2013-04-12T16:24:36-05:00 2012-08-31 510435869 Needles & Associates LLC 350 Interlocken Blvd STE 220 Broomfield CO 80021 990 2011-09-01 730790052 Oklahoma Operating Engineers Welfare Plan OKLA 4056822323 1300 S Meridian Street No 200 Oklahoma City OK 73108 Michael L Stark Jr 4056822323 2013-04-12 Kurt Needles P00850236 3034304225 2013-04-11 2011 2016-02-25 16:41:14Z Michael L Stark Jr 1300 S Meridian Street No 200 Oklahoma City OK 73108 8498804 0 X N/A X 1969 OK Provide health & welfare benefits to eligible participants. 4 4 0 0 0 0 0 0 5333475 5116956 488546 296839 111586 45464 5933607 5459259 0 0 3714475 3618290 0 0 0 0 0 864094 822489 4578569 4440779 1355038 1018480 12981293 14033575 1832508 2523114 11148785 11510461 X Provide health & welfare benefits to eligible participants. 0 0 3618290 Health and welfare benefits paid. 211070 Insurance premium paid on behalf of participants. Change in claims payable. 3829360 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 1 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 4056822323 1300 S Meridian STE 200 Oklahoma City OK 73108 X William Noble 1.00 X 0 0 0 Sam Vanmeter 1.00 X 0 0 0 Michael L Stark Jr 1.00 X 0 0 0 Alan Ferris 1.00 X 0 0 0 0 0 0 0 0 0 0 Blue Cross Blue Shield 3401 NW 63rd St Oklahoma City OK 73116 Access Fee / Admin 125379 Zenith American Solutions Inc 1300 S Meridian STE 200 Oklahoma City OK 73108 Administrative 117394 Conner & Winters 1700 One Leadership Square Oklahoma City OK 73102 Legal 108356 3 Prog.serv.revenue-Rela 525100 5116956 5116956 5116956 199787 199787 3136597 3039545 97052 97052 97052 Misc. revenue-Related- 45464 45464 45464 5459259 5459259 0 0 3618290 3618290 117394 117394 108356 108356 35682 35682 185760 185760 28293 28293 1845 1845 211070 211070 Other expenses-Mngmnt-9 134089 134089 4440779 3829360 611419 0 4247953 2596457 1522095 1458667 7211245 9978451 12981293 14033575 70344 144503 1762164 2378611 1832508 2523114 X 11148785 11510461 11148785 11510461 12981293 14033575 X 1018480 -656804 X 0 1 1 X 0 0 Estimated Hour Bank Liability 1600611 Claims Incurred But Not Reported 778000 2378611 5459259 4440779 1018480 39374 -696178 -656804 361676 5369634 39374 -128999 -89625 5459259 0 5459259 4311780 -128999 -128999 4440779 0 4440779 Description of Uncertain Tax Positions Under FIN 48: Part X: The Trust established under the Plan to hold the Plan's assets is qualified under Section 501(c)(9) of the Internal Revenue Code. Accordingly, the Trust's net investment income is exempt from income taxes. The Plan has obtained a favorable tax determination letter. The Plan has been amended since receiving the determination letter. However, the Plan sponsor and the Plan's legal counsel believe that the Plan is designed and is currently being operated in compliance with the applicable requirements of the Internal Revenue Code. Management has evaluated the Plans tax positions and concluded that the Plan has maintained its tax exempt status and has taken no uncertain tax positions that require adjustments to the financial statements for the years ended August 31, 2012 and 2011. Part XI, Line 8 - Other Adjustments: Change in INBR -218,000. Change in Hour Bank Liability -478,178. Total to Schedule D, Part XI, Line 8: -696,178. Part XII, Line 2d - Other Adjustments: Reciprocity Out (netted with income in the FS) -127,841. Sr. Health Plan Receipts (netted with income in the FS) -1,158. Part XIII, Line 2d - Other Adjustments: Reciprocity Out (netted with income in the FS) -127,841. Sr. Health Plan Receipts (netted with income in the FS) -1,158. Form 990, Part VI, Section B, line 11 The Form 990 was provided to the Board of Trustees for their review. Form 990, Part VI, Section B, line 12c Trustees review all policies during each Board meeting. 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 Form 990 is available for public inspection upon request. Changes in Net Assets or Fund Balances: Form 990, Part XI, line 5: Net unrealized gains on investments: 39,374. Change in INBR -218,000. Change in Hour Bank Liability -478,178. Total to Form 990, Part XI, Line 5: -656,804.