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SHEET METAL WORKERS LOCAL 104 HEALTH CARE PLAN: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
SHEET METAL WORKERS LOCAL 104 HEALTH CARE PLAN (EIN 94-2541328)
Tax period
2015-07-01 to 2016-06-30
Filed
2017-03-15
IRS object ID
201730749349300743
Schema version
2015v3.0
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)
Return2017-03-15T17:21:13-05:00ReturnTs
Tax Period End2016-06-30TaxPeriodEndDt

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
ZIP945834210ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN942541328EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SHEET METAL WORKERS LOCAL 104 HEALTHBusinessNameLine1Txt
Business Name Line2CARE PLANBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlSHEEBusinessNameControlTxt
Phone9252089999PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12610 CROW CANYON ROAD NO 200AddressLine1Txt
CitySAN RAMONCityNm
State AbbreviationCAStateAbbreviationCd
ZIP94583ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonRICK WERNERPersonNm
Person TitleTRUSTEEPersonTitleTxt
Phone9252089999PhoneNum
Signature2017-03-15SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJESSICA R ROSTERPreparerPersonNm
PTINP01317380PTIN
Phone9252779100PhoneNum
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerRICK WERNERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12610 CROW CANYON ROAD SUITE 200AddressLine1Txt
CitySAN RAMONCityNm
State AbbreviationCAStateAbbreviationCd
ZIP94583ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$124,808,953GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501cYes (X)Organization501cInd
Website AddressN/AWebsiteAddressTxt
Type Of Organization TrustYes (X)TypeOfOrganizationTrustInd
Formation1979FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionTO PROVIDE HEALTH BENEFITS AND SUPPLEMENTAL UNEMPLOYMENT BENEFITSActivityOrMissionDesc
Voting Members Governing Body16VotingMembersGoverningBodyCnt
Voting Members Independent0VotingMembersIndependentCnt
Total Employee1095TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$91,868,534PYProgramServiceRevenueAmt
CY Program Service Revenue$104,058,804CYProgramServiceRevenueAmt
PY Investment Income$2,719,767PYInvestmentIncomeAmt
CY Investment Income$2,917,087CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$94,588,301PYTotalRevenueAmt
CY Total Revenue$106,975,891CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$77,810,730PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$83,320,569CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$50,823PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$59,240CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$4,621,988PYOtherExpensesAmt
CY Other Expenses$4,790,854CYOtherExpensesAmt
PY Total Expenses$82,483,541PYTotalExpensesAmt
CY Total Expenses$88,170,663CYTotalExpensesAmt
PY Revenues Less Expenses$12,104,760PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$18,805,228CYRevenuesLessExpensesAmt
Total Assets BOY$105,885,560TotalAssetsBOYAmt
Total Assets EOY$128,954,559TotalAssetsEOYAmt
Total Liabilities BOY$28,576,757TotalLiabilitiesBOYAmt
Total Liabilities EOY$32,195,122TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$77,308,803NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$96,759,437NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE HEALTH BENEFITS AND SUPPLEMENTAL UNEMPLOYMENT BENEFITS.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
DescPROVIDED HEALTH AND WELFARE BENEFITS AND SUPPLEMENTAL UNEMPLOYMENT BENEFITS TO PARTICIPANTS AND THEIR ELIGIBLE 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 Sec0ReportInvestmentsOtherSecInd
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
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document997IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee1095EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
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 Members16GoverningBodyVotingMembersCnt
Independent Voting Member0IndependentVotingMemberCnt
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 CommitteesYes (1)MinutesOfCommitteesInd
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 Line1BENESYS INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone9252089999PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12610 CROW CANYON ROAD SUITE 200AddressLine1Txt
CitySAN RAMONCityNm
State AbbreviationCAStateAbbreviationCd
ZIP94583ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
PAUL STECKEL
TRUSTEE4.00Yes (X)$0$0$0
GARLAND SELF JR
TRUSTEE1.00Yes (X)$0$0$0
CHRIS ENFANTINO
TRUSTEE1.00Yes (X)$0$0$0
BOB BRAMLETT
TRUSTEE1.00Yes (X)$0$0$0
BEN RIVERA
TRUSTEE1.00Yes (X)$0$0$0
MITCHELL HOPPE
TRUSTEE1.00Yes (X)$0$0$0
BRIAN MASTERS
TRUSTEE1.00Yes (X)$0$0$0
JOSEPH A MARACCINI
TRUSTEE5.00Yes (X)$0$0$0
DOMINIC TORREANO
TRUSTEE1.00Yes (X)$0$0$0
RICHARD WERNER
TRUSTEE1.00Yes (X)$0$0$0
WILLIE SOLIS
TRUSTEE1.00Yes (X)$0$0$0
KEITH DIAS
TRUSTEE1.00Yes (X)$0$0$0
STEVE LOPEZ
TRUSTEE1.00Yes (X)$0$0$0
SEAN O'DONOGHUE
TRUSTEE1.00Yes (X)$0$0$0
RANDY ATTAWAY
TRUSTEE1.00Yes (X)$0$0$0
ANTHONY URBINA
TRUSTEE1.00Yes (X)$0$0$0
SEE SCHEDULE O FOR COMPENSATION
PAID BY RELATED ORGANIZATION0.00Yes (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 (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
BENESYS INC
2610 CROW CANYON ROAD SUITE 200SAN RAMONCA94583ADMINISTRATION$2,358,560
BLUE SHIELD OF CALIFORNIA
50 BEALE STREETSAN FRANCISCOCA941051808CLAIMS PROCESSING$813,802
DELTA DENTAL OF CALIFORNIA
PO BOX 997330SACRAMENTOCA958997330CLAIMS PROCESSING$383,513
KAUFMAN & GOBLE
160 W SANTA CLARA STREET SUITE 15SAN JOSECA95113CONSULTING$152,500
ENVISION PHARMACEUTICAL SERVICES
1100 INVESTMENT BOULEVARDELDORADO HILLSCA95762ADMINISTRATION$131,981
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K6CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
EMPLOYER CONTRIBUTIONS900099$91,188,681$91,188,681
EMPLOYEE CONTRIBUTIONS900099$11,014,649$11,014,649
STOP LOSS INCOME900099$936,052$936,052
MEDICARE - D REBATES900099$757,673$757,673
SETTLEMENT INCOME900099$161,749$161,749
FieldValueIRS element (for citing)
Total Program Service Revenue$104,058,804TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,472,777TotalRevenueColumnAmt
Exclusion$3,472,777ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$17,277,372SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$17,833,062SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$555,690SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$555,690TotalRevenueColumnAmt
Exclusion-$555,690ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$106,975,891TotalRevenueColumnAmt
Related Or Exempt Func Income$104,058,804RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$2,917,087ExclusionAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$83,320,569TotalAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$59,240TotalAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$2,259,254TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$29,862TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$57,149TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$134,962TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,900,926TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$160,387TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$8,396TotalAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$27,105TotalAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmt
TRANSITIONAL INSURANCE$212,804
MISCELLANEOUS EXPENSES$9

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$88,170,663TotalAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY-$365,858BOYAmt
EOY-$164,892EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$10,665,105BOYAmt
EOY$9,146,384EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$15,804,537BOYAmt
EOY$18,745,906EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$50,264BOYAmt
EOY$50,968EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$79,731,512BOYAmt
EOY$101,176,193EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$105,885,560BOYAmt
EOY$128,954,559EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$724,566BOYAmt
EOY$1,108,502EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$904,191BOYAmt
EOY$867,620EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$26,948,000BOYAmt
EOY$30,219,000EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$28,576,757BOYAmt
EOY$32,195,122EOYAmt
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$77,308,803BOYAmt
EOY$96,759,437EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$77,308,803BOYAmt
EOY$96,759,437EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$105,885,560BOYAmt
EOY$128,954,559EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$18,805,228ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$645,406NetUnrlzdGainsLossesInvstAmt
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 Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
ACCUMULATED ELIGIBILTY CREDITS$22,119,000
CLAIMS PAYABLE & INCURRED BUT NOT REPORTED$8,100,000
FieldValueIRS element (for citing)
Total Liability$30,219,000TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$107,486,335TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$645,406NetUnrealizedGainsInvstAmt
Revenue Not Reported$645,406RevenueNotReportedAmt
Revenue Subtotal$106,840,929RevenueSubtotalAmt
Investment Expenses Not Incld$134,962InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt$134,962RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$106,975,891TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$84,764,701TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$84,764,701ExpensesSubtotalAmt
Investment Expenses Not Incld2$134,962InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$3,271,000OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$3,405,962ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$88,170,663TotalExpensesPerForm990Amt

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 JUNE 30, 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 V, LINE 2A:THE PLAN DOES NOT HAVE ANY EMPLOYEES; HOWEVER, CERTAIN PARTICIPANTS OF THE PLAN RECEIVED A FORM W-2 FOR TAXABLE DOMESTIC PARTNER BENEFITS AND/OR UNEMPLOYMENT BENEFITS PROVIDED UNDER THE PLAN.
FORM 990, PART VI, SECTION A, LINE 3THE PLAN HAS CONTRACTED WITH BENESYS, INC. TO PROVIDE ADMINISTRATIVE SERVICES FOR THE ORGANIZATION.
FORM 990, PART VI, SECTION B, LINE 11A COPY OF THE FORM 990 WAS PROVIDED TO THE BOARD OF TRUSTEES FOR REVIEW BEFORE IT WAS FILED.
FORM 990, PART VI, SECTION B, LINE 12CTRUSTEES ARE REQUIRED TO DISCLOSE IN WRITING ANY RELATIONSHIPS OR INTEREST THAT COULD GIVE RISE TO A CONFLICT. IF THERE IS A CONFLICT OF INTEREST, THE CONFLICTING INTEREST IS FULLY DISCLOSED AND DOCUMENTED IN WRITING; THE TRUSTEE OR FIDUCIARY WITH THE CONFLICT OF INTEREST IS EXCLUDED FROM THE DISCUSSION AND APPROVAL OF SUCH TRANSACTION.
FORM 990, PART VI, SECTION C, LINE 19UPON REQUEST, THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT-OF-INTEREST POLICY AND FINANCIAL INFORMATION AVAILABLE.
FORM 990, PART VII, SECTION A, LINE 1A:TRUSTEES 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, BENESYS, INC.
FORM 990, PART XII LINE 2C:THE ORGANIZATION HAS A BOARD OF TRUSTEES THAT ASSUMES RESPONSIBLITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationInd
LOCAL 104 SUPPLEMENTAL PENSION PLAN
2610 CROW CANYON ROAD SUITE 200SAN RAMONCA94583946560138THE PLAN PROVIDES SUPPLEMENTAL PENSION BENEFITSCA501AN/AN/A0
SHEET METAL WORKERS PENSION TRUST OF NORTHERN CALIFORNIA
2610 CROW CANYON ROAD SUITE 200SAN RAMONCA94583516115939THE PLAN PROVIDES PENSION BENEFITS TO RETIREESCA501AN/AN/A0
SHEET METAL WORKERS INTERNATIONAL ASSN LOCAL UNION NO 104
2610 CROW CANYON ROAD SUITE 300SAN RAMONCA94583940859420UNIONCA501C(5)N/AN/A0
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 Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
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Form And Line ReferenceSCHEDULE R, IDENTIFICATIN OF RELATED ORGANIZATIONS:FormAndLineReferenceDesc
ExplanationTHE FILING ORGANIZATION IS A TAFT-HARTLEY MULTIEMPLOYER TRUST THAT PROVIDES HEALTH AND WELFARE BENEFITS TO ELIGIBLE EMPLOYEES AND THEIR DEPENDENTS. AS OF JUNE 30, 2016, THERE ARE APPROXIMATELY 232 EMPLOYERS THAT CONTRIBUTE TO THE TRUST. THE ADMINISTRATIVE OFFICE MAINTAINS A DATABASE OF THESE CONTRIBUTING EMPLOYERS, INCLUDING NAMES, ADDRESSES AND OTHER CONTACT INFORMATION. THE FEDERAL TAX CLASSIFICATION (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. A G C, INC A I M SHEET METAL A QUALITY HEATING & AIR, INC. AAERO HEATING & S/M CO AAXON MECHANICAL INC. ABCO MECHANICAL CONTR ACCEL AIR SYSTEMS INC. ACCO ENGINEERED SYS ACI MECHANICAL INC. ADVANCED AIRE SYSTEMS ADVANCED SOLUTIONS,INC AIR CONDITIONING SYSTEM AIR EXCHANGE AIR SQUARED MECHANICAL AIR SYSTEMS ACQUISTION AIR SYSTEMS OF SACRAMENTO AIRCAL HTG. & S/M AIRCO MECHANICAL, INC. AIRE SHEET METAL AIRTEC SERVICE AKIMA, LLC ALES INSTALLATIONS ALL BAY MECHANICAL, INC. ALL TEMPERATURE SERVICE AIR ALLIED HTG & AIR COND ALPHA AIR BALANCING AG ALPINE MECH SERVICES AMERICAN METAL PROD ANDERSON ROWE & BUCKLEY ANNING JOHNSON APEX MECHANICAL, INC. APOLLO SHEET METAL INC. DBA ARENA & SONS ASCO SERVICE, INC. ASSOCIATED AIR BAL. & CERTIFIC AUTOMATED SOLUTIONS GROUP AXIS MECHANICAL BAY AREA BAL & CLEAN BAY CITY MECHANICAL BAY POINT CONTROL BAYSIDE HTG & A/C BEL AIR MECHANICAL BELL PRODUCTS BERLIN FOOD EQUIPMENT BEST CONTRACTING SERVICES BEUTLER CORPORATION BLOCKA CONSTR INC BOGNER SHEET METAL BOHN HEATING BONESO BROTHERS CONSTRUCT. INC BRADY AIR CONDITNG. BROADWAY MECH. CONTRACTORS BROADWAY S/M MFG INC BRUNS BELMONT CONSTRUCTION INC BUENA VISTA CONSTRUCTION BULLARD'S HEATING & AIR, INC. BURLINGAME HTG VENT CO C M F, INC. CAL-AIR/JOHNSON CONTROLS, INC. CALIFORNIA AIR INC CARMINE AIR CONDITIONING, INC. CARQUINEZ HEATING A/C & S/M CENTRAL COAST AIR INC. DBA CER MECHANICAL CORPORATION CHAMPION INDUSTRIAL CONTRACTOR CHUTE SYSTEMS CITY MECHANICAL, INC. CLINTON HTG & AIR COND COLD CRAFT COLTON HEATING COMFORT CONTROL COMFORT DYNAMICS INC. CONGI INC. DBA CARTER AIR CONTROL AIR NORTH INC CRANE HEATING & AIR COND. CRITCHFIELD MECHANICAL CROSS COUNTRY INSTALLATIONS & CROWN CORR, INC. CROWN SKYLIGHTS, INC. CULINARY STAINLESS FABRICATORS DDK MECHANICAL, INC. DEBELLA MECHANICAL,INC DEGREE HVAC, INC. DEHARO MECHANICAL INC. DELCON HEATING & A/C, INC. DELLA MORA HTG,S/M, & A/C, INC DEPENDABLE SHEET METAL DESERT MECHANICAL, INC. DOWDLE & SONS MECHANICAL, INC DOWNING HEATING & AIR COND. DYNAMIC MECHANICAL ENVIRONMENTAL SYSTEMS INC. ENVISE EXTREME AIR INC F S I F. W. SPENCER & SON, INC. FAIRVIEW HEATING & A/C FERTADO HEATING & AIR, INC. FOOTHILL AIR COND FRANK M BOOTH GAVILAN MECHANICAL, INC. GEORGE WILSON INC GLOBAL SPECIALTIES DIRECT, INC GOLDEN GATE S/M H-SQUARE MECHANICAL, INC. HARDIN & SONS, INC. HEATHORN & ASSOCIATES DBA HEATHORN MECH. SERVICES, INC. HVAC CAD SERVICE HVAC SERVICE HEATING & A/C INC I E S INDOO ENVIRO SVS ICOM MECHANICAL INDEPENDENT AIR BALANCE DBA INNOVATIVE MECH INC INSTALLSAREUS INTECH MECHANICAL CO., INC. IZMIRIAN ROOFING & S/M JAMES LONG CONSTRUCTION JAYCO MECHANICAL, INC. JEFFCO CUSTOM METALS, INC. JENSEN MECHANICAL, INC. JEROME & HORNER SHEET METAL JET MECHANICAL, INC. JMS MECHANICAL K & M INSTALLATION KAMRAN METAL WORKS, INC. KEL AIRE HTG KINETIC SYSTEMS, INC KINETICS MECHANICAL SVC KT MECHANICAL INC. L J KRUSE COMPANY LARGE'S METAL FAB LAWSON MECHANICAL LEED MECHANICAL LEFCO INC LETNER ROOFING LIMBACH COMPANY L.P LINCOLN AIR CON CORP LYLES MECHANICAL COMPANY, INC. M T B INCORPORATED M.E.S.A. 3, INC MARELICH MECHANICAL CO MARKEN MECHANICAL SERVICES MARTINEZ SHEET METAL MATRIX HEATING, INC. MAUCK SHEET METAL WORKS MECHANICAL TECHNOLOGIES CORP MELROSE METAL PRODUCTS MESA ENERGY SYSTEMS INC. METAL DESIGN & STRATEGY, INC. MG MCGRATH, INC. MICHAEL D BURNS COMPANY, INC. MILESTONE CONTRACTORS INC. DBA MINA METALS MONARCH MECHANICAL MONSTER MECHANICAL, INC. MONTEREY MECHANICAL CO NATIONAL AIR BALANCE NICHOLS PLUMBING & HEATING NORTH BAY COMMERCIAL SERVICES O C MCDONALD CO., INC. OMNI SHEET METAL, INC. ORSON MECHANICAL CO., INC. OTAVILLA MECHANICAL CONTR. PACIFIC COAST BALANCING PACIFIC COAST TRANE SVC PACIFIC TEST AND BALANCE, INC. PAN-PACIFIC MECHANICAL, LLC PARAGON MECHANICAL INC PATRIOT CONTRACTING, INC. PAUL WEST HTG. INC. PERFORMANCE AIR SERVICE, INC. PETERSON MECHANICAL, INC. PIONEER ROOFING ORGANIZATION POMI MECHANICAL INC. PRIME MECHANICAL SERVICE, INC. PRO TEMP MECHANICAL INC. PSF MECHANICAL, INC. QUALTECH MECHANICAL, INC. R H TINNEY R J MECHANICAL, INC RAY L HELLWIG MECH REACO HEATING & A/C REBARBER ENT.INC. RICH CORTEZ & SONS RMI MECHANICAL, INC. RODRIGUEZ SHEET METAL ROY MECHANICAL SERVICES, INC. RS ANALYSIS, INC. RYMAC, INC. S & H CONSTRUCTION, INC. S & L PAYTON, INC SAL J ACOSTA MFG CO INC SAN BENITO HEATING & S/M, INC. SANTA CLARA VLY CNTCRS SCHAFERS S/M & MFG CO SELCO HTG & A/C SERVICE MECHANICAL, INC. SERVICE METAL PROD INC SHEET METAL WORKERS SHEET METAL WRKS LU 104 SIERRA VALLEY HOME CORP. SILICON VALLEY MECHANICAL, INC SIMPSON SHEET METAL, INC. SMW 104 BAY AREA IND TRAIN FUN SOUTHLAND INDUSTRIES STALEY'S SHEET METAL STANDARD S/M & MARINE STATE OF CALIFORNIA STATE SHEET METAL WORKS STRUCTURAL & REFRIGERATION MEC SUPERIOR AIR HANDLING DBA SUPERIOR MECH. SERVICES, INC. T.A.B.C.O. INC TECTA AMERICA SACRAMENTO, INC. THE TIN MAN THERMA CORP. THERMAL MECHANICAL TRAYER ENGINEERING TULLEY MECHANICAL, INC. UNITED MECHANICAL, INC. VAL'S PLUMBING VALLEY SHEET METAL CO VAN MULDER SHEET METAL VENTEC VERDEGAAL HEATING INC WCASM INC, DBA WEST COAST ASM WEST COAST MECHANICAL WEST COAST TEST AND BALANCE WESTERN ALLIED MECHANICAL, INC WESTERN ENGINEERING SUPPLY CO YOUR WARM FRIEND,INC.ExplanationTxt