2023-11-14T22:35:36-06:00 2022-12-31 MILLER KAPLAN ARASE LLP 275 BATTERY ST STE 1800 SAN FRANCISCO CA 941113346 990 2022-01-01 946173454 NORTHERN CALIFORNIA TILE INDUSTRY HEALTH AND WELFARE PLAN % BENESYS ADMINISTRATORS NORT 9252089995 7180 KOLL CENTER PKWY STE 200 PLEASANTON CA 94566 RICHARD ROMANSKI TRUSTEE 9252089995 2023-11-13 true RICHARD ROMANSKI 999009999 Jesse Ward P02011441 4159563600 2022 2023-04-26 12:10:37Z RICHARD ROMANSKI 7180 KOLL CENTER PKWY STE 200 PLEASANTON CA 94566 16656654 false X N/A X 1966 CA TO PROVIDE MEDICAL, DENTAL,VISION PRESCRIPTION DRUGS, LIFE AND ACCIDENTAL DEATH AND DISMEMBERMENT BENEFITS FOR ACTIVE AND RETIREE MEMBERS AND THEIR DEPENDENTS. 12 12 0 0 0 0 0 0 13268358 9911725 920497 298297 65053 0 14253908 10210022 0 0 12000419 10265769 0 0 0 0 0 707429 670654 12707848 10936423 1546060 -726401 25692381 23266289 4284607 3868642 21407774 19397647 TO PROVIDE MEDICAL, DENTAL, VISION, PRESCRIPTION DRUGS, LIFE AND ACCIDENTAL DEATH AND DISMEMBERSHIP BENEFITS FOR ACTIVE AND RETIREE MEMBERS AND THEIR DEPENDENTS. false false TO PROVIDE MEDICAL, DENTAL, VISION, PRESCRIPTION DRUGS, LIFE AND ACCIDENTAL DEATH AND DISMEMBERSHIP BENEFITS FOR ACTIVE AND RETIREE MEMBERS AND THEIR DEPENDENTS. false false false false false false false false false true false false true true true false false false false false false false false false false false false false false false false false false false false false false false false true false false true 10 0 false 0 false false false false false false false false 12 12 false false false false false false false true true false false true false false true false false false X BENESYS ADMINISTRATORS 9252089999 7180 KOLL CENTER PKWY STE 200 PLEASANTON CA 94566 JORDAN O'BRIEN TRUSTEE 5.0 0.0 X 0 0 0 TROY GARLAND TRUSTEE 5.0 0.0 X 0 0 0 STEVE VOGEL TRUSTEE 5.0 0.0 X 0 0 0 RICHARD HILL ESQ TRUSTEE 5.0 0.0 X 0 0 0 RICH DELLA MAGGIORE TRUSTEE 5.0 0.0 X 0 0 0 DAVID NEWMAN TRUSTEE 5.0 0.0 X 0 0 0 RICHARD ROMANSKI TRUSTEE 5.0 0.0 X 0 0 0 RYAN HAGAN TRUSTEE 5.0 0.0 X 0 0 0 DORSEY HELLUMS TRUSTEE 5.0 0.0 X 0 0 0 DAVID JACKSON TRUSTEE 5.0 0.0 X 0 0 0 RICHARD PAPAPIETRO JR TRUSTEE 5.0 0.0 X 0 0 0 0 0 0 0 false false false BENESYS ADMINISTRATORS INC 7180 KOLL CENTER PKWY STE 200 PLEASANTON CA 94566 ADMINISTRATION 168466 1 0 EMPLOYER CONTRIBUTIONS 900099 9557769 9557769 PARTICIPANT CONTRIBUTIONS 900099 353956 353956 9911725 565757 565757 0 0 0 0 0 6179172 6446632 -267460 -267460 -267460 0 0 0 0 0 0 0 0 0 0 10210022 9911725 298297 0 0 0 10265769 0 0 0 0 0 0 168466 127075 23059 0 0 64482 151334 0 35953 0 0 0 0 0 30277 0 0 0 29328 BANK FEES 28309 MISCELLANEOUS EXPENSES 12371 10936423 0 0 3968841 4347740 0 0 1164940 963594 0 0 0 0 0 0 0 0 0 0 0 0 7088574 5617323 13333445 12201051 0 0 0 0 136581 136581 25692381 23266289 90407 42101 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4194200 3826541 4284607 3868642 X 0 0 0 0 21407774 19397647 21407774 19397647 25692381 23266289 -726401 -1283726 X X false true X true false COMMON COLLECTIVE TRUST 1318496 F LIMITED PARTNERSHIPS 10882555 F 12201051 0 BENEFIT OBLIGATIONS 3377347 DUE TO OTHER TRUSTS 449194 3826541 X 8926296 -1283726 -1283726 10210022 10210022 11398142 11398142 -461719 -461719 10936423 PART X, LINE 2: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE TRUST AND RECOGNIZE A TAX LIABILITY IF THE TRUST HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY A TAX AUTHORITY. THE TRUST IS SUBJECT TO ROUTINE AUDITS BY TAXING JURSDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIOD IN PROGRESS. PART XII, LINE 4B: CHANGE IN BENEFIT OBLIGATIONS. PART VI, LINE 11B: FORM 990 IS REVIEWED BY THE BOARD OF TRUSTEES, AFTER APPROVAL OF THE AUDITED FINANCIAL STATEMENTS. PART VI, LINE 19: ORGANIZATIONAL DOCUMENTS AND FINANCIAL INFORMATION ARE AVAILABLE BY APPOINTMENT AT THE ADMINISTRATORS OFFICE. PART XII, LINE 2: THE BOARD OF TRUSTEES APPROVE THE AUDITED FINANCIAL STATEMENTS AT THEIR TRUSTEES MEETING. THE ANNUAL AUDITOR'S ENGAGEMENT ARE APPROVED ANNUALLY BY THE BOARD OF TRUSTEES. PART VI, SECTION A, LINE 3: THE ORGANIZATION DELEGATES CONTROL OVER MANAGEMENT DUTIES CUSTOMARILY PERFORMED BY UNDER THE DIRECT SUPERVISION OF OFFICERS, DIRECTORS OR TRUSTEES, OR KEY EMPLOYEES TO THE CONTRACT ADMINISTRATOR, BENESYS ADMINISTRATORS. PART VI, SECTION C, LINE 19: THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC, UPON REQUEST BY ITS MEMBERS. PART VII, SECTION A, LINE 1A: TRUSTEES ARE NOT COMPENSATED BY THE PLAN. COMPENSATION PAID TO TRUSTEES EMPLOYED BY OTHER RELATED ORGANIZATIONS IS REPORTED ON THE FORM 990 FILED WITH THE IRS BY THE RELATED ORGANIZATIONS. NO CA TILE INDUSTRY DEFINED BENEFIT PLAN 7180 KOLL CENTER PKWY STE 200 PLEASANTON CA 94566 946129121 DB PLAN CA 401 (A) NA false NO CA TILE INDUSTRY DEFINED CONTRIBUTION 7180 KOLL CENTER PKWY STE 200 PLEASANTON CA 94566 946129121 DC PLAN CA 401 (B) NA false NO CA TILE INDUSTRY VACATION AND HOLIDAY 7180 KOLL CENTER PKWY STE 200 PLEASANTON CA 94566 800560254 VACATION PLAN CA 501 (C)(9) NA false SEE SUPPLEMENTAL INFORMATION N/A SEE SUPPLEMENTAL INFORMATION SEE SUPPLEMENTAL INFORMATION N/A false false false false false false false false false false false false false false false false false true true PARTS II, III AND IV: THE FILING ORGANIZATION PROVIDES HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS. THE ADMINISTRATIVE OFFICE MAINTAINS A DATABASE OF THE CONTRIBUTING EMPLOYERS AND SPONSORING ORGANIZATIONS, INCLUDING NAMES, ADDRESSES AND OTHER CONTACT INFORMATION. THE ADMINISTRATIVE OFFICE DOES NOT MAINTAIN THE FEDERAL TAX CLASSIFICATION OF EACH EMPLOYER. PLEASE CONTACT THE ADMINISTRATIVE OFFICE IF YOU HAVE ANY QUESTIONS.