THE BOARD OF TRUSTEE MEETINGS. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE 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. PIPE TRADES DISTRICT COUNCIL #36 LABOR MANAGEMENT COMMITTEE 7180 KOLL CENTER PARKWAY SUITE 200 PLEASANTON CA 94566 776062055 TO FACILITATE COMMUNICATION AND ORGANIZATIONAL EFFECTIVENESS CA 501(C)(5) N/A 0 PIPE TRADES DISTRICT COUNCIL #36 APPRENTICE TRAINING FUND 7180 KOLL CENTER PARKWAY SUITE 200 PLEASANTON CA 94566 922339560 TO PROVIDE CONTINUED TRAINING TO MEMBERS OF THE PARTICIPANTS UNION LOCALS CA 501(C)(5) N/A 0 PIPE TRADES DISTRICT COUNCIL #36 HIRING HALL ADMINISTRATION FUND 7180 KOLL CENTER PARKWAY SUITE 200 PLEASANTON CA 94566 942822741 TO PROVIDE FUNDING FOR THE OPERATION OF THE JOINT HIRING HALLS CA 501(C)(5) N/A 0 PIPE TRADES DISTRICT COUNCIL #36 PENSION TRUST FUND 7180 KOLL CENTER PARKWAY SUITE 200 PLEASANTON CA 94566 946082956 TO PROVIDE PENSION BENEFITS TO ELIGIBLE PARTICIPANTS COVERED BY CBA CA 401A N/A 0 PIPE TRADES DISTRICT COUNCIL #36 DEFINED CONTRIBUTION PLAN 7180 KOLL CENTER PARKWAY SUITE 200 PLEASANTON CA 94566 946082956 TO PROVIDE PENSION BENEFITS TO ELIGIBLE PARTICIPANTS COVERED BY CBA 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.