2011-07-05T17:38:31-05:00 2010-08-31 HEMMING MORSE CPA'S AND CONSULTANTS 160 SPEAR STREET SUITE 1900 SAN FRANCISCO CA 94105 990 2009-09-01 941234856 CARPENTERS HEALTH AND WELFARE TRUST FUND FOR NORTHERN CALIFORNIA CARP 5106330333 265 HEGENBERGER ROAD No 100 OAKLAND CA 94621 GENE PRICE 5106330333 2011-07-05 1 4158364000 2009 2016-02-24 21:20:13Z 265 HEGENBERGER ROAD No 100 OAKLAND CA 94621 862646451 0 X N/A X 1953 CA SEE PART III LINE 4A 14 14 0 0 0 0 0 284951824 233723256 -17829655 10738720 10759309 12754800 277881478 257216776 0 259310773 253085187 0 0 0 13527111 12687049 272837884 265772236 5043594 -8555460 320298320 306174597 142985740 135869745 177312580 170304852 0 0 TO PROVIDE HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS COVERED BY COLLECTIVE BARGAINING AGREEMENTS BETWEEN EMPLOYERS AND THE UNION. 0 0 0 0 0 0 0 0 1 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 0 0 0 1 0 1184 0 0 0 0 0 0 0 0 0 0 14 14 0 1 0 0 0 0 0 1 1 0 0 1 1 0 1 1 1 0 0 0 X CARPENTERS ADMINISTRATIVE OFFICE 5106330333 265 HEGENBERGER ROAD SUITE 100 OAKLAND CA 94621 X DAVE HIGGINS SR 5.00 X 0 0 0 RANDY JENCO 5.00 X 0 0 0 roy van pelt 5.00 X 0 0 0 james losch 5.00 X 0 0 0 FRED WRIGHT 5.00 X 0 0 0 ROBERT ALVARADO 5.00 X 0 0 0 WILLIAM FEYLING 5.00 X 0 0 0 curtis kelly 5.00 X 0 0 0 ralf rubio 5.00 X 0 0 0 KENNETH MADERAZO 5.00 X 0 0 0 don dolly 5.00 X 0 0 0 JOSEPH R SANTUCCI 5.00 X 0 0 0 augie beltran 5.00 X 0 0 0 larry nibbi 5.00 X 0 0 0 0 0 0 0 0 0 0 CARPENTER FUNDS ADMINISTRATIVE OFFICE OF 265 HEGENBERGER RD SUITE 100 OAKLAND CA 94621 ADMINISTRATION 7179711 PRUDENT BUYER PO BOX 629 WOODLAND HILLS CA 91365 CLAIMS PROCESSING/ADMINISTRATION 1558598 DELTA DENTAL 100 1ST STREET 12TH FLOOR SAN FRANCISCO CA 94105 CLAIMS ADMINISTRATION 1134771 SEGAL CO 100 MONTGOMERY STREET SUITE 500 SAN FRANCISCO CA 94104 ACTUARIAL CONSULTANT 322327 ASSOCIATED THIRD PARTY ADMINISTRATORS 1640 SOUTH LOOP ROAD ALAMEDA CA 94502 CLAIMS ADMINISTRATION 250841 9 EMPLOYER CONTRIBUTIONS 900099 208795295 208795295 EMPLOYEE CONTRIBUTIONS 900099 24927961 24927961 233723256 8313870 8313870 607854525 605429675 2424850 2424850 2424850 REBATES AND REFUNDS 900099 12290464 12290464 other income 900099 404931 404931 lIQUIDATED DAMAGES 900099 59405 59405 12754800 257216776 248902906 0 8313870 253085187 10324910 230354 44862 606140 400327 396481 38807 21024 62523 98093 OUTSIDE SERVICES 400145 BANKING EXPENSE 50620 MISCELLANEOUS 12763 265772236 8666 809644 35612561 12648519 23476390 24279628 117683 663249 196315 120467 140721 75848 252426860 189861832 69830213 8515439 8005664 320298320 306174597 857376 397595 142128364 135472150 142985740 135869745 X 0 0 0 0 177312580 170304852 177312580 170304852 320298320 306174597 X 0 1 1 X 0 196315 120467 75848 75848 HEDGE FUND 20377289 F COMMINGLED FUND 28158563 F REAL ESTATE FUND 21294361 F 69830213 PREMIUMS PAYABLE 17214737 CLAIMS PAYABLE AND IBNR 42186456 FUTURE BENEFIT LIABILITY 71467000 CAPITAL LEASE PAYABLE 67866 RETIREE REFUND PAYABLE 4536091 135472150 257216776 265772236 -8555460 1547732 1547732 -7007728 258764508 1547732 1547732 257216776 0 257216776 265772236 0 265772236 0 265772236 Form 990, Part VI, Section A, line 3 THE 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 11 THE TRUSTEES HAVE DESIGNATED THE ADMINISTRATOR TO REVIEW THE FORM 990 PRIOR TO SIGNING AND FILING. Form 990, Part VI, Section B, line 12c IN 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 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XII, LINE 2C THE BOARD OF TRUSTEES ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF THE ORGANIZATION'S FINANCIAL STATEMENTS AND THE SELECTION OF THE INDEPENDENT AUDITOR.