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Northern California Glaziers, Architectural, Metal & Glass Workers Pension Trust Fund
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Pension – Forms & Notices

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Applications
  • Pension Application
  • Post-Retirement Death Benefit
  • Pre-Retirement Death Benefit
General Forms
  • Beneficiary Designation
  • Change of Address
  • Direct Deposit
  • Sample QDRO, Non-Retiree
  • Sample QDRO, Retiree
  • Spousal Consent Form
General Documents & Notices
  • 2023 Annual Funding Notice
  • 2022 Annual Funding Notice
  • 2021 Annual Funding Notice
  • 2020 Annual Funding Notice
  • 2020 Notice of Endangered Status
  • 2019 Annual Funding Notice
  • 2019 Notice of Endangered Status
  • 2018 Annual Funding Notice
  • 2018 Funding Improvement Plan
  • 2018 Notice of Endangered Status
  • 2017 Notice of Endangered Status
  • 2017 Annual Funding Notice
  • 2016 Annual Funding Notice
  • 2016 Critical Funding Notice
  • 2016 Updated Rehabilitation Plan
  • 2015 Annual Funding Notice
  • 2015 Critical Funding Notice
Tax Forms
  • IRS Form W-4P
  • State of California Form DE-4P
Employers

Report of Summary Plan Information – 2021 Plan Year

Report of Summary Plan Information – 2020 Plan Year

Report of Summary Plan Information – 2019 Plan Year

Report of Summary Plan Information – 2018 Plan Year

 

Website Disclaimer

This website provides a summary of the benefits available through the Fund and does not contain all information that may apply to your individual situation.  Where this page deviates from the information provided in the Plan Document, the Plan Document terms will prevail.

Plan Administrator / Trust Fund Office

The Trust Fund is administered by HS&BA and all questions and correspondence about the Trust Fund and Plan should be sent to their office.

Northern California Glaziers, Architectural Metal & Glass Workers Pension Trust Fund
4160 Dublin Boulevard, Suite 100
Dublin, CA 94568-7756

Phone (800) 222-6298
Email   glaziersinfo@hsba.com 

Office Hours

Monday –  Friday
8:30 a.m. to 5:00 p.m. (PST)

Links

Association Listing
Employee Benefits Security Administration
International Union of Painters and Allied Trades
IRS
IUPAT District Council 16
Local Union No. 1621
No Ca Glass Management Association
Pension Benefit Guaranty Corporation
Privacy Policy
Terms of Use
Union Directory
WACA

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