2020-06-30T16:47:19-05:00 2019-06-30 450250958 EIDE BAILLY LLP 3130 CROW CANYON PL STE 300 SAN RAMON CA 945831386 990 2018-07-01 916034674 ALASKA TEAMSTER EMPLOYER WELFARE TRUST ALAS 9075658310 520 EAST 34TH AVENUE NO 107 ANCHORAGE AK 99503 GARY DIXON TRUSTEE 9075658310 2020-06-30 1 THERESA MONTGOMERY P00232100 9254804000 2020-06-30 50.220.115.34 2020-06-30 16:45:51 PD P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 327E456370A643C83A1BB4325D39191A230D016A 2018 2020-09-23 17:36:50Z GARY DIXON 520 EAST 34TH AVENUE NO 107 ANCHORAGE AK 99503 43829430 0 X N/A X 1964 AK HEALTH AND WELFARE BENEFITS TO APPROXIMATELY 1,800 ELIGIBLE PARTICIPANTS COVERED UNDER COLLECTIVE BARGAINING AGREEMENTS 8 8 0 0 0 0 0 0 33462525 33411205 448983 416090 1686857 4539433 35598365 38366728 0 0 31172669 35580894 0 0 0 0 0 2419402 2432167 33592071 38013061 2006294 353667 15492135 13034635 15293899 12446218 198236 588417 NONE 0 0 TO PROVIDE HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS COVERED UNDER COLLECTIVE BARGAINING AGREEMENTS BETWEEN THE UNION AND THE EMPLOYERS 0 0 0 0 0 0 0 0 0 0 0 0 1 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 15 0 1 0 0 0 0 0 0 0 0 0 X 8 8 0 1 0 0 0 0 0 1 0 0 0 0 1 1 1 1 1 0 0 0 X ALASKA TEAMSTER EMPLOYER SERVICE CO 9077519700 520 EAST 34TH AVENUE NO 107 ANCHORAGE AK 99503 X BAL DREYFUS TRUSTEE 5.00 X 0 0 0 RICK BOYLES TRUSTEE 5.00 X 0 0 0 DEREK MUSTO TRUSTEE 5.00 X 0 0 0 EILEEN WHITMER TRUSTEE 5.00 X 0 0 0 SCOTT DEPAEPE TRUSTEE 5.00 X 0 0 0 TODD HENDERSON TRUSTEE 5.00 X 0 0 0 GARY DIXON TRUSTEE 5.00 X 0 0 0 FRANK MONFREY TRUSTEE 5.00 X 0 0 0 0 0 0 0 0 0 0 ALASKA TEAMSTERS EMPLOYER SERVICE CORPOR 520 E 34TH STREET SUITE 107 ANCHORAGE AK 99503 ADMINISTRATOR 512906 BENESYS 1220 SW MORRISON AVE SUITE 300 PORTLAND OR 97205 THIRD PARTY ADMINSTRATOR 509476 AETNA 151 FARMINGTON AVE 107 HARTFORD CT 06156 CLAIMS ADMINISTRATION 414110 HCCMCA 300 A STREET SUITE 300 ANCHORAGE AK 99503 CLAIMS ADMINISTRATION 305809 OPTUM RX 2300 MAIN STREET IRVINE CA 92614 CLAIMS ADMINISTRATION 116900 5 EMPLOYER CONTRIBUTIONS 900099 30291072 30291072 PARTICIPANT CONTRIBUTIONS 900099 3120133 3120133 33411205 190200 190200 5688592 5462702 225890 225890 225890 EXPERIENCE REFUNDS 900099 4427097 4427097 MISCELLANEOUS 900099 112336 112336 4539433 38366728 37950638 0 416090 35580894 2063869 41057 92005 35519 36450 16414 21526 CONSULTANT 113681 PATIENT CARE OUTCOME RE 7717 MISCELLANEOUS 3929 38013061 2993627 2093344 269261 173410 2552327 2469031 415092 236241 7734326 5753138 1527502 2309471 15492135 13034635 246825 302010 15047074 12144208 15293899 12446218 X 0 0 0 0 198236 588417 198236 588417 15492135 13034635 353667 36514 0 X X 0 1 X 1 0 0 PRESCRIPTION REBATE 95419 ULLICO DIVIDEND RECEIVABLE 69096 STOP LOSS RECEIVABLE 2144956 2309471 CONTRIBUTIONS ADVANCED BY RETIREES 12261 GROUP INSURANCE PREMIUMS 308844 SELF-FUNDED BENEFIT CLAIMS 7403103 DOLLAR BANK RESERVE 4420000 12144208 X 38367723 36514 36514 38331209 35519 35519 38366728 40879070 2901528 2901528 37977542 35519 35519 38013061 PART X, LINE 2: THE TRUST HAS ADOPTED GUIDANCE ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES ISSUED BY THE FINANCIAL ACCOUNTING STANDARDS BOARD. THE PLAN MANAGEMENT BELIEVES THAT THE TRUST HAS NOT TAKEN UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO THE FINANCIAL STATEMENTS AS A TAX LIABILITY. PART XII, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN NET BENEFIT OBLIGATIONS 2,901,528. FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION HAS DELEGATED CONTROL OVER MANAGEMENT DUTIES CUSTOMARILY PERFORMED BY OR UNDER THE DIRECT SUPERVISION OF OFFICERS, DIRECTORS, TRUSTEES, OR KEY EMPLOYEES TO A CONTRACT ADMINISTRATOR. FORM 990, PART VI, SECTION A, LINE 8B THERE ARE NO COMMITTEES WITH THE AUTHORITY TO ACT FOR THE BOARD. FORM 990, PART VI, SECTION B, LINE 11B THE TRUSTEES DESIGNATE THE ADMINISTRATOR TO REVIEW THE FORM 990 BEFORE IT IS FILED. FORM 990, PART VI, SECTION B, LINE 12C COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY IS MONITORED AND ENFORCED BY THE TRUSTEES SIGNING A FORM ANNUALLY. FORM 990, PART VI, SECTION C, LINE 18 FORM 990 IS AVAILABLE UPON REQUEST. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES IT'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE UPON WRITTEN REQUEST. FORM 990, PART XII, LINE 2C THE BOARD OF TRUSTEES ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF THE PLAN'S FINANCIAL STATEMENTS AND SELECTION OF THE INDEPENDENT AUDITOR. ALASKA TEAMSTER EMPLOYER PENSION TRUST 520 EAST 34TH AVE SUITE 107 ANCHORAGE AK 99503 926003463 TO PROVIDE PENSION BENEFITS TO ELIGIBLE PARTICIPANTS. AK N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 PARTS II, III, AND IV - IDENTIFICATION OF RELATED TAX ORGANIZATIONS IN A MULTIEMPLOYER PLAN, A CONTRIBUTING EMPLOYER IS CONSIDERED A RELATED ORGANIZATION BECAUSE THEY ARE OBLIGATED TO CONTRIBUTE TO THE PLAN PURSUANT TO THE TERMS IN THE COLLECTIVE BARGAINING OR PARTICIPATION AGREEMENT. THE ADMINISTRATIVE OFFICE ONLY MAINTAINS THE DATA NECESSARY TO FULFILL THE OBLIGATION TO CONTRIBUTE, IT DOES NOT MAINTAIN SPECIFIC BUSINESS DATA REGARDING THE EMPLOYERS, SUCH AS ENTITY TYPE OR TAX INFORMATION.