STRATEGY STUDIO / PUBLIC DATA EXPLORER

NORTHERN CALIFORNIA GENERAL TEAMSTERS SECURITY FUND: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
NORTHERN CALIFORNIA GENERAL TEAMSTERS SECURITY FUND (EIN 94-6073033)
Tax period
2016-08-01 to 2017-07-31
Filed
2018-05-29
IRS object ID
201841499349300249
Schema version
2016v3.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2018-05-29T13:28:36-05:00ReturnTs
Tax Period End2017-07-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN522385296PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1LINDQUIST LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line15000 EXECUTIVE PARKWAY SUITE 400AddressLine1Txt
CitySAN RAMONCityNm
State AbbreviationCAStateAbbreviationCd
ZIP945834210ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-08-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN946073033EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1NORTHERN CALIFORNIABusinessNameLine1Txt
Business Name Line2GENERAL TEAMSTERS SECURITY FUNDBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlNORTBusinessNameControlTxt
Phone2099405100PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 2300AddressLine1Txt
CitySTOCKTONCityNm
State AbbreviationCAStateAbbreviationCd
ZIP95201ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMIKE CARNEFIXPersonNm
Person TitleTRUSTEEPersonTitleTxt
Phone2099405100PhoneNum
Signature2018-05-29SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJOSEPH M THIERMANNPreparerPersonNm
PTINP01066616PTIN
Phone9252779100PhoneNum
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDAVE HAWLEYPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 2300AddressLine1Txt
CitySTOCKTONCityNm
State AbbreviationCAStateAbbreviationCd
ZIP95201ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$383,983,665GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501cYes (X)Organization501cInd
Website AddressN/AWebsiteAddressTxt
Type Of Organization TrustYes (X)TypeOfOrganizationTrustInd
Formation1952FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionTO PROVIDE HEALTH & WELFARE BENEFITS.ActivityOrMissionDesc
Voting Members Governing Body5VotingMembersGoverningBodyCnt
Voting Members Independent0VotingMembersIndependentCnt
Total Employee2TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$235,301,354PYProgramServiceRevenueAmt
CY Program Service Revenue$259,755,238CYProgramServiceRevenueAmt
PY Investment Income$837,766PYInvestmentIncomeAmt
CY Investment Income$5,840,114CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$236,139,120PYTotalRevenueAmt
CY Total Revenue$265,595,352CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$189,535,039PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$200,849,860CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$22,979,943PYOtherExpensesAmt
CY Other Expenses$25,287,322CYOtherExpensesAmt
PY Total Expenses$212,514,982PYTotalExpensesAmt
CY Total Expenses$226,137,182CYTotalExpensesAmt
PY Revenues Less Expenses$23,624,138PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$39,458,170CYRevenuesLessExpensesAmt
Total Assets BOY$211,387,847TotalAssetsBOYAmt
Total Assets EOY$267,760,971TotalAssetsEOYAmt
Total Liabilities BOY$52,209,329TotalLiabilitiesBOYAmt
Total Liabilities EOY$59,727,530TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$159,178,518NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$208,033,441NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
DescPROVIDED HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS.Desc
Described In Section501c30DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building Equipment0ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee2EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members5GoverningBodyVotingMembersCnt
Independent Voting Member0IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of Committees0MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1DELTA FUND ADMINISTRATORSBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone2099405100PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11234 W OAK STREETAddressLine1Txt
CitySTOCKTONCityNm
State AbbreviationCAStateAbbreviationCd
ZIP95203ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (8 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
JEFF BERDION
TRUSTEE1.00Yes (X)$0$0$0
PETER NUNEZ
TRUSTEE1.00Yes (X)$0$0$0
MIKE CARNEFIX
TRUSTEE1.00Yes (X)$0$0$0
IDA HAILSTONE
TRUSTEE (PAST)1.00Yes (X)$0$0$0
DAVE HAWLEY
TRUSTEE1.00Yes (X)$0$0$0
CHESTER SUNIGA
TRUSTEE (PAST)1.00Yes (X)$0$0$0
ROBERT PINA
TRUSTEE1.00Yes (X)$0$0$0
SEE SCHEDULE O FOR COMPENSATION
PAID BY RELATED ORGANIZATIONS0.00Yes (X)$0$1$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
DELTA FUND ADMINISTRATORS LLC
1234 W OAK STREETSTOCKTONCA95207CONTRACT ADMINISTRATOR$5,081,450
BLUE SHIELD OF CALIFORNIA
PO BOX 272540CHICOCA95927NETWORK FEES$2,212,855
MCMORGAN & COMPANY
ONE FRONT STREET STE 500SAN FRANCISCOCA94111INVESTMENT MANAGER$714,280
ANTHEM BLUE CROSS
2121 N CALIFORNIA BLVDWALNUT CREEKCA94596NETWORK FEES$356,105
DELTA HEALTH SYSTEMS
1234 W OAK STREETSTOCKTONCA95207CONTRACT ADMINISTRATOR$327,898
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K8CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
EMPLOYER CONTRIBUTIONS900099$255,624,920$255,624,920
PRESCRIPTION REBATES900099$1,317,195$1,317,195
RESERVE SUBSIDY900099$1,230,071$1,230,071
STOP LOSS RECOVERY900099$1,225,899$1,225,899
PARTICIPANT CONTRIBUTIONS900099$220,105$220,105

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$137,048TotalRevenueColumnAmt
Related Or Exempt Func Income$137,048RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$259,755,238TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,292,382TotalRevenueColumnAmt
Exclusion$6,292,382ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$117,936,045SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$118,388,313SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$452,268SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$452,268TotalRevenueColumnAmt
Exclusion-$452,268ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$265,595,352TotalRevenueColumnAmt
Related Or Exempt Func Income$259,755,238RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$5,840,114ExclusionAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$200,849,860TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$73,046TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$230,632TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$819,253TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$9,618,168TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$271,955TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$35,620TotalAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$82,038TotalAmt

Other Expenses OtherExpensesGrp

FieldValueIRS element (for citing)
DescRESERVE SUBSIDYDesc
Total$14,156,610TotalAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$226,137,182TotalAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$28,879,000BOYAmt
EOY$37,861,559EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$23,659,284BOYAmt
EOY$23,843,917EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$20,338BOYAmt
EOY$12,469EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$158,829,225BOYAmt
EOY$206,043,026EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$211,387,847BOYAmt
EOY$267,760,971EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$5,135,465BOYAmt
EOY$4,731,417EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$47,073,864BOYAmt
EOY$54,996,113EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$52,209,329BOYAmt
EOY$59,727,530EOYAmt
FieldValueIRS element (for citing)
Org Does Not Follow SFAS117Yes (X)OrgDoesNotFollowSFAS117Ind

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

FieldValueIRS element (for citing)
BOY$159,178,518BOYAmt
EOY$208,033,441EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$159,178,518BOYAmt
EOY$208,033,441EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$211,387,847BOYAmt
EOY$267,760,971EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$39,458,170ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$9,396,753NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
CLAIMS PAYABLE AND IBNR$36,835,113
ACCUMULATED ELIGIBILITY CREDITS$18,161,000
FieldValueIRS element (for citing)
Total Liability$54,996,113TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$274,172,852TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$9,396,753NetUnrealizedGainsInvstAmt
Revenue Not Reported$9,396,753RevenueNotReportedAmt
Revenue Subtotal$264,776,099RevenueSubtotalAmt
Investment Expenses Not Incld$819,253InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt$819,253RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$265,595,352TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$217,050,263TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$217,050,263ExpensesSubtotalAmt
Investment Expenses Not Incld2$819,253InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$8,267,666OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$9,086,919ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$226,137,182TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 NOT 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 JULY 31, 2017, 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 2014.
PART XII, LINE 4B - OTHER ADJUSTMENTS:CHANGE IN BENEFIT OBLIGATIONS

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART V, LINE 1A:THE PLAN'S THIRD-PARTY ADMINISTRATOR FILES ONE 1099 ON BEHALF OF ALL THE PLANS THEY ADMINISTER FOR THE VARIOUS "INDEPENDENT CONTRACTORS." THEREFORE, THIS QUESTION HAS BEEN ANSWERED AS ZERO FOR THIS ORGANIZATION.
FORM 990, PART V, LINE 2A:THE ORGANIZATION DOES NOT HAVE EMPLOYEES. W-2'S ARE ISSUED FOR TAXABLE DOMESTIC PARTNER BENEFITS.
FORM 990, PART VI, SECTION A, LINE 3THE GOVERNING BODY HAS APPOINTED MANAGEMENT DUTIES TO A THIRD-PARTY ADMINISTRATOR.
FORM 990, PART VI, SECTION A, LINE 8BTHE ORGANIZATION DOES NOT HAVE A COMMITTEE WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY.
FORM 990, PART VI, SECTION B, LINE 11BTHE FORM 990 WAS MADE AVAILABLE TO EACH OF THE TRUSTEES FOR REVIEW BEFORE THE RETURN WAS FILED. THE THIRD-PARTY ADMINISTRATOR REVIEWED THE FORM FOR COMPLETENESS AND ACCURACY PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CTHE CONFLICT-OF-INTEREST POLICY COVERS ALL TRUSTEES AND ANY OTHER INDIVIDUALS WHO EXERCISE DISCRETIONARY AND/OR FIDUCIARY AUTHORITY OVER THE AFFAIRS OF THE TRUST. AT LEAST ONCE ANNUALLY, TRUSTEES AND OTHER FIDUCIARIES ARE REQUIRED TO DISCLOSE IN WRITING ANY RELATIONSHIPS OR INTERESTS THAT COULD GIVE RISE TO A CONFLICT. THE BOARD HAS DISCRETIONARY AUTHORITY TO DETERMINE WHETHER A CONFLICT DOES IN FACT, EXIST AND, IF SO, WHETHER THE CONTEMPLATED TRANSACTION MAY BE AUTHORIZED AS JUST, FAIR AND REASONABLE TO THE TRUST. SUCH DETERMINATIONS ARE MADE WITHOUT THE INPUT OR PARTICIPATION OF THE CONFLICTED INDIVIDUAL.
FORM 990, PART VI, SECTION B, LINE 15THE ORGANIZATION DOES NOT COMPENSATE TRUSTEES.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT-OF-INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
PART VII, SECTION A, LINE 9A: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, DELTA FUND ADMINISTRATORS LLC.
FORM 990, PART XII, LINE 2C:THE BOARD OF TRUSTEES ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND FOR THE SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (10 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationInd
TEAMSTERS RETIREE TRUST
PO BOX 2330STOCKTONCA95201686097704TO PROVIDE HEALTH BENEFITS FOR RETIRED PARTICIPANTS AND THEIR DEPENDENTS.CA501(C)(9)N/AN/A0
TEAMSTERS LOCAL UNION 948
1933 W CALDWELLVISALIACA93277941310598LOCAL UNION/SPONSORING ORGANIZATION OF THE FILING ORGANIZATIONCA501C(5)N/AN/A0
TEAMSTERS LOCAL UNION 137
3540 S MARKETREDDINGCA96001940577278LOCAL UNION/SPONSORING ORGANIZATION OF THE FILING ORGANIZATIONCA501C(5)N/AN/A0
TEAMSTERS LOCAL UNION 150
7120 E PARKWAYSACRAMENTOCA95823940380120LOCAL UNION/SPONSORING ORGANIZATION OF THE FILING ORGANIZATIONCA501C(5)N/AN/A0
TEAMSTERS LOCAL UNION 386
1225 THIRTEENTH STMODESTOCA95354940577279LOCAL UNION/SPONSORING ORGANIZATION OF THE FILING ORGANIZATIONCA501C(5)N/AN/A0
TEAMSTERS LOCAL UNION 431
1140 W OLIVE STREETFRESNOCA93278940577293LOCAL UNION/SPONSORING ORGANIZATION OF THE FILING ORGANIZATIONCA501C(5)N/AN/A0
TEAMSTERS LOCAL UNION 439
PO BOX 1611STOCKTONCA95201940918920LOCAL UNION/SPONSORING ORGANIZATION OF THE FILING ORGANIZATIONCA501C(5)N/AN/A0
TEAMSTERS LOCAL UNION 517
512 W OAK STVISALIACA93291941069921LOCAL UNION/SPONSORING ORGANIZATION OF THE FILING ORGANIZATIONCA501C(5)N/AN/A0
TEAMSTERS LOCAL UNION 533
240 GENTRY WAYRENONV89502880046825LOCAL UNION/SPONSORING ORGANIZATION OF THE FILING ORGANIZATIONNV501C(5)N/AN/A0
TEAMSTERS LOCAL UNION 87
2531 G STREETBAKERSFIELDCA93301950865989LOCAL UNION/SPONSORING ORGANIZATION OF THE FILING ORGANIZATIONCA501C(5)N/AN/A0
FieldValueIRS element (for citing)
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Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE R, IDENTIFICATION OF RELATED ORGANIZATIONS:FormAndLineReferenceDesc
ExplanationTHE FILING ORGANIZATION IS A TAFT-HARTLEY MULTIEMPLOYER TRUST THAT PROVIDES HEALTH AND WELFARE BENEFITS TO ELIGIBLE EMPLOYEES AND THEIR DEPENDENTS. AS OF JULY 31, 2017, THERE ARE APPROXIMATELY 164 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. ORLAND UNIT WATER USERS ASSOC FOSTER FARMS - FRESNO ADVANCED FOOD PRODUCTS ALLIDED/ REPUBLIC WASTE STKN ALLIDED/ REPUBLIC WASTE STKN ALLIDED/ REPUBLIC WASTE STKN SYSCO FOOD SERVICE OF SAC GRANITE CONSTRUCTION WILBUR-ELLIS CO GRANITE ROCK GREIF INDUSTRIAL GEORGE KISHIDA INC AMERIPRIDE UNIFORM SER - FRESNO AMERIPRIDE UNIFORM SER - SAC WESTWAY FEED PRODUCTS RUAN - T321 TRUCKLOAD RUAN - T317 RUAN - T309 TANK ANDERSON / COTTONWOOD A-C IRRIGATION DISTRICT VULCAN MATERIALS (PREV CALMAT) ARAMARK - BAKERSFIELD ASTA CONSTRUCTION SAPUTO DAIRY FOODS - GUSTINE BAKER COMMODITIES. INC BALL METAL FOOD CONTAINERS BARRETO & SILVEIRA DAIRY LAND O LAKES LAND O LAKES, INC. LAS ANIMAS CONCRETE INLAND BIG 4 TIRE SERVICE BERKELEY FARMS BLACK BUTTE SCHOOL DIST ORGANIZED LABOR CREDIT UNION ALLIED WASTE / FRESNO ALLIED WASTE / RICE RD BUCHWALD'S CA COLD STORAGE CALAVERAS TRANSIT MIX RUAN - T305 C.A.S.E. CAL SIERRA DISPOSAL RUAN - T504 CAL WESTERN RUAN - T314 AARTMAN RUAN - T389 CASCADE UNION ELEM DAIRY FARMERS OF AMERICA CENTER FOR COMM ADVOCACY CENTERLINE LLC CHALLENGE DAIRY PRODUCTS CHRISTY VAULT CO RECOLOGY HUMBOLDT COUNTY CITY OF ANDERSON / NON-UNION CITY OF EUREKA CITY OF MT SHASTA MTM, INC / RIDE RIGHT HP HOOD COCA COLA BOTTLING CO COLUMBIA SCHOOL DIST DELTA HEALTH SYSTEMS DELTA FUND ADMINISTRATORS EUREKA READY MIX EVERGREEN UNION SCHOOL CALAVERAS MATERIALS / LEHIGH HANSON INC. FRESNO FRENCH BREAD BAKERY GARRY PACKING GROWERS ICE CO L.A. HEARNE CO LAKE SHASTINA COMM SVS DIST GOSSELIN TIRE SERVICE H.A. RIDER & SONS HAPPY VALLEY SCHOOL DIST JIM HYATT PRODUCE LEEP/TESCHER/HELFMAN/ZANZE KNAUF INSULATION SOUTHERN WINE & SPIRITS LEPRINO FOODS - TRACY LEPRINO FOODS - LEMOORE LOCAL 948 LOCAL 137 LOCAL 150 / OFFICE T&T TRUCK AND CRANE LOCAL 386 LOCAL 431 LOCAL 439 LOCAL 533 LOCAL 517 LEWISTON ELEM SCHOOL DIST CEMEX CEMEX / MERCED PLANT CEMEX CEMEX / MODESTO, NEWMAN, TURLOCK S. MARTINELLI & CO SACRAMENTO LOGISTICS LLC CHARLES MCMURRAY AMERICOLD (PREV VERSACOLD) MERCER FRASER READY MIX WASTE MANAGEMENT / MODESTO WASTE MANAGEMENT / REDDING MODOC JT UNIFIED SCHOOL DIST MONTEREY BAY CENTRAL LBR CNCL MONTEREY CITY DISPOSAL MOUNTAIN UNION SCHOOL DIST MYOVICH TRUCKING MONDELEZ GLOBAL (NABISCO) MV TRANSPORTATION, INC ALSCO, INC - AMERICAN LINEN DIV ALSCO HUTTIG BUILDING PRODUCTS DARLING INGREDIENTS DARLING DELAWARE CA DAIRIES - FRESNO PYRENEES FRENCH BAKERY CHUGACH SUPPORT SERVICES PAJARO DUNES SOUTH ASSOC PDM STEEL SERVICE CENTERS PAJARO VALLEY COLD STORAGE SERVICE WEST DEL MAR COLD STORAGE DEL MAR FOOD PROD DEL MONTE FOODS AMERICAN METALS CORP CEMEX / RENO SPARKS READYMIX RILITE AGGREGATES MISSION LINEN SACRAMENTO RENDERING CO DRISCOLL'S BERRIES QUALITY MANPOWER SAN BENITO FOODS SANTA CLARA NUT CO SCANNAVINO (AL) TRUCKING CANTEEN CORP SENECA HOSPITAL SHASTA CO/ DEPT OF PUBLIC WORKS SHASTA LAKE FIRE SHASTA REDI MIX SHELDON'S PEST MGMT SERVICE INC STKN SCAVENGERS STURDY OIL CO DYNCORP INTERNATIONAL SILGAN CAN CO SILGAN CAN CO / RIVERSIDE SILGAN CONTAINERS SUGAR TRANSPORT SURPRISE VALLEY SCHOOL / CERTIFIED TAHOE TRANSIT DISTRICT T.A.R.P. SVENHARDS SWEDISH BAKERY SUNSWEET GROWERS TEICHERT AGGREGATES TIN MAN DENTAL SUPPLY TRANSDEV CHICO TRANSDEV REDDING RAIL TERMINAL SERVICES US COLD STORAGE VALLEY FIG - UNION AMERIPRIDE UNIFORM SER -FRESNO WAYSIDE LUMBER WILLIAMS BAKERY WESTERN BUILDING MATERIALS VARCITY ICE CREAM VEGETABLE GROWERS SUPPLY INC XPEDX LOCAL 87 UPS - VARIOUS LOCATIONSExplanationTxt