2016-10-17T09:53:48-05:00 2016-02-29 510435869 Needles & Associates LLC 350 Interlocken Blvd STE 360 Broomfield CO 80021 990 2015-03-01 846030963 Joint Council Of Teamsters No 3 Health and Welfare Fund JOIN 3034301118 5511 W 56th Avenue No 250 Arvada CO 80002 Vincent Shaw Chairman 3034301118 2016-10-17 1 Kurt Needles P00850236 3034304225 2016-10-17 2015 2017-02-10 21:41:12Z Vincent Shaw 5511 W 56th Avenue No 250 Arvada CO 80002 5710725 0 X N/A X 1956 CO To provide health and welfare benefits to eligible participants. 4 4 0 0 0 0 0 0 6410727 5562758 84856 53955 1564 94012 6497147 5710725 0 0 5145271 4393723 3810 2809 0 0 0 524461 461388 5673542 4857920 823605 852805 4271575 4795364 727352 501017 3544223 4294347 Provide health and welfare benefits to eligible participants. 0 0 Provide health and welfare benefits to eligible participants. 0 0 0 0 0 0 0 0 0 0 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 0 0 0 0 0 0 0 0 0 0 0 X 4 4 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X Board of Trustees 3034301118 5511 W 56th Ave Arvada CO 80002 X Dan Feldman Secretary 1.00 X 0 0 0 Christian Rogers Trustee 1.00 X 0 0 0 Vincent Shaw Chairman 1.00 X 0 0 0 Bob Adams Trustee 1.00 X 0 0 0 0 0 0 0 0 0 0 Zenith American Solutions 5511 W 56th Ave STE 250 Arvada CO 80002 Administrative 130811 CIGNA 5445 DTC Pkwy 400 Greenwood Village CO 80111 Administrative 117556 2 Employer Contributions 525100 5528020 5528020 Cobra Contributions 525100 34738 34738 5562758 53955 53955 Subrogation Recovery 525100 94012 94012 94012 5710725 5656770 0 53955 4393723 2809 130811 23055 26780 34603 161980 32953 1415 5479 Transitional Reinsuranc 43352 Misc. 960 4857920 -221366 -246664 2381310 2856826 78199 100707 2033432 2084495 4271575 4795364 14016 3902 713336 497115 727352 501017 X 3544223 4294347 3544223 4294347 4271575 4795364 852805 -102681 0 X 0 1 X 1 0 0 Claims incurred but not reported 451973 Claims Payable 45142 497115 X 5608044 -102681 -102681 5710725 0 5710725 5074141 216221 216221 4857920 0 4857920 Part X, Line 2: The Trust established under the Fund to hold the Fund's assets is qualified under Internal Revenue Code (IRC) Section 501(c)(9) and, accordingly, the Trust's net investment income is exempt from income taxes. The Fund has obtained a favorable tax determination letter dated February 15, 1978, from the Internal Revenue Service (IRS). The Fund has been amended since receiving the determination letter. 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 it 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. Management believes it is no longer subject to income tax examinations for years prior to 2013. Part XII, Line 2d - Other Adjustments: Change in claims payable -10,516. Change in IBNR 226,737. Form 990, Part VI, Section B, line 11 Form 990 was provided to the organization prior to filing. Form 990, Part VI, Section B, line 12c Board ot Trustees monitor the policies on a regular basis at board meetings. Form 990, Part VI, Section C, line 18 Form 990 is made available for public inspection upon request. Form 990, Part VI, Section C, line 19 The organization makes its governing documents available to the public upon request. Contributing Employers - obtain info from administrator N/A NA CO 80002 000000000 N/A N/A 0 0 Contributing Employers - obtain info from administrator N/A NA CO 80002 000000000 N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0