2013-02-01T17:25:12-06:00 2012-03-31 410746749 CLIFTONLARSONALLEN LLP 3000 NORTHUP WAY SUITE 200 BELLEVUE WA 98004 990 2011-04-01 910589283 NORTHWEST SHEET METAL WORKERS WELFARE FUND NORT 5095340600 1322 NORTH POST ST SPOKANE WA 99201 RICK SCHRADER 5095340600 2013-01-31 1 KENNETH L CLENIN CPA P00006300 4252506100 2013-01-31 2011 2016-02-25 16:41:14Z RICK SCHRADER 1322 NORTH POST ST SPOKANE WA 99201 77473763 0 X N/A X 1952 WA HEALTH AND WELFARE BENEFITS 10 10 151 0 0 0 0 0 53398960 53913689 2373177 2996751 0 0 55772137 56910440 0 0 56212644 56220550 0 0 0 0 0 1879439 1861425 58092083 58081975 -2319946 -1171535 68531307 65622734 30033414 27824538 38497893 37798196 TO PROVIDE HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS AS SPECIFIED IN THE PLAN. 0 0 TO PROVIDE HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS AS SPECIFIED IN THE PLAN. 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 0 1 9334 0 1 151 1 0 0 0 0 0 0 X 10 10 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 0 0 0 0 0 X REHN AND ASSOCIATES 5095340600 1322 N POST ST SPOKANE WA 99201 X RICK SCHRADER 0.00 X X 0 0 0 BARON W DERR 0.00 X 0 0 0 JERRY KINSLEY 0.00 X 0 0 0 BRENT MOORE 0.00 X X 0 0 0 TIM KESTER 0.00 X 0 0 0 JIM RYAN 0.00 X 0 0 0 DAVE WELTY 0.00 X 0 0 0 RANDY FRISBEE 0.00 X 0 0 0 ERIC MARTINSON 0.00 X 0 0 0 JOHN MERK 0.00 X 0 0 0 JOHN GARRETT PREVIOUS 0.00 X 0 0 0 0 0 0 0 0 0 0 AW REHN AND ASSOCIATES 1322 N POST ST SPOKANE WA 99201 ADMINISTRATION 938213 FIRST CHOICE HEALTH NETWORK 600 UNIVERSITY ST STE 1400 SEATTLE WA 98101 CLAIMS 445932 ENVISION PHARMACEUTICAL SERVICES 2181 E AURUORA RD STE 201 TWINSBURG OH 44087 RX CLAIMS ADMINISTRATOR 153453 CLIFTONLARSONALLEN LLP 3000 NORTHUP WAY STE 200 BELLEVUE WA 98004 ACCOUNTANT 111519 RAINIER INVESTMENT MANAGEMENT 601 UNION ST STE 2801 SEATTLE WA 98101 INVESTMENT MANAGER 106446 5 EMPLOYER CONTRIBUTIONS 525100 44979686 44979686 EMPLOYEE CONTRIBUTIONS 525100 5168623 5168623 SUPP. BENEFIT CONTRIBS 525100 3726576 3726576 LIQUIDATED DAMAGES 525100 38804 38804 53913689 1872453 1872453 21687621 20563323 1124298 1124298 1124298 56910440 53913689 0 2996751 56220550 1091666 83478 121019 106446 224247 53177 855 23681 CONSULTANT FEES 85571 BANK CHARGES 60602 CUSTODIAL BANK FEES 10683 58081975 0 0 1016030 1783566 806084 541075 4323380 4973133 53658 53658 62332155 58271302 68531307 65622734 1015168 652188 29018246 27172350 30033414 27824538 X 0 0 0 0 38497893 37798196 38497893 37798196 68531307 65622734 X -1171535 471838 X X 0 1 1 X 0 0 ACCUMULATED ELIGIBILITY CREDITS 9526508 LIABILITY FOR INCURRED BUT UNREPORTED CLAIMS 6927000 LIABILITY FOR EXTENDED MEDICAL COVERAGE 9051231 LIABILITY FOR SEVERANCE BENEFITS 1667611 27172350 56910440 58081975 -1171535 471838 471838 -699697 57265149 471838 471838 56793311 117129 117129 56910440 59810742 0 59810742 117129 -1845896 -1728767 58081975 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: THE PLAN ADMINISTRATOR HAS ANALYZED THE TAX POSITIONS TAKEN BY THE PLAN, AND HAS CONCLUDED THAT AS OF MARCH 31, 2012, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE FINANCIAL STATEMENTS. 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 ANY YEARS PRIOR TO 2009. PART XIII, LINE 4B - OTHER ADJUSTMENTS: CHANGE IN DOLLAR BANK RESERVE -159,011. CHANGE IN IBNR RESERVE -1,373,000. CHANGE IN EXTENDED BENEFIT RESERVE -245,111. CHANGE IN SEVERANCE BENEFITS RESERVE -68,774. FORM 990, PART VI, SECTION A, LINE 3 THE DAY TO DAY OPERATIONS OF THE PLAN ARE MANAGED BY AW REHN & ASSOCIATES FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS PRESENTED TO THE BOARD OF TRUSTEES AND LEGAL COUNSEL BEFORE SIGNATURE AND FILING FORM 990, PART VI, SECTION B, LINE 12C TRUSTEES ARE ASKED ANNUALLY IN WRITING IF ANY CONFLICTS EXIST. ANY CONFLICTS ARE BROUGHT TO THE BOARD OF TRUSTEES FOR RESOLUTION. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE NOT AVAILABLE TO THE PUBLIC. A SUMMARY ANNUAL REPORT REQUIRED BY ERISA IS SENT TO THE PARTICIPANTS ANNUALLY. ACCORDING TO THE REGULATIONS OF THE EBSA, PARTICIPANTS CAN REQUEST THE FULL ANNUAL REPORT AND FORM 5500 FROM THE PLAN ADMINISTRATOR. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 471,838. FORM 990, PART X, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. 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PO BOX 1118 BELLINGHAM WA 98227 CH2M-WG IDAHO LLC PO BOX 1625 IDAHO FALLS ID 83415 D/B SOLUTIONS LLC 2100 196TH ST SW LYNNWOOD WA 98036 D J MECHANICAL, INC. 5716 119TH AVE NE LAKE STEVENS WA 98258 DIVERSIFIED METAL PRODUCTS, INC. 3710 N YELLOWSTONE HWY IDAHO FALLS ID 83401 FLEMING CONSULTING SERVICE INC 14601 226TH AVE NE WOODINVILLE WA 98077 FURNACE SHOP PO BOX 47 RAMSAY MT 59748 J W BROWER HEATING & A/C 3424 SOUTH TACOMA WAY TACOMA WA 98409 LAKEBAY MECHANICAL, INC. 17313 17TH ST CT KP S LAKEBAY WA 98349 MOSES LAKE SHEET METAL PO BOX 550 MOSES LAKE WA 98837 NOBLE MECHANICAL, INC PO BOX 111209 ANCHORAGE AK 99511 NORTH PARK HEATING CO 19204 BALLINGER RD SEATTLE WA 98155 NORTHSHORE SHEET METAL, INC. 11831 BEVERLY PARK RD BLDG C EVERETT WA 98204 ORION SHEET METAL, INC. 1128 SW SPOKANE ST SEATTLE WA 98134 P1 GROUP 16210 W 108TH ST LENEXA KS 66219 PERFORMANCE CANOPY & INSTALLATION 812 DUVALL PL NE RENTON WA 98059 PROJECT SHEET METAL, INC. 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