2015-07-30T12:28:21-05:00 2014-09-30 522385296 LINDQUIST LLP 600 CITY PARKWAY WEST SUITE 300 ORANGE CA 92868 990 2013-10-01 956049026 OPERATING ENGINEERS LOCAL 501 SECURITY FUND OPER 5624635000 7600 SW MOHAWK STREET TUALATIN OR 97062 EDWARD CURLY TRUSTEE 5624635000 2015-07-30 1 RICHARD G THIERMANN P00974294 7142570100 2013 2016-03-07 17:11:31Z X PAUL BENSI 7600 SW MOHAWK STREET TUALATIN OR 97062 68328120 0 X N/A X 1952 CA TO PROVIDE HEALTH AND WELFARE BENEFITS. 7 0 0 0 0 0 0 0 39730932 45924094 230147 685307 327 60245 39961406 46669646 0 0 36892562 36110070 0 0 0 0 0 2072789 2111392 38965351 38221462 996055 8448184 17149639 23538276 10079489 8377285 7070150 15160991 TO PROVIDE HEALTH AND WELFARE BENEFITS. 0 0 PROVIDED HEALTH AND WELFARE BENEFITS FOR PARTICIPANTS AND THEIR DEPENDENTS. 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 2 0 1 0 0 0 0 0 0 0 X 7 0 0 1 0 0 0 0 0 1 0 0 0 1 1 0 0 1 1 0 0 0 X PATI PIRO - ASSOCIATED THIRD PARTY ADMINISTRATORS 5034543800 7600 SW MOHAWK STREET TUALATIN OR 97062 PAUL BENSI CHAIRMAN 5.00 X 0 0 0 MICHAEL LATHAM TRUSTEE 5.00 X 0 0 0 MILLIE BISONO TRUSTEE-PAST 5.00 X 0 0 0 WENDY NUTT TRUSTEE-PAST 5.00 X 0 0 0 JESS ATKINSON TRUSTEE-PAST 5.00 X 0 0 0 DENISE VUKOJEVICH TRUSTEE 5.00 X 0 0 0 EDWARD CURLY TRUSTEE 5.00 X 0 0 0 THOMAS O'MAHAR TRUSTEE 5.00 X 0 0 0 SHELLI LEES MAHAN TRUSTEE 5.00 X 0 0 0 MIKE NAREZ TRUSTEE 5.00 X 0 0 0 SEE SCHEDULE O FOR COMPENSATION PAID BY RELATED ORGANIZATIONS 0.00 X 0 1 0 0 1 0 0 0 0 0 BENEFIT PROGRAMS ADMIN 13191 CROSSROADS PKWY N STE 205 CITY OF INDUSTRY CA 91746 CONTRACT ADMINISTRATOR 1122589 LINDQUIST LLP 600 CITY PARKWAY WEST SUITE 300 ORANGE CA 92868 AUDIT 157621 ANTHEM BLUE CROSS OF CALIFORNIA 21555 OXNARD ST WOODLAND HILLS CA 91367 NETWORK ACCESS FEES 152410 SIERRA HEALTHCARE 2650 N TENAYA WY LAS VEGAS NV 89128 COST CONTAINMENT 148820 DONALDSON & CORNWELL 1017 EAST GRAND AVENUE ESCONDIDO CA 92025 LEGAL SERVICE 127116 7 EMPLOYER CONTRIBUTIONS 900099 41878663 41878663 PARTICIPANT CONTRIBUTIONS 900099 3331480 3331480 STOP LOSS REIMBURSEMENT 900099 367706 367706 PRESCRIPTION REBATE 900099 346245 346245 45924094 237936 237936 22105845 21658474 447371 447371 447371 OTHER REVENUE 900099 60245 60245 60245 46669646 45984339 0 685307 36110070 1001756 130782 159081 44232 589483 149219 4864 1274 13539 MEMBERSHIP DUES 17162 38221462 3227563 5150943 675521 0 4622517 4763904 3564 6848 8620474 13616581 17149639 23538276 179744 191316 305351 295969 9594394 7890000 10079489 8377285 X 0 0 0 0 7070150 15160991 7070150 15160991 17149639 23538276 8448184 -357343 0 X X 0 1 X 1 0 0 CLAIMS PAYABLE AND IBNR 2681000 ACCUMULATED ELIGIBILITY CREDITS 5209000 7890000 X 46268071 -357343 -357343 46625414 44232 44232 46669646 39739230 0 39739230 44232 -1562000 -1517768 38221462 PART X, LINE 2: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE THE TAX POSITIONS TAKEN BY THE PLAN AND TO RECOGNIZE A TAX LIABILITY IF THE PLAN HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE. THE PLAN HAS ANALYZED THE TAX POSITIONS TAKEN BY THE PLAN AND HAS CONCLUDED THAT, AS OF SEPTEMBER 30, 2014, 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 BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR THE FISCAL YEARS PRIOR TO SEPTEMBER 30, 2011. PART XII, LINE 4B - OTHER ADJUSTMENTS: CHANGE IN BENEFIT OBLIGATIONS FORM 990, PART VI, SECTION A, LINE 3 THE PLAN HAS A CONTRACT WITH A THIRD-PARTY ADMINISTRATOR TO PROVIDE DAY TO DAY ADMINISTRATIVE SERVICES FOR THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 8B THERE ARE NO OTHER COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11 PRIOR TO FILING, THE FORM 990 IS REVIEWED BY THE FUND MANAGER AND THEN BY THE BOARD OF TRUSTEES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT-OF-INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XII, LINE 2C: THE BOARD OF TRUSTEES ASSUMES RESPONSIBILTY FOR OVERSIGHT OF THE ANNUAL AUDIT AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THERE HAS BEEN NO CHANGE IN THIS PROCESS FROM PRIOR YEAR. 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, ASSOCIATED THIRD PARTY ADMINISTRATORS. INTERNATIONAL UNION OF OPERATING ENGINEERS LOCAL NO 501 2405 WEST 3RD STREET LOS ANGELES CA 90057 951751526 LABOR UNION CA 501(C)(5) N/A N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 SCHEDULE R, IDENTIFICATION OF RELATED ORGANIZATIONS: THE FILING ORGANIZATION IS A TAFT-HARTLEY MULTIEMPLOYER TRUST THAT PROVIDES HEALTH AND WELFARE BENEFITS TO ELIGIBLE EMPLOYEES AND THEIR DEPENDENTS. AS OF SEPTEMBER 30,2014, THERE ARE 141 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. ABM ENGINEERING SERVICES ACEPEX MANAGEMENT CORPORATION AEG MANAGEMENT SD, LLC DBA VALLEY VIEW CASINO CENTER ALEUT FACILITIES SUPPORT SERVICES, LLC ALSCO INDUSTRIES-CAREY COMPLEX AMERICOLD ANHEUSER BUSCH, INC ANSCHUTZ SOUTHERN CALIFORNIA SPORT COMPLEX, LLC AQUARIUS LLC DBA AQUARIUS CASINO AND RESORT ARAMARK UNIFORM & CARRER APPAREL, LLC BAKER COMMODITIES, INC BALLY SLOT, PAYROLL DEPT (& PARIS SLOT) BIG HEART PET BRANDS = DLM FOODS, LLC BIMBO BAKERIES USA, INC. BPCE BRADY LINEN SERVICES LLC BRIDGFORD FOODS CORPORATION BROOKFIELD PROPERTIES MANAGEMENT, LLC BROUGHTON HOTEL MANAGEMENT LLC DBA SPORTSMEN'S LODGE HOTEL BW HOTEL LLC DBA BEVERLY WILSHIRE A FOUR SEASON HOTEL CALIFORNIA CLUB CALIFORNIA DAIRIES, INC. 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DBA FOUR QUEENS HOTEL & CASINO FSS ALUTIIQ G&K SERVICES HANDLERY HOTEL AND COUNTRY CLUB HARBAUGH LAS VEGAS CORPORATION HARRAH'S LAS VEGAS LLC, DBA: HARRAH'S LAS VEGAS HARRAH'S SLOTS, PAYROLL DEPT HAYNESS BUILDING SERVICES, LLC HILTON GRAND VACATIONS CO, LLC DBA HILTON GRAND VACS CLUB HILTON PALM SPRINGS RESORT HINES GS PROPERTIES, INC HINES INTEREST LIMITED PARTNERSHIP HINES REIT ONE WILSHIRE, LP HOST INTERNATIONAL, INC. HYATT CORPORATION D/B/A HYATT REGENCY CENTURY PLAZA IHG MANAGEMENT MARYLAND LLC DBA CROWNE PLAZA HOTEL IKE GAMING, INC. DBA EL COTEZ HOTEL AND CASINO ISS FACILITY SERVICES INC J & J MAINTENANCE, INC DBA J&J WORLDWIDE SVCS & ENTERPRISE PROF SVCS JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A) MANULIFE FINANCIAL JOHNSON CONTROLS, INC. JOINT APPRENTICESHIP COMMITTEE JONES LANG LASALLE OF AMERICA INC KAISER FOUNDATION HOSPITALS, INC., SO CA PERMANENTE MEDICAL GROUP KCORP TECHNOLOGY SERVICES INC KILROY REALTY CORPORATION L.A. LIVE THEATRE, LLC L.A. LIVE PROPERTIES, LLC LAS VEGAS COUNTRY CLUB INC. LAS VEGAS DISTRICT ENERGY, LLC LOGISTICS & TECHNOLOGY SERVICES, (LTS) LOGMET LLC LOS ANGELES ARENA COMPANY LLC LOS ANGELES COLD STORAGE MANDALAY EMPLOYMENT LLC DBA FOURSEASONS HOTEL LAS VEGAS MANUFACTURING DIV OF KROGER CO. DBA COMPTON CREAMERY MERIDIAN MANAGEMENT CORPORATION METRO ENGINEERING INC MOTION PICTURE AND TELEVISION FUND MUSIC CENTER NATIONAL SECURITY TECHNOLOGIES, LLC NEW CASTLE CORPORATION DBA EXCALIBUR HOTEL AND CASINO NORTHWIND ALADDIN, LLC OASIS WEST REALTY, LLC DBA THE BEVERLY HILTON ONE PARK BOULEVARD, LLC DBA HILTON SAN DIEGO BAYFRONT OPERATING ENG LOCAL 501 LAS VEGAS OFFICE OPERATING ENG LOCAL 501 LOS ANGELES OPERATING ENGINEERS FUNDS, INC PACIFIC DESIGN CENTER I, LLC PARAGON SERVICES ENGINEERING, SAN DIEGO SERVICES, LLC PARBALL CORPORATION DBA BALLY'S CASINO AND HOTEL PARIS LAS VEGAS OPERATING COMPANY, LLC, DBA PARIS LAS VEGAS PASADENA HILTON HOTEL, DAVISON HOTEL COMPANY PLAYLV GAMING OPERATIONS, LLC DBA PLAZA HOTEL AND CASINO PORTFOLIO LAX, LLC DBA RADISSION HOTEL AT LA INTERNATIONAL AIRPORT PRAXAIR DISTRIBUTION, INC. PRIDE INDUSTRIES RAMPARTS, INC. DBA LUXOR HOTEL AND CASINO RIO PROPERTIES, INC. DBA RIO ALL-SUITE HOTEL AND CASINO RITE AID CORPORATION, THRIFTY PAYLESS, INC. RIVIERA OPERATING CORPORATION DBA RIVIERA HOTEL AND CASINO ROCKVIEW DAIRES, INC. SAM-WILL, INC. A NEVADA CORPORATION DBA FREMONT HOTEL AND CASINO SBEHG LAS VEGAS I, LLC DBA SAHARA HOTEL AND CASINO SHEN ZHEN NEW WORLD I, LLC DBA LOS ANGELES MARRIOTT DOWNTOWN SHEN ZHEN NEW WORLD I, LLC DBA SHERATON UNIVERSAL HOTEL SHERATON OPERATING CORPORATION DBA THE WESTIN SOUTH COAST PLAZA SHERATON OPERATING CORPORATION DBA W HOLLYWOOD HOTEL SHRINERS HOSPITAL FOR CHILDREN- LOS ANGELES SMG FOR: LONG BEACH CONVENTION CENTER SO NEVADA OPERATING & MAINT ENG SODEXHO, INC. STRATOSPHERE GAMING, LLC STREMICKS HERITAGE FOODS, LLC SUNRISE HOSPITAL AND MEDICAL CENTER, LLC THE COLBURN SCHOOL THE JONATHAN CLUB THE QUAD RESORT & CASINO THE RIM CORPORATION, A CA CORPORATION, DBA RIM HOSPITALITY THE VONS COMPANIES, INC. TISHMAN INTERNATIONAL CO TISHMAN SPEYER PROPERTIES LP TRICOM MANAGEMENT, INC. TROPICANA LAS VEGAS, INC. U.S. GROWERS COLD STORAGE, INC. UNIFIED WESTERN GROCERS, INC. VALLEY HOSPITAL MEDICAL CENTER VEOLIA ENERGY LOS ANGELES, INC. VINTAGE VEGAS GAMING, INC. DBA BINIONS GAMING HALL & HOTEL VOLKSWAGEN GROUP OF AMERICA, INC. W LOS ANGELES HOTEL WALT DISNEY WORLD CO. AND WALT DISNEY PARKS AND RESORTS LLC WESTIN BONAVENTURE HOTEL AND SUITES WESTIN OPERATOR, LLC DBA THE WESTIN LOS ANGELES AIRPORT WHB BILTMORE, LLC DBA MILLENNIUM BILTMORE HOTEL WILSHIRE PLAZA HOTEL WILSON 5 SERVICE COMPANY, INC.