2025-03-13T22:18:20-04:00 2024-05-31 WITHUMSMITHBROWNPC 6101 BOLLINGER CANYON RD STE 400 SAN RAMON CA 94583 990 2023-06-01 910590441 UNITE HERE NORTHWEST HEALTH TRUST FUND % NORTHWEST ADMINISTRATORS INC UNIT 2063294900 2323 EASTLAKE AVE EAST SEATTLE WA 98102 ERIK VAN ROSSUM CHAIRMAN 2063294900 2025-03-10 true true ALBERT LEECH P01797541 9252779100 2023 2025-03-06 01:10:19Z ERIK VAN ROSSUM 2323 EASTLAKE AVE EAST SEATTLE WA 98102 48408717 false X N/A X 1976 WA TO PROVIDE HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS. 8 1 11 0 0 0 0 0 27775231 32691981 -4828591 1670672 3138 29174 22949778 34391827 0 0 21556109 26501720 0 0 0 0 0 1848198 2463357 23404307 28965077 -454529 5426750 87110596 98382566 7572119 10783807 79538477 87598759 TO PROVIDE HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS. false false PROVIDED HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS. false 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 true false false true 281 0 true 11 true false false false false false false false false false X 8 1 false true false false false false false true true false false true true true true true true false false false X NORTHWEST ADMINISTRATORS INC 2063294900 2323 EASTLAKE AVENUE EAST SEATTLE WA 98102 X ERIK VAN ROSSUM CHAIRMAN 0.5 0.0 X X 0 0 0 DOUG RIGONI SECRETARY 0.5 0.0 X X 0 0 0 ANITA SETH TRUSTEE 0.5 0.0 X 0 0 0 ENRIQUE FERNANDEZ TRUSTEE 0.5 0.0 X 0 0 0 STEFAN MORITZ TRUSTEE 0.5 0.0 X 0 0 0 ED CLEVENGER TRUSTEE 0.5 0.0 X 0 0 0 KRISTIE RICHARDSON TRUSTEE 0.5 0.0 X 0 0 0 CINDY RICHARDSON TRUSTEE 0.5 0.0 X 0 0 0 SEE SCH O FOR COMPENSATION PAID BY RELATED ORGANIZATIONS 0.0 0.0 X 0 0 0 0 0 0 0 false false false NORTHWEST ADMINISTRATORS INC 2323 EASTLAKE AVE E SEATTLE WA 98102 ADMINISTRATION 1080971 AETNA INC 601 UNION STREET 9TH FLOOR SEATTLE WA 98101 ADMINISTRATION 589593 DIMARTINO ASSOCIATES 1325 4TH AVE 1705 SEATTLE WA 98101 CONSULTING 102000 3 0 EMPLOYER CONTRIBUTIONS 900099 31695391 31695391 STOP-LOSS REFUNDS 900099 356914 356914 COBRA CONTRIBUTIONS 900099 85887 85887 FORMULARY REBATES 900099 553789 553789 32691981 3303975 3303975 0 0 0 0 0 12383587 14016890 -1633303 -1633303 -1633303 0 0 0 0 0 0 0 0 0 LIQUIDATED DAMAGES & INTEREST 900099 29174 29174 29174 34391827 32721155 0 1670672 0 0 0 26501720 0 0 0 0 0 0 441278 47237 64542 0 0 52656 1758652 0 51062 0 0 0 0 0 12195 0 0 0 10457 PCORI FEES 9388 REGULATORY COMPLIANCE PROJECT 15890 28965077 -69135 -436761 12621952 13648952 0 0 4566175 3634643 0 0 0 0 0 0 0 0 1639 1294 0 0 69989965 81534438 0 0 0 0 0 0 0 0 87110596 98382566 178235 221937 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7393884 10561870 7572119 10783807 X 0 0 0 0 79538477 87598759 79538477 87598759 87110596 98382566 5426750 2633532 X X false true X true 0 ACCUMULATED ELIGIBILITY CREDITS 4160000 CLAIMS PAYABLE & IBNR 6401870 10561870 X 36972703 2633532 2633532 34339171 52656 52656 34391827 25744435 25744435 52656 3167986 3220642 28965077 PART X, LINE 2: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE THE TAX POSITIONS TAKEN BY THE PLAN AND TO RECOGNIZE A TAX LIABILITY IF THE PLAN HAS TAKEN AN UNCERTAIN POSITION THAT, MORE LIKELY THAN NOT, WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE. THE PLAN HAS ANALYZED THE TAX POSITIONS TAKEN BY THE PLAN AND HAS CONCLUDED THAT, AS OF MAY 31, 2024 AND 2023, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY THE TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. PART XII, LINE 4B - OTHER ADJUSTMENTS: CHANGE IN BENEFIT OBLIGATIONS FORM 990, PART V, LINE 2A THE TRUST DOES NOT HAVE EMPLOYEES. HOWEVER, THE TRUST ISSUED FORMS W-2 TO PARTICIPANTS THAT RECEIVED TAXABLE DISABILITY BENEFITS. FORM 990, PART VI, SECTION A, LINE 3: THE PLAN HAS CONTRACTED WITH NORTHWEST ADMINISTRATORS, INC. TO PROVIDE ADMINISTRATIVE SERVICES FOR THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 11B: A TRUSTEE REVIEWED THE FORM 990 FOR ACCURACY AND COMPLETENESS PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C: THE CONFLICT-OF-INTEREST POLICY COVERS TRUSTEES (THE GOVERNING BODY). IF AND WHEN A POTENTIAL CONFLICT OF INTEREST IS DISCLOSED, THE BOARD OF TRUSTEES WILL INVOLVE THE TRUST'S ATTORNEY TO EVALUATE IF THE MATTER WOULD LIKELY PREVENT AN UNBIASED OR OBJECTIVE DECISION BY A TRUSTEE, AND AS APPROPRIATE, DISCIPLINARY OR CORRECTIVE ACTION WILL BE TAKEN. FORM 990, PART VI, SECTION C, LINE 19: THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. FORM 990, PART VII, SECTION A, LINE 1A: TRUSTEES ARE NOT COMPENSATED BY THE TRUST. COMPENSATION PAID TO TRUSTEES EMPLOYED BY OTHER RELATED ORGANIZATIONS IS REPORTED ON THE FORM 990 FILED WITH THE INTERNAL REVENUE SERVICE BY THE RELATED TAX EXEMPT ORGANIZATION. IF YOU WOULD LIKE ADDITIONAL INFORMATION, PLEASE CONTACT THE THIRD-PARTY ADMINISTRATOR, NORTHWEST ADMINISTRATORS, INC. FORM 990, PART XII, LINE 2C THE BOARD OF TRUSTEES ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF INDEPENDENT AUDITORS. THIS PROCESS HAS NOT CHANGED. WESTERN UNITEHERE & EMPLOYERS PENSION FD 2323 EASTLAKE AVENUE EAST SEATTLE WA 98102 934160766 RETIREMENT WA 501(A) N/A NA false UNITE HERE LOCAL 8 5030 1ST AVES201 SEATTLE WA 98134 910968179 SPONSOR ORG WA 501(C)(5) N/A NA false UNITE HERE LOCAL 19 2302 ZANKER ROAD 2ND FLOOR SAN JOSE CA 95131 942300756 SPONSOR ORG CA 501(C)(5) N/A NA false false false false false false false false false false false false false false true false true false false false SCHEDULE R, IDENTIFICATION OF RELATED ORGANIZATION THE FILING ORGANIZATION IS A TAFT-HARLEY MULTIEMPLOYER TRUST THAT PROVIDES HEALTH AND WELFARE BENEFITS TO ELIGIBLE EMPLOYEES AND THEIR DEPENDENTS. AS OF MAY 31, 2024 THERE ARE APPROXIMATELY 27 EMPLOYERS THAT CONTRIBUTE TO THE TRUST. THE ADMINSTRATIVE OFFICE MAINTAINS A DATABASE OF THESE CONTRIBUTING EMPLOYERS, INCLUDING NAMES, ADDRESSES AND OTHER CONTACT INFORMATION. THE FEDERAL TAX CLASSIFICATION (DISREGARDED ENTITY, TAX EXEMPT ORGANIZATION, PARTNERSHIP, TAXABLE CORPORATION OR TRUST) FOR EACH CONTRIBUTING EMPLOYER IS NOT ON FILE WITH THE ADMINSTRATIVE OFFICE AND IT COULD NOT BE REASONABLY OBTAINED. AS A RESULT THE NAMES OF THE CONTRIBUTING EMPLOYERS ARE LISTED ON PART VII BELOW AND NOT ON PARTS II THROUGH IV BY FEDERAL TAX CLASSIFICATION. ALSCO LAUNDRIES ARAMARK - BOEING EVERETT ARAMARK CONVENTION CENTER BENSON HOTEL CENTERPLATE @ T-MOBILE PARK COAST WENATCHEE CENTER HOTEL COMPASS GROUP BOEING DOUBLETREE HOTEL - SEATTLE AIRPORT EDGEWATER HOTEL EMBASSY SUITES BY HILTON FLAGSHIP FACILITY SERVICES INC HILTON HOTEL/PORTLAND HILTON SEATTLE HILTON SEATTLE AIRPORT HOST INTERNATIONAL HOTEL MURANO LEVY RESTAURANTS - THE OREGON CONVENTION CENTER LEVY RESTAURANTS AT LUMEN FIELD PARAMOUNT HOTEL SPACE NEEDLE CORP SSP AMERICA @ SEA-TAC INTERNATIONAL AIRPORT TACOMA CONVENTION CENTER TOTEM FOOD PRODUCTS UNITE HERE LOCAL #8 WASH ATHLETIC CLUB WESTIN HOTEL SEATTLE YMCA - LOCAL #8