2017-04-14T17:21:56-05:00 2016-06-30 MILLER KAPLAN ARASE LLP 44 MONTGOMERY ST STE 3701 SAN FRANCISCO CA 941044831 990 2015-07-01 946277871 Sacramento Independent Hotel Restaurant & Tavern Employees Welfare Trust % BENESYS INC SACR 9253987060 7180 KOLL CENTER PKWY ste 200 PLEASANTON CA 94566 SANDRA PARKER trustee 9253987060 2017-04-06 true Kelly T Harper P01513501 4159563600 2015 2021-01-29 14:40:06Z SHERRI CHIESA 7180 KOLL CENTER PKWY ste 200 pleasanton CA 94566 10362194 false X N/A X 1966 CA SEE SCHEDULE O 6 6 0 0 0 0 0 6791765 8522451 245501 315446 166310 154164 7203576 8992061 0 0 5623949 6504647 0 0 0 0 0 680496 739267 6304445 7243914 899131 1748147 7963686 9970901 1798562 2098988 6165124 7871913 X SEE SCHEDULE O false false SEE SCHEDULE O 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 10 0 true 0 false false false false false false false X 6 6 false true false false false false false true true false false true false false false false false false X BENESYS INC 9253987060 7180 KOLL CENTER PKWY STE 200 PLEASANTON CA 94566 X X SAMI QURESHI TRUSTEE 5.0 X 0 0 0 SANDRA PARKER TRUSTEE 5.0 X 0 0 0 LIZ TAVERNESE TRUSTEE 5.0 X 0 0 0 SHERRI CHIESA TRUSTEE 5.0 X 0 0 0 AAMIR DEEN TRUSTEE 5.0 X 0 0 0 CHRIS RAK TRUSTEE 5.0 X 0 0 0 0 0 0 0 false false false integrity administrators 1787 TRIBUTE RD STE E SACRAMENTO CA 95815 ADMINISTRATOR 270641 BENESYS ADMINISTRATORS 7180 KOLL CENTER PKWY STE 200 PLEASANTON CA 94566 ADMINISTRATOR 118000 Aetna Inc 151 Farmington Ave HARTFORD CT 06156 CLAIMS PROVIDER 149763 3 0 EMPLOYER CONTRIBUTIONS 900099 8203547 8203547 PARTICIPANT CONTRIBUTIONS 900099 318904 318904 8522451 279273 279273 0 0 0 0 0 1406306 1370133 36173 36173 36173 0 0 0 LIQUIDATED DAMAGES 900099 8375 8375 STOP-LOSS REIMBURSEMENT 900099 138722 138722 RX REBATES 900099 7067 7067 154164 8992061 8676615 315446 0 0 0 6504647 0 0 0 0 0 0 388641 19200 35824 0 0 0 36263 0 38103 0 0 0 0 0 7594 0 0 0 20079 COST CONTAINMENT FEES 155732 ACA TRANSITIONAL FEES 33461 MISCELLANEOUS 4370 7243914 1202319 2533893 733503 714995 0 0 716059 874731 0 0 0 0 0 0 0 0 6000 0 0 5234549 5767843 0 0 0 0 0 0 71256 79439 7963686 9970901 389476 299094 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1409086 1799894 1798562 2098988 X 0 0 0 0 6165124 7871913 6165124 7871913 7963686 9970901 1748147 -41358 X false true X true 0 BENEFIT OBLIGATIONS 1675818 DUE TO RELATED PARTY PENSION PLAN 124076 1799894 X 8950703 -41358 -41358 8992061 8992061 6977182 1409086 1409086 5568096 1675818 1675818 7243914 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, 2D: BENEFIT OBLIGATIONs AT JUNE 30, 2015: $1,409,086 PART XII, 4B: BENEFIT OBLIGATIONs AT JUNE 30, 2016: $1,675,818 PART I, LINE 1 AND PART III, LINES 1 AND 4A - ORGANIZATION'S MISSION: TO PROVIDE HEALTH AND WELFARE BENEFITS FOR ELIGIBLE PARTICIPANTS COVERED BY THE COLLECTIVE BARGAINING AGREEMENTS BETWEEN THE UNION AND EMPLOYERS OR EMPLOYER ASSOCIATIONS SIGNATORY TO THE AGREEMENTS. PART IV, LINE 34: THE plan HAS A SPECIFIC PROCEDURE IN PLACE FOR THIS NEW DISCLOSURE REQUIREMENT ON THE SCHEDULE R. THE ADMINISTRATOR HAS SENT OUT A QUESTIONNAIRE TO OBTAIN THE REQUIRED INFORMATION FROM THE CONTRIBUTING EMPLOYERS. THE ENCLOSED INFORMATION REPRESENTS WHAT THE TRUST FUND HAS RECEIVED TO DATE. PART VI, SECTION A, LINE 3: THE plan HAS DELEGATED CONTROL OVER MANAGEMENT DUTIES CUSTOMARILY PERFORMED BY OR UNDER THE DIRECT SUPERVISION OF OFFICERS, DIRECTORS, TRUSTEES OR KEY EMPLOYEES TO A CONTRACT ADMINISTRATOR. PART VI, SECTION B, LINE 11B: CHAIR AND CO-CHAIR REVIEW THE FORM IF AVAILABLE OR ONE EMPLOYER TRUSTEE AND ONE UNION TRUSTEE REVIEW THE FORM 990 PRIOR TO FILING. PART VI, SECTION C, LINE 19: THE plan DOES NOT MAKE ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO PUBLIC. PART XII, LINE 2C: THE BOARD OF TRUSTEES ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF THE PLAN'S FINANCIAL STATEMENTS AND FOR SELECTION OF THE INDEPENDENT AUDITOR. SACRAMENTO INDPDNT HOTEL RESTRNT PENSION PENSION CA 401(A) THE SUTTER CLUB OE PARTICIPATING ERS PRE-APPRENTICE UNITE HERE LOCAL 49 THUNDERBIRD LODGE OVATIONS FANFAR LEVY PREMIUM FOODSERVICE LP ATRIUM FINANCE 1 LP DAVE WONG ENTERPRISES LTD HOSPITALITY SACRAMENTO LP CAL W PARTNERS MASTER SUBTENANT LP WEST LANE BOWL SHERATON GRAND SACRAMENTO HOTEL VOLUME SERVICES ROUND CORNER TAVERN INC PLAZA HOP BRAU INC HOST INTERNATIONAL INC GOLDEN STAR CAFE INC FORTY-NINER TRUCK STOP INC SACRAMETO NO 3 INC THE DANTE CLUB OF SACRAMENTO false false false false false false false false false false false false false false false false false false false