2021-05-15T17:20:51-05:00 2020-07-31 931015766 BJORKLUND & MONTPLAISIR CPA'S 9020 SW WASHINGTON SQ RD SUITE 46 PORTLAND OR 97223 990 2019-08-01 936021772 ROOFERS LOCAL 49 WELFARE FUND BOARD OF TRUSTEES ROOF 5032825581 PO BOX 4148 PORTLAND OR 97208 ROBERT BOLT TRUSTEE/CHAIRMAN 5032825581 2021-05-14 true RICHARD A LAYNE P00359754 5036436400 2021-05-15 2019 2022-09-23 18:48:47Z ROBERT BOLT 19597943 false X X 1953 OR TO PROVIDE HEALTH AND OTHER WELFARE BENEFITS TO PARTICIPANTS AND THEIR ELIGIBLE DEPENDENTS. 6 6 0 0 0 10482597 10353076 199877 457291 0 10682474 10810367 0 8301035 8375539 0 0 0 476938 510092 8777973 8885631 1904501 1924736 14095846 16320859 4028732 4057568 10067114 12263291 TO PROVIDE HEALTH AND OTHER WELFARE BENEFITS TO PARTICIPANTS AND THEIR ELIGIBLE DEPENDENTS. false false 8885631 TO PROVIDE HEALTH AND OTHER WELFARE BENEFITS TO PARTICIPANTS AND THEIR ELIGIBLE DEPENDENTS. 8885631 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 true 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 LOREN MOUNCE TRUSTEE 1.00 X 0 0 0 false false false CIGNA 701 5TH AVE STE 4900 SEATTLE WA 98104 PPO 168563 WILLIAM C EARHART CO INC PO BOX 4148 PORTLAND OR 97208 ADMINISTRATION 132747 2 EMPLOYER CONTRIBUTIONS 8991678 8991678 SVNG PLN CNTB WHHD FROM PRTPT 1313704 1313704 PARTICIPANT CONTRIBUTIONS 47694 47694 10353076 289347 289347 8955520 8787576 167944 167944 167944 10810367 10810367 8375539 8375539 30847 30847 28531 28531 30568 30568 10535 10535 16178 16178 17146 17146 CLAIMS ADMINISTRATION 144748 144748 THIRD PARTY ADMINISTRATOR 132747 132747 COST CONTAINMENT 54547 54547 BENEFITS CONSULTANT 36000 36000 8245 8245 8885631 8885631 0 0 1919379 3430697 1199091 1327936 10839314 11387957 138062 174269 14095846 16320859 6643 7466 4022089 4050102 4028732 4057568 X 10067114 12263291 10067114 12263291 14095846 16320859 1924736 271441 X false true X true false ESTIMATED FUTURE BENEFITS BASED ON 2430000 CLAIMS INCURRED BUT NOT PAID 1243000 INSURANCE PREMIUMS PAYABLE 377102 4050102 11051240 271441 271441 10779799 30568 30568 10810367 8883076 8883076 30568 -28013 2555 8885631 SCHEDULE D, PAGE 4, PART XII, LINE 4B CHANGE IN BENEFIT LIABILITIES -28,013 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 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