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PAMCAH UA LOCAL 675 HEALTH & WELFARE FUND: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
PAMCAH UA LOCAL 675 HEALTH & WELFARE FUND (EIN 99-6009435)
Tax period
2012-08-01 to 2013-07-31
Filed
2014-06-12
IRS object ID
201421639349300242
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)
Timestamp2014-06-12T13:16:24-05:00Timestamp
Tax Period End Date2013-07-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN990155373EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1LEMKE CHINEN & TANAKA CPA INCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1210 WARD AVENUE SUITE 336AddressLine1
CityHONOLULUCity
StateHIState
ZIP Code968144012ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-08-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN996009435EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1PAMCAH-UA LOCAL 675 HEALTH & WELFARE FUNDBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlPAMCNameControl
Phone8085364408Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11109 BETHEL ST NO 403AddressLine1
CityHONOLULUCity
StateHIState
ZIP Code96813ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameKENT MATSUZAKI - TRUSTEEName
TitleREGINALD CASTANARES JR - TRUSTEETitle
Phone8085364408Phone
Date Signed2014-05-22DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameDIANE HOSOKAWAName
PTINP00922102PTIN
Phone8085336254Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonKENT MATSUZAKI - TRUSTEENameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11109 BETHEL ST NO 403AddressLine1
CityHONOLULUCity
StateHIState
ZIP Code96813ZIPCode
FieldValueIRS element (for citing)
Gross Receipts53209910GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteN/AWebSite
Type Of Organization TrustXTypeOfOrganizationTrust
Year Formation1961YearFormation
State Legal DomicileHIStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE HEALTH & WELFARE BENEFITS TO PARTICIPATING EMPLOYEES AND THEIR BENEFICIARIES.ActivityOrMissionDescription
Nbr Voting Members Governing Body6NbrVotingMembersGoverningBody
Nbr Independent Voting Members6NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year13977520ProgramServiceRevenuePriorYear
Program Service Revenue CY8280938ProgramServiceRevenueCY
Investment Income Prior Year741148InvestmentIncomePriorYear
Investment Income Current Year2162330InvestmentIncomeCurrentYear
Other Revenue Prior Year50795OtherRevenuePriorYear
Other Revenue Current Year871906OtherRevenueCurrentYear
Total Revenue Prior Year14769463TotalRevenuePriorYear
Total Revenue Current Year11315174TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year11681168BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY13642461BenefitsPaidToMembersCY
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 Year1895174OtherExpensePriorYear
Other Expenses Current Year2021232OtherExpensesCurrentYear
Total Expenses Prior Year13576342TotalExpensesPriorYear
Total Expenses Current Year15663693TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1193121RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-4348519RevenuesLessExpensesCY
Total Assets BOY25359115TotalAssetsBOY
Total Assets EOY21648544TotalAssetsEOY
Total Liabilities BOY441289TotalLiabilitiesBOY
Total Liabilities EOY1079237TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY24917826NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY20569307NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS, THEIR DEPENDENTS, AND RETIREES.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense12964040Expense
DescriptionPROVIDING SELF-INSURED BENEFITS TO ELIGIBLE PARTICIPANTS BY PAYING FOR INCURRED CLAIMS AND CLAIMS ADMINISTRATIVE FEES (MEDICAL CLAIMS $9,348,076, DRUG CLAIMS $2,066,800, VISION CLAIMS $261,162, INSURANCE STOP LOSS FEES $257,466, MEDICAL CLAIMS ADMINISTRATION FEES $658,647, DRUG CLAIMS ADMINISTRATION FEES $344,795, AND VISION CLAIMS ADMINISTRATION FEES $27,094).Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense1966423Expense
DescriptionPROVIDING HEALTH AND WELFARE BENEFITS BY PAYING FOR MONTHLY INSURANCE PREMIUMS TO INSURANCE CARRIERS (HAWAII DENTAL SERVICE $1,656,622, PACIFIC GUARDIAN LIFE $240,001, AND HAWAII MEDICAL SERVICE ASSOCIATION $69,800).Description
FieldValueIRS element (for citing)
Total Program Service Expense14930463TotalProgramServiceExpense
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 Equip1ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
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
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees0NumberOfEmployees
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 Members6NbrVotingGoverningBodyMembers
Number Independent Voting Members6NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
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 Address1OfficerMailingAddress
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 Venture1InvestmentInJointVenture
Written Policy Or Procedure1WrittenPolicyOrProcedure
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1PAMCAH-UA LOCAL 675 ADMINISTRATIVEBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number8085364408TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11109 BETHEL ST 403AddressLine1
CityHONOLULUCity
StateHIState
ZIP Code96813ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (8 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
REGINALD V CASTANARES JR
UNION TRUSTEE1.00X000
VALENTINO CERIA
UNION TRUSTEE1.00X000
DONOVAN LEWIS
UNION TRUSTEE (FORMER)1.00X000
KENT A MATSUZAKI
MANAGEMENT TRUSTEE1.00X000
MARK SUZUKI
MANAGEMENT TRUSTEE1.00X000
SAMUEL FUJIKAWA
MANAGEMENT TRUSTEE1.00X000
GREGG SERIKAKU
MANAGEMENT TRUSTEE (ALT)1.00X000
MATTHEW BRADY
UNION TRUSTEE1.00X000
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 (4 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
HAWAII MEDICAL SERVICE ADMINISTRATION
818 KEEAUMOKU STREETHONOLULUHI96814MEDICAL CLAIMS ADMINISTRATOR658647
NATIONAL BENEFITS ADMINISTRATORS
707 RICHARDS STREET PH6HONOLULUHI96813CLAIMS ADMINISTRATOR343014
HAWAII DENTAL SERVICE
700 BISHOP STREET 700HONOLULUHI96813CLAIMS PROCESSOR135107
SEGAL COMPANY
100 MONTGOMERY STREET SUITE 500SAN FRANCISCOCA94104ACTUARY/CONSULTANT111396
FieldValueIRS element (for citing)
Number Of Contractors GT100 K4NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
EMPLOYER CONTRIBUTIONS90009971079157107915
RETIREE CONTRIBUTIONS90009911647251164725
LIQUIDATED DAMAGES90009982988298
FieldValueIRS element (for citing)
Total Program Service Revenue8280938TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column623645TotalRevenueColumn
Exclusion$623,645ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real34670Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real9349Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real25321Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column25321TotalRevenueColumn
Exclusion$25,321ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities43424072Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities41885387Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities1538685Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column1538685TotalRevenueColumn
Exclusion$1,538,685ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
UNREALIZED GAINS/LOSSE900099690544$690,544
INSURANCE AND OTHER RE900099142810$142,810
OTHER INCOME90009913231$13,231
FieldValueIRS element (for citing)
Total Other Revenue846585TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column11315174TotalRevenueColumn
Related Or Exempt Function Income8280938RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$3,034,236ExclusionAmount

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total13642461Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total84949Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total50000Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total85592Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total17259Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total36493Total

Insurance Insurance

FieldValueIRS element (for citing)
Total11478Total

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotal
ADMINISTRATIVE FEE - ME658647
ADMINISTRATIVE FEE - DR344795
ADMINISTRATIVE FEE281340
INSURANCE - STOP LOSS257466

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total193213Total

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total15663693Total

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY2252966BOY
EOY2228419EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY2350571BOY
EOY1631194EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY13939BOY
EOY17779EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis91358LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec15897LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY61253BOY
EOY75461EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY18473801BOY
EOY15091237EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY2072305BOY
EOY2382324EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY134280BOY
EOY222130EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY25359115BOY
EOY21648544EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY102683BOY
EOY138040EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY338606BOY
EOY941197EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY441289BOY
EOY1079237EOY
FieldValueIRS element (for citing)
Do Not Follow SFAS117XDoNotFollowSFAS117

Cap Stck Trst Prin Current Funds CapStckTrstPrinCurrentFunds

FieldValueIRS element (for citing)
BOY24917826BOY
EOY20569307EOY

Paid In Cap Srpls Land Bldg Eqp Fund PaidInCapSrplsLandBldgEqpFund

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY24917826BOY
EOY20569307EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY25359115BOY
EOY21648544EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-4348519ReconcilationRevenueExpenses
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

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis91358OtherCostOrOtherBasis
Depreciation15897Depreciation
Book Value75461BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings75461TotalOfBookValueLandBuildings

Other Securities OtherSecurities (4 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
REAL ESTATE - IWILEI PROPERTY1422817F
REAL ESTATE - KAPOLEI PROPERTY631200F
PLAZA AT MOANALUA65807F
PLAZA AT PEARL CITY262500F
FieldValueIRS element (for citing)
Total Of Book Value Securities2382324TotalOfBookValueSecurities

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
BANK OVERDRAFT$932,443
SECURITY DEPOSIT$8,754
FieldValueIRS element (for citing)
Total Of Amounts941197TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt11183918TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal11183918RevenueSubtotal
Investment Expenses Not Included131256InvestmentExpensesNotIncluded
Revenue Not Rptd On Fin Stmt131256RevenueNotRptdOnFinStmt
Total Revenue Per Form99011315174TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt15532437TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal15532437ExpensesSubtotal
Investment Expenses Not Included2131256InvestmentExpensesNotIncluded2
Expenses Not Rptd On Fin Stmt131256ExpensesNotRptdOnFinStmt
Total Expenses Per Form99015663693TotalExpensesPerForm990

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION B, LINE 11ALL DOCUMENTS ARE REVIEWED BY UNION AND MANAGEMENT TRUSTEE REPRESENTATIVES BEFORE SIGNING AND FILING.
FORM 990, PART VI, SECTION B, LINE 12CPOLICY IS REVIEWED BY THE BOARD OF TRUSTEES ANNUALLY
FORM 990, PART VI, SECTION C, LINE 19POLICIES ARE MADE AVAILABLE UPON REQUEST.
FORM 990, PART VIIREGINALD V. CASTANARES JR. - 1109 BETHEL ST BASEMENT, HONOLULU, HI 96813. VALENTINO CERIA - 1109 BETHEL ST BASEMENT, HONOLULU, HI 96813. DONOVAN LEWIS - 1109 BETHEL ST BASEMENT, HONOLULU, HI 96813. KENT A. MATSUZAKI - 1029 ULUPONO STREET, HONOLULU, HI 96819. MARK SUZUKI - 1820 COLBURN STREET, HONOLULU, HI 96819. SAMUEL FUJIKAWA - 2149 PUUHALE PLACE, HONOLULU, HI 96819. GREGG SERIKAKU - 1314 S KING STREET #961, HONOLULU, HI 96814. MATTHEW BRADY - 1109 BETHEL ST BASEMENT, HONOLULU, HI 96813.CONTACT ADDRESSES FOR OFFICERS, DIRECTORS, ETC
FORM 990. PART XII, LINE 2C:BOARD OF TRUSTEES SELECT AN INDEPENDENT AUDITOR. THE ADMINISTRATOR AND MANAGEMENT AND UNION TRUSTEE REPRESENTATIVES REVIEW AND APPROVE THE FINANCIAL STATEMENTS. THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrg
PAMCAH-UA LOCAL 675 ANNUITY PLAN
1109 BETHEL STREET 403HONOLULUHI96813990221545TO PROVIDE ANNUITY BENEFITS TO ELIGIBLE MEMBERSHI401(A)N/A0
PAMCAH-UA LOCAL 675 COOPERATION FUND
1109 BETHEL STREET 403HONOLULUHI96813990266164TO PROMOTE THE INDUSTRY AND IMPROVE RELATIONSHIPS BETWEEN LABOR AND MGMT.HI501(C)(5)N/A0
PAMCAH-UA LOCAL 675 TRAINING PLAN
1109 BETHEL STREET 403HONOLULUHI96813996009433TO PROVIDE EDUCATIONAL BENEFITS TO ELIGIBLE MEMBERS AND EMPLOYERSHI501(C)(5)N/A0
PAMCAH-UA LOCAL 675 VACATION & HOLIDAY PLAN
1109 BETHEL STREET 403HONOLULUHI96813996009438TO PROVIDE VACATION AND HOLIDAY BENEFITS TO ELIGIBLE MEMBERSHI501(C)(9)N/A0
PAMCAH-UA LOCAL 675 PENSION PLAN
1109 BETHEL STREET 403HONOLULUHI96813996024083TO PROVIDE PENSION BENEFITS TO ELIGIBLE MEMBERSHI401(A)N/A0

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1PAMCAH-UA LOCAL 675 ADMINISTRATIVE OFFICEBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11109 BETHEL STREET 403AddressLine1
CityHONOLULUCity
StateHIState
ZIP Code96813ZIPCode
FieldValueIRS element (for citing)
EIN990110375EIN
Primary ActivityTO ALLOCATE COMMON EXPENSES AMOUNG THE PAMCAH TRUST FUNDSPrimaryActivity
Legal Domicile StateHILegalDomicileState
Direct Controlling Entity NAN/ADirectControllingEntityNA
Type Of EntityCTypeOfEntity
Controlled Org0ControlledOrg
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 Orgs1RentalOfFacilitiesToOtherOrgs
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 Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1PAMCAH-UA LOCAL 675 ADMINISTRATIVE OFFICEBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypePTransactionType
Amount Involved416845AmountInvolved
Method Of Amt DeterminationPERCENTAGE ALLOCATIONMethodOfAmtDetermination