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ELECTRICAL WORKERS HEALTH & WELFARE TRUST FUND FOR SAN<FRANCISCO: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
ELECTRICAL WORKERS HEALTH & WELFARE TRUST FUND FOR SAN<FRANCISCO (EIN 94-6061762)
Tax period
2010-02-01 to 2011-01-31
Filed
2011-07-15
IRS object ID
201101969349301040
Schema version
2010v3.2
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)
Timestamp2011-07-15T15:18:43-04:00Timestamp
Tax Period End Date2011-01-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1MILLER KAPLAN ARASE & CO LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1180 MONTGOMERY STREET SUITE 1840AddressLine1
CitySAN FRANCISCOCity
StateCAState
ZIP Code941043600ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-02-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN946061762EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1ELECTRICAL WORKERS HEALTH AND WELFAREBusinessNameLine1
Business Name Line2TRUST FUND FOR SAN FRANCISCOBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlELECNameControl
Phone4152633670Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1720 MARKET STREET SUITE 700AddressLine1
CitySAN FRANCISCOCity
StateCAState
ZIP Code941022509ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJudith FisherName
TitlePlan AdministratorTitle
Phone4152633670Phone
Date Signed2011-07-15DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameMiller Kaplan Arase Co LLPName
Phone4159563600Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJUDY FISHERNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1720 MARKET ST STE 700AddressLine1
CitySAN FRANCISCOCity
StateCAState
ZIP Code94102ZIPCode
FieldValueIRS element (for citing)
Gross Receipts38257240GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteN/AWebSite
Type Of Organization TrustXTypeOfOrganizationTrust
Year Formation1953YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE INSURANCE COVERAGE TO PARTICIPANTS AND FAMILY MEMBERS FROM CONTRIBUTIONS PAID BY EMPLOYERS IN ACCORDANCE WITH PLAN PROVISIONS.ActivityOrMissionDescription
Nbr Voting Members Governing Body6NbrVotingMembersGoverningBody
Nbr Independent Voting Members6NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year20299656ProgramServiceRevenuePriorYear
Program Service Revenue CY19250263ProgramServiceRevenueCY
Investment Income Prior Year581065InvestmentIncomePriorYear
Investment Income Current Year1399175InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year41127OtherRevenueCurrentYear
Total Revenue Prior Year20880721TotalRevenuePriorYear
Total Revenue Current Year20690565TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year21284383BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY22397773BenefitsPaidToMembersCY
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year1237221OtherExpensePriorYear
Other Expenses Current Year1025636OtherExpensesCurrentYear
Total Expenses Prior Year22521604TotalExpensesPriorYear
Total Expenses Current Year23423409TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-1640883RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-2732844RevenuesLessExpensesCY
Total Assets BOY31003296TotalAssetsBOY
Total Assets EOY28781592TotalAssetsEOY
Total Liabilities BOY9566081TotalLiabilitiesBOY
Total Liabilities EOY8684531TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY21437215NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY20097061NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE INSURANCE COVERAGE TO PARTICIPANTS AND FAMILY MEMBERS FROM CONTRIBUTIONS PAID BY EMPLOYERS IN ACCORDANCE WITH PLAN PROVISIONS.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
DescriptionTO PROVIDE INSURANCE COVERAGE TO PARTICIPANTS AND FAMILY MEMBERS FROM CONTRIBUTIONS PAID BY EMPLOYERS IN ACCORDANCE WITH PLAN PROVISIONS.Description
Described In501 C3falseDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquipfalseReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredfalseScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096585NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members6NbrVotingGoverningBodyMembers
Number Independent Voting Members6NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonJUDY FISHERNamePerson
Telephone Number4152633670TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1720 MARKET STREET SUITE 700AddressLine1
CitySAN FRANCISCOCity
StateCAState
ZIP Code941022509ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (6 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
LEONARD LYNCH
TRUSTEE1.0X000
TOM COLEMAN
TRUSTEE1.0X000
JAMES REED
TRUSTEE1.0X000
KEVIN HUGHES
TRUSTEE1.0X000
JOHN O'ROURKE
TRUSTEE1.0X000
PHIL FARRELLY
TRUSTEE1.0X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
BLUE SHIELD OF CALIFORNIA
50 BEALE STREETSAN FRANCISCOCA94105PPO197697
DELTA DENTAL
12898 TOWNE CENTER DRIVECERRITOSCA90703ADMINISTRATION168486
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K
Total Contributions0TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
EMPLOYER CONTRIBUTIONS9000991549774115497741
DIRECT PAYMENT CONTRIBUTIONS90009937525223752522
FieldValueIRS element (for citing)
Total Program Service Revenue19250263TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1072709TotalRevenueColumn
Exclusion$1,072,709ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities17893141Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities17566675Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities326466Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column326466TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionERRP SUBSIDIESDescription
Total Revenue Column41127TotalRevenueColumn
Related Or Exempt Function Income41127RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue41127TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column20690565TotalRevenueColumn
Related Or Exempt Function Income19291390RelatedOrExemptFunctionIncome
Exclusion$1,072,709ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total22397773Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total0Total

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total0Total

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total0Total

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total0Total

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total72295Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total30476Total

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total56339Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total60000Total

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total54585Total

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total4600Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total0Total

Travel Travel

FieldValueIRS element (for citing)
Total0Total

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total20799Total

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total11875Total

Insurance Insurance

FieldValueIRS element (for citing)
Total20000Total

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotal
ADMINISTRATION FEES798815
LEGAL SETTLEMENT-110000
MISCELLANEOUS5852

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total23423409Total

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY176415BOY
EOY774741EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY2093866BOY
EOY1985531EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY81480BOY
EOY84954EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY28651535BOY
EOY25936366EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY31003296BOY
EOY28781592EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY164117BOY
EOY587799EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY9401964BOY
EOY8096732EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY9566081BOY
EOY8684531EOY
FieldValueIRS element (for citing)
Do Not Follow SFAS117XDoNotFollowSFAS117

Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc

FieldValueIRS element (for citing)
BOY21437215BOY
EOY20097061EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY21437215BOY
EOY20097061EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY31003296BOY
EOY28781592EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-2732844ReconcilationRevenueExpenses
Reconcilation Other Changes1392690ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
LandLand
BuildingsBuildings
Leasehold ImprovementsLeaseholdImprovements
EquipmentEquipment
Other Land BuildingsOtherLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionBENEFIT OBLIGATIONSDescription
Amount$8,096,732Amount
FieldValueIRS element (for citing)
Total Of Amounts8096732TotalOfAmounts
Total Revenue20690565TotalRevenue
Total Expenses23423409TotalExpenses
Excess Or Deficit For Year-2732844ExcessOrDeficitForYear
Net Unrealized GL On Investments1392690NetUnrealizedGLOnInvestments
Total Adjustments1392690TotalAdjustments
Excess Or Deficit Per FS-1340154ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt22083255TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments1392690NetUnrealizedGainsInvestments
Revenue Not Rptd F9901392690RevenueNotRptdF990
Revenue Subtotal20690565RevenueSubtotal
Total Revenue Per Form99020690565TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt23423409TotExpensesEtcAuditedFinclStmt
Expenses Subtotal23423409ExpensesSubtotal
Total Expenses Per Form99023423409TotalExpensesPerForm990

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation

FieldValueIRS element (for citing)
IdentifierPART VI, LINE 11B:Identifier
Return ReferenceFORM 990 WAS REVIEWED BY THE PLAN MANAGER PRIOR TO FILING. ANY UNUSUALReturnReference
ExplanationITEMS ARE BROUGHT TO THE BOARD OF TRUSTEES ATTENTION. PART VI, LINE 12C: AN ANNUAL CONFLICT OF INTEREST QUESTIONNAIRE IS SENT TO THE BOARD OF TRUSTEES AND ALL PROFESSIONALS DOING BUSINESS WITH THE TRUST. PART VI, LINE 19: THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE AT THE TRUST OFFICE UPON REQUEST. PART XI, LINE 5: UNREALIZED GAIN IN FAIR VALUE OF INVESTMENTS $1,392,690Explanation