2011-12-02T18:33:44-06:00 2011-01-31 LINDQUIST LLP 5000 EXECUTIVE PARKWAY SUITE 400 SAN RAMON CA 94583 990 2010-02-01 946085742 SOLANO-NAPA HEALTH AND WELFARE TRUST FUND SOLA 9252089999 2610 CROW CANYON ROAD NO 200 SAN RAMON CA 94583 DAN R BROADWATER 9252089999 2011-12-02 1 9252779100 2010 2016-02-24 21:20:13Z DAN R BROADWATER 2610 CROW CANYON ROAD NO 200 SAN RAMON CA 94583 8030390 0 X N/A X 1954 CA TO PROVIDE HEALTH AND WELFARE BENEFITS TO PARTICIPANTS AND THEIR DEPENDENTS. 9 9 0 0 0 0 0 0 6681895 8012315 91389 18075 0 0 6773284 8030390 0 0 5808272 6884763 8875 5086 0 0 0 337536 382002 6154683 7271851 618601 758539 9289350 10406869 1822378 2181358 7466972 8225511 TO PROVIDE HEALTH AND WELFARE BENEFITS TO PARTICIPANTS AND THEIR DEPENDENTS. 0 0 THE PLAN PROVIDED MEDICAL, DENTAL, AND LIFE INSURANCE BENEFITS TO ITS PARTICIPANTS AND THEIR DEPENDENTS 0 0 0 0 0 0 0 0 0 0 0 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 1 0 0 0 1 207 0 1 0 0 0 0 0 0 0 X 9 9 0 1 0 0 0 0 0 1 1 0 0 1 1 0 0 1 1 0 0 0 X BENESYS INC 9252089999 2610 CROW CANYON ROAD SUITE 200 SAN RAMON CA 94583 JESS ZUNIGA 1.00 X 0 0 0 DEAN LLOYD 1.00 X 1567 0 0 RANDY BARACOSA 1.00 X 0 0 0 DAN BROADWATER 1.00 X 0 0 0 DON CAMPBELL 1.00 X 0 0 0 RUBEN PEREZ 1.00 X 0 0 0 STANLEY NELSON 1.00 X 0 0 0 HERB WATTS 1.00 X 742 0 0 GREG ARMSTRONG 1.00 X 0 0 0 DAVID DOSS 1.00 X 3144 0 0 5453 0 0 0 0 0 0 BENESYS INC 2610 CROW CANYON ROAD SAN RAMON CA 94583 THIRD PARTY ADMINISTRATOR 178615 1 EMPLOYER CONTRIBUTIONS 900099 7593853 7593853 PARTICIPANT CONTRIBUTI 900099 337692 337692 COBRA SUBSIDY INCOME 900099 80770 80770 8012315 18075 18075 8030390 8012315 0 18075 6884763 5086 168420 29585 65262 7832 39716 46883 10388 13916 7271851 1147742 220687 7644756 8962515 488493 737453 8359 486214 9289350 10406869 108378 93358 1714000 2088000 1822378 2181358 X 0 0 0 0 7466972 8225511 7466972 8225511 9289350 10406869 758539 0 X 0 0 0 0 ACCUMULATED ELIGIBILITY CREDITS 2088000 2088000 FORM 990, PART VI, SECTION A, LINE 3 THE TRUST HAS CONTRACTED WITH BENESYS, INC TO PROVIDE ADMINISTRATIVE SERVICES FOR THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 11 A COPY OF THE FORM 990 IS PROVIDED TO EACH MEMBER OF THE GOVERNING BODY FOR REVIEW PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL INFORMATION AVAILABLE UPON REQUEST. FORM 990, PART VI: FORM 990, PART IV, LINE 12: THE SOLANO NAPA HEALTH AND WELFARE TRUST FUND CONSISTS OF TWO PLANS. THE INDIVIDUAL PLANS HAVE AUDITED FINANCIAL STATEMENTS, HOWEVER THE TRUST DOES NOT. SOLANO-NAPA COUNTIES ELECTRICAL WORKERS PENSION PLAN 2610 CROW CANYON ROAD SUITE 200 SAN RAMON CA 94583 946220673 TO PROVIDE PENSION BENEFITS TO MEMBERS CA 501(A) N/A N/A 0 SOLANO-NAPA COUNTIES ELECTRICAL WORKERS PROFIT SHARING PLAN 2610 CROW CANYON ROAD SUITE 200 SAN RAMON CA 94583 946220673 TO PROVIDE PENSION BENFITS TO MEMBERS CA 501(A) N/A N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0