2024-11-15T12:02:49-06:00 2023-12-31 952302617 SINGERLEWAK LLP 500 ALA MOANA BLVD 2 302 HONOLULU HI 96813 990 2023-01-01 202076868 ILWU LOCAL 142 HEALTH AND WELFARE TRUST ILWU 8084418600 1440 KAPIOLANI BLVD 800 HONOLULU HI 96814 CHRISTIAN WEST-UNION TRUSTEE CARLA THOMAS-MGMT TRUSTEE 8084418600 2024-11-13 0 JUDITH CHOCK P01072809 8085336254 2023 2024-10-15 13:58:12Z CHRISTIAN WEST-UNION TRUS 1440 KAPIOLANI BLVD 800 HONOLULU HI 96814 143737202 0 X N/A X 2005 HI TO PROVIDE HEALTH & WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS IN ACCORDANCE W/PLAN DOCUMENTS. 6 0 0 0 0 0 0 0 52093598 53163898 882153 1570754 1774 2769 52977525 54737421 0 0 41225852 45057635 0 0 0 0 0 1968186 2064310 43194038 47121945 9783487 7615476 53414024 63277695 751684 1234068 52662340 62043627 TO PROVIDE HEALTH AND WELFARE BENEFITS TO ELIGIBLE EMPLOYEES AND THEIR FAMILIES. 0 0 34372073 TO PROVIDE SELF-FUNDED HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS IN ACCORDANCE WITH THE TERMS SET FORTH IN THE TRUST AGREEMENTS,RULES AND REGULATIONS OF THE PLAN AND CBA (MEDICAL $28,645,930, DRUG $5,768,890 DRUG REBATES $-2,040,191 AND DENTAL $1,997,444) 10685562 TO PROVIDE INSURED BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS - (MEDICAL $10,357,559 CHIROPRACTIC $74,846, AND VISION $253,157) 1249726 TO PROVIDE SELF-FUNDED HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS FOR THE CLAIMS ADMINISTRATIVE FEE (MEDICAL $1,001,940, DRUG $118,042 DENTAL $129,744) 46307361 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 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 5 0 1 0 0 0 0 0 0 0 0 0 X 6 0 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 0 0 0 X PACIFIC ADMINISTRATORS INC 8084418600 1440 KAPIOLANI BLVD SUITE 800 HONOLULU HI 96814 X GUY FUJIMURA UNION TRUSTEE 1.00 X 0 0 0 CARLA THOMAS EMPLOYER TRUSTEE 1.00 X 0 0 0 ROBERTO ANDRION JR UNION TRUSTEE 1.00 X 0 0 0 ERIC LOTTERMOSER EMPLOYER TRUSTEE 1.00 X 0 0 0 EVANGELINE SOBREPENA EMPLOYER TRUSTEE 1.00 X 0 0 0 ELMER GOROSPE UNION TRUSTEE 1.00 X 0 0 0 JEAN EWING ALTERNATE EMPLOYER TRUSTEE 1.00 X 0 0 0 ROSELYN MOLINA ALTERNATE UNION TRUSTEE 1.00 X 0 0 0 CHRISTIAN WEST UNION TRUSTEE 1.00 X 0 0 0 0 0 0 0 0 0 0 HAWAII MEDICAL SERVICE ASSOCIATION 818 KEEAUMOKU ST HONOLULU HI 96814 CLAIMS SERVICE FEES AND CASE MANAGEMENT 1001940 PACIFIC ADMINISTRATORS 1440 KAPIOLANI BLVD 800 HONOLULU HI 96814 ADMINISTRATIVE FEES AND PAYROLL AUDIT 307987 HAWAII DENTAL SERVICE 700 BISHOP STREET 700 HONOLULU HI 96813 CLAIMS SERVICE FEES AND CASE MANAGEMENT 129744 EXPRESS SCRIPT INC ONE EXPRESS WAY SAINT LOUIS MO 63121 CLAIMS SERVICE FEES AND CASE MANAGEMENT 116915 4 EMPLOYERS' CONTRIBUTIO 900099 53075449 53075449 EMPLOYEES' CONTRIBUTIO 900099 88449 88449 53163898 1798997 1798997 88771538 88999781 -228243 -228243 -228243 OTHER INCOME 541100 2769 2769 2769 54737421 52935655 0 1801766 45057635 281649 56256 73862 122483 1416467 18840 13175 81127 BANK FEES 451 47121945 4579988 290560 7581716 10679668 1707201 1428497 39545119 50878970 53414024 63277695 131319 132066 620365 1102002 751684 1234068 X 52662340 62043627 0 0 0 0 52662340 62043627 53414024 63277695 7615476 1765811 0 X X 0 1 X 1 0 0 EMPLOYER CONTRIBUTION OVERPAYMENT 491322 CASH IN TRANSIT - OVERDRAFT 610680 1102002 X 56380749 1765811 1765811 54614938 122483 122483 54737421 46999462 0 46999462 122483 122483 47121945 PART X, LINE 2: THE AUDITED FINANCIAL STATEMENTS CONTAIN THE FOLLOWING DISCLOSURE PERTAINING TO FIN 48 (ASC 740) "THE TRUST FUNDING CERTAIN BENEFITS OF THE PLAN RECEIVED AN EXEMPTION LETTER FROM THE IRS DATED MARCH 12, 2009, STATING THAT THE TRUST IS TAX-EXEMPT UNDER THE PROVISIONS OF SECTION 501(C)(9) OF THE INTERNAL REVENUE CODE. HOWEVER, AS A RESULT OF THE PLAN'S FUNDING POLICY, FROM TIME TO TIME THE TRUST MAY BE SUBJECT TO INCOME TAXES. NO FEDERAL OR STATE INCOME TAXES HAVE BEEN RECORDED IN 2023 AND 2022 FOR UNRELATED BUSINESS TAXABLE INCOME. IN ADDITION, THE PLAN AND THE TRUST ARE REQUIRED TO OPERATE IN CONFORMITY WITH THE IRC TO MAINTAIN THE TAX-EXEMPT STATUS OF THE TRUST. PLAN MANAGEMENT AND THE PLAN'S TAX COUNSEL BELIEVE THAT THE PLAN IS BEING OPERATED IN COMPLIANCE WITH THE APPLICABLE REQUIREMENTS OF THE IRC AND, THEREFORE, BELIEVES THAT THE RELATED TRUST IS TAX-EXEMPT. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE PLAN MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE PLAN AND RECOGNIZE A TAX LIABILITY IF IT HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. " FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PRESENTED TO THE CO-CHAIRS (MANAGEMENT TRUSTEE AND UNION TRUSTEE) FOR REVIEW AND SIGNATURE PRIOR TO THE FILING OF THE FORM 990 FORM 990, PART VI, SECTION B, LINE 12C TRUSTEES REVIEW POLICY AND DISCUSS ANY ARISING ISSUES/QUESTIONS WITH LEGAL COUNSEL FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS ARE MADE AVAILABLE UPON REQUEST FORM 990, PART XII, LINE 2C: NO CHANGE IN REVIEW PROCESS FROM PRIOR YEAR. BOARD OF TRUSTEES SELECT AN INDEPENDENT AUDITOR. ADMINISTRATOR FORMALLY REVIEWS AND APPROVES THE FINANCIAL STATEMENTS. BOARD OF TRUSTEES REVIEW AND APPROVE THE FINANCIAL STATEMENTS. SEE SCHEDULE R SUPPLEMENTAL INFORMATION SEE SCHEDULE R SUPPLEMENTAL INFORMATION SEE SCHEDULE R SUPPLEMENTAL INFORMATION 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 FORM 990, SCHEDULE R, PARTS II, III, AND IV THE FILING ORGANIZATION IS A TAFT-HARTLEY MULTIEMPLOYER PLAN THAT PROVIDES HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS IN ACCORDANCE WITH THE TERMS SET FORTH IN THE TRUST AGREEMENT, RULES, AND REGULATIONS OF THE PLAN AND COLLECTIVE BARGAINING AGREEMENTS. THE ADMINISTRATIVE OFFICE MAINTAINS A DATABASE OF CONTRIBUTING EMPLOYERS INCLUDING THE NAMES, ADDRESSES, AND OTHER CONTACT INFORMATION. HOWEVER, THE LEGAL STRUCTURE (CORPORATION, PARTNERSHIP, ETC.) FOR EACH CONTRIBUTING EMPLOYER IS NOT ON FILE WITH THE ADMINISTRATIVE OFFICE AND COULD NOT BE REASONABLY OBTAINED. AS A RESULT, THE CONTRIBUTING EMPLOYERS COULD NOT BE SEPARATED BY TYPE OF ORGANIZATION. HOWEVER, THEY ARE LISTED BELOW: ALOHILANI RESORT AT WAIKIKI BEACH FKA PACIFIC BEACH HOTEL ANDAZ MAUI AT WAILEA GRAND HYATT KAUAI GRAND WAILEA RESORT HOTEL & SPA HILTON WAIKOLOA VILLAGE HONOLULU AIRPORT HOTEL HYATT REGENCY MAUI KAANAPALI BEACH HOTEL (WITHDRAWAL IN JULY 2023) LANAI RESORTS, LLC. (SHUTTLE DRIVERS) LANAI RESORTS, LLC. FKA FOUR SEASONS LANAI MAUNA KEA BEACH HOTEL PRINCEVILLE UTILITIES CO., INC. THE WESTIN MAUI RESORT & SPA TROON GOLF (MAKAI)