2012-07-05T17:59:31-05:00 2011-08-31 HEMMING MORSE CPA'S AND CONSULTANTS 160 SPEAR STREET SUITE 1900 SAN FRANCISCO CA 94105 990 2010-09-01 941234856 CARPENTERS HEALTH AND WELFARE TRUST FUND FOR NORTHERN CALIFORNIA CARP 5106330333 265 HEGENBERGER ROAD NO 100 OAKLAND CA 94621 GENE PRICE 5106330333 2012-07-05 1 4158364000 2010 2016-02-24 21:20:13Z 265 HEGENBERGER ROAD NO 100 OAKLAND CA 94621 798276751 0 X N/A X 1953 CA SEE PART III LINE 4A 14 14 0 0 0 0 0 0 233723256 231181934 10738720 14234661 12754800 15606964 257216776 261023559 0 0 253085187 233241409 0 0 0 0 0 12687049 11494562 265772236 244735971 -8555460 16287588 306174597 327946772 135869745 133137232 170304852 194809540 NONE 0 0 TO PROVIDE HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS COVERED BY COLLECTIVE BARGAINING AGREEMENTS BETWEEN EMPLOYERS AND THE UNION. 0 0 0 0 0 0 0 0 0 1 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 0 0 0 0 1 0 750 0 0 0 0 0 0 0 0 0 0 0 X 14 14 0 1 0 0 0 0 0 1 1 0 0 1 1 0 1 1 1 0 0 0 X CARPENTERS ADMINISTRATIVE OFFICE 5106330333 265 HEGENBERGER ROAD SUITE 100 OAKLAND CA 94621 X DAVE HIGGINS SR 5.00 X 0 0 0 RANDY JENCO 5.00 X 0 0 0 ROY VAN PELT 5.00 X 0 0 0 JAMES LOSCH 5.00 X 0 0 0 FRED WRIGHT 5.00 X 0 0 0 ROBERT ALVARADO 5.00 X 0 0 0 WILLIAM FEYLING 5.00 X 0 0 0 CURTIS KELLY 5.00 X 0 0 0 RALF RUBIO 5.00 X 0 0 0 KENNETH MADERAZO 5.00 X 0 0 0 DON DOLLY 5.00 X 0 0 0 JOSEPH R SANTUCCI 5.00 X 0 0 0 AUGIE BELTRAN 5.00 X 0 0 0 LARRY NIBBI 5.00 X 0 0 0 0 0 0 0 0 0 0 CARPENTER FUNDS ADMINISTRATIVE OFFICE OF 265 HEGENBERGER RD SUITE 100 OAKLAND CA 94621 ADMINISTRATION 6666986 BLUE CROSS OF CALIFORNIA PO BOX 70000 VAN NUYS CA 91470 BENEFITS ADMINISTRATOR 1467605 DELTA DENTAL 100 1ST STREET 12TH FLOOR SAN FRANCISCO CA 94105 CLAIMS ADMINISTRATION 974409 SEGAL CO 100 MONTGOMERY STREET SUITE 500 SAN FRANCISCO CA 94104 ACTUARIAL CONSULTANT 276377 MCMORGAN & CO ONE FRONT STREET SUITE 500 SAN FRANCISCO CA 94111 INVESTMENT MANAGER 215571 8 EMPLOYER CONTRIBUTIONS 900099 207654892 207654892 EMPLOYEE CONTRIBUTIONS 900099 23527042 23527042 231181934 8578119 8578119 542909734 537253192 5656542 5656542 5656542 REBATES AND REFUNDS 900099 15217606 15217606 OTHER INCOME 900099 348788 348788 LIQUIDATED DAMAGES 900099 40570 40570 15606964 261023559 252445440 0 8578119 233241409 9333216 227939 45035 628009 354377 274158 269727 22666 99287 OUTSIDE SERVICES 136328 MISCELLANEOUS 53369 BANKING EXPENSE 50451 244735971 809644 1226930 12648519 20661323 24279628 25868565 663249 577301 75848 189861832 183763790 69830213 85236935 8005664 10611928 306174597 327946772 397595 810006 135472150 132327226 135869745 133137232 X 0 0 0 0 170304852 194809540 170304852 194809540 306174597 327946772 X 16287588 8217100 X X 0 1 1 X 0 0 0 0 0 HEDGE FUND 27990365 F COMMINGLED FUND 31688957 F REAL ESTATE FUND 25557613 F 85236935 PREMIUMS PAYABLE 17242011 CLAIMS PAYABLE AND IBNR 34191265 FUTURE BENEFIT LIABILITY 74134000 RETIREE REFUND PAYABLE 6737661 DUE TO OTHER TRUSTS 22289 132327226 261023559 244735971 16287588 8217100 8217100 24504688 269240659 8217100 8217100 261023559 0 261023559 244735971 0 244735971 0 244735971 FORM 990, PART VI, SECTION A, LINE 3 THE 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 11 THE TRUSTEES HAVE DESIGNATED THE ADMINISTRATOR TO REVIEW THE FORM 990 PRIOR TO SIGNING AND FILING. FORM 990, PART VI, SECTION B, LINE 12C 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 C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, 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: 8,217,100. FORM 990, PART XII, LINE 2C 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.