2020-01-13T10:09:01-06:00 2019-03-31 522385296 LINDQUIST LLP 5000 EXECUTIVE PARKWAY SUITE 400 SAN RAMON CA 94583 990 2018-04-01 916028570 LOCALS 302 & 612 INTL UNION OF OP ENG CONST IND HEALTH AND SECURITY PLAN LOCA 2064417574 PO BOX 34203 SEATTLE WA 981241203 DAREN KONOPASKI CHAIRMAN 2064417574 2020-01-13 1 TODD M STOKES P01451940 9252779100 66.7.226.66 2020-01-13 08:08:48 PS P D85FB602DC4FA66F28A631CB81EF53DF59ECABFA 92C7F91AD246760067C653CBF66B8BF12B4D5FD1 2018 2020-11-19 02:30:22Z DAREN KONOPASKI PO BOX 34203 SEATTLE WA 981241203 202594350 0 X WWW.ENGINEERSTRUST.COM X 1953 WA PROVIDE HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS, THEIR DEPENDENTS AND RETIREES. 10 0 76 0 0 0 0 0 138834655 144265048 8630781 6896718 122767 59328 147588203 151221094 0 0 135260434 132711548 0 0 0 0 0 7312436 7308941 142572870 140020489 5015333 11200605 256669426 273666160 100431085 100721547 156238341 172944613 PROVIDE HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS, THEIR DEPENDENTS, AND RETIREES. 0 0 PROVIDED HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS, THEIR DEPENDENTS, AND RETIREES. 0 0 0 0 0 0 0 0 0 0 1 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 2569 0 1 76 1 0 0 0 0 0 0 0 0 X 10 0 0 1 0 0 0 0 0 1 1 0 0 0 1 0 0 1 1 0 0 0 X WELFARE & PENSION ADMINISTRATION SE 2064417574 7525 SE 24TH STREET SUITE 200 MERCER ISLAND WA 98040 X BRETT FERULLO - PAST TRUSTEE 1.00 X 0 0 0 MIKE TUCCI TRUSTEE 1.00 X 0 0 0 DOUG PETERSON - PAST TRUSTEE 1.00 X 0 0 0 MIKE MILLER TRUSTEE 1.00 X 0 0 0 ANDREW LEDBETTER TRUSTEE/SECRETARY 1.00 X 0 0 0 DAREN KONOPASKI TRUSTEE/CHAIRMAN 1.00 X 0 0 0 TODD MICKELSON TRUSTEE 1.00 X 0 0 0 SEAN JEFFRIES TRUSTEE 1.00 X 0 0 0 CURT KOEGEN TRUSTEE 1.00 X 0 0 0 MIKE LEE TRUSTEE 1.00 X 0 0 0 JASON ALWARD TRUSTEE 1.00 X 0 0 0 COREY CHRISTENSEN TRUSTEE 1.00 X 0 0 0 SEE SCHEDULE O FOR COMPENSATION PAID BY RELATED ORGANIZATIONS 0.00 X 0 1 0 0 1 0 0 0 0 0 WELFARE & PENSION ADMINISTRATION SERVICE PO BOX 34203 SEATTLE WA 98124 ADMINISTRATION 2788524 PREMERA 7001 220TH ST SW BUILDING 1 MOUNTLAKE TERRACE WA 98043 BENEFIT ADMINISTRATION 1887731 FIRST CHOICE HEALTH 600 UNIVERSITY STREET SUITE 1400 SEATTLE WA 98101 PPO NETWORK PROVIDER 566462 UNITED HEALTHCARE 7525 SE 24TH STREET MERCER ISLAND WA 98040 BENEFIT ADMINISTRATION 319348 INVESCO 2001 ROSS AVENUE SUITE 3400 DALLAS TX 75201 INVESTMENT MANAGEMENT 276297 10 EMPLOYER CONTRIBUTIONS 900099 117611908 117611908 PARTICIPANT CONTRIBUTIONS 900099 15059990 15059990 FORMULARY & OTHER REBATES 900099 11084548 11084548 EGWP SUBSIDY 900099 508602 508602 144265048 7626605 7626605 50643369 51373256 -729887 -729887 -729887 LEGAL FEES COLLECTED 900099 47671 47671 SEC. LITIGATION INC. 900099 11657 11657 59328 151221094 144312719 0 6908375 132711548 812986 177612 128514 491778 4931016 443880 6599 25938 26705 ALASKA VACCINE ASSESSME 223301 PCORI FEE 40612 140020489 14335939 15981798 4836632 8281049 15913749 15883407 6400 9400 197174233 208054424 24402473 25456082 256669426 273666160 1325519 1969574 99105566 98751973 100431085 100721547 X 0 0 0 0 156238341 172944613 156238341 172944613 256669426 273666160 11200605 5505667 0 X X 0 1 X 1 0 0 LIMITED PARTNERSHIP 25456082 F 25456082 ACCUMULATED ELIGIBILITY CREDITS 71568000 CLAIMS PAYABLE AND IBNR 27183973 98751973 X 156234983 5505667 5505667 150729316 491778 491778 151221094 139882304 0 139882304 491778 -353593 138185 140020489 PART X, LINE 2: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE THE TAX POSITIONS TAKEN BY THE PLAN AND RECOGNIZE A TAX LIABILITY IF THE PLAN HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE PLAN AND HAS CONCLUDED THAT, AS OF MARCH 31, 2019, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY THE TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. THE PLAN BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR THE YEARS PRIOR TO 2016. PART XII, LINE 4B - OTHER ADJUSTMENTS: CHANGE IN BENEFIT OBLIGATIONS FORM 990, PART VI, SECTION A, LINE 3 THE PLAN HAS CONTRACTED WITH WELFARE & PENSION ADMINISTRATION SERVICE, INC. TO PROVIDE DAY TO DAY ADMINISTRATIVE SERVICES TO THE PLAN. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 WILL BE REVIEWED BY THE TRUST CHAIRMAN FOR ACCURACY AND COMPLETENESS PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, VII, SECTION A, LINE 1A TRUSTEES ARE NOT COMPENSATED BY THE TRUST. COMPENSATION PAID TO TRUSTEES EMPLOYED BY THE OTHER RELATED ORGANIZATIONS IS REPORTED ON THE FORM 990 FILED WITH THE INTERNAL REVENUE SERVICE BY THE RELATED TAX-EXEMPT ORGANIZATION. IF YOU WOULD LIKE ADDITIONAL INFORMATION, PLEASE CONTACT THE THIRD-PARTY ADMINISTRATOR, WELFARE & PENSION ADMINISTRATION SERVICE, INC. FORM 990, PART XII, LINE 2C THE ORGANIZATION HAS A BOARD OF TRUSTEES THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED. FORM 990, PART V, LINE 2A THE PLAN PROVIDES TAXABLE DISABILITY BENEFIT PAYMENTS TO ELIGIBLE PARTICIPANTS AND REPORTS THOSE BENEFITS ON FORM W-2. THESE BENEFITS ARE INCLUDED ON FORM 990, PART IX, LINE 4. WESTERN WA OPERATING ENGINEERS - EMPLOYERS TRAINING TRUST 16921 VANTAGE HIGHWAY ELLENSBURG WA 98926 916134083 TO PROVIDE TRAINING BENEFITS WA 501(C)3 9 N/A 0 LOCALS 302 & 612 OF THE IUOE RETIREMENT PLAN PO BOX 34203 SEATTLE WA 981241203 916028571 TO PROVIDE PENSION BENEFITS WA 501(A) N/A N/A 0 INTL UNION OF OPERATING ENGINEERS LOCAL 302 18701 120TH AVENUE NE BOTHELL WA 980119514 910257483 LABOR UNION WA 501(C)5 N/A N/A 0 INTL UNION OF OPERATING ENGINEERS LOCAL 612 1555 SOUTH FAWCETT AVENUE TACOMA WA 98401 910268531 LABOR UNION WA 501(C)5 N/A N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 SCHEDULE R, RELATED ORGANIZATIONS (CONT): LINESCAPE OF WA, LLC LMH CONSTRUCTION LOCAL 286 TRAINING CTR M A MORTENSON CO MALCOLM DRILLING MAMMOET USA NORTH INC MANSON CONST & ENG CO MANSON CONSTRUCTION MARINE VACUUM SERVICE MARONI CONSTRUCTION MARSHBANK CONSTRUCTION MASS EXCAVATION INC MATANUSKA ELEC ASSOC. 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THE PHOENIX TRUSS CORP THE WESTIN HOTEL TIGER NORTHWEST INC TITAN EARTHWORK, LLC TODD PACIFIC TOG MIDSTATE JV, LLC TONY LIND PAVING, INC TOTAL SITE SERVICES SCHEDULE R, RELATED ORGANIZATIONS (CONT): TOTEM ELECTRIC TRANSCON COMPANY, LLC TRANSPORTATION SYSTEMS TRENCHLESS CONST SVCS TRICO COMPANIES LLC TRUE NORTH LAND SURVEY TUCCI & SONS INC TUNISTA CONSTRUCTION TURNAGAIN MARINE CONST TURNER CONST CO TUTKA LLC U S BAKING COMPANY UNEARTH LLC UNIT COMPANY VALLEY GENERAL CONSTR VENTILATION POWER VERSATILE DRILLING VETERANS GENERAL CONT W E COATES SURVEYING WALSH CONST CO II, LLC WARD C.MULLER & ASSOC WASHINGTON ATHLETIC WASHINGTON STATE WASILLA, CITY OF WATSON ASPHALT PAVING WESTERN CRANE, INC WESTERN MARINE CONST WESTERN REFINERY SVCS WHH NISQUALLY FED SVCS WHITE MOUNTAIN CON LLC WM DICKSON COMPANY WOLF CREEK FED SVCS WORLD EQUIPMENT INC SCHEDULE R, RELATED ORGANIZATIONS: THE FILING ORGANIZATION IS A TAFT-HARTLEY MULTIEMPLOYER TRUST THAT PROVIDES HEALTH AND WELFARE BENEFITS TO ELIGIBLE EMPLOYEES AND THEIR DEPENDENTS. AS OF MARCH 31, 2019, THERE ARE APPROXIMATELY 520 EMPLOYERS THAT CONTRIBUTE TO THE TRUST. THE ADMINISTRATIVE OFFICE MAINTAINS A DATABASE OF THESE CONTRIBUTING EMPLOYERS, INCLUDING NAMES, ADDRESSES AND OTHER CONTACT INFORMATION. THE FEDERAL TAX CLASSIFICATION (DISREGARDED ENTITY, TAX EXEMPT ORGANIZATION, PARTNERSHIP, TAXABLE CORPORATION OR TRUST) FOR EACH CONTRIBUTING EMPLOYER IS NOT ON FILE WITH THE ADMINISTATIVE OFFICE AND IT COULD NOT BE REASONABLY OBTAINED. 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