Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| REVIEW PROCESS OF FORM 990 | PART VI, SECTION A, LINE 11B | THE FORM 990 IS REVIEWED BY THE CHIEF FINANCIAL OFFICER OF THE HEALTH FUND PRIOR TO ITS SUBMISSION FOR FILING. IN ADDITION, A COPY OF THE FORM 990 IS PROVIDED TO THE ENTIRE BOARD OF TRUSTEES PRIOR TO THE FILING OF THE RETURN. |
| PUBLIC AVAILABILITY OF GOVERNING DOCUMENTS, POLICIES AND FINANCIALS | PART VI, SECTION C, LINE 19 | THE HEALTH FUND DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. |
| MONITOR AND COMPLIANCE OF CONFLICT OF INTEREST POLICY | PART VI, SECTION B, LINE 12C | PROCEDURES ----------------------------------- 1. DUTY TO DISCLOSE IN CONNECTION WITH ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST, AN INTERESTED PERSON MUST DISCLOSE THE EXISTENCE OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS TO THE BOARD (OR A DESIGNATED COMMITTEE OF TRUSTEES) FOR CONSIDERATION OF THE PROPOSED TRANSACTION OR ARRANGEMENT. IN ADDITION, TRUSTEES MUST DISCLOSE TO THE BOARD (AND UPDATE ANNUALLY) THEIR INTERESTS THAT ARE REASONABLY LIKELY TO GIVE RISE TO CONFLICTS OF INTEREST, SUCH AS A LIST OF FAMILY MEMBERS, SUBSTANTIAL BUSINESS OR INVESTMENT HOLDINGS, OWNERSHIP OR INVESTMENT INTERESTS AND OTHER TRANSACTIONS WITH BUSINESS AND OTHER ORGANIZATIONS AND THOSE OF FAMILY MEMBERS. 2. DETERMINING WHETHER A CONFLICT OF INTEREST EXISTS AFTER DISCLOSURE OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE INTERESTED PERSON, THE INTERESTED PERSON SHALL LEAVE THE BOARD (OR COMMITTEE) MEETING WHILE THE REMAINING MEMBERS OF THE BOARD (OR COMMITTEE) DETERMINE AND VOTE ON THE ISSUE OF WHETHER A CONFLICT OF INTEREST EXISTS. 3. PROCEDURES FOR ADDRESSING THE CONFLICT OF INTEREST A. IF A CONFLICT OF INTEREST IS FOUND TO EXIST, THE INTERESTED PERSON MAY MAKE A PRESENTATION AT THE BOARD (OR COMMITTEE) MEETING CONCERNING THE PROPOSED TRANSACTION OR ARRANGEMENT. AFTER SUCH PRESENTATION, HE OR SHE SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE TRANSACTION OR ARRANGEMENT. B. THE CHAIRPERSON OF THE BOARD (OR COMMITTEE) SHALL, IF APPROPRIATE, APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT. C. AFTER EXERCISING DUE DILIGENCE, THE BOARD (OR COMMITTEE) SHALL DETERMINE WHETHER THE FUND CAN OBTAIN, WITH REASONABLE EFFORTS, A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. D. IF (I) A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY ATTAINABLE UNDER CIRCUMSTANCES THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST, AND (II) THE TRANSACTION OR ARRANGEMENT DOES NOT VIOLATE THE PROHIBITED TRANSACTION PROVISIONS OF THE EMPLOYEE RETIREMENT INCOME SECURITY ACT OF 1974, AS AMENDED ("ERISA"), THE INTERNAL REVENUE CODE OF 1986, AS AMENDED (THE "CODE"), OR OTHER APPLICABLE LAW, THEN THE BOARD (OR COMMITTEE) SHALL DETERMINE WITH ONLY THE DISINTERESTED TRUSTEES (OR COMMITTEE MEMBERS) VOTING WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE FUND'S BEST INTEREST AND FOR THE FUND'S OWN BENEFIT AND WHETHER THE TRANSACTION IS FAIR AND REASONABLE TO THE FUND, AND SHALL MAKE ITS DECISION AS TO WHETHER TO ENTER INTO THE TRANSACTION OR ARRANGEMENT IN CONFORMITY WITH SUCH DETERMINATION. 4. VIOLATIONS OF THE CONFLICTS OF INTEREST POLICY A. IF THE BOARD (OR COMMITTEE) HAS REASONABLE CAUSE TO BELIEVE THAT A TRUSTEE OR THE CEO HAS FAILED TO DISCLOSE ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, IT SHALL INFORM THE PERSON OF THE BASIS FOR SUCH BELIEF AND AFFORD THE PERSON AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE. B. IF, AFTER HEARING THE RESPONSE OF THE PERSON AND MAKING SUCH FURTHER INVESTIGATION AS MAY BE WARRANTED UNDER THE CIRCUMSTANCES, THE BOARD (OR COMMITTEE) DETERMINES THAT THE PERSON HAS FAILED TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, IT SHALL TAKE ACTIONS THAT IT DEEMS APPROPRIATE. ACKNOWLEDGEMENT OF POLICY ------------------------------------ EACH TRUSTEE AND ALL EMPLOYEES OF THE FUND SHALL SIGN A STATEMENT WHICH AFFIRMS THAT SUCH PERSON - A. HAS RECEIVED A COPY OF THIS POLICY; B. HAS READ AND UNDERSTANDS THE POLICY; C. HAS AGREED TO COMPLY WITH THE POLICY; AND D. UNDERSTANDS THAT THE FUND IS AN EMPLOYEE BENEFIT PLAN SUBJECT TO THE PROVISIONS OF ERISA, WHICH, IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION, MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX EXEMPT PURPOSES AND THAT HE OR SHE MUST DISCHARGE HIS OR HER DUTIES WITH RESPECT TO THE FUND EXCLUSIVELY FOR THE BENEFIT OF THE FUND'S PARTICIPANTS AND ITS BENEFICIARIES. |
| SELECTION OF GOVERNING BODY | PART VI, SECTION A, LINE 7A | SELECTION OF TRUSTEES ----------------------------------- THE GOVERNING BOARD SHALL CONSIST OF ELEVEN (11) EMPLOYER TRUSTEES AND ELEVEN (11) SAG-AFTRA TRUSTEES. IN THE EVENT THAT ANY EMPLOYER TRUSTEE SHALL DIE, BECOME INCAPABLE OF ACTING HEREUNDER, RESIGN, OR BE REMOVED, THE EMPLOYER TRUSTEES THEN IN OFFICE MAY, BY MAJORITY VOTE AND IN A WRITING SIGNED BY A MAJORITY OF THE EMPLOYER TRUSTEES AND DELIVERED TO THE BOARD, DESIGNATE A PERSON TO FILL THE POSITION OF EMPLOYER TRUSTEE THUS MADE AVAILABLE. IT IS THE INTENTION OF THE EMPLOYER TRUSTEES THAT THE COMPOSITION OF THE EMPLOYER TRUSTEES WILL BE GENERALLY REPRESENTATIVE OF THE VARIOUS SEGMENTS OF THE INDUSTRY FOR WHICH CONTRIBUTIONS HAVE HISTORICALLY BEEN REQUIRED TO BE MADE TO THE FUNDS. IN THE EVENT THAT ANY SAG-AFTRA TRUSTEE SHALL DIE, BECOME INCAPABLE OF ACTING HEREUNDER, RESIGN, OR BE REMOVED, SAG-AFTRA SHALL DESIGNATE A SUCCESSOR SAG-AFTRA TRUSTEE BY WRITTEN NOTICE FROM THE NATIONAL BOARD OF SAG-AFTRA DELIVERED TO THE BOARD, SUCH APPOINTMENT SHALL BECOME EFFECTIVE IMMEDIATELY UPON SUCH FILING. |
| OTHER COMPENSATION FROM ORGANIZATION AND RELATED | PART VII, SECTION A, COLUMN F | $57,259 OF COLUMN F REPRESENTS AMOUNTS CALCULATED BY THE PLAN ACTUARY AS TO THE ANNUAL INCREASE IN ACTUARIAL VALUE OF QUALIFIED DEFINED BENEFITS. THESE AMOUNTS REPORTED ARE NOT ACTUAL OUTLAYS OF COMPENSATION TO THE OFFICERS AND HIGHLY COMPENSATED EMPLOYEES. |
| CONTRIBUTING EMPLOYER RECEIVABLES AT YEAR-END | PART X | Contributions receivable outstanding at the plan's year-end from contributing employers represent amounts due for the last month of the fiscal year. These contributions are requirements, as stipulated under terms of written agreements and, approved by the governing board, with the employers that must be remitted to the plan on a timely basis. These amounts constitute receivables that were created in the ordinary course of the plan's business. |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:MARION PRESTON TITLE:PRODUCER TRUSTEE (RETIRED) HOURS:1 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:JO ANN KESSLER TITLE:PRODUCER TRUSTEE HOURS:1 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:HARRY ISAACS TITLE:PRODUCER TRUSTEE HOURS:1 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:DEAN FERRIS TITLE:PRODUCER TRUSTEE/CO-CHAIR HOURS:1 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:J KEITH GORHAM TITLE:PRODUCER TRUSTEE HOURS:1 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:JEAN BONINI TITLE:PRODUCER TRUSTEE HOURS:1 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:HANK LACHMUND TITLE:PRODUCER TRUSTEE HOURS:1 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:MARC SANDMAN TITLE:PRODUCER TRUSTEE HOURS:1 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:SHELBY SCOTT TITLE:UNION TRUSTEE/CO-CHAIR HOURS:3 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:DAVID HARTLEY-MARGOLIN TITLE:UNION TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:LYNNE LAMBERT TITLE:UNION TRUSTEE HOURS:1 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:DAVID BROWDE TITLE:UNION TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:JOYCE REEHLING TITLE:UNION TRUSTEE HOURS:1 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:SALLY STEVENS TITLE:UNION TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:DENNY DELK TITLE:UNION TRUSTEE HOURS:3 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:MATTHEW KIMBROUGH TITLE:UNION TRUSTEE HOURS:1 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:KIM ROBERTS HEDGPETH TITLE:UNION TRUSTEE (RESIGNED) HOURS:40 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:STEPHEN BURROW TITLE:UNION TRUSTEE HOURS:41 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:ROBERTA REARDON TITLE:UNION TRUSTEE HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:ANDREA FINKELSTEIN TITLE:PRODUCER TRUSTEE HOURS:1 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:RON WILCOX TITLE:PRODUCER TRUSTEE HOURS: |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:STEPHEN MIRANTE TITLE:PRODUCER TRUSTEE HOURS:1 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:DAVID SILBERMAN TITLE:PRODUCER TRUSTEE HOURS:1 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:MATHIS DUNN JR TITLE:UNION TRUSTEE HOURS:41 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:CHRISTINE DUBOIS TITLE:CHIEF EXECUTIVE OFFICER HOURS:9 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:STEWART ADAMS TITLE:CFO HOURS:9 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:JUDY PENA TITLE:HR DIRECTOR HOURS:9 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:DONALD FAUGHNAN TITLE:BENEFITS DIRECTOR HOURS:9 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:ALETHEA PRATT TITLE:CHIEF INFO OFFICER HOURS:9 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:RICK RUBANO TITLE:DIRECTOR of IT OPS HOURS:9 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:JOSEPH HARRIS TITLE:ASSOC DIRECTOR OF OPERATIONS HOURS:9 |
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