2025-11-07T18:22:52-06:00 2024-12-31 470900880 CALIBRE CPA GROUP PLLC 7501 WISCONSIN AVENUE SUITE 1200 WEST BETHESDA MD 20814 990 2024-01-01 956042873 WESTERN STATES CARPENTERS HEALTH AND WELFARE TRUST SOUT 2133868590 445 S FIGUEROA 15TH FLOOR LOS ANGELES CA 90071 PETE RODRIGUEZ TRUSTEE 2133868590 2025-11-07 1 1 ERIN CRANMER P01712644 2023319880 2025-11-06 2024 2025-03-06 01:10:19Z X X PETE RODRIGUEZ 445 S FIGUEROA 15TH FLOOR LOS ANGELES CA 90071 1290341042 0 X CSACBENEFITS.ORG X 1955 CA TO PROVIDE MEDICAL AND RELATED BENEFITS 16 9 48 0 0 0 0 0 513175294 557937598 12562850 -18121546 419205 812507 526157349 540628559 0 0 389877798 478993488 0 0 0 0 0 19008045 22339547 408885843 501333035 117271506 39295524 794757871 1362558365 24496957 57324942 770260914 1305233423 TO PROVIDE MEDICAL AND RELATED BENEFITS TO PARTICIPANTS AND THEIR QUALIFYING DEPENDENTS IN ACCORDANCE WITH THE TRUST AGREEMENT. 0 0 TO PROVIDE MEDICAL AND RELATED BENEFITS TO 51,730 PARTICIPANTS AND THEIR QUALIFYING DEPENDENTS IN ACCORDANCE WITH THE TRUST AGREEMENT. 0 0 0 0 0 0 0 0 0 0 1 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 1 393 0 1 48 1 0 0 0 0 0 0 0 0 X 16 9 0 0 0 0 0 0 0 1 1 0 0 0 0 0 1 0 0 0 CA X CARPENTERS SERVICES ADMIN CORP 2133868590 445 S FIGUEROA LOS ANGELES CA 90071 BERT LEWITT TRUSTEE 1.00 X 0 0 0 KIM FROMER TRUSTEE 1.00 X 0 0 0 RICHARD HARRIS TRUSTEE 1.00 X 0 0 0 CLINT LARISON TRUSTEE 1.00 X 0 0 0 GREG WILSON TRUSTEE 1.00 X 0 0 0 ANTHONY ROSETTI TRUSTEE 1.00 X 0 0 0 TONY CORNELL TRUSTEE 1.00 X 0 0 0 CURTIS CONYERS JR TRUSTEE/CHAIR 1.00 3.00 X 0 16554 0 MEG NORDALE TRUSTEE 1.00 X 0 0 0 FRANK ZAMBRANO TRUSTEE 1.00 40.00 X 0 202684 88545 JOSH RAPER TRUSTEE 1.00 40.00 X 0 173269 81217 OSCAR CORDOVA TRUSTEE 1.00 40.00 X 0 176262 81777 FRANK HAWK TRUSTEE 1.00 40.00 X 0 352827 129062 PETE RODRIGUEZ TRUSTEE/CO-CHAIR 1.00 X 0 0 0 JACOB LOPEZ TRUSTEE 1.00 40.00 X 0 173269 81217 SEAN HARTRANFT TRUSTEE 1.00 40.00 X 0 241122 98180 0 1335987 559998 0 0 1 0 CARPENTERS SERVICES ADMINISTRATIVE CORPO 445 S FIGUEROA LOS ANGELES CA 90071 ADMINISTRATIVE SERVICES 10139447 INDEPENDENCE ADMINISTRATORS PO BOX 826989 PHILADELPHIA PA 19182 MEDICAL CLAIMS PROCESSING 7880852 EXPRESS SCRIPTS 100 PARSON POND DRIVE FRANKLIN LAKES NJ 07417 PRESCRIPTION DRUG PROCESSING FEES 3471613 SHANLEY APC 533 SOUTH FREMONT AVENUE LOS ANGELES CA 90071 LEGAL 980105 THE SEGAL COMPANY PO BOX 4070 NEW YORK NY 10261 CONSULTING 509408 8 EMPLOYER CONTRIBUTIONS 900099 555703995 555703995 PARTICIPANT CONTRIBUTIONS 900099 1964180 1964180 LIQUIDATED DAMAGES 900099 269423 269423 557937598 21505482 21505482 710085455 749712483 -39627028 -39627028 -39627028 OPEN ENROLLMENT AND CONSUMERISM E 900099 808959 808959 OTHER INCOME 900099 3548 3548 812507 540628559 558750105 0 -18121546 478993488 4814479 1548467 45063 292930 14406231 1024178 24816 178858 DUES AND SUBSCRIPTIONS 4525 501333035 6970929 299238616 49548247 90462924 2771492 3431892 507115985 442104622 222459175 522837109 5892043 4483202 794757871 1362558365 1605957 1611942 22891000 55713000 24496957 57324942 X 0 0 0 0 770260914 1305233423 770260914 1305233423 794757871 1362558365 X 39295524 74461889 421215096 X X 0 1 X 1 0 0 U.S. EQUITY PRIVATE PLACEMENT 355031742 F LIMITED PARTNERSHIPS 167805367 F 522837109 ESTIMATED LIABILITY FROM CLAIMS IBNR 55713000 55713000 X 614797518 74461889 74461889 540335629 292930 292930 540628559 468218105 0 468218105 292930 32822000 33114930 501333035 PART X, LINE 2: THE TRUST ESTABLISHED UNDER THE PLAN TO HOLD THE PLAN'S ASSETS IS QUALIFIED PURSUANT TO SECTION 501(C)(9) OF THE INTERNAL REVENUE CODE (IRC) AS A TAX EXEMPT ORGANIZATION. THE PLAN HAS OBTAINED A FAVORABLE DETERMINATION LETTER FROM THE INTERNAL REVENUE SERVICE AND THE PLAN SPONSOR BELIEVES THAT THE PLAN, AS AMENDED, CONTINUES TO QUALIFY AND TO OPERATE IN ACCORDANCE WITH APPLICABLE PROVISIONS OF THE IRC. THEREFORE, NO PROVISION FOR INCOME TAXES HAS BEEN INCLUDED IN THE PLAN'S FINANCIAL STATEMENTS. 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 IF THE PLAN HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE TAXING AUTHORITIES. 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 ESTIMATED LIABILITY FOR CLAIMS IBNR 32,822,000. 0 0 0 FRANK HAWK TRUSTEE 0 352827 0 0 0 0 0 111314 0 17748 0 481889 0 0 SEAN HARTRANFT TRUSTEE 0 241122 0 0 0 0 0 80432 0 17748 0 339302 0 0 FRANK ZAMBRANO TRUSTEE 0 202684 0 0 0 0 0 70797 0 17748 0 291229 0 0 OSCAR CORDOVA TRUSTEE 0 176262 0 0 0 0 0 64029 0 17748 0 258039 0 0 JOSH RAPER TRUSTEE 0 173269 0 0 0 0 0 63469 0 17748 0 254486 0 0 JACOB LOPEZ TRUSTEE 0 173269 0 0 0 0 0 63469 0 17748 0 254486 0 0 FORM 990, PART VI, SECTION B, LINE 11B FORM 990 IS REVIEWED BY THE ADMINISTRATOR PRIOR TO FILING, AND AFTER APPROVAL OF THE AUDITED FINANCIAL STATEMENTS BY THE BOARD OF TRUSTEES. FORM 990, PART VI, SECTION C, LINE 19 ORGANIZATIONAL DOCUMENTS AND FINANCIAL INFORMATION ARE AVAILABLE BY APPOINTMENT AT THE ADMINISTRATORS OFFICE. FORM 990, PART XI, LINE 9: MERGER PROCEEDS FROM ALASKA CARPENTERS HEALTH AND WELFARE TRUST FUND 27,099,207. MERGER PROCEEDS FROM NORTHWEST HEALTH AND WELFARE TRUST FUND 394,115,889. FORM 990, PART XII, LINE 2C THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. WESTERN STATES CARPENTERS PENSION TRUST 445 S FIGUEROA LOS ANGELES CA 90071 956042875 TO PROVIDE PENSION BENEFITS CA 501(A) 0 WESTERN STATES CARPENTERS TRAINING TRUST 445 S FIGUEROA LOS ANGELES CA 90071 952106266 TO PROVIDE EDUCATION BENEFITS CA 501(C)(5) 0 WESTERN STATES CARPENTERS VACATION TRUST 445 S FIGUEROA LOS ANGELES CA 90071 956042279 TO PROVIDE VACATION BENEFITS CA 501(C)(9) 0 CABINET MAKERS LOCAL 721 CALIFORNIA CONFERENCE OF CARPENTERS CALIFORNIA DEPT OF CORREC CARP INTERNATIONAL TRAINING FUND CARP JT APPRNT COMM FUND CARPENTERS & JOINERS WELFARE FUND CARPENTERS COMBINED FUNDS CARPENTERS FUNDS OF NORTHERN CA CARPENTERS LOC UNION 59 CARPENTERS LOC UNION 70 CARPENTERS LOCAL #1319 CARPENTERS LOCAL #1607 CARPENTERS LOCAL #1912 CARPENTERS LOCAL #1977 CARPENTERS LOCAL #206 CARPENTERS LOCAL #213 CARPENTERS LOCAL #503 CARPENTERS LOCAL #555 CARPENTERS LOCAL #562 CARPENTERS LOCAL #619 CARPENTERS LOCAL #661 CARPENTERS LOCAL #714 CARPENTERS LOCAL #743 CARPENTERS LOCAL #801 CARPENTERS 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