2017-12-13T16:33:14-06:00 2017-01-31 MILLER KAPLAN ARASE LLP TWO EMBARCADERO CTR STE 2280 SAN FRANCISCO CA 941113916 990 2016-02-01 237404790 GENERAL EMPLOYEES TRUST FUND % NORTHWEST ADMINISTRATORS IN GENE 6505707300 1000 MARINA BLVD STE 400 BRISBANE CA 94005 CHARLES GILCHRIST trustee 4158974856 2017-12-13 true Catherine Gardner P00350865 4159563600 204.1.171.253 95416620173475000003 2017-12-13 P 895BD3731299A8643050337F2A99E55EAEE1AC5E 895BD3731299A8643050337F2A99E55EAEE1AC5E 2016 2017-02-10 21:41:12Z CHARLES GILCHRIST 1000 MARINA BLVD STE 400 BRISBANE CA 94005 185184121 false X N/A X 1973 CA Multiemployer welfare benefit plan providing health coverage to participants on whose behalf employers contribute to the plan. 10 0 0 0 0 0 0 127312863 131894060 284340 1777764 3621959 2622588 131219162 136294412 0 0 118316242 116247477 114000 115250 0 0 0 2984494 3222173 121414736 119584900 9804426 16709512 72359853 88327792 26651845 26088272 45708008 62239520 MULTIEMPLOYER WELFARE BENEFIT PLAN PROVIDING HEALTH COVERAGE TO PARTICIPANTS ON WHOSE BEHALF EMPLOYERS CONTRIBUTE TO THE PLAN. false false Multiemployer welfare benefit plan providing health coverage to participants on whose behalf employers contribute to the plan. false false false false false false false false false false false 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 71 0 true 0 false false false false false false X 10 0 false false false false false false false true true false false false true true true true true true false X NORTHWEST ADMINISTRATORS IN 6505707300 1000 MARINA BLVD STE 400 BRISBANE CA 94005 X CHARLES GILCHRIST UNION TRUSTEE 4.0 0.0 X 24000 0 0 GEORGE HERNANDEZ EMPLOYER TRUSTEE 4.0 0.0 X 24000 0 0 OLGA MIRANDA UNION TRUSTEE 4.0 40.0 X 0 96882 0 MARK SHARWOOD UNION TRUSTEE 4.0 40.0 X 0 95209 0 RAY NANN EMPLOYER TRUSTEE 4.0 0.0 X 24000 0 0 H JIM EDWARDS EMPLOYER TRUSTEE (ALT.) 4.0 0.0 X 9000 0 0 JIM BEARD EMPLOYER TRUSTEE (ALT.) 4.0 0.0 X 9000 0 0 TIM BREKKE EMPLOYER TRUSTEE 4.0 0.0 X 24000 0 0 DENISE SOLIS UNION TRUSTEE 4.0 40.0 X 0 95209 0 DAVID HUERTA UNION TRUSTEE(ALT.) 4.0 40.0 X 0 98079 0 114000 385379 0 0 false false false NORTHWEST ADMINISTRATORS INC 2323 EASTLAKE AVE SEATTLE WA 98102 ADMINISTRATOR 1634886 NATIONAL COMPLIANCE SERVICES 463 MIDDLEFIELD RD BOULDER CREEK CA 95006 PAYROLL AUDITS 251454 ANTHEM BLUE CROSS 11050 OLSEN DR STE 110 RANCHO CORDOVA CA 95670 CLAIM PROCESSOR 585375 HSTECHNOLOGY SOLUTIONS INC 3857 BIRCH ST STE 586 NEWPORT BEACH CA 92660 OON NEGOTIATOR 138222 DELTA DENTAL PO BOX 429086 SAN FRANCISCO CA 94142 dental ADMINISTRATOR 254452 5 0 EMPLOYER CONTRIBUTIONS 900099 131757858 131757858 PARTICIPANT CONTRIBUTIONS 900099 136202 136202 131894060 1553486 1553486 0 0 0 0 0 49113987 48889709 224278 224278 224278 0 0 0 0 0 0 0 0 0 PRESCRIPTION DRUG REBATE 900099 1539034 1539034 STOP LOSS REIMBURSEMENTS 900099 840852 840852 EXPERIENCE RATED REFUND 900099 147152 147152 95550 95550 2622588 136294412 134516648 1777764 0 0 0 116247477 115250 0 0 0 0 0 1609895 144477 305120 0 0 247219 554678 0 80113 0 0 0 0 0 37302 0 0 0 50392 MISCELLANEOUS EXPENSES 13099 TRANSITIONAL REINSURANCE FEE 148598 PCORI FEE 31280 119584900 0 0 24957452 35676180 0 0 12741974 12829187 0 0 0 0 0 0 0 0 7246 12518 0 0 34653181 39809907 0 0 0 0 0 0 0 0 72359853 88327792 212133 207234 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26439712 25881038 26651845 26088272 X 0 0 0 0 45708008 62239520 45708008 62239520 72359853 88327792 16709512 -178000 X false true X true 0 BENEFIT OBLIGATIONS 25815683 SECURITIES PAYABLE 65355 25881038 X 136116412 -178000 -178000 136294412 136294412 120071281 120071281 -486381 -486381 119584900 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 OBLIGATION AT JANUARY 31, 2017 $(486,381) Part VI, Line 11B: The Plan's CPA prepares the form 990 which is reviewed by the third party administrator and presented to the Board chairman and co-chairman to review and approve prior to being filed. The full board can request copies of the completed form 990. Part VI, Line 12c: The trustees participate in regular board of trustee meetings and are required to report to the board any conflicts of interest that arise. Part VI, Line 15b: The full board periodically reviews and approves the compensation for paid trustees. Part VI, Line 19: The Plan's governing documents, conflict of interest policy and financial statements are available to participants upon request. Annually, the Plan files a form 5500 annual return/report of Employee Benefit Plan with the Department of Labor. The form 5500 is available on the DOL's website. PART VII, Section A: Reportable compensation and estimated amounts of other compensation from the related organizations for Olga Miranda represent amounts that were reported on the 2016 form 990. ALAMEDA COUNTY FAIRG AMERICAN CONSERVATORY BUILDING SKILLS PARTNERSHIP CHAPEL OF THE CHIMES ETERNAL HOME CEMETERY GATEVIEW HOMEOWNERS GREEK ORTHODOX MEMORIAL HOME OF ETERNITY CEMETERY HILLS OF ETERNITY IBEW LOCAL 332 LONE TREE CEMETERY MEBA UNION DISTRICT MILLS COLLEGE MOUNTAIN VIEW CEMETERY ROMAN CATHOLIC CEMETERY SANTA CLARA CTY FAIR SEIU - USWW SEIU LOCAL 2007 SEIU LOCAL 265 - NBU SEIU LOCAL 87 SKYLAWN MEMORIAL PARK STONEMOR OLIVET MEMO SUNSET VIEW CEMETERY TRACY PUBLIC CEMETERY BREKKE VENTURES LLC CLEAN-A-RAMA MAINTANENCE SERVICES CONCAR INDUSTRIES LLC ENVIRONMENTAL SERVICES CONCEPTS G2 SECURE STAFF LLC INNOVATIVE FACILITY SERVICES LEWIS & TAYLOR LLC NORTHPOINT INVESTORS OCEAN COLONY PARTNER SACRAMENTO CENTRAL LLC SILVERADO RESORT SERVICES TERMINAL PLAZA ASSOC UBM JANITORIAL WATCH AND WAGER LLC A & A MAINTENANCE ABLE BUILDING MAINTENANCE ABM JANITORIAL SERVICES ABM SECURITY SERVICE ABSOLUTE JANITORIAL ACME BUILDING MAINTENANCE AKIMA LOGISTICS SERVICES ALLAN INDUSTRIES ALTA MESA IMPROVEMENT AMERICAN BUILDING SERVICES AMERICAN EMPIRE BIMBO BAKERS USA BLACKSTONE CONSULTING BRILLIANT GENERAL MAINTENANCE CW BUILDING MAINTENANCE CALIFORNIA BUILDING MAINTENANCE CO CALIFORNIA GOLF CLUB CAMBRIAN BOWL CAPITAL BUILDING MAINTENANCE CHEMICAL EXHAUST FIRE & PROTECTION CO COMPASS GROUP CUSTOMIZED PERFORMANCE INC DAVE'S BUILDING MAINTENANCE DIVERSIFIED MAINTENANCE UGL SERVICES ORGANIZATION OF DTZ EARTHGRAINS BAKING COMPANIES INC EAST LAWN INC ELITE WINDOW CLEANING INC FLAGSHIP FACILITY SERVICES FRANKLIN BUILDING MAINTENANCE GCA SERVICES GROUP GENESIS BUILDING SERVICES INC GLASSTECH WINDOW CLEAN GREEN HILLS COUNTRY CLUB THE HEARST CORPORATION INNOVATIVE MAINT SOLUTIONS ISS FACILITY SERVICE INC ITALIAN CEMETERY INC KING JANITORIAL EQUIP SVCS LAKES MERCED GOLF CLUB LITTLE GIANT BUILDING MAINTENANCE INC MAINTENANCE COOPERAT MANN'S JEWELERS MERCHANTS BLDG MAINT MERCHANTS EXCHANGE BUILDING METRO MAINTENANCE INC METRO SERVICES GROUP NATIONAL COMPLIANCE NATIONWIDE JANITORIAL SERVICES INC OAKLAND ATHLETICS OLYMPIC CLUB ONE SOURCE PACIFIC MAINTENANCE PACIFIC RACING ASSOC PLATINUM SVCS BLDG M POWER CLEAN ENTERPRISES INC PREFERRED SERVICES BLDG MAINTENANCE PREMIER FLOOR CARE PRIDE INDUSTRIES PRITCHARD SPORTS & ENTERTAINMENT GROUP REYNOLDS CLEANING SERVICE S & F WINDOW CLEANING SAN FRANCISCO GIANTS SAN FRANCISCO GOLF SAN JOSE ARENA MANAG SAVE MART SUPERMARKET SBM SERVICE BY MEDALLION SODEXO SP PLUS CORPORATION SPENCER BUILDING MAINTENANCE STAFF PRO INC THE JOCKEY CLUB TONY FRAGA BLDG SERV TOWNSHIP BUILDING MAINTENANCE UNITED BUILDING MAINTENANCE INC UNIVERSAL BUILDING SERVICE UNIVERSAL BUILDING MAINTENANCE UNIVERSAL PROTECTION US METRO GROUP INC WOODLAKE HOTEL VARSITY CONTRACTORS WATERGATE COMMUNITY WESTLAKE VILLAGE APA IMPEC GROUP INC CAPITAL BUILDING MAIntanance false false false false false false false false false false false false false false false false false false true