STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

OREGON TEAMSTER EMPLOYERS TRUST: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
OREGON TEAMSTER EMPLOYERS TRUST (EIN 93-6021475)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-10-18
IRS object ID
201312919349300916
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

FieldValueIRS element (for citing)
Timestamp2013-10-18T14:52:43-05:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN522385296EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1LINDQUIST LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line15000 EXECUTIVE PARKWAY SUITE 400AddressLine1
CitySAN RAMONCity
StateCAState
ZIP Code94583ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN936021475EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1OREGON TEAMSTER EMPLOYERS TRUSTBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlOREGNameControl
Phone5032825581Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 4148AddressLine1
CityPORTLANDCity
StateORState
ZIP Code972084148ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameSTEPHEN S ERDMANNName
TitleTRUSTEETitle
Phone5032825581Phone
Date Signed2013-10-18DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameKATHLEEN D HAABName
PTINP01068129PTIN
Phone9252779100Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonSTEPHEN S ERDMANNNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1PO BOX 4148AddressLine1
CityPORTLANDCity
StateORState
ZIP Code972084148ZIPCode
FieldValueIRS element (for citing)
Gross Receipts233244839GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteN/AWebSite
Type Of Organization TrustXTypeOfOrganizationTrust
Year Formation1957YearFormation
State Legal DomicileORStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE HEALTH BENEFITS TO PARTICIPANTS AND THEIR ELIGIBLE DEPENDENTS.ActivityOrMissionDescription
Nbr Voting Members Governing Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members3NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year157327779ProgramServiceRevenuePriorYear
Program Service Revenue CY148434689ProgramServiceRevenueCY
Investment Income Prior Year1205223InvestmentIncomePriorYear
Investment Income Current Year1493675InvestmentIncomeCurrentYear
Other Revenue Prior Year83996OtherRevenuePriorYear
Other Revenue Current Year23086OtherRevenueCurrentYear
Total Revenue Prior Year158616998TotalRevenuePriorYear
Total Revenue Current Year149951450TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year139015467BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY130957815BenefitsPaidToMembersCY
Salaries Etc Prior Year0SalariesEtcPriorYear
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year7871019OtherExpensePriorYear
Other Expenses Current Year7210698OtherExpensesCurrentYear
Total Expenses Prior Year146886486TotalExpensesPriorYear
Total Expenses Current Year138168513TotalExpensesCurrentYear
Revenues Less Expenses Prior Year11730512RevenuesLessExpensesPriorYear
Revenues Less Expenses CY11782937RevenuesLessExpensesCY
Total Assets BOY62838561TotalAssetsBOY
Total Assets EOY75462541TotalAssetsEOY
Total Liabilities BOY24635661TotalLiabilitiesBOY
Total Liabilities EOY24684664TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY38202900NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY50777877NetAssetsOrFundBalancesEOY
Mission DescriptionPROVIDE HEALTH, DENTAL, VISION, LIFE INSURANCE AND OTHER BENEFITS TO ELIGIBLE PARTICIPANTS.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
DescriptionPROVIDED HEALTH, DENTAL, VISION, LIFE INSURANCE AND OTHER BENEFITS TO ELIGIBLE PARTICIPANTS.Description
Described In501 C30DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip0ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10965NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members12NbrVotingGoverningBodyMembers
Number Independent Voting Members3NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties1DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1THE WILLIAM C EARHART CO INCBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number5032825581TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line13140 NE BROADWAY STREETAddressLine1
CityPORTLANDCity
StateORState
ZIP Code97232ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (12 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
DAN RATTY
TRUSTEE1.00X000
STEVE PICKLE
TRUSTEE1.00X000
GREG BAXTER
TRUSTEE1.00X000
JOHN SILVA
TRUSTEE1.00X000
TOM WATT
TRUSTEE1.00X000
STEPHEN ERDMANN
TRUSTEE1.00X000
CARL WOJCIECHOWSKI
TRUSTEE1.00X000
JENNIFER MONTGOMERY
TRUSTEE1.00X000
ADAM WINSTON
TRUSTEE1.00X000
JERRY D'AMBROSIO
TRUSTEE1.00X000
BOB SLEIGHT
TRUSTEE1.00X000
KENNETH JOHNSON
TRUSTEE1.00X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
REGENCE BLUE CROSS BLUE SHIELD
100 SW MARKET STREETPORTLANDOR972015702CLAIMS ADMINISTRATION5397810
EXPRESS SCRIPTS INC
1 EXPRESS SCRIPTS WAYST LOUISMO63121PRESCRIPTION PROCESSING856518
WILLIAM C EARHART CO INC
3140 NE BROADWAY STPORTLANDOR97232THIRD PARTY ADMINISTRATIVE FEES775806
SCRIBNER SCRIBNER & SUTTON
1523 NE 6TH AVENUEPORTLANDOR97232PAYROLL AUDITS166575
LOOMIS SAYLES & COMPANY LP
555 CALIFORNIA STREET SUITE 3300SAN FRANCISCOCA94104INVESTMENT MANAGEMENT160332
FieldValueIRS element (for citing)
Number Of Contractors GT100 K7NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
EMPLOYER CONTRIBUTIONS900099137560007137560007
PARTICIPANT CONTRIBUTIONS90009970173447017344
PRESCRIPTION REBATES90009925158512515851
MEDICARE PART D SUBSIDY900099529959529959
HRA CONTRIBUTIONS900099451259451259

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column360269TotalRevenueColumn
Related Or Exempt Function Income360269RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue148434689TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1351550TotalRevenueColumn
Exclusion$1,351,550ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities83435514Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities83293389Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities142125Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column142125TotalRevenueColumn
Exclusion$142,125ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionOTHER INCOMEDescription
Business Code900099BusinessCode
Total Revenue Column23086TotalRevenueColumn
Exclusion$23,086ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue23086TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column149951450TotalRevenueColumn
Related Or Exempt Function Income148434689RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$1,516,761ExclusionAmount

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total130957815Total

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total780403Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total184103Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total204236Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total179748Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total5634618Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total118618Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total36313Total

Insurance Insurance

FieldValueIRS element (for citing)
Total72659Total

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total138168513Total

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY4383212BOY
EOY245889EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
EOY886455EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY13410347BOY
EOY13408846EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY45045002BOY
EOY60921351EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY62838561BOY
EOY75462541EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY624801BOY
EOY689277EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY531535BOY
EOY522292EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY23479325BOY
EOY23473095EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY24635661BOY
EOY24684664EOY
FieldValueIRS element (for citing)
Do Not Follow SFAS117XDoNotFollowSFAS117

Cap Stck Trst Prin Current Funds CapStckTrstPrinCurrentFunds

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Paid In Cap Srpls Land Bldg Eqp Fund PaidInCapSrplsLandBldgEqpFund

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc

FieldValueIRS element (for citing)
BOY38202900BOY
EOY50777877EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY38202900BOY
EOY50777877EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY62838561BOY
EOY75462541EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses11782937ReconcilationRevenueExpenses
Reconciliation Unrealized Invest792040ReconciliationUnrealizedInvest
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Total Of Book Value Land Buildings0TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
CLAIMS PAYABLE AND IBNR$11,729,000
PREMIUMS PAYABLE$1,119,095
ACCUMULATED ELIGIBILITY CREDITS$10,625,000
FieldValueIRS element (for citing)
Total Of Amounts23473095TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt150563742TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments792040NetUnrealizedGainsInvestments
Revenue Not Rptd F990792040RevenueNotRptdF990
Revenue Subtotal149771702RevenueSubtotal
Investment Expenses Not Included179748InvestmentExpensesNotIncluded
Revenue Not Rptd On Fin Stmt179748RevenueNotRptdOnFinStmt
Total Revenue Per Form990149951450TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt137994995TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal137994995ExpensesSubtotal
Investment Expenses Not Included2179748InvestmentExpensesNotIncluded2
Other Expenses Not Included-6230OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt173518ExpensesNotRptdOnFinStmt
Total Expenses Per Form990138168513TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X, LINE 2:ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE THE TAX POSITIONS TAKEN BY THE PLAN AND TO RECOGNIZE A TAX 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 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 FISCAL YEARS PRIOR TO 2009.
PART XII, LINE 4B - OTHER ADJUSTMENTS:CHANGE IN BENEFIT OBLIGATIONS

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION A, LINE 3THE PLAN HAS CONTRACTED WITH WILLIAM C. EARHART CO., INC TO PROVIDE DAY-TO-DAY ADMINISTRATIVE SERVICES TO THE ORGANIZATION.
FORM 990, PART VI, SECTION B, LINE 11THE FORM 990 IS PROVIDED TO THE GOVERNING BODY FOR THEIR REVIEW AND COMMENTS PRIOR TO FILING THE RETURN WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CANY TRUSTEE OR SERVICE PROVIDER AUTHORIZED TO CONDUCT TRANSACTIONS ON BEHALF OF THE TRUST WHO HAS REASON TO BELIEVE THAT A PROPOSED TRANSACTION MIGHT CONSTITUTE A PROHIBITED TRANSACTION WITH A PARTY IN INTEREST SHOULD CONSULT WITH TRUST COUNSEL AND TAKE WHATEVER ADDITIONAL ACTION MAY BE APPROPRIATE TO ENSURE THAT THE PROPOSED TRANSACTION IS APPROPRIATE. ANY FIDUCIARY WHOSE PARTICIPATION IN A DECISION MAY RESULT IN A NON-EXEMPTED PROHIBITED TRANSACTION UNDER SECTION 406 OF ERISA SHALL RECUSE HIMSELF OR HERSELF FROM DISCUSSION OR VOTING ON SUCH DECISION. THE TRUST OFFICE SHALL ANNUALLY DISTRIBUTE A PARTY-IN-INTEREST QUESTIONNAIRE TO PLAN FIDUCIARIES IN CONJUNCTION WITH THE ANNUAL AUDIT.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT-OF-INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XII, LINE 2C: THE BOARD OF TRUSTEES IS RESPONSIBLE FOR OVERSIGHT OF THE ANNUAL AUDIT AND SELECTION OF THE INDEPENDENT ACCOUNTANT. THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (9 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionControlled OrgControlledOrg
JOINT COUNCIL OF TEAMSTERS NO 37
1872 NE 162ND AVENUEPORTLANDOR97230930196193LABOR ORGANIZATIONOR501(C)(5)0
INT'L BROTHERHOOD OF TEAMSTERS UNION LOCAL NO 962
4480 ROGUE VALLEY HGWYCENTRAL POINTOR97502930236781LABOR ORGANIZATIONOR501(C)(5)0
GENERAL TEAMSTERS LOCAL 483
225 N 16TH STREETBOISEID83702820171930LABOR ORGANIZATIONID501(C)(5)0
INTL BROTHERHOOD OF TEAMSTERS LOCAL 324
2686 PORTLAND ROAD NESALEMOR97303930196206LABOR ORGANIZATIONOR501(C)(5)0
DAIRY BAKERY & FOOD PROCESSORS IND TECH & AUTO LOCAL NO 305
1870 NE 162ND AVENUEPORTLANDOR97230930151383LABOR ORGANIZATIONOR501(C)(5)0
INTL BROTHERHOOD OF TEAMSTERS LOCAL 223
1230 NE 106TH AVENUEPORTLANDOR97220930179776LABOR ORGANIZATIONOR501(C)(5)0
GENERAL TEAMSTERS AUTO TRUCK DRIVERS & HELPERS LOCAL 162
1850 NE 162ND AVENUEPORTLANDOR97230930196219LABOR ORGANIZATIONOR501(C)(5)0
LINE DRIVERS LOCAL PICKUP & DELIVER LOCAL UNION NO 81
1874 NE 162ND AVENUEPORTLANDOR97230930438697LABOR ORGANIZATIONOR501(C)(5)0
CHAUFFEURS TEAMSTERS & HELPERS LOCAL 58
2212 NE ANDRESEN ROADVANCOUVERWA98661910436963LABOR ORGANIZATIONWA501(C)(5)0
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Form990 Schedule R Part VII Form990ScheduleRPartVII

FieldValueIRS element (for citing)
ExplanationSCHEDULE 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 DECEMBER 31, 2012, THERE ARE APPROXIMATELY 187 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 II THROUGH IV BY FEDERAL TAX CLASSIFICATION. ALBINA FUEL CO ALLIED WASTE INDUSTRIES ALPENROSE DAIRY ALSCO AMERICAN INDUSTRIAL AMERICAN METALS CORP ARAMARK CLEAN ROOM ARAMARK UNIFORM SERVICES ARROW SANITARY SERV INC B & B LEASING BIMBO BAKERIES USA, INC BLACK BUTTE RANCH FIRE BLACK BUTTE RANCH POLICE BLISS SANITARY SEVICE INC BLUELINX CORPORATION CAPITOL DISPOSAL & RECYLE CARBONIC SYSTEMS INC CENEX HARVEST STATES(CHS) CHRISTENSEN ELECTRIC CO CHRISTENSON OIL CITY OF ASTORIA POLICE CITY OF BANDON CITY OF BROOKINGS CITY OF CENTRAL POINT CITY OF CLATSKANIE-POLICE CITY OF COQUILLE CITY OF CORVALLIS-POLICE CITY OF EAGLE POINT CITY OF FAIRVIEW CITY OF GRANTS PASS CITY OF INDEPENDENCE CITY OF JACKSONVILLE CITY OF KALAMA CITY OF KELSO CITY OF KLAMATH FALLS CITY OF LEBANON CITY OF MEDFORD CITY OF MOLALLA CITY OF NORTH BEND CITY OF ONTARIO CITY OF PHOENIX CITY OF RAINIER CITY OF REEDSPORT CITY OF RIDGEFIELD CITY OF ROGUE RIVER CITY OF SHADY COVE CITY OF TALENT CITY OF TILLAMOOK-POLICE CLACKAMAS GARBAGE CO INC CLATSOP DISTRIBUTING CO CLEAN WATER SERVICES COAST AUTO SUPPLY CO COLUMBIA FRUIT & PRODUCE COLUMBIA STORAGE INC CONTAINER MANAGEMENT,LLC COPELAND PAVING COMPANY COUNTY OF COOS COUNTY OF TILLAMOOK COWLITZ COUNTY AUDITOR CURRY COUNTY SHERIFFS DAIMLER TRUCKS N. AMERICA DHL EXPRESS DOUGLAS COUNTY EBS ASSOCIATES INC ECSO EMERALD FRUIT & PRODUCE ESTENSON LOGISTICS FRED MEYER FRED MEYER CREDIT UNION GARBARINO DISPOSAL SERV GENERAL CHEMICAL CORP GRANGE COOP SUPPLY ASSN GREAT WESTERN MALTING CO GRESHAM SANITARY SERVICE HAZELNUT GROWERS OF OR HILLSBORO GARB DISP INC HILTON HOTEL PARKING HOLMAN DISTRIBUTION CTR INDUSTRIAL EXPORT CO INTERSTATE BRANDS KELLER DROP BOX INC / KINGS COUNTY TRUCK LINES KLAMATH CO EMERGENCY COMM KLAMATH COUNTY SERGEANTS L C HALLS TRUCK LINES LA GRAND INDUSTRIAL SUPP LAKE COUNTY LAKE DISTRICT HOSPITAL LAKE MERWIN CAMPER HIDEWA LAND O LAKES INC LARSEN OIL COMPANY INC LARSENS CREAMERY LEE & EASTES TANK LINES LEMMONS TRUCKING CO INC MATHESON TRI-GAS INC. MAVERICK WELDING SUPPLIES MCMINNVILLE FARMERS CO-OP MERCY FLIGHTS INC MILLER SANITARY SERV INC MORROW COUNTY MULTNOMAH COUNTY DROP BOX MUTUAL MATERIALS CO NABISCO INC NELSON TRUCKING COMPANY NORPAC SERVICES INC NORTHWEST PACKING CO NORTHWEST VENDING CO NU STAR ENERGY NW ADMINISTRATORS INC NW EMPLOYEE BENEFITS OCEAN BEACH HOSPITAL OREGON NURSES ASSOCIATION OREGON TRANSFER CO PENDLETON SANITARY SERVIC PENSKE TRUCK LEASING CO PEPSI COLA BOTTLING CO PERFECT FIT-MCDONALD INC PORTLAND BEVERAGE CO PORTLAND HOSPITAL SERVICE PRAXAIR INCORPORATED PRIDE DISPOSAL COMPANY PROFESSIONAL MECHANICAL R A THAYER TRUCKING RAPID TRANSFER & STORAGE REDDAWAY TRUCK LINE INC RESOURCE MGMT SERVICE RHODIA INC RIVERSIDE READY MIX RIVERVIEW ABBEY ROCKFORD CORPORATION ROGUE VALLEY SEWER SERV RUAN TRANSPORT CORP SAFEWAY EMPLOYEE SERV CTR SALEM BRAKE & WHEEL INC SANIPAC INC SMART & FINAL STORES CORP SPICERS PAPER INC STEINER CORPORATION SUNSET GARBAGE SUNSHINE DAIRY FOODS SWARTZ MOVING & STORAGE SWATCO SANITARY SERVICE SYSCO PORTLAND, INC TAITS MAINTENANCE CO INC TELEIOS INC THE HERTZ CORPORATION TILLAMOOK COUNTY TILLAMOOK COUNTY CREAMERY TOWN OF LAKEVIEW-GENERAL TOWN OF LAKEVIEW-POLICE TP FREIGHT LINES INC U S TRANSFER CO INC UNIFIED WESTERN GROCERS UNITED PARCEL SERVICE INC UNITED STATES BAKERY UNITED WAREHOUSE UNIVAR USA INC US FOOD SERVICE VAN DUSEN BEVERAGES INC VANCOUVER ICE & FUEL OIL VEND WEST SERVICES INC VENTURA FOODS WALKER GARBAGE SERV INC WASHINGTON CO DROP BOX WASTE CONNECTIONS INC WASTE MANAGEMENT WEITZELS GARBAGE SERVICE WESTCO PRODUCTS COMPANY WESTFARM FOOD (DARIGOLD) WILHELM TRUCKING ACQUISIT WILLIAM C EARHART COMPANY WILLIAMS BAKERY WINCO FOODS LLC-WOODBURN WOODLAND TRUCK LINE INC XPEDX YAMHILL COUNTY YRC INC.Explanation