2026-03-06T15:18:04-06:00 2025-04-30 WITHUMSMITHBROWNPC 6101 BOLLINGER CANYON RD STE 400 SAN RAMON CA 94583 990 2024-05-01 237122650 SERVICE EMPLOYEES HEALTH AND WELFARE TRUST % NORTHWEST ADMINISTRATORS INC SERV 2063294900 2323 EASTLAKE AVENUE EAST SEATTLE WA 98102 SERGIO SALINAS CHAIRMAN 2063294900 2026-03-05 true true ALBERT LEECH P01797541 9252779100 2024 2025-03-06 01:10:19Z SERGIO SALINAS 2323 EASTLAKE AVENUE EAST SEATTLE WA 98102 52263551 false X N/A X 1970 WA TO PROVIDE HEALTH & WELFARE BENEFITS IN A MULTIEMPLOYER PLAN. 5 2 0 8 0 0 0 0 42348097 47030313 1063486 1639796 87820 15567 43499403 48685676 0 0 42358202 44996273 0 0 0 0 0 2745754 2715143 45103956 47711416 -1604553 974260 41770335 45375494 11742812 13403085 30027523 31972409 X TO PROVIDE HEALTH AND WELFARE BENEFITS TO QUALIFIED PARTICIPANTS AS SPECIFIED IN THIS MULTIEMPLOYER PLAN. false false Provided HEALTH AND WELFARE BENEFITS TO QUALIFIED PARTICIPANTS AS SPECIFIED IN THIS MULTIEMPLOYER PLAN. 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 2 0 true 0 false false false false false false false false X 5 2 false true false false false false false true true false false true true true true true true false false false WA X NORTHWEST ADMINISTRATORS INC 2063294900 2323 EASTLAKE AVE E Seattle WA 98102 X SERGIO SALINAS CHAIRMAN 1.0 0.0 X X 0 0 0 CHARLIE JONES SECRETARY 1.0 0.0 X X 0 0 0 JIM RAGSDALE TRUSTEE 1.0 0.0 X 0 0 0 ELIZABETH CRANSTON Alternate TRUSTEE 1.0 0.0 X 0 0 0 GREG RAMIREZ TRUSTEE 1.0 0.0 X 0 0 0 ZENIA JAVALERA TRUSTEE 1.0 0.0 X 0 0 0 MICHAEL MENDONCA Alternate TRUSTEE 1.0 0.0 X 0 0 0 ELSA OGBE Alternate TRUSTEE 1.0 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 PREMERA BLUE CROSS 7001 220TH ST SW MOUNTLAKE TERRACE WA 98043 CLAIMS Processing 1848146 NORTHWEST AdministratorS iNC 2323 EASTLAKE AVE E SEATTLE WA 98102 THIRD PARTY ADMIN 400610 DELTA DENTAL 400 FAIRVIEW AVE N SUITE 800 SEATTLE WA 98109 CLAIMS PROCESSING 243897 WITHUMSMITHBROWN PC 6101 BOLLINGER CANYON RD SUITE 400 SAN RAMON CA 94583 ACCOUNTING SERVICES 114130 MONDRESS MONACO PARR LOCKWOOD PLLC 2101 FOURTH AVE SUITE 2170 SEATTLE WA 98121 LEGAL SERVICES 108499 5 0 EMPLOYER CONTRIBUTION 900099 47007287 47007287 EMPLOYEE CONTRIBUTION 900099 23026 23026 47030313 1631259 0 0 1631259 0 0 0 0 0 3586412 3577875 8537 8537 8537 0 0 0 0 0 0 0 0 0 LIQUIDATED DAMAGES AND FEES 900099 15567 15567 15567 48685676 47045880 0 1639796 0 0 0 44996273 0 0 0 0 0 0 2310004 109748 145478 0 0 52829 53574 0 12816 0 0 0 0 0 1863 0 0 0 3410 ACA-PCORI FEES 16421 PROGRAMMING CHARGES 9000 47711416 X 1452355 1685201 0 0 0 0 5968364 5754482 0 0 0 0 0 0 0 0 6824 6820 0 0 34342792 37928991 0 0 0 0 0 0 0 0 41770335 45375494 22362 361937 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11720450 13041148 11742812 13403085 X 0 0 0 0 30027523 31972409 30027523 31972409 41770335 45375494 974260 970626 X X false true X true false 0 PREMIUM PAY-PEPM 7435305 CLAIMS INCURRED BUT NOT REPORTED 5200000 PREMIUM PAYABLE 392758 LEGAL FEE HELD IN TRUST 13085 13041148 X 49603473 970626 970626 48632847 52829 52829 48685676 46350974 46350974 52829 1307613 1360442 47711416 Part X Line 2 Accounting principles generally accepted in the United States of America require management to evaluate 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 April 30, 2025 and 2024, 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 VI, SECTION A, LINE 3: THE TRUST HAS CONTRACTED WITH NORTHWEST ADMINISTRATORS, INC. TO PROVIDE ADMINISTRATIVE SERVICES FOR THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 11B: FORM 990 REVIEWED BY THE GOVERNING BODY PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C: THE TRUSTEES ARE REQUIRED TO ANNUALLY PROVIDE A WRITTEN STATEMENT THAT THEY ARE NOT AWARE OF ANY CONFLICTS OF INTEREST. TRUSTEES WITH CONFLICTS OF INTEREST SHALL RECUSE THEMSELVES FROM DISCUSSIONS, VOTES, OR ATTEMPTS TO INFLUENCE THE ISSUE OR DECISION THAT IS IMPACTED. FORM 990, PART VI, SECTION C, LINE 19: THE ORGANIZATION'S GOVERNING DOCUMENT, CONFLICT-OF-INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPoN REQUEST. FORM 990, PART VII, SECTION A, LINE 6: TRUSTEES ARE NOT COMPENSATED BY THE TRUST. COMPENSATION PAID TO TRUSTEES EMPLOYED BY OTHER RELATED TAX-EXEMPT ORGANIZATIONS IS REPORTED ON FORM 990 FILED WITH THE INTERNAL REVENUE SERVICE BY THE RELATED TAX-EXEMPT ORGANIZATION. IF YOU WOULD LIKE ANY ADDITIONAL INFORMATION, PLEASE CONTACT THE PLAN ADMINISTRATOR. FORM 990, PART XII, LINE 2C: THE BOARD ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDITED FINANCIAL STATEMENTS AND SELECTION OF THE INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED. SERVICE EMPLOYEES LOCAL UNION 6 3720 AIRPORT WAY SOUTH SEATTLE WA 981343716 910158845 MEMBER REPRES WA 501(C)(5) N/A NA false See PART VII false false false false false false false false false false false false false false false false false false false FORM 990, SCHEDULE R, IDENTIFICATION OF RELATED ORGANIZATIONS: THE FILING ORGANIZATION IS A TAFT-HARTLEY MULTIEMPLOYER TRUST THAT PROVIDES HEALTH AND WELFARE BENEFITS TO ELIGIBLE EMPLOYEES AND THEIR DEPENDENTS. AS OF APRIL 30, 2025, THERE ARE APPROXIMATELY 38 EMPLOYERS THAT CONTRIBUTE TO THE TRUST. THE ADMINISTRATIVE 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 ADMINISTRATIVE 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. AMERICAN BUILDING MA SBM SITE SERVICES ALLIANCE BUILDING SE PACIFIC BUILDING SER GDI SERVICES, INC. SEATTLE MAINTENANCE FLAGSHIP FACILITY SE ABLE BUILDING MAINTE A&A MAINTENANCE ENTE C W FACILITY SERVICE METROPOLITAN BUILD M ISS FACILITY SERVICE DIVERSIFIED FACILITY BLACKSTONE CONSULTIN UG2 - WESTFIELD SOUT WHAYNE ENTERPRISES DIVERSE FACILITY SOL WILL'S CLEANING SERV INNOVATIVE FACILITY SOUTHEAST AIRPORT SE XANITOS, INC. GREAT LAKES FACILITY LAKESIDE SCHOOL EVERGREEN BUILDING S SCC FACILITY SERVICE ADVANCED, INC. ENVIRONMENTAL SERVIC BLDG OWNER & MGRS AS SANFORD HILDEBRANDT RYTHER CHILD CENTER PRITCHARD SPORTS & E LABOR 1992 CORPORATI METRO SERVICES GROUP SERVICE EMPLOYEES CO SEIU/PUBLIC SAFETY L NATIONWIDE JANITORIA MEMBERS FIRST, LLC THE FACILITIES GROUP