2019-03-14T16:38:30-05:00 2018-04-30 410746749 CLIFTONLARSONALLEN LLP 10700 NORTHUP WAY SUITE 200 BELLEVUE WA 98004 990 2017-05-01 510200917 ALASKA PUBLIC SERVICE EMPLOYEES LOCAL UNION NO 71 TRUST FUND ALAS 9072767611 2510 ARCTIC BLVD ANCHORAGE AK 995032515 DENNIS MOEN CHAIRMAN 9072767611 2019-03-14 1 MICHAEL T MEAD CPA P01893207 4252506100 2019-03-13 67.137.57.251 2019-03-14 06:10:14 PD P 84BDE7AD4ADB62213C7E1A191A12ED9082B4B320 809E54FA8C64BBE3CBB7CEA9C7808FE856DB1227 2017 2019-02-21 02:37:17Z DENNIS MOEN 2510 ARCTIC BLVD ANCHORAGE AK 99701 85014796 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 37204691 37747805 630483 1042163 0 0 37835174 38789968 0 0 33665702 33352730 0 0 0 0 0 2744917 2917194 36410619 36269924 1424555 2520044 30006653 34448649 6301046 8576298 23705607 25872351 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 7 0 1 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 1.00 X X 0 0 0 WILLIAM MEERS TRUSTEE 1.00 X 0 0 0 JORDAN ADAMS TRUSTEE 1.00 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 1251563 AETNA 601 UNION ST 810 SEATTLE WA 98101 CLAIMS ADMIN SERVICES 1042167 ZENITH AMERICAN SOLUTIONS INC 11724 NE 195TH ST STE 300 BOTHELL WA 98011 CLAIMS ADMIN SERVICES 804461 SYMETRA 777 108TH AVE NE 1200 BELLEVUE WA 98004 INSURANCE PROVIDER 505824 VISION SERVICE PLAN 3333 QUALITY DR RANCHO CORDOVA CA 95670 INSURANCE PROVIDER 280455 6 EMPLOYER CONTRIB. 900099 31940436 31940436 EMPLOYEE CONTRIB. 900099 5693027 5693027 COBRA 900099 114342 114342 37747805 723514 723514 46543477 46224828 318649 318649 318649 38789968 37747805 0 1042163 33352730 919540 52635 17755 87838 100368 160449 12000 3465 31758 1250 39871 PPO & MANAGED CARE FEES 915794 AETNA ADMIN FEE 387778 AK VACCINE ASSESSMENT F 132554 HEALTH FAIR 46272 7867 36269924 1559360 4778449 4093504 3387839 14585 7093 40903 38692 3460 2211 24300581 26236050 35163 37007 30006653 34448649 276165 300079 6024881 8276219 6301046 8576298 X 0 0 0 0 23705607 25872351 23705607 25872351 30006653 34448649 2520044 -353300 0 X X 0 1 X 1 0 40903 38692 2211 2211 CLAIMS PAYABLE 1244249 CLAIMS INCURRED BUT NOT REPORTED 6785000 PREMIUMS PAYABLE 182168 UNALLOCATED CONTRIBUTIONS 300 DUE TO RELATED PARTY 57759 DEFERRED CONTRIBUTIONS 6743 8276219 X 38348830 -353300 -353300 38702130 87838 87838 38789968 33818072 0 33818072 87838 2364014 2451852 36269924 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 704,154. CHANGE IN CLAIMS INCURRED BUT NOT REPORTED 1,700,000. CHANGE IN PREMIUMS PAYABLE -40,140. 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 115079 CASH PUBLIC EMPLOYEES LOCAL 71 K 12000 CASH