2025-06-10T07:04:09-04:00 2024-07-31 WITHUMSMITHBROWNPC 6101 BOLLINGER CANYON RD STE 400 SAN RAMON CA 94583 990 2023-08-01 946073033 NORTHERN CALIFORNIA GENERAL TEAMSTERS SECURITY FUND % DELTA FUND ADMINISTRATORS NORT 2099405100 PO BOX 2300 STOCKTON CA 95201 Peter Nunez Co-Chair 2099405100 2025-06-10 true true DONNIE J SPRINGER P01451649 9252779100 2023 2025-03-06 01:10:19Z Peter Nunez PO BOX 2300 STOCKTON CA 95201 929438489 false X N/A X 1952 CA TO PROVIDE HEALTH & WELFARE BENEFITS IN THIS MULTIEMPLOYER PLAN. 6 0 20 0 0 0 0 0 413384562 422672338 10423839 31763574 0 0 423808401 454435912 0 0 347700488 397570300 0 0 0 0 0 48540889 54328794 396241377 451899094 27567024 2536818 605660529 633546957 95114105 96098239 510546424 537448718 TO PROVIDE HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS IN THIS MULTIEMPLOYER PLAN. false false PROVIDED HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS IN THIS MULTIEMPLOYER PLAN. false false false false false false false false false false true 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 7 0 true 20 true 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 DELTA FUND ADMINISTRATORS 2099405100 3244 BROOKSIDE ROAD STE 230 STOCKTON CA 95219 X Deb Ostendorp Chair 1.0 0.0 X X 0 0 0 Peter Nunez Co-chair 1.0 0.0 X X 0 0 0 Dave Hawley Co-chair - Term. 02/2024 1.0 0.0 X X 0 0 0 Allen Cheek Trustee 1.0 0.0 X 0 0 0 Jeff Berdion Trustee 1.0 0.0 X 0 0 0 Walter Mendez Trustee 1.0 0.0 X 0 0 0 Derek Hawley Trustee - Eff. 05/2024 1.0 0.0 X 0 0 0 SEE SCH O FOR COMPENSATION PAID BY RELATED ORGANIZATIONS 0.0 0.0 X 0 0 0 0 0 0 0 false false false Delta Fund Administrators LLC 3244 Brookside Rd Suite 230 STOCKTON CA 95219 CONTRACT ADMIN 10365370 Anthem Blue Cross 2121 N California Blvd WALNUT CREEK CA 94596 NETWORK FEES 4747314 McMorgan Company One Front Street Ste 500 SAN FRANCISCO CA 94111 Invest MGMT 1083164 Delta Health Systems 3244 Brookside Rd Suite 200 STOCKTON CA 95219 contact admin 567526 TARP 1620 N Carpenter Road Suite C-12 MODESTO CA 95351 substance services 439906 14 0 EMPLOYER CONTRIBUTIONS 900099 395365002 395365002 PRESCRIPTION REBATES 900099 22810520 22810520 STOP LOSS REIMBURSEMENT 900099 2396224 2396224 REFUNDS 900099 1058782 1058782 SUBROGATION RECOVERY 900099 555767 555767 486043 486043 422672338 25503472 25503472 0 0 0 0 0 481262679 475002577 6260102 6260102 6260102 0 0 0 0 0 0 0 0 0 0 454435912 422672338 0 31763574 0 0 0 397570300 0 0 0 0 0 0 10623533 146730 430240 0 0 2376298 6682066 0 392656 0 0 0 0 0 36638 0 0 0 129575 RESERVE SUBSIDY 21466185 RETIREE SUBSIDY 12044873 451899094 X 0 0 39649558 27860236 0 0 39590657 45056140 0 0 0 0 0 0 0 0 53887 66880 0 0 473293432 503093758 53072995 57469943 0 0 0 0 0 0 605660529 633546957 10057821 415140 0 0 0 0 0 0 0 0 0 0 0 0 0 0 85056284 95683099 95114105 96098239 X 0 0 0 0 510546424 537448718 510546424 537448718 605660529 633546957 2536818 24365476 X X false true X true false LIMITED PARTNERSHIPS AND LLC 57469943 F 57469943 0 CLAIMS PAYABLE AND IBNR 57291099 ACCUMULATED ELIGIBILITY CREDITS 38392000 95683099 X 476425090 24365476 24365476 452059614 2376298 2376298 454435912 443918763 443918763 2376298 5604033 7980331 451899094 Part X, Line 2: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE THE TAX POSITIONS TAKEN BY THE PLAN AND TO RECOGNIZE A TAX LIABILITY IF THE PLAN HAS TAKEN AN UNCERTAIN POSITION THAT, MORE LIKELY THAN NOT, WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE. THE PLAN HAS ANALYZED THE TAX POSITIONS TAKEN BY THE PLAN AND HAS CONCLUDED THAT, AS OF JULY 31, 2024 AND 2023, 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 BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR THE FISCAL YEARS PRIOR TO 2021. Part XII, LINE 4B - OTHER ADJUSTMENTS: CHANGE IN BENEFIT OBLIGATIONS FORM 990, PART VI, SECTION A, LINE 3: THE GOVERNING BODY HAS APPOINTED MANAGEMENT DUTIES TO A THIRD-PARTY ADMINISTRATOR. FORM 990, PART VI, SECTION A, LINE 8B: THE ORGANIZATION DOES NOT HAVE A COMMITTEE WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B: THE FORM 990 WAS MADE AVAILABLE TO EACH OF THE TRUSTEES FOR REVIEW BEFORE THE RETURN WAS FILED. THE THIRD-PARTY ADMINISTRATOR REVIEWED THE FORM FOR COMPLETENESS AND ACCURACY PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C: THE CONFLICT-OF-INTEREST POLICY COVERS ALL TRUSTEES AND ANY OTHER INDIVIDUALS WHO EXERCISE DISCRETIONARY AND/OR FIDUCIARY AUTHORITY OVER THE AFFAIRS OF THE TRUST. AT LEAST ONCE ANNUALLY, TRUSTEES AND OTHER FIDUCIARIES ARE REQUIRED TO DISCLOSE IN WRITING ANY RELATIONSHIPS OR INTERESTS THAT COULD GIVE RISE TO A CONFLICT. THE BOARD HAS DISCRETIONARY AUTHORITY TO DETERMINE WHETHER A CONFLICT DOES IN FACT, EXIST AND IF SO, WHETHER THE CONTEMPLATED TRANSACTION MAY BE AUTHORIZED AS JUST, FAIR AND REASONABLE TO THE TRUST. SUCH DETERMINATIONS ARE MADE WITHOUT THE INPUT OR PARTICIPATION OF THE CONFLICTED INDIVIDUAL. FORM 990, PART VI, SECTION B, LINE 15: THE ORGANIZATION DOES NOT COMPENSATE TRUSTEES. 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, SECTION A, LINE 9A: TRUSTEES ARE NOT COMPENSATED BY THE TRUST. COMPENSATION PAID TO TRUSTEES EMPLOYED BY OTHER RELATED ORGANIZATIONS IS REPORTED ON THE FORM 990 FILED WITH THE INTERNAL REVENUE SERVICE BY THE RELATED TAX-EXEMPT ORGANIZATION. IF YOU WOULD LIKE ADDITIONAL INFORMATION, PLEASE CONTACT THE THIRD-PARTY ADMINISTRATOR, DELTA FUND ADMINISTRATORS LLC. FORM 990, PART XII, LINE 2C: THE BOARD OF TRUSTEES ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND FOR THE SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED. SEE PART VII 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 AND WELFARE BENEFITS TO ELIGIBLE EMPLOYEES AND THEIR DEPENDENTS. AS OF JULY 31, 2024, THERE ARE APPROXIMATELY 188 EMPLOYERS THAT CONTRIBUTE TO THE TRUST. THE ADMINISTRATIVE OFFICE MAINTAINS A DATABASE OF THESE CONTRIBUTING EMPLOYERS, 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 IS NOT ON FILE WITH THE ADMINISTRATIVE OFFICE AND IT COULD NOT BE REASONABLY OBTAINED. AS A RESULT, THE NAMES OF THE CONTRIBUTING EMPLOYERS ARE LISTED ON PART VII BELOW AND NOT ON PARTS II THROUGH IV BY FEDERAL TAX CLASSIFICATION. ADVANCED FOOD PRODUCTS ALLIED WASTE ALLIED/REPUBLIC WASTE ALSCO INC. - AMERICAN LINEN DIVISION AMERICAN METALS CORP AMERICOLD AMERIPRIDE UNIFORM SERVICES ANDERSON FIRE PROTECTION ANDERSON-COTTONWOOD CONCRETE ANDERSON-COTTONWOOD IRRIGATION DISTRICT ARAMARK UNIFORM SERVICES ARAMARK YOSEMITE HOSPITALITY ASTA CONSTRUCTION CO. INC. BAKER COMMODITIES INC. BALL METALPACK BARRETO & SILVEIRA DAIRY BLACK BUTTE SCHOOL DISTRICT BREAKTHRU BEVERAGE BUCHWALD'S CA COLD STORAGE C.A.S.E. CA DAIRIES INC. (TURLOCK) CAL SIERRA DISPOSAL INC. CALIFORNIA DAIRIES INC. CANTEEN VENDING CASCADE UNION ELEMENTARY CEMEX CENTER FOR COMMUNITY ADVOCACY CENTERLINE LLC CENTRAL CALIFORNIA BAKING COMPANY CENTRAL COAST COOLING CHARLES MCMURRAY CHRISTY VAULT CO. CITY OF ANDERSON CITY OF EUREKA CITY OF MARYSVILLE CITY OF MOUNT SHASTA CITY OF RED BLUFF COCA COLA BOTTLING CO. COLUMBIA SCHOOL DISTRICT CORE LINEN SERVICES COUNTY OF BUTTE COUNTY OF BUTTE MID-MANAGEMENT (MMBU) CRYSTAL CREAMERY DARLING INGREDIENTS INC. DEFENSE BASE SERVICES INC. DEL MAR COLD STORAGE DEL MAR FOOD PRODUCTS DEL MONTE FOODS DEL REY PACKING COMPANY DELTA CONTAINER CORP/ALLIED WASTE SERVICES DELTA FUND ADMINISTRATORS DELTA HEALTH SYSTEMS DOLE FRESH VEGETABLES DRISCOLL'S BERRIES DYNACORP INTERNATIONAL EP MINERALS EUREKA READY MIX EVERGREEN UNION SCHOOL DISTRICT EXETER DISTRICT AMBULANCE FIRST STUDENT FIRST TRANSIT FOOTHILL PACKING FOSTER FARMS FOSTER FARMS DAIRY FRESNO FRENCH BREAD BAKERY GARRY PACKING GATORADE GOLDEN EMPIRE TRANSIT GOSSELIN TIRE SERVICE GRANITE CONSTRUCTION GRANITEROCK GREIF INDUSTRIAL H.A. RIDER & SONS HAPPY VALLEY SCHOOL DISTRICT HP HOOD HUCKLEBERRY'S LLC INLAND BIG FOUR TIRE SERVICE JIM HYATT PRODUCE COMPANY JUNCTION ELEMENTARY SCHOOL DISTRICT KEOLIS TRANSIT KEURIG DR. PEPPER KNAUF INSULATION L.A. HEARNE CO. LAKE SHASTINA COMMUNITY SERVICES DISTRICT LAND O'LAKES LAS ANIMAS CONCRETE LEEP / TESCHER / HELFMAN / ZANZE LEPRINO FOODS LEWISTON ELEMENTARY SCHOOL DISTRICT LOCAL 137 LOCAL 150 LOCAL 386 LOCAL 431 LOCAL 439 LOCAL 517 LOCAL 533 LOCAL 87 LOCAL 948 MERCER FRASER READY MIX MISSION LINEN #1402 MISSION LINEN #2100 MISSION LINEN #2300 MISSION LINEN #2502 MISSION LINEN #300 MISSION LINEN #3000 MISSION LINEN #3200 MISSION LINEN #3202 MISSION LINEN #4700 MISSION LINEN #4703 MISSION LINEN #4800 MISSION LINEN #4805 MISSION LINEN #700 MODOC JOINT UNIFIED SCHOOL DISTRICT Mondelez Global LLC MONTEREY BAY CENTRAL LABOR COUNCIL - AFL-CIO MONTEREY CITY DISPOSAL MOUNTAIN UNION SCHOOL DISTRICT MTM INC. / RIDE RIGHT LLC MV TRANSPORTATION INC. MYOVICH TRUCKING NATURIPE BERRY GROWERS NOR-CAL PRODUCE INC.(UNFI) ORGANIZED LABOR CREDIT UNION ORLAND UNIT WATER USERS ASSOCIATION PAJARO DUNES SOUTH ASSOC. PAJARO VALLEY COLD STORAGE PARADISE IRRIGATION DISTRICT PDM STEEL PYRENEES FRENCH BAKERY QUALITY MANPOWER RAIL TERMINAL SERVICES RALEY'S RALEY'S PHARMACY TECHS RATP DEV USA INC. RECOLOGY HUMBOLDT COUNTY REESE SMALLEY WISEMAN & SCHWEITZER RILITE AGGREGATES ROYAL PACKING RUAN RYDER SYSTEM INC. S. MARTINELLI & COMPANY SAN BENITO FOODS SAPUTO CHEESE USA INC SAVE MART - ROSEVILLE SENECA DISTRICT HOSPITAL SHASCOM SHASTA CO DEPUTY CORONER INV SHASTA COUNTY - DEPARTMENT OF PUBLIC WORKS SHASTA COUNTY MID-MANAGEMENT (MMBU) SHASTA COUNTY SUPERIOR COURT (DMA) SHASTA COUNTY SUPERVISORY (SCEA) SHASTA LAKE FIRE PROTECTION DISTRICT SHASTA REDI MIX INC SHELDON'S PEST MANAGEMENT SERVICE INC SIERRA DENTAL CARE SIERRA NEVADA MEMORIAL HOSPITAL SILGAN CAN - RIVERSIDE SILGAN CONTAINERS MFG CORP. SIMS METAL SMART REFRIGERATED TRANSPORT SMILE BRANDS INC. SOUTHERN WINE & SPIRITS STOCKTON SCAVENGERS STURDY OIL CO. SUGAR TRANSPORT SUNSWEET GROWERS INC. SURPRISE VALLEY SCHOOL DISTRICT SYSCO FOODS T&T TRUCK AND CRANE TAHOE TRANSIT DISTRICT TEAMSTERS ALCOHOL/DRUG REHABILITATION PROGRAM - TARP TEICHERT AGGREGATES TIN MAN DENTAL SUPPLY TRANSDEV U.S. COLD STORAGE UNFI ROCKLIN UNIFIED GROCERS INC. UPS US BAKERY VALLEY FIG VARSITY ICE CREAM DIST. VEGETABLE GROWERS SUPPLY INC VISION SERVICE PLAN VULCAN MATERIALS COMP WASTE MANAGEMENT - MODESTO WAYSIDE LUMBER INC WESTERN BUILDING MATERIALS WESTWAY FEED LLC