2026-08-11T11:58:17-05:00 2025-09-30 WITHUMSMITHBROWNPC 6101 BOLLINGER CANYON RD STE 400 SAN RAMON CA 94583 990 2024-10-01 946073089 NORTHERN CALIFORNIA BAKERY DRIVERS SECURITY FUND % ZENITH AMERICAN SOLUTIONS NORT 4155467800 1600 HARBOR BAY PARKWAY Suite 200 ALAMEDA CA 94502 JAMES HAM TRUSTEE 4155467800 2026-08-10 true true WILLIAM CONSUGAR P00140721 9252779100 2026-08-10 2024 2025-03-06 01:10:19Z JAMES HAM 1600 HARBOR BAY PARKWAY 200 ALAMEDA CA 94502 27404671 false X n/a X 1952 CA TO PROVIDE HEALTH AND WELFARE BENEFITS TO ELIGIBLE COLLECTIVELY BARGAINED MEMBERS. 6 0 0 0 0 0 0 0 20185207 20221921 1596983 1810413 2933 0 21785123 22032334 0 0 23168547 23430788 0 0 0 0 0 1128496 1357961 24297043 24788749 -2511920 -2756415 28556018 26714920 3214248 4208842 25341770 22506078 X TO PROVIDE HEALTH AND WELFARE BENEFITS TO ELIGIBLE COLLECTIVELY BARGAINED MEMBERS. false false THE FUND PROVIDED WELFARE BENEFITS TO COVERED EMPLOYEES AND THEIR DEPENDENTS. false 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 X 0 0 true 0 false false false false false false false false X 6 0 false true false false false false false true false false false true true true true true true false false false CA X ZENITH AMERICAN SOLUTIONS 4155467800 1600 HARBOR BAY PKWY STE 200 ALAMEDA CA 94502 X JAMES HAM Trustee 2.0 0.0 X 0 0 0 marty crandall trustee 1.0 0.0 X 0 0 0 john ontiveros tRUSTEE 1.0 0.0 X 0 0 0 Don Garcia trustee 1.0 0.0 X 0 0 0 Steven Lua trustee 1.0 0.0 X 0 0 0 Kelly Dryden Trustee 1.0 0.0 X 0 0 0 SEE SCHEDULE O FOR COMPENSATION PAID BY RELATED ORGANIZATIONS 0.0 0.0 X 0 0 0 0 0 0 0 false false false ZENITH AMERICAN SOLUTIONS INC 1600 HARBOR BAY PKWY STE 200 ALAMEDA CA 94502 FUND ADMINISTRATION 480999 1 0 EMPLOYER CONTRIBUTIONS 900099 17636716 17636716 PARTICIPANT CONTRIBUTIONS 900099 1418090 1418090 STOP-LOSS CLAIM RECOVERY 900099 403589 403589 PRESCRIPTION DRUG REBATES 900099 763526 763526 20221921 982750 982750 0 0 0 0 0 6200000 5372337 827663 827663 827663 0 0 0 0 0 0 0 0 0 0 22032334 20221921 0 1810413 0 0 0 23430788 0 0 0 0 0 0 422731 83529 61955 0 0 39339 615099 0 65825 0 0 0 0 0 26188 0 0 0 28443 OTHER EXPENSES 10798 PCORI FEES 4054 24788749 X 282329 1537962 0 0 0 0 1985345 2113437 0 0 0 0 0 0 0 0 26837 27967 0 0 26261507 21731704 0 1303850 0 0 0 0 0 0 28556018 26714920 112548 42776 0 0 29807 25073 0 0 0 0 0 0 0 0 0 0 3071893 4140993 3214248 4208842 X 0 0 0 0 25341770 22506078 25341770 22506078 28556018 26714920 -2756415 -79277 X X false true X true false 0 ACCUMULATED ELIGIBILITY CREDITS 1809100 CLAIMS PAYABLE AND IBNR 2074000 PREMIUMS PAYABLE 257893 4140993 X 21913718 -79277 -79277 21992995 39339 39339 22032334 23680310 23680310 39339 1069100 1108439 24788749 Part X, Line 2: THE PLAN'S ADMINISTRATOR HAS ANALYZED THE TAX POSITIONS TAKEN BY THE PLAN AND HAS CONCLUDED THAT, AS OF SEPTEMBER 30, 2025 AND 2024, 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. THE PLAN'S ADMINISTRATOR BELIEVES THE PLAN IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR THE FISCAL YEARS PRIOR TO 2022. PART XII, LINE 4B - OTHER ADJUSTMENTS: CHANGE IN BENEFIT OBLIGATIONS. FORM 990, PART VI, SECTION A, LINE 3: THE PLAN HAS CONTRACTED WITH ZENITH AMERICAN SOLUTIONS, INC., TO PROVIDE ADMINISTRATIVE SERVICES FOR THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 8B: THERE ARE NO COMMITTEES WITH THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B: A COPY OF THE FORM 990 WAS PROVIDED TO THE BOARD OF TRUSTEES FOR REVIEW BEFORE IT WAS FILED. FORM 990, PART VI, SECTION B, LINE 12C: TRUSTEES ARE REQUIRED, ON AN ANNUAL BASIS, TO DISCLOSE ANY RELATIONSHIPS OR INTERESTS THAT COULD GIVE RISE TO A CONFLICT. IF THERE IS A CONFLICT OF INTEREST, THE PERSON INVOLVED IS EXCLUDED FROM THE DISCUSSION AND APPROVAL OF SUCH TRANSACTION. 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. FORM 990, PART VII, LINE 1A: TRUSTEES ARE NOT COMPENSATED BY THE TRUST. COMPENSATION PAID TO TRUSTEES BY OTHER ORGANIZATIONS IS REPORTED ON THE FORM 990 FILED WITH THE INTERNAL REVENUE SERVICE BY THE RELATED TAX-EXEMPT ORGANIZATION. IF YOU WOULD LIKE MORE INFORMATION, PLEASE CONTACT THE THIRD-PARTY ADMINISTRATOR, ZENITH AMERICAN SOLUTIONS, INC. FORM 990, PART XII, LINE 2C: THE BOARD ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDITED FINANCIAL STATEMENTS AND FOR SELECTION OF THE INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED. FORM 990, PART V, LINE 1A: THE PLAN'S THIRD-PARTY ADMINISTRATOR FILES THE REQUIRED FORMS 1099 ON BEHALF OF ALL THE PLANS THEY ADMINISTER FOR THE VARIOUS "INDEPENDENT CONTRACTORS". THEREFORE, LINE 1A HAS BEEN ANSWERED ZERO. ADDITIONALLY, THE THIRD-PARTY ADMINISTRATOR ENSURES THAT THE PLAN IS IN COMPLIANCE WITH THE BACKUP WITHHOLDING RULES. FORM 990, PART X, LINES 17 and 25 AND SCHEDULE D, PART X, LINE 1: Claims payable, incurred but not reported (IBNR) claims, and premiums payable were reclassified from Form 990, Part X, Line 17 to Form 990, Part X, Line 25 and Schedule D, Part X, Line 1 to properly reflect these liabilities in accordance with the Form 990 reporting requirements. SEE EXPLANATION AT PART VII VARIOUS CA na false 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 BENEFITS TO ELIGIBLE EMPLOYEES AND THEIR DEPENDENTS. AS OF SEPTEMBER 30, 2025, THERE ARE APPROXIMATELY 4 EMPLOYERS THAT CONTRIBUTE TO THE TRUST AND 4 SPONSORING ORGANIZATIONS. THE ADMINISTRATIVE OFFICE MAINTAINS A DATABASE OF THESE CONTRIBUTING EMPLOYERS AND SPONSORING ORGANIZATIONS, 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 AND SPONSORING ORGANIZATION IS NOT ON FILE WITH THE ADMINISTRATIVE OFFICE AND IT COULD NOT BE REASONABLY OBTAINED. AS A RESULT, THE NAMES OF THE CONTRIBUTING EMPLOYERS AND SPONSORING ORGANIZATIONS ARE LISTED ON PART VII BELOW AND NOT ON PARTS II THROUGH IV BY FEDERAL TAX CLASSIFICATION. BIMBO BAKERIES USA SAFEWAY *TEAMSTERS LOCAL 315 *TEAMSTERS LOCAL 890 *SPONSORING ORGANIZATION AND A CONTRIBUTING EMPLOYER