2014-03-24T10:37:11-05:00 2013-08-31 510435869 Needles & Associates LLC 350 Interlocken Blvd STE 220 Broomfield CO 80021 990 2012-09-01 730790052 Oklahoma Operating Engineers Welfare Plan OKLA 4056822323 1300 S Meridian Street No 200 Oklahoma City OK 73108 Michael L Stark Jr 4056822323 2014-03-20 Kurt Needles P00850236 3034304225 2014-03-24 2012 2015-11-30 17:44:51Z Michael L Stark Jr 1300 S Meridian Street No 200 Oklahoma City OK 73108 7962971 0 X N/A X 1969 OK Provide health & welfare benefits to eligible participants. 4 0 9 0 0 0 0 0 5116956 6067230 296839 270010 45464 77214 5459259 6414454 0 0 3618290 4521148 0 0 0 0 0 822489 480551 4440779 5001699 1018480 1412755 14033575 15204344 2523114 2770604 11510461 12433740 X Provide health & welfare benefits to eligible participants. 0 0 3984095 Health and welfare benefits paid. 360042 Insurance premium paid on behalf of participants. 177011 Change in hour bank and IBNR liabilities. Change in claims payable. 4521148 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 10 0 1 9 1 0 0 0 0 0 0 0 0 X 4 0 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X Board of Trustees 4056822323 1300 S Meridian STE 200 Oklahoma City OK 73108 X William Noble 1.00 X 0 0 0 Sam Vanmeter 1.00 X 0 0 0 Michael L Stark Jr 1.00 X 0 0 0 Alan Ferris 1.00 X 0 0 0 0 0 0 0 0 0 0 Blue Cross Blue Shield 3401 NW 63rd St Oklahoma City OK 73116 Access Fee / Admin 163250 Zenith American Solutions Inc 1300 S Meridian STE 200 Oklahoma City OK 73108 Administrative 141014 2 Employer Contributions 525100 3520786 3520786 Net Reciprocity 525100 2362959 2362959 Employee Contributions 525100 180298 180298 Employer Interest 525100 3187 3187 6067230 210343 210343 1608184 1548517 59667 59667 59667 Pharmacy Rebate 900099 69886 69886 Refunds, Voids, Stop 900099 6119 6119 Other 900099 1209 1209 77214 6414454 6204111 0 210343 4521148 4521148 130595 130595 86810 86810 22937 22937 207187 207187 13558 13558 1201 1201 2046 2046 Lost Time Paid 13500 13500 Drug Screening 1733 1733 Admin Expenses 984 984 5001699 4521148 480551 0 2596457 3664201 1458667 993652 9978451 10546491 14033575 15204344 144503 214982 2378611 2555622 2523114 2770604 X 11510461 12433740 11510461 12433740 14033575 15204344 1412755 -489476 0 X 0 1 X 1 0 0 Estimated Hour Bank Liability 1929622 Claims Incurred But Not Reported 626000 2555622 X 5914773 -499681 -499681 6414454 0 6414454 4814483 0 4814483 187216 187216 5001699 Description of Uncertain Tax Positions Under FIN 48: Part X, Line 2: The Trust established under the Plan to hold the Plan's assets is qualified under Section 501(c)(9) of the Internal Revenue Code. Accordingly, the Trust's net investment income is exempt from income taxes. The Plan has obtained a favorable tax determination letter. The Plan has been amended since receiving the determination letter. However, the Plan sponsor and the Plan's legal counsel believe that the Plan is designed and is currently being operated in compliance with the applicable requirements of the Internal Revenue Code. Management has evaluated the Plans tax positions and concluded that the Plan has maintained its tax exempt status and has taken no uncertain tax positions that require adjustments to the financial statements for the years ended August 31, 2013 and 2012. Part XII, Line 4b - Other Adjustments: Change in IBNR and hour bank liability 177,011. Refunds, Void, Stop Pay and Subrogation 10,205. Form 990, Part VI, Section B, line 11 The Form 990 was provided to the Board of Trustees for their review. Form 990, Part VI, Section B, line 12c Trustees review policies on an annual basis. Form 990, Part VI, Section C, line 18 All governing documents are available to the public upon request. Form 990, Part VI, Section C, line 19 Form 990 is available for public inspection upon request. Int'l Union of Operating Engineers Local 627 Training Fund of OK 9412 N Robinson Ave Oklahoma City OK 73114 736105865 Train apprentices on how to operate equipment. OK 501c3 0 Int'l Union of Operating Engineers Local 627 12109 E Skelly Tulsa OK 74128 730451145 The labor organization represents its membership. OK 501c5 0 Info not available for Sch R N/A NA OK 73108 000000000 N/A OK N/A N/A 0 0 Info not available for Sch R N/A NA OK 73108 000000000 N/A OK N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0