2011-11-09T11:54:33-06:00 2010-12-31 LINDQUIST LLP 5000 EXECUTIVE PARKWAY SUITE 400 SAN RAMON CA 945834210 990 2010-01-01 412261950 DISTRICT COUNCIL 16 NORTHERN CALIFORNIA HEALTH AND WELFARE TRUST FUND DIST 5104334400 1640 SOUTH LOOP ROAD ALAMEDA CA 945027089 DOUG CHRISTOPHER 5104334400 2011-11-09 1 9252779100 2010 2016-03-07 17:11:31Z 1640 SOUTH LOOP ROAD ALAMEDA CA 945027089 68925090 0 X HTTP://WWW.DC16TRUSTFUND.ORG X 2008 CA TO PROVIDE HEALTH AND WELFARE BENEFITS. 8 8 423 0 0 0 0 0 60025218 60480513 1156861 159707 94753 34263 61276832 60674483 0 0 65142908 57253909 0 0 0 0 0 3312578 3457366 68455486 60711275 -7178654 -36792 20323018 16483269 32433762 28500690 -12110744 -12017421 TO PROVIDE HEALTH AND WELFARE BENEFITS. 0 0 PROVIDED HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR BENEFICIARIES. 0 0 0 0 0 0 0 0 0 0 0 0 1 0 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 0 1 199 0 1 423 1 0 0 0 0 0 0 X 8 8 0 1 0 0 0 0 0 1 1 0 0 1 1 0 0 1 1 0 0 0 X ASSOCIATED THIRD PARTY ADMINISTRATO 5104334400 1640 SOUTH LOOP ROAD ALAMEDA CA 945027089 X DOUG CHRISTOPHER 1.00 X 0 0 0 TIM DAVIS - PAST 1.00 X 0 0 0 LES PROTEAU 1.00 X 0 0 0 JOHN SHERAK 1.00 X 0 0 0 JOHN MAGGIORE 1.00 X 0 0 0 CARL BIGGS - PAST 1.00 X 0 0 0 MARIAN BOURBOULIS 1.00 X 0 0 0 STEVE ROSSA - PAST 1.00 X 0 0 0 CHRIS CHRISTOPHERSEN 1.00 X 0 0 0 DARYL STACY 1.00 X 0 0 0 STEVE LYON - ALTERNATE 1.00 X 0 0 0 JOHN KUSPER - ALTERNATE 1.00 X 0 0 0 0 0 0 0 0 0 0 ASSOCIATED THIRD PARTY ADMINISTRATORS 1640 SOUTH LOOP ROAD ALAMEDA CA 94502 FUND ADMINISTRATION 1497973 ANTHEM BLUE CROSS 700 BROADWAY DENVER CO 80273 COST CONTAINMENT 509405 SALTZMAN AND JOHNSON 44 MONTGOMERY STREET SUITE 2110 SAN FRANCISCO CA 94104 ATTORNEY 434035 LINDQUIST LLP 5000 EXECUTIVE PARKWAY SUITE 400 SAN RAMON CA 94583 AUDIT 419268 DELTA DENTAL 12898 TOWNE CENTER DRIVE CERRITOS CA 90703 DENTAL CLAIMS PROCESSING 273453 6 EMPLOYER CONTRIBUTIONS 900099 47229436 47229436 PARTICIPANT CONTRIBUTI 900099 8783172 8783172 STOP LOSS REIMBURSEMEN 900099 2295531 2295531 COBRA STIMULUS INCOME 900099 1104925 1104925 RETIREE DRUG SUBSIDY 900099 365414 365414 702035 702035 60480513 150693 150693 8259621 8250607 9014 9014 9014 OTHER INCOME 900099 34263 34263 34263 60674483 60514776 0 159707 57253909 1456071 434035 429983 10506 971008 114341 2056 3916 35450 60711275 3621109 4021490 505635 2514892 5560125 7541627 17607 10090634 1898542 527908 506718 20323018 16483269 292163 7807138 592551 544911 31549048 20148641 32433762 28500690 X 0 0 0 0 -12110744 -12017421 -12110744 -12017421 20323018 16483269 X -36792 130115 X X 0 1 1 X 0 0 ACCUMULATED ELIGIBILITY CREDITS 14559863 BENEFIT CLAIMS PAYABLE & IBNR 5430000 DUE TO ANNUITY PLAN 64664 EMPLOYER BOND DEPOSITS 94114 20148641 60674483 60711275 -36792 130115 -3852017 -3721902 -3758694 60794092 130115 130115 60663977 10506 10506 60674483 64552786 0 64552786 10506 -3852017 -3841511 60711275 PART XI, LINE 8 - OTHER ADJUSTMENTS: CHANGE IN BENEFIT OBLIGATIONS PART XIII, LINE 4B - OTHER ADJUSTMENTS: CHANGE IN BENEFIT OBLIGATIONS FORM 990, PART VI, SECTION A, LINE 3 THE TRUST HAS CONTRACTED WITH ASSOCIATED THIRD PARTY ADMINISTRATORS TO PROVIDE ADMINISTRATIVE SERVICES FOR THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 11 A COPY OF FORM 990 IS PROVIDED TO THE ORGANIZATION'S GOVERNING BODY FOR REVIEW BEFORE FILING. 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 OVERSIGHT OF THE AUDIT AND SELECTION OF THE INDEPENDENT ACCOUNTANT. FORM 990, PART XI, LINE 5, CHANGE IN NET ASSETS: NET UNREALIZED GAINS ON INVESTMENT: $130,115 FORM 990, PART V, LINE 2A: THE ORGANIZATION HAS NO EMPLOYEES. HOWEVER, THE ORGANIZATION ISSUES FORM W-2 TO PARTICIPANTS THAT RECEIVE TAXABLE BENEFITS.