2016-05-24T15:11:13-05:00 2015-08-31 510435869 Needles & Associates LLC 350 Interlocken Blvd STE 360 Broomfield CO 80021 990 2014-09-01 237036156 Operating Engineers Health and Welfare Trust Fund for Colorado OPER 3034301118 5511 W 56th Ave No 250 Arvada CO 80002 Bill Harris Co-Chairman 3034301118 2016-05-24 1 Kurt D Needles CPA P00850236 3034304225 2016-05-24 2014 2016-08-17 19:52:53Z X Bill Harris 5511 W 56th Ave No 250 Arvada CO 80002 13139241 0 X N/A X 1967 CO To provide eligible participants health and welfare benefits. 6 6 0 0 0 0 0 0 12916509 12824692 733367 300210 55774 14339 13705650 13139241 0 0 10333815 10732896 0 0 0 0 0 961114 1137930 11294929 11870826 2410721 1268415 18580269 19109523 6555343 6358343 12024926 12751180 To provide eligible participants health and welfare benefits. 0 0 To provide eligible participants health and welfare benefits. 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 6 6 0 0 0 0 0 0 0 1 1 0 0 1 1 0 1 0 0 0 0 0 X Board of Trustees 3034301118 5511 W 56th Ave Arvada CO 81626 X Kathy Innes Treasurer 1.00 X 0 0 0 Daniel Owens Chairman 1.00 X 0 0 0 Ken Price Trustee 1.00 X 0 0 0 Dan Shake Trustee 1.00 X 0 0 0 Bill Harris Co-Chairman 1.00 X 0 0 0 Jay Landgraf Secretary 1.00 X 0 0 0 0 0 0 0 0 0 0 Zenith American Solutions 5511 W 56th Ave Arvada CO 80002 Administrative 342725 CIGNA 1111 Market St Chattanooga TN 37402 PPO Access / Admin 282454 2 Employer Contributions 525100 12352784 12352784 Self Pay Contributions 525100 471908 471908 12824692 300210 300210 Subrogation & LDs 525100 10823 10823 Misc. revenue-Related-990 525100 3516 3516 14339 13139241 12839031 0 300210 X 10732896 342725 57822 40215 25313 450611 86361 2216 17485 Transitional reinsuranc 105683 Misc. 9499 11870826 X 835499 759792 2584933 2900436 1354959 1385635 16589 18124 13788289 14045536 18580269 19109523 53440 51378 6501903 6306965 6555343 6358343 X 12024926 12751180 12024926 12751180 18580269 19109523 1268415 -542161 0 X 0 1 X 1 0 0 Claims Payable 111993 Claims IBNR 1677002 Hour Bank Liability 4517970 6306965 X 12597079 -542161 -542161 13139240 0 13139240 12065764 194938 194938 11870826 0 11870826 Part X, Line 2: The Trust established under the Fund to hold the Fund's assets is qualified under Section 501(c) (9) of the Internal Revenue Code, and, accordingly, the Trust's net investment income is exempt from income taxes. The Fund has obtained a favorable tax determination letter. The Fund has been amended since receiving the determination letter. Management evaluated the Plan's tax positions and concluded that the Plan had maintained its tax exempt status and had taken no uncertain tax positions that required adjustments to the financial statements. Part XII, Line 2d - Other Adjustments: Change in Hour Bank Liability 100,119. Change in IBNR Liability 94,819. Form 990, Part VI, Section B, line 11 A copy of the Form 990 was provided to the Board of Trustees for their review. Form 990, Part VI, Section B, line 12c The Trustees review and assess in all meetings. Form 990, Part VI, Section C, line 19 All governing documents are available to the public upon request. Part IX; Line 4 Benefits paid was adjusted subsequent to when the form was filed. Part X; Line 1 Cash was adjusted subsequent to when the form was filed. Operating Engineers Local Union #9 990 Kalamath Street Denver CO 80204 840235475 Union CO 501c5 0 Operating Engineers Apprenticeship 990 Kalamath Street Denver CO 80204 846051394 Training CO 501c3 0 Information for Schedule R Part III & V is not available N/A NA CO 80002 000000000 N/A CO 0 0 Information for Schedule R Part III & V is not available N/A NA CO 80002 000000000 N/A CO 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0