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← SAN MATEO HOTEL EMPLOYEES AND RESTAURANT EMPLOYEES WELFARE FUND

Form 990 for tax year 2022

Filed by SAN MATEO HOTEL EMPLOYEES AND RESTAURANT EMPLOYEES WELFARE FUND.

Totals

Total revenue
$30,738,566
Total expenses
$29,900,165
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$29,304,104
Investment income
-$206,218
Other revenue
$1,640,680
Total assets, end of year
$21,151,623
Total liabilities, end of year
$9,976,256
Net assets or fund balances, end of year
$11,175,367
Program services expenses (Part IX)
$28,923,611
Management and general expenses
$976,554
Fundraising expenses
$0
Program service expenses (Part III)
$28,923,611

Program services were 96.7% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 2a · Program service revenue: CONTRIBUTIONS

    total $29,304,104 · related or exempt $29,304,104

  • 3 · Investment income

    total $207,204 · excluded $207,204

  • 7a · Gross sales of assets other than inventory

    securities $11,671,083

  • 7b · Less cost or other basis and sales expenses

    securities $12,084,505

  • 7c · Gain or loss

    securities -$413,422

  • 7d · Net gain or loss

    total -$413,422 · excluded -$413,422

  • 11a · Other revenue: STOP LOSS REIMBURSEMENT

    total $1,389,338 · related or exempt $1,389,338

  • 11b · Other revenue: SETTLEMENT PROCEEDS

    total $251,342 · related or exempt $251,342

  • 11e · Other revenue, total

    $1,640,680

Functional expenses

Part IX, the statement of functional expenses.

  • 4 · Benefits paid to or for members

    total $28,923,611 · program services $28,923,611

  • 11b · Fees: legal

    total $24,000 · management and general $24,000

  • 11c · Fees: accounting

    total $111,813 · management and general $111,813

  • 11f · Fees: investment management

    total $51,613 · management and general $51,613

  • 13 · Office expenses

    total $49,336 · management and general $49,336

  • 23 · Insurance

    total $29,882 · management and general $29,882

  • 24a · Other expenses: ADMINISTRATION

    total $389,870 · management and general $389,870

  • 24b · Other expenses: ACTUARY AND CONSULTING

    total $164,048 · management and general $164,048

  • 24c · Other expenses: CLAIMS REVIEW

    total $138,693 · management and general $138,693

  • 24d · Other expenses: MISCELLANEOUS

    total $11,070 · management and general $11,070

  • 24e · All other expenses

    total $6,229 · management and general $6,229

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $293,213 · end of year $2,291,319

  • 2 · Savings and temporary cash investments

    beginning of year $6,436,678 · end of year $6,972,559

  • 4 · Accounts receivable

    beginning of year $2,943,401 · end of year $5,296,362

  • 9 · Prepaid expenses and deferred charges

    beginning of year $2,616 · end of year $35,001

  • 11 · Investments: publicly traded securities

    beginning of year $8,662,607 · end of year $6,556,382

  • 17 · Accounts payable and accrued expenses

    beginning of year $16,126 · end of year $8,267

  • 25 · Other liabilities

    beginning of year $7,602,728 · end of year $9,967,989

  • 29 · Capital stock, trust principal or current funds

    beginning of year $0 · end of year $0

  • 30 · Paid-in or capital surplus, or land, building or equipment fund

    beginning of year $0 · end of year $0

  • 31 · Retained earnings, endowment or other funds

    beginning of year $10,719,661 · end of year $11,175,367

Mission and programs · 2022

Mission

PROVIDING HEALTH BENEFITS TO ELIGIBLE PARTICIPANTS.

Activities or mission (Part I)

PROVIDING HEALTH BENEFITS TO ELIGIBLE PARTICIPANTS

  • PROVIDING HEALTH BENEFITS TO ELIGIBLE PARTICIPANTS

    Expenses $28,923,611

As filed on the 2022 return.

Listed in Part VII

  • SHERRI CHIESA

    TRUSTEE

    Total calculated
    $0
    Hours/week
    5

  • MIKE CASEY

    TRUSTEE

    Total calculated
    $0
    Hours/week
    5

  • JAMES BEARD

    TRUSTEE

    Total calculated
    $0
    Hours/week
    5

  • RICHARD ROMANSKI

    TRUSTEE

    Total calculated
    $4,800
    From this org
    $4,800
    From related orgs
    $0
    Other
    $0
    Hours/week
    5

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

Provenance

Return type
form_990
Tax year
2022
Filed
31 October 2023
IRS schema version
2022v5.0
Source object
202323049349302622

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