2012-11-09T11:06:16-06:00 2011-12-31 990155373 LEMKE CHINEN & TANAKA CPA INC 210 WARD AVE SUITE 336 HONOLULU HI 96814 990 2011-01-01 996008823 AFL HOTEL & RESTAURANT WORKERS HEALTH & WELFARE PLAN AFLH 8085230199 560 N NIMITZ HWY NO 209 HONOLULU HI 96817 ERIC GILLNONA TAMANAHA 8085230199 2012-10-11 1 TERRY TAKAKI P00036112 8085336254 2011 2016-02-24 21:20:13Z ERIC GILLNONA TAMANAHA 560 N NIMITZ HWY NO 209 HONOLULU HI 96817 121339619 0 X N/A X 1955 HI TO PROVIDE HEALTH & WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS AS PRESCRIBED BY THE PLAN 4 4 0 0 0 0 0 0 80149800 83647916 1288426 934396 -408223 -123092 81030003 84459220 0 0 71386602 78188645 0 0 0 0 0 1047704 1192196 72434306 79380841 8595697 5078379 62839646 67912206 81416 75597 62758230 67836609 TO PROVIDE MEDICAL, DENTAL,PRESCRIPTION DRUG, CHIROPRACTIC CARE, VISION, AND DEATH BENEFITS TO ELIGIBLE MEMBERS 0 0 44524553 TO PROVIDE SELF FUNDED HEALTH BENEFITS TO ELIGIBLE PARTICIPANTS IN ACCORDANCE WITH TERMS SET FORTH IN THE TRUST AGREEMENTS, RULES AND REGULATIONS OF THE PLAN AND CBA 33470592 PROVIDE INSURED MEDICAL BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS 193500 TO PROVIDE DEATH BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS 78188645 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 4 0 1 0 0 0 0 0 0 0 X 4 4 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X BENEFIT RISK MANAGEMENT SERVICES 8085230199 560 N NIMITZ HWY NO 209 HONOLULU HI 96817 X ERIC GILL 0.50 X 0 0 0 HERNANDO TAN 0.50 X 0 0 0 NONA TAMANAHA 0.50 X 0 0 0 GAYLYNNE SAKUDA 0.50 X 0 0 0 DORYNE JARDINE 0.50 X 0 0 0 JULIE WALKER 0.50 X 0 0 0 CARLA THOMAS 0.50 X 0 0 0 ROSS BANIAGA 0.50 X 0 0 0 KEVIN GLEASON 0.50 X 0 0 0 0 0 0 0 0 0 0 HMA INC 1440 KAPIOLANI BLVD STE 1020 HONOLULU HI 96814 MEDICAL CLAIMS ADMINISTRATOR 1710729 BENEFIT RISK & MANAGEMENT SERVICES 560 N NIMITZ HWY STE 209 HONOLULU HI 96817 PLAN ADMINISTRATOR 539771 CATALYST RX 92525 HILLWOOD DR LAS VEGAS NV 89134 DRUG CLAIMS ADMINISTRATOR 218065 BENEFIT PLAN SOLUTIONS 680 IWIEI ROAD STE 528 HONOLULU HI 96817 CONSULTING 156811 FIRST HAWAIIAN BANK 999 BISHOP STREET HONOLULU HI 96813 CUSTODIAN 156534 5 EMPLOYER CONTRIBUTONS 900099 83216303 83216303 EMPLOYEE CONTRIBUTIONS 900099 353346 353346 RETIREE COPAYMENTS 900099 64731 64731 LIQUIDATED DAMAGES 900099 13536 13536 83647916 1378056 1378056 36436739 36880399 -443660 -443660 -443660 LEGAL SETTLEMENT PROCE 900099 108611 108611 UNREALIZED APPR/DEPR 900001 -231703 -231703 -123092 84459220 83647916 0 811304 78188645 109413 95417 120239 57764 11061 6905 ADMINISTRATIVE FEES 539771 CONSULTANT FEES 215331 BANK SERVICE CHARGES 36295 79380841 1042 43809 10913814 12289858 8581929 8626451 405 4596 43342456 46947492 62839646 67912206 81416 75597 81416 75597 X 62758230 67836609 0 0 0 0 62758230 67836609 62839646 67912206 5078379 0 X X 0 1 1 X 0 0 84459220 79380841 5078379 5078379 84338981 0 84338981 120239 120239 84459220 79260602 0 79260602 120239 120239 79380841 FORM 990, PART VI, SECTION B, LINE 11 ALL DOCUMENTS ARE REVIEWED BY MANAGEMENT TRUSTEE AND UNION TRUSTEE REPRESENTATIVES BEFORE SIGNING AND FILING FORM 990, PART VI, SECTION B, LINE 12C TRUSTEES EXECUTE A STATEMENT OF COMPLIANCE WHICH IS KEPT ON FILE FORM 990, PART VI, SECTION C, LINE 19 POLICIES ARE MADE AVAILABLE TO MEMBERS UPON REQUEST FORM 990, PART X11, LINE 2C: NO CHANGE IN REVIEW PROCESS FROM PRIOR YEAR. BOARD OF TRUSTEES SELECT AN INDEPENDENT AUDITOR. ADMINISTRATOR FORMALLY REVIEWS AND APPROVES THE FINANCIAL STATEMENTS. BOARD OF TRUSTEES REVIEW AND APPROVE THE FINANCIAL STATEMENTS. HOTEL AND RESTAURANT INDUSTRY EMPLOYMENT AND TRAINING PLAN 560 N NIMITZ HIGHWAY 209 HONOLULU HI 96817 996009966 PROVIDE TRAINING BENEFITS TO ELIGIBLE EMPLOYEES HI 501(C)(5) N/A N/A 0 HOTEL UNION AND HOTEL INDUSTRY OF HAWAII PENSION PLAN 560 N NIMITZ HIGHWAY 209 HONOLULU HI 96817 990155373 PROVIDE RETIREMENT BENEFITS TO ELIGIBLE EMPLOYEES AND BENEFICIARIES HI 401(A) N/A N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0