2023-04-10T23:23:15-04:00 2022-06-30 931015766 BJORKLUND & MONTPLAISIR CPA'S 10300 SW GREENBURG ROAD STE 470 PORTLAND OR 97223 990 2021-07-01 936021474 MONTANA TEAMSTERS - CONTRACTORS EMPLOYERS TRUST MONT 2063294900 2323 EASTLAKE AVE E SEATTLE WA 981023305 JIM LARSON TRUSTEE 2065683685 2022-04-10 true JIM LARSON 999009999 RICHARD A LAYNE P00359754 5036436400 2023-04-10 2021 2023-04-26 12:10:37Z JIM LARSON 53631512 false X X TO PROVIDE HEALTH AND WELFARE BENEFITS FOR PARTICIPANTS AND THEIR ELIGIBLE DEPENDENTS. 8 8 0 0 0 28133382 29360465 685142 540973 70195 24718 28888719 29926156 0 22303335 21875571 0 0 0 1774062 1790534 24077397 23666105 4811322 6260051 33315660 35823438 6505264 5471621 26810396 30351817 TO PROVIDE HEALTH AND WELFARE BENEFITS FOR PARTICIPANTS AND THEIR ELIGIBLE DEPENDENTS. false false TO PROVIDE HEALTH AND WELFARE BENEFITS FOR PARTICIPANTS AND THEIR ELIGIBLE DEPENDENTS. false false false false false false false false false false false false false true false 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 264 0 true 0 false false false false false false false false X 8 8 false false false false false false false true true false false false true true true true true true true false X X X NW ADMINISTRATORS 2063294900 2323 EASTLAKE AVE E AVENUE E SEATTLE WA 98102 X SHANDRA ADAIR TRUSTEE 2.00 X 0 0 0 ERIN FOLEY TRUSTEE 2.00 X 0 0 0 JIM LARSON TRUSTEE 2.00 X X 0 0 0 BRIAN PERSON TRUSTEE 2.00 X X 0 0 0 AARON RALPH TRUSTEE 2.00 X 0 0 0 KYLE SCHELLINGER TRUSTEE 2.00 X 0 0 0 JIM SOUMAS TRUSTEE 2.00 X 0 0 0 MIKE WILSON TRUSTEE 2.00 X 0 0 0 false false false NORTHWEST ADMINISTRATORS INC 2323 EASTLAKE AVE SEATTLE WA 981023305 ADMINISTRATION 803915 PREMERABLUE CROSS 7001 220TH STREET SW MOUNTLAKE WA 980432124 CLAIMS ADMIN. 500800 INNOVATIVE CARE MANAGEMENT 6400 SE LAKE RD 410 PORTLAND OR 97222 CASE MANAGEMENT 111780 3 EMPLOYER CONTRIBUTION 28443100 28443100 PARTICIPANT CONTRIBUTION 917365 917365 29360465 553048 553048 23693281 23705356 -12075 -12075 -12075 LIQUIDATED DAMAGES & INTEREST 24718 24718 24718 29926156 29926156 21875571 30963 37058 87480 1557391 19507 5501 BANK FEES 29898 PRINT, MAILING, SUPPLIES 14631 TAXES, PCORI 8105 23666105 0 0 0 2498353 1722479 3618687 3274531 2192817 2607728 23076821 27062670 1928982 1156030 33315660 35823438 6180264 5206621 325000 265000 6505264 5471621 X 26810396 30351817 26810396 30351817 33315660 35823438 6260051 -2718630 X false true true false ACCUMULATED ELIGIBILITY CREDITS 265000 265000 27120046 -2718630 -2718630 29838676 87480 87480 29926156 24622698 24622698 87480 -1044073 -956593 23666105 SCHEDULE D, PAGE 4, PART XII, LINE 4B CHANGE IN BENEFIT LIABILITIES -1,044,073 FORM 990, PAGE 6, PART VI, LINE 11B THE CHAIRMAN AND SECRETARY OF THE BOARD OF TRUSTEES AND THE ATTORNEY FOR THE TRUST REVIEW FORM 990 PRIOR TO FILING. FORM 990, PAGE 6, PART VI, LINE 12C THE TRUSTEES ARE REMINDED OF THEIR DUTY TO DISCLOSE ANY CONFLICT THAT THEY ARE AWARE OF. AN ANNUAL QUESTIONNAIRE IS REQUIRED TO BE FILLED OUT BY TRUSTEES AND SERVICE PROVIDERS. FORM 990, PAGE 6, PART VI, LINE 15A NO COMPENSATION IS PAID FORM 990, PAGE 6, PART VI, LINE 15B NO CONPENSATION IS PAID FORM 990, PAGE 6, PART VI, LINE 18 FORM 990 CAN BE VIEWED ON WWW.GUIDESTAR.COM FORM 990, PAGE 6, PART VI, LINE 19 THE ORGANIZATION MAKES DOCUMENTS AVAILABLE UPON REQUEST. FORM 990 IS AVAILABLE AT GUIDESTAR.ORG. BUTTE SCHOOL DISTRICT 1 N/A false BUTTE TEAMSTERS LOCAL 2 N/A false CITY OF DEER LODGE N/A false GREENFIELDS IRRIGATION DISTRICT N/A false TEAMSTERS UNION LOCAL 190 N/A false COP CONSTRUCTION LLC N/A false false MONDELEZ GLOBAL LLC N/A false false TALEN MONTANA LLC N/A false false BERT MOONEY AIRPORT N/A false BROADWATER COUNTY N/A false BUTTE SILVER BOW N/A false DARIGOLD INC N/A false FOOD SERVICES OF AMERICA N/A false INDUSTRIAL TOWEL N/A false JIM GILMAN EXCAVATING INC DBA GILMAN CONSTRUCTION N/A false MAIN BUILDING MAINTENANCE N/A false MCGREE CONTRACTING CO N/A false MICHELS CONSTRUCTION N/A false MISSOULA URBAN TRANSIT N/A false REPUBLIC SERVICES N/A false SCHELLINGER CONSTRUCTION CO INC N/A false SLETTEN CONSTRUCTION N/A false UNITED POSTAL SERVICES N/A false WESTERN SUGAR COMPANY N/A false WICKENS CONSTRUCTION INC N/A false DISCOVER MOVING N/A false false false false false false false false false false false false false false false false false false false false