2017-02-13T11:32:29-06:00 2016-03-31 300702322 HEMMING MORSE CPA'S AND CONSULTANTS 155 BOVET ROAD SUITE 600 SAN MATEO CA 94402 990 2015-04-01 941645611 SAN FRANCISCO CULINARY BARTENDERS & SERVICE EMPLOYEES WELFARE FUND SANF 6508272101 1000 MARINA BLVD 400 BRISBANE CA 94005 TRUSTEE TRUSTEE TRUSTEE 6508272101 2017-02-10 1 P01781096 4158364000 2015 2021-01-29 14:40:06Z X 1000 MARINA BLVD 400 BRISBANE CA 94005 223535800 0 X N/A X 1958 CA SEE PART III LINE 4A 8 8 0 0 0 0 0 0 153152307 160253521 1752349 2091909 49515 28428 154954171 162373858 0 0 138087913 140286040 292821 347044 0 0 0 1798878 1839308 140179612 142472392 14774559 19901466 85087710 103647640 23545783 24298751 61541927 79348889 NONE 0 0 TO PROVIDE HEALTH CARE BENEFITS TO ELIGIBLE PARTICIPANTS COVERED UNDER THE COLLECTIVE BARGAINING AGREEMENTS BETWEEN THE UNION & EMPLOYERS. 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 1 0 0 1 112 0 0 0 0 0 0 0 0 0 0 0 0 X 8 8 0 1 0 0 0 0 0 1 0 0 0 1 0 1 1 0 0 0 X NORTHWEST ADMINISTRATORS INC 6508272101 1000 MARINA BLVD 400 BRISBANE CA 94005 X MICHAEL CASEY TRUSTEE 5.00 X 0 0 0 DOUGLAS CORNFORD TRUSTEE 5.00 X 0 0 0 ANAND SINGH TRUSTEE 5.00 X 0 0 0 ROBERT BERGER TRUSTEE 5.00 X 0 0 0 KIM WIRSHING TRUSTEE 5.00 X 0 0 0 DEAN LEHR TRUSTEE 5.00 X 0 0 0 IAN LEWIS TRUSTEE 5.00 X 0 0 0 RICHARD SAWHILL TRUSTEE 5.00 X 0 0 0 LOUISE RUSH EXECUTIVE DIRECTOR 40.00 X 110000 0 13095 110000 0 13095 1 0 0 0 ATPA 1640 SOUTH LOOP ROAD ALAMEDA CA 94501 CONTRACT ADMINISTRATOR 691800 DELTA DENTAL 100 FIRST STREET SAN FRANCISCO CA 94105 CLAIMS ADMINISTRATOR 426827 2 EMPLOYER CONTRIBUTIONS 900099 159768280 159768280 EMPLOYEE CONTRIBUTIONS 900099 485241 485241 160253521 2227414 2227414 61026437 61161942 -135505 -135505 -135505 LIQUIDATED DAMAGES 900099 17874 17874 OTHER INCOME 900099 10554 10554 28428 162373858 160281949 0 2091909 140286040 110000 237044 691800 61947 38281 85598 55768 13680 16398 CLAIMS ADMINISTRATION 426827 BENEFIT CONSULTANTS 196718 PRINTING AND POSTAGE 58326 SOFTWARE LICENSING FEE 41432 152533 142472392 827455 1653742 17274932 20063623 12526063 13421852 12220 19169 54259782 68236330 187258 252924 85087710 103647640 529039 380195 23016744 23918556 23545783 24298751 X 0 0 0 0 61541927 79348889 61541927 79348889 85087710 103647640 19901466 -2094504 0 X X 0 1 X 1 0 0 GROUP INSURANCE PREMIUMS PAYABLE 19627834 SELF-FUNDED BENEFIT CLAIMS PAYABLE 2373480 CLAIMS INCURRED BUT NOT REPORTED 1122000 DUE TO OTHER FUNDS 434712 DUE TO BROKER 360530 23918556 X 160279354 -2094504 -2094504 162373858 0 162373858 142472392 0 142472392 0 142472392 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 MARCH 31, 2013. FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION DELEGATES CONTROL OF MANAGEMENT DUTIES CUSTOMARILY PERFORMED BY OR UNDER THE DIRECT SUPERVISION OF OFFICERS, DIRECTORS, TRUSTEES OR KEY EMPLOYEES TO THE CONTRACT ADMINISTRATOR. FORM 990, PART VI, SECTION A, LINE 8B THE ORGANIZATION DOES NOT HAVE ANY COMMITTEES WITH THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11 THE CHAIR AND CO-CHAIR ARE PROVIDED A COPY OF THE FORM 990 TO REVIEW PRIOR TO SIGNING. 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 ORGANIZATION'S FINANCIAL STATEMENTS AND FOR SELECTING THE INDEPENDENT AUDITOR. SAN FRANCISCO CULINARY BARTENDERS AND SERVICE EMPLOYEES PENSION FUND 1640 SOUTH LOOP RD ALAMEDA CA 94502 946118925 TO PROVIDE PENSION BENEFITS TO ELIGIBLE PARTICIPANTS CA 401A 0 SAN FRANCISCO CULINARY BARTENDERS & SERVICE EMPLOYEES LEGAL SERVICES FUND 1640 SOUTH LOOP RD ALAMEDA CA 94502 946625180 TO PROVIDE GROUP LEGAL SERVICES BENEFITS TO ELIGIBLE PARTICIPANTS CA 501C 0 SAN FRANCISCO HOTEL RESTAURANT LABOR MANAGEMENT EDUCATION FUND 1640 SOUTH LOOP RD ALAMEDA CA 94502 237103043 TO PROVIDE TRAINING AND EDUCATION PROGRAMS TO ELIGIBLE PARTICIPANTS CA 501C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 CONTRIBUTING EMPLOYERS, HOWEVER, THAT LIST DOES NOT INCLUDE FEDERAL TAX CLASSIFICATION. THEREFORE, THE LIST OF CONTRIBUTING EMPLOYERS IS REPORTED ON PART VII, SUPPLEMENTAL INFORMATION. AMERICAN EMPIRE BLDG CO( GRAND HYATT & HYATT REGENCY) BOHEMIAN CLUB BON APETTIT @U.S.F. (FORMER SODEXHO INC. #52600) CARLTON HOTEL CASTAGNOLA'S CENTERPLATE BON APPETIT CENTERPLATE MONSTER PARK, A T & T PARK CHANCELLOR HOTEL CLIFT HOTEL LOCAL 2 INCLUDES REDWOOD AND ASIA DE CUBA) COMFORT INN BY BAY (RC) COURTYARD BY MARRIOTT DEAN LEHR-TRUSTEE (EFF 06/09) DIVA HOTEL FAIRMONT HERITAGE PLACE FAIRMONT HOTEL FAMILY, THE FOUR SEASONS HOTEL FRANCISCA CLUB GHIRARDELLI CHOCOLATE CO GRAND HYATT HOTEL (HYATT FISHEMNAN'S WHARF) HANDLERY UNION SQ. HOTEL HILTON SF FINANCIAL DISTRICT (FORMERLY HOLIDAY INN FD #35874) HOLIDAY INN EXPRESS HOLIDAY INN/ CIVIC CENTER HOLIDAY INN/ FISHERMAN'S WHARF HOLIDAY INN/ GOLDEN GATE HOTEL KABUKI (FORMERLY MIYAKO HOTEL) HOTEL TOMO (FORMERLY MIYAKO INN) HOTEL VITALE HOTEL VITALE-F&B ONLY HOTEL ZEPHYR FORMERLY RADISSON AT FISHERMANS WHARFINCLUDING LOCAL 75 HUNTINGTON HOTEL (WITH THE BIG FOUR #78212) HYATT REGENCY INTERCONTINENTAL HOTEL (EFF 2/08) KENSINGTON PARK HOTEL KNIGHT'S CATERING LAKESIDE GOLF CLUB (OLYMPIC) LARKSPUR HOTEL UNION SQUARE (CARTWRIGHT HOTEL, DBA) LAUREL MOTOR INN MARK HOPKINS HOTEL MARRIOTT AT THE WHARF MARRIOTT AT THE WHARF(HEALTH & WELFARE ONLY) METROPOLIS HOTEL - EFF 12/15/10 (NEW OWNER-SOMA HOTEL) NO MORE DIRT INC FOUR SEASONS (FROM ACCT #3353) NO MORE DIRT INC SF HILTON NO MORE DIRT INC ST. REGIS NO MORE DIRT INC W HOTEL NO MORE DIRT INC FAIRMONT HOTEL NO MORE DIRT INC SHERATON PALACE OLYMPIC CLUB (DOWNTOWN) OMNI HOTEL PACIFIC UNION CLUB PARC 55 PARK CENTRAL (FORMERLY WESTIN MARKET STREET) PATINA CATERING/DAVIES PICKWICK HOTEL PIER 2620 (FORMERLY HILTON AT THE WHARF) ROYAL PACIFIC MOTOR INN S.F. CULINARY INDUSTRY BANQUET COMMITTEE S.F. CULINARY WELFARE/ DC-EC-BARGAINING EMPLOYEE S.F.HILTON INCLUDING LOCAL 75 S.M.G. FOOD & BEVERAGE, LLC SAM'S GRILL SAN FRANCISCO DOWNTOWN COURTYARD SCOMA'S RESTAURANT SEAL ROCK INN SERRANO HOTEL SF HOTEL COMPANY LLC, DBA HOTEL G SF MARRIOTT UNION SQUARE(CROWNE PLAZA UNION SQUARE) SHERATON AT THE WHARF SHERATON PALACE SIR FRANCIS DRAKE HOTEL SOMA HOTEL -APIC MGNT. (W/ AMERICANA, CARRIAGE INN, AND GOOD HOTEL -(BRITTON AND FLAMINGO)) SPECS 12 ADLER MUSEUM CAF ST. FRANCIS HOTEL WESTIN ST. FRANCIS HOTEL WESTIN-(MINA RESTAURANT) ST. FRANCIS YACHT CLUB ST. FRANCIS YACHT CLUB -NON KITCHEN ST. FRANCIS YACHT CLUB NON PENSION(BELONG TO PENSION CLUB) ST. REGIS HOTEL(STARWOOD HOTEL & RESORT) STANFORD COURT HOTEL THE BIG FOUR RESTAURANT TOMMY'S JOINT RESTAURANT TOWN & COUNTRY CLUB UNION SQUARE HOTEL UNITE HERE LOCAL 2 UNITED IRISH CULTURAL CENTER UNIVERSITY CLUB VOLUME SERVICE S.F. ZOO W HOTEL S.F . - FOOD & BEV(STARWOOD HOTEL & RESORT) W HOTEL S.F. - HOUSEKEEPING W.HOTEL S.F. - MISC(STARWOOD HOTEL & RESORT) WHARF MOTEL WHITCOMB (RAMADA HOTEL)