2022-06-23T10:58:43-05:00 2021-08-31 MILLER KAPLAN ARASE LLP 600 STEWART ST STE 618 SEATTLE WA 981011261 990 2020-09-01 916033601 Western Teamsters Welfare Trust % PAUL SANGALANG WEST 6264636041 225 S LAKE AVE STE 1200 PASADENA CA 91101 BOB PAFFENROTH TRUSTEE 6264636041 2022-06-14 true BOB PAFFENROTH 999009999 CATALINA KIRBY P02018896 2065963930 3 2020 2022-09-23 18:48:47Z Bob Paffenroth 225 S LAKE AVE STE 1200 PASADENA CA 91101 203596234 false X N/A X 1962 WA TO PROVIDE HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS, WHICH INCLUDE ACTIVE AND CASUAL EMPLOYEES OF PARTICIPATING EMPLOYERS AND ELIGIBLE RETIREES. 10 0 0 0 0 0 0 0 135872296 136989555 3095326 2748820 4607469 4890658 143575091 144629033 0 0 135879253 138442194 0 0 0 0 0 4266743 4468071 140145996 142910265 3429095 1718768 178858273 186935579 32745108 31964267 146113165 154971312 TO PROVIDE HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS, WHICH INCLUDE ACTIVE AND CASUAL EMPLOYEES OF PARTICIPATING EMPLOYERS AND ELIGIBLE RETIREES. false false TO PROVIDE HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS, WHICH INCLUDE ACTIVE AND CASUAL EMPLOYEES OF PARTICIPATING EMPLOYERS AND ELIGIBLE RETIREES. false false false false false false false false true 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 2486 0 true 0 false false false false false false false false X 10 0 false false false false false false false true true false false false true true true true true false X PAUL SANGALANG 6264636041 225 S LAKE AVE STE 1200 PASADENA CA 91101 X JOHN COULSON TRUSTEE 1.0 0.0 X 0 0 0 RICK PORTER TRUSTEE 1.0 0.0 X 0 0 0 WILLIAM R DAVIDSON TRUSTEE 1.0 0.0 X 0 0 0 JUSTIN HOLLIDAY TRUSTEE 1.0 0.0 X 0 0 0 WALTER MAESTAS TRUSTEE 1.0 0.0 X 0 0 0 PATRICK D KELLY TRUSTEE 1.0 0.0 X 0 0 0 BOB PAFFENROTH TRUSTEE 1.0 0.0 X 0 0 0 TOM WALTERS TRUSTEE 1.0 0.0 X 0 0 0 MICHAEL SIMEONE TRUSTEE 1.0 0.0 X 0 0 0 DOUG RUYGROK TRUSTEE 1.0 0.0 X 0 0 0 AJ PHILLIPS TRUSTEE 1.0 0.0 X 0 0 0 0 0 0 0 false false false NORTHWEST ADMINISTRATORS INC 2323 EASTLAKE AVE E STE 400 SEATTLE WA 98102 TPA, INV MGR, AUDIT 3592919 ANTHEM BLUE CROSS 11050 OLSON DR STE 110 RANCHO CORDOVA CA 95670 PPO PROVIDER 1136626 EXPRESS SCRIPTS INC 225 SUMMIT AVE MONTVALE NJ 07645 RX BENEFIT ADMIN 195374 Milliman 650 California st 17th fl SAN FRANCISCO CA 94108 consulting 202753 4 0 EMPLOYER CONTRIBUTIONS 900099 125890002 125890002 0 0 RETIREE CONTRIBUTIONS 900099 10804380 10804380 0 0 COBRA 900099 295173 295173 0 0 136989555 2025577 0 0 2025577 0 0 0 0 0 59690444 58967201 723243 723243 723243 0 0 0 0 0 0 0 0 0 REFUNDS AND REIMBURSEMENTS 900099 4822444 4822444 MISCELLANEOUS INCOME 900099 68214 68214 4890658 144629033 141880213 0 2748820 0 0 0 138442194 0 0 0 0 0 0 3371866 84000 257889 0 0 233839 347461 0 118669 844 0 0 0 0 0 0 0 475 38738 ACA PCORI FEES 14290 142910265 0 0 18594811 740752 0 0 11590262 12450714 0 0 0 0 0 0 0 0 598 781 15411 15411 475 0 148672127 173743332 0 0 0 0 0 0 0 0 178858273 186935579 1321578 874940 0 0 938530 905696 0 0 0 0 0 0 0 0 0 0 30485000 30183631 32745108 31964267 X 0 0 0 0 146113165 154971312 146113165 154971312 178858273 186935579 1718768 7139379 X false true X true 0 0 0 BENEFIT OBLIGATIONS 30183631 30183631 X 151768412 7139379 7139379 144629033 144629033 143211634 143211634 -301369 -301369 142910265 PART X, LINE 2: Accounting principles generally accepted in the United States of America require management to evaluate tax positions taken by the trust and recognize a tax liability if the trust has taken a tax position that more likely than not would not be sustained upon examination by a tax authority. The trust is subject to routine audits by taxing jurisdictions; however, there are currently no audits for any tax periods in progress. PART XII,LINE 4B: DECREASE IN BENEFIT OBLIGATIONS. PART VI, LINE 11B: THE ADMINISTRATIVE OFFICE REVIEWS THE FORM 990 AND WILL NOTIFY THE BOARD OF TRUSTEES IF ANY UNUSUAL OR SIGNIFICANT ITEMS ARE NOTED. PART VI, LINE 12C: THE TRUST HAS A CONFLICT OF INTEREST POLICY THAT REQUIRES ALL TRUSTEES AND SERVICE PROVIDERS TO CONTACT THE ADMINISTRATIVE OFFICE IF ANY ISSUES ARISE THAT COULD IMPAIR THEIR INDEPENDENCE. PART VI, LINE 19: THE TRUST'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MAINTAINED AT THE ADMINISTRATOR'S OFFICE AND ARE AVAILABLE UPON REQUEST. PART VII, SECTION A - COMPENSATION OF OFFICERS: THE BOARD OF TRUSTEES SERVE WITHOUT COMPENSATION. THE TRUST DOES NOT MAINTAIN THE INFORMATION ON COMPENSATION FROM RELATED ORGANIZATIONS BUT BELIEVES THAT SUCH COMPENSATION, IF ANY, IS APPROPRIATELY REPORTED ON THE RETURNS OF THOSE ORGANIZATIONS. SEE PART VII - SUPP INFO SEE PART VII - SUPP INFO SEE PART VII - SUPPLEMENTAL INFORMATION false false false false false false false false false false false false false false false false false false true PARTS II, III AND IV - IDENTIFICATION OF RELATED TAX-EXEMPT ORGANIZATIONS, TAXABLE AS A PARTNERSHIP, CORPORATION OR TRUST: THE FOLLOWING ORGANIZATIONS MADE CONTRIBUTIONS TO THE PLAN DURING THE FISCAL YEAR-ENDED AUGUST 31, 2021: ABF FREIGHT SYSTEM ACTIVE USA AIRBORNE EXPRESS #45 B.L. TRANSPORT HORIZON LINES, LLC SAFEWAY STORES, INC. TEAMSTERS JOINT COUNCIL #3 TEAMSTERS Local #17 TEAMSTERS LOCAL #455 TEAMSTERS LOCAL #492 UNITED PARCEL SERVICE USF REDDAWAY YRC INC