2016-02-05T18:18:09-06:00 2015-03-31 300702322 HEMMING MORSE CPA'S AND CONSULTANTS 155 BOVET ROAD SUITE 600 SAN MATEO CA 94402 990 2014-04-01 941645611 SAN FRANCISCO CULINARY BARTENDERS & SERVICE EMPLOYEES WELFARE FUND SANF 5103373050 1640 SOUTH LOOP RD ALAMEDA CA 94502 TRUSTEE TRUSTEE TRUSTEE 5103373050 2016-02-05 1 P01781096 4158364000 2014 2016-04-25 22:37:26Z 1640 SOUTH LOOP RD ALAMEDA CA 94502 326089116 0 X N/A X 1958 CA SEE PART III LINE 4A 8 8 0 0 0 0 0 0 145324319 153152307 824294 1752349 17097 49515 146165710 154954171 0 0 135651147 138087913 289757 292821 0 0 0 1777559 1798878 137718463 140179612 8447247 14774559 72420622 85087710 24481887 23545783 47938735 61541927 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 0 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 ASSOCIATED THIRD PARTY ADMINISTRATORS 5103373050 1640 SOUTH LOOP ROAD ALAMEDA CA 94502 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 0 110000 13095 0 110000 13095 1 0 0 0 ATPA 1640 SOUTH LOOP ROAD ALAMEDA CA 94501 CONTRACT ADMINISTRATOR 694368 DELTA DENTAL 100 FIRST STREET SAN FRANCISCO CA 94105 CLAIMS ADMINISTRATOR 395984 2 EMPLOYER CONTRIBUTIONS 900099 152655052 152655052 EMPLOYEE CONTRIBUTIONS 900099 497255 497255 153152307 1775147 1775147 171112147 171134945 -22798 -22798 -22798 OTHER INCOME 900099 37752 37752 LIQUIDATED DAMAGES 900099 11763 11763 49515 154954171 153201822 0 1752349 138087913 110000 121585 13095 30926 17215 694368 30771 82796 83706 57285 13680 13317 CLAIMS ADMINISTRATION 395984 BENEFIT CONSULTANTS 160138 PRINTING AND POSTAGE 75774 OTHER 49221 141838 140179612 3115830 827455 12246577 17274932 15753232 12526063 12202 12220 41143858 54259782 148923 187258 72420622 85087710 360862 529039 24121025 23016744 24481887 23545783 X 0 0 0 0 47938735 61541927 47938735 61541927 72420622 85087710 14774559 -1171367 0 X X 0 1 X 1 0 0 GROUP INSURANCE PREMIUMS PAYABLE 19104569 SELF-FUNDED BENEFIT CLAIMS PAYABLE 2012570 CLAIMS INCURRED BUT NOT REPORTED 1081000 DUE TO OTHER FUNDS 818605 23016744 153782804 -1171367 -1171367 154954171 0 154954171 140179612 0 140179612 0 140179612 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. ARGENT HOTEL (WESTIN SF AT MARKET STREET) TOWNSHIP BLDG SERVICES- INTERCON- EFF 05/12 BOHEMIAN CLUB BON APPETIT @ USF BRITTON MOTOR HOTEL CARLTON HOTEL LARKSPUR HOTEL UNION CASTAGNOLA INC. CHANCELLOR HOTEL-LOCAL 2 CLIFT HOTEL - LOCAL 2 COMFORT INN BY THE BAY-LOCAL 2 DEAN LEHR (TRUSTEE EFF JULY 1, 2009) DIVA HOTEL FACILITY MANAGEMENT 1 - MOSCONE, CIVIC CENTER FAIRMONT HOTEL FAIRMONT HERITAGE FAMILY CLUB FRANCISCA CLUB FOUR SEASONS HOTEL (START 11/01) SF HOTEL COMPANY LLC, DBA HOTEL G GHIRARDELLI CHOCOLATE CO. GRAND HYATT HOTEL HANDLERY UNION SQUARE HOTEL HILTON S.F. AT FISHERMAN'S WHARF HOLIDAY INN GOLDEN GATEWAY HILTON SF FINANCIAL DISTRICT HOLIDAY INN F WHARF HOLIDAY INN EXPRESS HOLIDAY INN CIVIC CENTER CROWNE PLAZA UNION SQUARE HOTEL VITALE HOTEL VITALE F&B ONLY UNITE HERE LOCAL 2 W HOTEL W HOTEL - HOUSEKEEPING W HOTEL - MISCELLANEOUS HUNTINGTON HOTEL HYATT REGENCY HOTEL INTERCONTINENTAL HOTEL KENSINGTON PARK HOTEL-L2 KNIGHTS CATER & DELI LAKESIDE GOLF AND COUNTRY CLUB LAUREL MOTOR INN LOC 2 & 14 MANOR COFFEE SHOP MARK HOPKINS HOTEL COURTYARD BY MARRIOTT - LOCAL 2 SF DOWNTOWN COURTYARD MARRIOTT AT THE WHARF-L2 MARRIOTT AT THE WHARF METROPOLIS HOTEL-EFF 12/10 MIYAKO HOTEL - L2 MIYAKO INN - L2 OLYMPIC CLUB OMNI SF HOTEL BOB'S STEAK AND CHOP HOUSE PACIFIC UNION CLUB PARC 55 HOTEL PICKWICK HOTEL RAMADA PLAZA HOTEL (WHITCOMB) PATINA RESTAURANT ROYAL PACIFIC MOTEL - L2 S.F. CULINARY WELFARE - CC/EC S.F. CULINARY WELFARE SAMS GRILL S.F. HILTON SCOMA'S SEAL ROCK INN SERRANO HOTEL SHERATON @ F. WHARF SHERATON PALACE SINBAD'S RESTAURANT SIR FRANCIS DRAKE HOTEL SPECS 12 ADLER PLACE ST FRANCIS - MINA ST. FRANCIS HOTEL ST. REGIS HOTEL ST. FRANCIS YACHT CLUB - NON-KITCHEN ST. FRANCIS YACHT CLUB - NON-KITCHEN ST. FRANCIS YACHT CLUB - ON THE MARINA STANFORD COURT HOTEL LOCAL 2 THE BIG FOUR RESTAURANT TOMMY'S JOINT REST. TOWN AND COUNTRY CLUB RADISSON @ FISHERMAN'S WHARF-LOCAL 2 UNION SQUARE HOTEL-L2 UNITED IRISH CULTURAL CLUB UNIVERSITY CLUB UNITED JANITORIAL - W HOTEL UNITED JANITORIAL - ST. REGIS UNITED JANITORIAL - SHERATON PALACE UNITED JANITORIAL - FAIRMONT HOTEL UNITED JANITORIAL - SF HILTON UNITED JANITORIAL-FOUR SEASONS VOLUME SERVICES, INC. VOLUME SERVICES, INC. VOLUME SERVICES, SF ZOO WHARF MOTEL