2022-06-15T13:20:11-05:00 2021-07-31 931015766 BJORKLUND & MONTPLAISIR CPA'S 10300 SW GREENBURG ROAD STE 470 PORTLAND OR 97223 990 2020-08-01 936021772 ROOFERS LOCAL 49 WELFARE FUND BOARD OF TRUSTEES ROOF 5032825581 PO BOX 4148 PORTLAND OR 97208 ROBERT BOLT TRUSTEE/CHAIRMAN 5032825581 2022-06-15 true ROBERT BOLT 999009999 RICHARD A LAYNE P00359754 5036436400 2022-06-15 2020 2022-09-23 18:48:47Z ROBERT BOLT 15266022 false X X 1953 OR TO PROVIDE HEALTH AND VACATION BENEFITS TO PARTICIPANTS AND THEIR ELIGIBLE DEPENDENTS. 6 6 0 0 0 10353076 10448273 457291 317959 0 10810367 10766232 0 8375539 8576609 0 0 0 510092 476333 8885631 9052942 1924736 1713290 16320859 18594666 4057568 4387710 12263291 14206956 TO PROVIDE HEALTH AND VACATION BENEFITS TO PARTICIPANTS AND THEIR ELIGIBLE DEPENDENTS. false false 9052942 TO PROVIDE HEALTH AND VACATION BENEFITS TO PARTICIPANTS AND THEIR ELIGIBLE DEPENDENTS. 9052942 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 4 0 true 0 false false false false false false false false X 6 6 true false false false false false false true true false false false true true true true true true true false X X WILLIAM C EARHART CO INC 5032825581 12029 NE GLENN WIDING DRIVE PORTLAND OR 97220 X JASON BARTHEL TRUSTEE 1.00 X 0 0 0 ROBERT BOLT TRUSTEE/CHAI 1.00 X X 0 0 0 TOM BOLT TRUSTEE 1.00 X 0 0 0 RUSS GARNETT TRUSTEE 1.00 X 0 0 0 TRAVIS HOPKINS TRUSTEE 1.00 X X 0 0 0 VINCE LIGHTFOOT TRUSTEE 1.00 X 0 0 0 false false false CIGNA 701 5TH AVE STE 4900 SEATTLE WA 98104 PPO 140609 WILLIAM C EARHART CO INC PO BOX 4148 PORTLAND OR 97208 ADMINISTRATION 127767 2 EMPLOYER CONTRIBUTIONS 9151842 9151842 SVNG PLN CNTB WHHD FROM PRTPT 1269440 1269440 PARTICIPANT CONTRIBUTIONS 26991 26991 10448273 277797 277797 4539952 4499790 40162 40162 40162 10766232 10766232 8576609 8576609 29388 29388 15169 15169 37331 37331 6972 6972 1265 1265 18938 18938 CLAIMS ADMINISTRATION 140609 140609 THIRD PARTY ADMINISTRATOR 127767 127767 COST CONTAINMENT 53765 53765 BENEFITS CONSULTANT 36000 36000 9129 9129 9052942 9052942 0 0 3430697 3965634 1327936 1198970 11387957 13104156 174269 325906 16320859 18594666 7466 185043 4050102 4202667 4057568 4387710 X 12263291 14206956 12263291 14206956 16320859 18594666 1713290 230375 X false true X true false ESTIMATED FUTURE BENEFITS BASED ON 2370000 CLAIMS INCURRED BUT NOT PAID 1442000 INSURANCE PREMIUMS PAYABLE 390667 4202667 10959276 230375 230375 10728901 37331 37331 10766232 8863046 8863046 37331 152565 189896 9052942 SCHEDULE D, PAGE 4, PART XII, LINE 4B CHANGE IN BENEFIT LIABILITIES 152,565 FORM 990, PAGE 6, PART VI, LINE 2 ROBERT BOLT THOMAS BOLT TRUSTEE TRUSTEE COUSINS FORM 990, PAGE 6, PART VI, LINE 11B FORM 990 HAS BEEN MAILED TO ALL MEMBERS OF THE GOVERNING BODY (THE BOARD OF TRUSTEES) BEFORE FILING. FORM 990, PAGE 6, PART VI, LINE 12C IT IS INCUMBENT UPON ALL BOARD MEMBERS TO DISCLOSE ANY ACTUAL OR POTENTIAL CONFLICT AS SOON AS THEY BECOME AWARE OF IT. FORM 990, PAGE 6, PART VI, LINE 15A NO COMPENSATION IS PAID FORM 990, PAGE 6, PART VI, LINE 15B NO COMPENSATION IS PAID FORM 990, PAGE 6, PART VI, LINE 19 UPON REQUEST THROUGH THE PLAN'S THIRD PARTY ADMINISTRATOR. ALSO AVAILABLE ON GUIDESTAR.ORG. GREATER PORTLAND ROOFERS TRAINING N/A false ROOFERS LOCAL 49 N/A false ABC ROOFING INC N/A C CORP false ANDERSON ROOFING CO INC N/A C CORP false ARROW ROOFING & SHEETMETAL N/A S CORP false CARLSON ROOFING CO N/A C CORP false FD THOMAS INC N/A false GARON ROOFING & SM INC N/A C CORP false GRIFFITH ROOFING CO N/A S CORP false INTERNATIONAL LEAK DET NW N/A false MCDONALD AND WETLE INC N/A S CORP false MCGILCHRIST & SONS ROOFING N/A false PACIFIC ROOFING CO N/A C CORP false ROTH BROTHERS N/A false SNYDER ROOFING & SM INC N/A false SNYDER ROOFING OF OR LLC N/A false STERLING PACIFIC N/A false UMPQUA ROOFING COMPANY N/A S CORP false false false false false false false false false false false false false false false false false false false false