2025-12-17T13:48:47-05:00 2025-02-28 273701730 MC GROUP HAWAII INC 2733 E MANOA RD STE 200 HONOLULU HI 96822 990 2024-03-01 237116870 CARPET LINOLEUM AND SOFT TILE LOCAL UNION 1926 HEALTH AND WELFAR CARP 8085011138 560 N NIMITZ HIGHWAY STE 209 HONOLULU HI 96817 DOUGLAS KEMA JR UNION TRUSTEE 8085011138 2025-12-17 true false GARY Y MIYASHIRO P00404797 8089885757 2025-12-17 2024 2025-03-06 01:10:19Z DOUGLAS KEMA JR C/O 560 N NIMITZ HIGHWAY STE 209 HONOLULU HI 96817 5097153 false X N/A X 1968 HI THE PLAN PROVIDES HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS - MEDICAL, DENTAL, VISION, CHIROPRACTIC, DRUG, AND LIFE INSURANCE. 7 7 0 7 0 0 2974919 3018389 146361 194657 0 3121280 3213046 0 4002468 3920755 0 0 0 246951 128359 4249419 4049114 -1128139 -836068 6148033 6695996 1347730 1302001 4800303 5393995 THE PLAN PROVIDES HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS - MEDICAL, DENTAL, VISION, CHIROPRACTIC, DRUG, AND LIFE INSURANCE. false false 4017691 3018389 TO PROVIDE MEDICAL, DRUG BENEFITS, DENTAL, DISABILITY, AND LIFE INSURANCE BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS. 4017691 false false false false false false false false false false false false false true false 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 false false false false false false X 7 7 false true false false false false false true false false false true true true true true true false false false X BENEFIT RISK MANAGEMENT SERVICES 8085011138 560 N NIMITZ HIGHWAY STE 209 HONOLULU HI 96817 X RYDEN VALMOJA UNION TRUSTE 5.00 20.00 X 0 0 0 DOUGLAS KEMA JR UNION TRUSTE 5.00 20.00 X 0 0 0 PATERNO ASUNCION UNION TRUSTE 5.00 20.00 X 0 0 0 KEITH EMERSON EMPLOYER TRU 5.00 20.00 X 0 0 0 TIM LYONS EMPLOYER TRU 5.00 20.00 X 0 0 0 TARYN MIYAMOTO EMPLOYER TRU 5.00 20.00 X 0 0 0 MARC MATSUBARA EMPLOYER TRU 5.00 20.00 X 0 0 0 false false false EMPLOYER CONTRIBUTIONS 230000 2871892 2871892 HMSA EXPERIENCE REFUNDS 230000 131146 131146 PARTICIPANT CONTRIBUTIONS 230000 13175 13175 EMPLOYEE COBRA 230000 1117 1117 LIQUIDATED DAMAGES 1059 1059 3018389 209373 209373 1869391 1884107 -14716 -14716 -14716 3213046 3018389 194657 3920755 3920755 62578 62578 5398 5398 13822 13822 10887 10887 2405 2405 281 281 4309 4309 BENEFIT CONSULTANT 26750 26750 EDUCATIONAL EXPENSES 1071 1071 DATA PROCESSING FEE 550 550 BANK CHARGES 308 308 4049114 4017691 31423 0 838078 146004 268370 1376541 258846 216261 4782739 4957190 6148033 6695996 1347730 1302001 1347730 1302001 X 4800303 5393995 4800303 5393995 6148033 6695996 X -836068 82030 1347730 X X false true X true false BANK OF HOURS LIABILITY 576165 PREMIUMS PAYABLE 401033 SUBSIDIZED SELF CONTRIBUTIONS 324803 1302001 3295076 82030 82030 3213046 3213046 2747113 2747113 1302001 1302001 4049114 SCHEDULE D, PAGE 4, PART XII, LINE 4B BENEFIT OBLIGATIONS 1,302,001 FORM 990, PAGE 6, PART VI, LINE 3 THE MANAGEMENT COMPANY, BENEFIT & RISK MANAGEMENT SERVICES, 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 FORM 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 XI, LINE 9 NET CHANGE IN BENEFIT OBLIGATION 1,347,730 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 560 N NIMITZ HIGHWAY STE 209 HONOLULU HI 96817 990180872 ANNUITY BE HI 501C5 N/A false CARPET LINOLEUM&SOFT TILE MARKET RE 560 N NIMITZ HIGHWAY STE 209 HONOLULU HI 96817 990294565 STUDY&EXPL HI 501C5 N/A false CARPET LINOLEUM&SOFT TILE TRAINING 560 N NIMITZ HIGHWAY STE 209 HONOLULU HI 96817 996020563 EDUCATIONA HI 501C5 N/A false CARPET LINOLEUM&SOFT TILE VACATION 560 N NIMITZ HIGHWAY STE 209 HONOLULU HI 96817 237116871 VAC&HOL HI 501C9 N/A false CARPET LINOLEUM&SOFT TILE RETIREE H 560 N NIMITZ HIGHWAY STE 209 HONOLULU HI 96817 863434005 REIM BENE HI 501C9 N/A 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 FUND EIN: 99-0180872 560 N. NIMITZ HIGHWAY STE209 HONOLULU, HI 96817 PRIMARY ACTIVITY: TO PROVIDE ANNUITY BENEFITS TO ELIGIBLE PARTICIPANTS DIRECT CONTROLLING ENTITY: N/A CARPET LINOLEUM AND SOFT TILE MARKET RECOVERY FUND EIN: 99-0294565 560 N. NIMITZ HIGHWAY STE209 HONOLULU, HI 96817 PRIMARY ACTIVITY: TO STUDY AND EXPLORE WAYS & IMPLEMENT WAYS AND MEANS OF PROMOTING FAIR DIRECT CONTROLLING ENTITY: N/A CARPET LINOLEUM AND SOFT TILE TRAINING FUND EIN: 99-6020563 560 N. NIMITZ HIGHWAY STE209 HONOLULU, HI 96817 PRIMARY ACTIVITY: TO PROVIDE EDUCATIONAL BENEFITS TO EMPLOYEES DIRECT CONTROLLING ENTITY: N/A CARPET LINOLEUM AND SOFT TILE VACATION FUND EIN: 23-7116871 560 N. NIMITZ HIGHWAY STE209 HONOLULU, HI 96817 PRIMARY ACTIVITY: TO PROVIDE VACATION AND HOLIDAY BENEFITS FOR ELIGIBLE PARTICIPANTS DIRECT CONTROLLING ENTITY: N/A CARPET LINOLEUM AND SOFT TILE RETIREE HEALTH AND REIMBURSEMENT FUND EIN: 86-3434005 560 N. NIMITZ HIGHWAY STE209 HONOLULU, HI 96817 PRIMARY ACTIVITY: TO CREATE A RESERVE FOR REIMBURSEMENT BENEFITS FOR ELIGIBLE PARTICIPANTS FOLLOWING RETIREMENT. 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 MAIN SPECIFIC BUSINESS DATA REGARDING THE EMPLOYERS, SUCH AS ENTITY TYPE OR TAX INFORMATION.