2020-11-11T18:12:45-06:00 2019-12-31 208149084 ANASTASI MOORE & MARTIN PLLC 9 S WASHINGTON ST STE 600 SPOKANE WA 99201 990 2019-01-01 926003453 ALASKA UNITED FOOD AND COMMERCIAL WORKERS HEALTH AND WELFARE PLAN ALAS 2064417574 PO BOX 34203 SEATTLE WA 98124 ROBERT MCLAUCHLIN SECRETARY 9072581496 2020-11-11 1 PAUL ANASTASI P00395796 5093230272 2020-11-11 209.210.95.36 2020-11-11 13:11:19 PS P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 46CAEAA8ACE1A846D2D686457D1D3826578CD455 2019 2021-04-22 16:20:28Z GAITHER MARTIN 501 W NORTHERN LIGHTS BLVD SUITE 200 ANCHORAGE AK 99503 50524624 0 X N/A X 1965 AK TO PROVIDE HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS. 6 6 0 6 0 0 0 0 22893445 23021417 72610 173258 260101 218706 23226156 23413381 0 0 19111804 17316356 0 0 0 0 0 1857798 1713659 20969602 19030015 2256554 4383366 7429215 11419014 7153021 6664989 276194 4754025 TO PROVIDE HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS. 0 0 PROVIDE HEALTH AND WELFARE BENEFITS FOR UNION MEMBERS 0 0 0 0 0 0 0 0 0 0 0 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 1 237 0 1 0 0 0 0 0 0 0 0 0 0 0 X 6 6 0 1 0 0 0 0 0 1 1 0 0 0 1 1 0 0 0 0 0 0 X WELFARE & PENSION ADMINISTRATION SERVICE INC 2064417574 P O BOX 34203 SEATTLE WA 98124 X WALTER E STUART UNION TRUSTEE 1.00 0.00 X 0 0 0 SILVANA TIRBAN UNION TRUSTEE 1.00 0.00 X 0 0 0 FRANK JORGENSEN EMPLOYER TRUSTEE 1.00 0.00 X 0 0 0 HL RAVENSCRAFT EMPLOYER TRUSTEE 1.00 0.00 X 0 0 0 GAITHER MARTIN CHAIRMAN 1.00 0.00 X X 0 0 0 ROBERT MCLAUCHLIN SECRETARY 1.00 0.00 X X 0 0 0 0 0 0 0 0 0 0 WELFARE & PENSION ADMINISTRATION SERVICE PO BOX 34203 SEATTLE WA 98124 CLAIMS PROCESSING AND ADMINISTRATION 524042 AETNA PO BOX 70944 CHICAGO IL 60673 PPO NETWORK 300359 BEACON OHSS INC 800 CORDOVA STREET ANCHORAGE AK 99501 LABORATORY SERVICES 206479 VIA BENEFITS INSURANCE SERVICES 10975 SOUTH STERLING VIEW DRIVE SOUTH JORDAN UT 84095 UTILIZATION REVIEW/CASE MANAGEMENT 182309 LABOR TRUST SERVICES INC 3380 C ST 107 ANCHORAGE AK 99503 CONTRACT ADMINISTRATION 164579 6 EMPLOYER CONTRIBUTIONS 900099 20745008 20745008 EMPLOYEE CONTRIBUTIONS 900099 2276409 2276409 23021417 155829 155829 27128672 27111243 17429 17429 17429 FORMULARY REBATES 900099 205020 205020 REFUNDED PROCESSING FEES 900099 13686 13686 218706 23413381 23395952 0 17429 17316356 17316356 774071 774071 27225 27225 24839 24839 13520 13520 793854 793854 38686 38686 10791 10791 4679 4679 20464 20464 PCORI TAX 5530 5530 19030015 19030015 0 0 91932 9185 3117938 1797907 2096003 2634121 2100 2100 2121242 6975701 7429215 11419014 58965 96220 7094056 6568769 7153021 6664989 X 0 0 0 0 276194 4754025 276194 4754025 7429215 11419014 4383366 94465 0 X 0 1 X 0 0 0 DUE TO ALASKA UNITED FOOD AND COMMERCIAL WORKERS PENSION FUND 36373 BENEFIT OBLIGATIONS 6532396 6568769 X 23494326 94465 94465 23399861 13520 13520 23413381 19578155 0 19578155 13520 -561660 -548140 19030015 PART X, LINE 2: THE TRUST ESTABLISHED UNDER THE PLAN TO HOLD THE PLAN'S ASSETS IS QUALIFIED PURSUANT TO THE APPROPRIATE SECTION OF THE INTERNAL REVENUE CODE (IRC), AND, ACCORDINGLY, THE TRUST'S NET INVESTMENT INCOME IS EXEMPT FROM INCOME TAXES. THE PLAN HAS OBTAINED A FAVORABLE DETERMINATION LETTER FROM THE INTERNAL REVENUE SERVICE (IRS) BUT HAS SINCE BEEN AMENDED. HOWEVER, THE PLAN ADMINISTRATOR BELIEVES THAT THE PLAN IS CURRENTLY DESIGNED AND BEING OPERATED IN COMPLIANCE WITH THE APPLICABLE REQUIREMENTS OF THE IRC. THEREFORE, THEY BELIEVE THAT THE PLAN IS QUALIFIED AND THE RELATED TRUST IS TAX-EXEMPT AS OF THE FINANCIAL-STATEMENT DATES. ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN INCLUDED IN THE PLAN'S FINANCIAL STATEMENTS. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE PLAN MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE PLAN AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF THE PLAN HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS. THE PLAN ADMINISTRATOR HAS ANALYZED THE TAX POSITIONS TAKEN BY THE PLAN AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2019, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF THE LIABILITY (OR ASSET) OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS, AND THE PLAN COULD BE SUBJECT TO INCOME TAX IF CERTAIN ISSUES WERE FOUND BY THE IRS THAT COULD RESULT IN THE DISQUALIFICATION OF THE PLAN'S TAX-EXEMPT STATUS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. PART XII, LINE 4B - OTHER ADJUSTMENTS: TOTAL OBLIGATIONS OTHER THAN POST-RETIREMENT BENEFIT OBLIGATIONS CY 6,532,396. TOTAL OBLIGATIONS OTHER THAN POST-RETIREMENT BENEFIT OBLIGATIONS PY -7,094,056. FORM 990, PART VI, SECTION A, LINE 3 THE BOARD OF TRUSTEES HAS HIRED A PROFESSIONAL THIRD PARTY ADMINISTRATOR TO HANDLE THE DAY TO DAY ACTIVITIES OF THE TRUST. THE BOARD OF TRUSTEES RETAINED ULTIMATE RESPONSIBILITY FOR THE ACTIVITIES OF THE TRUST. FORM 990, PART VI, SECTION B, LINE 11B NO REVIEW WAS OR WILL BE CONDUCTED. FORM 990, PART VI, SECTION C, LINE 19 PARTICIPANTS IN THE PLAN CAN OBTAIN THESE DOCUMENTS UPON REQUEST THROUGH THE PLAN'S THIRD PARTY ADMINISTRATOR. LOCAL 1496 UFCW 501 W NO LTS BLVD 200 ANCHORAGE AK 99503 AK PLUMBERS & STEAM FITTERS UNION LOCAL 262 1751 ANKA ST JUNEAU AK 99801 AK FAIRBANKS DISTRIBUTOR 3810 BRADDOCK ST FAIRBAINKS AK 99701 AK GAVORA INC PO BOX 73883 FAIRBAINKS AK 99707 AK HAMMER & WIKAN INC PO BOX 249 PETERSBURG AK 99833 AK LABOR TRUST SERVICES PO BOX 34203 SEATTLE WA 98124 WA MARKET BASKET INC PO BOX 73883 FAIRBANKS AK 99707 AK SAFEWAY STORES INC PO BOX 52035 PHOENIX AZ 85038 AZ TATSUDA'S SUPERMARKET INCORPORATED PO BOX 8820 KETCHIKAN AK 99901 AK THE TRADING UNION INC PO BOX 489 PETERSBURG AK 99833 AK TONGASS TRADING CO 201 DOCK ST KETCHIKAN AK 99901 AK 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 TRANSACTIONS WITH RELATED TAX-EXEMPT ORGANIZATIONS (PART II) S 193731 CASH TRANSACTIONS WITH RELATED CORPORATIONS (PART IV) S 21310917 CASH