SOUND HEALTH & WELLNESS TRUST: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- SOUND HEALTH & WELLNESS TRUST (EIN 91-6058475)
- Tax period
- 2012-04-01 to 2013-03-31
- Filed
- 2014-02-15
- IRS object ID
- 201410499349301726
- Schema version
- 2012v2.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2014-02-15T15:48:51-06:00 | Timestamp |
| Tax Period End Date | 2013-03-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 522385296 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LINDQUIST LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5000 EXECUTIVE PARKWAY SUITE 400 | AddressLine1 |
| City | SAN RAMON | City |
| State | CA | State |
| ZIP Code | 94583 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-04-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 916058475 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RETAIL CLERKS WELFARE TRUST | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | RETA | NameControl |
| Phone | 2062824100 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 201 QUEEN ANNE AVE NORTH NO 100 | AddressLine1 |
| City | SEATTLE | City |
| State | WA | State |
| ZIP Code | 981094896 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | RANDY ZEILER | Name |
| Title | CHAIRMAN | Title |
| Phone | 2062824100 | Phone |
| Date Signed | 2014-02-18 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | KATHLEEN HAAB | Name |
| PTIN | P01068129 | PTIN |
| Phone | 9252779100 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | RANDY ZEILER | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 201 QUEEN ANNE AVE NORTH NO 100 | AddressLine1 |
| City | SEATTLE | City |
| State | WA | State |
| ZIP Code | 981094896 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 254836250 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| Web Site | WWW.SOUNDHEALTHWELLNESS.COM | WebSite |
| Type Of Organization Trust | X | TypeOfOrganizationTrust |
| Year Formation | 1957 | YearFormation |
| State Legal Domicile | WA | StateLegalDomicile |
| Activity Or Mission Description | TO PROVIDE HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 12 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 1 | NbrIndependentVotingMembers |
| Total Nbr Employees | 0 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 10383 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 9383 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 0 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 247991993 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 240703630 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 3941078 | InvestmentIncomePriorYear |
| Investment Income Current Year | 4755061 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 0 | OtherRevenuePriorYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 251933071 | TotalRevenuePriorYear |
| Total Revenue Current Year | 245458691 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 227630943 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 241522277 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 0 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 0 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 20885759 | OtherExpensePriorYear |
| Other Expenses Current Year | 22907578 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 248516702 | TotalExpensesPriorYear |
| Total Expenses Current Year | 264429855 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 3416369 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -18971164 | RevenuesLessExpensesCY |
| Total Assets BOY | 117753574 | TotalAssetsBOY |
| Total Assets EOY | 102982804 | TotalAssetsEOY |
| Total Liabilities BOY | 73082718 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 75802224 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 44670856 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 27180580 | NetAssetsOrFundBalancesEOY |
| Mission Description | TO PROVIDE HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Description | PROVIDED HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS. | Description |
| Described In501 C3 | 0 | DescribedIn501C3 |
| Schedule B Required | 0 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 0 | ReportLandBldgEquip |
| Report Invest Oth Securities | 1 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 0 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 0 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 0 | NumberOfEmployees |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 12 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 1 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 1 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 0 | CompensationProcessCEO |
| Compensation Process Other | 0 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ZENITH AMERICAN SOLUTIONS INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 2062824100 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 201 QUEEN ANNE AVENUE NORTH | AddressLine1 |
| City | SEATTLE | City |
| State | WA | State |
| ZIP Code | 98109 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (14 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation |
|---|---|---|---|---|---|
| DERRICK ANDERSON | |||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 |
| BRENT R BOHN | |||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 |
| FRANK JORGENSEN | |||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 |
| SCOTT K POWERS | |||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 |
| CARL WOJCIECHOWSKI | |||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 |
| RANDY ZEILER | |||||
| TRUSTEE/CHAIRMAN | 1.00 | X | 0 | 0 | 0 |
| DAVID BLITZSTEIN | |||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 |
| TODD CROSBY | |||||
| TRUSTEE | 1.00 | X | 0 | 102754 | 13388 |
| DAVID SCHMITZ | |||||
| TRUSTEE | 1.00 | X | 0 | 138885 | 13370 |
| MIKE WILLIAMS | |||||
| TRUSTEE - PAST | 1.00 | X | 0 | 62740 | 13388 |
| BRENDA WILLIS | |||||
| TRUSTEE - PAST | 1.00 | X | 0 | 92142 | 13388 |
| DIANE ZAHN | |||||
| TRUSTEE/SECRETARY | 1.00 | X | 0 | 138897 | 13388 |
| RUTH DICK | |||||
| TRUSTEE | 1.00 | X | 0 | 89435 | 13388 |
| FAYE GUENTHER | |||||
| TRUSTEE | 1.00 | X | 0 | 94696 | 13388 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 0 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 719549 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 93698 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 0 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| ZENITH AMERICAN SOLUTIONS INC | |||||
| 201 QUEEN ANNE AVENUE NORTH | SEATTLE | WA | 981094896 | ADMINISTRATION | 7274242 |
| GROUP HEALTH OPTIONS INC | |||||
| 320 WESTLAKE AVENUE NORTH STE 100 | SEATTLE | WA | 98109 | HMO ADMINISTRATION | 6869364 |
| WASHINGTON DENTAL SERVICE | |||||
| 9706 FOURTH AVENUE NE | SEATTLE | WA | 98115 | DENTAL ADMINISTRATION | 2321112 |
| CAREWISE HEALTH INC | |||||
| 9200 SHELBYVILLE ROAD STE 700 | LOIUSVILLE | KY | 40222 | PERSONAL HEALTH ASSESSMENT ADMINISTRATIO | 1207470 |
| FIRST CHOICE HEALTH | |||||
| 600 UNIVERSITY STREET STE 1400 | SEATTLE | WA | 98101 | HEALTH CARE PROVIDER | 1028166 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 21 | NumberOfContractorsGT100K |
Program Service Revenue ProgramServiceRevenue (4 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| EMPLOYER CONTRIBUTIONS | 900099 | 221354257 | 221354257 |
| PARTICIPANT CONTRIBUTIONS | 900099 | 18374412 | 18374412 |
| PRESCRIPTION REBATES | 900099 | 686681 | 686681 |
| HRA CLAIM REFUNDS | 900099 | 288280 | 288280 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 240703630 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 3882620 | TotalRevenueColumn |
| Unrelated Business Revenue | 10383 | UnrelatedBusinessRevenue |
| Exclusion | $3,872,237 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 10250000 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 9377559 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 872441 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 872441 | TotalRevenueColumn |
| Exclusion | $872,441 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 245458691 | TotalRevenueColumn |
| Related Or Exempt Function Income | 240703630 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 10383 | UnrelatedBusinessRevenue |
| Exclusion | $4,744,678 | ExclusionAmount |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 241522277 | Total |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6558695 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 265111 | Total |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 109639 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 22917 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14989103 | Total |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 829771 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 17594 | Total |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 28602 | Total |
Other Expenses OtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | NEWSLETTER EXPENSE | Description |
| Total | 86146 | Total |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 264429855 | Total |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12389700 | BOY |
| EOY | 3776028 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 20980593 | BOY |
| EOY | 18857497 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 487388 | BOY |
| EOY | 475746 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 74437935 | BOY |
| EOY | 71199065 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9457958 | BOY |
| EOY | 8674468 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 117753574 | BOY |
| EOY | 102982804 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 437459 | BOY |
| EOY | 558393 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 72645259 | BOY |
| EOY | 75243831 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 73082718 | BOY |
| EOY | 75802224 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Do Not Follow SFAS117 | X | DoNotFollowSFAS117 |
Cap Stck Trst Prin Current Funds CapStckTrstPrinCurrentFunds
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Paid In Cap Srpls Land Bldg Eqp Fund PaidInCapSrplsLandBldgEqpFund
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 44670856 | BOY |
| EOY | 27180580 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 44670856 | BOY |
| EOY | 27180580 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 117753574 | BOY |
| EOY | 102982804 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | -18971164 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 1480888 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Separate | X | FinancialStatementSeparate |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 0 | TotalOfBookValueLandBuildings |
Other Securities OtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | LIMITED PARTNERSHIP | Description |
| Book Value | 8674468 | BookValue |
| Method Of Valuation | F | MethodOfValuation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 8674468 | TotalOfBookValueSecurities |
Other Liabilities OtherLiabilities (3 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| IBNR AND ESTIMATED CLAIMS PAYABLE | $27,000,000 |
| CASH OVERDRAFTS | $5,303,831 |
| ACCUMULATED ELIGIBILITY CREDITS | $42,940,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 75243831 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
| Tot Revenue Etc Audited Fincl Stmt | 246916662 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 1480888 | NetUnrealizedGainsInvestments |
| Revenue Not Rptd F990 | 1480888 | RevenueNotRptdF990 |
| Revenue Subtotal | 245435774 | RevenueSubtotal |
| Investment Expenses Not Included | 22917 | InvestmentExpensesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 22917 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 245458691 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 262936938 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 262936938 | ExpensesSubtotal |
| Investment Expenses Not Included2 | 22917 | InvestmentExpensesNotIncluded2 |
| Other Expenses Not Included | 1470000 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 1492917 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 264429855 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | 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 TO RECOGNIZE A TAX ASSET OR LIABILITY IF THE PLAN HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. THE PLAN ADMINISTRATOR BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR THE FISCAL YEARS PRIOR TO 2010. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | CHANGE IN BENEFIT OBLIGATIONS |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (7 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 3 | THE ORGANIZATION HAS CONTRACTED WITH ZENITH AMERICAN SOLUTIONS, INC. TO PROVIDE DAY-TO-DAY ADMINISTRATIVE SERVICES TO THE ORGANIZATION. |
| FORM 990, PART VI, SECTION B, LINE 11 | IN ADDITION TO PROVIDING A COMPLETE COPY OF THIS FORM 990 TO ALL OF THE TRUSTEES OF THE TRUST, THE FORM 990 IS REVIEWED BY THE EXECUTIVE COMMITTEE PRIOR TO FILING WITH THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE CONFLICT OF INTEREST POLICY PERTAINS TO ALL TRUSTEES AND SERVICE PROVIDERS WHO CAN INFLUENCE THE ACTIONS OF THE TRUST. A CONFLICT OF INTEREST INCLUDES AN INTEREST, DIRECT OR INDIRECT, OF A TRUSTEE OR SERVICE PROVIDER TO A TRUST, WHICH MAY RESULT IN THE TRUSTEE OR SERVICE PROVIDER BENEFITING FINANCIALLY FROM A DECISION MADE IN RELATION TO HIS OR HER CAPACITY AS A TRUSTEE OF OR SERVICE PROVIDER TO THE TRUST. DISCLOSURE OF POSSIBLE CONFLICTS OF INTEREST ARE MADE TO EITHER THE SECRETARY OR THE CHAIRMAN OF THE TRUST. THE TRUSTEES DETERMINE IF A CONFLICT OF INTEREST EXISTS. THE DECISION OF THE TRUSTEES, IN RELATION TO A CONFLICT OF INTEREST, IS BINDING AND FINAL. |
| FORM 990, PART VI, SECTION C, LINE 19 | UPON REQUEST, THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT-OF-INTERST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. |
| FORM 990, PART VII, SECTION A, LINE 1A | TRUSTEES ARE NOT COMPENSATED BY THE TRUST. COMPENSATION REPORTED ON PART VII, SECTION A, REPRESENTS COMPENSATION PAID TO THOSE TRUSTEES BY A LABOR UNION, A RELATED TAX-EXEMPT ORGANIZATION. COMPENSATION PAID TO TRUSTEES EMPLOYED BY OTHER RELATED ORGANIZATIONS IS REPORTED ON THE RELATED TAX-EXEMPT ORGANIZATION'S FORM 990, FILED WITH THE INTERNAL REVENUE SERVICE. IF YOU WOULD LIKE ADDITIONAL INFORMATION, PLEASE CONTACT THE TRUST'S THIRD-PARTY ADMINISTRATOR, ZENITH AMERICAN SOLUTIONS, INC. |
| FORM 990, PART XII 2C: THE BOARD OF TRUSTEES HAVE RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED. | |
| FORM 990, PART V, LINE 1A: | THE TRUST DOES NOT ISSUE FORMS 1099 DIRECTLY TO REPORTABLE SERVICE PROVIDERS. RATHER, THE CONTRACT ADMINISTRATOR USES THEIR EMPLOYER IDENTIFICATION NUMBER FOR THE FORMS 1099 ISSUED ON BEHALF OF THE TRUST. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (7 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| RETAIL CLERKS PENSION TRUST | ||||||||||
| 201 QUEEN ANNE AVENUE NORTH | SEATTLE | WA | 98109 | 916069306 | TO PROVIDE PENSION BENEFITS | WA | 501(A) | N/A | N/A | 0 |
| RETAIL CLERKS RETIREE WELFARE TRUST | ||||||||||
| 201 QUEEN ANNE AVENUE NORTH | SEATTLE | WA | 98109 | 911950259 | TO PROVIDE RETIREE HEALTH AND WELFARE BENEFITS | WA | 501(C) 9 | N/A | N/A | 0 |
| UFCW LOCAL UNION 367 | ||||||||||
| 6403 LAKEWOOD DRIVE WEST | TACOMA | WA | 98467 | 910383680 | LOCAL UNION | WA | 501(C) 5 | N/A | N/A | 0 |
| UFCW LOCAL UNION 1439 | ||||||||||
| 1719 NORTH ATLANTIC STREET | SPOKANE | WA | 99205 | 910487097 | LOCAL UNION | WA | 501(C) 5 | N/A | N/A | 0 |
| UFCW LOCAL UNION 21 | ||||||||||
| 5030 FIRST AVENUE SOUTH STE 200 | SEATTLE | WA | 98134 | 203286319 | LOCAL UNION | WA | 501(C) 5 | N/A | N/A | 0 |
| GENERAL TEAMSTERS LOCAL UNION 38 | ||||||||||
| 2601 EVERETT AVENUE | EVERETT | WA | 98201 | 910267959 | LOCAL UNION | WA | 501(C) 5 | N/A | N/A | 0 |
| ALLIED EMPLOYERS INC | ||||||||||
| 4030 LAKE WASHINGTON BLVD NE STE 20 | KIRKLAND | WA | 98033 | 910698183 | SPONSORING ASSOCIATION | WA | 501(C) 6 | N/A | N/A | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Form990 Schedule R Part VII Form990ScheduleRPartVII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Explanation | SCHEDULE R, IDENTIFICATION OF RELATED ORGANIZATIONS: THE FILING ORGANIZATION IS A TAFT-HARTLEY MULTIEMPLOYER TRUST THAT PROVIDES HEALTH AND WELFARE BENEFITS TO ELIGIBLE EMPLOYEES AND THEIR DEPENDENTS. AS OF MARCH 31, 2013, THERE ARE APPROXIMATELY 130 EMPLOYERS THAT CONTRIBUTE TO THE TRUST. THE ADMINISTRATIVE OFFICE MAINTAINS A DATABASE OF THESE CONTRIBUTING EMPLOYERS, INCLUDING NAMES, ADDRESSES AND OTHER CONTACT INFORMATION. THE FEDERAL TAX CLASSIFICATION (DISREGARDED ENTITY, TAX-EXEMPT ORGANIZATION, PARTNERSHIP, TAXABLE CORPORATION OR TRUST) FOR EACH CONTRIBUTING EMPLOYER IS NOT ON FILE WITH THE ADMINISTRATIVE OFFICE AND IT COULD NOT BE REASONABLY OBTAINED. AS A RESULT, THE NAMES OF THE CONTRIBUTING EMPLOYERS ARE LISTED ON PART VII BELOW AND NOT ON PARTS I THROUGH IV BY FEDERAL TAX CLASSIFICATION. A & J MEATS A&H STORES, INC ABERDEEN HEALTH MART ABERDEEN OFFICE EQUIPMENT ACE ELECTRIC ADMINISTRATIVE OFFICE #141 AFFORDABLE DENTAL GROUP AHMR, INC ALBERTSONS INC ALL SMILEZ DENTISTRY ALLEN CREEK IGA ALLIED EMPLOYERS, INC. ASHLEY HOUSE AVENUE DENTAL CARE BALLARD PLAZA PHARMACY BARTELL DRUG CO BAVARIAN MEAT PRODUCTS BERTS RED APPLE MARKET BIMBO BAKERIES USA BLUHER'S DBA FARMHOUSE MKT BORNSTEIN SEAFOOD INC BRIDLE TRAILS RED APPLE MKT BYRNIE UTZ MEN'S HAT STORE CAMANO PLAZA MARKET CAP FOODS DBA WEST SEA THFTWY CENTRAL CO-OP/MADISON MARKET CITY CENTER DRUG CLAUS MEAT MARKET CORNELL'S VALLEY PHARMACY CROWN DRUG COMPANY DBA MARTIN'S SOUTHGATE DRUG DEL TEET FURNITURE DES MOINES DRUG DMG DENTAL DESIGN DON & JOES MEATS EB MANAGEMENT COMPANY EKMAN, BOHRER & THULIN EVERYBODY'S FORKS OUTFITTERS FRANCO THE TAILOR, INC FRANZ & GAIS BAKERIES GARGUILES RED APPLE GOLDEN STEER CHOICE MEATS GORDONS GROCERY HAGGEN INC HARBOR DRUG INC HARBORS HOME HEALTH/HOSPICE HARRISON MEDICAL CENTER HERBIG JEWELERS HOSTESS BRANDS HUDSON GROUP ILWU LOCAL #23 ISLAND MKT CO DBA VASHON THRWY J SPRINGER LLC JEFFERSON COUNTY JEFFERSON HEALTHCARE JEFFERSON MENTAL HEALTH JIM'S PHARMACY KATTERMAN'S SAND POINT PHARM KAUFMAN SCROGGS FURNITURE KC FOODS KENT VALLEY OPTICAL KIRBY CO/SHELTON RED APPLE KROGER DBA FRED MEYER KROGER DBA QFC LABORER'S INTERNATIONAL #252 LAFFERTY'S PHARMACY INC MARDIX PHARMACY MATTHEWS AT LAKEMONT LLC MEDICAL CENTER METROPOLITAN MARKETS MID-VALLEY HOSPITAL MOUNT VERNON RED APPLE MARKET N MASON SCHOOL DIST #403 NORTHWEST EMPLOYEE RELATIONS NW ADMINISTRATORS OSTROMS DRUGS PATEL DENTAL CARE PAYLESS FOODS PENHOLLOW MARKETS, INC PENHOLLOW MKTS LLC PICK-RITE INC PIERCE CTY CENTRAL LABOR COUNC PIONEER SELECT MARKET POULSBO RED APPLE PRAIRIE CENTER RED APPLE MKT PUGET SOUND LABOR AGENCY RALPH'S RED APPLE RANDYS LOAN & COIN RAYMOND DRUG RITE AID CORP ROGER'S MARKETPLACE ROSE & ASSOCIATES, LLC RXTRA CARE U&I PHARMACY SAAR'S INC SAFEWAY STORES INC SAGEN'S PHARMACY SEQUIM SCHOOL DIST #323 SHOP-N-KART SOINES DBA RED WING SHOE STORE SOUTH BEND PHARMACY SPANAWAY WATER CO. INC ST JOSEPH'S MEDICAL CENTER STADIUM THRIFTWAY STERLING DENTAL CARE STOLZ VASHON MARKET STORMAN'S SUMMIT TRADING COMPANY SUNRISE DENTAL SWAIN'S INC SWANSONS FOOD INC TACOMA LONGSHOREMEN CR UNION THE DENNIS CO THE MARKETS LLC THE VALU DRUG CO TM MEATS LLC TOWN & COUNTRY TUKWILA TRADING CO UFCW LOCAL #21 UFCW LOCAL 367 UNIFIED GROCERS INC UNITED WAY OF SKAGIT CO UWAJIMAYA INC VASHON MARKET FRESH IGA WA STATE PHARMACY ASSOC WEISFIELD/STERLING INC WHITE CENTER PHARMACY WIITAMAKI JEWELERS WOODSIDE/BRASETH GALLERY ZENITH AMERICAN SOLUTIONS | Explanation |