2013-06-27T16:32:32-05:00 2012-11-30 542189926 Henningfield & Associates Inc 27913 Smyth Drive Valencia CA 91355 990 2011-12-01 866052021 SOUTHWESTERN TEAMSTERS' SECURITY FUND SOUT 6022493582 2400 W DUNLAP AVENUE PHOENIX AZ 85021 FRANK MENDOZA 6022493582 2013-06-27 1 RANDY D HENNINGFIELD P01364367 6612953363 2011 2016-03-07 17:11:31Z FRANK MENDOZA 1450 S 27 AVENUE PHOENIX AZ 85009 30629845 0 X N/A X 1950 AZ HEALTH & WELFARE BENEFITS PROVIDED TO MEMBERS WHO ARE COVERED BY COLLECTIVE BARGAINING AGREEMENTS BETWEEN UNION AND EMPLOYERS. 5 5 0 0 0 0 0 0 26389730 26951938 608616 387153 0 0 26998346 27339091 0 0 24156931 25421669 36602 32178 0 0 0 2335461 2346223 26528994 27800070 469352 -460979 12542929 12529284 3059757 3076097 9483172 9453187 HEALTH & WELFARE BENEFITS PROVIDED TO MEMBERS WHO ARE COVERED BY COLLECTIVE BARGAINING AGREEMENTS BETWEEN UNION AND EMPLOYERS. 0 0 27009953 HEALTH & WELFARE BENEFITS PROVIDED TO MEMBERS WHO ARE COVERED BY COLLECTIVE BARGAINING AGREEMENTS BETWEEN UNION AND EMPLOYERS. 27009953 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 2068 0 1 0 0 0 0 0 0 0 X 5 5 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 AZ X SOUTHWEST SERVICE ADMINISTRATORS 6022493582 2400 W DUNLAP AVENUE 250 PHOENIZ AZ 85021 X STUART MARCUS 4.00 X 0 0 0 DOUGLAS RUYGROK 4.00 X 0 0 0 ANDREW MARSHALL 4.00 X 0 0 0 FRANK MENDOZA 4.00 X 0 0 0 KARLA SCHUMANN 4.00 X 0 0 0 0 0 0 0 0 0 0 SOUTHWEST SERVICE ADMINISTRATORS 2400 W DUNLAP AVE STE 250 PHOENIX AZ 85021 CONTRACT ADMINISTRATOR 806119 BLUE CROSS BLUE SHIELD 2400 W DUNLAP AVE STE 250 PHOENIX AZ 85021 COST CONTAINMENT FEES 445280 PATIENTS CARE PARTNERSHIPS LLC 2400 W DUNLAP AVE STE 250 PHOENIX AZ 85021 OTHER INSURANCE WRAP UP FEES 275321 PRESCRIPTION SOLUTIONS 2400 W DUNLAP AVE STE 250 PHOENIX AZ 85021 ADMINISTRATION - PRESCRIPTION 133051 MINES AND ASSOCIATES 10367 W CENTENNIAL RD STE 100 LITTLETON CO 80127 COST CONTAINMENT FEES 120869 5 EMPLOYER CONTRIB 480000 25819657 25819657 PARTICIPANT CONTRIB 480000 1131250 1131250 LITIGATION SETTLEMENT 480000 1031 1031 26951938 329138 329138 3348769 3290754 58015 58015 58015 27339091 27009953 0 329138 25421669 25421669 32178 32178 806119 806119 40479 40479 24133 24133 31784 31784 137752 137752 5882 5882 14048 14048 COST CONTAINMENT FEES 999989 999989 ADMINISTRATION - RX 133051 133051 CONSULTANTS 79712 79712 ADMINISTRATION - VISION 26958 26958 46316 46316 27800070 25421669 2378401 0 255969 484412 3390697 667309 814143 155210 8372 11602 8073748 11210751 12542929 12529284 88757 144097 2971000 2932000 3059757 3076097 X 0 0 0 0 9483172 9453187 9483172 9453187 12542929 12529284 X -460979 430994 X 0 1 1 X 0 0 IBNR 2932000 2932000 27339091 27800070 -460979 430994 430994 -29985 27738301 430994 430994 27307307 31784 31784 27339091 27807286 0 27807286 31784 -39000 -7216 27800070 Part XIII, Line 4b - Other Adjustments: CHANGES IN IBNR Form 990, Part VI, Section A, line 3 THE TRUSTEES HAVE CONTRACTED WITH A THIRD PARTY ADMINISTRATOR TO PERFORM THE EVERYDAY ADMINISTRATION OF THE FUND. Form 990, Part VI, Section B, line 11 A COPY OF FORM 990 WAS PRESENTED TO THE TRUSTEES FOR REVIEW AND SIGNATURES. Form 990, Part VI, Section B, line 12c MONITORING AND ENFORCEMENT OF CONFLICT OF INTEREST POLICY IS APPROVED ANNUALLY AT BOARD OF TRUSTEES MEETING. Form 990, Part VI, Section C, line 19 SUMMARY ANNUAL REPORTS ARE PROVIDED TO ALL PARTICIPANTS ANNUALLY. SPDS ARE AVAILABLE VIA WEBSITE AND FROM THE ADMINISTRATOR UPON REQUEST. AUDITED FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC BY REQUEST OF THE DOL OR ADMINISTRATION. Contact Addresses for Officers, Directors, Etc Form 990, Part VII STUART MARCUS - 2750 SOUTH PRIEST AVENUE, TEMPE, AZ 85282. DOUGLAS RUYGROK - 618 MICHILLINDA AVENUE, ARCADIA, CA XXX-XX-XXXX. ANDREW MARSHALL - 1450 S. 27 AVENUE, PHOENIX, AZ 85009. FRANK MENDOZA - 1450 S. 27 AVENUE, PHOENIX, AZ 85009. KARLA SCHUMANN - 1450 S. 27 AVENUE, PHOENIX, AZ 85009. Changes in Net Assets or Fund Balances: Form 990, Part XI, line 5: Net unrealized gains on investments: 430,994. 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