2023-04-13T18:42:41-05:00 2022-05-31 WITHUMSMITHBROWNPC 5000 EXECUTIVE PARKWAY SUITE 400 SAN RAMON CA 94583 990 2021-06-01 910590441 Unite Here Northwest Health Trust Fund % NORTHWEST ADMINISTRATORS INC UNIT 2063294900 2323 Eastlake Ave East Seattle WA 98102 ERIK VAN ROSSUM CHAIRMAN/TRUSTEE 2063294900 2023-03-15 true ERIK VAN ROSSUM 999009999 JOSEPH M THIERMANN P01066616 9252779100 2021 2023-04-26 12:10:37Z ERIK VAN ROSSUM 2323 Eastlake Ave East Seattle WA 98102 51241342 false X N/A X 1976 WA TO PROVIDE HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS. 7 0 20 0 0 0 0 15659183 23347792 8848965 1890720 2391 37676 24510539 25276188 0 0 25828957 18849676 0 0 0 0 0 1742741 1784960 27571698 20634636 -3061159 4641552 88572940 82951212 8560600 6735075 80012340 76216137 TO PROVIDE HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS. false false PROVIDED HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICPANTS AND THEIR DEPENDENTS. false false false false false false false false false false false 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 280 0 true 20 true false false false false false false false false false X 7 0 false true false false false false false true true false false true true true true true true false false false X NORTHWEST ADMINISTRATORS INC 2063294900 2323 EASTLAKE AVENUE EAST SEATTLE WA 98102 X ERIK VAN ROSSUM CHAIRMAN/TRUSTEE 0.5 0.0 X X 0 0 0 ENRIQUE FERNANDEZ SECRETARY/TRUSTEE 0.5 0.0 X X 0 0 0 JIM BEARD TRUSTEE 0.5 0.0 X 0 0 0 ANITA SETH TRUSTEE 0.5 0.0 X 0 0 0 DOUG RIGONI TRUSTEE 0.5 0.0 X 0 0 0 STEFAN MORITZ TRUSTEE 0.5 0.0 X 0 0 0 NORMAN HWA TRUSTEE 0.5 0.0 X 0 0 0 NATALIE KELLY TRUSTEE 0.5 0.0 X 0 0 0 SEE SCHEDULE O FOR COMPENSATION PAID BY RELATED ORGANIZATIONS 0.0 0.0 X 0 0 0 0 0 0 0 false false false NORTHWEST ADMINISTRATORS INC 2323 EASTLAKE AVE E SEATTLE WA 98102 ADMINISTRATION 873913 AETNA INC 601 UNION STREET 9TH FLOOR SEATTLE WA 98101 ADMINISTRATION 427533 2 0 EMPLOYER CONTRIBUTIONS 525100 22328484 22328484 STOP LOSS INCOME 525100 520209 520209 PARTICIPANT CONTRIBUTIONS 525100 305501 305501 FORMULARY REBATES 525100 193598 193598 23347792 1675531 1675531 0 0 0 0 0 26180343 25965154 215189 215189 215189 0 0 0 0 0 0 0 0 0 LIQUIDATED DAMAGES & INTEREST 900099 37676 37676 37676 25276188 23385468 1890720 0 0 0 18849676 0 0 0 0 0 0 437657 45031 39458 0 0 49115 1143545 0 49086 0 0 0 0 0 1310 0 0 0 11589 PCORI FEES 8169 20634636 -59970 -48094 11523656 11466519 0 0 2248555 2593068 0 0 0 0 0 0 0 0 1035 773 0 0 74859664 68938946 0 0 0 0 0 0 0 0 88572940 82951212 235451 192035 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8325149 6543040 8560600 6735075 X 0 0 0 0 80012340 76216137 80012340 76216137 88572940 82951212 4641552 -8437755 X X false true X true false 0 ACCUMULATED ELIGIBILITY CREDITS 2794000 CLAIMS PAYABLE & INCCURED BUT NOT REPORTED 3749040 6543040 16789318 -8437755 -8437755 25227073 49115 49115 25276188 22367630 22367630 49115 -1782109 -1732994 20634636 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. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE PLAN AND HAS CONCLUDED THAT, AS OF MAY 31, 2022, 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. MANAGEMENT BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR THE YEARS PRIOR TO 2019. PART XII, LINE 4B - OTHER ADJUSTMENTS: Change in Benefit Obligations FORM 990, PART VI, SECTION A, LINE 3: THE PLAN HAS CONTRACTED WITH NORTHWEST ADMINISTRATORS, INC. TO PROVIDE ADMINISTRATIVE SERVICES FOR THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 11B: A TRUSTEE REVIEWED THE FORM 990 FOR ACCURACY AND COMPLETENESS PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C: THE CONFLICT-OF-INTEREST POLICY COVERS TRUSTEES (THE GOVERNING BODY). IF AND WHEN A POTENTIAL CONFLICT OF INTEREST IS DISCLOSED, THE BOARD OF TRUSTEES WILL INVOLVE THE TRUST'S ATTORNEY TO EVALUATE IF THE MATTER WOULD LIKELY PREVENT AN UNBIASED OR OBJECTIVE DECISION BY A TRUSTEE, AND AS APPROPRIATE, DISCIPLINARY OR CORRECTIVE ACTION WILL BE TAKEN. FORM 990, PART VI, SECTION C, LINE 19: THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. FORM 990, PART VII, SECTION A, LINE 1A: 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, NORTHWEST ADMINISTRATORS, INC. FORM 990, PART XII, LINE 2C THE BOARD OF TRUSTEES ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF INDEPENDENT AUDITORS. THIS PROCESS HAS NOT CHANGED. FORM 990, PART V, LINE 2A THE TRUST DOES NOT HAVE EMPLOYEES. HOWEVER, THE TRUST ISSUED FORMS W-2 TO PARTICIPANTS THAT RECEIVED TAXABLE DISABILITY BENEFITS. UNITEHERE NORTHWEST PENSION TRUST FUND 2323 EASTLAKE AVENUE EAST SEATTLE WA 98121 916145131 BENEFITS WA 501(A) N/A NA false UNITE HERE LOCAL 8 2800 FIRST AVENUE ROOM 3 SEATTLE WA 98121 910968179 LABOR ORG WA 501(C)(5) N/A NA false PACIFIC NORTHWEST HOSPITALITY TRAINING 2323 EASTLAKE AVENUE SEATTLE WA 98102 830735662 TRAINING WA 501(C)(9) N/A NA false false false false false false false false false false false false false false false false true false false false UNITEHERE LOCAL 8 P 73655 ACTUAL EXPENSE SCHEDULE R, IDENTIFICATION OF RELATED ORGANIZATION THE FILING ORGANIZATION IS A TAFT-HARLEY MULTIEMPLOYER TRUST THAT PROVIDES HEALTH AND WELFARE BENEFITS TO ELIGIBLE EMPLOYEES AND THEIR DEPENDENTS. AS OF MAY 31, 2022 THERE ARE APPROXIMATELY 29 EMPLOYERS THAT CONTRIBUTE TO THE TRUST. THE ADMINSTRATIVE 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 ADMINSTRATIVE 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. ALSCO LAUNDRIES ARAMARK - BOEING EVE ARAMARK CONVENTION C BENSON HOTEL CENTERPLATE @ T-MOBILE COAST WENATCHEE CENT COMPASS GROUP CONCESSIONS INT'L DOUBLETREE HOTEL - S EDGEWATER HOTEL EMBASSY SUITES BY HI EXECUTIVE INN FLAGSHIP FACILITY SE HILTON HOTEL/PORTLAN HILTON SEATTLE HILTON SEATTLE AIRPO HOST INTERNATIONAL HOTEL MURANO LEVY RESTAURANTS AT LOYAL INN PARAMOUNT HOTEL RED LION HOTEL AT SE SPACE NEEDLE CORP TOTEM FOOD PRODUCTS UNITE HERE LOCAL #8 UNITE HERE LOCAL #9 WASH ATHLETIC CLUB WESTIN HOTEL SEATTLE YMCA - LOCAL #8