2014-11-11T13:53:15-06:00 2013-12-31 990155373 LEMKE CHINEN & TANAKA CPA INC 210 WARD AVE SUITE 336 HONOLULU HI 96814 990 2013-01-01 996008823 AFL HOTEL & RESTAURANT WORKERS HEALTH & WELFARE PLAN AFLH 8085230199 560 N NIMITZ HWY NO 209 HONOLULU HI 96817 ERIC GILLJULIE WALKER TRUSTEES 8085230199 2014-10-17 1 TERRY TAKAKI P00036112 8085336254 2013 2015-11-30 17:44:51Z ERIC GILLJULIE WALKER 560 N NIMITZ HWY NO 209 HONOLULU HI 96817 261043956 0 X N/A X 1955 HI TO PROVIDE HEALTH & WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS AS PRESCRIBED BY THE PLAN 4 4 0 0 0 0 0 0 89686211 95150176 661779 423780 -174308 4909 90173682 95578865 0 0 76865642 81824794 0 0 0 0 0 3436696 3366603 80302338 85191397 9871344 10387468 77744625 88123104 36672 27683 77707953 88095421 TO PROVIDE MEDICAL, DENTAL,PRESCRIPTION DRUG, CHIROPRACTIC CARE, VISION, AND DEATH BENEFITS TO ELIGIBLE MEMBERS 0 0 47121310 TO PROVIDE SELF FUNDED HEALTH BENEFITS TO ELIGIBLE PARTICIPANTS IN ACCORDANCE WITH TERMS SET FORTH IN THE TRUST AGREEMENTS, RULES AND REGULATIONS OF THE PLAN AND CBA 34703484 PROVIDE INSURED HEALTH BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS 81824794 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 3 0 1 0 0 0 0 0 0 0 X 4 4 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X BENEFIT RISK MANAGEMENT SERVICES 8085230199 560 N NIMITZ HWY NO 209 HONOLULU HI 96817 X ERIC GILL LABOR TRUSTEE 0.50 X 0 0 0 HERNANDO TAN LABOR TRUSTEE 0.50 X 0 0 0 NONA TAMANAHA MANAGEMENT TRUSTEE (FORMER) 0.50 X 0 0 0 CAROL KAWABATA MANAGEMENT TRUSTEE 0.50 X 0 0 0 DORYNE JARDINE ALT LABOR TRUSTEE 0.50 X 0 0 0 JULIE WALKER MANAGEMENT TRUSTEE 0.50 X 0 0 0 CARLA THOMAS ALT MANAGEMENT TRUSTEE 0.50 X 0 0 0 ROSS BANIAGA ALT LABOR TRUSTEE 0.50 X 0 0 0 KEVIN GLEASON ALT MANAGEMENT TRUSTEE 0.50 X 0 0 0 ERNEST NISHIZAKI MANAGEMENT TRUSTEE 0.50 X 0 0 0 0 0 0 0 0 0 0 HMA INC 1440 KAPIOLANI BLVD STE 1020 HONOLULU HI 96814 MEDICAL CLAIMS ADMINISTRATOR 1976772 BENEFIT RISK & MANAGEMENT SERVICES 560 N NIMITZ HWY STE 209 HONOLULU HI 96817 PLAN ADMINISTRATOR 573617 FIRST HAWAIIAN BANK 999 BISHOP STREET HONOLULU HI 96813 CUSTODIAN 198382 BENEFIT PLAN SOLUTIONS 680 IWIEI ROAD STE 528 HONOLULU HI 96817 CONSULTING 168438 CATAMARAN 1600 KAPIOLANI BLVD SUITE 1322 HONOLULU HI 96814 DRUG CLAIMS ADMINISTRATOR 164135 5 EMPLOYER CONTRIBUTONS 900099 94793971 94793971 PARTICIPANT CONTRIBUTIONS 900099 356205 356205 95150176 1099043 1099043 164789828 165465091 -675263 -675263 -675263 UNREALIZED LOSS 900001 4909 4909 4909 95578865 95150176 0 428689 81824794 27710 43055 167087 129073 9472 8279 MEDICAL ADMINISTRATIVE 1976772 PLAN ADMINISTRATIVE FEE 573617 CONSULTANT FEES 224395 DRUG ADMINISTRATIVE FEE 164135 43008 85191397 124702 5251 15008662 13413840 8963320 8580119 7946 53639995 66123894 77744625 88123104 36672 27683 36672 27683 X 77707953 88095421 0 0 0 0 77707953 88095421 77744625 88123104 10387468 0 X X 0 1 X 1 0 0 95411778 0 95411778 167087 167087 95578865 85024310 0 85024310 167087 167087 85191397 FORM 990, PART VI, SECTION B, LINE 11 ALL DOCUMENTS ARE REVIEWED BY MANAGEMENT TRUSTEE AND UNION TRUSTEE REPRESENTATIVES BEFORE SIGNING AND FILING FORM 990, PART VI, SECTION B, LINE 12C TRUSTEES EXECUTE A STATEMENT OF COMPLIANCE WHICH IS KEPT ON FILE FORM 990, PART VI, SECTION C, LINE 19 POLICIES ARE MADE AVAILABLE TO MEMBERS UPON REQUEST FORM 990, PART XII, LINE 2C: NO CHANGE IN REVIEW PROCESS FROM PRIOR YEAR. BOARD OF TRUSTEES SELECT AN INDEPENDENT AUDITOR. ADMINISTRATOR FORMALLY REVIEWS AND APPROVES THE FINANCIAL STATEMENTS. BOARD OF TRUSTEES REVIEW AND APPROVE THE FINANCIAL STATEMENTS. HOTEL AND RESTAURANT INDUSTRY EMPLOYMENT AND TRAINING PLAN 560 N NIMITZ HIGHWAY 209 HONOLULU HI 96817 996009966 PROVIDE TRAINING BENEFITS TO ELIGIBLE EMPLOYEES HI 501(C)(5) N/A N/A 0 HOTEL UNION AND HOTEL INDUSTRY OF HAWAII PENSION PLAN 560 N NIMITZ HIGHWAY 209 HONOLULU HI 96817 990155373 PROVIDE RETIREMENT BENEFITS TO ELIGIBLE EMPLOYEES AND BENEFICIARIES HI 401(A) N/A N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0