2011-12-02T17:30:37-06:00 2011-01-31 MILLER KAPLAN ARASE & CO LLP 4123 LANKERSHIM BLVD NORTH HOLLYWOOD CA 916022828 990 2010-02-01 956035137 PRINTING SPECIALTIES AND PAPER PRODUCTS JOINT EMPLOYER AND UNION H&W FUND PRIN 2063294900 2323 EASTLAKE AVENUE EAST SEATTLE WA 981023305 Robert A Kromm 2011-12-02 true miller kaplan arase co llp 8187692010 2010 2016-02-24 21:20:13Z BOB KROMM 2323 EASTLAKE AVE EAST SEATTLE WA 981023305 176892316 false X N/A X 1952 CA SEE SCHEDULE O 8 8 0 0 0 0 0 54956017 55781180 3329238 2269020 225204 267496 58510459 58317696 0 47527268 52601955 0 0 0 2080736 1919927 49608004 54521882 8902455 3795814 76908223 80818209 12298075 12912782 64610148 67905427 X SEE SCHEDULE O false false THE PLAN IS A MULTI-EMPLOYER HEALTH AND WELFARE PLAN ASSIGNED TO PROVIDE MEDICAL, DENTAL, PRESCRIPTION, DISABILITY AND VISION CARE BENEFITS TO ELIGIBLE EMPLOYEES AND THEIR DEPENDENTS. ALSO, THE PLAN OFFERS LIFE INSURANCE AND ACCIDENTAL DEATH AND DISMEMBERMENT BENEFITS TO ACTIVE EMPLOYEES. false false false false false false false false false false false false true true 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 false false false false true 2784 0 true 0 false true false false false false false X 8 8 true false false false false false false true true false false true true true true true true false X BOB KROMM 2063294900 2323 EASTLAKE AVE EAST SEATTLE WA 981023305 X GAYLE SPARAPANI 3.0 X 0 0 0 CHARLES RUBLE III 3.0 X 0 0 0 STEVE E NORTHUP 3.0 X 0 0 0 RYAN SHERARD 3.0 X 0 0 0 DAN CABADA 3.0 X 0 0 0 LEASHA BAILEY 3.0 X 0 0 0 CLARK RITCHEY 3.0 X 0 0 0 FRED CORRELL 3.0 X 0 0 0 0 0 0 0 false false false NORTHWEST ADMINISTRATORS INC 2323 EASTLAKE AVENUE EAST SEATTLE WA 981023305 CONTRACT ADMIN. 728950 DONALDSON CORNWELL 1017 EAST GRAND AVENUE ESCONDIDO CA 92025 ATTORNEY 198475 MILLER KAPLAN ARASE CO LLP 4123 LANKERSHIM BOULEVARD NORTH HOLLYWOOD CA 916022828 ACCOUNTANT 174585 MILLIMAN 650 CALIFORNIA STREET 17TH FLOOR SAN FRANCISCO CA 941082702 CONSULTANT 125476 BANK OF AMERICA 121 SW MORRISON STREET PORTLAND OR 98207 INVST MGR & BANKING 163542 5 0 EMPLOYER CONTRIBUTIONS 900099 55507650 55507650 SELF-PAY CONTRIBUTIONS 900099 273530 273530 55781180 2038795 2038795 0 0 118804845 118574620 230225 230225 230225 0 0 0 STOP LOSS REIMBURSEMENTS 900099 15443 15443 COBRA SUBSIDY 900099 191249 191249 LIQUIDATED DAMAGES 900099 56729 56729 4075 4075 267496 58317696 56048676 2269020 0 0 0 52601955 0 0 0 0 0 0 720983 199924 129453 0 0 221566 183131 0 40725 0 0 0 0 0 37941 0 0 0 40711 HOSPITAL REVIEW SERVICES 303203 BANK SERVICE CHARGES 26153 STORAGE FEES 16137 54521882 -349217 -281623 5855137 5430404 36120 34833 71366183 75634595 76908223 80818209 240220 166286 12057855 12746496 12298075 12912782 X 64610148 67905427 64610148 67905427 76908223 80818209 X 3795814 -500535 X false true true X 0 BENEFIT OBLIGATIONS 12746496 12746496 58317696 54521882 3795814 -500535 -500535 3295279 57817161 -500535 -500535 58317696 58317696 54521882 54521882 54521882 PART XII, LINE 2D: UNREALIZED DEPRECIATION IN FAIR VALUE OF INVESTMENTS. PART X, LINE 2: The Plan has adopted guidance on accounting for uncertainty in income taxes issued by the Financial Accounting Standards Board. The Plan's administrator believes that the Plan has taken no uncertain tax positions that require adjustment to the financial statements to comply with the provisions of this guidance. Certain information returns are subject to examination by authorities. PARTS I AND III, LINE 1 - ORGANIZATION'S MISSION: THE PLAN IS A MULTI-EMPLOYER HEALTH AND WELFARE PLAN ASSIGNED TO PROVIDE MEDICAL, DENTAL, PRESCRIPTION, DISABILITY AND VISION CARE BENEFITS TO ELIGIBLE EMPLOYEES AND THEIR DEPENDENTS. ALSO, THE PLAN OFFERS LIFE INSURANCE AND ACCIDENTAL DEATH AND DISMEMBERMENT BENEFITS TO ACTIVE EMPLOYEES. PART VI, SECTION A, LINE 2: FRED W. CORRELL AND RYAN SHERARD ARE BOTH UNION TRUSTEES AND HAVE A FAMILY RELATIONSHIP: FRED W. CORRELL IS RYAN SHERARD'S FATHER-IN-LAW. PART VI, SECTION B, LINE 11B: THE ADMINISTRATIVE OFFICE REVIEWS THE FORM 990 AND WILL NOTIFY THE BOARD OF TRUSTEES IF ANY UNUSUAL OR SIGNIFICANT ITEMS ARE NOTED. PART VI, SECTION B, LINE 12C: ANY TRUSTEE OR SERVICE PROVIDER AUTHORIZED TO CONDUCT TRANSACTIONS ON BEHALF OF THE TRUST WHO HAS REASON TO BELIEVE THAT A PROPOSED TRANSACTION MIGHT CONSTITUTE A PROHIBITED TRANSACTION IS OBLIGATED TO CONSULT WITH TRUST COUNSEL. TRUSTEES ARE ALSO REQUIRED TO NOTIFY THE TRUST FUND OF ANY CHANGES IN THEIR INTERESTS THAT COULD GIVE RISE TO CONFLICTS. PART VI, SECTION C, LINE 19: THE PLAN'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MAINTAINED BY THE ADMINISTRATIVE OFFICE AND ARE AVAILABLE UPON REQUEST. ADDITIONALLY, FINANCIAL STATEMENTS ARE DISTRIBUTED TO THE TRUSTEES ON A REGULAR BASIS.