2014-01-06T13:36:26-06:00 2012-12-31 300702322 HEMMING MORSE INC CPA'S AND CONSULTANT 155 BOVET ROAD SUITE 600 SAN MATEO CA 94402 990 2012-01-01 946082955 PIPE TRADES DISTRICT COUNCIL #36 HEALTH AND WELFARE TRUST FUND PIPE 4085883770 2610 CROW CANYON ROAD NO 200 SAN RAMON CA 945831599 BOB JENNINGS 4085883770 2014-01-06 1 4158364000 2012 2016-03-07 17:11:31Z BOB JENNINGS 2610 CROW CANYON ROAD NO 200 SAN RAMON CA 945831599 32820179 0 X N/A X 1954 CA TO PROVIDE HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS. 9 9 0 0 0 0 0 0 14518015 20054639 16018 10824 424235 524423 14958268 20589886 0 0 14757020 16212903 0 0 0 0 0 1347753 1322741 16104773 17535644 -1146505 3054242 9846824 14039529 6669026 7791915 3177798 6247614 NONE. 0 0 TO PROVIDE HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS. 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 3 0 0 0 0 0 0 0 0 0 0 0 0 X 9 9 0 1 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 0 0 0 X BENESYS ADMINISTRATORS 4084368210 2610 CROW CANYON ROAD SUITE 200 SAN RAMON CA 945831599 X LARRY BOOTH 5.00 X 0 0 0 LONNIE PETTY 5.00 X 0 0 0 BLUE WILSON 5.00 X 0 0 0 LOU STILLWELL 5.00 X 0 0 0 BOB JENNINGS 5.00 X 0 0 0 BILL TAYLOR 5.00 X 0 0 0 SCOTT STRAWBRIDGE 5.00 X 0 0 0 MARK MULLINER 5.00 X 0 0 0 STEVE MACARTHUR 5.00 X 0 0 0 0 0 0 0 0 0 0 BENESYS ADMINISTRATORS 2610 CROW CANYON RD STE 200 SAN RAMON CA 94583 CONTRACT ADMINISTRATOR 397495 BLUE CROSS OF CALIFORNIA PO BOX 70000 VAN NUYS CA 914701000 CLAIMS ADMINISTRATOR 188029 MOSS TUCKER 5260 NORTH PALM AVE STE 205 FRESNO CA 93704 LEGAL 128063 DELTA DENTAL 100 FIRST STREET SAN FRANCISCO CA 94105 ADMINISTRATION 110890 KAUFMANN AND GOBLE 160 WEST SANTA CLARA STREET SUITE SAN JOSE CA 95113 CONSULTANT 110462 5 EMPLOYER CONTRIBUTION 900099 17731526 17731526 PARTICIPANT CONTRIBUTIONS 900099 2320133 2320133 LIQUIDATED DAMAGES 900099 1975 1975 COBRA SUBSIDY 900099 1005 1005 20054639 63299 63299 12177818 12230293 -52475 -52475 -52475 MEDICARE PART D REIMBURSEMENT 900099 393966 393966 STOP LOSS REIMBURSEMENT 900099 72442 72442 58015 58015 524423 20589886 20526587 0 63299 16212903 397495 128167 71305 29396 24483 1962 MED CONSULT/ADMIN 401661 CONSULTANT 110462 TRUST LIAISON 52214 REIMBURSEMENT TO OTHER 44871 60725 17535644 1406526 2702294 2408948 5026893 1341974 2104758 1507 1182 4520320 3831803 167549 372599 9846824 14039529 99616 84489 6569410 7707426 6669026 7791915 X 0 0 0 0 3177798 6247614 3177798 6247614 9846824 14039529 3054242 15574 0 X X 0 1 X 1 0 0 BENEFIT OBLIGATIONS 7243405 RECIPROCITY PAYABLE 444360 DUE TO OTHER TRUSTS 19661 7707426 20605460 15574 15574 20589886 0 20589886 17535644 0 17535644 0 17535644 FORM 990, PART IV, LINE 34 THE TRUST FUND HAS A SPECIFIC PROCEDURE IN PLACE FOR THIS NEW DISCLOSURE REQUIREMENT ON THE SCHEDULE R. THE ADMINISTRATOR HAS SENT OUT A QUESTIONNAIRE TO OBTAIN THE REQUIRED INFORMATION FROM THE CONTRIBUTING EMPLOYERS. THE ABOVE INFORMATION REPRESENTS WHAT THE TRUST FUND HAS RECEIVED TO DATE. 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 ORGANIZATION DOES NOT HAVE ANY COMMITTEES WITH THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11 CHAIR AND CO-CHAIR REVIEW THE FORM. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST POLICY IS REVIEWED ANNUALLY AT THE BOARD OF TRUSTEE MEETINGS. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON WRITTEN 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. FORM 990, PART XI, LINE 5, CHANGES IN NET ASSETS: NET UNREALIZED GAINS ON INVESTMENTS: 15,574 PIPE TRADES DISTRICT COUNCIL #36 LABOR MANAGEMENT COMMITTEE 1731 TECHNOLOGY DRIVE SUITE 570 SAN JOSE CA 95110 776062055 TO FACILITATE COMMUNICATION AND ORGANIZATIONAL EFFECTIVENESS CA 501(C)(5) N/A 0 PIPE TRADES DISTRICT COUNCIL #36 APPRENTICE TRAINING FUND 1731 TECHNOLOGY DRIVE SUITE 570 SAN JOSE CA 95110 922339560 TO PROVIDE CONTINUED TRAINING TO MEMBERS OF THE PARTICIPANTS UNION LOCALS CA 501(C)(5) N/A 0 PIPE TRADES DISTRICT COUNCIL #36 HIRING HALL ADMINISTRATION FUND 1731 TECHNOLOGY DRIVE SUITE 570 SAN JOSE CA 95110 942822741 TO PROVIDE FUNDING FOR THE OPERATION OF THE JOINT HIRING HALLS CA 501(C)(5) N/A 0 PIPE TRADES DISTRICT COUNCIL #36 PENSION TRUST FUND 1731 TECHNOLOGY DRIVE SUITE 570 SAN JOSE CA 95110 946082956 TO PROVIDE PENSION BENEFITS TO ELIGIBLE PARTICIPANTS COVERED BY CBA CA 401A N/A 0 PIPE TRADES DISTRICT COUNCIL #36 DEFINED CONTRIBUTION PLAN 1731 TECHNOLOGY DRIVE SUITE 570 SAN JOSE CA 95110 946082956 TO PROVIDE PENSION BENEFITS TO ELIGIBLE PARTICIPANTS COVERED BY CBA CA 401A N/A 0 SHELBY'S PLUMBING 20175 GAS POINT ROAD COTTONWOOD CA 96022 111111111 REPAIR PLUMBING CA 0 0 GARZA PLUMBING 1590 JOSSELYN CANYON RD MONTEREY CA 93940 770507942 CONSTRUCTION PLUMBING CO. 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