2017-11-15T20:46:05-06:00 2016-12-31 300702322 HEMMING MORSE CPA'S AND CONSULTANTS 155 BOVET ROAD SUITE 600 SAN MATEO CA 94402 990 2016-01-01 956048415 LAUNDRY & DRY CLEANING WORKERS LOCAL NO 52 H&W TRUST LAUN 5624635060 1200 WILSHIRE BLVD NO 5TH FL LOS ANGELES CA 90017 TRUSTEE TRUSTEE TRUSTEE 5624635060 2017-11-15 1 P01882015 4158364000 69.170.44.162 2017-11-15 16:45:30 PS P 65A2799B7FBD805C20207EC1E1BC21BD90DCCA14 6DDAC0003BCC8996D20B35C2703FD2556DD28933 2016 2018-03-14 21:41:22Z X 1200 WILSHIRE BLVD NO 5TH FL LOS ANGELES CA 90017 14224135 0 X N/A X 1959 CA TO PROVIDE ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS WITH HEALTH & WELFARE BENEFITS. 8 8 0 0 0 0 0 0 15682995 13395916 80784 204982 179449 141816 15943228 13742714 0 0 9951724 4357301 0 0 0 0 0 1770649 1249311 11722373 5606612 4220855 8136102 9814214 15440650 4364169 2106768 5450045 13333882 NONE 0 0 TO PROVIDE ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS WITH HEALTH & WELFARE BENEFITS ACCORDING TO COLLECTIVE BARGAINING AGREEMENTS BETWEEN EMPLOYERS AND THE UNION. 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 0 0 0 1 2 0 1 0 0 0 0 0 0 0 0 0 0 0 X 8 8 0 1 0 0 0 0 0 1 1 0 0 1 1 0 1 1 1 0 0 0 X REGINA TAYLOR -BENEFIT PROGRAMS ADMINISTRATION 5624635000 13191 CROSSROADS PARKWAY NORTH CITY OF INDUSTRY CA 91746 X DAVID J MACKENZIE CHAIRMAN 5.00 X 0 0 0 STEVEN BEACH TRUSTEE 5.00 X 0 0 0 GLENN TEIXEIRA TRUSTEE 5.00 X 0 0 0 SCOTT CORNWELL TRUSTEE 5.00 X 0 0 0 CRISTINA VAZQUEZ SECRETARY 5.00 X 0 0 0 ROBERT S GIOLITO TRUSTEE 5.00 X 0 0 0 MAURICIO VASQUEZ TRUSTEE 5.00 X 0 0 0 MARIA RIVERA TRUSTEE 5.00 X 0 0 0 0 0 0 0 0 0 0 AETNA LIFE INSURANCE COMPANY 2677 N MAIN STREET 5TH FLOOR SANTA ANA CA 92705 CLAIMS PROCESSING 434168 BENEFIT PROGRAMS ADMINISTRATION 1200 WILSHIRE BLVD 5TH FLOOR LOS ANGELES CA 90017 ADMIN, PAYROLL COMPLIANCE 411176 REICH ADELL & CVITAN 3550 WILSHIRE BLVD SUITE 2000 LOS ANGELES CA 90010 ATTORNEY 131943 3 EMPLOYER CONTRIBUTIONS 900099 13384834 13384834 COBRA CONTRIBUTIONS 900099 11082 11082 13395916 186403 186403 500000 481421 18579 18579 18579 STOP LOSS REIMBURSEMENT 900099 141507 141507 OTHER INCOME 900099 309 309 141816 13742714 13556311 0 186403 4357301 411176 131943 44270 522965 30598 808 7335 TRANSITIONAL REINSURANC 69822 MISCELLANEOUS 23558 PCORI FEES 6836 5606612 8055250 2781451 31690 128011 2303 3500 1724971 12527688 9814214 15440650 251480 132499 4112689 1974269 4364169 2106768 X 0 0 0 0 5450045 13333882 5450045 13333882 9814214 15440650 8136102 -252265 0 X X 0 1 X 1 0 0 CLAIMS INCURRED BUT NOT REPORTED 1020093 FUTURE BENEFITS BASED ON PARTICIPANT'S ACCUMULATED ELIGIBILITY 690000 GROUP INSURANCE PREMIUMS PAYABLE 228443 OVERDRAFT 35733 1974269 X 13490449 -252265 -252265 13742714 0 13742714 5606612 0 5606612 0 5606612 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. THE TRUST ADMINISTRATOR BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR FISCAL YEARS PRIOR TO DECEMBER 31, 2013. 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 OR TRUSTEES, OR KEY EMPLOYEES TO THE CONTRACT ADMINISTRATOR. FORM 990, PART VI, SECTION B, LINE 11B THE TRUSTEES DESIGNATE THE CHAIR AND CO-CHAIR TO REVIEW THE FORM FORM 990, PART VI, SECTION B, LINE 12C REVIEW WITH BOARD OF TRUSTEES ANNUALLY FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE FOR REVIEW AT THE ADMINISTRATIVE OFFICE. 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. FORM 990, PART IV, LINE 34 SCHEDULE R, IDENTIFICATION OF RELATED ORGANIZATIONS: THE FILING ENTITY IS A 501(C)(9) VEBA WHO MUST LIST CONTRIBUTING EMPLOYERS ON SCHEDULE R. THE ADMINISTRATIVE OFFICE MAINTAINS A LIST OF CONTRIBUTIONS EMPLOYERS, HOWEVER, THAT LIST DOES NOT INCLUDE FEDERAL TAX CLASSIFICATION. THEREFORE, THE LIST OF CONTRIBUTING EMPLOYERS IS REPORTED ON PART VII, SUPPLEMENTAL INFORMATION. 10 BRAUN/A-1 LINEN SERVICE 80 ALSCO - LA 110 ARAMARK CLEANROOM SERVICE #513 180 CROTHALL-BELLWOOD LNDRY LINEN 181 CROTHALL-BELLWOOD/ONTARIO LNDR 250 BRAUN INDUSTRIES, INC 260 BUDGET UNIFORM RENTAL 490 ARAMARK UNIFORM SERVICE #586 550 KLEEN KRAFT SERVICES 680 MISSION INDUSTRIS #4 700 MISSION INDUSTRIES #14 720 MISSION INDUSTRIES #26 730 MISSION INDUSTRIES #24 (OXNARD) 760 MISSION INDUSTRIES #1 820 MORGAN SERVICES, INC 970 PRUDENTIAL OVERALL #15 980 PRUDENTIAL GARFIELD #5 1024 ARAMARK UNIFORM SERVICES 650 1025 ARAMARK UNIFORM SERVICE #501 1026 ARAMARK UNIFORM SERVICE #502 1027 ARAMARK UNIFORM #502B LOMPOC 1035 ARAMARK UNIFORM SERVICES #589 1160 ALSCO - ANAHEIM 1216 MISSION INDUSTRIES #34 (CHINO) 1217 MISSION INDUSTRIES #85 (CHINO) 1270 YEE YUEN LAUNDRY & CLEANERS 1450 ANGELICA TEXTILES #33 1490 CROTHALL-ONTARIO LAUNDRY SER 2085 ARAMARK SERVICE #511 (SAN JOSE) 2090 ARAMARK SERVICE EMPLOYEES 518 2095 ARAMARK SERVICES #516 (OAKLAND) 3150 ARAMARK 273 3830 ARAMARK UNIF & CAREER APP #522 4020 ARAMARK UNIF & CAREER APP #517 5255 ARAMARK UNIFORM #502C OXNARD