2013-02-07T15:51:37-06:00 2012-03-31 300702322 HEMMING MORSE CPA'S AND CONSULTANTS 155 BOVET ROAD SUITE 600 SAN MATEO CA 94402 990 2011-04-01 941645611 SAN FRANCISCO CULINARY BARTENDERS & SERVICE EMPLOYEES WELFARE FUND SANF 5103373050 1640 SOUTH LOOP RD ALAMEDA CA 94502 TRUSTEE 5103373050 2013-01-29 1 4158364000 2011 2016-02-25 16:41:14Z 1640 SOUTH LOOP RD ALAMEDA CA 94502 454973817 0 X N/A X 1958 CA SEE PART III LINE 4A 7 7 0 0 0 0 0 0 101549154 114290251 2038579 2223149 331161 161100 103918894 116674500 0 0 103527165 115644547 280946 292002 0 0 0 1769940 1663024 105578051 117599573 -1659157 -925073 58566417 59191203 19543209 20955486 39023208 38235717 NONE 0 0 TO PROVIDE HEALTH CARE BENEFITS TO ELIGIBLE PARTICIPANTS COVERED UNDER THE COLLECTIVE BARGAINING AGREEMENTS BETWEEN THE UNION & EMPLOYERS. 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 0 1 224 0 0 0 0 0 0 0 0 0 0 0 0 X 7 7 0 1 0 0 0 0 0 1 0 0 0 1 0 1 1 0 0 0 X SF ADMINISTRATORS INC 5103373050 1640 SOUTH LOOP ROAD ALAMEDA CA 94502 X MICHAEL CASEY 5.00 X 0 0 0 DOUGLAS CORNFORD 5.00 X 0 0 0 LAMOIN WERLEIN-JAEN 5.00 X 0 0 0 ROBERT BERGER 5.00 X 0 0 0 KIM WIRSHING 5.00 X 0 0 0 DEAN LEHR 5.00 X 0 0 0 IAN LEWIS 5.00 X 0 0 0 LOUISE RUSH 40.00 X 110000 0 13095 110000 0 13095 1 0 0 0 ATPA 1640 SOUTH LOOP ROAD ALAMEDA CA 94502 CONTRACT ADMINISTRATOR 657740 DELTA DENTAL 100 FIRST STREET SAN FRANCISCO CA 94105 ADMINISTRATION 332263 LEONARD CARDER LLP 1188 FRANKLIN STREET SAN FRANCISCO CA 94105 LEGAL COUNSEL 140483 BLACK ROCK 50 CALIFORNIA STREET SAN FRANCISCO CA 94105 INVESTMENT MANAGER 122462 4 EMPLOYER CONTRIBUTIONS 900099 113534310 113534310 EMPLOYEE CONTRIBUTIONS 900099 755941 755941 114290251 1128121 1128121 339394345 338299317 1095028 1095028 1095028 ERRP REIMBURSEMENT 900099 69959 69959 REBATE INCOME 900099 63016 63016 PAYROLL AUDIT COLLECTI 900099 12409 12409 15716 15716 161100 116674500 114451351 0 2223149 115644547 110000 182002 657740 27860 93874 130469 39915 16816 1236 11781 CLAIMS ADMINISTRATION 333244 BENEFIT CONSULTANTS 133473 COLLECTION EXPENSE 106258 PRINTING AND POSTAGE 74404 35954 117599573 1233690 188653 9890125 9031567 8228297 9561018 10817 918 38760902 40207203 442586 201844 58566417 59191203 318567 311710 19224642 20643776 19543209 20955486 X 0 0 0 0 39023208 38235717 39023208 38235717 58566417 59191203 X -925073 137582 X X 0 1 1 X 0 0 GROUP INSURANCE PREMIUMS PAYABLE 16621999 SELF-FUNDED BENEFIT CLAIMS PAYABLE 2002020 CLAIMS INCURRED BUT NOT REPORTED 1472000 DUE TO BROKER 270364 DUE TO OTHER FUNDS 277393 20643776 116674500 117599573 -925073 137582 137582 -787491 116812082 137582 137582 116674500 0 116674500 117599573 0 117599573 0 117599573 FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION DELEGATES CONTROL OF 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 THE CHAIR AND CO-CHAIR ARE PROVIDED A COPY OF THE FORM 990 TO REVIEW PRIOR TO SIGNING. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 137,582. FORM 990, PART XII, LINE 2C THE BOARD OF TRUSTEES ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF THE ORGANIZATION'S FINANCIAL STATEMENTS AND FOR SELECTING THE INDEPENDENT AUDITOR. SAN FRANCISCO CULINARY BARTENDERS AND SERVICE EMPLOYEES PENSION FUND 989 MARKET STREET SUITE 420 SAN FRANCISCO CA 94103 TO PROVIDE PENSION BENEFITS TO ELIGIBLE PARTICIPANTS CA 401A 0 SAN FRANCISCO CULINARY BARTENDERS & SERVICE EMPLOYEES LEGAL SERVICES FUND 989 MARKET STREET SUITE 420 SAN FRANCISCO CA 94103 TO PROVIDE GROUP LEGAL SERVICES BENEFITS TO ELIGIBLE PARTICIPANTS CA 501C(9) 0 SAN FRANCISCO HOTEL RESTAURANT LABOR MANAGEMENT EDUCATION FUND 989 MARKET STREET SUITE 420 SAN FRANCISCO CA 94103 TO PROVIDE TRAINING AND EDUCATION PROGRAMS TO ELIGIBLE PARTICIPANTS CA 501C(5) 0 JEWISH HOME 302 SILVER AVENUE SAN FRANCISCO CA 94112 940545320 SKILLED NURSING FACILITY CA 501C 0 UNITE HERE LOCAL 2 209 GOLDEN GATE AVE SAN FRANCISCO CA 94102 942299467 LABOR UNION CA 501C 0 COURTYARD BY MARRIOTT 580 BEACH ST SAN FRANCISCO CA 94133 942543088 HOTEL CA 0 0 FAIRMONT HOTEL 1999 AVE OF THE STARS SUITE 2850 LOS ANGELES CA 90067 800808239 HOTEL/LODGING CA 0 0 TRAVELODGE BY THE BAY 1450 LOMBARD ST SAN FRANCISCO CA 94123 911942246 HOSPITALITY CA 0 0 THE WESTIN ST FRANCIS HOTEL 335 POWELL ST SAN FRANCISCO CA 94102 204623780 HOSPITALITY NY 0 0 THE MANOR COFFEE SHOP 321 A WEST PORTAL AVENUE SAN FRANCISCO CA 94127 942858923 RESTAURANT CA 0 0 FOUR SEASONS 735 MARKET ST SAN FRANCISCO CA 94103 HOSPITALITY CA 0 0 INTERCONTINENTAL MARK HOPKINS 999 CALIFORNIA ST SAN FRANCISCO CA 94108 942901714 HOSPITALITY CA 0 0 HOLIDAY INN 1300 COLUMBUS AVE SAN FRANCISCO CA 94133 HOTEL GA 0 0 FLEUR DE LYS 777 SUHER ST SAN FRANCISCO CA 94108 941723255 RESTAURANT CA S INTERSTATE HOTELS 4501 N FAIRFAX DR STE 500 ARLINGTON VA 22203 522101816 HOTEL VA C CAESARS RESTAURANT INC 2299 POWELL ST SAN FRANCISCO CA 94133 800449878 RESTAURANT CA S UNITED JANITORIAL INC 390 SWIFT AVE 12 SOUTH SAN FRANCISCO CA 94080 141895321 JANITORIAL SERVICES CA S COURTYARD MANAGEMENT CORP 299 2ND ST SAN FRANCISCO CA 94105 521481337 HOTEL CA C OMNI SAN FRANCISCO HOTEL 500 CALIFORNIA ST SAN FRANCISCO CA 94104 020325957 HOTEL TX C TOMMY'S JOYNT INC 1101 GEARY BLVD SAN FRANCISCO CA 94109 208081048 RESTAURANT CA S HUNTINGTON HOTEL 1075 CALIFORNIA ST SAN FRANCISCO CA 94108 900594394 HOTEL CA C KNIGHTS CATERING 255 MENDELL SAN FRANCISCO CA 94124 943264748 CATERING CA S SERVICE SYSTEMS ASSOCIATES INC 4699 MARION ST DENVER CO 80216 930996528 GOODS AND SERVICES TO CULTURAL FACILITIES CO S TOWN AND COUNTRY CLUB 218 STOCKTON ST SAN FRANCISCO CA 94108 940931365 PRIVATE SOCIAL CLUB CA C WATERFRONT WHARF LLC 250 BEACH ST SAN FRANCISCO CA 94133 453764150 HOTEL CA C HANDLERY UNION SQUARE HOTEL 351 GEARY ST SAN FRANCISCO CA 94102 941054227 HOTEL CA S BRE PARC 55 55 SYRIL MAGNIN ST SAN FRANCISCO CA 94102 510606213 HOTEL TX C THE PACIFIC UNION CLUB 1000 CALIFORNIA ST SAN FRANCISCO CA 94108 940747020 PRIVATE SOCIAL CLUB CA C BOHEMIAN CLUB 624 TAYLOR ST SAN FRANCISCO CA 94102 940331150 SOCIAL CLUB CA C W HOTEL 181 THIRD ST SF CA 94103 SAN FRANCISCO CA 94103 042443844 HOTEL CA C SINBAD'S PIER II INC PIER 2 THE EMBARCADERO SAN FRANCISCO CA 94111 942259743 RESTAURANT CA C THE UNIVERSITY CLUB OF SAN FRANCISCO 800 POWELL ST SAN FRANCISCO CA 94108 940948160 SOCIAL CLUB CA C WHARF INN 2601 MASON ST SAN FRANCISCO CA 94133 941476266 LODGING/HOSPITALITY CA S 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0