2019-08-13T13:23:30-07:00 2018-09-30 208149084 ANASTASI MOORE & MARTIN PLLC 9 South Washington St STE 600 Spokane WA 992013709 990 2017-10-01 810305103 Montana Retail Store Employees Health & Welfare Trust MONT 2062824100 11724 NE 195th Street Bothell WA 98011 Nicolai Cocergine Chairman 2019-08-12 true Paul J Anastasi CPA P00395796 5093230272 2017 2019-02-21 02:37:17Z 10732495 false false X N/A X 1968 MT TO PROVIDE HEALTH AND WELFARE BENEFITS FOR COVERED EMPLOYEES IN ACCORDANCE WITH THE PLAN 6 6 0 6 0 0 10364035 10618493 80731 114002 0 10444766 10732495 0 8413804 8934669 0 0 0 958603 1143224 9372407 10077893 1072359 654602 11923005 13198685 3209727 3909650 8713278 9289035 TO PROVIDE HEALTH AND WELFARE BENEFITS FOR COVERED EMPLOYEES IN ACCORDANCE WITH THE PLAN false false TO PROVIDE HEALTH AND WELFARE BENEFITS FOR COVERED EMPLOYEES IN ACCORDANCE WITH THE PLAN 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 false false false true false false true 0 0 false 0 false false false false false false false false false false false false false X 6 6 false true false false false false false true true false false true true true true false true false false false X Zenith American Solutions 2062824100 11724 NE 195th Street Bothell WA 980118242 X Stefanie Gusha Trustee 1.00 0.00 X 0 0 0 Robert S McLauchlin Trustee 1.00 0.00 X 0 0 0 Danny Ma Secretary 1.00 0.00 X X 0 0 0 Nicolai Cocergine Chairman 1.00 0.00 X X 0 0 0 Terrie Trettenbach Trustee 1.00 0.00 X 0 0 0 Sara Thody Trustee 1.00 0.00 X 0 0 0 0 false false false Zenith American Solutions 11724 NE 195th Street Suite 300 Bothell WA 980118242 Contract admin 328509 Inter West Health 2809 Great Northern Loop 400 Missoula MT 59808 PPO Provider 156442 Clear Health Strategies LLC 27299 Riverview Center Blvd Bonita Springs FL 34134 Health Care Mgmt 133219 Medical Rehabilitation Consultants Inc 111 W Cataldo Ave 200 Spokane WA 99201 Health Care Mgmt 215811 4 0 EMPLOYEE CONTRIBUTIONS 445100 709700 709700 EMPLOYER CONTRIBUTIONS 445100 9808945 9808945 LIQUIDATED DAMAGES 445100 4730 4730 PRESCRIPTION REBATES 445100 95118 95118 10618493 114002 114002 0 0 0 0 0 0 0 0 10732495 10618493 114002 0 0 0 8934669 0 0 0 0 0 0 309923 69415 50576 0 0 2039 620924 0 11825 0 0 0 0 0 22884 0 0 0 6100 Printing and Publications 22523 Special Projects 11725 Bank Service Fee 11088 PCORI Fees 3426 776 10077893 0 0 0 0 5197330 7356770 0 939171 980725 0 0 0 0 5127 5127 0 5781377 4856063 0 0 0 0 11923005 13198685 439472 625824 2770255 3283826 3209727 3909650 X 8713278 9289035 8713278 9289035 11923005 13198685 654602 -78845 X false true X false false Curent benefit obligations 157826 Other current benefit obligations 3126000 3283826 X 10651611 -78845 -78845 10730456 2039 2039 10732495 9562283 9562283 2039 513571 515610 10077893 Part X : FIN48 Footnote The United States Treasury Department advised in a letter dated April 27, 1971, that the Plan is exempt from federal income taxes under Section 501(c)(9) of the Internal Revenue Code (IRC). The Plan has been amended since receiving the determination letter. The Board of Trustees believes the Plan, as amended, continues to qualify and to operate in accordance with applicable provisions of the IRC.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 organization has taken an uncertain position that more likely than not would not be sustained upon examination by the Internal Revenue Service (IRS). The plan administrator has analyzed the tax positions taken by the Plan, and has concluded that as of September 30, 2018, there are no uncertain positions taken or expected to be taken that would require recognition of the liability (or asset) or disclosure in the financial statements. The Plan is subject to routine audits by taxing jurisdictions and the Plan could be subject to income tax if certain issues were found by the IRS that could result in the disqualification of the Plans tax-exempt status; however, there are currently no audits for any tax periods in progress. Part XII, Line 4b: Other revenue amounts included on 990 but not included in F/S Change in amounts due insurance company $-68429 Change in claims IBNR $539000 Change in liability for future benefits $43000 Form 990, Part VI, Line 3: Description of Delegated Duties to Management Company The plan contracts with a third-party administrator, Zenith American Solutions, Inc. to carry out the day to day administration of the plan. Form 990, Part VI, Line 11b: Form 990 Review Process A copy of Form 990 was provided to the board and reviewed by the board before its filing. Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts Annual letters are mailed and collected from each trustee. Trust counsel asks for any known issues at each trustee meeting. Form 990, Part VI, Line 19: Other Organization Documents Publicly Available Governing documents, financial statements and other documents are available upon request through the plan's administrator. See attached 11724 NE 195th Street Bothell WA 980118242 WA N/A false false false false false false false false false false false false false false false false false false false true See attached s 10120536 cash