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CARPENTERS HEALTH AND WELFARE TRUST: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
CARPENTERS HEALTH AND WELFARE TRUST (EIN 94-1234856)
Tax period
2010-09-01 to 2011-08-31
Filed
2012-07-05
IRS object ID
201221879349300537
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)
Timestamp2012-07-05T17:59:31-05:00Timestamp
Tax Period End Date2011-08-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1HEMMING MORSE CPA'S AND CONSULTANTSBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1160 SPEAR STREET SUITE 1900AddressLine1
CitySAN FRANCISCOCity
StateCAState
ZIP Code94105ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-09-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN941234856EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1CARPENTERS HEALTH AND WELFARE TRUSTBusinessNameLine1
Business Name Line2FUND FOR NORTHERN CALIFORNIABusinessNameLine2
FieldValueIRS element (for citing)
Name ControlCARPNameControl
Phone5106330333Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1265 HEGENBERGER ROAD NO 100AddressLine1
CityOAKLANDCity
StateCAState
ZIP Code94621ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameGENE PRICEName
TitleTRUSTEETitle
Phone5106330333Phone
Date Signed2012-07-05DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone4158364000Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1265 HEGENBERGER ROAD NO 100AddressLine1
CityOAKLANDCity
StateCAState
ZIP Code94621ZIPCode
FieldValueIRS element (for citing)
Gross Receipts798276751GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteN/AWebSite
Type Of Organization TrustXTypeOfOrganizationTrust
Year Formation1953YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission DescriptionSEE PART III LINE 4AActivityOrMissionDescription
Nbr Voting Members Governing Body14NbrVotingMembersGoverningBody
Nbr Independent Voting Members14NbrIndependentVotingMembers
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 Year233723256ProgramServiceRevenuePriorYear
Program Service Revenue CY231181934ProgramServiceRevenueCY
Investment Income Prior Year10738720InvestmentIncomePriorYear
Investment Income Current Year14234661InvestmentIncomeCurrentYear
Other Revenue Prior Year12754800OtherRevenuePriorYear
Other Revenue Current Year15606964OtherRevenueCurrentYear
Total Revenue Prior Year257216776TotalRevenuePriorYear
Total Revenue Current Year261023559TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year253085187BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY233241409BenefitsPaidToMembersCY
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 Year12687049OtherExpensePriorYear
Other Expenses Current Year11494562OtherExpensesCurrentYear
Total Expenses Prior Year265772236TotalExpensesPriorYear
Total Expenses Current Year244735971TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-8555460RevenuesLessExpensesPriorYear
Revenues Less Expenses CY16287588RevenuesLessExpensesCY
Total Assets BOY306174597TotalAssetsBOY
Total Assets EOY327946772TotalAssetsEOY
Total Liabilities BOY135869745TotalLiabilitiesBOY
Total Liabilities EOY133137232TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY170304852NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY194809540NetAssetsOrFundBalancesEOY
Mission DescriptionNONEMissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
DescriptionTO PROVIDE HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS COVERED BY COLLECTIVE BARGAINING AGREEMENTS BETWEEN EMPLOYERS AND THE UNION.Description
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 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 Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included750NumberW2GIncluded
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
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members14NbrVotingGoverningBodyMembers
Number Independent Voting Members14NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties1DelegationOfManagementDuties
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 Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons0AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1CARPENTERS ADMINISTRATIVE OFFICEBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number5106330333TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1265 HEGENBERGER ROAD SUITE 100AddressLine1
CityOAKLANDCity
StateCAState
ZIP Code94621ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (14 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
DAVE HIGGINS SR
TRUSTEE5.00X000
RANDY JENCO
TRUSTEE5.00X000
ROY VAN PELT
TRUSTEE5.00X000
JAMES LOSCH
TRUSTEE5.00X000
FRED WRIGHT
TRUSTEE5.00X000
ROBERT ALVARADO
TRUSTEE5.00X000
WILLIAM FEYLING
TRUSTEE5.00X000
CURTIS KELLY
TRUSTEE5.00X000
RALF RUBIO
TRUSTEE5.00X000
KENNETH MADERAZO
TRUSTEE5.00X000
DON DOLLY
TRUSTEE5.00X000
JOSEPH R SANTUCCI
TRUSTEE5.00X000
AUGIE BELTRAN
TRUSTEE5.00X000
LARRY NIBBI
TRUSTEE5.00X000
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 (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
CARPENTER FUNDS ADMINISTRATIVE OFFICE OF
265 HEGENBERGER RD SUITE 100OAKLANDCA94621ADMINISTRATION6666986
BLUE CROSS OF CALIFORNIA
PO BOX 70000VAN NUYSCA91470BENEFITS ADMINISTRATOR1467605
DELTA DENTAL
100 1ST STREET 12TH FLOORSAN FRANCISCOCA94105CLAIMS ADMINISTRATION974409
SEGAL CO
100 MONTGOMERY STREET SUITE 500SAN FRANCISCOCA94104ACTUARIAL CONSULTANT276377
MCMORGAN & CO
ONE FRONT STREET SUITE 500SAN FRANCISCOCA94111INVESTMENT MANAGER215571
FieldValueIRS element (for citing)
Number Of Contractors GT100 K8NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
EMPLOYER CONTRIBUTIONS900099207654892207654892
EMPLOYEE CONTRIBUTIONS9000992352704223527042
FieldValueIRS element (for citing)
Total Program Service Revenue231181934TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column8578119TotalRevenueColumn
Exclusion$8,578,119ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities542909734Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities537253192Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities5656542Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column5656542TotalRevenueColumn
Related Or Exempt Function Income5656542RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
REBATES AND REFUNDS9000991521760615217606
OTHER INCOME900099348788348788
LIQUIDATED DAMAGES9000994057040570
FieldValueIRS element (for citing)
Total Other Revenue15606964TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column261023559TotalRevenueColumn
Related Or Exempt Function Income252445440RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$8,578,119ExclusionAmount

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total233241409Total

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total9333216Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total227939Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total45035Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total628009Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total354377Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total274158Total

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total269727Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total22666Total

Insurance Insurance

FieldValueIRS element (for citing)
Total99287Total

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotal
OUTSIDE SERVICES136328
MISCELLANEOUS53369
BANKING EXPENSE50451

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total244735971Total

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY809644BOY
EOY1226930EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY12648519BOY
EOY20661323EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY24279628BOY
EOY25868565EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY663249BOY
EOY577301EOY

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY75848BOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY189861832BOY
EOY183763790EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY69830213BOY
EOY85236935EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY8005664BOY
EOY10611928EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY306174597BOY
EOY327946772EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY397595BOY
EOY810006EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY135472150BOY
EOY132327226EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY135869745BOY
EOY133137232EOY
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)
BOY170304852BOY
EOY194809540EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY170304852BOY
EOY194809540EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY306174597BOY
EOY327946772EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses16287588ReconcilationRevenueExpenses
Reconcilation Other Changes8217100ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Book Value0BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Book Value0BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Book Value0BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings0TotalOfBookValueLandBuildings

Other Securities OtherSecurities (3 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
HEDGE FUND27990365F
COMMINGLED FUND31688957F
REAL ESTATE FUND25557613F
FieldValueIRS element (for citing)
Total Of Book Value Securities85236935TotalOfBookValueSecurities

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescriptionAmountAmount
PREMIUMS PAYABLE$17,242,011
CLAIMS PAYABLE AND IBNR$34,191,265
FUTURE BENEFIT LIABILITY$74,134,000
RETIREE REFUND PAYABLE$6,737,661
DUE TO OTHER TRUSTS$22,289
FieldValueIRS element (for citing)
Total Of Amounts132327226TotalOfAmounts
Total Revenue261023559TotalRevenue
Total Expenses244735971TotalExpenses
Excess Or Deficit For Year16287588ExcessOrDeficitForYear
Net Unrealized GL On Investments8217100NetUnrealizedGLOnInvestments
Total Adjustments8217100TotalAdjustments
Excess Or Deficit Per FS24504688ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt269240659TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments8217100NetUnrealizedGainsInvestments
Revenue Not Rptd F9908217100RevenueNotRptdF990
Revenue Subtotal261023559RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form990261023559TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt244735971TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal244735971ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form990244735971TotalExpensesPerForm990

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION A, LINE 3THE ORGANIZATION HAS DELEGATED CONTROL OVER MANAGEMENT DUTIES CUSTOMARILY PERFORMED BY OR UNDER THE DIRECT SUPERVISION OF OFFICERS, DIRECTORS, TRUSTEES OR KEY EMPLOYEES TO THE ADMINISTRATOR.
FORM 990, PART VI, SECTION B, LINE 11THE TRUSTEES HAVE DESIGNATED THE ADMINISTRATOR TO REVIEW THE FORM 990 PRIOR TO SIGNING AND FILING.
IN CONNECTION WITH ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST, A TRUSTEE SHOULD DISCLOSE TO ALL OTHER TRUSTEES AND FUND COUNSEL THE EXISTENCE AND NATURE OF THE FINANCIAL INTEREST OR BENEFIT INVOLVED INCLUDING DISCLOSURE OF ALL MATERIAL FACTS ATTENDANT TO THE TRANSACTION.FORM 990, PART VI, SECTION B, LINE 12C
THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.FORM 990, PART VI, SECTION C, LINE 19
CHANGES IN NET ASSETS OR FUND BALANCES:NET UNREALIZED GAINS ON INVESTMENTS: 8,217,100.FORM 990, PART XI, LINE 5:
THE BOARD OF TRUSTEES ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF THE ORGANIZATION'S FINANCIAL STATEMENTS AND THE SELECTION OF THE INDEPENDENT AUDITOR.FORM 990, PART XII, LINE 2C