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SHEET METAL WORKERS LOCAL 104 HEALTH CARE PLAN: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
SHEET METAL WORKERS LOCAL 104 HEALTH CARE PLAN (EIN 94-2541328)
Tax period
2012-07-01 to 2013-06-30
Filed
2014-04-28
IRS object ID
201411189349300511
Schema version
2012v2.1
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)
Timestamp2014-04-28T16:02:14-05:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN522385296EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1LINDQUIST LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line15000 EXECUTIVE PARKWAY SUITE 400AddressLine1
CitySAN RAMONCity
StateCAState
ZIP Code945834210ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN942541328EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1SHEET METAL WORKERS LOCAL 104 HEALTH CARE PLANBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSHEENameControl
Phone9252089999Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12610 CROW CANYON ROAD NO 200AddressLine1
CitySAN RAMONCity
StateCAState
ZIP Code94583ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameBRUCE WORDName
TitleTRUSTEETitle
Phone9252089999Phone
Date Signed2014-04-28DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJESSICA R ROSTERName
PTINP01317380PTIN
Phone9252779100Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonBRUCE WORDNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12610 CROW CANYON ROAD SUITE 200AddressLine1
CitySAN RAMONCity
StateCAState
ZIP Code94583ZIPCode
FieldValueIRS element (for citing)
Gross Receipts116537809GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteN/AWebSite
Type Of Organization TrustXTypeOfOrganizationTrust
Year Formation1979YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE HEALTH BENEFITS AND SUPPLEMENTAL UNEMPLOYMENT BENEFITSActivityOrMissionDescription
Nbr Voting Members Governing Body16NbrVotingMembersGoverningBody
Nbr Independent Voting Members0NbrIndependentVotingMembers
Total Nbr Employees851TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year77761718ProgramServiceRevenuePriorYear
Program Service Revenue CY87555394ProgramServiceRevenueCY
Investment Income Prior Year1248061InvestmentIncomePriorYear
Investment Income Current Year1452277InvestmentIncomeCurrentYear
Other Revenue Prior Year271055OtherRevenuePriorYear
Other Revenue Current Year198230OtherRevenueCurrentYear
Total Revenue Prior Year79280834TotalRevenuePriorYear
Total Revenue Current Year89205901TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year67446448BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY67247111BenefitsPaidToMembersCY
Salaries Etc Prior Year0SalariesEtcPriorYear
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year4332101OtherExpensePriorYear
Other Expenses Current Year4036546OtherExpensesCurrentYear
Total Expenses Prior Year71778549TotalExpensesPriorYear
Total Expenses Current Year71283657TotalExpensesCurrentYear
Revenues Less Expenses Prior Year7502285RevenuesLessExpensesPriorYear
Revenues Less Expenses CY17922244RevenuesLessExpensesCY
Total Assets BOY57025304TotalAssetsBOY
Total Assets EOY78472521TotalAssetsEOY
Total Liabilities BOY24265916TotalLiabilitiesBOY
Total Liabilities EOY27150378TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY32759388NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY51322143NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE HEALTH BENEFITS AND SUPPLEMENTAL UNEMPLOYEMENT BENEFITS.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
DescriptionPROVIDED HEALTH AND WELFARE BENEFITS AND SUPPLEMENTAL UNEMPLOYMENT BENEFITS TO PARTICIPANTS AND THEIR ELIGIBLE DEPENDENTS.Description
Described In501 C30DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip0ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Info In Schedule O Part VXInfoInScheduleOPartV
Number Forms Transmitted With10962300NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees851NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members16NbrVotingGoverningBodyMembers
Number Independent Voting Members0NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties1DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1BENESYS INCBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number9252089999TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12610 CROW CANYON ROAD SUITE 200AddressLine1
CitySAN RAMONCity
StateCAState
ZIP Code94583ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (20 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
PAUL STECKEL
TRUSTEE4.00X000
GARLAND SELF JR
TRUSTEE1.00X000
CHRIS ENFANTINO
TRUSTEE1.00X000
BOB BRAMLETT
TRUSTEE1.00X000
BRUCE WORD
TRUSTEE6.50X000
MITCHELL HOPPE
TRUSTEE1.00X000
BRETT RISLEY
TRUSTEE2.00X000
JOSEPH A MARACCINI
TRUSTEE5.00X000
PAUL ARSENAULT
TRUSTEE2.00X000
RICHARD WERNER
TRUSTEE2.00X000
WILLIE SOLIS
TRUSTEE2.00X000
ROB STOKER
TRUSTEE2.00X000
STEVE LOPEZ
TRUSTEE2.00X000
SEAN O'DONOGHUE
TRUSTEE2.00X000
RANDY ATTAWAY
TRUSTEE2.00X000
ANTHONY URBINA
TRUSTEE2.00X000
GARY SCHWENK
TRUSTEE - PAST2.00X000
TIM O'CONNELL
TRUSTEE - PAST2.00X000
WILLIAM J LEFFLER JR
TRUSTEE - PAST2.00X000
MIKE PENCE
TRUSTEE - PAST2.00X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
BENESYS INC
2610 CROW CANYON ROAD SUITE 200SAN RAMONCA94583ADMINISTRATION2250068
BLUE SHIELD OF CALIFORNIA
50 BEALE STREETSAN FRANCISCOCA941051808CLAIMS PROCESSING230524
BLUE CROSS OF CALIFORNIA
11050 OLSON DRIVE SUITE 110RANCHO CORDOVACA95670CLAIMS PROCESSING225565
PREMIER HEALTHCARE EXCHANGE INC
2 CROSSROADS DRIVEBEDMINSTERNJ07921ADMINISTRATION194552
KAUFMAN & GOBLE
10 ALMADEN BOULEVARD SUITE 540SAN JOSECA95113CONSULTING144000
FieldValueIRS element (for citing)
Number Of Contractors GT100 K6NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
EMPLOYER CONTRIBUTIONS9000997569709875697098
EMPLOYEE CONTRIBUTIONS9000991063935710639357
MEDICARE - D REBATES90009912189391218939
FieldValueIRS element (for citing)
Total Program Service Revenue87555394TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1367167TotalRevenueColumn
Exclusion$1,367,167ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities27417018Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities27331908Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities85110Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column85110TotalRevenueColumn
Exclusion$85,110ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionSETTLEMENT INCOMEDescription
Business Code900099BusinessCode
Total Revenue Column198230TotalRevenueColumn
Exclusion$198,230ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue198230TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column89205901TotalRevenueColumn
Related Or Exempt Function Income87555394RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$1,650,507ExclusionAmount

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total67247111Total

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total2102263Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total60412Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total44855Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total105426Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1463738Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total177743Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total11260Total

Insurance Insurance

FieldValueIRS element (for citing)
Total27826Total

Other Expenses OtherExpenses

FieldValueIRS element (for citing)
DescriptionOTHER EXPENSESDescription
Total43023Total

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total71283657Total

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY-616204BOY
EOY-248263EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY9759314BOY
EOY5323485EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY15245169BOY
EOY15624483EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY50266BOY
EOY50968EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY32586759BOY
EOY57721848EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY57025304BOY
EOY78472521EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY365761BOY
EOY472874EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY823390BOY
EOY876351EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY296936BOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY22779829BOY
EOY25801153EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY24265916BOY
EOY27150378EOY
FieldValueIRS element (for citing)
Do Not Follow SFAS117XDoNotFollowSFAS117

Cap Stck Trst Prin Current Funds CapStckTrstPrinCurrentFunds

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Paid In Cap Srpls Land Bldg Eqp Fund PaidInCapSrplsLandBldgEqpFund

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc

FieldValueIRS element (for citing)
BOY32759388BOY
EOY51322143EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY32759388BOY
EOY51322143EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY57025304BOY
EOY78472521EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses17922244ReconcilationRevenueExpenses
Reconciliation Unrealized Invest640511ReconciliationUnrealizedInvest
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Total Of Book Value Land Buildings0TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
ACCUMULATED ELIGIBILTY CREDITS$17,718,000
CLAIMS PAYABLE & INCURRED BUT NOT REPORTED$7,997,000
DUE TO BROKER$86,153
FieldValueIRS element (for citing)
Total Of Amounts25801153TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt89740986TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments640511NetUnrealizedGainsInvestments
Revenue Not Rptd F990640511RevenueNotRptdF990
Revenue Subtotal89100475RevenueSubtotal
Investment Expenses Not Included105426InvestmentExpensesNotIncluded
Revenue Not Rptd On Fin Stmt105426RevenueNotRptdOnFinStmt
Total Revenue Per Form99089205901TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt68157231TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal68157231ExpensesSubtotal
Investment Expenses Not Included2105426InvestmentExpensesNotIncluded2
Other Expenses Not Included3021000OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt3126426ExpensesNotRptdOnFinStmt
Total Expenses Per Form99071283657TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X, LINE 2:THE PLAN'S ADMINISTRATOR HAS ANALYZED THE TAX POSITIONS TAKEN BY THE PLAN AND HAS CONCLUDED THAT, AS OF JUNE 30, 2013, 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'S ADMINISTRATOR BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR THE FISCAL YEARS PRIOR TO 2010.
PART XII, LINE 4B - OTHER ADJUSTMENTS:CHANGE IN BENEFIT OBLIGATIONS

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART V, LINE 2A:THE PLAN DOES NOT HAVE ANY EMPLOYEES; HOWEVER, CERTAIN PARTICIPANTS OF THE PLAN RECEIVED A FORM W-2 FOR TAXABLE DOMESTIC PARTNER BENEFITS AND UNEMPLOYMENT BENEFITS PROVIDED UNDER THE PLAN.
FORM 990, PART VI, SECTION A, LINE 3THE PLAN HAS CONTRACTED WITH BENESYS, INC. TO PROVIDE ADMINISTRATIVE SERVICES FOR THE ORGANIZATION.
FORM 990, PART VI, SECTION B, LINE 11A COPY OF THE FORM 990 WAS PROVIDED TO THE BOARD OF TRUSTEES FOR REVIEW BEFORE IT WAS FILED.
FORM 990, PART VI, SECTION B, LINE 12CTRUSTEES ARE REQUIRED TO DISCLOSE IN WRITING ANY RELATIONSHIPS OR INTEREST THAT COULD GIVE RISE TO A CONFLICT. IF THERE IS A CONFLICT OF INTEREST, THE CONFLICTING INTEREST IS FULLY DISCLOSED AND DOCUMENTED IN WRITING; THE TRUSTEE OR FIDUCIARY WITH THE CONFLICT OF INTEREST IS EXCLUDED FROM THE DISCUSSION AND APPROVAL OF SUCH TRANSACTION.
FORM 990, PART VI, SECTION C, LINE 19UPON REQUEST, THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT-OF-INTEREST POLICY AND FINANCIAL INFORMATION AVAILABLE.
FORM 990, PART XII LINE 2C:THE ORGANIZATION HAS A BOARD OF TRUSTEES THAT ASSUMES RESPONSIBLITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrg
LOCAL 104 SUPPLEMENTAL PENSION PLAN
2610 CROW CANYON ROAD SUITE 200SAN RAMONCA94583946560138THE PLAN PROVIDES SUPPLEMENTAL PENSION BENEFITSCA501AN/AN/A0
SHEET METAL WORKERS PENSION TRUST OF NORTHERN CALIFORNIA
2610 CROW CANYON ROAD SUITE 200SAN RAMONCA94583516115939THE PLAN PROVIDES PENSION BENEFITS TO RETIREESCA501AN/AN/A0
SHEET METAL WORKERS INTERNATIONAL ASSN LOCAL UNION NO 104
2610 CROW CANYON ROAD SUITE 300SAN RAMONCA94583940859420UNIONCA501C(5)N/AN/A0
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Form990 Schedule R Part VII Form990ScheduleRPartVII

FieldValueIRS element (for citing)
Return ReferenceSCHEDULE R, IDENTIFICATION OF RELATED ORGANIZATIONS:ReturnReference
ExplanationTHE FILING ORGANIZATION IS A TAFT-HARTLEY MULTIEMPLOYER TRUST THAT PROVIDES HEALTH AND WELFARE BENEFITS TO ELIGIBLE EMPLOYEES AND THEIR DEPENDENTS. AS OF JUNE 30, 2013, THERE ARE APPROXIMATELY 360 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. A QUALITY HEATING & AIR, INC. AAERO HEATING & S/M CO ABCO MECHANICAL CONTR AC SYSTEMS, INC. ACCEL AIR SYSTEMS INC. ACCO ENGINEERED SYSTEMS, INC ADVANCED AIRE SYSTEMS ADVANCED SOLUTIONS HEATING AND AIR CONDITIONING, INC. AEOLIAN MECHANICAL, INC. AGC, INC. AIM SHEET METAL INC AIR CONDITIONING INNOVATIONS AIR EXCELLENCE INC AIR METRICS INC AIR SYSTEMS ACQUISTION AIR SYSTEMS OF SACTO AIRCAL HEATING & SHEET METAL, INC. AIRCO COMMERCIAL SERV AIRCO MECHANICAL, INC. AIRE MECHANICAL AIRE SHEET METAL INC AIRTEC SERVICE ALBION SHEET METAL ALL BAY MECHANICAL, INC ALL TEMPERATURE SERVICE AIR CONDITIONING INC. ALLEN HEATING AND SHEET METAL ALLEN SIMMONS HEATING & SHEETMETAL CO ALLIED HEATING & A/C ALPHA AIR BALANCING AG ALPINE MECH SERVICES ANDERSON ROWE & BUCKLEY A-NEED HEATING/COOLING INC. ANNING-JOHNSON COMPANY ANSIL CONSTRUCTION ENTERPRISES INC. APEX MECHANICAL, INC. ARENA & SONS ASCO SERVICE, INC. ASSOCIATED AIR BAL CO ATLAS HEATING & A/C DBA BAL-AIR MECHANICAL, INC. BAY AREA CONST. SPECIALTIES BAY CITY MECHANICAL BAY MOUNTAIN AIR BAY POINT CONTROL BAY POINT CONTROL, INC DBA MARINA MECHANICAL BAYSIDE HEATING & AIR CONDITIONING, INC. BEL AIR MECHANICAL BELL PRODUCTS BERLIN FOOD EQUIPMENT BEST CONTRACTING SERVICES, INC. BEUTLER CORPORATION BLOCKA CONSTRUCTION CO. BOHN INC. DBA BOHN HEATING AND SHEET METAL BONESO BROTHERS CONSTRUCTION, INC. BOS SHEET METAL, INC. BRADY AIR CONDITIONING BROADWAY MECHANICAL BULLARD'S HEATING & AIR, INC. BURLINGAME HEATING & VENTILATION, INC. CAL-AIR/JOHNSON CONTROLS, INC. CALIFORNIA AIR INC CALIFORNIA COOKING, INC. CARMINE AIR CONDITIONING, INC. CARQUINEZ HEATING, AIR CONDITIONING & SHEET METAL, INC. CARTER CONGI & LEE INC. DBA CENTRAL COAST AIR INC. DBA CIRCO SYSTEM BALANCE, INC. CITY MECHANICAL INC CLINTON HTG & AIR COND COLD CRAFT, INCORPORATED COLTON HEATING & SHEET METAL, INC. COLUMBIA MECHANICAL CONTRACTORS, INC. COMCO SHEET METAL COMFORT AIR, INC. COMFORT DYNAMICS INC CONTROL AIR NORTH INC CRANE HEATING & S/M CRITCHFIELD MECHANICAL CROWN INDUSTRIAL ENG CROWN SKYLIGHTS, INC. D&L DELLA MORA HEATING SHEET MEATL & AIE CONDITIONING INC. DE BELLA MECHANICAL INC DEGREE HVAC, INC. DEHARO MECHANICAL INC. DELCON HEATING & AC DELUCCHI MECHANICAL INC DEPENDABLE SHEET METAL DOWNING HEATING & AIR COND. ENERGY MANAGEMENT INC. ENVIRONMENTAL SYSTEMS INC OF NORTHERN CALIFORNIA EXTREME AIR, INC F.W. SPENCER & SON, INC. FAIRVIEW HEATING AND AIR CONDITIONING INC. FARR & PETERSON MECHANICAL, INC FERTADO HEATING & AIR, INC. FLANDERS HEAT & AIR SYSTEMS FONCO, INC. FOOTHILL AIR COND FOUR SEASONS HTG INC FOX MECHANICAL, INC. FRANK M BOOTH INC G S E CONSTRUCTION GAFFIGAN COMPANY GEO. H. WILSON, INC. GIFFIN, INC. GLOBAL SPECIALTIES DIRECT, INC GOLDEN GATE SHEET METAL WORKS, INC. HARRIS SUPERIOR CA INC HAWK MECHANICAL INC. HEATHORN & ASSOCIATES DBA H-SQUARE MECHANICAL, INC. HVAC CAD SERVICES INC I E S INDOO ENVIRO SVS ICOM MECHANICAL INNOVATIVE MECHANICAL INC. J.M.S. MECHANICAL JAMES LONG CONSTRUCTION SERVICES, INC. JAYCO MECHANICAL, INC. JENSEN MECHANICAL, INC. JEROME AND HORNER SHEET METAL INC JET MECHANICAL INC. JIM'S AIR SYSTEMS JOSEPH BRUNO SHEET METAL CO INC JOYCE BROTHERS METAL WORKS K & M INSTALLATION KAMRAN METAL WORKS, INC. KEL-AIRE KENT M. LIM & COMPANY, INC. KEVIN SULLIVAN HEATING & AIR, INC. KIMBERT SHEET METAL KINETIC SYSTEMS, INC KINETICS MECHANICAL SERVICES INC KT MECHANICAL INC. O/M L.J. KRUSE CO. LARGE'S METAL FABRICATION, INC LAWSON MECHANICAL CONTRACTORS LEFCO INCORPORATED M T B INCORPORATED MARELICH MECHANICAL CO. INC. MARK SHAFFER MARKEN MECHANICAL SERVICES INC MARTINEZ SHEET METAL MARTINICO & SONS MATRIX HEATING, INC. MAUCK SHEET METAL WORKS MELROSE METAL PRODUCTS, INC. MESA ENERGY SYSTEMS, INC MESA3 / MECHANICAL ENVIRONMENTAL SYSTEMS ANALYSIS & ADJUSTMENT AGENCY, INC. MICHAEL D. BURNS COMPANY, INC. MILESTONE CONTRACTORS INC. DBA MINA METALS COMPANY, INC MONTEREY MECHANICAL COMPANY MTECH CORP MURRAY PLUMBING & HTG CORP. NATIONAL AIR BALANCE NORGE AIR INC NORTH BAY COMMERCIAL SERVICES INC O C MCDONALD OMNI INDUSTRIES INC. DBA OMNI SHEET METAL, INC. ORSON MECHANICAL CO., INC. OWR MECHANICAL P S F MECHANICAL, INC. PACIFIC COAST BALANCING PACIFIC COAST TRANE SALES & SERVICE PACIFIC TEST AND BALANCE, INC. PARAGON MECHANICAL INC. PAUL WEST HEATING, INC. PENINSULA AIR CONDITIONING INC. PENINSULA SECURITY BLDG. CO. LTD. DBA IZMIRIAN ROOFING & SHEET METAL PENN AIR CONTROL, INC. PETERSON HEATING VENTILATING & AIR CONDITIONING, INC. PETERSON MECHANCIAL PINASCO PLUMBING AND HEATING PIONEER ROOFING ORGANIZATION PMI SERVICE INC POMI MECHANICAL INC. PRIME MECHANICAL SERVICE, INC. PRO TEMP MECHANICAL INC. PSF MECHANICAL INC QUALTECH MECHANICAL, INC. R & R MECHANICAL, INC R & T HEATING & SHEET METAL INC. DBA COMFORT CONTROL R H TINNEY R.J. MECHANICAL, INC. RANGEL HTG VENT DBA RAY L HELLWIG MECHANICAL, INC. REBARBER ENT.INC. REBHOLTZ MECHANICAL RELIANCE ENTERPRISES RICHARDSON HEATING & AIR COND. RICS SHEET METAL INC RMI MECHANICAL, INC. RS ANALYSIS, INC. RYMAC, INC. S & L PAYTON, INC S.J. AMOROSO CONSTRUCTION CO. SAL J ACOSTA MFG CO INC SANTA CLARA VALLEY CONTRACTORS ASSOCIATION SCHAFERS S/M & MFG CO SCHNEIDER ELECTRIC SELCO HTG & A/C SERVICE METAL PROD INC SHEET METAL WORKERS SHEET METAL WORKERS LOCAL UNION NO 104 SHEPHARD MECHANICAL CONTRACTORS, INC. SILICON VALLEY MECH SIMPSON SHEET METAL INC STE. C SMW 104 MONTEREY JAC FUND SO CTY REFRIGERATION SOUTHLAND INDUSTRIES STALEY'S SHEET METAL STANTON MECHANICAL STARS & STRIPS MECHANICAL STATE OF CALIFORNIA STATE SHEET METAL WORKS STRUCTURAL & REFRIGERATION MEC SUPERIOR MECH. SERVICES, INC. T & M HEATING & AIR CONDITIONING INC T.A.B.C.O. INC TEAMWRKX MECHANICAL INC. TECTA AMERICA SACRAMENTO, INC. THERMA CORP. THERMAL MECHANICAL TRAYER ENGINEERING TULLEY MECHANICAL, INC. UNITED MECHANICAL, INC. VALLEY PROCESS SYSTEMS VALLEY SHEET METAL CO VAL'S PLUMBING VAN MULDER SHEET METAL INC VERDEGAAL HEATING INC VERTEX MECHANICAL, INC. VIRGINIA MECHANICAL, INC. VOLORE & SON, INC. DBA WEATHER MASTERS, INC. WESTATES MECH CORP WESTERN ALLIED MECHANICAL, INC WESTERN ENGINEERING SUPPLY CO. INC WESTERN PLBG & HTG CO., INC. YOUR WARM FRIEND,INC.Explanation