2020-03-16T15:44:13-05:00 2019-04-30 410746749 CLIFTONLARSONALLEN LLP 10700 NORTHUP WAY SUITE 200 BELLEVUE WA 98004 990 2018-05-01 510200917 ALASKA PUBLIC SERVICE EMPLOYEES LOCAL UNION NO 71 TRUST FUND ALAS 9072767611 2510 ARCTIC BLVD ANCHORAGE AK 995032515 JORDAN ADAMS CHAIRMAN 9072767611 2020-03-16 1 MICHAEL T MEAD CPA P01893207 4252506100 2020-03-16 67.137.57.251 2020-03-16 12:59:25 PD P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 32BF7EAB22DEFAF25B84558E1ABCE2756C2E0534 2018 2020-09-23 17:36:50Z JORDAN ADAMS 2510 ARCTIC BLVD ANCHORAGE AK 99701 39555303 0 X LOCAL71.COM/BENEFITS X 1976 AK TO PROVIDE HEALTH AND WELFARE BENEFITS TO QUALIFIED PARTICIPANTS AS SPECIFIED IN THE PLAN. 5 5 0 5 0 0 0 0 37747805 38585669 1042163 871677 0 0 38789968 39457346 0 0 33352730 30727003 0 0 0 0 0 2917194 3298345 36269924 34025348 2520044 5431998 34448649 39768550 8576298 8047686 25872351 31720864 X TO PROVIDE HEALTH AND WELFARE BENEFITS TO QUALIFIED PARTICPANTS OF THE PLAN 0 0 TO PROVIDE HEALTH AND WELFARE BENEFITS TO QUALIFIED PARTICIPANTS AS SPECIFIED IN THE PLAN 0 0 0 0 0 0 0 0 0 1 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 1 0 0 0 0 0 0 0 0 0 X 5 5 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 0 0 0 0 X ZENITH AMERICAN SOLUTIONS INC 2062824100 11724 NE 195TH ST SUITE 300 BOTHELL WA 98011 X X DENNIS MOEN CHAIRMAN - PAST 1.00 X X 0 0 0 WILLIAM MEERS TRUSTEE 1.00 X 0 0 0 JORDAN ADAMS CHAIRMAN 1.00 X X 0 0 0 MICHAEL WELANDER TRUSTEE 1.00 X 0 0 0 KRISTINA ROCHE TRUSTEE 1.00 X 0 0 0 0 0 0 0 0 0 0 AETNA 601 UNION ST 810 SEATTLE WA 98101 INSURANCE PROVIDER 1882781 ZENITH AMERICAN SOLUTIONS INC 11724 NE 195TH ST STE 300 BOTHELL WA 98011 CLAIMS ADMIN SERVICES 677314 BEACON COALITION HEALTH CENTER 575 RIVERSTONE WAY FAIRBANKS AK 99709 CLAIMS ADMIN SERVICES 483406 AETNA 601 UNION ST 810 SEATTLE WA 98101 CLAIMS ADMIN SERVICES 418789 VISION SERVICE PLAN 3333 QUALITY DR RANCHO CORDOVA CA 95670 INSURANCE PROVIDER 199747 5 EMPLOYER CONTRIB. 900099 33023111 33023111 EMPLOYEE CONTRIB. 900099 5447207 5447207 COBRA 900099 115351 115351 38585669 835071 835071 134563 97957 36606 36606 36606 39457346 38622275 0 835071 30727003 918059 46580 16955 83748 108779 140724 12000 6343 31675 1250 38963 PPO & MANAGED CARE FEES 1311450 AETNA ADMIN FEE 400648 AK VACCINE ASSESSMENT F 120311 HEALTH FAIR 52704 8156 34025348 4778449 4945391 3387839 4755324 7093 18772 40903 39942 2211 961 26236050 30011238 37007 36864 34448649 39768550 300079 139949 8276219 7907737 8576298 8047686 X 0 0 0 0 25872351 31720864 25872351 31720864 34448649 39768550 5431998 416515 0 X X 0 0 0 40903 39942 961 961 CLAIMS PAYABLE 1233643 CLAIMS INCURRED BUT NOT REPORTED 6450000 PREMIUMS PAYABLE 197337 DUE TO RELATED PARTY 20301 DEFERRED CONTRIBUTIONS 6456 7907737 X 39790113 416515 416515 39373598 83748 83748 39457346 34272037 0 34272037 83748 -330437 -246689 34025348 PART X, LINE 2: 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 IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS, HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. PART XII, LINE 4B - OTHER ADJUSTMENTS: CHANGE IN CLAIMS PAYABLE -10,606. CHANGE IN CLAIMS INCURRED BUT NOT REPORTED -335,000. CHANGE IN PREMIUMS PAYABLE 15,169. FORM 990, PART II THE ORGANIZATION IS CURRENTLY UNDERGOING AN AUDIT OF ITS APRIL 30, 2019 FINANCIAL STATEMENTS. CERTAIN INFORMATION AROUND THE AMOUNT RECORDED BY THE ORGANIZATION AS CLAIMS PAID ARE STILL IN REVIEW AT THE DATE OF FILING THE FORM 990. HOWEVER, WE BELIEVE THAT THESE ITEMS ARE NOT SIGNIFICANTLY MISSTATED AND, IF NECESSARY, AN AMENDED FORM 990 WILL BE SUBMITTED AS SOON AS POSSIBLE. FORM 990, PART VI, SECTION B, LINE 11B A COPY OF THE 990 IS PROVIDED TO THE FULL BOARD OF TRUSTEES FOR REVIEW AND DISCUSSION PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE TRUST ATTORNEY OBTAINS WRITTEN RESPONSES FROM TRUSTEES TO DETERMINE ANY ISSUES WITH RESPECT TO CONFLICT OF INTEREST. 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 WRITTEN REQUEST. FORM 990, PART VII, SECTION A, LINE 6: TRUSTEES ARE NOT COMPENSATED BY THE TRUST. COMPENSATION PAID TO TRUSTEES EMPLOYED BY OTHER RELATED TAX EXEMPT ORGANIZATIONS IS REPORTED ON FORM 990 FILED WITH THE INTERNAL REVENUE SERVICE BY THE RELATED TAX EXEMPT ORGANIZATION. IF YOU WOULD LIKE ADDITIONAL INFORMATION, PLEASE CONTACT THE PLAN ADMINISTRATOR. FORM 990, PART XII, LINE 2C: THE PROCESS AND METHOD FOR SELECTING THE INDEPENDENT AUDITOR HAS NOT CHANGED FROM PRIOR YEARS. STATE OF ALASKA PUBLIC EMPLOYEES LOCAL 71 HAINES BOROUGH ANCHORAGE SCHOOL DISTRICT MUNICIPALITY OF ANCHORAGE 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 PUBLIC EMPLOYEES LOCAL 71 P 108801 CASH PUBLIC EMPLOYEES LOCAL 71 K 12000 CASH