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TEAMSTERS MANAGED HEALTH CARE TRUST: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
TEAMSTERS MANAGED HEALTH CARE TRUST (EIN 94-3138272)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-09-05
IRS object ID
201712489349300331
Schema version
2016v3.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2017-09-05T13:51:46-05:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN522385296PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1LINDQUIST LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line15000 EXECUTIVE PARKWAY SUITE 400AddressLine1Txt
CitySAN RAMONCityNm
State AbbreviationCAStateAbbreviationCd
ZIP945834346ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN943138272EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1TEAMSTERS MANAGED HEALTH CARE TRUST FUNDBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlTEAMBusinessNameControlTxt
Phone9254263555PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 757AddressLine1Txt
CityPLEASANTONCityNm
State AbbreviationCAStateAbbreviationCd
ZIP945660075ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJIM BEARDPersonNm
Person TitleTRUSTEEPersonTitleTxt
Phone9254263555PhoneNum
Signature2017-09-05SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJOSEPH M THIERMANNPreparerPersonNm
PTINP01066616PTIN
Phone9252779100PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address66.7.226.66IPv4AddressTxt
FieldValueIRS element (for citing)
IP2017-09-05IPDt
IP Tm11:51:38IPTm
IP TimezonePDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id72DCDAB48BBD05C01ADC32EAF6F951C821B03640AtSubmissionCreationDeviceId
At Submission Filing Device Id6DD8E3D40C39F05221E97E07BD1CB8F36D910CAEAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJIM BEARDPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 757AddressLine1Txt
CityPLEASANTONCityNm
State AbbreviationCAStateAbbreviationCd
ZIP945660075ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$79,746,869GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501cYes (X)Organization501cInd
Website AddressWWW.TMTFUNDS.ORGWebsiteAddressTxt
Type Of Organization TrustYes (X)TypeOfOrganizationTrustInd
Formation1991FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionTO PROVIDE HEALTH AND WELFARE BENEFITS FOR ELIGIBLE EMPLOYEES AND THEIR DEPENDENTS.ActivityOrMissionDesc
Voting Members Governing Body6VotingMembersGoverningBodyCnt
Voting Members Independent1VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$76,316,839PYProgramServiceRevenueAmt
CY Program Service Revenue$79,664,610CYProgramServiceRevenueAmt
PY Investment Income$69,006PYInvestmentIncomeAmt
CY Investment Income$82,259CYInvestmentIncomeAmt
PY Other Revenue$4,841PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$76,390,686PYTotalRevenueAmt
CY Total Revenue$79,746,869CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$73,826,296PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$76,853,947CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$1,603,254PYOtherExpensesAmt
CY Other Expenses$1,768,279CYOtherExpensesAmt
PY Total Expenses$75,429,550PYTotalExpensesAmt
CY Total Expenses$78,622,226CYTotalExpensesAmt
PY Revenues Less Expenses$961,136PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,124,643CYRevenuesLessExpensesAmt
Total Assets BOY$18,994,633TotalAssetsBOYAmt
Total Assets EOY$20,633,665TotalAssetsEOYAmt
Total Liabilities BOY$6,308,989TotalLiabilitiesBOYAmt
Total Liabilities EOY$6,751,291TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$12,685,644NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$13,882,374NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE HEALTH AND WELFARE BENEFITS FOR ELIGIBLE EMPLOYEES AND THEIR DEPENDENTS.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
DescPROVIDED HEALTH AND WELFARE BENEFITS FOR ELIGIBLE EMPLOYEES AND THEIR DEPENDENTS.Desc
Described In Section501c30DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building Equipment0ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document2IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members6GoverningBodyVotingMembersCnt
Independent Voting Member1IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of Committees0MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1DMC INSURANCE ADMINISTATORSBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone9254263555PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11181 QUARRY LANE SUITE 400AddressLine1Txt
CityPLEASANTONCityNm
State AbbreviationCAStateAbbreviationCd
ZIP94566ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (7 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
JIM BEARD
TRUSTEE1.00Yes (X)$0$0$0
BOB STRELO
TRUSTEE - PAST1.00Yes (X)$0$0$0
DON E GARCIA
TRUSTEE1.00Yes (X)$0$0$0
BRUCE HEID
TRUSTEE1.00Yes (X)$0$0$0
BO MORGAN
TRUSTEE - PAST1.00Yes (X)$0$0$0
GERRY EISELMAN
TRUSTEE1.00Yes (X)$0$0$0
SEE SCH O FOR COMPENSATION
PAID BY RELATED ORGANIZATIONS0.00Yes (X)$0$1$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (3 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
DMC ADMINISTRATORS INC
PO BOX 757PLEASANTONCA94566THIRD-PARTY ADMINISTRATION SERVICES$1,150,711
LINDQUIST LLP
5000 EXECUTIVE PARKWAY SUITE 400SAN RAMONCA94583ACCOUNTING SERVICE$132,027
CHIROMETRICS
PO BOX 25220FRESNOCA93729BENEFITS ADMINISTRATION$122,924
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K3CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
EMPLOYER CONTRIBUTIONS900099$78,127,318$78,127,318
PARTICIPANT CONTRIBUTIONS900099$1,411,905$1,411,905
LIQUIDATED DAMAGES900099$125,387$125,387
FieldValueIRS element (for citing)
Total Program Service Revenue$79,664,610TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$82,259TotalRevenueColumnAmt
Exclusion$82,259ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$79,746,869TotalRevenueColumnAmt
Related Or Exempt Func Income$79,664,610RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$82,259ExclusionAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$76,853,947TotalAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$1,137,024TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$49,468TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$132,027TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$3,549TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$350,438TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$68,040TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$19,646TotalAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$7,145TotalAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmt
DUES & SUBSCRIPTIONS$932
MISCELLANEOUS EXPENSES$10

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$78,622,226TotalAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,085,882BOYAmt
EOY$2,418,628EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$8,697BOYAmt
EOY$191EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$6,400,000BOYAmt
EOY$6,690,000EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$11,133,151BOYAmt
EOY$11,271,883EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$366,903BOYAmt
EOY$252,963EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$18,994,633BOYAmt
EOY$20,633,665EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
EOY$84,000EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$50,989BOYAmt
EOY$33,291EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$6,258,000BOYAmt
EOY$6,634,000EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$6,308,989BOYAmt
EOY$6,751,291EOYAmt
FieldValueIRS element (for citing)
Org Does Not Follow SFAS117Yes (X)OrgDoesNotFollowSFAS117Ind

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

FieldValueIRS element (for citing)
BOY$12,685,644BOYAmt
EOY$13,882,374EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$12,685,644BOYAmt
EOY$13,882,374EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$18,994,633BOYAmt
EOY$20,633,665EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$1,124,643ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$72,087NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (2 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
CERTIFICATES OF DEPOSIT$5,372,593F
INVESCO COLLECTIVE FUND$5,899,290F
FieldValueIRS element (for citing)
Total Book Value Securities$11,271,883TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescACCUMULATED ELIGIBILITY CREDITSDesc
Amt$6,634,000Amt
FieldValueIRS element (for citing)
Total Liability$6,634,000TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$79,815,407TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$72,087NetUnrealizedGainsInvstAmt
Revenue Not Reported$72,087RevenueNotReportedAmt
Revenue Subtotal$79,743,320RevenueSubtotalAmt
Investment Expenses Not Incld$3,549InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt$3,549RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$79,746,869TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$78,158,677TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$78,158,677ExpensesSubtotalAmt
Investment Expenses Not Incld2$3,549InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$460,000OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$463,549ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$78,622,226TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART X, LINE 2:THE PLAN'S ADMINISTRATOR HAS ANALYZED THE TAX POSITIONS TAKEN BY THE PLAN AND HAS CONCLUDED THAT, AS OF DECEMBER 31, 2016, THERE ARE NO UNCERTAIN POSITIONS TAKEN, OR EXPECTED TO BE TAKEN, THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY THE TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. THE PLAN'S ADMINISTRATOR BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR THE FISCAL YEARS PRIOR TO 2013.
PART XII, LINE 4B - OTHER ADJUSTMENTS:CHANGE IN BENEFIT OBLIGATIONS

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 3THE PLAN HAS CONTRACTED WITH DMC ADMINISTRATORS, INC. TO PROVIDE ADMINISTRATIVE SERVICES FOR THE ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 8BTHE ORGANIZATION HAS NO COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE BOARD OF TRUSTEES.
FORM 990, PART VI, SECTION B, LINE 11BA COPY OF THE FORM 990 IS PROVIDED TO EACH OF THE VOTING MEMBERS WITHIN THE GOVERNING BODY FOR REVIEW PRIOR TO FILING WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CTHE BOARD OF TRUSTEES IS SUBJECT TO THE FIDUCIARY RESPONSIBILITY PROVISIONS OF THE EMPLOYEE RETIREMENT INCOME SECURITY ACT OF 1974 (ERISA), AS AMENDED, INCLUDING THE CONFLICT-OF-INTEREST PROVISIONS OF ERISA SECTION 406. ANNUALLY AT THE BOARD OF TRUSTEES MEETING, THE TRUSTEES ARE REQUIRED TO DISCLOSE IF THERE ARE ANY CONFLICTS OF INTEREST. IF A CONFLICTING INTEREST EXISTS, THE PERSON WITH THE CONFLICT IS EXCLUDED FROM THE DISCUSSION AND APPROVAL OF SUCH TRANSACTION.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT-OF-INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART VII, SECTION A, LINE 1ATRUSTEES ARE NOT COMPENSATED BY THE TRUST. COMPENSATION PAID TO TRUSTEES EMPLOYED BY OTHER RELATED ORGANIZATIONS IS REPORTED ON THE FORM 990 FILED WITH THE INTERNAL REVENUE SERVICE BY THE RELATED TAX-EXEMPT ORGANIZATION. IF YOU WOULD LIKE ADDITIONAL INFORMATION, PLEASE CONTACT THE THIRD-PARTY ADMINISTRATOR, DMC ADMINISTRATORS, INC.
FORM 990, PART XII, LINE 2C:THE ORGANIZATION HAS A BOARD OF TRUSTEES THAT ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT AND ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1TEAMSTERS MANAGED ANNUNITY TRUSTBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 757AddressLine1Txt
CityPLEASANTONCityNm
State AbbreviationCAStateAbbreviationCd
ZIP94566ZIPCd
FieldValueIRS element (for citing)
EIN943138275EIN
Primary ActivitiesTO PROVIDE SUPPLEMENTAL RETIREMENT SAVINGS PROGRAM TO ELIGIBLE PARTICIPANTS.PrimaryActivitiesTxt
Legal Domicile StateCALegalDomicileStateCd
Exempt Code Section501(A)ExemptCodeSectionTxt
Public Charity StatusN/APublicCharityStatusTxt
Direct Controlling NAN/ADirectControllingNACd
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE R, IDENTIFICATION OF RELATED ORGANIZATIONS:FormAndLineReferenceDesc
ExplanationTHE FILING ORGANIZATION IS A TAFT-HARTLEY MULITEMPLOYER TRUST THAT PROVIDES HEALTH AND WELFARE BENEFITS TO ELIGIBLE EMPLOYEES AND THEIR DEPENDENTS. AS OF DECEMBER 31, 2016, THERE ARE APPROXIMATELY 4 SPONSORING ORGANIZATIONS AND 159 EMPLOYERS THAT CONTRIBUTE TO THE TRUST. THE ADMINISTRATIVE OFFICE MAINTAINS A DATABASE OF THESE SPONSORING ORGANIZATIONS AND CONTRIBUTING EMPLOYERS, INCLUDING NAMES, ADDRESSES AND OTHER CONTACT INFORMATION. THE FEDERAL TAX CLASSIFICATIONS (DISREGARDED ENTITY, TAX-EXEMPT ORGANIZATION, PARTNERSHIP, TAXABLE CORPORATION OR TRUST) FOR EACH CONTRIBUTING EMPLOYER IS NOT ON FILE WITH THE ADMINISTRATIVE OFFICE AND IT COULD NOT BE REASONABLY OBTAINED. AS A RESULT, THE NAMES OF THE CONTRIBUTING EMPLOYERS ARE LISTED ON PART VII BELOW AND NOT ON PARTS II THROUGH IV BY FEDERAL TAX CLASSIFICATION. ALAMEDA COUNTY FAIR ASSOCIATION ALBERT PAPER COMPANY ALLIED CONCRETE REDY MIX SERVICES ALSCO, INC. ALUM ROCK USD - ARUSD AMERIPRIDE UNIFORM SERVICES AMPCO - OAKLAND AIRPORT AMPORTS AMPORTS - MACHINIST AMPORTS - OPERATING ENGINEERS ANIXTER S F ARAMARK CLEANROOM SERVICES ARAMARK REFRESHMENT SERVICES ARAMARK REFRESHMENT SERVICES OCS ARYZTA, LLC AVIS BUDGET CAR RENTAL SYSTEM AVIS BUDGET GROUP - ROVERS BASF CONSTRUCTION CHEMICALS BAUER'S INTELLIGENT TRANSPORTATION BAY AREA OCS BEARD AFFILIATES, LLC BEST WESTERN GROSVENOR BRANNON EQUIPMENT BRENNTAG PACIFIC, INC BROOKS BROTHERS BUCHANAN FOOD SERVICE CALAVERAS MATERIALS, INC. CALCOT,LTD.-HANFORD CALIFORNIA TANK LINES CANTEEN VENDING - CLERICAL CANTEEN VENDING - SAN JOSE CEMEX CONSTRUCTION MATERIALS, LP CERTAINTEED CERTAINTEED - FREMONT CHERIN FURNITURE COMPANY CHRISTY VAULT COMPANY CITY OF TRACY TEAMSTERS CLEAR CHANNEL OUTDOOR, INC. COAST COUNTIES TRUCK - SAN LEANDRO COMPASS TRANSPORTATION CORE MARK CORRUGATED PACKAGING PRODUCTS, INC DAVIS INSTRUMENTS DMC INSURANCE ADMINISTRATORS, INC. DOUBLE D TRANSPORTATION DOUGLAS PARKING DOUGLAS PARKING LLC DP SERVICE, LLC E.M. HUNDLEY ENVIRONMENTAL SERVICES CONCEPTS, LLC FAIRMONT HOTEL OF SAN JOSE FAIRN & SWANSON, INC. FARMERS PRODUCE FARMERS RICE COOPERATIVE FEDERATED LOGISTICS - HAYWARD FEDERATED LOGISTICS - UNION CITY FERALLOY PDM STEEL SERVICE CENTERS FIRST TRANSIT - ANTIOCH FOOD EXPRESS, INC. G P GYPSUM, LLC - ANTIOCH FACILITY G P GYPSUM, LLC SAN LEANDRO FACILITY GENESIS LOGISTICS GHIGLIONE, INC GIUSTOS SPECIALTY FOODS, INC. GOLDEN GATE FIELDS HAIGHT STREET GARAGE HEATH CERAMICS HEATH CERAMICS - NON UNION HENKEL CORPORATION HERTZ - RENT A CAR HERTZ - SACRAMENTO HYATT REGENCY - SFO INDUSTRIAL EMPLOYERS AND DISTRIBUTORS ASSOCIATION INTERNATIONAL BROTHERHOOD OF TEAMSTERS LOCAL 439 JC PAPER JCDECAUX NORTH AMERICA KEENAN SUPPLY KELLOGG USA, INC. KWAJALEIN RANGE SERVICE LAZ PARKING - KAISER LAZ PARKING - OAKLAND AIRPORT LINDE GAS USA LLC LOOP TRANSPORTATION - APPLE LOOP TRANSPORTATION, INC MACMURRAY PACIFIC MARTIN BROWER MARTIN BROWER - CLERICAL MARTIN BROWER - FLEET MATHESON, INC- OAKLAND MCJUNKIN RED MAN CORPORATION MCKEVITT VOLVO / CHRYSLER MEYER PLUMBING SUPPLY COMPANY MISSION LINEN SUPPLY - BAKERSFIELD MISSION LINEN SUPPLY - DRIVERS MISSION LINEN SUPPLY - FRESNO MISSION LINEN SUPPLY - INDUSTRIAL MISSION LINEN SUPPLY - MODESTO MISSION LINEN SUPPLY - SACRAMENTO MORTON SALT INTERNATIONAL MV TRANSPORTATION MV TRANSPORTATION - HALF MOON BAY MV TRANSPORTATION - PRESIDIO NAPA RECYCLING & WASTE SERVICES, LLC OLAM COTTON OUTFRONT MEDIA P & S SALES PEERLESS COFFEE COMPANY PPG INDUSTRIES, INC PREGIS CORPORATION PRUDENTIAL CLEANROOM SERVICES PRUDENTIAL OVERALL SUPPLY R & K INDUSTRIAL PRODUCTS R & K INDUSTRIAL PRODUCTS - NON UNION RELIABLE TRUCKING COMPANY REPUBLIC SERVICES RIGHT AWAY - OAKLAND RIGHT AWAY REDY MIX-BRENTWOOD RIGHT AWAY REDY MIX-MARTINEZ RIGHT AWAY REDY MIX-PLEASANTON RIGHT AWAY REDY MIX-PLEASANTON SHOP RIVER GARDEN FARMS ROCK TRANSPORT, INC. RODGERS TRUCKING COMPANY RYERSON SACRAMENTO LOGISTICS GMD - RECEIVING SACRAMENTO LOGISTICS GMD- WAREHOUSE SAN LEANDRO VENDING SAN MATEO HOUSING AUTHORITY SCHAEFER COLD STORAGE SENTINEL TRANSPORTATION SFO SHUTTLE BUS COMPANY SIERRA DENTAL CARE SIERRA PACIFIC READY MIX SERVICES SIMS METAL MANAGEMENT - 853 SIMS METAL MANAGEMENT-150 SODEXO, INC. SANTA CLARA VENDING SOLANO GARBAGE - CLERICAL SPICERS PAPER - DRIVERS SPICERS PAPER, INC. SSA TERMINALS SUTTER BASIN GROWERS - CORP. T & J GRAPHIC ARTS T. MARZETTI COMPANY TEAMSTERS WAREHOUSE, WHOLESALE LIQUOR SALESPERSON, MILK DRIVER UNION LOCAL 853 THE J. M. SMUCKER COMPANY THE KRAFT HEINZ COMPANY THE MERCURY NEWS - DRIVERS TIRE DISTRIBUTION SYSTEMS (TDS) TRACY LOGISTICS - CMSP TRACY LOGISTICS, LLC TRANSDEV - NAPA VALET HOSPITALITY SERVICE - JLS VEOLIA NORTH AMERICA-WEST, LLC WASTE MANAGEMENT OF ALAMEDA COUNTY WEDRIVEU WEST COAST VENDING WESTERN APPLIANCE WESTERN APPLIANCE - SAN JOSE NON UNION WESTERN APPLIANCE - SANTA CRUZ NON UNION WESTSIDE BUILDING MATERIAL CORP. WHEELER - SONOMA PRINTERS YOUNG'S MARKET COMPANY EXPRESSExplanationTxt