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CALIFORNIA SERVICE EMPLOYEES HEALTH AND WELFARE TRUST FUND: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
CALIFORNIA SERVICE EMPLOYEES HEALTH AND WELFARE TRUST FUND (EIN 94-1206350)
Tax period
2009-05-01 to 2010-04-30
Filed
2011-02-15
IRS object ID
201110479349300906
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)
Timestamp2011-02-15T17:09:34-06:00Timestamp
Tax Period End Date2010-04-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1lINDQUIST llpBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line15000 executive pkwy 400AddressLine1
Citysan ramonCity
StateCAState
ZIP Code94583ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-05-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN941206350EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1CALIFORNIA SVC EMPLOYEEs HEALTH &BusinessNameLine1
Business Name Line2WELFARE TRUST FUNDBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlCALINameControl
Phone5104334452Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11640 south loop roadAddressLine1
CityalamedaCity
StateCAState
ZIP Code94502ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameCHARLIE GILCHRISTName
TitleTRUSTEETitle
Phone5104334452Phone
Date Signed2011-02-16DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone9252779100Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonCHARLIE GILCHRISTNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11640 south loop roadAddressLine1
CityalamedaCity
StateCAState
ZIP Code94502ZIPCode
FieldValueIRS element (for citing)
Gross Receipts180732164GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web Siten/aWebSite
Type Of Organization TrustXTypeOfOrganizationTrust
Year Formation1951YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission Descriptionto provide health and welfare benefits to eligible members and their dependentsActivityOrMissionDescription
Nbr Voting Members Governing Body4NbrVotingMembersGoverningBody
Nbr Independent Voting Members2NbrIndependentVotingMembers
Total Nbr Employees20TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year64413537ProgramServiceRevenuePriorYear
Program Service Revenue CY73223916ProgramServiceRevenueCY
Investment Income Prior Year2666550InvestmentIncomePriorYear
Investment Income Current Year2930759InvestmentIncomeCurrentYear
Other Revenue Prior Year455OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year67080542TotalRevenuePriorYear
Total Revenue Current Year76154675TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year59855128BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY69815926BenefitsPaidToMembersCY
Salaries Etc Prior Year408310SalariesEtcPriorYear
Salaries Etc Current Year406373SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year2498093OtherExpensePriorYear
Other Expenses Current Year1891745OtherExpensesCurrentYear
Total Expenses Prior Year62761531TotalExpensesPriorYear
Total Expenses Current Year72114044TotalExpensesCurrentYear
Revenues Less Expenses Prior Year4319011RevenuesLessExpensesPriorYear
Revenues Less Expenses CY4040631RevenuesLessExpensesCY
Total Assets BOY99634605TotalAssetsBOY
Total Assets EOY113164723TotalAssetsEOY
Total Liabilities BOY17624753TotalLiabilitiesBOY
Total Liabilities EOY19389390TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY82009852NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY93775333NetAssetsOrFundBalancesEOY
Mission DescriptionTo provide health and welfare benefits to eligible participants and their dependents.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Descriptionprovided health and welfare benefits to eligible participants and their dependents.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 Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096913NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees20NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Nbr Voting Governing Body Members4NbrVotingGoverningBodyMembers
Number Independent Voting Members2NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties1DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
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 Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1assoc third party administratorsBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number5104334452TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11640 south loop roadAddressLine1
CityalamedaCity
StateCAState
ZIP Code94502ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (5 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
David Stilwell
Alternate Trustee0.50X000
mike garcia
trustee0.30X000
charlie gilchrist
trustee5.00X14400015631
ray nann
trustee5.00X14400015631
Larry T Smith
Trustee0.50X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org28800TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation31262TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (4 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
ASSOCIATED THIRD PARTY ADMINISTRATORS
989 MARKET STREET SUITE 320San FranciscoCA94104FUND ADMINISTRATION768546
MCMORGAN & COMPANY
425 MARKET STREET SUITE 1600SAN FRANCISCOCA94105INVESTMENT MANAGER194356
Lindquist LLP
5000 Executive Parkway STE 400San RamonCA94583Auditing and Accounting Services177285
Saltzman & Johnson Law Corporation
44 Montgomery Street Ste 2110San FranciscoCA94104Legal Services151261
FieldValueIRS element (for citing)
Number Of Contractors GT100 K4NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Employer Contributions9000997173552271735522
Employee Contributions900099905095905095
Stop Loss Income900099582527582527
Other Income900099772772
FieldValueIRS element (for citing)
Total Program Service Revenue73223916TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column3430594TotalRevenueColumn
Exclusion$3,430,594ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities104077654Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities104577489Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-499835Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-499835TotalRevenueColumn
Exclusion-$499,835ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column76154675TotalRevenueColumn
Related Or Exempt Function Income73223916RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$2,930,759ExclusionAmount

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total69815926Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total60062Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total244125Total

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total25708Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total48712Total

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total27766Total

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total696697Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total180136Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total188030Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total253352Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total240116Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total175199Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total25760Total

Travel Travel

FieldValueIRS element (for citing)
Total2080Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total18885Total

Insurance Insurance

FieldValueIRS element (for citing)
Total108654Total

Other Expenses OtherExpenses

FieldValueIRS element (for citing)
DescriptionOTHER EXPENSEDescription
Total2836Total

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total72114044Total

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY-168342BOY
EOY252525EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY399125BOY
EOY13601690EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY9693561BOY
EOY10516296EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY111808BOY
EOY244954EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY89027110BOY
EOY87454472EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY571343BOY
EOY1094786EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY99634605BOY
EOY113164723EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY70753BOY
EOY89704EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY17554000BOY
EOY19299686EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY17624753BOY
EOY19389390EOY
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)
BOY82009852BOY
EOY93775333EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY82009852BOY
EOY93775333EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY99634605BOY
EOY113164723EOY
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 Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
Accumulated Eligibility Credits$17,703,000
Claims Payable and IBNR$1,339,000
Due to Broker$257,686
FieldValueIRS element (for citing)
Total Of Amounts19299686TotalOfAmounts
Total Revenue76154675TotalRevenue
Total Expenses72114044TotalExpenses
Excess Or Deficit For Year4040631ExcessOrDeficitForYear
Net Unrealized GL On Investments7724850NetUnrealizedGLOnInvestments
Other$1,488,000OtherAmount
Total Adjustments9212850TotalAdjustments
Excess Or Deficit Per FS13253481ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt83626173TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments7724850NetUnrealizedGainsInvestments
Revenue Not Rptd F9907724850RevenueNotRptdF990
Revenue Subtotal75901323RevenueSubtotal
Investment Expenses Not Included253352InvestmentExpensesNotIncluded
Revenue Not Rptd On Fin Stmt253352RevenueNotRptdOnFinStmt
Total Revenue Per Form99076154675TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt70372692TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal70372692ExpensesSubtotal
Investment Expenses Not Included2253352InvestmentExpensesNotIncluded2
Other Expenses Not Included1488000OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt1741352ExpensesNotRptdOnFinStmt
Total Expenses Per Form99072114044TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierExplanationExplanation
Part XI, Line 8 - Other Adjustments:Change In Benefit Obligations
Part XIII, Line 4b - Other Adjustments:Change in Benefit Obligations

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierExplanationExplanation
Form 990, Part VI, Section A, line 3The organization has contracted with Associated Third Party Administrators to provide administrative services for the organization.
Form 990, Part VI, Section B, line 11A copy of the Form 990 was provided to the Board of Trustees for review prior to filing.
Form 990, Part VI, Section B, line 15The Board of Trustees reviews and approves compensation for the Plan's employees based on Staff Classifications and wage scales along with other data available. The compensation for the Trustees is reviewed and approved by the Board of Trustees based on the amount of time the Trustees spend performing their duties.
Form 990, Part VI, Section C, line 19The organization makes its governing documents and financial information available to the PUBLIC UPON REQUEST.
Form 990, Part XI, Line 2C: THE BOARD OF TRUSTEES ASSUMES THE RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND SELECTION OF AN INDEPENDENT AUDITOR.
FORM 990, PART V, LINE 2A: THE ORGANIZATION ISSUED 20 FORMS W-2 DURING 2009, INCLUDING 14 THAT WERE FOR DOMESTIC PARTNERS TAXABLE BENEFITS.