STRATEGY STUDIO / PUBLIC DATA EXPLORER

TEAMSTERS WESTERN REGION AND NEW JERSEY HEALTH CARE FUND: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
TEAMSTERS WESTERN REGION AND NEW JERSEY HEALTH CARE FUND (EIN 86-6052021)
Tax period
2013-12-01 to 2014-11-30
Filed
2015-09-15
IRS object ID
201532589349300238
Schema version
2013v4.0
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)
Return2015-09-15T12:07:41-05:00ReturnTs
Tax Period End2014-11-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN542189926PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Henningfield & Associates IncBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line127913 Smyth DriveAddressLine1
CityValenciaCity
StateCAState
ZIP Code91355ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-12-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN866052021EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1TEAMSTERS WESTERN REGION AND NEW JERSEYBusinessNameLine1
Business Name Line2HEALTH CARE FUNDBusinessNameLine2
FieldValueIRS element (for citing)
Business Name ControlTEAMBusinessNameControlTxt
Phone6022493582PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12400 W DUNLAP AVENUEAddressLine1
CityPHOENIXCity
StateAZState
ZIP Code85021ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonANDREW MARSHALLPersonNm
Person TitleTRUSTEEPersonTitleTxt
Phone6022493582PhoneNum
Signature2015-09-11SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonRANDY D HENNINGFIELDPreparerPersonNm
PTINP01364367PTIN
Phone6612953363PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2016-04-25 22:37:26ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerANDREW MARSHALLPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11450 S 27 AVENUEAddressLine1
CityPHOENIXCity
StateAZState
ZIP Code85009ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$1,041,269,239GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501cYes (X)Organization501cInd
Website AddressN/AWebsiteAddressTxt
Type Of Organization TrustYes (X)TypeOfOrganizationTrustInd
Formation1950FormationYr
Legal Domicile StateAZLegalDomicileStateCd
Activity Or MissionHEALTH & WELFARE BENEFITS PROVIDED TO MEMBERS WHO ARE COVERED BY COLLECTIVE BARGAINING AGREEMENTS BETWEEN UNION AND EMPLOYERS.ActivityOrMissionDesc
Voting Members Governing Body8VotingMembersGoverningBodyCnt
Voting Members Independent8VotingMembersIndependentCnt
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$26,544,494PYProgramServiceRevenueAmt
CY Program Service Revenue$790,187,134CYProgramServiceRevenueAmt
PY Investment Income$511,693PYInvestmentIncomeAmt
CY Investment Income$10,900,800CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$5,325,566CYOtherRevenueAmt
PY Total Revenue$27,056,187PYTotalRevenueAmt
CY Total Revenue$806,413,500CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$23,066,938PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$218,666,966CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$36,064PYSalariesCompEmpBnftPaidAmt
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$2,420,102PYOtherExpensesAmt
CY Other Expenses$12,392,371CYOtherExpensesAmt
PY Total Expenses$25,523,104PYTotalExpensesAmt
CY Total Expenses$231,059,337CYTotalExpensesAmt
PY Revenues Less Expenses$1,533,083PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$575,354,163CYRevenuesLessExpensesAmt
Total Assets BOY$15,152,365TotalAssetsBOYAmt
Total Assets EOY$638,168,189TotalAssetsEOYAmt
Total Liabilities BOY$4,366,573TotalLiabilitiesBOYAmt
Total Liabilities EOY$49,146,585TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$10,785,792NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$589,021,604NetAssetsOrFundBalancesEOYAmt
MissionHEALTH & WELFARE BENEFITS PROVIDED TO MEMBERS WHO ARE COVERED BY COLLECTIVE BARGAINING AGREEMENTS BETWEEN UNION AND EMPLOYERS.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$218,666,966ExpenseAmt
DescHEALTH & WELFARE BENEFITS PROVIDED TO MEMBERS WHO ARE COVERED BY COLLECTIVE BARGAINING AGREEMENTS BETWEEN UNION AND EMPLOYERS.Desc
Total Program Service Expenses$218,666,966TotalProgramServiceExpensesAmt
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 Footnote0IncludeFIN48FootnoteInd
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 Document2088IRPDocumentCnt
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 Members8GoverningBodyVotingMembersCnt
Independent Voting Member8IndependentVotingMemberCnt
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
States Where Copy Of Return Is FldAZStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SOUTHWEST SERVICE ADMINISTRATORSBusinessNameLine1
FieldValueIRS element (for citing)
Phone6022493582PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12400 W DUNLAP AVENUE 250AddressLine1
CityPHOENIZCity
StateAZState
ZIP Code85021ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (8 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
STUART MARCUS
TRUSTEE4.00Yes (X)$0$0$0
DOUGLAS RUYGROK
TRUSTEE4.00Yes (X)$0$0$0
ANDREW MARSHALL
TRUSTEE4.00Yes (X)$0$0$0
BJ DORFMAN
TRUSTEE4.00Yes (X)$0$0$0
CHRIS LANGAN
TRUSTEE4.00Yes (X)$0$0$0
ALFRED BETTS
TRUSTEE4.00Yes (X)$0$0$0
RICK HICKS
TRUSTEE4.00Yes (X)$0$0$0
RICK MIDDLETON
TRUSTEE4.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
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/AddressLine1CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmt
BLUE CROSS BLUE SHIELD
8220 N 23RD AVENUEPHOENIXAZ85021COST CONTAINMENT FEES$3,892,290
AETNA
PO BOX 14079LEXINGTONKY40512CLAIMS PROCESSING$2,402,183
SOUTHWEST SERVICE ADMINISTRATORS
2400 W DUNLAP AVE STE 250PHOENIXAZ85021CONTRACT ADMINISTRATOR$1,826,419
THE SEGAL COMPANY
1230 E WASHINGTON STE 501TEMPEAZ85281CONSULTING$794,025
VALUE OPTIONS INC
240 CORPORATE BLVD STE 100NORFOLKVA23502CLAIMS PROCESSING$512,076
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K13CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
EMPLOYER CONTRIB480000$789,604,396$789,604,396
PARTICIPANT CONTRIB480000$582,738$582,738
FieldValueIRS element (for citing)
Total Program Service Revenue$790,187,134TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,301,633TotalRevenueColumnAmt
Exclusion$6,301,633ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$239,454,906SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$234,855,739SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$4,599,167SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,599,167TotalRevenueColumnAmt
Exclusion$4,599,167ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PRESCRIPTION REBATES480000$4,966,846$4,966,846
RETIREE PRESCRIPTION SUBSIDY480000$182,184$182,184
STOP LOSS REIMBURSEMENTS480000$176,536$176,536
FieldValueIRS element (for citing)
Other Revenue Total$5,325,566OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$806,413,500TotalRevenueColumnAmt
Related Or Exempt Func Income$795,512,700RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$10,900,800ExclusionAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$218,666,966TotalAmt
Program Services$218,666,966ProgramServicesAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$1,749,390TotalAmt
Management And General$1,749,390ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$288,082TotalAmt
Management And General$288,082ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$29,051TotalAmt
Management And General$29,051ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$605,263TotalAmt
Management And General$605,263ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$802,122TotalAmt
Management And General$802,122ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$611,055TotalAmt
Management And General$611,055ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$42,846TotalAmt
Management And General$42,846ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$81,722TotalAmt
Management And General$81,722ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmt
COST CONTAINMENT FEES$7,394,501$7,394,501
ADMINISTRATION - EXTERN$649,429$649,429
DISABILITY PAYROLL TAXE$98,227$98,227
PCORI FEES$23,000$23,000

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$17,683TotalAmt
Management And General$17,683ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$231,059,337TotalAmt
Program Services$218,666,966ProgramServicesAmt
Management And General$12,392,371ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$675,150BOYAmt
EOY$25,313,690EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$2,649,980BOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,075,194BOYAmt
EOY$65,637,125EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$9,533BOYAmt
EOY$69,190EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$10,742,508BOYAmt
EOY$547,148,184EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$15,152,365BOYAmt
EOY$638,168,189EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,194,873BOYAmt
EOY$1,289,910EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
EOY$22,348EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,171,700BOYAmt
EOY$47,834,327EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$4,366,573BOYAmt
EOY$49,146,585EOYAmt
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$10,785,792BOYAmt
EOY$589,021,604EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$10,785,792BOYAmt
EOY$589,021,604EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$15,152,365BOYAmt
EOY$638,168,189EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$575,354,163ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$2,881,649NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
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
CLAIMS PAYABLE AND IBNR$47,664,000
PREMIUMS PAYABLE$170,327
FieldValueIRS element (for citing)
Total Liability$47,834,327TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$808,946,925TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$2,881,649NetUnrealizedGainsInvstAmt
Revenue Not Reported$2,881,649RevenueNotReportedAmt
Revenue Subtotal$806,065,276RevenueSubtotalAmt
Investment Expenses Not Incld$348,224InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt$348,224RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$806,413,500TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$186,048,486TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$186,048,486ExpensesSubtotalAmt
Investment Expenses Not Incld2$348,224InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$44,662,627OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$45,010,851ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$231,059,337TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart XII, Line 4b - Other Adjustments:FormAndLineReferenceDesc
ExplanationCHANGES IN CLAIMS PAYABLE AND IBNR CHANGE IN PREMIUMS PAYABLEExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 3THE TRUSTEES HAVE CONTRACTED WITH A THIRD PARTY ADMINISTRATOR TO PERFORM THE EVERYDAY ADMINISTRATION OF THE FUND.
Form 990, Part VI, Section B, line 11A COPY OF FORM 990 WAS PRESENTED TO THE TRUSTEES FOR REVIEW AND SIGNATURES.
Form 990, Part VI, Section B, line 12cMONITORING AND ENFORCEMENT OF CONFLICT OF INTEREST POLICY IS APPROVED ANNUALLY AT BOARD OF TRUSTEES MEETING.
Form 990, Part VI, Section C, line 19SUMMARY ANNUAL REPORTS ARE PROVIDED TO ALL PARTICIPANTS ANNUALLY. SPDS ARE AVAILABLE VIA WEBSITE AND FROM THE ADMINISTRATOR UPON REQUEST. AUDITED FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC BY REQUEST OF THE DOL OR ADMINISTRATION.
Form 990, Part VIISTUART MARCUS - 1121 124TH AVE NE, BELLEVUE, WA 98005. DOUGLAS RUYGROK - 618 MICHILLINDA AVENUE, ARCADIA, CA XXX-XX-XXXX. ANDREW MARSHALL - 1450 S. 27 AVENUE, PHOENIX, AZ 85009. B.J. DORFMAN - 55 GLENLAKE PKWY, ATLANTA, GA 30328. CHRIS LANGAN - 55 GLENLAKE PKWY, ATLANTA, GA 30328. ALFRED BETTS - 282 HILLSIDE AVE, HILLSIDE, NY 07205. RICK HICKS - 14675 INTERURBAN AVE S, TUKWILA, WA 98168. RICK MIDDLETON - 450 CARSON PLAZA DRIVE, CARSON, CA 90746.

Schedule R IRS990ScheduleR

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (26 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
ALLIANCE BEVERAGE DISTRIBUTING CO LLC
1115 N 47TH AVEPHOENIXAZ85043860933201SALES AND DISTRIBUTION OF ALCOHOLIC BEVERAGESAZC0
ARIZONA STATE AFL-CIO
3117 N 16TH STREET STE 200PHOENIXAZ85016866053031LABOR MOVEMENTAZC0
ATLAS LOGISTICS GROUP RETAIL SERVICES
500 W 99TH AVENUETOLLESONAZ85353271976487WAREHOUSINGAZC0
BAKER COMMODITIES INC
3602 W ELWOOD STREETPHOENIXAZ85009952137748RECYCLINGAZC0
CALIPORTLAND COMPANY
2400 N CENTRAL AVE STE 301PHOENIXAZ85004950597220CONTRETE, SAND AND GRAVEL PRODUCTIONAZC0
CALMAT CO VULCAN MATERIALS
500 N BRAND BLVD STE 500GLENDALECA91203950645790CONSTRUCTION MATERIALSALC0
CENTURY MATERIALS INC
100 S PRICE ROADTEMPEAZ85281860431562TRANSPORTATION & EQUIPMENT MAINTENANCE FOR CONSTRUCTIONAZC0
THE HERTZ CORPORATION
225 BRAE BLVDPARK RIDGENJ07656131938568RENTAL OF PASSENGER VEHICLESNJC0
INTERSTATE BRANDS
12 E ARMOUR BLVDKANSAS CITYMO64111440296705FOOD MANUFACTURERTXC0
KELLOGG COMPANY
ONE KELLOGG SQUAREBATTLE CREEKMI49017380710690MANUFACTURINGMIC0
MARTENS HEAVY EQUIPMENT REPAIR LLC
4385 N BAKER DRIVEKINGMANAZ86409274369965REPAIR, SERVICE AND TRANSPORT - TRUCKS AND HEAVY EQUIPMENTAZS0
MISSION LINEN SUPPLY
702 E MONTECITO STSANTA BARABARACA93103951942549TEXTILE RENTAL SERVICECAS0
CLINTON CAMPBELL CONTR INC PHOENIX BRICK YARD
1814 S 7TH AVEPHOENIXAZ85007860010120CLAY BRICK DISTRIBUTORAZC0
RELIANCE STEEL & ALUMINUM CO
350 S GRAND AVE STE 5100LOS ANGELESCA90071951142616METAL DISTRIBUTORCAC0
RUAN TRANSPORT CORPORATION
666 GRAND AVEDES MOINESIA50309420619339TRANSPORTATION - HAULING OF GOODSIAC0
SAFEWAY INC
5918 STONERIDGE MALL ROADPLEASANTONCA94588943019135RETAILCAC0
EARTHGRAINS BAKING COMPANIES INC SARA LEE BAKERY
225 STEWART ROADHANOVER TWPPA18706710051040MANUFACTURINGPAC0
SMITH PIPE AND STEEL COMPANY
735 N 19TH AVEPHOENIXAZ85009860351813STEEL SERVICE CENTERAZC0
STAKER AND PARSON CO
2350 SO 1900 WESTOGDENUT84401870674587CONSTRUCTION, CONCRETE, PAVINGUTC0
PROFESSIONAL TRANSIT MANAGEMENT OF TICSON INC SUN TRAN
3920 N SUN TRAN BLVDTUCSONAZ85705311654328CITY BUSY SYSTEMAZC0
SYSCO ARIZONA INC
611 SO 80TH AVETOLLESONAZ85353760254397WHOLESALE FOOD DISTRIBUTORAZC0
T PAC A DIVISION OF KIEWIT WESTERN
12720 I STREETOMAHANE68137470640264CONSTRUCTIONNEC0
UNITED DAIRYMEN OF ARIZONA
2008 S HARDTY DRTEMPEAZ85282860098125TRANSPORTATION AND MANUFACTURING OF DAIRY PRODUCTSAZC0
VEOLIA TRANSPORTATION SERVICES
2225 N LOWER BUCKEYE ROADPHOENIXAZ85009521493194CITY BUSY SYSTEMAZC0
YOUNG'S MARKET CO OF ARIZONA
624 N 44TH AVEPHOENIXAZ85043452501820WINE AND SPIRITS DISTRIBUTIONAZC0
UNITED PARCEL SERVICE
55 GLENLAKE PKWYATLANTAGA30328362407381PARCEL SERVICEGAC0
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
Transfer From Other Org0TransferFromOtherOrgInd