2018-04-13T13:30:49-05:00 2017-06-30 952556670 BERNARD KOTKIN AND COMPANY LLP 533 SOUTH FREMONT AVENUE SUITE 802 LOS ANGELES CA 900711706 990 2016-07-01 956034886 OPERATING ENGINEERS HEALTH AND WELFARE FUND OPER 6263561000 100 CORSON STREET PASADENA CA 91103 JOSEPH R EHRBAR FUND MANAGER 6263561000 2018-04-13 1 P01406987 2138929090 104.180.88.97 2018-04-13 10:56:26 PD P 60B57646E4665D71607DCA97231971D30A824CCD 60B57646E4665D71607DCA97231971D30A824CCD 2016 2021-01-29 14:40:06Z JOSEPH R EHRBAR 100 CORSON STREET PASADENA CA 91103 358930492 0 X WWW.OEFUNDS.ORG X 1954 CA TO PROVIDE MEDICAL BENEFITS TO APPROXIMATELY 10,400 ACTIVE AND 5,800 RETIRED PARTICIPANTS. 13 13 0 0 0 0 0 0 223357596 238225639 -807727 318355 14204834 9723220 236754703 248267214 0 0 219390944 219439289 6953371 7042220 0 0 0 8217351 8190262 234561666 234671771 2193037 13595443 100698981 118547688 131017198 134110196 -30318217 -15562508 THE FUND'S MISSION IS TO ADMINISTER AND PROVIDE MEDICAL, DENTAL, VISION, PRESCRIPTION DRUGS, DISABILITY AND DEATH BENEFITS TO THE ACTIVE AND RETIRED MEMBERS OF I.U.O.E LOCAL 12 AND THEIR DEPENDENTS AND BENEFICIARIES. 0 0 220949467 TO PROVIDE MEDICAL, HOSPITAL, DENTAL, LIFE INSURANCE, PRESCRIPTION DRUGS AND VISION BENEFITS TO APPROXIMATELY 10,400 ACTIVE AND 5,800 RETIRED PARTICIPANTS AND THEIR SURVIVING SPOUSES. 220949467 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 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 366 0 0 0 0 0 0 0 0 0 0 X 13 13 0 1 0 0 0 0 0 1 1 0 0 1 0 1 1 1 0 0 CA X OPERATING ENGINEERS FUNDS INC 6263561000 100 CORSON STREET PASADENA CA 91103 X X DAN BILLY TRUSTEE 1.00 34.00 X 0 0 0 LARRY DAVISON TRUSTEE 1.00 34.00 X 0 0 0 MICHAEL CRAWFORD TRUSTEE 1.00 X 0 0 0 DAN HAWN TRUSTEE 1.00 34.00 X 0 0 0 MICKEY J ADAMS TRUSTEE/ALT.CHAIRMAN 1.00 34.00 X 0 0 0 DAVE GARBARINO TRUSTEE 1.00 34.00 X 0 0 0 MIKE RODDY TRUSTEE/SEC. & TREASURER 1.00 X 0 0 0 RON SIKORSKI TRUSTEE/CHAIRMAN 1.00 34.00 X 0 0 0 BRUCE COOKSEY TRUSTEE 1.00 X 0 0 0 JIM RYAN TRUSTEE 1.00 X 0 0 0 CARL MENDENHALL TRUSTEE 1.00 34.00 X 0 0 0 DANIEL O'SHEA TRUSTEE 1.00 X 0 0 0 MARK REYNOSA TRUSTEE 1.00 X 0 0 0 MANUEL DE SANTIAGO III TRUSTEE 1.00 X 0 0 0 JOSEPH EHRBAR FUND MANAGER 7.00 28.00 X 0 242438 38889 MATTHIAS ERIEG ASSISTANT FUND MANAGER 17.00 18.00 X 0 209438 38889 MICHAEL DECHELLIS DIRECTOR OF BENEFITS 35.00 X 0 161758 38889 CHARLES KILLIAN CHIEF FINANCIAL OFFICER 7.00 28.00 X 0 164125 38889 DAWN COVINGTON ASSISTANT DIRECTOR OF BENE 35.00 X 0 104928 38889 0 882687 194445 0 0 1 0 BLUE CROSS LIFE & HEALTH INSURANCE DEPARTMENT 5812 LOS ANGELES CA 90074 HEALTH INSURANCE PROVIDER 77960312 CAREMARK LLC 2211 SANDERS ROAD NORTHBROOK IL 60062 PRESCRIPTION DRUG PROVIDER 43488600 KAISER FOUNDATION HEALTH PLAN PO BOX 80204 LOS ANGELES CA 90080 HEALTH CARE PROVIDER 37002865 ANTHEM BLUE CROSS 1351 WM HOWARD TAFT ROAD CINCINNATI OH 45206 HEALTH INSURANCE PROVIDER 19407833 UNITED HEALTH CARE INSURANCE COMPANY PO BOX 60008 LOS ANGELES CA 90060 HEALTH INSURANCE PROVIDER 9745833 14 EMPLOYER CONTRIBUTIONS 900099 214522980 214522980 SELF PAY PREMIUMS 900099 22323532 22323532 INTEREST ON DELINQUENC 900099 921361 921361 DELINQUENCY ASSESSMENT 900099 410813 410813 MISCELLANEOUS 900099 46953 46953 238225639 770769 770769 110210864 110663278 -452414 -452414 -452414 REBATES & SUBSIDIES 900099 7828147 7828147 STOP LOSS RECOVERIES 900099 1895073 1895073 9723220 248267214 248267214 0 0 219439289 219439289 4666122 4666122 921774 921774 1048519 1048519 405805 405805 500790 500790 102601 102601 180058 180058 343579 343579 735844 735844 799116 799116 786501 786501 20544 20544 11414 11414 1193447 1193447 1948454 1948454 BLUE CROSS DUES & EXPEN 1427447 1427447 CLAIMS REVIEW EXPENSE 82731 82731 TAXES & FEES 57736 57736 234671771 220949467 13722304 0 1548076 16818472 17572942 36044433 31669841 47721076 65090113 2551716 115000 115000 100698981 118547688 1965198 1980196 129052000 132130000 131017198 134110196 X 0 0 0 0 -30318217 -15562508 -30318217 -15562508 100698981 118547688 13595443 1160266 0 X X 0 1 X 1 0 0 MEDICAL BENEFITS PAYABLE 132130000 132130000 X 249426561 1160266 1160266 248266295 919 919 248267214 231592852 0 231592852 919 3078000 3078919 234671771 PART X, LINE 2: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE PLAN MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE PLAN AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF IT HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE OR FRANCHISE TAX BOARD. 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 - OTHER ADJUSTMENTS: INCREASE IN PLAN'S TOTAL BENEFIT OBLIGATIONS, OTHER THAN POSTRETIREMENT 3,078,000. X 1 1 X X X 0 0 0 JOSEPH EHRBAR FUND MANAGER 0 242438 0 0 0 0 0 22581 0 16308 0 281327 0 0 MATTHIAS ERIEG ASSISTANT FUND MANAGER 0 209438 0 0 0 0 0 22581 0 16308 0 248327 0 0 MICHAEL DECHELLIS DIRECTOR OF BENEFITS 0 161758 0 0 0 0 0 22581 0 16308 0 200647 0 0 CHARLES KILLIAN CHIEF FINANCIAL OFFICER 0 164125 0 0 0 0 0 22581 0 16308 0 203014 0 0 PART I, LINE 1A PER THE TRAVEL & EXPENSE REIMBURSEMENT POLICY, IF TRAVEL TIME EXCEEDS TWO HOURS AND IS NOT ON THE WEST COAST, FIRST-CLASS TRAVEL IS AN OPTION. OTHERWISE, AIR TRAVEL IS LIMITED TO COACH. FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION'S MANAGEMENT DUTIES ARE DELEGATED TO THE OPERATING ENGINEERS FUNDS, INC. THEIR RESPONSIBILITY IS TO MAINTAIN ACCOUNTING RECORDS, INTERNAL FIANCIAL STATEMENTS AND PARTICIPANT RECORDS. FORM 990, PART VI, SECTION B, LINE 11B THE BOARD OF TRUSTEES AND FUND MANAGER REVIEWS THE FORM 990 BEFORE FILING THE RETURN. FORM 990, PART VI, SECTION B, LINE 15A IN 2012, THE FUND MANAGER NEGOTIATED AN EMPLOYMENT CONTRACT WITH THE BOARD OF TRUSTEES. COMPENSATION FOR THE OTHER KEY EMPLOYEES AND HIGHEST COMPENSATED EMPLOYEES IS BASED ON COMPARABLE COMPENSATION AT SIMILAR ORGANIZATIONS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, POLICIES, AND FINANCIAL STATEMENTS ARE AVAILABLE FOR INSPECTION UPON REQUEST AT THEIR ADMINISTRATIVE OFFICE, WHICH IS LOCATED AT 100 CORSON STREET, SUITE 100, PASADENA, CA. FORM 990, PART VII, SECTION A, COLUMN E COMPENSATION DISCLOSURES: THE ORGANIZATION, WHICH IS AN ERISA EMPLOYEE BENEFIT FUND, IS GOVERNED BY AN UNCOMPENSATED BOARD OF TRUSTEES AND HAS NO OFFICERS OR EMPLOYEES. THE DAY-TO-DAY MANAGEMENT, ADMINISTRATION, AND OPERATION OF THIS FUND IS PROVIDED BY A CORPORATION,FORMED TO PROVIDE THESE SERVICES TO THIS AND RELATED BENEFIT FUNDS. THE UNION TRUSTEES LISTED ON PART VII, SECTION A HAVE PREVIOUSLY DISCLOSED THEIR COMPENSATION ON THEIR RESPECTIVE LOCAL'S LM-2 FILINGS WITH THE DEPARTMENT OF LABOR. FORM 990, PART XII, LINE 2C: THE ORGANIZATION DOES NOT HAVE A SEPARATE AUDIT COMMITTEE. THE BOARD OF TRUSTEES HAS RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND THE SELECTION OF INDEPENDENT ACCOUNTANTS. 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SWEEPING INTERPIPE CONTRACTING INC INTERSTATE CONCRETE PUMPING IRONCLAD GENERAL ENGINEERING INC IRVINE PIPELINE CO INC J & B ENGINEERS SURVEYORS J & C TRACTOR SERVICE J & C UNDERGROUND GEN ENG CONTR J & E BACKHOE SERVICE INC J & H DRILLING CO INC J A CAMPBELL EXCAVATING J C E EQUIPMENT INC J D M EXCAVATION INC J D S PLUMBING & MECHANICAL J F L ELECTRIC INC J F SHEA CONSTRUCTION INC J J SWEEPING INC J JULIAN INC J K S EQUIPMENT CORP J L S CONCRETE PUMPING J L SURVEYING INC J P BACKHOE SERVICE INC J R CONSTRUCTION INC J R PIPELINE CO INC J S & S INC J S S CONSTRUCTION INC J T EXCAVATING INC J T S INC J V LAND CLEARING CO INC J VEGA ENGINEERING INC JK EXCAVATION & GRADING CO INC JACKS BACKHOE SVC INC JACOBSSON ENG CONST INC JAFEC USA INC JAGUR TRACTOR JENSEN DESIGN & SURVEY JENSEN DRILLING CO INC JOHN CHAVES BACKHOE RENTAL INC JOHN DELMATOFF BACKHOE SERVICE INC JOHN S MEEK COMPANY INC JOHNSON FRANK & ASSOC INC JONES BACKHOE SERVICE INC JONES BROS CONST CO JONES LANGE LASALLE AMERICA'S INC 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SIEMENS GENERATION SERVICES SIERRA LANDSCAPE DEVELOP SIERRA NEVADA CONSTRUCTION INC SIERRA PACIFIC WEST INC SIKAND ENGINEERING ASSOC SILVERADO CONTRACTORS INC SITE SOLUTION SERVICES INC SKANSKA USA CIVIL WEST SKANSKA-RADOS EXPO 2 JV SMITH BROTHERS CRANE RENTAL INC SMITH EMERY CO SMOOTH MOVE INC SNELSON COMPANIES INC SO CAL PIPELINE WELDING SO CAL TESTING INC SO CALIF CONTRS ASSOC SOCAL BUILDING & RESTORATION INC SOIL RETENTION SYSTEMS SOUTH COAST SWEEPING INC SOUTHERN CALIF SURV INC SOUTHERN CALIFORNIA GRADING INC SOUTHERN CONTRACTING COMPANY SOUTHERN PACIFIC DIRT INC SOUTHLAND SURVEYING INC SOUTHWARD JAMES EQP INC SOUTHWEST CONC PAVING CO SOUTHWEST INSPECTION & TESTING SOUTHWEST V-DITCH INC SOUTHWEST WEAR PARTS CO INC SPATES EXCAV & EQUIP RENTAL INC SPEEDMAX MOTORSPORTS SPINIELLO COMPANIES SPUDS CRANE SERVICE INC SQUIRES GENERAL CONTRACTORS STANDARD INDUSTRIES STANTEC CONSULTING INC STANTON UTILITIES INC STATEWIDE TRAFFIC SAFETY STEINY & COMPANY INC STEVE BUBALO CONSTR CO STEVE P 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TIERRA CONTRACTING INC TIMS CONC PUMPING INC TINA MCMINN EQUIP RENTAL INC TIPCO ENGINEERING INC TITAN ENGINEERING INC TORO ENTERPRISES INC TORRENT RESOURCES (CA) INC TORRES CONSTRUCTION CORPORATION TOWILL INC TRACY & RYDER LANDSCAPE TRAXX CONSTRUCTION INC TREESMITH ENTERPRISE INC TRINITY ENGINEERING LABS INC TRINITY LAND SURVEYING INC TRIPLE J TRENCHING TRITON STRUCTURAL CONCRETE INC TRUJILLO'S EQUIP INC TURNERS BOB CRANE SERVICE INC TUTOR PERINI BUILDING CORP TUTOR PERINI CORPORATION TWINING INC U R S CORPORATION U R S FEDERAL TECHNICAL SERVCS INC U S A HOIST CO INC U S DEMOLITION INC U S S CAL BUILDERS INTL INC UNDERGROUND CONST CO INC UNDERGROUND SPEC CENTRAL COAST INC UNIFIED FIELD SERVICES CORPORATION UNIFIED INSPECTION & TESTING INC UNION ENGINEERING CO INC UNION SWEEPING INC UNIRE REAL ESTATE GROUP UNITED INSPECTION & TESTING INC UNITED RIGGERS & ERECTORS INC UNITED STREET SWEEPING INC UNIVERSAL ASPHALT CO INC URBINA'S MASTER SWEEPING UYEKAWA M H INC V T N WEST VALDIVIA EQUIP RENTAL INC VALVERDE CONSTR INC VAN DIEST BROS VAN DOREN TRACTOR SERVICE VANCE CORPORATION VELLUTINI CORPORATION VENTURA CRANE INC VEOLIA TRANS MAINT INFRA VERTEX SURVEY INC VERTICAL EARTHWORKS INC VETERANS ENGINEERING SERVICES INC VIC'S CRANE INC VIDMAR INC VIKING DRILLERS INC VOGEL CONSTRUCTION INC VULCAN MATERIALS WESTERN DIVISION W A RASIC CONSTRUCTION CO INC W C W INC W CONTRACTING CORP W M B & ASSOCS INC W M LYLES CO WAGNER ENG & SURVEY INC WALSH CONSTRUCTION CO WARD CORPORATION WEBB & CARROLL WEBCOR CONSTRUCTION INC WELLS CARGO INC WERNER CORPORATION WEST COAST BORING INC WEST VALLEY CONST CO INC WESTERN PAVING CONTRACTORS WHILLOCK CONTRACTING INC WILMAR INSPECTIONS CO WILSON BROS TRENCHNG INC WOOD BROS RENTAL INC WOODS L H & SONS INC X Y Z CONSULTING INC YOUNG & ASSOCIATES INC YVONNE MIRANDA ENTERPRISES INC ZAMBORELLI ENTERPRISES ZEFIRO CORPORATION OPERATING ENGINEERS FUNDS INC 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 0