2013-10-15T19:45:28-05:00 2012-12-31 522385296 LINDQUIST LLP 5000 EXECUTIVE PARKWAY SUITE 400 SAN RAMON CA 94583 990 2012-01-01 911040636 NORTHWEST FINANCIAL ASSOCIATIONS' EMPLOYEE BENEFIT TRUST NORT 2533965500 PO BOX 1718 TACOMA WA 98401 JAMES PISHUE 2533965500 2013-10-15 1 LORI L SCOTT P01452038 9252779100 2012 2016-03-07 17:11:31Z JAMES PISHUE PO BOX 1718 TACOMA WA 98401 24456391 0 X WWW.NWFATRUST.COM X 1968 WA PROVIDE HEALTH AND WELFARE BENEFITS 11 0 0 0 0 0 0 0 23592969 24456140 1814 251 0 0 23594783 24456391 0 0 23354906 23633579 0 0 0 0 0 430828 330230 23785734 23963809 -190951 492582 2603286 3163579 997353 1065064 1605933 2098515 PROVIDE HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS. 0 0 PROVIDE HEALTH, DENTAL, VISION, LIFE INSURANCE AND OTHER BENEFITS TO ELIGIBLE PARTICIPANTS. 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 2 0 1 0 0 0 0 0 0 0 X 11 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 X NORTHWEST ADMINISTRATORS INC 2063294900 2323 EASTLAKE AVE EAST SEATTLE WA 98102 X MARC GASPARD 1.00 X 0 0 0 JOHN MARVIN 1.00 X 0 0 0 LORI DRUMMOND 1.00 X 0 0 0 JIM PISHUE 1.00 X 0 0 0 LYLE HANSEN 1.00 X 0 0 0 TONY GEORGE 1.00 X 0 0 0 BRAD TOWER 1.00 X 0 0 0 JIM HALEY 1.00 X 0 0 0 HAL RUSSELL 1.00 X 0 0 0 LINDA NAVARRO 1.00 X 0 0 0 KEN TRAUTMAN 1.00 X 0 0 0 JOHN COLLINS 1.00 X 0 0 0 0 0 0 0 0 0 0 NORTHWEST ADMINISTRATORS INC 2323 EASTLAKE AVENUE SUITE 400 SEATTLE WA 98102 CONTRACT ADMINISTRATION 210957 1 ER AND EE CONTRIBUTION 522100 24456140 24456140 24456140 251 251 24456391 24456140 0 251 23633579 210957 24344 14000 2789 43883 12539 1553 7869 NEWSLETTER EXPENSE 11822 MISCELLANEOUS EXPENSES 474 23963809 918184 1159072 1084036 1338700 125381 97151 475685 568656 2603286 3163579 14356 15134 903888 788414 79109 261516 997353 1065064 X 0 0 0 0 1605933 2098515 1605933 2098515 2603286 3163579 492582 0 X X 0 1 X 1 0 0 RESERVES HELD BY INSURANCE CARRIERS 568656 568656 PREMIUMS PAYABLE 261516 261516 X 24453602 0 24453602 2789 2789 24456391 23778613 0 23778613 2789 182407 185196 23963809 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE PLAN AND HAS CONCLUDED THAT, AS OF DECEMBER 31, 2012, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY THE TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. THE PLAN BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR THE YEARS PRIOR TO 2009. PART XII, LINE 4B - OTHER ADJUSTMENTS: INCREASE IN PREMIUMS PAYABLE $182,407 FORM 990, PART VI, SECTION A, LINE 3 BROWN & BROWN INSURANCE IS THE PROGRAM MANAGER FOR THE TRUST. NORTHWEST ADMINISTRATORS, INC. IS THE CONTRACT ADMINISTRATOR RESPONSIBLE FOR ALL BILLING AND ELIGIBILITY. FORM 990, PART VI, SECTION A, LINE 8B THE ORGANIZATION HAS TWO COMMITTEES WITH DELEGATED AUTHORITY FROM THE GOVERNING BOARD. THEY ARE THE ADMINISTRATIVE COMMITEE AND THE FINANCE COMMITTEE. MINUTES ARE MAINTAINED FOR ACTIONS TAKEN BY THE GOVERNING BOARD AND FOR ACTIONS TAKEN BY THE FINANCE COMMITTEE. HOWEVER, DOCUMENTATION IS NOT MAINTAINED FOR ACTIONS TAKEN BY THE ORGANIZATION'S ADMINISTRATIVE COMMITTEE. THE ADMINISTRATIVE COMMITTEE HAS AUTHORITY TO MAKE EXECUTIVE DECISIONS FOR THE GOVERNING BOARD MEMBERS BETWEEN BOARD MEETINGS ONLY. THE ADMINISTRATIVE COMMITTEE WAS ORGANIZED FOR THE PRIMARY PURPOSE OF ASSISTING THE BOARD IN FULFILLING ITS GOVERNANCE RESPONSIBILITIES RELATING TO THE FOLLOWING: 1. LEADERSHIP AND VISION TO MEET THE TRUST'S MISSION 2. OVERSIGHT RESPONSIBILITY FOR LEGAL, REGULATORY AND COMPLIANCE MATTERS, TRUST CONSULTANT (REVIEW OF MARKETING AND SALES PLANS), TRUST'S DAY-TO-DAY PLAN MANAGER, TRUST'S PERMANENT RECORDS, DECISION MAKING NEEDS OF THE TRUST BETWEEN MEETINGS, ADVISE AND ASSIST THE BOARD'S CHAIRMAN IN SETTING BOARD OF TRUSTEES MEETING AGENDAS, AND MONITORING AND REPORTING OF TRUST'S BENEFIT PROGRAMS, INCLUDING BUT NOT LIMITED TO: REVIEW OF UNDERWRITING/PREMIUM RATE STRUCTURE, OVERSIGHT OF REQUESTS FOR PROPOSALS. THE FINANCE/AUDIT COMMITTEE IS A COMMITTEE OF THE BOARD OF TRUSTEES ORGANIZED FOR THE PRIMARY PURPOSE OF ASSISTING THE BOARD OF TRUSTEES IN FULFILLING ITS GOVERNANCE RESPONSIBILITIES RELATING TO THE FOLLOWING: 1. PREPARATION AND INTEGRITY OF THE TRUST'S FINANCIAL DISPLAYS AND REPORTS. 2. ENGAGEMENT OF INDEPENDENT AUDITORS AND THE EVALUATION OF THEIR PERFORMANCE, QUALIFICATION AND INDEPENDENCE. 3. IMPLEMENTATION AND EVALUATION OF THE TRUST INTERNAL ACCOUNT AND FINANCIAL CONTROLS, PROCEDURES AND POLICIES. 4. COMPLIANCE WITH CERTAIN LEGAL AND REGULATORY REQUIREMENTS. 5. MAINTENANCE OF CERTAIN FINANCIAL RECORDS, DOCUMENTS AND ACCOUNTS. 6. MANAGEMENT OF THE TRUST'S FUNDS, INCLUDING CONTROL OF THE BANK ACCOUNTS, INVESTMENTS WITH NON-BANK FIRMS, SIGNING AUTHORITIES, AND REPORTING PROCESSES RELATING TO FUNDS MANAGEMENT. 7. ESTABLISHMENT OF THE INVESTMENT POLICY. 8. COMPLETION OF CERTAIN TASKS DIRECTED BY THE BOARD OF TRUSTEES. FORM 990, PART VI, SECTION B, LINE 11 NO REVIEW WAS OR WILL BE CONDUCTED. FORM 990, PART VI, SECTION C, LINE 19 UPON REQUEST, THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. CURRENTLY, THERE IS NO CONFLICT OF INTEREST POLICY. FORM 990, PART XII, LINE 2C: THE FINANCE/AUDIT COMMITTEE HAS THE RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED. 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