STRATEGY STUDIO / PUBLIC DATA EXPLORER

SOUND HEALTH & WELLNESS RETIREE TRUST: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
SOUND HEALTH & WELLNESS RETIREE TRUST (EIN 91-1950259)
Tax period
2009-04-01 to 2010-03-31
Filed
2011-01-27
IRS object ID
201100279349300310
Schema version
2009v1.7
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)
Timestamp2011-01-27T14:07:59-06:00Timestamp
Tax Period End Date2010-03-31TaxPeriodEndDate

Preparer Firm PreparerFirm

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 Pkwy Suite 400AddressLine1
CitySan RamonCity
StateCAState
ZIP Code945834210ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-04-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN911950259EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Retail Clerks Retiree Welfare TrustBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlRETANameControl
Phone2062824100Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1201 Queen Anne Avenue North No 100AddressLine1
CitySeattleCity
StateWAState
ZIP Code98109ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameRANDY ZEILERName
TitleChairmanTitle
Phone2062824100Phone
Date Signed2011-01-27DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone9252779100Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonRandy ZeilerNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1201 Queen Anne Avenue North No 100AddressLine1
CitySeattleCity
StateWAState
ZIP Code98109ZIPCode
FieldValueIRS element (for citing)
Gross Receipts4978232GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteN/AWebSite
Type Of Organization TrustXTypeOfOrganizationTrust
Year Formation1998YearFormation
State Legal DomicileWAStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE HEALTH BENEFITS TO ELIGIBLE RETIREES AND THEIR DEPENDENTSActivityOrMissionDescription
Nbr Voting Members Governing Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees119TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year1416872ProgramServiceRevenuePriorYear
Program Service Revenue CY1505936ProgramServiceRevenueCY
Investment Income Prior Year876664InvestmentIncomePriorYear
Investment Income Current Year531573InvestmentIncomeCurrentYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year2293536TotalRevenuePriorYear
Total Revenue Current Year2037509TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year2841290BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY4068868BenefitsPaidToMembersCY
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year240948OtherExpensePriorYear
Other Expenses Current Year334095OtherExpensesCurrentYear
Total Expenses Prior Year3082238TotalExpensesPriorYear
Total Expenses Current Year4402963TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-788702RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-2365454RevenuesLessExpensesCY
Total Assets BOY16584190TotalAssetsBOY
Total Assets EOY18955809TotalAssetsEOY
Total Liabilities BOY410863TotalLiabilitiesBOY
Total Liabilities EOY554209TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY16173327NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY18401600NetAssetsOrFundBalancesEOY
Mission DescriptionTo provide health and welfare benefits to qualified retirees and their dependentsMissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
DescriptionProvided health and welfare benefits to eligbile retirees and their dependenTs.Description
Described In501 C30DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Balance Sheet Amounts Reported1BalanceSheetAmountsReported
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 Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees119NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Nbr Voting Governing Body Members12NbrVotingGoverningBodyMembers
Number Independent Voting Members12NumberIndependentVotingMembers
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 Line1Zenith AdministratorsBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number2062824100TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1201 Queen Anne Ave NorthAddressLine1
CitySeattleCity
StateWAState
ZIP Code981094896ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (13 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
Randy Zeiler
Chairman1.20X000
Derrick Anderson
Trustee1.20X000
BRENT R BOHN
Trustee1.20X000
Frank Jorgensen
Trustee1.20X000
Scott Klitzke Powers
trustee1.20X000
Carl Wojciechowski
Trustee1.20X000
David Blitzstein
trustee1.20X000
Todd Crosby
trustee1.20X000
David Schmitz
trustee1.20X000
Mike williams
trustee1.20X000
Brenda Willis
trustee1.20X000
Diane Zahn
secretary1.20X000
NATHAN HYDE
TRUSTEE - PAST1.20X000
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

Name Of Contractor NameOfContractor

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1ZENITH ADMINISTRATORS INCBusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1201 QUEEN ANNE AVENUE NORTHAddressLine1
CitySEATTLECity
StateWAState
ZIP Code981094896ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesADMINISTRATIONDescriptionOfServices
Compensation110406Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
RETIREE SELF PAY CONTR90009910074151007415
EMPLOYER CONTRIBUTIONS900099498521498521
FieldValueIRS element (for citing)
Total Program Service Revenue1505936TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column472296TotalRevenueColumn
Exclusion$472,296ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities3000000Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities2940723Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities59277Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column59277TotalRevenueColumn
Exclusion$59,277ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column2037509TotalRevenueColumn
Related Or Exempt Function Income1505936RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$531,573ExclusionAmount

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total4068868Total

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total100305Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total20944Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total23918Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total22777Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total136372Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total16819Total

Travel Travel

FieldValueIRS element (for citing)
Total728Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total7604Total

Insurance Insurance

FieldValueIRS element (for citing)
Total4628Total

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total4402963Total

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY957376BOY
EOY191319EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY32311BOY
EOY40841EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY8255BOY
EOY13169EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY10709728BOY
EOY9253049EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY4876520BOY
EOY9457431EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY16584190BOY
EOY18955809EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY9863BOY
EOY6279EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
EOY97930EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY401000BOY
EOY450000EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY410863BOY
EOY554209EOY
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)
BOY16173327BOY
EOY18401600EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY16173327BOY
EOY18401600EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY16584190BOY
EOY18955809EOY
FieldValueIRS element (for citing)
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)
DescriptionLimited partnershipDescription
Book Value9457431BookValue
Method Of ValuationFMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities9457431TotalOfBookValueSecurities

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionCLAIMS PAYABLE AND incurred but not reportedDescription
Amount$450,000Amount
FieldValueIRS element (for citing)
Total Of Amounts450000TotalOfAmounts
Total Revenue2037509TotalRevenue
Total Expenses4402963TotalExpenses
Excess Or Deficit For Year-2365454ExcessOrDeficitForYear
Net Unrealized GL On Investments4593727NetUnrealizedGLOnInvestments
Other$49,000OtherAmount
Total Adjustments4642727TotalAdjustments
Excess Or Deficit Per FS2277273ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt6608459TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments4593727NetUnrealizedGainsInvestments
Revenue Not Rptd F9904593727RevenueNotRptdF990
Revenue Subtotal2014732RevenueSubtotal
Investment Expenses Not Included22777InvestmentExpensesNotIncluded
Revenue Not Rptd On Fin Stmt22777RevenueNotRptdOnFinStmt
Total Revenue Per Form9902037509TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt4331186TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal4331186ExpensesSubtotal
Investment Expenses Not Included222777InvestmentExpensesNotIncluded2
Other Expenses Not Included49000OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt71777ExpensesNotRptdOnFinStmt
Total Expenses Per Form9904402963TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierExplanationExplanation
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 (7 entries)

IdentifierIdentifierExplanationExplanation
Form 990, Part VI, Section A, line 3The plan has contracted with Zenith Administrators, Inc. to provide administrative services for the organization.
Form 990, Part VI, Section B, line 11A trustEE reviewED the form 990 prior to filing with the IRS.
Form 990, Part VI, Section B, line 12cThe Conflict of Interest Policy pertains to all Trustees and service Providers who can influence the actions of the Trust. A conflict of interest includes an interest, direct or indirect, of a Trustee or service provider to a Trust, which may result in the Trustee or service provider benefiting financially from decision made in relation to his or her capacity as a Trustee of or service provider to the Trusts. Disclosure of possible conflicts of interest are made to either the Secretary or the Chair of the Trust. The Trustees determine if a conflict of interest exists. The decision of the Trustees, in relation to a conflict of interest, is binding and final.
Form 990, Part VI, Section C, line 19upon request, the organization makes its governing documents, CONFLICT-OF-INTERST POLICY and financial statemeNTs available to the public.
FORM 990, PART XI, LINE 2C: THE BOARD OF TRUSTEES HAS THE RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND SELECTION OF AN INDEPENDENT ACCOUNTANT.
Form 990, Part V, Line 2a: The plan pays "Incentive Payments" to participants for accomplishing certain outlined objectives, such as, Tobacco cessation and answering surveys. These payments are taxable benefits and the Trust reports the benefits on Forms W-2.
Form 990, Part V, Line 1a: The Trust does not issue Forms 1099 directly to reportable service providers. Rather, the contract administrator uses their employer identification number for the Forms 1099 that they issue on behalf of the Trust.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNA
Retail clerks welfare trust
201 queen anne ave n ste 100seattleWA981094824916058475active employees welfare benefitsWA501(c) 9naN/A
Retail clerks pension trust
201 queen anne ave n ste 100seattleWA981094824916069306retirement benefitsWA501(a)naN/A
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg