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SAN DIEGO ELECTRICAL HEALTH & WELFARE TRUST: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
SAN DIEGO ELECTRICAL HEALTH & WELFARE TRUST (EIN 95-6035916)
Tax period
2010-10-01 to 2011-09-30
Filed
2012-07-27
IRS object ID
201202099349300235
Schema version
2010v3.4
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)
Timestamp2012-07-27T14:13:56-05:00Timestamp
Tax Period End Date2011-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1PKFBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line12020 CAMINO DEL RIO N 500AddressLine1
CitySAN DIEGOCity
StateCAState
ZIP Code92108ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN956035916EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1SAN DIEGO ELECTRICAL HEALTH AND WELFAREBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSANDNameControl
Phone8585696322Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 231219AddressLine1
CitySAN DIEGOCity
StateCAState
ZIP Code921931219ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameANDY BERGName
TitleTRUSTEETitle
Phone8585696322Phone
Date Signed2012-07-26DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameCURT J WELKERName
Phone6192381040Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeXAddressChange

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1PO BOX 231219AddressLine1
CitySAN DIEGOCity
StateCAState
ZIP Code921931219ZIPCode
FieldValueIRS element (for citing)
Gross Receipts29431808GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteN/AWebSite
Type Of Organization TrustXTypeOfOrganizationTrust
Year Formation1954YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE MEDICAL, DENTAL, VISION AND LIFE INSURANCE BENEFITS TO THE PARTICIPANTS.ActivityOrMissionDescription
Nbr Voting Members Governing Body10NbrVotingMembersGoverningBody
Nbr Independent Voting Members10NbrIndependentVotingMembers
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 Year17702047ProgramServiceRevenuePriorYear
Program Service Revenue CY20806685ProgramServiceRevenueCY
Investment Income Prior Year674641InvestmentIncomePriorYear
Investment Income Current Year503194InvestmentIncomeCurrentYear
Other Revenue Prior Year46764OtherRevenuePriorYear
Other Revenue Current Year7475OtherRevenueCurrentYear
Total Revenue Prior Year18423452TotalRevenuePriorYear
Total Revenue Current Year21317354TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year17164104BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year0SalariesEtcPriorYear
Salaries Etc Current Year18815835SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year1641573OtherExpensePriorYear
Other Expenses Current Year1977404OtherExpensesCurrentYear
Total Expenses Prior Year18805677TotalExpensesPriorYear
Total Expenses Current Year20793239TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-382225RevenuesLessExpensesPriorYear
Revenues Less Expenses CY524115RevenuesLessExpensesCY
Total Assets BOY15838091TotalAssetsBOY
Total Assets EOY16398268TotalAssetsEOY
Total Liabilities BOY12925083TotalLiabilitiesBOY
Total Liabilities EOY12951016TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY2913008NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY3447252NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE MEDICAL, DENTAL AND VISION BENEFITS FOR PARTICIPANTS.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense20793239Expense
DescriptionTO PROVIDE MEDICAL, DENTAL, VISION CARE, AND LIFE INSURANCE BENEFITS, PREMIUMS AND ADMINISTRATION TO PARTICIPANTS.Description
Total Program Service Expense20793239TotalProgramServiceExpense
Described In501 C30DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
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
Transaction Related Entity0TransactionRelatedEntity
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096796NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Form8899 Filed0Form8899Filed
Form1098 C Filed0Form1098CFiled
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members10NbrVotingGoverningBodyMembers
Number Independent Voting Members10NumberIndependentVotingMembers
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 Committees0MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body0Form990ProvidedToGoverningBody
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
States Where Copy Of Return Is FiledCAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonKEN STUARTNamePerson
Telephone Number8585696322TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line14747 VIEWRIDGE AVENUE STE 100AddressLine1
CitySAN DIEGOCity
StateCAState
ZIP Code921231688ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (10 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
BRUCE BAILEY
TRUSTEE1.00X000
JOHNNY SIMPSON
TRUSTEE1.00X000
PHIL PETERSEN
TRUSTEE1.00X000
ANDY BERG
TRUSTEE1.00X000
TERRALYN HARTMAN
TRUSTEE1.00X000
NICHOLAS SEGURA
TRUSTEE1.00X000
DAVID TAYLOR
TRUSTEE1.00X000
TED BAKER
TRUSTEE1.00X000
ROBERT DAVIES JR
TRUSTEE1.00X000
KEVIN GORMAN
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 (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
SAN DIEGO ELECTRICAL IND ADMIN
PO BOX 231219SAN DIEGOCA921931219ADMINISTRATION SERVICES918600
BLUE CROSS
591 CAMINO DE LA REINASAN DIEGOCA921083182CLAIMS ADMINISTRATION269584
DELTA DENTAL
1450 FRAZEE ROADSAN DIEGOCA921084341CLAIMS ADMINISTRATION150364
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
EMPLOYERS CONTRIBUTION9000991923931119239311
EMPLOYEE CONTRIBUTIONS90009915673741567374
FieldValueIRS element (for citing)
Total Program Service Revenue20806685TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column481363TotalRevenueColumn
Exclusion$481,363ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities8136285Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities8114454Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities21831Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column21831TotalRevenueColumn
Exclusion$21,831ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
LIQUIDATED DAMAGES90009947414741
MISCELLANEOUS INCOME90009927342734
FieldValueIRS element (for citing)
Total Other Revenue7475TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column21317354TotalRevenueColumn
Related Or Exempt Function Income20814160RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$503,194ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total18815835Total

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total918600Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total71305Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total23720Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total162526Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total707113Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total50356Total

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total20343Total

Travel Travel

FieldValueIRS element (for citing)
Total83Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total6588Total

Insurance Insurance

FieldValueIRS element (for citing)
Total16770Total

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total20793239Total

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY75608BOY
EOY246191EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY121111BOY
EOY225675EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY3244377BOY
EOY3747387EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY12396995BOY
EOY12179015EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY15838091BOY
EOY16398268EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY3628BOY
EOY3380EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY12921455BOY
EOY12947636EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY12925083BOY
EOY12951016EOY
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)
BOY2913008BOY
EOY3447252EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2913008BOY
EOY3447252EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY15838091BOY
EOY16398268EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses524115ReconcilationRevenueExpenses
Reconcilation Other Changes10129ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule D IRS990ScheduleD

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

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
CLAIMS PAYABLE$520,905
CLAIMS INCURRED BUT NOT REPORTED$2,590,000
ACCUMULATED ELIGIBILITY CREDITS$1,007,059
CONTINUATION OF BENEFITS$8,829,672
FieldValueIRS element (for citing)
Total Of Amounts12947636TotalOfAmounts
Total Revenue21317354TotalRevenue
Total Expenses20793239TotalExpenses
Excess Or Deficit For Year524115ExcessOrDeficitForYear
Net Unrealized GL On Investments10129NetUnrealizedGLOnInvestments
Other$26,181OtherAmount
Total Adjustments36310TotalAdjustments
Excess Or Deficit Per FS560425ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt21327483TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments10129NetUnrealizedGainsInvestments
Revenue Not Rptd F99010129RevenueNotRptdF990
Revenue Subtotal21317354RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99021317354TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt20767058TotExpensesEtcAuditedFinclStmt
Other Expenses Included-26181OtherExpensesIncluded
Expenses Not Rptd F990-26181ExpensesNotRptdF990
Expenses Subtotal20793239ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99020793239TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X:THE INTERNAL REVENUE SERVICE HAS DETERMINED AND INFORMED THE PLAN THAT THE PLAN AND RELATED TRUST, AS ORIGINALLY DESIGNED, WAS IN COMPLIANCE WITH THE APPLICABLE REQUIREMENTS OF THE INTERNAL REVENUE CODE (IRC). THE PLAN HAS BEEN AMENDED SINCE RECEIVING THE DETERMINATION LETTER. HOWEVER, THE PLAN ADMINISTRATOR AND THE PLAN'S TAX COUNSEL BELIEVE THAT THE PLAN IS CURRENTLY DESIGNED AND IS BEING OPERATED IN COMPLIANCE WITH THE APPLICABLE REQUIREMENTS OF THE IRC. THE PLAN HAS ADOPTED THE UNCERTAIN TAX POSITIONS OF ASC 740, INCOME TAXES. THIS ADDRESSES THE DETERMINATION OF WHETHER TAX BENEFITS CLAIMED OR EXPECTED TO BE CLAIMED ON A TAX RETURN SHOULD BE RECORDED IN THE FINANCIAL STATEMENTS. UNDER ASC 740, THE PLAN MAY RECOGNIZE THE TAX BENEFIT FROM AN UNCERTAIN TAX POSITION ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY THE TAXING AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFITS RECOGNIZED IN THE FINANCIAL STATEMENTS FROM SUCH A POSITION SHOULD BE MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN FIFTY PERCENT LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. ASC 740 ALSO PROVIDES GUIDANCE ON THE DE-RECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES ON INCOME TAXES, ACCOUNTING IN INTERIM PERIODS AND REQUIRES INCREASED DISCLOSURES. AT THE DATE OF ADOPTION, AND AS OF SEPTEMBER 30, 2011, THE PLAN DOES NOT HAVE A LIABILITY FOR UNCERTAIN TAX POSITIONS. AS OF SEPTEMBER 30, 2011, THE PLAN HAS NO ACCRUED INTEREST OR PENALTIES RELATED TO UNCERTAIN TAX POSITIONS. THE PLAN IS NO LONGER SUBJECT TO ANY SIGNIFICANT U.S. FEDERAL TAX EXAMINATIONS BY TAX AUTHORITIES FOR YEARS ENDED BEFORE SEPTEMBER 30, 2008.
PART XIII, LINE 2D - OTHER ADJUSTMENTS:INCREASE IN HEALTH CLAIMS PAYABLE -160,964. INCREASE IN HEALTH CLAIMS INCURRED BUT NOT REPORTED -523,118. INCREASE IN EXTRAORDINARY CLAIMS 527,506. INCREASE IN FUTURE BENEFITS OF PARTICIPANTS' ACCUMULATED ELIGIBILITY 130,395.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION A, LINE 8BTHE GOVERNING BODY DOES NOT HAVE ANY COMMITTEES WITH AUTHORITY TO ACT ON ITS BEHALF.
FORM 990, PART VI, SECTION B, LINE 11THE RETURN IS REVIEWED BY THE PLAN ADMINISTRATOR FOR ACCURACY AND THEN FILED AND SUBMITTED TO THE BOARD.
THE BOARD OF TRUSTEES FILLS OUT A CONFLICT OF INTEREST QUESTIONNAIRE ANNUALLY, AND ARE REQUIRED TO NOTIFY THE TRUST OF ANY CHANGES IN THEIR INTERESTS THAT CAN GIVE RISE TO CONFLICTS.FORM 990, PART VI, SECTION B, LINE 12C
THESE DOCUMENTS ARE ON FILE AT THE TRUST OFFICE AND ARE AVAILABLE ON REQUEST.FORM 990, PART VI, SECTION C, LINE 19
CHANGES IN NET ASSETS OR FUND BALANCES:NET UNREALIZED GAINS ON INVESTMENTS: 10,129.FORM 990, PART XI, LINE 5:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1NECA-IBEW DRUG FREE WORKFORCE PROGRAM TRUSTBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 231219AddressLine1
CitySAN DIEGOCity
StateCAState
ZIP Code921931219ZIPCode
FieldValueIRS element (for citing)
EIN260086997EIN
Primary ActivitiesDRUG FREE WORKFORCEPrimaryActivities
Legal Domicile StateCALegalDomicileState
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
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