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HAWAII CARPENTERS HEALTH & WELFARE TRUST FUND: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
HAWAII CARPENTERS HEALTH & WELFARE TRUST FUND (EIN 99-6014752)
Tax period
2009-09-01 to 2010-08-31
Filed
2011-05-24
IRS object ID
201101449349300100
Schema version
2009v1.7
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-05-24T01:08:14-05:00Timestamp
Tax Period End Date2010-08-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1James P Hasselman CPA LLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1PO Box 11149AddressLine1
CityHonoluluCity
StateHIState
ZIP Code96828ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-09-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN996014752EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Hawaii Carpenters Health & Welfare FundBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlHAWANameControl
Phone8088417575Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1200 N Vineyard Blvd No 100AddressLine1
CityHonoluluCity
StateHIState
ZIP Code96817ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NamePaul CK ChangName
TitleCo-Chair, Board of TrusteesTitle
Phone8088417575Phone
Date Signed2011-05-22DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone8087215483Phone
Date Prepared2011-05-22DatePrepared
Self EmployedXSelfEmployed
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonPaul CK ChangNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1200 N Vineyard Blvd No 100AddressLine1
CityHonoluluCity
StateHIState
ZIP Code96817ZIPCode
FieldValueIRS element (for citing)
Gross Receipts36707564GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web Sitewww.hbai.netWebSite
Type Of Organization TrustXTypeOfOrganizationTrust
Year Formation1967YearFormation
State Legal DomicileHIStateLegalDomicile
Activity Or Mission DescriptionTo operate a health and welfare employee benefit plan.ActivityOrMissionDescription
Nbr Voting Members Governing Body10NbrVotingMembersGoverningBody
Nbr Independent Voting Members10NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year38944570ProgramServiceRevenuePriorYear
Program Service Revenue CY34107181ProgramServiceRevenueCY
Investment Income Prior Year4744201InvestmentIncomePriorYear
Investment Income Current Year2600383InvestmentIncomeCurrentYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year43688771TotalRevenuePriorYear
Total Revenue Current Year36707564TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year35801180BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY32214853BenefitsPaidToMembersCY
Salaries Etc Prior Year45343SalariesEtcPriorYear
Salaries Etc Current Year57280SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year1616367OtherExpensePriorYear
Other Expenses Current Year1682531OtherExpensesCurrentYear
Total Expenses Prior Year37462890TotalExpensesPriorYear
Total Expenses Current Year33954664TotalExpensesCurrentYear
Revenues Less Expenses Prior Year6225881RevenuesLessExpensesPriorYear
Revenues Less Expenses CY2752900RevenuesLessExpensesCY
Total Assets BOY119387781TotalAssetsBOY
Total Assets EOY125489543TotalAssetsEOY
Total Liabilities BOY126715TotalLiabilitiesBOY
Total Liabilities EOY164286TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY119261066NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY125325257NetAssetsOrFundBalancesEOY
Mission DescriptionTo operate a health and welfare benefit plan.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
DescriptionThe Fund provided medical, dental, life insurance and other health & welfare benefits to eligible plan participants.Description
Described In501 C30DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Balance Sheet Amounts Reported1BalanceSheetAmountsReported
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109672NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees0NumberOfEmployees
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Nbr Voting Governing Body Members10NbrVotingGoverningBodyMembers
Number Independent Voting Members10NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties1DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy0ConflictOfInterestPolicy
Whistleblower Policy0WhistleblowerPolicy
Document Retention Policy0DocumentRetentionPolicy
Compensation Process CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Hawaii Benefit Administrators IncBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number8088417575TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1200 N Vineyard Blvd Suite 100AddressLine1
CityHonoluluCity
StateHIState
ZIP Code96817ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (17 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationInstitutional TrusteeInstitutionalTrustee
Henry Iida
Co-Chairman1.00XX000
Albert Hamamoto
Secretary - partial year0.10XX000
Audrey Hidano
Alternate0.10X000
Thomas Toma
Trustee0.10X000
Paul CK Chang
Co-Chairman1.00XX000
Ronald Taketa
Trustee0.10X000
Elmer Cabico
Trustee0.10X128000
Clifford Respicio
Trustee0.10X423500
Myles Hokama
Alternate0.10X000
Keith Hirota
Trustee0.10X000
Glen Kaneshige
Trustee0.10X000
Lance Yoshimura
Alternate0.10X000
Russell Young
Secretary - partial year0.10XX000
Eric Hashizume
Alternate0.10X000
George Ehara
Trustee0.10X000
Mitchell Tynanes
Alternate0.10X000
Central Pacific Bank
Co-trustee - partial year40.002947300X
FieldValueIRS element (for citing)
Total Reportable Comp From Org34988TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Hawaii Benefit Administrators IncBusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1200 N Vineyard Blvd Ste 100AddressLine1
CityHonoluluCity
StateHIState
ZIP Code96817ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesPlan administrationDescriptionOfServices
Compensation469475Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Employer contributions2300003114784631147846
Employee contributions23000029593352959335
FieldValueIRS element (for citing)
Total Program Service Revenue34107181TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column2600383TotalRevenueColumn
Exclusion$2,600,383ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column36707564TotalRevenueColumn
Related Or Exempt Function Income34107181RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$2,600,383ExclusionAmount

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total32214853Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total57280Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total39868Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total69644Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total576734Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total44000Total

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total75721Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total24065Total

Insurance Insurance

FieldValueIRS element (for citing)
Total9764Total

Other Expenses OtherExpenses (2 entries)

DescriptionDescriptionTotalTotal
Claims processing expen840578
Miscellaneous expenses2157

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total33954664Total

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY63770890BOY
EOY34430316EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY3251614BOY
EOY3517019EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY6560BOY
EOY2599EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY40525789BOY
EOY71526091EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY10818143BOY
EOY14950033EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1014785BOY
EOY1063485EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY119387781BOY
EOY125489543EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY126715BOY
EOY164286EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY126715BOY
EOY164286EOY
FieldValueIRS element (for citing)
Do Not Follow SFAS117XDoNotFollowSFAS117

Cap Stck Trst Prin Current Funds CapStckTrstPrinCurrentFunds

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Paid In Cap Srpls Land Bldg Eqp Fund PaidInCapSrplsLandBldgEqpFund

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc

FieldValueIRS element (for citing)
BOY119261066BOY
EOY125325257EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY119261066BOY
EOY125325257EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY119387781BOY
EOY125489543EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Total Of Book Value Land Buildings0TotalOfBookValueLandBuildings

Other Securities OtherSecurities

FieldValueIRS element (for citing)
DescriptionSSI HCIF LP hedge fundDescription
Book Value14950033BookValue
Method Of ValuationFMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities14950033TotalOfBookValueSecurities
Total Revenue36707564TotalRevenue
Total Expenses33954664TotalExpenses
Excess Or Deficit For Year2752900ExcessOrDeficitForYear
Net Unrealized GL On Investments3311291NetUnrealizedGLOnInvestments
Total Adjustments3311291TotalAdjustments
Excess Or Deficit Per FS6064191ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt40018855TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments3311291NetUnrealizedGainsInvestments
Revenue Not Rptd F9903311291RevenueNotRptdF990
Revenue Subtotal36707564RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99036707564TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt33954664TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal33954664ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99033954664TotalExpensesPerForm990

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
Hawaii Benefit Administrators Inc (HBAI)
One or more trustees of the organization is a director of HBAI.469475The organization has contracted with HBAI to provide plan administration services to the Fund.0
Hawaii Medical Service Association (HMSA)
A trustee of the organization is a director of HMSA.4494127The organization pays HMSA 1) a claims processing fee for processing the Fund's self-funded health claims, and 2) insurance premiums for insured medical benefits for plan participants.0
Hawaii Dental Service (HDS)
A trustee of the organization is a director of HDS.3307346The organization pays HDS insurance premiums for insured dental benefits for plan participants.0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierExplanationExplanation
Form 990, Part VI, Section A, line 2The Board of Trustees is composed of ten voting trustees, five of whom are "union" trustees and five of whom are "contractor" trustees. The "union" trustees are appointed by the United Brotherhood of Carpenters and Joiners of America, Local 745. The "contractor" trustees are appointed by the General Contractors Labor Association and/or the Building Industry Labor Association.
Form 990, Part VI, Section A, line 3Management control is retained by the Board of Trustees. Administrative duties have been contracted to a third party administrator.
Form 990, Part VI, Section A, line 7aThe governing board is appointed by the United Brotherhood of Carpenters and Joiners, Local 745; the General Contractors Labor Association; and/or the Building Industry Labor Association.
Form 990, Part VI, Section B, line 11Form 990 was provided to the Board of Trustees and reviewed with the trustees by the tax preparer.
Form 990, Part VI, Section C, line 19The organization makes its governing documents, form 990, and financial statements available for public inspection upon request.
The process for reviewing the results of the annual audit has not changed from the prior year.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (7 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
Hawaii Carpenters Apprenticeship Training Fund
200 N Vineyard Blvd Suite 100HonoluluHI96817990119158To provide education and training benefits to unionized employeesHI501(c)(5)None
Hawaii Carpenters Market Recovery Program Fund
200 N Vineyard Blvd Suite 100HonoluluHI96817990264270To explore joint employer/employee work opportunitiesHI501(c)(5)None
Hawaii Carpenters Drywall Training Fund
200 N Vineyard Blvd Suite 100HonoluluHI96817990143105To provide education and training benefits to unionized employeesHI501(c)(5)None
Hawaii Carpenters Vacation & Holiday Fund
200 N Vineyard Blvd Suite 100HonoluluHI96817996025504To provide vacation and holiday benefits to unionized employeesHI501(c)(9)None
Hawaii Carpenters Financial Security Fund
200 N Vineyard Blvd Suite 100HonoluluHI96817990264272Employee benefit plan providing retirement benefitsHINone
Hawaii Carpenters 401(k) Fund
200 N Vineyard Blvd Suite 100HonoluluHI96817550822045Employee benefit plan providing retirement benefitsHINone
Hawaii Benefit Administrators Inc
200 N Vineyard Blvd Suite 100HonoluluHI96817990329747Administrative servicesHINone
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1Hawaii Benefit Administrators IncBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeLTransactionType
Amount Involved469475AmountInvolved