2024-05-02T11:41:08-05:00 2023-06-30 WITHUMSMITHBROWNPC 5000 EXECUTIVE PARKWAY SUITE 400 SAN RAMON CA 94583 990 2022-07-01 946251593 NORTHERN CALIFORNIA PLASTERERS HEALTH AND WELFARE TRUST FUND % HEALTH SERVICES&BENEFIT ADMI NORT 9258337300 4160 DUBLIN BLVD Suite 400 DUBLIN CA 94568 NANCY BRINKERHOFF CHAIR 9258337300 2024-04-28 true NANCY BRINKERHOFF 999009999 SUNYOUNG BAEK P01451883 9252779100 2 2022 2023-04-26 12:10:37Z NANCY BRINKERHOFF 4160 DUBLIN BLVD 400 DUBLIN CA 94568 15741280 false X N/A X 1953 CA TO PROVIDE HEALTH AND WELFARE BENEFITS TO PARTICIPANTS AND THEIR DEPENDENTS IN THIS MULTIEMPLOYER PLAN. 8 0 0 0 0 0 0 0 11823553 10746033 1883472 198611 0 0 13707025 10944644 0 0 11603821 10789312 0 0 0 0 0 574771 627824 12178592 11417136 1528433 -472492 25275521 24365240 7635509 6665705 17640012 17699535 TO PROVIDE HEALTH AND WELFARE BENEFITS TO PARTICIPANTS AND THEIR DEPENDENTS IN THIS MULTIEMPLOYER PLAN. false false PROVIDED HEALTH AND WELFARE BENEFITS TO PARTICIPANTS AND THEIR DEPENDENTS IN THIS MULTIEMPLOYER PLAN. false false false false false false false false false false 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 3 0 true 0 false false false false false false false false X 8 0 false true false false false false false true false false false true false false false false false false CA X HEALTH SERVICESBENEFIT ADMI 9258334337 4160 DUBLIN BLVD SUITE 400 DUBLIN CA 94568 X NANCY BRINKERHOFF CHAIR 1.0 0.0 X X 0 0 0 EMILIO ALDANA CO-CHAIR & SECRETARY 1.0 0.0 X X 0 0 0 SHAWNA ALVARADO TRUSTEE 1.0 0.0 X 0 0 0 ROGER HENLEY TRUSTEE 1.0 0.0 X 0 0 0 CALEB MATHENY TRUSTEE 1.0 0.0 X 0 0 0 JAMES RUANE TRUSTEE 1.0 0.0 X 0 0 0 ISRAEL VARGAS TRUSTEE 1.0 0.0 X 0 0 0 MARSHALL VASQUEZ TRUSTEE 1.0 0.0 X 0 0 0 SEE SCH O FOR COMPENSATION PAID BY RELATED ORGANIZATIONS 0.0 0.0 X 0 0 0 0 0 0 0 false false false HSBA 4160 Dublin Blvd Suite 400 DUBLIN CA 94568 CONTRACT ADMIN 169563 WITHUMSMITHBROWN PC 5000 EXECUTIVE PARKWAY STE 400 SAN RAMON CA 94583 AUDITING 107175 2 0 EMPLOYER CONTRIBUTIONS 525100 10068882 10068882 PARTICIPANT CONTRIBUTIONS 525100 675736 675736 LIQUIDATED DAMAGES AND OTHER INCOME 525100 1415 1415 10746033 943402 943402 0 0 0 0 0 4051845 4796636 -744791 -744791 -744791 0 0 0 0 0 0 0 0 0 0 10944644 10746033 0 198611 0 0 0 10789312 0 0 0 0 0 0 171305 49626 136919 0 0 47838 132205 0 49044 0 0 0 0 0 26973 0 0 0 12625 MISCELLANEOUS 1289 11417136 5880887 4212956 90522 65542 0 0 1118993 1187165 0 0 0 0 0 0 0 0 11350 9704 0 0 18173769 18889873 0 0 0 0 0 0 0 0 25275521 24365240 72522 64382 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7562987 6601323 7635509 6665705 X 0 0 0 0 0 0 17640012 17699535 25275521 24365240 -472492 532015 X false true X true false 0 ACCUMULATED ELIGIBILITY CREDITS 4749000 DUE TO RELATED ENTITIES 1836641 CLAIMS PAYABLE AND IBNR 15682 PREMIUM PAYABLE 0 6601323 X 11428821 532015 532015 10896806 47838 47838 10944644 12139677 12139677 47838 -770379 -722541 11417136 PART X LINE 2: THE PLAN'S ADMINISTRATOR HAS ANALYZED THE TAX POSITIONS TAKEN BY THE PLAN AND HAS CONCLUDED THAT, AS OF JUNE 30, 2023 and 2022, THERE ARE NO UNCERTAIN POSITIONS TAKEN, OR EXPECTED TO BE TAKEN, THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY THE TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. PART XII, LINE 4B - OTHER ADJUSTMENTS: CHANGE IN BENEFIT OBLIGATIONS FORM 990, PART VI, SECTION A, LINE 3 THE GOVERNING BODY HAS APPOINTED MANAGEMENT DUTIES TO A THIRD-PARTY ADMINISTRATOR. FORM 990, PART VI, SECTION A, LINE 8B: THE ORGANIZATION DOES NOT HAVE A COMMITTEE WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B: THE 990 IS REVIEWED BY TRUSTEES PRIOR TO FILING. FORM 990, PART VI, SECTION C, LINE 19: THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VII, SECTION A, LINE 1A: TRUSTEES ARE NOT COMPENSATED BY THE TRUST. COMPENSATION PAID TO TRUSTEES EMPLOYED BY OTHER RELATED ORGANIZATIONS IS REPORTED ON THE FORM 990 FILED WITH THE INTERNAL REVENUE SERVICE BY THE TAX EXEMPT ORGANIZATIONS. IF YOU WOULD LIKE ADDITIONAL INFORMATION, PLEASE CONTACT THE ADMINISTRATOR. FORM 990, PART XII, LINE 2C THE BOARD OF TRUSTEES ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED. NORTHERN CALIFORNIA PLASTERERS PENSION P 4160 DUBLIN BLVD SUITE 400 DUBLIN CA 94588 946129382 SEE PART VII CA 501A N/A NA false PLASTERERS LOCAL 66 RETIREMENT PLAN 4160 DUBLIN BLVD SUITE 400 DUBLIN CA 94588 946273369 SEE PART VII CA 501A N/A NA false PLASTERERS & CEMENT MASONS LOCAL 300 8400 ENTERPRISE WAY SUITE 111 OAKLAND CA 94621 943249920 UNION CA 501(C)5 N/A NA false PLASTERERS LOCAL 66 39 SOUTH LINDEN AVENUE S SAN FRANCSICO CA 94080 946243230 UNION CA 501(C)5 N/A NA false false false false false false false false false false false false false false false false false false SCHEDULE R, IDENTIFICATION OF RELATED ORGANIZATIONS: THE FILING ORGANIZATION IS A TAFT-HARTLEY MULTIEMPLOYER TRUST THAT PROVIDES HEALTH AND WELFARE BENEFITS TO ELIGIBLE EMPLOYEES AND THEIR DEPENDENTS. AS OF JUNE 30, 2023, THERE ARE APPROXIMATELY 88 EMPLOYERS THAT CONTRIBUTE TO THE TRUST. THE ADMINISTRATIVE OFFICE MAINTAINS A DATABASE OF THESE CONTRIBUTING EMPLOYERS, INCLUDING NAMES, ADDRESSES AND OTHER CONTACT INFORMATION. THE FEDERAL TAX CLASSIFICATION (DISREGARDED ENTITY, TAX EXEMPT ORGANIZATION, PARTNERSHIP, TAXABLE CORPORATION OR TRUST) FOR EACH CONTRIBUTING EMPLOYER IS NOT ON FILE WITH THE ADMINISTRATIVE OFFICE AND IT COULD NOT BE REASONABLY OBTAINED. AS A RESULT, THE NAMES OF THE CONTRIBUTING EMPLOYERS ARE REPORTED ON PART VII BELOW AND NOT ON PARTS II THROUGH IV BY FEDERAL TAX CLASSIFICATION. A GOOD SIGN & GRAPHICS CO. ACCURATE FIRESTOP INC. ADAMS POOL SOLUTIONS ALB INC. ALCAL SPECIALTY CONTRACT AMERICAN NATIONAL INSULATION ANNING JOHNSON COMPANY APPLIED RESTORATION INC. BERG PLASTERING LLC BEST CONTRACTING BOYETT CONSTRUCTION INC. BRADY WEST INC. BRUNK INDUSTRIAL D.A.S BURKETT'S POOL DAS CALIFORNIA DRYWALL CO CALIFORNIA PLUS ENGINEERING INC CARNEY'S PLASTERING CELL CRETE FIRE PROOF CLASSIC FINISHES LLC CUSTOM SPRAY SYSTEMS D.H. SMITH CO INC. DAS DALEY'S DRYWALL TAPING DEPT OF CORRECTIONS & REHABILITATION DEPT OF GENERAL SERVICES DMS DRYWALL & INTERIOR SYSTEMS, INC. DW COATINGS LLC ELITE PLASTERING EVERGREENE ARCHITECTURAL EVERGREENE PAINTING STUDIO F.C. BICKERT CO **DAS** F-3 FIREPROOFING INC FREAS PLASTERING COMPANY FREY INCORPORATED FRIIS PLASTERING - NON BARGAINING GIAMPOLINI CO. GORDON PLASTERING INC. HARRISON DRYWALL HARTLEY CONSTRUCTION INC. HENLEY & CO HINDS BROTHERS CO INC IRONWOOD COMMERCIAL BUILD J J ACOUSTICS INC JACKSON QUALITY DRYWALL JAMES ISLAND PLASTERING JOHN JORY CORPORATION JRP DRYWALL SYSTEMS, INC. KARSYN CONSTRUCTION KHS & S CONTRACTORS INC LEVEL 5, INC MAGNUM DRYWALL METCALF, INC. MIRAGE BUILDERS INC NATIONAL PLASTERING INDUSTRY'S NEVELL GROUP INC NEVELL-STANDARD J.V., LLC NORTHSTAR CONTRACTING GRP OAKLAND HOUSING AUTHORITY O'DONNELL PLASTERING INC OLEA PLASTERING OPCMIA LOCAL 300 PACIFIC WEST LATH PATRICK J RUANE INC PERFORMANCE CONTRACTING PLASTERERS CEMENT 797 PLASTERERS CEMENT JATC - NB 300 PLASTERERS CEMENT JATC - NB 66 PLASTERERS LOCAL 66 PLASTERERS MGMT COMMITTEE PLATINUM INSULATION, INC. PLAZO CONSTRUCTION RAYMOND NORTHERN CALIFORNIA INC REX ALVERA PLASTERING D.A.S RFJ MEISWINKEL CO ROBERT BOEGER ROLLING PLAINS CONSTRUCT RUTHERFORD CO. INC. S & H PLASTERING, INC. S.P.E. SERVICE PLASTERING II STITSER DRYWALL SUPERIOR STUCCO *DAS* TARLTON & SON INC VALDEZ PLASTERING, INC. WESTERN PARTITIONS INC WESTERN WATERPROOFING COR RAY PAINTING CO. BRADY CO CENTRAL CA INC OLEA PLASTERING SCHEDULE R, PART II, (B) PRIMARY ACTIVITY INDUSTRIAL CARPENTERS AND PRECAST PENSION PLAN: TO PROVIDE PENSION BENEFITS TO THE PARTICIPANTS. CARPENTERS LOCAL 2236: TO IMPROVE WELFARE AND WORKING CONDITIONS OF MEMBERS.