2020-07-13T16:46:49-05:00 2019-07-31 MILLER KAPLAN ARASE LLP 600 STEWART ST STE 618 SEATTLE WA 981011261 990 2018-08-01 910597991 Painters Trust % BENESYS ADMINISTRATION PAIN 2065189730 18300 CASCADE AVE S STE 141 TUKWILA WA 98188 DAVE WINKLER union trustee 2065189730 2020-07-07 true Catalina Kirby P02018896 2065963930 12.244.147.122 95416620201955000091 2020-07-13 P 14C8F2613063437D3D5BADBB15C5C7B2E2B0DC05 1D553F0CC161CAB4950D5232994D4871B352D586 2018 2020-09-23 17:36:50Z Stacey Grund 18300 CASCADE AVE S STE 141 TUKWILA WA 98188 121572254 false X N/A X 1952 WA The plan is a multiemployer health and welfare plan designed to provide benefits for eligible participants and beneficiaries as specified in the plan document. 10 0 1 0 0 0 0 0 73076486 75739367 2392802 1903199 0 0 75469288 77642566 0 0 69367491 82816554 0 0 0 0 0 2873177 2875305 72240668 85691859 3228620 -8049293 102922031 102667937 35166993 40856728 67755038 61811209 THE PLAN IS A MULTIEMPLOYER HEALTH AND WELFARE PLAN DESIGNED TO PROVIDE BENEFITS FOR ELIGIBILE PARTICIPANTS AND BENEFICIARIES AS SPECIFIED IN THE PLAN DOCUMENT. false false The plan is a multiemployer health and welfare plan designed to provide benefits for eligible participants and beneficiaries as specified in the plan document. false false false false false false false false false false false false false true true true false false false false false false false false false false false false false false false false false false false false false false false false true false false true 9 0 true 1 true false false false false false false false false X 10 0 false false false false false false false true true false false false true true true false true false X BENESYS ADMINISTRATION 2065189730 18300 CASCADE AVE S STE 141 TUKWILA WA 98188 X Stacey Grund Co-Chairman 1.0 0.0 X 0 0 0 Steve Malcolm EMPLOYER TRUSTEE 1.0 0.0 X 0 0 0 Jeremy Gibson EMPLOYER TRUSTEE 1.0 0.0 X 0 0 0 Tom Pfundstein EMPLOYER TRUSTEE 1.0 0.0 X 0 0 0 Bob Puzas EMPLOYER TRUSTEE 1.0 0.0 X 0 0 0 Russ James UNION TRUSTEE 1.0 0.0 X 0 0 0 Chris Christophersen UNION TRUSTEE 1.0 0.0 X 0 0 0 Denis Sullivan Co-Chairman 1.0 0.0 X 0 0 0 Lisa DeRosia UNION TRUSTEE 1.0 0.0 X 0 0 0 Dave Winkler UNION TRUSTEE 1.0 0.0 X 0 0 0 Melissa Kollman Executive Director 40.0 0.0 X 70712 0 24979 70712 0 24979 0 false false false AETNA 600 UNIVERSITY ST STE 920 SEATTLE WA 98101 CLAIMS ADMINISTRATOR 1564279 INNOVATIVE CARE MANAGEMENT PO BOX 22386 PORTLAND OR 97269 UTILIZATION REVIEW 460142 THE URBAN LAW FIRM 4270 S DECATUR BLVD STE A-9 LAS VEGAS NV 89103 ATTORNEY 225075 BENESYS 18300 Cascade Ave South Suite 141 TUKWILLA WA 98188 ADMINISTRATOR 1365717 CHRISTENSEN JAMES MARTIN 7440 W SAHARA AVE LAS VEGAS NV 89117 Attorney 232396 5 0 EMPLOYER CONTRIBUTIONS 900099 73285236 73285236 0 0 SELF PAY CONTRIBUTIONS 900099 2454131 2454131 0 0 75739367 2453379 0 0 2453379 0 0 0 0 0 43379508 43929688 -550180 -550180 0 0 -550180 0 0 0 0 0 0 0 0 0 0 77642566 75739367 0 1903199 0 0 0 82816554 0 0 0 0 0 0 1473300 456447 270641 0 0 159726 92425 0 331555 0 0 0 0 0 47433 0 0 0 17328 PCORI FEES 26450 85691859 2922128 538034 17126722 16524351 0 0 6777422 7217458 0 0 0 0 0 0 0 0 14112 1826 0 0 76081647 78386268 0 0 0 0 0 0 0 0 102922031 102667937 339482 389144 0 0 0 0 0 0 0 0 0 0 0 0 0 0 34827511 40467584 35166993 40856728 X 0 0 0 0 67555038 61811209 67755038 61811209 102922031 102667937 -8049293 2105464 X false true X true 0 BENEFIT OBLIGATIONS 31831000 DUE TO RELATED TRUSTS AND 8636584 40467584 X 79748030 2105464 2105464 77642566 77642566 79310859 79310859 6381000 6381000 85691859 PART X, LINE 2: Accounting principles generally accepted in the United States of America require management to evaluate tax positions taken by the plan and recognize a tax liability if the Plan has taken a tax position that more likely than not would not be sustained upon examination by a tax authority. 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: Change in benefit obligations. PART VI, LINE 11B: THE PLAN'S CPA PREPARED THE FORM 990 WHICH IS REVIEWED BY THE PLAN ADMINISTRATOR AND PRESENTED TO A DESIGNATED TRUSTEE TO REVIEW AND APPROVE PRIOR TO FILING. THE FULL BOARD CAN REQUEST COPIES OF THE COMPLETED 990. PART VI, LINE 12C: TRUSTEES ARE REQUIRED TO NOTIFY THE PLAN OF ANY CHANGES IN THEIR INTERESTS THAT COULD GIVE RISE TO CONFLICTS. PART VI, LINE 19: THE PLAN'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MAINTAINED AT THE PLAN OFFICE AND ARE AVAILABLE ON REQUEST. PART VII, SECTION A - COMPENSATION OF OFFICERS: THE BOARD OF TRUSTEES SERVE FOR NO COMPENSATION. SALARIES AND WAGES PAID TO TRUSTEES BY THEIR EMPLOYERS ARE REPORTED ON THE EMPLOYERS' PAYROLL TAX FILINGS AND THIS INFORMATION IS NOT REPORTED OR KNOWN TO THE PLAN ADMINISTRATOR. SEE PART VII - SUPPLEMENTAL INFORMATION NA SEE PART VII - SUPPLEMENTAL INFORMATION NA SEE PART VII - SUPPLEMENTAL INFORMATION NA false false false false false false false false false false false false false false false false false true true PARTS II, III, IV: A CONTRIBUTING EMPLOYER IS A RELATED ORGANIZATION SOLELY TO THE EXTENT THAT THE EMPLOYER IS SIGNATORY TO A COLLECTIVE BARGAINING AGREEMENT REQUIRING CONTRIBUTIONS TO THE PLAN OR OTHERWISE SUBSCRIBES IN WRITING TO THE PLAN. CONTRIBUTING EMPLOYERS PAY A CONTRIBUTION RATE FOR COVERED EMPLOYEES' BENEFIT COVERAGE AS DETERMINED UNDER COLLECTIVE BARGAINING. INFORMATION REQUIRED TO COMPLETE SCHEDULE R FOR EACH CONTRIBUTING EMPLOYER AND RELATED ORGANIZATIONS IS NOT KNOWN OR REPORTED TO THE PLAN ADMINISTRATOR. THE ADMINISTRATIVE COSTS OF OBTAINING AND REPORTING THIS INFORMATION WOULD REQUIRE THE EXPENDITURE OF PLAN ASSETS THAT OTHERWISE ARE USED TO PROVIDE BENEFITS TO PARTICIPANTS.