2012-03-02T09:20:04-06:00 2011-05-31 BERNARD KOTKIN AND COMPANY LLP 533 SOUTH FREMONT AVENUE SUITE 802 LOS ANGELES CA 90071 990 2010-06-01 956042868 CALIFORNIA IRONWORKERS FIELD WELFARE PLAN CALI 6267927337 131 N EL MOLINO AVENUE NO 330 PASADENA CA 91101 GLEN CLINE 6267927337 2012-03-01 VINCENT P ROGERS 2138929090 2010 2016-02-24 21:20:13Z GLEN CLINE 131 N EL MOLINO AVE 330 PASADENA CA 91101 193626461 0 X IRONWORKERBENNY.COM X 1963 CA TO PROVIDE MEDICAL AND DENTAL BENEFITS 18 18 0 0 0 0 0 0 103967937 104455783 3983204 7258395 0 0 107951141 111714178 0 0 120416514 117102798 407557 427617 0 0 0 5459147 5374522 126283218 122904937 -18332077 -11190759 201251428 193761112 151035323 157265582 50216105 36495530 TO PROVIDE MEDICAL AND DENTAL BENEFITS. 0 0 120943779 TO PROVIDE MEDICAL, HOSPITAL, LIFE, VISION, PRESCRIPTION DRUGS AND DENTAL BENEFITS TO ACTIVE AND RETIREE PARTICIPANTS. 120943779 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 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 6733 0 1 0 0 0 0 0 0 0 0 0 X 18 18 0 0 0 0 0 0 0 1 1 0 0 0 0 0 1 0 0 0 CA X IRONWORKER EMPLOYEES BENEFIT CORP 6267927337 131 N EL MOLINO AVE330 PASADENA CA 91101 HART KEEBLE 1.00 X 0 0 0 DON SAVORY 1.00 X 0 0 0 DOUG WILLIAMS 1.00 X 0 0 0 JOEL RASCHKE 1.00 X 0 0 0 DANIEL WELSH 1.00 X 0 0 0 CHARLES KREBS 1.00 X 0 0 0 NICK LEE 1.00 X 0 0 0 DAVE MCEUEN 1.00 X 0 0 0 MICHAEL NEWINGTON 1.00 X 0 0 0 DAN HELLEVIG 1.00 X 0 0 0 CHRIS LLOYD 1.00 X 0 0 0 RICK DAVIS 1.00 X 0 0 0 JEFF MCEUEN 1.00 X 0 0 0 MARTIN MURPHY 1.00 X 0 0 0 JOSE NARANJO 1.00 X 0 0 0 MICHAEL VLAMING 1.00 X 0 0 0 JOE STANDLEY 1.00 X 0 0 0 RICHARD BARBOUR 1.00 X 0 0 0 GLEN CLINE 40.00 X 0 224164 34660 0 224164 34660 0 0 1 0 THE TRIZETTO GROUP INC 6061 S WILLOW DRIVE SUITE 310 GREENWOOD VILLAGE CO 80111 CLAIMS SOFTWARE DEVELOPMENT 2331505 SCHWARTZ STEINSAPIR DOHRMAN 6300 WILSHIRE BLVD STE 2000 LOS ANGELES CA 90048 LEGAL SERVICES 231117 TRANSOMATIC CORPORATION PO BOX 17043 ENCINO CA 91416 COMPUTER CONSULTING 208796 THE SEGAL COMPANY 100 MONTGOMERY STREET STE 500 SAN FRANCISCO CA 94104 ACTUARIAL 153220 ALL'S WELL HEALTH CARE PO BOX 29048 GLENDALE CA 91209 CLAIMS PROCESSING 143694 6 EMPLOYER CONTRIBUTIONS 900099 78814408 78814408 RETIREE PREMIUMS 900099 18953511 18953511 COBRA GOVERNMENT SUBSI 900099 6269285 6269285 MEDICARE REIMBURSEMENT 900099 250635 250635 OTHER INCOME 900099 165245 165245 2699 2699 104455783 3514423 3514423 85656255 81912283 3743972 3743972 3743972 111714178 111714178 0 0 117102798 117102798 252466 183846 68620 175151 138413 36738 308122 308122 34769 34769 227410 76220 151190 SALARIES ALLOCATED FROM 2159093 1608627 550466 DEPRECIATION ALLOCATED 591355 578072 13283 CLAIMS PROCESSING AND T 234950 234950 POSTAGE AND MAILING 210158 147981 62177 COMPUTER CONSULTING SER 208797 208797 1399868 872872 526996 122904937 120943779 1961158 0 65806210 34392458 14032067 14708097 120325292 141696772 1087859 2963785 201251428 193761112 466203 637370 150569120 156628212 151035323 157265582 X 0 0 0 0 50216105 36495530 50216105 36495530 201251428 193761112 X -11190759 -2529816 X X 1 1 0 X 0 0 PIMCO TOTAL RETURN INSTITUTIONAL FUND 23468690 F PIMCO TOTAL RETURN INSTITUTIONAL FUND 43807656 F ARTIO INTERNATIONAL EQUITY 4961725 F FIDELITY SPARTAN TOTAL MARKET INDEX FD 5342090 F JP MORGAN SHORT DURATION BOND 46021450 F PIMCO ALL ASSET FUND INSTITUTIONAL 9222719 F VANGUARD INFLATION PROTECTED SECURITIES 8872442 F 141696772 ESTIMATED LIABILITY FOR MEDICAL, HOSPITAL, VISION PLAN AND DENTAL CLAIMS 37802500 ESTIMATED LIABILITY UNDER GROUP INSURANCE CONTRACTS 2136000 ESTIMATED FUTURE BENEFITS BASED ON PARTICIPANTS' HOUR BANK PLAN 26500000 BENEFIT IMPREST ACCOUNTS AND OTHER 733576 SUPPLEMENTAL RETIREMENT BENEFIT LIABILITY 86089876 BENEFITS PAYABLE - INSURANCE PREMIUMS 3005332 EMERGENCY RELIEF BENEFIT LIABILITY 358279 DUE TO IRONWORKERS EMPLOYEES BENEFIT CORPORATION 2649 156628212 111714178 122904937 -11190759 -2529816 -2529816 -13720575 109101431 0 109101431 82931 2529816 2612747 111714178 119308506 62925000 62925000 56383506 82931 66438500 66521431 122904937 PART XII, LINE 4B - OTHER ADJUSTMENTS: NET UNREALIZED LOSS ON CURRENT VALUE OF INVESTMENTS HELD 2,529,816. PART XIII, LINE 2D - OTHER ADJUSTMENTS: PLAN BENEFIT OBLIGATIONS AT MAY 31, 2010 62,925,000. PART XIII, LINE 4B - OTHER ADJUSTMENTS: PLAN BENEFIT OBLIGATIONS AT MAY 31, 2011 66,438,500. 1 X 0 0 0 GLEN CLINE 0 224164 0 0 0 0 0 0 0 34660 0 258824 0 0 FORM 990, PART VI, SECTION B, LINE 11 FORM 990 IS REVIEWED BY GLEN CLINE, EXECUTIVE ADMINISTRATOR, AFTER APPROVAL OF THE AUDITED FINANCIAL STATEMENTS BY THE BOARD OF TRUSTEES. FORM 990, PART VI, SECTION C, LINE 19 ORGANIZATIONAL DOCUMENTS AND FINANCIAL INFORMATION ARE AVAILABLE BY APPOINTMENT AT THE EXECUTIVE ADMINISTRATORS OFFICE. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -2,529,816. FORM 990 PART XI- LINE 2B AND 2C: THE BOARD OF TRUSTEES APPROVE THE AUDITED FINANCIAL STATEMENTS AT THEIR TRUSTEES MEETING. THE ANNUAL AUDITOR'S ENGAGEMENTS ARE APPROVED BY THE BOARD OF TRUSTEES. CALIFORNIA IRONWORKERS FIELD PENSION TRUST 131 N EL MOLINO AVENUE SUITE 330 PASADENA CA 91101 956042866 TO PROVIDE PENSION BENEFITS TO IRONWORKERS PARTICIPANTS CA 401 A NONE N/A 0 CALIFORNIA FIELD IRONWORKERS LABOR MANAGEMENTS CO-OP TRUST 3300 DOUGLAS BLVD SUITE 170 ROSEVILLE CA 95661 943168117 TO PROMOTE RELATIONS BETWEEN MANAGEMENT AND LABOR CA 501 (C) (5) NONE N/A 0 CALIFORNIA FIELD IRONWORKER VACATION TRUST FUND 131 N EL MOLINO AVENUE SUITE 330 PASADENA CA 91101 956042867 TO PROVIDE VACATION BENEFITS TO IRONWORKER PARTICIPANTS CA 501 (C) (9) NONE N/A 0 CALIFORNIA FIELD IRONWORKERS APPRENTICE TRAINING & JOURNEYMAN RETRAINING 131 N EL MOLINO AVENUE SUITE 330 PASADENA CA 91101 956042917 TO PROVIDE TRAINING TO IRONWORKER APPRENTICES CA 501 (C) (5) NONE N/A 0 IRONWORKERS WORKERS COMPENSATION TRUST 131 N EL MOLINO AVENUE SUITE 330 PASADENA CA 91101 436895772 TO PROVIDE ASSISTANCE TO IRONWORKERS REGARDING WORKERS COMPENSATION CLAIMS CA 501 (C) (6) NONE N/A 0 CALIFORNIA FIELD IRON WORKERS ADMINISTRATIVE TRUST 575 LINCOLN AVENUE NAPA CA 94558 946313717 TO PROMOTE WORK OF THE FIELD IRONWORKERS INDUSTRY CA 501 (C) (6) NONE N/A 0 CIECDCIW MARKET RETENTION COMMITTEE 3300 DOUGLAS BLVD SUITE 170 ROSEVILLE CA 95661 680414047 TO ACTIVELY PARTICIPATE IN THE ENHANCEMENT OF UNIONIZED CONSTRUCTION WORK CA 501 (C) (5) NONE N/A 0 IRONWORKERS EMPLOYEES' BENEFIT CORPORATION 131 N EL MOLINO AVENUE SUITE 330 PASADENA CA 91101 953084599 PAYS COMMON ADMINISTRATIVE EXPENSES CA PAYS COMMON ADMINISTRATIVE EXPENSES C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 IRONWORKERS EMPLOYEES' BENEFIT CORPORATION O 2019488 PERCENTAGE ALLOCATION IRONWORKERS EMPLOYEES' BENEFIT CORPORATION - CLAIMS DEPARTMENT O 3699720 PERCENTAGE ALLOCATION