2017-11-15T22:20:47-06:00 2016-12-31 300702322 HEMMING MORSE CPAS AND CONSULTANTS 155 BOVET ROAD SUITE 600 SAN MATEO CA 94402 990 2016-01-01 477064757 SPRINKLER FITTERS LOCAL UNION NO 483 HRA SPRI 4155368253 221 MAIN STREET NO 250 SAN FRANCISCO CA 94105 TRUSTEE TRUSTEE TRUSTEE 4155368253 2017-11-15 1 P00739466 4158364000 69.170.44.162 2017-11-15 20:20:25 PS P 65A2799B7FBD805C20207EC1E1BC21BD90DCCA14 6DDAC0003BCC8996D20B35C2703FD2556DD28933 2016 2018-03-14 21:41:22Z 221 MAIN STREET NO 250 SAN FRANCISCO CA 94105 1209757 0 X N/A X 2015 CA TO PROVIDE HEALTH REIMBURSEMENT ACCOUNTS (HRA) AS PERMITTED BY LAW TO TRUST PARTICIPANTS. 6 6 0 0 0 0 0 0 442600 1209757 0 0 0 0 442600 1209757 0 0 0 451563 0 0 0 0 0 0 1395 0 452958 442600 756799 442600 1199399 0 0 442600 1199399 TO PROVIDE HEALTH REIMBURSEMENT ACCOUNTS (HRA) AS PERMITTED BY LAW TO TRUST PARTICIPANTS. 0 0 NONE 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 0 0 0 0 0 0 0 0 0 0 0 0 X 6 6 0 1 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 X ZENITH AMERICAN SOLUTIONS 4155368253 221 MAIN STREET SUITE 250 SAN FRANCISCO CA 94105 X STANLEY SMITH CHAIRMAN 5.00 X 0 0 0 JEFFREY DIXON TRUSTEE 5.00 X 0 0 0 NIGEL COWAN TRUSTEE 5.00 X 0 0 0 FRED BARALL TRUSTEE 5.00 X 0 0 0 0 0 0 0 0 0 0 0 HRA CONTRIBUTIONS 900099 1209757 1209757 1209757 1209757 1209757 0 0 451563 BANK FEES 1395 452958 287887 1080124 154713 119275 442600 1199399 0 0 X 0 0 0 0 442600 1199399 442600 1199399 442600 1199399 756799 0 X X 0 1 X 1 0 0 X 1209757 0 1209757 0 1209757 452958 0 452958 0 452958 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, 2012. 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 A, LINE 8B THE ORGANIZATION DOES NOT HAVE ANY COMMITTES WITH THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B CHAIR AND CO-CHAIR REVIEW THE FORM FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC, UPON REQUEST FORM 990, PART XII, LINE 2C THE BOARD OF TRUSTEES ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF THE ORGANIZATION'S FINANCIAL STATEMENTS AND THE SELECTION OF 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. A-1 FIRE PROTECTION, INC. AHERN FIRE PROTECTION ALLIED FIRE PROTECTION ANDERSON, ROWE & BUCKLEY AST FIRE PROTECTION ATLANTIS FIRE PROT., INC. AVA FIRE PROTECTION, INC AYOOB & PEERY PLUMBING COMPANY BATTALION ONE FIRE PROTECTION BAY AREA FIRE PROTECTION BAY CITIES FIRE PROTECTION BFP FIRE PROTECTION BROADWAY MECHANICAL CONTRACTORS, INC CALIFORNIA FIRE SYSTEMS, INC CENTURY SPRINKLER CORP. CHRIS' PLUMBING, INC CISCO FIRE SPRINKLER CO. CJS AUTOMATIC FIRE SPRINKLER SYSTEMS INC COSCO FIRE PROTECTION CUPERTINO ELECTRIC DESERT FIRE PROTECTION DREIER FIRE PROTECTION DU-MOR FIRE SYSTEMS, INC. ECO FIRE SPRINKLER, INC EDISON FIRE EXTINGUISHER CO INC F. E. MORAN, INC. FIRE SUPPRESSION TECHNOLOGY FIRE-STOP SPRINKLER COMPANY FIRST RESPONDER FIRE PROTECTION CORP FRONTIER FIRE PROTECTION, INC. G.P. FIRE PROTECTION GEO M. ROBINSON COMPANY GOLDEN BEAR FIRE PROTECTION GOLDEN GATE FIRE PROTECTION GOLDEN STATE FIRE SAFETY H & M FIRE PROTECTION, INC. INGRAM FIRE PROTECTION, INC ISLAND FIRE PROTECTION, INC. LIBERTY FIRE SYSTEMS LPG FIRE PROTECTION NORTHERN CALIFORNIA FIRE PROTECTION COMPLIANCE GROUP ORITZ FIRE PROTECTION PACIFIC COAST FIRE PROTECTION PIONEER FIRE PROTECTION, INC. POTTER FIRE PROTECTION PRIBUSS ENGINEERING, INC. RCM FIRE PROTECTION RED HORSE TECHNOLOGIES INC RLH FIRE PROTECTION SEAMLESS FIRE PROTECTION SENTINEL FIRE PROTECTION, INC. SHAMBAUGH & SON SIEMENS SPRINKLER FITTERS, 483 SPRINKLER FITTERS, JATC SUPERIOR AUTO. SPR. CORP. TONY NG PLUMBING TRANSBAY FIRE PROTECTION VALUE FIRE PROTECTION, INC. WALSCHON FIRE PROTECTION WESTATES MECHANICAL CORP., INC WESTERN STATES FIRE PROTECTION WOLVERINE FIRE PROTECTION CO WOODS WORKS FIRE PROTECTION