2017-05-11T11:22:29-05:00 2016-06-30 300702322 HEMMING MORSE CPA'S AND CONSULTANTS 155 BOVET ROAD SUITE 600 SAN MATEO CA 94402 990 2015-07-01 916034674 ALASKA TEAMSTER EMPLOYER WELFARE TRUST ALAS 9077519700 520 EAST 34TH AVENUE NO 107 ANCHORAGE AK 99503 TRUSTEE TRUSTEE TRUSTEE 9077519700 2017-05-11 1 P00739466 4158364000 2015 2021-01-29 14:40:06Z 520 EAST 34TH AVENUE NO 107 ANCHORAGE AK 99503 40074218 0 X N/A X 1964 AK SEE PART III(A) 8 8 20 0 0 0 0 0 34293246 33094902 397894 382980 382524 1396262 35073664 34874144 0 0 29905386 34024846 0 0 0 0 0 2686335 2651482 32591721 36676328 2481943 -1802184 13913434 11684452 17354395 17147236 -3440961 -5462784 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 13 0 20 1 0 0 0 0 0 0 0 0 X 8 8 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X ALASKA TEAMSTER EMPLOYER SERVICE CO 9077519700 520 E 34TH AVE ANCHORAGE AK 99503 X WILLIAM PIERCE 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 MARION DAVIS 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 BARBARA HUFF-TUCKNESS 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 THIRD PARTY ADMINISTRATOR 580939 AETNA 151 FARMINGTON AVE 107 HARTFORD CT 06156 CLAIMS ADMINISTRATION 455565 BENESYS 1220 SW MORRISON AVE SUITE 300 PORTLAND OR 97205 ADMINSTRATOR 422379 PARKER SMITH FEEK 2233 112TH AVE BELLEVUE WA 98004 PLAN CONSULTANT 172834 A&I BENEFIT PLAN ADMINISTRATORS INC 1220 SW MORRISON AVE SUITE 300 PORTLAND OR 97205 THIRD PARTY ADMINISTRATOR 146099 5 EMPLOYER CONTRIBUTIONS 900099 29680579 29680579 PARTICIPANT 900099 3414323 3414323 33094902 164752 164752 5418302 5200074 218228 218228 218228 EXPERIENCE REFUNDS 900099 1316704 1316704 MISCELLANEOUS 900099 79558 79558 1396262 34874144 34709392 0 164752 34024846 1602917 60149 84118 35776 28498 35179 23373 MEDICAL CONSULTANT 474367 CONSULTANT 175834 ACA TRANSITIONAL REINSU 124727 PATIENT CARE OUTCOME RE 4573 1971 36676328 2459862 1393715 245885 347 2622391 2453378 432482 236003 7835132 6591732 317682 1009277 13913434 11684452 140125 167946 17214270 16979290 17354395 17147236 X 0 0 0 0 -3440961 -5462784 -3440961 -5462784 13913434 11684452 -1802184 -219639 0 X X 0 1 X 1 0 0 PRESCRIPTION REBATE 252340 ULLICO DIVIDEND RECEIVABLE 66251 STOP LOSS RECEIVABLE 690686 1009277 CONTRIBUTIONS ADVANCED BY RETIREES 14799 GROUP INSURANCE PREMIUMS 230287 SELF-FUNDED BENEFIT CLAIMS 10672752 DOLLAR BANK RESERVE 6020000 DUE TO AFFILIATES 41452 16979290 X 34654505 -219639 -219639 34874144 0 34874144 36676328 0 36676328 0 36676328 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. THE PLAN MANAGEMENT BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR FISCAL YEARS PRIOR TO JUNE 30, 2013. 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 B, LINE 11 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 THE ENTITY IS NOT A 501(C)(3) PLAN, AND IS THEREFORE NOT REQUIRED TO MAKE ITS FORM 990 AVAILABLE TO THE PUBLIC. 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 E 34TH AVE SUITE 201 ANCHORAGE AK 99503 926003463 PROVIDE PENSION BENEFITS AK 401A 0 ALASKA TEAMSTERS EMPLOYER SERVICE CORPORATION 520 E 34TH AVE SUITE 201 ANCHORAGE AK 99503 920046048 PROVIDE ADMINISTRATIVE SERVICES FOR ITS AFFILIATES AK 501C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 FORM 990, PART IV, LINE 34 SCHEDULE R, IDENTIFICATION OF RELATED ORGANIZATIONS: THE FILING ENTITY IS A 501(C)(9) VEBA WHO MUST LIST CONTRIBUTING EMPLOYERS ON SCHEDULE R. THE ADMINISTRATIVE OFFICE MAINTAINES A LIST OF CONTRIBUTING EMPLOYERS, HOWEVER, THAT LIST DOES NOT INCLUDE FEDERAL TAX CLASSIFICATION. THEREFORE, THE LIST OF CONTRIBUTING EMPLOYERS IS REPORTED ON PART VII, SUPPLEMENTAL INFORMATION. BROWN'S HILL QUARRY AK TEAMSTER EMPLOYER SVS QAP GRANITE CONST DBA WILDER MATSON NAVIGATION COMPANY DOYON ASSOCIATED ALSCO PRICE GREGORY INT'L ALASKA FRONTIER CONSTRUCT WEAVER BROS INC UNITED PARCEL SERVICE INC AK TEAMSTERS SERV TRAININ KIEWIT INFRASTRUCTURE WES MERRICK MANAGEMENT ANCHORAGE SCHOOL DISTRICT HARRIS SAND & GRAVEL BRECHAN CONSTRUCTION LLC LYNDEN TRANSPORT INC SAFEWAY INC DBA CARRS/SAF SOURDOUGH FUEL SERVICES I BRICE INC AHTNA CONSTRUCTION ARCTEC ALASKA ALEUT O&M SERVICES LLC FS&G REDI-MIX NORCON ARCTIC SLOPE TELE ASSOC J W BEAN PROFESSIONAL ARCTIC SURVEYS CO K & L DISTRIBUTORS AT&T ALASKA ASRC ES-HOUSTON CONTRACTG ANCHORAGE SAND & GRAVEL BAE SYSTEMS TECH WARWICK SURVEYING LLC NANUQ INCORPORATED PACIFIC & ARCTIC RAILWAY DEL NORTE SURVEYING INC TEAMSTERS LOCAL 959 UNITED FREIGHT & TRANSPOR VERTEX INSULATION INC. EMULSION PRODUCTS COMPANY USIBELLI COAL MINE AS&D INC TOTE MARITIME ALASKA INC DOYON/ARAMARK DENALI SEA STAR STEVEDORE INC. CITY OF FAIRBANKS COLASKA DBA SECON/AGGPRO EXCLUSIVE PAVING UNIVERSITY REDI MIX GREAT NORTHWEST H. C. REDI MIX H.C. CONTRACTORS INS GMC CONTRACTING INC ACTIVE LONGSHORE H&W AGGPRO WETAVIQ LTD TRUSTED HAND SERVICE INC SOUTHEAST STEVEDORING ABM ONSITE SVCS-WEST INC MICHAEL KING TRCKNG MILLER CONSTRUCTION CO LT KODIAK SUPPORT SERVICES BERING KAYA SUPPORT SVCS ALASKA INDUSTRIAL LLC SLANA SURVEYS INC TCC JOINT VENTURE CHUGACH FEDERAL SOLUTIONS NO STAR TERMINAL & STEVED C2G LTD CO. ALASKA INTERIOR TRANSPORT BUSH CONST. SURVEYS A.I.C. LLC REPUBLIC PARKING SYSTEM WOLVERINE SERVICES LLC BRICE ENVIRONMENTAL SVC FOLSOM TRUCKING PFK ENTERPRISES WOLF CREEK FEDERAL SERVIC CITY OF WASILLA MCKENNA BROTHERS PAVING BLACK GOLD EXPRESS INC BIG DREAM TRANSPORT LTD