2023-06-30T12:35:17-05:00 2022-12-31 410746749 CLIFTONLARSONALLEN LLP 2875 MICHELLE DRIVE 300 IRVINE CA 92606 990 2022-01-01 916030747 TIMBER PRODUCTS MANUFACTURERS TRUST TIMB 5095354646 951 E 3RD AVE SPOKANE WA 99202 RICHARD A MOLENDA CHAIRMAN, BOARD OF TRUSTEES 5095354646 2023-06-29 1 RICHARD MOLENDA 999009999 0 LISA N RYSSEL CPA P00643670 7149781300 3 AAL1 IAL1 2022 2023-04-26 12:10:37Z RICHARD A MOLENDA 951 E 3RD AVE SPOKANE WA 99202 70813777 0 X N/A X 1960 WA TO PROVIDE HEALTH CARE BENEFITS 9 0 0 9 0 0 0 0 56567542 63885538 398744 335192 0 0 56966286 64220730 0 0 48832154 58872543 0 0 0 0 0 7034913 7827594 55867067 66700137 1099219 -2479407 29029210 26832892 6479948 8314162 22549262 18518730 TO PROVIDE AND MAINTAIN, THROUGH SELF-INSURANCE AND/OR BY ISSUED POLICIES, HEALTH CARE BENEFITS TO THE EMPLOYEES OF THE PARTICIPATING EMPLOYERS AND THE EMPLOYEES' QUALIFIED DEPENDENTS. 0 0 THE TRUST WAS ESTABLISHED TO PROVIDE AND MAINTAIN A PROGRAM OF HEALTH & WELFARE BENEFITS CONSTITUTING AN "EMPLOYEE WELFARE BENEFIT PLAN" FOR THE EXCLUSIVE BENEFIT OF EMPLOYEES OF PARTICIPATING EMPLOYERS OF THE TIMBER PRODUCTS MANUFACTURERS ASSOCIATION, AND THOSE EMPLOYEES' COVERED DEPENDENTS. 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 8 0 1 0 0 0 0 0 0 0 0 0 X 9 0 0 1 0 0 0 0 1 1 1 0 0 1 1 1 1 0 0 0 0 0 X JOLENE SKJOTHAUG 5095354646 951 E 3RD AVE SPOKANE WA 99202 X RICHARD A MOLENDA CHAIRMAN 5.00 X X 0 0 0 MICHAEL CLEMENTS VICE CHAIRMAN 5.00 X X 0 0 0 WENDY DALRYMPLE TRUSTEE 2.00 X 0 0 0 TALIA DOMENICO TRUSTEE 2.00 X 0 0 0 JIM PALMER TRUSTEE 2.00 X 0 0 0 LARRY SCHMEDDING JR TRUSTEE 2.00 X 0 0 0 JESSICA TAYLOR TRUSTEE 2.00 X 0 0 0 ANDREW TOMLINSON TRUSTEE 2.00 X 0 0 0 ADRIENNE TORRE TRUSTEE 2.00 X 0 0 0 0 0 0 0 0 0 0 PREMERA BLUE CROSS PO BOX 91060 SEATTLE WA 98111 PREFERRED PROVIDER NETWORK/CLAIMS PROCES 3026027 TIMBER PRODUCTS MANUFACTURERS INC 951 E 3RD AVE SPOKANE WA 99202 TRUST ADMINISTRATION 976386 CORKERY & JONES BENEFITS INC 818 W RIVERSIDE AVE STE 800 SPOKANE WA 99201 BENEFITS CONSULTANT/BROKER COMMISSIONS 327752 DELTA DENTAL PO BOX 84885 SEATTLE WA 98124 PREFERRED PROVIDER NETWORK/CLAIMS PROCES 223687 AW REHN & ASSOCIATES 12939 EAST PINECROFT WAY SPOKANE VALLEY WA 99216 THIRD-PARTY BILLING ADMINISTRATION 158861 5 EMPLOYER CONTRIBUTIONS 525100 63389471 63389471 PARTICIPANT CONTRIBUTIONS 525100 452579 452579 LATE FEES 525100 43488 43488 63885538 343605 343605 6584634 6593047 -8413 -8413 -8413 64220730 63885538 0 335192 58872543 6810049 25088 34185 68506 71859 27666 17868 17758 TAXES AND FEES 750720 LICENSE EXPENSE 3895 66700137 4199116 3755696 1642612 1281301 786404 1088289 17100 18604 22383978 20689002 29029210 26832892 314392 274821 27313 91074 6138243 7948267 6479948 8314162 X 0 0 0 0 22549262 18518730 22549262 18518730 29029210 26832892 -2479407 -1551125 0 X X 0 1 X 1 0 0 CLAIMS INCURRED BUT NOT REPORTED 7948267 7948267 X 62601099 -1551127 2 -1551125 64152224 68506 68506 64220730 64821607 0 64821607 68506 1810024 1878530 66700137 PART X, LINE 2: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE PLAN MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE PLAN AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF THE PLAN HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS. THE PLAN IS SUBJECT TO ROUTINE AUDITS OR EXAMINATIONS BY VARIOUS REGULATORY JURISDICTIONS. PART XI, LINE 2D - OTHER ADJUSTMENTS: ADJUSTMENT 2. PART XII, LINE 4B - OTHER ADJUSTMENTS: INCREASE IN CLAIMS INCURRED BUT NOT REPORTED 1,810,024. FORM 990, PART VI, SECTION A, LINE 3 THE DAY-TO-DAY OPERATIONS OF THE TRUST ARE SUPERVISED BY VP BENEFITS ADMINISTRATION WHO REPORTS TO THE TPM ASSOCIATION PRESIDENT AND PROVIDES REGULAR COMMUNICATION TO THE BOARD OF TRUSTEES. ADDITIONALLY, THE TRUST HAS RETAINED THE SERVICES OF OUTSIDE CONTRACT SERVICE PROVIDERS TO PROVIDE CLAIMS PROCESSING, CASE MANAGEMENT, AND OTHER ADMINISTRATIVE SERVICES. FORM 990, PART VI, SECTION A, LINE 7B ANY CHANGES IN THE PLAN DOCUMENT AUTHORIZED BY THE BOARD OF TRUSTEES OF THIS TRUST MUST BE APPROVED BY THE SPONSOR, TIMBER PRODUCTS MANUFACTURERS INC. FORM 990, PART VI, SECTION B, LINE 11B THE FEDERAL FORM 990 AND SCHEDULES WERE PREPARED UNDER THE GUIDANCE OF THE TRUST'S VP BENEFITS ADMINISTRATION BY THE INDEPENDENT ACCOUNTING FIRM CLIFTONLARSONALLEN LLP. DRAFT COPIES OF THE FEDERAL FORM 990 AND SCHEDULES WERE FIRST PROVIDED TO THE VP BENEFITS ADMINISTRATION, WHO REVIEWED THE FORM 990 AND SCHEDULES FOR ACCURACY AND COMPLETENESS. ANY QUESTIONS, CONCERNS OR ISSUES RAISED BY THE VP BENEFITS ADMINISTRATION WERE ADDRESSED AND ANY NECESSARY REVISIONS WERE MADE TO THE FEDERAL FORM 990 AND SCHEDULES. THE REVISED FEDERAL FORM 990 AND SCHEDULES WERE THEN PROVIDED TO THE BOARD OF TRUSTEES FOR ITS REVIEW. ANY ADDITIONAL QUESTIONS, CONCERNS OR ISSUES RAISED BY THE BOARD OF TRUSTEES WERE ADDRESSED AND ANY NECESSARY REVISIONS WERE MADE TO THE FEDERAL FORM 990 AND SCHEDULES. FORM 990, PART VI, SECTION B, LINE 12C TRUSTEES, SERVICE PROVIDERS, THIRD-PARTY ADMINISTRATORS, OR ANY OTHER PERSON HAVING RESPONSIBILITY FOR THE MANAGEMENT OR ADMINISTRATION OF THE TRUST'S FINANCES, INVESTMENTS, OR OTHER PROPRIETARY INFORMATION CONCERNING THE TRUST ARE CONSIDERED INTERESTED PERSONS. AN INTERESTED PERSON IS UNDER CONTINUING OBLIGATION TO DISCLOSE ANY POTENTIAL CONFLICT OF INTEREST TO THE BOARD OF TRUSTEES AS SOON AS IT IS KNOWN OR REASONABLY SHOULD BE KNOWN. THE INTERESTED PERSON IS GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE TRUSTEES WHEN CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. AFTER DISCLOSURE OF THE FINANCIAL, PROFESSIONAL, OR PERSONAL INTEREST AND ALL MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE INTERESTED PERSON, HE/SHE LEAVES THE TRUSTEES MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS CONSIDERED. IF THE DISINTERESTED TRUSTEES DETERMINE A CONFLICT OF INTEREST EXISTS, THE CHAIRMAN OF THE BOARD, IF APPROPRIATE, APPOINTS A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT. AFTER EXERCISING DUE DILLIGENCE, THE TRUSTEES DETERMINE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT WITH A PERSON THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY ATTAINABLE UNDER CIRCUMSTANCES THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST, THE BOARD OR COMMITTEE DETERMINES BY MAJORITY VOTE OF DISINTERESTED TRUSTEES WHETHER THE TRANSACTION AGREEMENT OR ARRANGEMENT IS IN THE BEST INTEREST, FOR ITS OWN BENEFIT, AND WHETHER IT IS FAIR AND REASONABLE. IN CONFORMITY WITH THE ABOVE DETERMINATION THE TRUSTEES MAKE A DECISION AS TO WHETHER TO ENTER INTO THE TRANSACTION AGREEMENT OR ARRANGEMENT. THE MINUTES OF THE MEETING REFLECT THE CONFLICT DISCLOSURE WAS MADE TO THE BOARD, THE VOTE TAKEN AND, WHERE APPLICABLE, THE ABSTENTION FROM VOTING AND PARTICIPATION BY THE INTERESTED PARTY. WHENEVER POSSIBLE, THE MINUTES SHOULD FRAME THE DECISION OF THE BOARD IN SUCH A WAY TO PROVIDE GUIDANCE FOR CONSIDERATION FOR FUTURE CONFLICT OF INTEREST SITUATIONS. TO ENSURE THE TRUST OPERATES IN A MANNER CONSISTENT WITH ITS TAX-EXEMPT PURPOSE AND DOES NOT ENGAGE IN ACTIVITIES THAT COULD JEOPARDIZE ITS TAX-EXEMPT STATUS, THE BOARD OF TRUSTEES CONDUCTS PERIODIC REVIEWS. THE PERIODIC REVIEWS INCLUDE, AT A MINIMUM, THE FOLLOWING SUBJECTS: WHETHER CONTRACTUAL ARRANGEMENTS WITH SERVICE PROVIDERS AND SERVICES PROVIDED ARE REASONABLE, BASED ON COMPETENT MARKET SURVEY INFORMATION, AND THE RESULT OF ARM'S LENGTH NEGOTIATIONS. WHETHER CONTRACTUAL ARRANGEMENTS WITH SERVICE PROVIDERS AND ARRANGEMENTS WITH OTHER ORGANIZATIONS CONFORM TO WRITTEN POLICIES, ARE PROPERLY RECORDED, REFLECT REASONABLE INVESTMENT OR PAYMENTS FOR GOODS AND SERVICES, FURTHER TAX-EXEMPT PURPOSES, AND DO NOT RESULT IN INUREMENT, IMPERMISSIBLE PRIVATE BENEFIT, OR IN AN EXCESS BENEFIT TRANSACTION. WHETHER ANY TRANSACTION CONDUCTED BY THE TRUST DURING THE REVIEW PERIOD INVOLVES OR COULD POSSIBLY GIVE RISE TO A CONFLICT OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15 THE TRUST HAS NO COMPENSATED MANAGEMENT OFFICIALS, OFFICERS, OR KEY EMPLOYEES. IF THE ORGANIZATION HAD SUCH COMPENSATED INDIVIDUALS, POLICIES AND PROCEDURES WOULD BE DEVELOPED TO DETERMINE COMPENSATION. FORM 990, PART VI, SECTION C, LINE 19 THE TRUST'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, FINANCIAL STATEMENTS AND FEDERAL FORM 990 AND SCHEDULES ARE AVAILABLE TO THE GENERAL PUBLIC UPON WRITTEN REQUEST SENT TO THE SPONSOR OF THE TRUST, TIMBER PRODUCTS MANUFACTURERS INC, 951 E 3RD AVE, SPOKANE, WA 99202. FORM 990, PART XII, LINE 2C: THE PROCESS AND METHODS USED TO SELECT THE INDEPENDENT AUDITOR HAVE NOT CHANGED FROM THE PROCESS AND METHODS USED IN PRIOR YEARS. 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