2015-12-15T17:55:12-06:00 2015-05-31 MILLER KAPLAN ARASE LLP 4123 LANKERSHIM BLVD NORTH HOLLYWOOD CA 916022828 990 2014-06-01 946250011 ELECTRICAL WORKERS HEALTH AND WELFARE TRUST FUND % ABIGAIL MODELOWITZ ELEC 4085883768 1731 TECHNOLOGY DR STE 570 SAN JOSE CA 95110 ABIGAIL MODELOWITZ assistant plan manager 4085883768 2015-12-15 true MILLER KAPLAN ARASE LLP P00349311 8187692010 2014 2016-03-07 17:11:31Z andy hartmann 1731 TECHNOLOGY DR STE 570 SAN JOSE CA 95110 3899156 false X N/A X 1971 CA TO PROVIDE HEALTH BENEFITS TO PARTICIPANTS ON WHOSE BEHALF EMPLOYERS CONTRIBUTE IN ACCORDANCE WITH THEIR COLLECTIVE BARGAINING AGREEMENT. 6 6 0 0 0 0 0 3641739 3801893 17476 15927 96821 81336 3756036 3899156 0 0 3080253 3173481 0 0 0 0 0 267946 246334 3348199 3419815 407837 479341 3567234 4203232 1633391 1790897 1933843 2412335 TO PROVIDE HEALTH BENEFITS TO PARTICIPANTS ON WHOSE BEHALF EMPLOYERS CONTRIBUTE IN ACCORDANCE WITH THEIR COLLECTIVE BARGAINING AGREEMENT. false false TO PROVIDE HEALTH BENEFITS TO PARTICIPANTS ON WHOSE BEHALF EMPLOYERS CONTRIBUTE IN ACCORDANCE WITH THEIR COLLECTIVE BARGAINING AGREEMENT. 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 79 0 true 0 false false false false false false X 6 6 false false false false false false false true false false false true true true true true true false X ABIGAIL MODELOWITZ 4085883768 1731 TECHNOLOGY DR STE 570 SAN JOSE CA 95110 X X FREDERICK JENSEN TRUSTEE 1.0 X 0 0 0 PAUL LAUESEN TRUSTEE 1.0 X 0 0 0 JERRI CHAMPLIN TRUSTEE 1.0 X 0 0 0 ANDREW HARTMANN TRUSTEE 1.0 X 0 0 0 MIKE IHNOT TRUSTEE 1.0 X 0 0 0 STEFAN MARCERON TRUSTEE 1.0 X 0 0 0 0 0 0 0 false false false STANDFORD HOSPITAL CLINICS PO BOX 742188 LOS ANGELES CA 90074 MEDICAL PROVIDER 487163 COMM HOSPITAL OF THE MONTEREY PENI PO BOX 39000 DEPT 33290 SAN FRANCISCO CA 94139 MEDICAL PROVIDER 410113 DIGNITY HEALTH PO BOX 748450 LOS ANGELES CA 90074 MEDICAL PROVIDER 149669 BENESYS INC 1731 TECHNOLOGY DR STE 570 SAN JOSE CA 95110 ADMINISTRATIVE SRVCS 131000 PALO ALTO MEDICAL FOUNDATION PO BOX 742867 LOS ANGELES CA 90074 medical provider 134541 8 0 EMPLOYER CONTRIBUTIONS 900099 3442000 3442000 EMPLOYEE CONTRIBUTIONS 900099 359893 359893 3801893 15927 15927 0 0 0 0 0 0 0 0 0 MEDICARE PART D SUBSIDY 900099 81336 81336 81336 3899156 3883229 15927 0 0 0 3173481 0 0 0 0 0 0 131000 22131 13874 0 0 0 35550 0 13516 2180 0 0 0 0 474 0 0 0 1366 ACA FEES 19973 DRUG SCREENING FEES 3835 MEDICAL ADMINISTRATIVE FEES 2435 3419815 996844 1768435 2031046 1886597 0 0 537512 538134 0 0 0 0 0 0 0 0 1832 10066 0 0 0 0 0 0 0 0 0 0 0 3567234 4203232 90615 68187 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1542776 1722710 1633391 1790897 X 0 0 0 0 1933843 2412335 1933843 2412335 3567234 4203232 479341 -849 X false true X true 0 BENEFIT OBLIGATIONS 1722710 1722710 X 3898307 -849 -849 3899156 3899156 3419815 3419815 3419815 PART X, LINE 2: THE fund HAS ADOPTED GUIDANCE ON ACCOUNTING FOR uncertainty IN INCOME TAXES ISSUED BY THE FINANCIAL ACCOUNTING STANDARDS BOARD. THE plan ADMINISTRATOR BELIEVES THAT THE FUND HAS TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO THE FINANCIAL STATEMENTS TO COMPLY WITH THE PROVISIONS OF THIS GUIDANCE. AS OF MAY 31, 2015, INFORMATION RETURNS SUBSEQUENT TO 2011 WERE SUBJECT TO EXAMINATION BY AUTHORITIES. PART VI, SECTION A - LINE 8B: THE fund DOES NOT HAVE A COMMITTEE WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. PART VI, SECTION B - LINE 11B: THE fund'S CPA PREPARES THE FORM 990 AND PROVIDES IT TO THE fund'S THIRD PARTY ADMINISTRATOR FOR REVIEW; THE CO-CHAIRS ARE THEN GIVEN THE RETURN FOR REVIEW AND SIGNATURE. THE COMPLETED FORM 990 IS AVAILABLE TO ALL TRUSTEES UPON REQUEST. PART VI, SECTION B - LINE 12C: THE BOARD OF TRUSTEES MEET QUARTERLY AND ARE REQUIRED TO DISCLOSE ANY CONFLICTS AT THESE MEETINGS. PART VI, SECTION C - LINE 19: THE fund MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO PARTICIPANTS UPON REQUEST. part vii - compensation of officers, directors, trustees: compensation paid to trustees who are employed by a not-for-profit employer is properly reported on that entity's annual tax filings. see PART VII see PART VII see PART VII false false false false false false false false false false false false false false false false false false false parts II, III AND IV - IDENTIFICATION OF RELATED TAX-EXEMPT ORGANIZATIONS, TAXABLE AS A PARTNERSHIP AND CORPORATION OR TRUST: the list of contributing employers, by entity type is not available at the administrative office; if you have specific questions, please contact the administrative office.