2011-04-19T12:39:32-05:00 2010-06-30 MILLER KAPLAN ARASE & CO LLP 1700 7TH AVENUE SUITE 2100 SEATTLE WA 981011360 990 2009-07-01 237017278 JOINT LABOR MANAGEMENT RETAIL TRUST JOIN 8006544411 7600 SW MOHAWK STREET TUALATIN OR 970628121 Pati Piro-Bosley 2011-03-21 true Miller Kaplan Arase Co LLP 2068267180 2009 2016-02-24 21:20:13Z PATI PIRO-BOSLEY 7600 SW MOHAWK STREET TUALATIN OR 970628121 54346199 false X N/A X 1977 OR See Schedule O 10 0 0 0 0 0 0 43660642 43305383 259885 286915 0 43920527 43592298 0 46465514 31525763 0 0 0 769952 668158 47235466 32193921 -3314939 11398377 11821384 19854935 11856237 8285100 -34853 11569835 See Schedule O false false See Schedule O false false false false false false false false 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 true 582 0 true 0 false false false false false 10 0 false true false false false false false true false false true true true true true true false X PATI PIRO-BOSLEY 5032741600 7600 SW MOHAWK STREET TUALATIN OR 970628121 X CINDY THORNTON 1.0 X 0 0 0 jennifer post 1.0 X 0 0 0 STEVEN ERDMANN 1.0 X 0 0 0 DAVID JOHNS 1.0 X 0 0 0 SCOTT POWERS 1.0 X 0 0 0 DAN CLAY 1.0 X 0 0 0 JEFF ANDERSON 1.0 X 0 0 0 kevin billman 1.0 X 0 0 0 KAY NELSON 1.0 X 0 0 0 KEN SPRAY 1.0 X 0 0 0 0 0 0 0 false false false ASSOCIATED THIRD PARTY ADMINISTRATO 7600 SW MOHAWK ST TUALATIN OR 97062 CONTRACT ADMIN. 517522 REGENCE BLUECROSS BLUESHIELD PO BOX 1271 M/S ELLA PORTLAND OR 97207 PPO PROVIDER ADMIN. 2335074 EXPRESS SCRIPTS PO BOX 390873 BLOOMINGTON MN 55439 CLAIMS COST CONTROL 248651 3 0 EMPLOYER CONTRIBUTIONS 900099 35570009 35570009 SELF-PAY CONTRIBUTIONS 900099 7735374 7735374 43305383 224574 224574 0 0 10816242 10753901 62341 62341 62341 0 0 0 0 43592298 43305383 286915 0 0 0 31525763 0 0 0 0 0 0 365413 21000 24692 0 0 21685 108620 0 91854 0 0 0 0 0 9891 0 0 0 25003 32193921 1080504 6567976 3549418 3805134 10912 10732 7180550 9471093 11821384 19854935 24654 28653 11831583 8256447 11856237 8285100 X -34853 11569835 -34853 11569835 11821384 19854935 X false true true X 0 CLAIMS INCURRED BUT NOT REPORTED 2951000 ACCUMULATED ELIGIBILITY CREDITS 4754474 CLAIMS PAYABLE 550973 8256447 43592298 32193921 11398377 206311 -3575136 -3368825 8029552 43798609 206311 206311 43592298 43592298 35769057 35769057 -3575136 -3575136 32193921 part xi, line 8 and part xiii, line 4b: adjustments for benefits paid from accrual basis (form 990) to cash basis (financial statment) = ($3,575,136) part i and part iii, line 1 - ORGANIZATION'S MISSION: TO PROVIDE MEDICAL, VISION, DENTAL, PRESCRIPTION, SUPPLEMENTAL INCOME, LIFE AND ACCIDENTAL DEATH AND DISMEMBERSHIP BENEFITS TO PARTICIPANTS ON WHOSE BEHALF EMPLOYERS CONTRIBUTE TO THE PLAN IN ACCORDANCE WITH THEIR COLLECTIVE BARGAINING AGREEMENT. PART VI, LINE 11A: FORM 990 WAS DISTRIBUTED TO THE PLAN ADMINISTRATOR AND LEGAL COUNSEL PRIOR TO FILING; ANY UNUSUAL ITEMS OR ITEMS NEEDING TO BE ADDRESSED WILL BE BROUGHT TO THE TRUSTEES' ATTENTION. PART VI, LINE 12C: TRUSTEES ARE REQUIRED TO NOTIFY THE TRUST OF ANY CHANGES IN THEIR INTERESTS THAT COULD GIVE RISE TO CONFLICTS. PART VI, LINE 19: THE TRUST DOCUMENT, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MAINTAINED IN THE TRUSTS' OFFICE AND ARE AVAILABLE UPON REQUEST.