2012-08-29T11:43:25-05:00 2011-11-30 LINDQUIST LLP 5000 EXECUTIVE PARKWAY SUITE 400 SAN RAMON CA 94583 990 2010-12-01 946072964 BAY AREA AUTOMOTIVE GROUP WELFARE FUND BAYA 5105287100 4160 DUBLIN BOULEVARD NO 400 DUBLIN CA 945687756 ERNIE YATES 5105287100 2012-08-29 1 9252779100 2010 2016-02-24 21:20:13Z ERNIE YATES 4160 DUBLIN BOULEVARD NO 400 DUBLIN CA 945687756 41363802 0 X N/A X 1954 CA TO PROVIDE HEALTH BENEFITS TO ELIGIBLE PARTICIPANTS AND DEPENDENTS. 6 6 24 0 0 0 0 0 29700257 32289985 672704 654536 265616 28414 30638577 32972935 0 0 29261632 32949258 37421 34735 0 0 0 1557404 1542675 30856457 34526668 -217880 -1553733 20868315 19779977 4664812 5521808 16203503 14258169 TO PROVIDE HEALTH BENEFITS TO ELIGIBLE PARTICIPANTS AND DEPENDENTS. 0 0 PROVIDED HEALTH BENEFITS TO ELIGIBLE PARTICIPANTS AND DEPENDENTS 0 0 0 0 0 0 0 0 0 0 0 0 1 1 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 X 1118 0 1 24 1 0 0 0 0 0 0 X 6 6 0 1 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 0 0 0 X HEALTH SERVICES & BENEFIT ADMINISTR 9254497070 4160 DUBLIN BOULEVARD SUITE 400 DUBLIN CA 98568 X JOHN HORTON 1.00 X 0 0 0 LAWRENCE ROSE 1.00 X 0 0 0 MARK GLEASON 1.00 X 0 0 0 ERNIE YATES 1.00 X 0 0 0 CHUCK ANDREW 1.00 X 0 0 0 DAVID PANSINI 1.00 X 0 0 0 0 0 0 0 0 0 0 HEALTH SERVICES & BENEFIT ADMIN 4160 DUBLIN BOULEVARD SUITE 400 DUBLIN CA 945687756 ADMINISTRATOR FEE 865199 LINDQUIST LLP 5000 EXECUTIVE PARKWAY SUITE 400 SAN RAMON CA 945834346 ACCOUNTING FEE 144014 BLUE CROSS OF CALIFORNIA DEPARTMENT 5812 LOS ANGELES CA 900745812 PPO NETWORK FEE 120059 BEESON TAYER & BODINE ROSS HOUSE SECOND FLOOR 483 NINTH OAKLAND CA 94607 LEGAL FEE 103359 4 EMPLOYER CONTRIBUTIONS 900099 31113051 31113051 STOP LOSS INCOME 900099 663837 663837 PARTICIPANT CONTRIBUTI 900099 513097 513097 32289985 458345 458345 8587058 8390867 196191 196191 196191 COBRA SUBSIDY 900099 24740 24740 OTHER INCOME 900099 3674 3674 28414 32972935 32318399 0 654536 32949258 34735 881883 106094 112124 41242 297031 64206 7580 32515 34526668 2329562 2394257 247744 1006451 3377508 3920683 24657 23412 14739353 12417838 149491 17336 20868315 19779977 1414812 1886808 3250000 3635000 4664812 5521808 X 0 0 0 0 16203503 14258169 16203503 14258169 20868315 19779977 X -1553733 -391601 X X 0 1 1 X 0 0 ACCUMULATED ELIGIBILITY CREDITS 3635000 3635000 32972935 34526668 -1553733 -391601 857284 465683 -1088050 32540092 -391601 -391601 32931693 41242 41242 32972935 33628142 0 33628142 41242 857284 898526 34526668 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE THE TAX POSITIONS TAKEN BY THE PLAN AND RECOGNIZE A TAX LIABILITY IF THE PLAN HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE. THE PLAN'S ADMINISTRATOR HAS ANALYZED THE TAX POSITIONS TAKEN BY THE PLAN, AND HAS CONCLUDED THAT AS OF NOVEMBER 30, 2011, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY THE TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. THE PLAN BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR THE YEARS PRIOR TO 2008. PART XI, LINE 8 - OTHER ADJUSTMENTS: CHANGE IN BENEFIT OBLIGATIONS PART XIII, LINE 4B - OTHER ADJUSTMENTS: CHANGE IN BENEFIT OBLIGATIONS FORM 990, PART V, LINE 2A: THE TRUST DOES NOT HAVE EMPLOYEES. HOWEVER, THE TRUST IS REQUIRED TO REPORT TAXABLE DISABILITY AND DOMESTIC PARTNER BENEFITS ON FORM W-2 FOR PARTICIPANTS THAT RECEIVE TAXABLE BENEFITS. FORM 990, PART VI, SECTION A, LINE 3 THE TRUST HAS CONTRACTED WITH HEALTH SERVICES & BENEFIT ADMINISTRATORS, INC. TO PROVIDE ADMINISTRATIVE SERVICES FOR THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 8B THERE IS NO COMMITTEE WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11 A COPY OF THE FORM 990 WAS PROVIDED TO THE BOARD OF TRUSTEES FOR REVIEW. REVIEW OF THE FORM 990 WAS CONDUCTED BY THE BOARD PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C AT LEAST ONCE A YEAR, TRUSTEES AND OTHER INDIVIDUALS WHO ARE SUBJECT TO THE CONFLICT ON INTEREST POLICY WILL BE ASKED TO DISCLOSE IN WRITING ANY RELATIONSHIP OR INTERESTS THAT COULD GIVE RISE TO A CONFLICT. SHOULD ANY INDIVIDUAL COVERED BY THE POLICY DETERMINE OR SUSPECT THAT HE OR SHE POSSESSES AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST, SUCH INDIVIDUAL MUST DISCLOSE THE EXISTENCE OF THE FINANCIAL INTEREST OR RELATIONSHIP GIVING RISE TO THE CONFLICT AND DISCLOSE ALL RELEVANT FACTS PRIOR TO PARTICIPATING ANY DECISION TO ENTER INTO ANY PROPOSED TRANSACTION OR ARRANGEMENT OR, IF LATER, AS SOON AS THE ACTUAL OR POTENTIAL CONFLICT IS RECOGNIZED. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS,CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. UPON REQUEST, THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS,CONFLICT OF INTEREST POLICY AND FINANCIAL INFORMATION AVAILABLE TO THE PARTICIPANTS. FORM 990, PART XII, LINE 2C THE BOARD OF TRUSTEES ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT AUDITOR. THIS PROCESS HAS NOT CHANGED. FORM 990, PART XI, LINE 5, CHANGES IN NET ASSETS: NET UNREALIZED LOSSES ON INVESTMENTS: -391,601