2022-11-15T17:13:40-06:00 2021-12-31 MILLER KAPLAN ARASE LLP 600 STEWART ST STE 618 SEATTLE WA 981011261 990 2021-01-01 916028573 MASONRY SECURITY PLAN OF WASHINGTON % PAUL SANGALANG MASO 2063294900 2323 EASTLAKE AVE E SEATTLE WA 98102 GARTH FISHER Account Executive 2063294900 2022-11-14 true GARTH FISHER 999009999 Catalina Kirby P02018896 2065963930 2 2021 2022-09-23 18:48:47Z GARTH FISHER 2323 EASTLAKE AVE E SEATTLE WA 98102 9507794 false X N/A X 1954 WA THE PLAN IS A MULTIEMPLOYER HEALTH AND WELFARE PLAN DESIGNED TO PROVIDE BENEFITS FOR ELIGIBLE PARTICIPANTS AND BENEFICIARIES AS SPECIFIED IN THE PLAN DOCUMENT. 10 0 0 0 0 0 0 0 8896068 9459869 286382 47925 0 0 9182450 9507794 0 0 8872591 8926893 0 0 0 0 0 904502 869077 9777093 9795970 -594643 -288176 20050030 19664941 6819333 6895200 13230697 12769741 THE PLAN IS A MULTIEMPLOYER HEALTH AND WELFARE PLAN DESIGNED TO PROVIDE BENEFITS FOR ELIGIBLE PARTICIPANTS AND BENEFICIARIES AS SPECIFIED IN THE PLAN DOCUMENT. false false THE PLAN IS A MULTIEMPLOYER HEALTH AND WELFARE PLAN DESIGNED TO PROVIDE BENEFITS FOR ELIGIBLE PARTICIPANTS AND BENEFICIARIES AS SPECIFIED IN THE PLAN DOCUMENT. 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 243 0 true 0 true 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 2063294900 2323 EASTLAKE AVE E SEATTLE WA 98102 X JOHN DAVIDSON TRUSTEE 1.0 0.0 X 0 0 0 RON ADAMS TRUSTEE 1.0 0.0 X 0 0 0 MICHAEL S FIELD TRUSTEE 1.0 0.0 X 0 0 0 TOM HENDERSON TRUSTEE 1.0 0.0 X 0 0 0 LORRAINE COOK TRUSTEE 1.0 0.0 X 0 0 0 MATTHEW BILYEU TRUSTEE 1.0 0.0 X 0 0 0 CHRIS ELLIS TRUSTEE 1.0 0.0 X 0 0 0 NORMAN SLEEPER TRUSTEE 1.0 0.0 X 0 0 0 JESSE SANDEN TRUSTEE 1.0 0.0 X 0 0 0 CORY EVONS TRUSTEE 1.0 0.0 X 0 0 0 ANGELA HENDERSON TRUSTEE 1.0 0.0 X 0 0 0 CORDELL FISCHER TRUETEE 1.0 0.0 X 0 0 0 JUSTIN FRANCE TRUSTEE 1.0 0.0 X 0 0 0 LOWELL GLODOWSKI TRUSTEE 1.0 0.0 X 0 0 0 0 0 0 0 false false false PREMERA 7001 220TH ST SW MS 103 MOUNTLAKE TERRACE WA 98043 ADMIN SERVICE ORG. 222764 NORTHWEST ADMINISTRATORS INC 2323 EASTLAKE AVE E SEATTLE WA 98102 CONTRACT ADMIN. 435296 2 0 EMPLOYER CONTRIBUTIONS 900099 8878272 8878272 0 0 SELF PAY CONTRIBUTIONS 900099 581597 581597 0 0 9459869 47925 0 0 47925 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9507794 9459869 0 47925 0 0 0 8926893 0 0 0 0 0 0 378921 40582 32881 0 0 36699 324072 0 29516 9624 0 0 0 0 4180 0 0 0 8886 PCORI FEES 3716 9795970 0 0 2206938 7045444 0 0 2758172 660836 0 0 0 0 0 0 0 0 12970 4083 0 0 15071950 11954578 0 0 0 0 0 0 0 0 20050030 19664941 1266620 1234481 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5552713 5660719 6819333 6895200 X 0 0 0 0 13230697 12769741 13230697 12769741 20050030 19664941 -288176 -172780 X false true X true 0 BENEFIT OBLIGATIONS 5586000 VACATION CONTRIBUTIONS PAYABLE 74719 5660719 X 9335014 -172780 -172780 9507794 9507794 9671970 9671970 124000 124000 9795970 PART X, LINE 2: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE PLAN AND RECOGNIZE A TAX LIABILITY IF THE PLAN HAS TAKEN A TAX POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY A TAX AUTHORITY. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. PART XII, LINE 4B: INCREASE IN BENEFIT OBLIGATIONS $124,000. PART VI, LINE 11B: THE ADMINISTRATIVE OFFICE REVIEWS THE FORM 990 AND NOTIFIES THE BOARD OF TRUSTEES OF ANY UNUSUAL OR SIGNIFICANT ITEMS. PART VI, LINE 12C: ANY TRUSTEE OR SERVICE PROVIDER AUTHORIZED TO CONDUCT TRANSACTIONS ON BEHALF OF THE PLAN WHO HAS REASON TO BELIEVE THAT A PROPOSED TRANSACTION MIGHT CONSTITUTE A PROHIBITED TRANSACTION SHOULD CONSULT WITH THE PLAN'S LEGAL COUNSEL AND OBTAIN APPROVAL. PART VI, LINE 19: THE PLAN'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MAINTAINED BY THE ADMINISTRATIVE OFFICE AND ARE AVAILABLE UPON REQUEST. PART VII, LINE 1A, COLUMNS (E) AND (F): THE PLAN'S BOARD OF TRUSTEES SERVE WITHOUT COMPENSATION. THE PLAN DOES NOT MAINTAIN 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 - SUPPLEMENTAL NA SEE PART VII - SUPPLEMENTAL NA SEE PART VII - SUPPLEMENTAL INFORMATION NA false false false false false false false false false false false false false false false false false true true SEE PART VII - SUPPLEMENTAL INFORMATION PARTS II, III, IV and V - IDENTIFICATION OF RELATED TAX-EXEMPT ORGANIZATIONS OR ORGANIZATIONS TAXABLE AS A PARTNERSHIP, CORPORATION, OR TRUST: THE FOLLOWING ORGANIZATIONS MADE CONTRIBUTIONS TO THE PLAN IN 2021: 5 SISTER GRANITE REPAIR A&M MASONRY INC A.B. TERRAZZO, LLC ADVANCED RESTORATION & WATERPROOFING LLC ALL NEW GLASS COMPANY ALPINE WATERPROOFING & MASONRY RESTORATION APPLIED RESTORATION, INC. ARMORCLAD FLOORS AZURE MASONRY, INC. BAC LOCAL 2WA/ID/MT BAIN MASONRY INC. BAKER INDUSTRIAL SERVICES, LLC BC PAVERS INC. - N140 U DISTRICT STATION BMK CONSTRUCTION OF WA LLC BRATTON MASONRY C.A. CAREY CORPORATION CARLY MICHAEL STONE DESIGN CASCADE CONSTRUCTION COMPANY, INC CASCADE MASONRY RESTORATION CASTLE WALLS, LLC. CH MURPHY INC CLARK SERVICES NW, LLC COLUMBIA STONE COMMERICAL FLOOR DIST., INC. CONCRETE RESTORATION INC CONSTRUCTION BY CHAMPION LLC CRAWFORD SERVICES INC CRJ CONSTRUCTION CO. D CIULLA FLOORING DIZARD FRISCH & LUND MASONRY, INC. E AND L CURTAIN WALL CORP LTD EASTSIDE GLASS & SEALANTS EJ BARTELLS CO EMERALD CITY SEALANTS & WATERPROOFING EMERALD CITY WEATHERPROOFERS EVERGREENE ARCHITECTURAL ARTS EXTERIORS PLUS NORTHWEST F.D. THOMAS, INC. FAIRWEATHER MASONRY INC FAIRWEATHER STONEWORKS, LLC FDT STRUCTURAL SPECIALTIES LLC FINISHING TOUCH MASONRY & RESTORATION SOLUTIONS, LLC. FLATIRON WEST INC. FORTEZZA CONSTRUCTION, LLC FRYER KNOWLES INC GENERAL TERRAZZO & TILE GRAZZINI BROTHERS & CO. GUY NIELSON COMPANY HENDERSON MASONRY INC HENSON COMPANY INC, THE HOWARD S. WRIGHT J & S MASONRY INC J.T. THORPE & SON, INC. JOHNSON BROTHERS LANDSCAPING JOHNSON MASONRY, LLC. JOHNSTON CONST CO INC KEYSTONE MASONRY LILJA CORP LOMA LINDA INTERIORS M. FRISCH INC. MASON DESIGN & CONSTRUCTION MASONRY RESTORATION CONSULTING LLC MEDINA GLASS BLOCK INC MIKE QUINTON INSTALLING, INC. MOLDING MUD INC NORTH AMERICAN TERRAZZO NORTHBOUND MASONRY PACIFIC MASONRY PACIFIC NORTHWEST CARPENTRY, INC. PAR-TECH CONSTRUCTION, INC. PIONEER MASONRY RESTORATION PIONEER WATERPROOFING PLASTERING PLUS NORTHWEST PLT MASONRY LLC POWELL MASONRY PRIMAL FLOORS PRIME COAT COATING SYSTEMS PROGRANITE SURFACES LLC PURCELL P&C, LLC QUALITY FLOORS LLC - COMF OFFICE TI R & D MASONRY RELIABLE MASONRY SERVICE RIFE CONSTRUCTION SERVICES RIVERSIDE TILE AND STONE RT GENERAL CONSTRUCTION LLC RUBENSTEIN'S - COLEMAN DOCK PROJECT RUSTCO CONSTRUCTION SAMMAMISH TILE AND GRANITE, LLC SCHONERT & ASSOCIATES INC SEATTLE SCHOOL DIST. NO. 1 SGS GLASS SKYLINE TILE & MARBLE, INC. STATE GROUP LLC SUMMIT SEALANTS INC SURGENT, INC. SYNERGISM STONE TECHNICAL WATERPROOFING, INC THACKER MASONRY, INC. TILE2 LLC TOP END CONTRACTORS (A.K.A. TOP END CONSTRUCTORS, INC.) TOPLINE COUNTERS, LLC UNITED PROFESSIONAL VALLEY FABRICATORS LLC VECTOR GROUP LLC W.B. FLOORING WARDS MASONRY INC WARFIELD MASONRY LLC WASHINGTON MARBLE WORKS, INC WESTERN SPECIALTY CONTRACTORS WESTERN TILE & MARBLE WESTERN TILE CONSTR INC