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PRINTING SPECIALTIES & PAPER PROD JT EMPL & UN HEALTH & WELF PLAN: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
PRINTING SPECIALTIES & PAPER PROD JT EMPL & UN HEALTH & WELF PLAN (EIN 95-6035137)
Tax period
2011-02-01 to 2012-01-31
Filed
2012-10-12
IRS object ID
201222869349300822
Schema version
2011v1.2
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)
Timestamp2012-10-12T13:00:06-05:00Timestamp
Tax Period End Date2012-01-31TaxPeriodEndDate

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 Date2011-02-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN956035137EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1PRINTING SPECIALTIES AND PAPER PRODUCTSBusinessNameLine1
Business Name Line2JOINT EMPLOYER & UNION H & W FUNDBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlPRINNameControl
Phone2067263251Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12323 EASTLAKE AVENUE EASTAddressLine1
CitySEATTLECity
StateWAState
ZIP Code98102ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameSTEPHEN E NORTHUPName
TitleTRUSTEETitle
Phone2067263251Phone
Date Signed2012-10-12DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameKATHLEEN HAABName
PTINP01068129PTIN
Phone9252779100Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonSTEPHEN E NORTHUPNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12323 EASTLAKE AVENUE EAddressLine1
CitySEATTLECity
StateWAState
ZIP Code98102ZIPCode
FieldValueIRS element (for citing)
Gross Receipts94839596GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteN/AWebSite
Type Of Organization TrustXTypeOfOrganizationTrust
Year Formation1952YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission DescriptionPROVIDE HEALTH AND WELFARE BENEFITS TO ELIGIBLE EMPLOYEES AND THEIR DEPENDENTS.ActivityOrMissionDescription
Nbr Voting Members Governing Body7NbrVotingMembersGoverningBody
Nbr Independent Voting Members0NbrIndependentVotingMembers
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 Year55781180ProgramServiceRevenuePriorYear
Program Service Revenue CY56872969ProgramServiceRevenueCY
Investment Income Prior Year2269020InvestmentIncomePriorYear
Investment Income Current Year1954440InvestmentIncomeCurrentYear
Other Revenue Prior Year267496OtherRevenuePriorYear
Other Revenue Current Year77277OtherRevenueCurrentYear
Total Revenue Prior Year58317696TotalRevenuePriorYear
Total Revenue Current Year58904686TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year52601955BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY59105256BenefitsPaidToMembersCY
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 Year1919927OtherExpensePriorYear
Other Expenses Current Year1921442OtherExpensesCurrentYear
Total Expenses Prior Year54521882TotalExpensesPriorYear
Total Expenses Current Year61026698TotalExpensesCurrentYear
Revenues Less Expenses Prior Year3795814RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-2122012RevenuesLessExpensesCY
Total Assets BOY81099832TotalAssetsBOY
Total Assets EOY81489676TotalAssetsEOY
Total Liabilities BOY13194405TotalLiabilitiesBOY
Total Liabilities EOY15580487TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY67905427NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY65909189NetAssetsOrFundBalancesEOY
Mission DescriptionPROVIDE HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
DescriptionPROVIDED HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS.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 Securities1ReportInvestOthSecurities
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 Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10963131NumberFormsTransmittedWith1096
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 Members7NbrVotingGoverningBodyMembers
Number Independent Voting Members0NumberIndependentVotingMembers
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 Line1NORTHWEST ADMINISTRATORS INCBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number2063294900TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12323 EASTLAKE AVE EASTAddressLine1
CitySEATTLECity
StateWAState
ZIP Code981023305ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (7 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
LEASHA BAILEY
EMPLOYER TRUSTEE1.00X000
CHARLES RUBLE III
EMPLOYER TRUSTEE1.00X000
GAYLE SPARAPANI
EMPLOYER TRUSTEE & SECRETARY1.00X000
STEPHEN E NORTHUP
EMPLOYEE TRUSTEE & CHAIRMAN1.00X000
TOM JOLLEY
EMPLOYEE TRUSTEE1.00X000
DAN CABADA
ALTERNATE EMPLOYEE TRUSTEE1.00X000
CLARK RITCHEY
ALTERNATE EMPLOYEE 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
NORTHWEST ADMINISTRATOR
2323 EASTLAKE AVE EASTSEATTLEWA981023305CONTRACT ADMINISTRATOR671626
DONALDSON CORNWELL
1017 EAST GRAND AVENUEESCONDIDOCA92025ATTORNEY198182
MILLER KAPLAN ARASE CO LLP
4123 LANKERSHIM BLVDNORTH HOLLYWOODCA91602ACCOUNTANT178718
BANK OF AMERICA
121 SW MORRISON STREETPORTLANDOR98207INVESTMENT MGR AND BANKING172137
MILLIMAN
650 CALIFORNIA ST 17TH FLOORSAN FRANCISCOCA941082702CONSULTANT113707
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
EMPLOYER CONTRIBUTIONS9000995642171356421713
SELF-PAY CONTRIBUTIONS900099272820272820
PRESCRIPTION REBATE900099110013110013
COBRA SUBSIDY INCOME9000996842368423
FieldValueIRS element (for citing)
Total Program Service Revenue56872969TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1882255TotalRevenueColumn
Exclusion$1,882,255ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities36007095Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities35934910Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities72185Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column72185TotalRevenueColumn
Exclusion$72,185ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
LIQUIDATED DAMANGES IN9000995863758637
OTHER INCOME9000991612516125
ANTITRUST LITIGATION I90009925152515
FieldValueIRS element (for citing)
Total Other Revenue77277TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column58904686TotalRevenueColumn
Related Or Exempt Function Income56950246RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$1,954,440ExclusionAmount

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total59105256Total

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total738060Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total198761Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total158310Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total239370Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total424881Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total94317Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total29385Total

Insurance Insurance

FieldValueIRS element (for citing)
Total38358Total

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total61026698Total

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY8222087BOY
EOY4323460EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY5430404BOY
EOY5239664EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY34833BOY
EOY35334EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY20484316BOY
EOY21515843EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY46928192BOY
EOY50375375EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY81099832BOY
EOY81489676EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY447909BOY
EOY490487EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY12746496BOY
EOY15090000EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY13194405BOY
EOY15580487EOY
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)
BOY67905427BOY
EOY65909189EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY67905427BOY
EOY65909189EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY81099832BOY
EOY81489676EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-2122012ReconcilationRevenueExpenses
Reconcilation Other Changes125774ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule D IRS990ScheduleD

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

Other Securities OtherSecurities

FieldValueIRS element (for citing)
DescriptionBANK OF AMERICA SHORT DURATION VEBA AND 501(C) COMMON TRUST FUNDDescription
Book Value50375375BookValue
Method Of ValuationFMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities50375375TotalOfBookValueSecurities

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
ACCUMULATED ELIGIBILITY CREDITS$9,464,000
CLAIMS PAYABLE AND IBNR$5,626,000
FieldValueIRS element (for citing)
Total Of Amounts15090000TotalOfAmounts
Total Revenue58904686TotalRevenue
Total Expenses61026698TotalExpenses
Excess Or Deficit For Year-2122012ExcessOrDeficitForYear
Net Unrealized GL On Investments125774NetUnrealizedGLOnInvestments
Other$2,343,504OtherAmount
Total Adjustments2469278TotalAdjustments
Excess Or Deficit Per FS347266ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt58791090TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments125774NetUnrealizedGainsInvestments
Revenue Not Rptd F990125774RevenueNotRptdF990
Revenue Subtotal58665316RevenueSubtotal
Investment Expenses Not Included239370InvestmentExpensesNotIncluded
Revenue Not Rptd On Fin Stmt239370RevenueNotRptdOnFinStmt
Total Revenue Per Form99058904686TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt58443824TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal58443824ExpensesSubtotal
Investment Expenses Not Included2239370InvestmentExpensesNotIncluded2
Other Expenses Not Included2343504OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt2582874ExpensesNotRptdOnFinStmt
Total Expenses Per Form99061026698TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X:ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE THE TAX POSITIONS TAKEN BY THE PLAN AND 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. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE PLAN AND HAS CONCLUDED THAT, AS OF JANUARY 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 YEARS PRIOR TO 2009.
PART XI, LINE 8 - OTHER ADJUSTMENTS: CHANGE IN BENEFIT OBLIGATIONS PART XIII, LINE 4B - OTHER ADJUSTMENTS CHANGE IN BENEFIT OBLIGATIONS

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 3THE ORGANIZATION HAS CONTRACTED WITH NORTHWEST ADMINISTRATORS, INC. TO PROVIDE DAY TO DAY ADMINISTRATIVE SERVICES TO THE ORGANIZATION.
FORM 990, PART VI, SECTION B, LINE 11THE FORM 990 WAS REVIEWED BY THE BOARD OF TRUSTEES PRIOR TO FILING WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CALL MEMBERS OF THE BOARD OF TRUSTEES ARE COVERED BY THE CONFLICT OF INTEREST POLICY. IF AND WHEN A POTENTIAL CONFLICT OF INTEREST IS DISCLOSED, THE BOARD OF TRUSTEES WILL INVOLVE THE TRUST'S ATTORNEY TO EVALUATE IF THE MATTER WOULD LIKELY PREVENT AN UNBIASED OR OBJECTIVE DECISION BY A TRUSTEE. AS APPROPRIATE, DISCIPLINARY OR CORRECTION WILL BE TAKEN.
FORM 990, PART VI, SECTION C, LINE 19THE PLAN'S GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE MAINTAINED BY THE ADMINISTRATIVE OFFICE AND ARE AVAILABLE UPON REQUEST.
FORM 990, PART XI, LINE 5:NET UNREALIZED GAINS ON INVESTMENTS: 125,774.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XII, LINE 2C: THE BOARD OF TRUSTEES HAS RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED.

Schedule R IRS990ScheduleR

Form990 Schedule R Part VII Form990ScheduleRPartVII

FieldValueIRS element (for citing)
ExplanationTHE FILING ORGANIZATION IS A TAFT-HARTLEY MULTIEMPLOYER TRUST THAT PROVIDES HEALTH AND WELFARE BENEFITS TO ELIGIBLE EMPLOYEES AND THEIR DEPENDENTS. AS OF JANUARY 31, 2012, THERE ARE APPROXIMATELY 47 EMPLOYERS THAT CONTRIBUTE TO THE TRUST. THE ADMINISTRATIVE OFFICE MAINTAINS A DATABASE OF THESE CONTRIBUTING EMPLOYERS, INCLUDING NAMES, ADDRESSES AND OTHER CONTACT INFORMATION. HOWEVER, CERTAIN INFORMATION THAT IS REQUIRED TO BE REPORTED ON SCHEDULE R SUCH AS EMPLOYER IDENTIFICATION NUMBERS AND LEGAL STRUCTURE (CORPORATION, PARTNERSHIP, ETC.) FOR EACH CONTRIBUTING EMPLOYER IS NOT ON FILE WITH THE ADMINISTRATIVE OFFICE AND IT COULD NOT BE REASONABLY OBTAINED. AS A RESULT, THE CONTRIBUTING EMPLOYERS HAVE NOT BEEN INCLUDED ON SCHEDULE R.Explanation