2015-11-02T19:06:43-06:00 2014-12-31 300702322 HEMMING MORSE CPA'S AND CONSULTANTS 155 BOVET ROAD SUITE 600 SAN MATEO CA 94402 990 2014-01-01 946401544 U A LOCAL 393 HEALTH & WELFARE TR UALO 4084368210 1731 TECHNOLOGY DRIVE SUITE 570 SAN JOSE CA 95110 TRUSTEE TRUSTEE TRUSTEE 4084368210 2015-11-02 1 P01781096 4158364000 2014 2016-04-25 22:37:26Z 1731 TECHNOLOGY DRIVE SUITE 570 SAN JOSE CA 95110 68023813 0 X N/A X 1952 CA TO PROVIDE ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS WITH HEALTH & WELFARE BENEFITS. 8 8 483 0 0 0 0 0 44843410 45371948 957228 1169467 327433 470463 46128071 47011878 0 0 36576736 41616344 0 27825 0 0 0 1716777 1872161 38293513 43516330 7834558 3495548 78816383 87085320 34482651 38683035 44333732 48402285 NONE 0 0 TO PROVIDE ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS WITH HEALTH & WELFARE BENEFITS ACCORDING TO COLLECTIVE BARGAINING AGREEMENTS BETWEEN EMPLOYERS AND THE UNION. 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 1 237 0 483 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 1 1 1 1 1 0 0 0 X BENESYS ADMINISTRATORS 4084368210 1731 TECHNOLOGY DRIVE SUITE 570 SAN JOSE CA 95110 X DOUG JONES TRUSTEE 5.00 X 0 0 0 SCOTT STRAWBRIDGE CO-CHAIRMAN 5.00 X 0 0 0 MICHAEL J VLAMING TRUSTEE 5.00 X 0 0 0 LARRY GATES TRUSTEE 5.00 X 0 0 0 WAYD LA PEARLE TRUSTEE 5.00 X 0 0 0 BILL GUTHRIE CHAIRMAN 5.00 X 0 0 0 GARY GLENN TRUSTEE 5.00 X 0 0 0 GREGORY GONZALES TRUSTEE 5.00 X 0 0 0 0 0 0 0 0 0 0 BENESYS ADMINISTRATORS 1731 TECHNOLOGY DRIVE SUITE 570 SAN JOSE CA 95110 CONTRACT ADMINISTRATOR 579708 BLUE CROSS OF CALIFORNIA 21555 OXNARD STREET WOODLAND HILLS CA 91367 CLAIMS ADMINISTRATOR 300523 DELTA DENTAL 100 FIRST ST SAN FRANCISCO CA 94105 CLAIMS ADMINISTRATOR 152235 KRAW LAW GROUP 605 ELLIS ST SUITE 200 MOUNTAIN VIEW CA 94043 LEGAL 107324 4 EMPLOYER CONTRIBUTIONS 900099 42249043 42249043 ERA CONTRIBUTIONS 900099 3077549 3077549 COBRA CONTRIBUTIONS 900099 45356 45356 45371948 1071008 1071008 21110394 21011935 98459 98459 98459 OTHER INCOME 900099 235966 235966 MEDICARE D SUBSIDY 900099 229368 229368 LIQUIDATED DAMAGES 900099 5129 5129 470463 47011878 45940870 0 1071008 41616344 27825 579708 108723 68484 155557 35713 4655 DELTA DENTAL ADMIN FEE 300523 BLUE CROSS ADMIN FEE 152235 ACA TRANSITIONAL REINSU 119385 BENEFIT CONSULTING 96000 251178 43516330 1517193 3585138 20910882 6552977 3846186 4191859 3641 1400 52379515 72652414 158966 101532 78816383 87085320 631981 688220 33850670 37994815 34482651 38683035 X 0 0 0 0 44333732 48402285 44333732 48402285 78816383 87085320 3495548 573005 0 X X 0 1 X 1 0 0 SELF FUNDED BENEFITS PAYABLE 3684226 GROUP INSURANCE PREMIUMS PAYABLE 2802828 BANK OF HRS LIABILITY FOR EXT. COVERAGE 12408000 PARTICIPANT RESERVE ACCOUNT 17705668 CLAIMS INCURRED BUT NOT REPORTED 1139700 DUE TO OTHER FUNDS 254393 37994815 47584883 573005 573005 47011878 0 47011878 43516330 0 43516330 0 43516330 FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION DELEGATES CONTROL OVER 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 PLAN 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 TRUSTEES DESIGNATE THE ADMINISTRATOR TO REVIEW THE FORM. FORM 990, PART VI, SECTION B, LINE 12C REVIEW WITH BOARD OF TRUSTEES ANNUALLY. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST TO ALL PLAN PARTICIPANTS. FORM 990, PART XI, LINE 2C THE BOARD OF TRUSTEES ASSUMES RESPONSIBILITY FOR OVERSEEING THE AUDIT OF THE ORGANIZATION'S FINANCIAL STATEMENTS AND FOR SELECTING THE INDEPENDENT AUDITOR. U A LOCAL 393 PENSION TRUST FUND 1731 TECHNOLOGY DRIVE SUITE 570 SAN JOSE CA 95110 946359772 TO PROVIDE PENSION AND DEATH BENEFITS TO ELIGIBLE PARTICIPANTS CA 401(A) N/A 0 U A LOCAL 393 TRUST FUND DEFINED CONTRIBUTION 1731 TECHNOLOGY DRIVE SUITE 570 SAN JOSE CA 95110 946075617 TO PROVIDE PENSION BENEFITS TO ELIGIBLE PARTICIPANTS COVERED BY CBA CA 401(B) N/A 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 CONTRIBUTIONS EMPLOYERS, HOWEVER, THAT LIST DOES NOT INCLUDE FEDERAL TAX CLASSIFICATION. THEREFORE, THE LIST OF CONTRIBUTING EMPLOYERS IS REPORTED ON PART VII, SUPPLEMENTAL INFORMATION. MEMBER ADVOCATE UA LOCAL 393 U.A.LOCAL 393 - JATC ABC PLUMBING INC. ACCEL AIR SYSTEMS, INC. ASCO SERVICE, INC. ACCO ENGINEERED SYSTEMS AIRCO COMMERCIAL, INC. AIR SYSTEMS OF SAC., IN AIR SYSTEMS INC. DBA EN AIRTECH MECH INC, ALL BAY MECHANICAL ALL SPEC PIPING, INC. ALL TEMP SERVICE AIR CO DOWDLE & SONS MECH., IN APEX MECHANICAL, INC. AQUADUCT PLUMBING AUTO BUILDING CONTROL S AUTO BUILDING CONTROL/M AUTOMATED BUILDING CONT MTECH/AUTO BUILDING CON AUTOMATED SOLUTIONS GRO BELLANTI PLUMBING, INC. BENICIA PLUMBING, INC. BEVSTREAM CORP BONESO BROTHERS CONSTR. F M BOOTH INC CFM/VR-TESCO LLC BROADWAY MECHANICAL CO, COMMERCIAL REF. SPECIAL C & S MECHANICAL INC CARRIER CORP. CASTRO PLUMBING SER.,IN SOUTH VALLEY PLBG INC CHM MECHANICAL COLLISHAW CLYDE SPRINKL COOL BREEZE REFRIGERATI COLD ROOM SOLUTIONS, IN CRITCHFIELD MECHANICAL, DEGREE HVAC DANIEL LARRATT PLUMBING DEBELLA MECHANICAL DEM-CON ENGINEERING DEHARO MECHANICAL INC. DINELLI PLUMBING, INC. MTECH ESTES COMMERCIAL REFRIG ENVIRONMENTAL SYS 2 HVAC MANUFACTURING HELLWIG PLBG RAY L W L HICKEY SONS INC HONEYWELL INC JOHNSON CONTROLS, INC. ICOM MECHANICAL INC J. MCCABE PLUMBING INC. INTECH MECHANICAL COMPA K.D.S. PLUMBING, INC. KEY REFRIGERATION CO. KIEWIT INFRASTRUCTURE W KINETIC SYSTEMS INC KINETICS MECH. SER., IN L J KRUSE J. SOARES PLUMBING, INC HARRIS CLIMATE CONTROL LEFCO INC LESCURE COMPANY INC LYNN LEFEVRE WELDING O C MC DONALD CO M.J. MECHANICAL SERVICE THERMA MARELICH MECH. CO.,INC. MESA ENERGY SYSTEMS PACIFIC COAST TRANE SER MURRAY PLUMBING AND HEA PACIFIC PLUMBING INC. JET MECHANICAL, INC. PERFORMANCE MECH. INC. PERFORMANCE AIR SER.,IN J R PIERCE PLUMB PPMC PRIBUSS ENGINEERING PRO TEMP MECHANICAL, IN PARAGON MECHANICAL PRIME MECHANICAL QUALTECH MECHANICAL R. H. TINNEY, INC. MONSTER MECHANICAL, INC PAN PACIFIC PLUMBING CO WC PLUMBING ROUNDTREE PLUMBING, HEA SAN JOSE UNIF SCHOOL DI SILICON VALLEY MECHANIC SERVICE UNLIMITED, INC. SOUTHLAND INDUSTRIES F W SPENCER STEPHEN CIARI PLBG & HE SUNBELT CONTROLS, INC. TM MECHANICAL COMPANY, TNT INDUSTRIAL CONTRACT THERMAL MECHANICAL TRANSLOGIC DBA SWISS LO THERMAL LOGISTICS, INC. SERVICEWRKX TOTAL FACILITY SOLUTION UNITED MECHANICAL INC. UNITED COMFORT SOLUTION VAC-AMERICA VAL'S PLMBG. & HTG. INC VERTEX MECHANICAL AGC, INC WESTERN ALLIED MECH., I WESTERN WATER FEATURES, CARMINE AIR COND., INC. WEST VALLEY CONST WESTERN ENGINEERING WEST VALLEY PLBG HTG WHITE WATER PLUMBING J.W. MCCLENAHAN CO. PACIFIC RIM PLUMBING, I