2012-11-14T12:12:30-06:00 2011-12-31 BJORKLUND & MONTPLAISIR CPA'S 9020 SW WASHINGTON SQ RD SUITE 46 PORTLAND OR 97223 990 2011-01-01 936022485 AGC-IUOE LOCAL 701 H&W TRUST FUND AGC- 2064417574 PO BOX 34203 SEATTLE WA 98124 MARK HOLLIDAY 2064417574 2012-11-07 true RICHARD A LAYNE 5036436400 2012-11-14 2011 2016-02-24 21:20:13Z MARK HOLLIDAY 555 EAST FIRST STREET GLADSTONE OR 97027 28114487 false X X 1954 OR TO PROVIDE HEALTH BENEFITS TO PARTICIPANTS AND THEIR ELIGIBLE DEPENDENTS. 8 8 0 0 0 24289121 27160339 516758 287701 489419 666447 25295298 28114487 0 24402384 26136624 0 0 0 1741428 1351979 26143812 27488603 -848514 625884 26380863 28537745 12834257 14400280 13546606 14137465 X TO PROVIDE HEALTH BENEFITS TO PARTICIPANTS AND THEIR ELIGIBLE DEPENDENTS. false false TO PROVIDE HEALTH BENEFITS TO PARTICIPANTS AND THEIR ELIGIBLE DEPENDENTS. TO PROVIDE HEALTH BENEFITS TO PARTICIPANTS AND THEIR ELIGIBLE DEPENDENTS false false false false false false false false false false true false false true false true false false false false false false false false false false false false false false false false false false false false false false false false true false false false true 325 0 true 0 false false false false false false X 8 8 false false false false false false false true true false false true true false true true true true true false X WELFARE AND PENSION ADMIN 2064417574 PO BOX 34203 SEATTLE WA 98124 X CHARLES VALENTINE 1.00 X X 0 0 0 JAMES M WRIGHT 1.00 X 0 0 0 DAVE ALEXANDER 1.00 X 0 0 0 TONY STEELMAN 1.00 X 0 0 0 MARK HOLLIDAY 1.00 X X 0 0 0 DARREN GLEBE 1.00 X 0 0 0 NELDA WILSON 1.00 X 0 0 0 JAMES D ANDERSON 1.00 X 0 0 0 false false false WELFARE & PENSION ADMIN SERVICES 2815 2ND AVE SUITE 300 SEATTLE WA 98121 CONRACT ADMIN. 484392 PREMERA PO BOX 91080 SEATTLE WA 98111 CLAIMS ADMIN. 356393 MILLIMAN 111 SW 5TH AVENUE SUITE 2900 PORTLAND OR 97204 ACTUARY 111608 3 CONTRIBUTIONS FROM EMPLOYERS 24232559 24232559 CONTRIBUTIONS FROM PARTICIPAN 2927780 2927780 27160339 287701 287701 MEDICARE PART D SUBSIDY 409208 409208 LEGAL SETTLEMENT 225000 225000 REGENCE SESTTLEMENT 15376 15376 16863 16863 666447 28114487 28114487 26136624 33192 15250 18563 1108581 121680 7976 46737 27488603 0 0 0 2380134 3433247 2525151 2507443 2052186 2886352 1500 1500 14698503 15050494 4723389 4658709 26380863 28537745 4663257 5238280 8171000 9162000 12834257 14400280 X 13546606 14137465 13546606 14137465 26380863 28537745 625884 -35025 X false true true X false false false false false false false false false false false BLUE ROCK MARKET NEUTRAL FUND LLC 4658709 F 4658709 ACCUMULATED ELIGIBILITY CREDITS 5477000 CLAIMS INCURED BUT NOT PAID 3685000 9162000 28114487 27488603 625884 -35025 1655185 1620160 2246044 28060899 -35025 -35025 28095924 18563 18563 28114487 25814855 25814855 18563 1655185 1673748 27488603 RECONCILIATION OF CHANGES - OTHER SCHEDULE D, PAGE 4, PART XI, LINE 8 CHANGE IN BENEFIT LIABILITIES 1,655,185 EXPENSE AMOUNTS INCLUDED ON RETURN - OTHER SCHEDULE D, PAGE 4, PART XIII, LINE 4B CHANGE IN BENEFIT LIABILITIES 1,655,185 ALL OTHER ACCOMPLISHMENT DESCRIPTION FORM 990, PAGE 2, PART III, LINE 4D TO PROVIDE HEALTH BENEFITS TO PARTICIPANTS AND THEIR ELIGIBLE DEPENDENTS ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 FORM 990, PAGE 6, PART VI, LINE 11B TRUSTEES REVIEW FORM 990 AND MAKE INQUIRIES OF THE PREPARER, ATTORNEY AND THIRD PARTY ADMINISTRATOR PRIOR TO FILING. ENFORCEMENT OF CONFLICTS POLICY FORM 990, PAGE 6, PART VI, LINE 12C UNDER THE POLICY ALL TRUSTEES ARE REQUIRED TO DISCLOSE ANY CONFLICT OR POTENTIAL CONFLICT OF INTEREST. IT IS LEFT UP TO THE INDIVIDUAL TRUSTEE TO COME FORTH AND REPORT SUCH ITEMS. COMPENSATION PROCESS FOR TOP OFFICIAL FORM 990, PAGE 6, PART VI, LINE 15A NO COMPENSATION IS PAID TO TRUSTEES. COMPENSATION PROCESS FOR OFFICERS FORM 990, PAGE 6, PART VI, LINE 15B NO COMPENSATION IS PAID TO TRUSTEES. GOVERNING DOCUMENTS DISCLOSURE EXPLANATION FORM 990, PAGE 6, PART VI, LINE 19 ALL DOCUMENTS ARE AVAILABLE UPON REQUEST. 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