2012-03-14T16:11:29-05:00 2011-03-31 HEMMING MORSE CPA'S AND CONSULTANTS 160 SPEAR STREET SUITE 1900 SAN FRANCISCO CA 94105 990 2010-04-01 941645611 SAN FRANCISCO CULINARY BARTENDERS & SEVICE EMPLOYEES WELFARE FUND SANF 5103373050 1640 SOUTH LOOP RD ALAMEDA CA 94502 TRUSTEE 5103373050 2012-03-14 1 4158364000 2010 2016-02-24 21:20:13Z TRUSTEE 1640 SOUTH LOOP RD ALAMEDA CA 94502 478342681 0 X N/A X 1958 CA SEE PART III LINE 4A 8 8 137 0 0 0 0 0 102472941 101549154 1048727 2038579 242262 331161 103763930 103918894 0 0 97177377 103527165 223948 280946 0 0 0 1652263 1769940 99053588 105578051 4710342 -1659157 57532552 58566417 16631615 19543209 40900937 39023208 NONE 0 0 TO PROVIDE HEALTH CARE BENEFITS TO ELIGIBLE PARTICIPANTS COVERED UNDER THE COLLECTIVE BARGAINING AGREEMENTS BETWEEN THE UNION & EMPLOYERS. 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 1 271 0 137 1 0 0 0 0 0 0 0 0 0 0 X 8 8 0 1 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 X SF ADMINISTRATORS INC 5103373050 1640 SOUTH LOOP ROAD ALAMEDA CA 94502 X MICHAEL CASEY 5.00 X 0 0 0 DOUGLAS CORNFORD 5.00 X 0 0 0 LAMOIN WERLEIN-JAEN 5.00 X 0 0 0 ROBERT BERGER 5.00 X 0 0 0 KIM WIRSHING 5.00 X 0 0 0 DEAN LEHR 5.00 X 0 0 0 IAN LEWIS 5.00 X 0 0 0 BRUCE BAILEY 5.00 X 0 0 0 LOUISE RUSH 40.00 X X 110000 0 0 110000 0 0 1 0 0 0 SF ADMINISTRATORS 989 MARKET STREET SAN FRANCISCO CA 94107 CONTRACT ADMINISTRATOR 674461 DELTA DENTAL 100 FIRST STREET SAN FRANCISCO CA 94105 ADMINISTRATION 313347 BLACK ROCK 50 CALIFORNIA STREET SAN FRANCISCO CA 94105 INVESTMENT MANAGER 123626 LEONARD CARDER LLP 1188 FRANKLIN STREET SAN FRANCISCO CA 94105 LEGAL COUNSEL 106156 4 EMPLOYER CONTRIBUTIONS 900099 100701147 100701147 EMPLOYEE CONTRIBUTIONS 900099 848007 848007 101549154 1224416 1224416 375237950 374423787 814163 814163 814163 COBRA SUBSIDY 900099 146119 146119 ERRP REIMBURSEMENT 900099 68398 68398 REBATE INCOME 900099 58721 58721 57923 57923 331161 103918894 102694478 0 1224416 103527165 280946 674461 38164 140031 134924 28793 13680 1975 53980 CLAIMS ADMINISTRATION 314686 BENEFIT CONSULTANTS 167721 PRINTING AND POSTAGE 84525 COLLECTION EXPENSE 52747 KAPLAN LEARNING SERVICE 34500 29753 105578051 785844 1233690 10704586 9890125 8037233 8228297 52199 10817 36873556 38760902 177507 0 901627 442586 57532552 58566417 326879 318567 16304736 19224642 16631615 19543209 X 0 0 0 0 40900937 39023208 40900937 39023208 57532552 58566417 X -1659157 -218572 X 0 1 0 X 0 0 GROUP INSURANCE PREMIUMS PAYABLE 14704077 SELF-FUNDED BENEFIT CLAIMS PAYABLE 1538123 CLAIMS INCURRED BUT NOT REPORTED 1144000 DUE TO BROKER 1838442 19224642 103918894 105578051 -1659157 -218572 -218572 -1877729 104137466 218572 218572 103918894 0 103918894 105578051 0 105578051 0 105578051 FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION DELEGATES CONTROL OF MANAGEMENT DUTIES CUSTOMARILY PERFORMED BY OR UNDER THE DIRECT SUPERVISION OF OFFICERS, DIRECTORS, TRUSTEES OR KEY EMPLOYEES TO THE CONTRACT ADMINISTRATOR. FORM 990, PART VI, SECTION A, LINE 8B THE ORGANIZATION DOES NOT HAVE ANY COMMITTEES WITH THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11 THE CHAIR AND CO-CHAIR ARE PROVIDED A COPY OF THE FORM 990 TO REVIEW PRIOR TO SIGNING. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -218,572. SAN FRANCISCO CULINARY BARTENDERS AND SERVICE EMPLOYEES PENSION FUND 989 MARKET STREET SUITE 420 SAN FRANCISCO CA 94103 TO PROVIDE PENSION BENEFITS TO ELIGIBLE PARTICIPANTS CA 401A 0 SAN FRANCISCO CULINARY BARTENDERS & SERVICE EMPLOYEES LEGAL SERVICES FUND 989 MARKET STREET SUITE 420 SAN FRANCISCO CA 94103 TO PROVIDE GROUP LEGAL SERVICES BENEFITS TO ELIGIBLE PARTICIPANTS CA 501C(9) 0 SAN FRANCISCO HOTEL RESTAURANT LABOR MANAGEMENT EDUCATION FUND 989 MARKET STREET SUITE 420 SAN FRANCISCO CA 94103 TO PROVIDE TRAINING AND EDUCATION PROGRAMS TO ELIGIBLE PARTICIPANTS CA 501C(5) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0