2015-04-01T16:19:52-05:00 2014-05-31 562552172 INEICH & COMPANY LLP 950 TOWER LANE SUITE 780 FOSTER CITY CA 94404 990 2013-06-01 946077924 SAN MATEO ELECTRICAL WORKERS HEALTH PLAN ELEC 4082884400 6800 SANTA TERESA BOULEVARD STE 100 SAN JOSE CA 95119 WILLIAM KUHR TRUSTEE, CHAIRMAN 4082884400 2015-03-26 1 MICHAEL T SAVASTA P01259186 6505738007 X 2013 2016-02-25 16:41:14Z WILLIAM KUHR 6800 SANTA TERESA BOULEVARD SUITE 100 SAN JOSE CA 95119 27097225 0 X IBEW617BENEFITS.COM X 1953 CA PROVIDE HEALTH BENEFITS TO PARTICIPANTS 8 8 0 0 0 0 0 0 16076474 16838403 68428 136253 700194 625548 16845096 17600204 0 0 14271047 14989369 0 0 0 0 0 604725 659862 14875772 15649231 1969324 1950973 14073088 17239826 8360754 9579997 5712334 7659829 TO PROVIDE HEALTH BENEFITS TO PARTICIPANTS 0 0 14989369 16870892 PROVIDE HEALTH BENEFITS TO PARTICIPANTS 14989369 0 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 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 X 8 8 0 0 0 0 0 0 0 1 1 0 0 1 1 1 0 1 1 0 0 0 CA X UNITED ADMINISTRATIVE SERVICES 4082884400 6800 SANTA TERESA BOULEVARD SUITE SAN JOSE CA 95119 X DAN PASINI TRUSTEE 5.00 X 0 0 0 STEVE PELLIZZARI TRUSTEE 5.00 X 0 0 0 DOMINIC NOLAN TRUSTEE 5.00 X 0 0 0 MARK LEACH TRUSTEE 5.00 X 0 0 0 JOHN VALDEZ TRUSTEE 5.00 X 0 0 0 TIM LYNCH TRUSTEE 5.00 X 0 0 0 MATT DAVEY TRUSTEE 5.00 X 0 0 0 WILLIAM KUHR TRUSTEE, CHAIRMAN 5.00 X 0 0 0 DAVID SIGNORELLO TRUSTEE 5.00 X 0 0 0 0 0 0 0 0 0 0 0 EMPLOYER CONTRIBUTIONS 230000 16147438 16147438 PARTICIPANT CONTRIBUTIO 230000 690965 690965 16838403 103764 103764 9529510 9497021 32489 32489 32489 STOP LOSS REIMBURSEMENTS 230000 625548 625548 625548 17600204 16870892 0 729312 14989369 14989369 44552 44552 39205 39205 32542 32542 17480 17480 ADMINSTRATION FEES 282057 282057 BENEFIT FEES 120772 120772 CONSULTING & ACTUARY 69300 69300 POSTAGE & PRINTING 28584 28584 25370 25370 15649231 14989369 659862 0 474264 6966532 4989457 2121068 2304349 2050995 8677 16267 5748902 5718058 547439 366906 14073088 17239826 46032 55469 8314722 9524528 8360754 9579997 X 0 0 0 0 5712334 7659829 5712334 7659829 14073088 17239826 1950973 -3478 0 X 0 1 X 1 0 0 BENEFIT OBLIGATIONS 9048617 RECIPROCITY CONTRIBUTION PAYABLE 333605 CONTRIBUTIONS RECEIVED IN ADVANCE 142306 9524528 17564184 -3478 -3478 17567662 32542 32542 17600204 14445732 0 14445732 32542 1170957 1203499 15649231 PART XII, LINE 4B - OTHER ADJUSTMENTS: CHANGE IN ACCRUED BENEFIT OBLIGATIONS FORM 990, SCHEDULE D,PART XII, LINE 4B P FORM 990, PART VI, SECTION B, LINE 11 PROCESSED TO REVIEW FORM 990; THE FORM 990 IS PREPARED BY THE PLAN'S AUDITOR (CPA FIRM) BASED ON THE PLAN'S FINANCIAL STATEMENT AUDIT. THE COMPLETED FORM 990 IS FORWARDED TO ALL TRUSTEES FOR REVIEW. 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. SAN MATEO COUNTY ELECTRICAL CONSTRUCTION INDUSTRY RET PLAN 6800 SANTA TERESA BOULEVARD SUITE 1 SAN JOSE CA 95119 516052127 MULTI EMPLOYER D C PENSION PLAN TO PROVIDE BENEFITS TO PARTICIPANTS 401 0 ACS CONTROLS 4704 ROSEVILLE RD STE 101 NORTH HIGHLANDS CA 95660 710974205 0 0 AIR SYSTEMS 940 REMILLANCE COURT SAN JOSE CA 95122 651174056 0 0 ALTAS PELLIZZAR & ELECT 450 HOWLAND STREET REDWOOD CITY CA 94063 942523832 0 0 AMS ELECTRIC INC 6905 SIERRA COURT DUBLIN CA 94568 562422903 0 0 ARTISTIC LIGHTING & ELECT PO BOX 5488 NOVATO CA 94948 942526447 0 0 ASF ELECTRIC INC 76 HILL STREET DALY CITY CA 94014 943234760 0 0 BAKER ELECTRIC 1298 PACIFIC OAKS PLACE ESCONDIDO CA 92029 951853701 0 0 BASS ELECTRIC 390 SWIFT AVENUE 12 S SAN FRANCISCO CA 94080 943314259 0 0 BECKER TECH SERVICES INC 125 MORSE STREET SAN FRANCISCO CA 94112 800292564 0 0 BELTRAMO ELECTRIC INC PO BOX 416 SAN MARTIN CA 95046 770579266 0 0 BELYCO INC 11425 CULL CANYON RD CASTRO VALLEY CA 94552 943067211 0 0 BEST ELECTRICAL CO INC 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