2013-02-14T12:51:47-06:00 2012-06-30 510435869 Needles & Associates LLC 350 Interlocken Blvd STE 220 Broomfield CO 80021 990 2011-07-01 716076840 Arkansas Pipe Trades Health and Welfare Fund ARKA 4056852323 1300 South Meridian No 200 Oklahoma City OK 73128 Mark Gibbs 4056822323 2013-02-08 Kurt Needles P00850236 3034304225 2013-02-14 2011 2016-03-07 17:11:31Z Mark Gibbs 1300 South Meridian STE 200 Oklahoma City OK 73108 4341529 0 X N/A X Health Fund 1971 AR To provide medical, life, accidental death and dismemberment benefits to eligible participants and their dependents. 6 0 0 0 0 0 0 0 3069291 2982827 140952 201616 78067 35229 3288310 3219672 0 0 2536295 1983641 0 0 0 0 0 345741 581101 2882036 2564742 406274 654930 6992212 7417460 1433837 1310596 5558375 6106864 To provide medical, life, accidental death and dismemberment benefits to eligible participants and their dependents. 0 0 2146279 Benefits paid to participants and medical service providers. 181413 Stop loss and life insurance premiums paid. -162638 Change in IBNR and hour bank. 2165054 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 0 0 0 0 1 0 0 0 0 0 0 0 0 0 X 6 0 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 0 0 0 0 X Board of Trustees 8004470160 1300 S Meridian Oklahoma City OK 73108 X Matt Fair 1.00 X 0 0 0 Jo Kinley 1.00 X 0 0 0 Rick Jeu 1.00 X 0 0 0 Jim Ryan 1.00 X 0 0 0 Mark Gibbs 1.00 X 0 0 0 Morris Smith 1.00 X 0 0 0 0 0 0 0 0 0 0 Blue Cross Blue Shield 300 East Randolph Street Chicago IL 60601 Administrative 160795 Zenith-American Solutions Inc 1300 South Meridian STE 200 Oklahoma City OK 73108 Administrative 101829 2 Employers' Contributio 525100 2147909 2147909 Reciprocity In 525100 759288 759288 Self Pay Contributions 525100 74460 74460 Retiree Contributions 525100 1170 1170 2982827 216658 216658 1106815 1121857 -15042 -15042 -15042 RX Rebates 525100 30286 30286 COBRA Subsidy Reimburs 525100 4943 4943 35229 3219672 3003014 0 216658 1983641 87540 3322 22178 174918 11320 17653 181413 Reciprocity Transferred 82002 Misc. 755 2564742 100038 3022592 3277683 487271 454360 3382311 3685417 6992212 7417460 5822 45219 1428015 1265377 1433837 1310596 X 0 0 0 0 0 0 5558375 6106864 6992212 7417460 X 654930 -106441 X 0 1 1 X 0 0 Hour Bank Liability 1040377 Claims Incurred but Not Reported 225000 1265377 3219672 2564742 654930 -106441 -162638 -269079 385851 3031229 -106441 -82002 -188443 3219672 0 3219672 2645378 80636 80636 2564742 0 2564742 Description of Uncertain Tax Positions Under FIN 48: Part X: 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: Reciprocity Out - Expense in 990, netted against revenue in financials. -82,002. Change in IBNR and Hour Bank Part XIII, Line 2d - Other Adjustments: Reciprocity Out - Expense in 990, netted against revenue in financials. -82,002. Change in IBNR and Hour Bank Liability 162,638. Form 990, Part VI All governing documents are available to the public upon request. Form 990, Part VI, Section B, line 11 Form 990 was provided to the trustees for their review. Form 990, Part VI, Section B, line 12c The Board of Trustees review and assess the conflicts of interest policy and its enforcement at meetings. 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 All governing documents are available to the public upon request. Changes in Net Assets or Fund Balances: Form 990, Part XI, line 5: Net unrealized losses on investments: -106,441.