2020-07-13T16:37:33-05:00 2019-08-31 510435869 Needles & Associates LLC 350 Interlocken Blvd STE 360 Broomfield CO 80021 990 2018-09-01 237036156 Operating Engineers HW Fund for Colorado Trust Fund for Colorado OPER 3034301118 5511 W 56th Ave No 250 Arvada CO 80002 Kathy Innes Chairperson 3034301118 2020-07-13 1 Kurt D Needles CPA P00850236 3034304225 2020-06-10 23.24.139.241 2020-07-13 15:36:23 MD P F48160A868A297B8ADC61727E7B5881F6F437E8D F48160A868A297B8ADC61727E7B5881F6F437E8D 2018 2020-09-23 17:36:50Z Kathy Innes 5511 W 56th Ave No 250 Arvada CO 80002 32773291 0 X N/A X 1967 CO To provide eligible participants health and welfare benefits. 6 0 0 0 0 0 0 0 16589466 17903287 906510 315642 611468 785377 18107444 19004306 0 0 14956292 16499133 0 0 0 0 0 1215863 1252920 16172155 17752053 1935289 1252253 22694204 25686967 7899642 9200813 14794562 16486154 To provide eligible participants health and welfare benefits. 0 0 To provide eligible participants health and welfare benefits. 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 0 0 0 0 0 0 0 0 0 0 0 0 0 X 6 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 1 1 1 0 0 0 X Board of Trustees 3034301118 5511 W 56th Ave Arvada CO 81626 X Kathy Innes Chairperson 1.00 X 0 0 0 George Fields Trustee 1.00 X 0 0 0 Ken Price Trustee 1.00 X 0 0 0 Kirk Jordan Trustee 1.00 X 0 0 0 Jason Thomas Secretary 1.00 X 0 0 0 Jerry Dorn Co-Chairman 1.00 X 0 0 0 0 0 0 0 0 0 0 Zenith American Solutions 5511 W 56th Ave Arvada CO 80002 Administrative 410473 CIGNA 1111 Market St Chattanooga TN 37402 PPO Access / Admin 377180 2 Employer Contributions 525100 17565448 17565448 Self Pay Contributions 525100 337839 337839 17903287 449429 449429 13635198 13768985 -133787 -133787 -133787 Prescription rebates 525100 753041 753041 Liquidated Damages 525100 30621 30621 1715 1715 785377 19004306 18688664 0 315642 16499133 410473 47083 43726 116492 551500 53096 3631 19667 Misc. 7252 17752053 -1464633 70853 3821905 4219200 1878473 2337280 15899 16756 18442560 19042878 22694204 25686967 71620 46534 7828022 9154279 7899642 9200813 X 14794562 16486154 14794562 16486154 22694204 25686967 1252253 439339 0 X 0 1 X 1 0 0 Claims Payable 93154 Claims IBNR 2646963 Hour Bank Liability 6414162 9154279 X 19443646 439339 439339 19004307 0 19004307 16425797 -1326256 -1326256 17752053 0 17752053 Part X, Line 2: The Trust established under the Fund to hold the Fund's assets is qualified under Section 501(c) (9) of the Internal Revenue Code, and, accordingly, the Trust's net investment income is exempt from income taxes. The Fund has obtained a favorable tax determination letter. The Fund has been amended since receiving the determination letter. Management evaluated the Plan's tax positions and concluded that the Plan had maintained its tax-exempt status and had taken no uncertain tax positions that required adjustments to the financial statements. Part XII, Line 2d - Other Adjustments: Change in benefit obligations -1,326,256. Form 990, Part VI, Section B, line 11b A copy of the Form 990 was provided to the Board of Trustees for their review. Form 990, Part VI, Section B, line 12c The Trustees review and assess in all meetings. Form 990, Part VI, Section C, line 19 All governing documents are available to the public upon request. Operating Engineers Local Union #9 990 Kalamath Street Denver CO 80204 840235475 Union CO 501c5 0 Operating Engineers Apprenticeship 990 Kalamath Street Denver CO 80204 846051394 Training CO 501c3 0 Info for Schedule R Part III & V is maintained by the Fund administrator N/A NA CO 80002 000000000 N/A CO 0 0 Info for Schedule R Part III & V is maintained by the Fund administrator N/A NA CO 80002 000000000 N/A CO 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 Operating Engineers Local Union #9 P 978 Cost