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

View the entire original 990 at ProPublica ↗

Organization
SOUND HEALTH & WELLNESS TRUST (EIN 91-6058475)
Tax period
2009-04-01 to 2010-03-31
Filed
2011-01-27
IRS object ID
201100279349300415
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)
Timestamp2011-01-27T15:09:57-06:00Timestamp
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 parkway suite 400AddressLine1
Citysan ramonCity
StateCAState
ZIP Code94583ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-04-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN916058475EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1RETAIL CLERKS WELFARE TRUSTBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlRETANameControl
Phone2062824100Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1201 queen anne ave north No 100AddressLine1
CityseattleCity
StateWAState
ZIP Code981094824ZIPCode

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 ave north No 100AddressLine1
CityseattleCity
StateWAState
ZIP Code981094824ZIPCode
FieldValueIRS element (for citing)
Gross Receipts283938187GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web Siten/aWebSite
Type Of Organization TrustXTypeOfOrganizationTrust
Year Formation1957YearFormation
State Legal DomicileWAStateLegalDomicile
Activity Or Mission DescriptionTo PROVIDE HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS.ActivityOrMissionDescription
Nbr Voting Members Governing Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees4478TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year168280313ProgramServiceRevenuePriorYear
Program Service Revenue CY225874924ProgramServiceRevenueCY
Investment Income Prior Year7882373InvestmentIncomePriorYear
Investment Income Current Year2961312InvestmentIncomeCurrentYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year176162686TotalRevenuePriorYear
Total Revenue Current Year228836236TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year212230593BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY220112093BenefitsPaidToMembersCY
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year18706491OtherExpensePriorYear
Other Expenses Current Year19988849OtherExpensesCurrentYear
Total Expenses Prior Year230937084TotalExpensesPriorYear
Total Expenses Current Year240100942TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-54774398RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-11264706RevenuesLessExpensesCY
Total Assets BOY127256166TotalAssetsBOY
Total Assets EOY139837672TotalAssetsEOY
Total Liabilities BOY67008663TotalLiabilitiesBOY
Total Liabilities EOY77590870TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY60247503NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY62246802NetAssetsOrFundBalancesEOY
Mission DescriptionTO Provide 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
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 Employees4478NumberOfEmployees
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 administrators incBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number2062824100TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1201 queen anne avenue northAddressLine1
CityseattleCity
StateWAState
ZIP Code98109ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (14 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
Derrick Anderson
trustee1.00X000
Brent R Bohn
TRUSTEE1.00X000
frank jorgensen
trustee1.00X000
scott k powers
trustee1.00X000
carl wojciechowski
trustee1.00X000
randy zeiler
trustee/chairman1.00X000
david blitzstein
trustee1.00X000
Todd Crosby
trustee1.00X000
david schmitz
trustee1.00X000
mike williams
trustee1.00X000
brenda willis
trustee1.00X000
diane zahn
trustee/secretary1.00X000
MIKE HATFIELD
TRUSTEE - PAST1.00X000
NATHAN HYDE
TRUSTEE - PAST1.00X000
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
zenith administrators inc
201 queen anne avenue northseattleWA981094896administration7031832
group health cooperative
320 westlake avenue north suite 10seattleWA981095233HMO Administration5378561
stay well health management
3000 ames crossing road suite 100st paulMN55121personal health assessment administratio1673794
bank of america
201 north tryon streetcharlotteNC28202HRA Administration & bank service fees1284734
MERCER HUMAN RESOURCE CONSULTING
1301 Fifth Avenue Suite 1900seattleWA98101CONSULTING SERVICES1004112
FieldValueIRS element (for citing)
Number Of Contractors GT100 K16NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Employer Contributions900099206687877206687877
Participant Contributi9000991802723018027230
PRESCRIPTION REBATES90009911598171159817
FieldValueIRS element (for citing)
Total Program Service Revenue225874924TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column3658233TotalRevenueColumn
Exclusion$3,658,233ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities54405030Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities55101951Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-696921Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-696921TotalRevenueColumn
Exclusion-$696,921ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column228836236TotalRevenueColumn
Related Or Exempt Function Income225874924RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$2,961,312ExclusionAmount

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total220112093Total

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total6511834Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total128267Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total161955Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total114076Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total11902577Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total995170Total

Travel Travel

FieldValueIRS element (for citing)
Total8944Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total20856Total

Insurance Insurance

FieldValueIRS element (for citing)
Total30946Total

Other Expenses OtherExpenses

FieldValueIRS element (for citing)
DescriptionNEWSLETTER EXPENSEDescription
Total114224Total

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total240100942Total

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
EOY21183441EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY14338544BOY
EOY19567504EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY495272BOY
EOY469715EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY104873088BOY
EOY85933527EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY7549262BOY
EOY12683485EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY127256166BOY
EOY139837672EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY760736BOY
EOY562015EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY66247927BOY
EOY77028855EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY67008663BOY
EOY77590870EOY
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)
BOY60247503BOY
EOY62246802EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY60247503BOY
EOY62246802EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY127256166BOY
EOY139837672EOY
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 Value12683485BookValue
Method Of ValuationFMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities12683485TotalOfBookValueSecurities

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
IBNR and Estimated Claims Payable$34,000,000
cash overdrafts$5,436,855
ACCUMULATED ELIGIBILITY CREDITS$37,592,000
FieldValueIRS element (for citing)
Total Of Amounts77028855TotalOfAmounts
Total Revenue228836236TotalRevenue
Total Expenses240100942TotalExpenses
Excess Or Deficit For Year-11264706ExcessOrDeficitForYear
Net Unrealized GL On Investments13264005NetUnrealizedGLOnInvestments
Other$10,156,000OtherAmount
Total Adjustments23420005TotalAdjustments
Excess Or Deficit Per FS12155299ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt241986165TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments13264005NetUnrealizedGainsInvestments
Revenue Not Rptd F99013264005RevenueNotRptdF990
Revenue Subtotal228722160RevenueSubtotal
Investment Expenses Not Included114076InvestmentExpensesNotIncluded
Revenue Not Rptd On Fin Stmt114076RevenueNotRptdOnFinStmt
Total Revenue Per Form990228836236TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt229830866TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal229830866ExpensesSubtotal
Investment Expenses Not Included2114076InvestmentExpensesNotIncluded2
Other Expenses Not Included10156000OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt10270076ExpensesNotRptdOnFinStmt
Total Expenses Per Form990240100942TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierExplanationExplanation
Part XI, Line 8 - Other Adjustments:Increase in Benefit ObligationS
Part XIII, Line 4b - Other Adjustments:Increase in Benefit Obligations

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierExplanationExplanation
Form 990, Part VI, Section A, line 3THE ORGANIZATION HAS CONTRACTED WITH Zenith Administrators, INC. TO PROVIDE DAY TO DAY ADMINISTRATIVE SERVICES TO THE ORGANIZATION.
Form 990, Part VI, Section B, line 11A TRUSTEE REVIEWED 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 Trust. 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 assumes responsibilty for oversight of the audit of its financial statements and selection of independent auditors.
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 are reported 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 pension trust
201 queen anne avenue northseattleWA98109916069306to provide pension benefitsWA501(a)N/AN/A
retail clerks retiree welfare trust
201 queen anne avenue northseattleWA98109911950259to provide RETIREE health and welfare benefitsWA501(c) 9N/AN/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