SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.
OMB No. 1545-0047
2016
Open to Public
Inspection
Name of the organization
MASONS' HEALTH AND WELFARE TRUST FUND
 
Employer identification number

99-6014747
Return Reference Explanation
Form 990, Part VI, Section B, line 11b ALL DOCUMENTS ARE REVIEWED BY APPROPRIATE INDIVIDUALS BEFORE SIGNING AND FILING.
Form 990, Part VI, Section B, line 12c ANNUAL WRITTEN CONFLICT OF INTEREST POLICY STATEMENT IS CIRCULATED AND SIGNED BY TRUSTEES.
Form 990, Part VI, Section B, line 15a ANNUAL REVIEW OF ADMINISTRATIVE FEES INCLUDING SALARY AMOUNTS CONDUCTED BY HAWAII MASONS AND PLASTERERS ADMINISTRATIVE COMMITTEE.
Form 990, Part VI, Section C, line 19 ALL DOCUMENTS ARE MADE AVAILABLE UPON REQUEST
Form 990, Part VII Contact Addresses for Officers, Directors, Etc RYAN WADA - 99-1245 WAIua PLACE, AIEA, HI 96701. PETER IRIATE - 2251 NORTH SCHOOL STREET, HONOLULU, HI 96819. MELVIN P SILVA Jr. - 2251 NORTH SCHOOL STREET, HONOLULU, HI 96819. John Gervacio - 2251 NORTH SCHOOL STREET, HONOLULU, HI 96819. HERBERT INOUYE - 500 Alakawa Street # 220E, HONOLULU, HI 96817. HARRY CORNISH - 91-284 KOMOHANA STREET, KAPOLEI, HI 96707. Darlean Kiyokane - PO Box 17909, Honolulu, HI 96817. ANTHONY SAITO - 2251 NORTH SCHOOL STREET, HONOLULU, HI 96819.
Form 990 Part XII, Line 2c No change in review process from prior year. Board of Trustees selects an independent auditor. Board of Trustees and Administrator formally review and approve the financial statements.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2016


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