2024-03-22T18:22:05-05:00 2023-05-31 562552172 INEICH & COMPANY LLP 950 TOWER LANE SUITE 780 FOSTER CITY CA 94404 990 2022-06-01 946077924 SAN MATEO ELECTRICAL WORKERS HEALTH PLAN ELEC 4082884400 6800 SANTA TERESA BOULEVARD STE 10 SAN JOSE CA 95119 WILLIAM KUHR TRUSTEE, CHAIRMAN 4082884400 2024-03-22 1 WILLIAM KUHR 999009999 0 MICHAEL T SAVASTA P01259186 6505738007 X 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z WILLIAM KUHR 6800 SANTA TERESA BOULEVARD SUITE 100 SAN JOSE CA 95119 96842484 0 X IBEW617BENEFITS.COM X 1953 CA PROVIDE HEALTH BENEFITS TO PARTICIPANTS 8 8 0 0 0 0 0 0 33386702 34601716 888291 972238 913353 610223 35188346 36184177 0 0 30922063 32125886 0 0 0 0 0 1541103 1476799 32463166 33602685 2725180 2581492 80228048 82350444 21031211 21822863 59196837 60527581 TO PROVIDE HEALTH BENEFITS TO PARTICIPANTS 0 0 32125886 34601716 PROVIDE HEALTH BENEFITS TO PARTICIPANTS 32125886 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 10 0 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 ABE TALAKAI TRUSTEE 5.00 X 0 0 0 BRIAN IWASHITA TRUSTEE 5.00 X 0 0 0 DAVID CHAD TRUSTEE 5.00 X 0 0 0 TIM LYNCH TRUSTEE 5.00 X 0 0 0 SCOTT WEIN TRUSTEE 5.00 X 0 0 0 WILLIAM KUHR TRUSTEE, CHAIRMAN 5.00 X 0 0 0 DAVE MAURO TRUSTEE 5.00 X 0 0 0 0 0 0 0 0 0 0 0 EMPLOYER CONTRIBUTIONS 230000 33837094 33837094 PARTICIPANT CONTRIBUTIO 230000 764622 764622 34601716 2084929 2084929 59545616 60658307 -1112691 -1112691 -1112691 STOP LOSS REIMBURSEMENTS 230000 610223 610223 610223 36184177 34601716 0 1582461 32125886 32125886 20220 20220 74058 74058 215708 215708 31705 31705 ADMINSTRATION FEES 497744 497744 BENEFIT FEES 360212 360212 POSTAGE, PRINTING & TEL 72924 72924 CONSULTING & ACTUARY 69300 69300 134928 134928 33602685 32125886 1476799 0 1838051 2340238 13787841 11302291 3939739 4932713 31849 36374 60591788 63738828 38780 80228048 82350444 162039 112581 20869172 21710282 21031211 21822863 X 0 0 0 0 59196837 60527581 59196837 60527581 80228048 82350444 2581492 -1250748 0 X 0 1 X 1 0 0 BENEFIT OBLIGATIONS 19930215 RECIPROCITY CONTRIBUTION PAYABLE 1265442 CONTRIBUTIONS RECEIVED IN ADVANCE 514625 21710282 34717721 -1250748 -1250748 35968469 215708 215708 36184177 33009114 0 33009114 215708 377863 593571 33602685 PART XII, LINE 4B - OTHER ADJUSTMENTS: CHANGE IN ACCRUED BENEFIT OBLIGATIONS FORM 990, SCHEDULE D,PART XII, LINE 4B PART XII, LINE 4B: CHANGE IN ACCRUED BENEFIT OBLIGATIONS FORM 990, PART VI, SECTION B, LINE 11B 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. 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