2012-04-16T18:05:11-05:00 2011-05-31 CLIFTONLARSONALLEN LLP 3000 NORTHUP WAY SUITE 200 BELLEVUE WA 980041446 990 2010-06-01 916029112 WASHINGTON BAKERS TRUST WASH 2062824100 201 QUEEN ANNE AVENUE NORTH SEATTLE WA 98109 JERRY D'AMBROSIO 2062824100 2012-04-10 1 KENNETH L CLENIN CPA 4252506100 2012-04-10 2010 2016-02-24 21:20:13Z JERRY D'AMBROSIO 201 QUEEN ANNE AVENUE NORTH SEATTLE WA 98109 13237664 0 X N/A X 1953 WA TO PROVIDE HEALTH AND WELFARE BENEFITS TO QUALIFIED PARTICIPANTS AS SPECIFIED IN THE PLAN. 8 8 0 8 0 0 0 0 12163230 13116984 150814 120680 0 0 12314044 13237664 0 0 11257996 11385565 0 0 0 0 0 630456 738298 11888452 12123863 425592 1113801 6169932 7329865 2873847 2894300 3296085 4435565 PROVIDE HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS. 0 0 TO PROVIDE HEALTH AND WELFARE BENEFITS TO QUALIFIED PARTICIPANTS OF THE PLAN 0 0 0 0 0 0 0 0 0 1 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 0 0 0 0 0 0 0 0 0 0 0 X 8 8 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X ZENITH AMERICAN SOLUTIONS 2062824100 201 QUEEN ANNE AVE N SEATTLE WA 98109 X JERRY D'AMBROSIO 1.00 X X 0 0 0 SUE BONNETT 1.00 X 0 0 0 DARRIE L BUCKNER 1.00 X 0 0 0 COLIN JACKSON 1.00 X 0 0 0 ROBERT E DAVIS 1.00 X X 0 0 0 CHERYL STONE 1.00 X 0 0 0 MARY TRUJILLO 1.00 X 0 0 0 RANDY T CAMPBELL 1.00 X 0 0 0 0 0 0 0 0 0 0 ZENITH AMERICAN SOLUTIONS 201 QUEEN ANNE AVENUE NORTH SEATTLE WA 98109 PLAN ADMINISTRATION INCLUDING BOOKKEEPIN 466625 FIRST CHOICE HEALTH ONE UNION SQUARE 600 UNIVERSITY ST SEATTLE WA 98101 PREFERRED PROVIDER ORGANIZATION 113656 2 EMPLOYER CONTRIBUTIONS 525100 12891692 12891692 EMPLOYEE CONTRIBUTIONS 525100 159772 159772 PRESCRIPTION REBATES 525100 65520 65520 13116984 120669 120669 11 11 11 11 13237664 13116984 0 120680 11385565 428521 8200 24354 32130 153572 75499 10254 835 4933 12123863 673295 1786668 212035 58463 1077658 1121584 664 664 4206280 4362486 6169932 7329865 121847 145300 2752000 2749000 2873847 2894300 X 0 0 0 0 3296085 4435565 3296085 4435565 6169932 7329865 X 1113801 25679 X X 0 1 1 X 0 0 COLLECTIVE FUND 4362486 F 4362486 LAG MONTHS ELIGIBILITY COVERAGE 1854000 INCURRED BUT NOT REPORTED CLAIMS PAYABLE 895000 2749000 13237664 12123863 1113801 25679 25679 1139480 13231213 25679 25679 13205534 32130 32130 13237664 12118299 0 12118299 32130 -26566 5564 12123863 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE PLAN MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE PLAN AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF THE PLAN HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS. THE PLAN ADMINISTRATOR HAS ANALYZED THE TAX POSITIONS TAKEN BY THE PLAN, AND HAS CONCLUDED THAT AS OF MAY 31, 2011 AND 2010, 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 YEARS PRIOR TO 2007. PART XIII, LINE 4B - OTHER ADJUSTMENTS: CHANGE IN INCURRED BUT NOT REPORTED CLAIMS -27000. LAG MONTHS ELIGIBILITY COVERAGE 24000. CHANGE IN PREMIUMS PAYABLE -23566. FORM 990, PART VI, SECTION A, LINE 3 ZENITH AMERICAN SOLUTIONS IS RESPONSIBLE FOR THE DAY TO DAY OPERATIONS OF THE PLAN. FORM 990, PART VI, SECTION B, LINE 11 THE PLAN'S AUDITOR PREPARES THE 990 AND PROVIDES A COPY TO THE PLAN'S ADMINISTRATOR. THE ADMINISTRATOR DISTRIBUTES THE 990 TO THE BOARD OF TRUSTEES WHO REVIEW THE FORM 990 WITH ADVISE FROM THE PLAN'S CONSULTANTS AND COUNSEL. FORM 990, PART VI, SECTION B, LINE 12C ANNUAL LETTERS ARE SENT TO THE TRUSTEES INQUIRING ABOUT CONFLICTS OF INTEREST. FORM 990, PART VI, SECTION C, LINE 19 THE PLAN ADMINISTRATOR MAINTAINS CURRENT COPIES AND WILL PROVIDE THE PLAN'S GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS TO PLAN MEMBERS UPON REQUEST. THE PLAN CURRENTLY DOES NOT HAVE A WRITTEN CONFLICT IN INTEREST POLICY. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 25679. INDEPENDENT AUDITOR SELECTION AND REVIEW FORM 990, PART XII, LINE 2C: THE PROCESS FOR SELECTION AND REVIEW OF THE INDEPENDENT AUDITOR HAS NOT CHANGED. WASHINGTON BAKERS RETIREE WELFARE TRUST 201 QUEEN ANNE AVE N SEATTLE WA 98109 911514696 PROVIDE HEALTH AND WELFARE BENEFITS TO ELIGIBLE RETIREE MEMBERS WA 501(C)(9) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0