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CARPENTERS HEALTH AND WELFARE TRUST: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
CARPENTERS HEALTH AND WELFARE TRUST (EIN 94-1234856)
Tax period
2009-09-01 to 2010-08-31
Filed
2011-07-05
IRS object ID
201111869349300816
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)
Timestamp2011-07-05T17:38:31-05:00Timestamp
Tax Period End Date2010-08-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1HEMMING MORSE CPA'S AND CONSULTANTSBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1160 SPEAR STREET SUITE 1900AddressLine1
CitySAN FRANCISCOCity
StateCAState
ZIP Code94105ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-09-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN941234856EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1CARPENTERS HEALTH AND WELFARE TRUSTBusinessNameLine1
Business Name Line2FUND FOR NORTHERN CALIFORNIABusinessNameLine2
FieldValueIRS element (for citing)
Name ControlCARPNameControl
Phone5106330333Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1265 HEGENBERGER ROAD No 100AddressLine1
CityOAKLANDCity
StateCAState
ZIP Code94621ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameGENE PRICEName
TitletrusteeTitle
Phone5106330333Phone
Date Signed2011-07-05DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone4158364000Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1265 HEGENBERGER ROAD No 100AddressLine1
CityOAKLANDCity
StateCAState
ZIP Code94621ZIPCode
FieldValueIRS element (for citing)
Gross Receipts862646451GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteN/AWebSite
Type Of Organization TrustXTypeOfOrganizationTrust
Year Formation1953YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission DescriptionSEE PART III LINE 4AActivityOrMissionDescription
Nbr Voting Members Governing Body14NbrVotingMembersGoverningBody
Nbr Independent Voting Members14NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year284951824ProgramServiceRevenuePriorYear
Program Service Revenue CY233723256ProgramServiceRevenueCY
Investment Income Prior Year-17829655InvestmentIncomePriorYear
Investment Income Current Year10738720InvestmentIncomeCurrentYear
Other Revenue Prior Year10759309OtherRevenuePriorYear
Other Revenue Current Year12754800OtherRevenueCurrentYear
Total Revenue Prior Year277881478TotalRevenuePriorYear
Total Revenue Current Year257216776TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year259310773BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY253085187BenefitsPaidToMembersCY
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year13527111OtherExpensePriorYear
Other Expenses Current Year12687049OtherExpensesCurrentYear
Total Expenses Prior Year272837884TotalExpensesPriorYear
Total Expenses Current Year265772236TotalExpensesCurrentYear
Revenues Less Expenses Prior Year5043594RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-8555460RevenuesLessExpensesCY
Total Assets BOY320298320TotalAssetsBOY
Total Assets EOY306174597TotalAssetsEOY
Total Liabilities BOY142985740TotalLiabilitiesBOY
Total Liabilities EOY135869745TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY177312580NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY170304852NetAssetsOrFundBalancesEOY
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
DescriptionTO PROVIDE HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS COVERED BY COLLECTIVE BARGAINING AGREEMENTS BETWEEN EMPLOYERS AND THE UNION.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 With10960NumberFormsTransmittedWith1096
Number W2 G Included1184NumberW2GIncluded
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
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Nbr Voting Governing Body Members14NbrVotingGoverningBodyMembers
Number Independent Voting Members14NumberIndependentVotingMembers
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 Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons0AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
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 Line1CARPENTERS ADMINISTRATIVE OFFICEBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number5106330333TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1265 HEGENBERGER ROAD SUITE 100AddressLine1
CityOAKLANDCity
StateCAState
ZIP Code94621ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (14 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
DAVE HIGGINS SR
TRUSTEE5.00X000
RANDY JENCO
TRUSTEE5.00X000
roy van pelt
TRUSTEE5.00X000
james losch
TRUSTEE5.00X000
FRED WRIGHT
TRUSTEE5.00X000
ROBERT ALVARADO
TRUSTEE5.00X000
WILLIAM FEYLING
TRUSTEE5.00X000
curtis kelly
TRUSTEE5.00X000
ralf rubio
TRUSTEE5.00X000
KENNETH MADERAZO
TRUSTEE5.00X000
don dolly
TRUSTEE5.00X000
JOSEPH R SANTUCCI
TRUSTEE5.00X000
augie beltran
truSTEE5.00X000
larry nibbi
tRUSTEE5.00X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
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 (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
CARPENTER FUNDS ADMINISTRATIVE OFFICE OF
265 HEGENBERGER RD SUITE 100OAKLANDCA94621ADMINISTRATION7179711
PRUDENT BUYER
PO BOX 629WOODLAND HILLSCA91365CLAIMS PROCESSING/ADMINISTRATION1558598
DELTA DENTAL
100 1ST STREET 12TH FLOORSAN FRANCISCOCA94105CLAIMS ADMINISTRATION1134771
SEGAL CO
100 MONTGOMERY STREET SUITE 500SAN FRANCISCOCA94104ACTUARIAL CONSULTANT322327
ASSOCIATED THIRD PARTY ADMINISTRATORS
1640 SOUTH LOOP ROADALAMEDACA94502CLAIMS ADMINISTRATION250841
FieldValueIRS element (for citing)
Number Of Contractors GT100 K9NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
EMPLOYER CONTRIBUTIONS900099208795295208795295
EMPLOYEE CONTRIBUTIONS9000992492796124927961
FieldValueIRS element (for citing)
Total Program Service Revenue233723256TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column8313870TotalRevenueColumn
Exclusion$8,313,870ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities607854525Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities605429675Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities2424850Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column2424850TotalRevenueColumn
Related Or Exempt Function Income2424850RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
REBATES AND REFUNDS9000991229046412290464
other income900099404931404931
lIQUIDATED DAMAGES9000995940559405
FieldValueIRS element (for citing)
Total Other Revenue12754800TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column257216776TotalRevenueColumn
Related Or Exempt Function Income248902906RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$8,313,870ExclusionAmount

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total253085187Total

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total10324910Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total230354Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total44862Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total606140Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total400327Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total396481Total

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total38807Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total21024Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total62523Total

Insurance Insurance

FieldValueIRS element (for citing)
Total98093Total

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotal
OUTSIDE SERVICES400145
BANKING EXPENSE50620
MISCELLANEOUS12763

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total265772236Total

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY8666BOY
EOY809644EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY35612561BOY
EOY12648519EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY23476390BOY
EOY24279628EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY117683BOY
EOY663249EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis196315LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec120467LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY140721BOY
EOY75848EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY252426860BOY
EOY189861832EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
EOY69830213EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY8515439BOY
EOY8005664EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY320298320BOY
EOY306174597EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY857376BOY
EOY397595EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY142128364BOY
EOY135472150EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY142985740BOY
EOY135869745EOY
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)
BOY177312580BOY
EOY170304852EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY177312580BOY
EOY170304852EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY320298320BOY
EOY306174597EOY
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

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis196315OtherCostOrOtherBasis
Depreciation120467Depreciation
Book Value75848BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings75848TotalOfBookValueLandBuildings

Other Securities OtherSecurities (3 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
HEDGE FUND20377289F
COMMINGLED FUND28158563F
REAL ESTATE FUND21294361F
FieldValueIRS element (for citing)
Total Of Book Value Securities69830213TotalOfBookValueSecurities

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescriptionAmountAmount
PREMIUMS PAYABLE$17,214,737
CLAIMS PAYABLE AND IBNR$42,186,456
FUTURE BENEFIT LIABILITY$71,467,000
CAPITAL LEASE PAYABLE$67,866
RETIREE REFUND PAYABLE$4,536,091
FieldValueIRS element (for citing)
Total Of Amounts135472150TotalOfAmounts
Total Revenue257216776TotalRevenue
Total Expenses265772236TotalExpenses
Excess Or Deficit For Year-8555460ExcessOrDeficitForYear
Net Unrealized GL On Investments1547732NetUnrealizedGLOnInvestments
Total Adjustments1547732TotalAdjustments
Excess Or Deficit Per FS-7007728ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt258764508TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments1547732NetUnrealizedGainsInvestments
Revenue Not Rptd F9901547732RevenueNotRptdF990
Revenue Subtotal257216776RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form990257216776TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt265772236TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal265772236ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form990265772236TotalExpensesPerForm990

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierExplanationExplanation
Form 990, Part VI, Section A, line 3THE ORGANIZATION HAS DELEGATED CONTROL OVER MANAGEMENT DUTIES CUSTOMARILY PERFORMED BY OR UNDER THE DIRECT SUPERVISION OF OFFICERS, DIRECTORS, TRUSTEES OR KEY EMPLOYEES TO THE ADMINISTRATOR.
Form 990, Part VI, Section B, line 11THE TRUSTEES HAVE DESIGNATED THE ADMINISTRATOR TO REVIEW THE FORM 990 PRIOR TO SIGNING AND FILING.
Form 990, Part VI, Section B, line 12cIN CONNECTION WITH ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST, A TRUSTEE SHOULD DISCLOSE TO ALL OTHER TRUSTEES AND FUND COUNSEL THE EXISTENCE AND NATURE OF THE FINANCIAL INTEREST OR BENEFIT INVOLVED INCLUDING DISCLOSURE OF ALL MATERIAL FACTS ATTENDANT TO THE TRANSACTION.
Form 990, Part VI, Section C, line 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XII, LINE 2CTHE BOARD OF TRUSTEES ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF THE ORGANIZATION'S FINANCIAL STATEMENTS AND THE SELECTION OF THE INDEPENDENT AUDITOR.