2013-10-15T21:14:58-05:00 2013-02-28 510435869 Needles & Associates LLC 350 Interlocken Blvd STE 220 Broomfield CO 80021 990 2012-03-01 846030963 Joint Council of Teamsters No 3 Health & Welfare Fund JOIN 3034123510 5511 W 56th Ave No 250 Arvada CO 80002 Matt Conner 3034123510 2013-10-15 Kurt Needles P00850236 3034304225 2013-10-15 2012 2015-11-30 17:44:51Z Matt Conner 5511 W 56th Ave No 250 Arvada CO 80002 10205816 0 X N/A X 1956 CO To provide health and welfare benefits to eligible participants. 4 4 0 0 0 0 0 0 9217831 8417019 125298 48320 237934 31793 9581063 8497132 0 0 8412134 8659147 0 6117 0 0 0 772728 523290 9184862 9188554 396201 -691422 3748808 3262813 1517992 1667109 2230816 1595704 Provide health and welfare benefits to eligible participants. 0 0 7987317 Medical benefits and other claims paid. 537176 Stop loss, life and AD&D insurance premiums. 134654 Change in IBNR and claims payable. 8659147 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 3034123503 5511 W 56th Ave Arvada CO 80002 X Dan Feldman 1.00 X 0 0 0 Matt Conner 1.00 X 0 0 0 Chuck Haliburton 1.00 X 0 0 0 Vincent Shaw 1.00 X 0 0 0 0 0 0 0 0 0 0 CIGNA 5445 DTC Pkwy 400 Greenwood Village CO 80111 Administrative 176490 Zenith American Solutions 5511 W 56th Ave STE 250 Arvada CO 80002 Administrative 168090 2 Employer Contributions 525100 8344421 8344421 Cobra Contributions 525100 72598 72598 8417019 60189 60189 1696815 1708684 -11869 -11869 -11869 Subrogation Recovery 525100 30373 30373 1420 1420 31793 8497132 8497132 0 0 8659147 8659147 6117 6117 168090 168090 28216 28216 24844 24844 37389 37389 221275 221275 37043 37043 2 2 3500 3500 Hospital Network Access 2151 2151 Membership Dues 780 780 9188554 8659147 529407 0 1871112 1106828 115088 84249 38516 222331 1724092 1849405 3748808 3262813 6900 21365 1511092 1645744 1517992 1667109 X 2230816 1595704 2230816 1595704 3748808 3262813 -691422 56310 0 X 0 1 X 1 0 0 Claims incurred but not reported 1600012 Claims Payable 45732 1645744 X 8553439 56307 56307 8497132 0 8497132 9053901 -134653 -134653 9188554 0 9188554 Description of Uncertain Tax Positions Under FIN 48: Part X, Line 2: The Internal Revenue Service has determined that the Fund is exempt from federal income tax under Internal Revenue Code Section 501(c)(9). The Fund has been amended since receiving the determination letter dated July 19, 1972. However, the Fund administrator and the Fund's tax counsel believe that the Fund is currently designed and being operated in compliance with the applicable requirements of the Internal Revenue Code. Management has evaluated the Funds tax positions and concluded that the Fund 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 claims payable Change in IBNR 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. All Contributing Employers - This information is not available at this time xxx Arvada CO 00000 000000000 Contributing Employer CO 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0