2018-11-09T20:25:55-06:00 2017-12-31 MILLER KAPLAN ARASE LLP TWO EMBARCADERO CTR STE 2280 SAN FRANCISCO CA 941113916 990 2017-01-01 942567865 OPERATING ENGINEERS PUBLIC AND MISCELLANEOUS EMPLOYEES HEALTH AND WELFARE TRUST FUND % ZENITH AMERICAN SOLUTIONS OPER 5106718800 1600 HARBOR BAY PKWY STE 200 ALAMEDA CA 94502 AUSTRIS RUNGIS CO-CHAIRMAN 5104334400 2018-11-10 true Catherine Gardner P00350865 4159563600 12.244.147.122 95416620183135000052 2018-11-09 P 895BD3731299A8643050337F2A99E55EAEE1AC5E 1D553F0CC161CAB4950D5232994D4871B352D586 2017 2019-02-21 02:37:17Z RUSSELL BURNS 1600 HARBOR BAY PKWY STE 200 ALAMEDA CA 94502 29616234 false X N/A X 1976 CA TO PROVIDE HEALTH AND WELFARE BENEFITS TO MEMBERS COVERED BY THE COLLECTIVE BARGAINING AGREEMENT BETWEEN THE UNION AND EMPLOYERS. 6 6 0 0 0 0 0 0 20951069 21495679 98351 168646 682888 962848 21732308 22627173 0 0 19452502 18023642 0 0 0 0 0 1189230 1208605 20641732 19232247 1090576 3394926 16574144 19474904 5767688 5067598 10806456 14407306 TO PROVIDE HEALTH AND WELFARE BENEFITS TO MEMBERS COVERED BY THE COLLECTIVE BARGAINING AGREEMENT BETWEEN THE UNION AND EMPLOYERS. false false TO PROVIDE HEALTH AND WELFARE BENEFITS TO MEMBERS COVERED BY THE COLLECTIVE BARGAINING AGREEMENT BETWEEN THE UNION AND EMPLOYERS. false false false false false false false false false false true false false true true true false false false false false false false false false false false false false false false false false false false false false false false false true false false true 0 0 true 0 false false false false false false X 6 6 false false false false false false false true false false false true true true true true true false X ZENITH AMERICAN SOLUTIONS 5106718800 1600 HARBOR BAY PKWY STE 200 ALAMEDA CA 94502 X AUSTRIS RUNGIS CO-CHAIRMAN 1.0 0.0 X 0 0 0 JOHN GOUVEIA TRUSTEE 1.0 0.0 X 0 0 0 RUSSELL BURNS CO-CHAIRMAN 1.0 0.0 X 0 0 0 TIM NEEP DIRECTOR 1.0 0.0 X 0 0 0 STEVE INGERSOLL TRUSTEE 1.0 0.0 X 0 0 0 JIM BACKMAN TRUSTEE 1.0 0.0 X 0 0 0 0 0 0 0 false false false ZENITH AMERICAN SOLUTIONS 1600 HARBOR BAY PKWY STE 200 ALAMEDA CA 94502 contract admin. 418534 DELTA DENTAL 100 FIRST St SAN FRANCISCO CA 94105 dental admin. fees 136646 ANTHEM BLUE CROSS 120 MONUMENT CIR INDIANAPOLIS IN 46204 medical admin. fees 200461 3 0 EMPLOYER CONTRIBUTIONS 900099 20796632 20796632 SELF PAY CONTRIBUTIONS 900099 699047 699047 21495679 233530 233530 0 0 0 0 0 6924177 6989061 -64884 -64884 -64884 0 0 0 0 0 0 0 0 0 STOP-LOSS REIMBURSEMENTS 900099 82169 82169 PRESCRIPTION REBATES 900099 845249 845249 OTHER REIMBURSEMENTS 900099 35430 35430 962848 22627173 22458527 168646 0 0 0 18023642 0 0 0 0 0 0 418534 16689 43943 0 0 54392 155142 0 64238 0 0 0 0 0 20699 0 0 0 30749 PROGRAM ADMINISTRATION FEES 369541 REIMBURSEMENTS TO OE LOCAL 3 26818 PCORI FEES 4574 MISCELLANEOUS 3286 19232247 2962536 1124447 532367 667652 0 0 1619012 4402884 0 0 0 0 0 0 0 0 0 3432 0 0 4098512 4523605 7361717 8752884 0 0 0 0 0 0 16574144 19474904 93419 115215 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5674269 4952383 5767688 5067598 X 0 0 0 0 10806456 14407306 10806456 14407306 16574144 19474904 3394926 205924 X false true X true LIMITED LIABILITY COMPANY 8752884 F 8752884 0 BENEFIT OBLIGATIONS 4780236 DUE TO OTHER TRUSTS 107824 DUE TO BROKERS 5110 DEFERRED CONTRIBUTIONS 59213 4952383 X 22833097 205924 205924 22627173 22627173 20018907 20018907 -786660 -786660 19232247 PART X, LINE 2: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE PLAN AND RECOGNIZE A TAX LIABILITY IF THE PLAN HAS TAKEN A TAX POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY A TAX AUTHORITY. 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: CHANGE IN BENEFIT OBLIGATIONS. FORM 990, PART VI, SECTION A - LINE 8B: THE PLAN DOES NOT HAVE ANY COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. form 990, part vi, section b - line 11b: THE PLAN'S 990 IS AVAILABLE ON THE TRUSTEE WEBSITE FOR REVIEW PRIOR TO FILING. form 990, part vi, section b - line 12c: THE QUARTERLY BOARD MEETINGS PROVIDE AN OFFICIAL VENUE FOR OFFICERS, DIRECTORS AND TRUSTEES TO DISCLOSE SUCH INTERESTS THAT COULD GIVE RISE TO CONFLICTS. form 990, part vi, section c - line 19: THE PLAN MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO PARTICIPANTS UPON REQUEST. form 990, part vii, section a - line 1a: TRUSTEES ARE NOT COMPENSATED BY THE PLAN. COMPENSATION PAID TO TRUSTEES EMPLOYED BY OTHER RELATED ORGANIZATIONS IS REPORTED ON THE FORM 990 FILED WITH THE IRS BY THE RELATED TAX-EXEMPT ORGANIZATION. FOR ADDITIONAL INFORMATION PLEASE CONTACT THE THIRD-PARTY ADMINISTRATOR, ZENITH AMERICAN SOLUTIONS. BELOW IS THE RELATED ORGANIZATION THAT PAID COMPENSATION TO THE TRUSTEES: INTERNATIONAL UNION OF OPERATING ENGINEERS LOCAL NO. 3; EIN 94-0577785. int'l union of operating engineers lo 3 1620 s loop rd alameda CA 94502 940577785 labor union CA 501(c)(5) na false CITY OF ALAMEDA N/A CITY OF CORNING N/A CITY OF LAKEPORT N/A CITY OF NEWMAN N/A CITY OF OAKDALE N/A CITY OF PORTOLA N/A CITY OF STOCKTON N/A CITY OF SUISUN CITY N/A CITY OF UKIAH N/A COUNTY OF SAN MATEO N/A EL DORADO COUNTY TRANSIT AUTHORITY N/A HAYWARD AREA RECREATION & PARK DISTRICT N/A SUPERIOR COURT OF CALIFORNIA COUNTY OF N/A ALAMEDA COUNTY RETIRED MGMT EES N/A COUNTY OF ALAMEDA ACMEA N/A COUNTY OF ALAMEDA #3 N/A BUTTE WATER DIST N/A CITY OF CLEARLAKE N/A CITY OF CUPERTINO N/A CITY OF DUNSMUIR N/A COUNTY OF EL DORADO - RISK MANAGEMENT N/A COUNTY OF EL DORADO - AUDITOR CONTROLLER N/A CITY OF FREMONT N/A LAKE CO EMPLOYEES ASSN N/A LINDA COUNTY WATER DIST N/A MONT REGL WASTE MGMT DIST N/A CITY OF MT SHASTA N/A COUNTY OF PLUMAS N/A PLUMAS COUNTY SUPERIOR COURT CLERKS N/A SAN MATEO COUNTY HRD 133 N/A SAN MATEO COUNTY HUMAN RESRCS- RETIREES N/A SEWER AUTHORITY MID-COASTSIDE N/A STANISLAUS COUNTY N/A CITY OF STOCKTON - OMI EES N/A SUISUN CITY POLICE ASSOC N/A CITY OF VACAVILLE PERSONNEL DEPARTMENT N/A false false false false false false false false false false false false false false false true false true true