2024-02-26T15:59:56-05:00 2022-12-31 273701730 MC GROUP HAWAII INC 2733 E MANOA RD STE 200 HONOLULU HI 96822 990 2022-01-01 863434005 CL&ST LOCAL UNION 1926 RETIREE HEALTH REIMBURSEMENT FUND CL&S 8085239411 C/O 222 SOUTH VINEYARD ST PH4 HONOLULU HI 96813 DOUGLAS KEMA JR CHAIRMAN 8085239411 2024-02-26 true DOUGLAS KEMA 999009999 false GARY Y MIYASHIRO P00404797 8089885757 2024-02-26 2022 2023-04-26 12:10:37Z DOUGLAS KEMA JR C/O 222 SOUTH VINEYARD ST PH4 HONOLULU HI 96813 366042 false X N/A X 2021 HI THE PURPOSE OF THIS PLAN IS TO CREATE A RESERVE FOR REIMBURSEMENT OF HOSPITAL, MEDICAL, DENTAL AND SIMILAR BENEFITS FOR ELIGIBLE PARTICIPANTS FOLLOWING RETIREMENT. 6 6 0 3 0 0 223420 365521 3 521 0 223423 366042 0 0 0 0 0 3346 31342 3346 31342 220077 334700 220077 554777 0 220077 554777 THIS PLAN IS TO CREATE A RESERVE FOR REIMBURSEMENT OF HOSPITAL, MEDICAL, DENTAL AND SIMILAR BENEFITS FOR ELIGIBLE PARTICIPANTS FOLLOWING RETIREMENT. false false THE PURPOSE OF THIS PLAN IS TO CREATE A RESERVE FOR REIMBURSEMENT OF HOSPITAL, MEDICAL, DENTAL AND SIMILAR BENEFITS FOR ELIGIBLE PARTICIPANTS FOLLOWING RETIREMENT. false false false false false false false false false false false false false false 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 0 0 false 0 false false false false false false false false X 6 6 false true false false false false false true false false false true true true true false false false false false X AILEEN MURAKAMI 8085239411 222 SOUTH VINEYARD ST PH4 HONOLULU HI 96813 X DOUGLAS KEMA JR CHAIRMAN 5.00 10.00 X X 0 0 0 KEITH EMERSON CO-CHAIR 5.00 10.00 X X 0 0 0 RYDEN VALMOJA TRUSTEE 5.00 10.00 X 0 0 0 MALCOLM KALEO NAKAMURA TRUSTEE 5.00 10.00 X 0 0 0 TIM LYONS TRUSTEE 5.00 10.00 X 0 0 0 PATERNO ASUNCION TRUSTEE 5.00 10.00 X 0 0 0 MARC MATSUBARA ALTERNATE TR 0.00 0.00 X 0 0 0 TARYN MIYAMOTO ALTERNATE TR 0.00 0.00 X 0 0 0 ANGELO CANIONERO JR ALTERNATE TR 0.00 0.00 X 0 0 0 false false false EMPLOYER CONTRIBUTIONS 900099 363978 363978 OTHER INCOME 900099 1543 1543 365521 521 521 366042 365521 521 291 291 5236 5236 1250 1250 1013 1013 ADMINISTRATIVE FEES 18848 18848 DATA PROCESSING FEES 3770 3770 PCORI FEE 586 586 REIMBURSEMENT CLAIMS 333 333 15 15 31342 25078 6264 0 148653 458700 51817 62508 19607 33569 220077 554777 0 0 X 220077 554777 220077 554777 220077 554777 334700 X X false true X true false X 366042 366042 366042 31342 31342 31342 SCHEDULE D, PAGE 3, PART X THE TRUST HAS ADOPTED GUIDANCE ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES ISSUED BY THE FINANCIAL ACCOUNTING STANDARDS BOARD. THE TRUST BELIEVES THAT THE TRUST HAS NOT TAKEN UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO THE FINANCIAL STATEMENTS AS A TAX LIABILITY. INFORMATIONAL TAX RETURNS, FOR TAX YEARS FOR WHICH THE APPLICABLE STATUTES OF LIMITATIONS HAVE NOT EXPIRED, ARE SUBJECT TO EXAMINATION BY AUTHORITIES. FORM 990, PAGE 6, PART VI, LINE 3 THE MANAGEMENT COMPANY, GROUP PLAN ADMINISTRATORS, INC., PERFORMS THE DAILY OPERATIONAL TASKS UNDER THE SUPERVISION OF THE TRUSTEES. FORM 990, PAGE 6, PART VI, LINE 8B THE PLAN DOES NOT HAVE ANY COMMITTEES WITH THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PAGE 6, PART VI, LINE 11B THE CHAIR, CO-CHAIR, AND ADMINISTRATIVE OFFICE REVIEW THE FORM. THE TRUSTEES ARE E-MAILED THE FOR AND ASKED TO REMARK IF THEY HAVE ANY CHANGES. FORM 990, PAGE 6, PART VI, LINE 12C THE POLICY AND DISCLOSURES ARE REVIEWED BY TRUSTEES. FORM 990, PAGE 6, PART VI, LINE 19 THE ENTITY DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. FORM 990, PART XII FORM 990, PART XII, LINE 2C THE BOARD OF TRUSTEES ASSUMES RESPONSIBILITY FOR OVERSEEING THE AUDIT OF THE ORGANIZATION'S FINANCIAL STATEMENTS AND FOR SELECTING THE INDEPENDENT AUDITOR. CARPET LINOLEUM&SOFT TILE ANNUITY F 222 SOUTH VINEYARD ST PH4 HONOLULU HI 96813 990180872 ANNUITY BE HI 501 C5 NA false CARPET LINOLEUM&SOFT TILE MARKET RE 222 SOUTH VINEYARD ST PH4 HONOLULU HI 96813 990294565 STUDY&EXPL HI 501 C5 NA false CARPET LINOLEUM&SOFT TILE TRAINING 222 SOUTH VINEYARD ST PH4 HONOLULU HI 96813 996020563 EDUCATIONA HI 501 C5 NA false CARPET LINOLEUM&SOFT TILE VACATION 222 SOUTH VINEYARD ST PH4 HONOLULU HI 96813 237116871 VACA.&HOLI HI 501 C9 NA false CARPET LINOLEUM&SOFT TILE HEALTH&WE 222 SOUTH VINEYARD ST PH4 HONOLULU HI 96813 237116870 HEALTH&WEL HI 501 C9 NA false false false false false false false false false false false false false false false false false false false false SCHEDULE R PART II, IDENTIFICATION OF RELATED TAX-EXEMPT ORGANIZATIONS: NAME, ADDRESS AND EIN OF RELATED ORGANIZATION: CARPET LINOLEUM AND SOFT TILE ANNUITY FUNDS EIN: 99-0180872 222 SOUTH VINEYARD STREET PH4 HONOLULU, HI 96813 PRIMARY ACTIVITY: TO PROVIDE ANNUITY BENEFITS TO ELIGIBLE PARTICIPANTS DIRECT CONTROLLING ENTITY: N/A NAME, ADDRESS AND EIN OF RELATED ORGANIZATION: CARPET LINOLEUM AND SOFT TILE MARKET RECOVERY FUND EIN: 99-0294565 222 SOUTH VINEYARD STREET PH4 HONOLULU, HI 96813 PRIMARY ACTIVITY: TO STUDY AND EXPLORE WAYS & IMPLEMENT WAYS AND MEANS OF PROMOTING FAIR DIRECT CONTROLLING ENTITY: N/A NAME, ADDRESS AND EIN OF RELATED ORGANIZATION: CARPET LINOLEUM AND SOFT TILE TRAINING FUND EIN: 99-6020563 222 SOUTH VINEYARD STREET PH4 HONOLULU, HI 96813 PRIMARY ACTIVITY: TO PROVIDE EDUCATIONAL BENEFITS TO EMPLOYEES DIRECT CONTROLLING ENTITY: N/A NAME, ADDRESS AND EIN OF RELATED ORGANIZATION: CARPET LINOLEUM AND SOFT TILE VACATION FUND EIN: 23-7116871 222 SOUTH VINEYARD STREET PH4 HONOLULU, HI 96813 PRIMARY ACTIVITY: TO PROVIDE VACATION AND HOLIDAY BENEFITS FOR ELIGIBLE PARTICIPANTS DIRECT CONTROLLING ENTITY: N/A NAME, ADDRESS AND EIN OF RELATED ORGANIZATION: CARPET LINOLEUM AND SOFT TILE HEALTH AND WELFARE PLAN EIN: 23-7116870 222 SOUTH VINEYARD STREET PH4 HONOLULU, HI 96813 PRIMARY ACTIVITY: TO PROVIDE HEALTH AND WELFARE BENEFITS FOR ELIGIBLE PARTICIPANTS DIRECT CONTROLLING ENTITY: N/A SCHEDULE R PART II, III, AND IV-IDENTIFICATION OF RELATED TAX ORGANIZATIONS: IN A MULTIEMPLOYER PLAN, A CONTRIBUTING EMPLOYER IS CONSIDERED A RELATED ORGANIZATION BECAUSE THEY ARE OBLIGATED TO CONTRIBUTE TO THE PLAN PURSUANT TO THE TERMS IN THE COLLECTIVE BARGAINING OR PARTICIPATION AGREEMENT. THE ADMINISTRATIVE OFFICE ONLY MAINTAINS THE DATA NECESSARY TO FULFILL THE OBLIGATION TO CONTRIBUTE, IT DOES NOT MAINTAIN SPECIFIC BUSINESS DATA REGARDING THE EMPLOYERS, SUCH AS ENTITY TYPE OR TAX INFORMATION.