2022-09-13T16:40:05-05:00 2021-12-31 910614823 SCHOEDEL & SCHOEDEL CPAS PLLC 422 W RIVERSIDE AVE STE 1420 SPOKANE WA 992010395 990 2021-01-01 866752994 HealthInvest HRA VEBA Trust- For Employees of Trace Inc HEAL 5098385571 906 W 2nd Avenue Suite 400 Spokane WA 99201 Steven R Sherman Trustee Representative 5093534106 2022-09-06 1 Steven Sherman 999009999 SCOTT OPPERUD CPA P00542597 5097472158 2022-09-06 0 AAL1 IAL1 2021 2023-04-26 12:10:37Z X Steven R Sherman PO Box 2127 Spokane WA 99210 363987 0 X N/A X 2021 WA To provide qualified health and welfare benefits through a health reimbursement arrangement (HRA). 1 0 0 0 0 0 0 359094 4893 0 363987 0 6529 0 0 0 7034 13563 350424 350424 0 350424 To provide employees and their dependents with reimbursement for or payment of qualified medical care expenses as set forth in the Plan, to the extent such employees are eligible to receive such benefits. 0 0 This trust holds the assets of the HealthInvest HRA VEBA Trust for Employees of Trace, Inc. The Plan provides a method of funding qualified health and welfare costs to its participants and their dependents. The payments or reimbursements may not be made for items paid or payable by any other insurance contract or plan, or for expenses that are deducted by the participant under any Section of the Internal Revenue Code. The aforementioned expenses must be expenses of the participants, the spouses of the participants and/or the dependents of the participants. 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 X 1 0 0 0 0 0 0 1 1 0 0 0 0 1 0 0 0 0 0 0 X Arthur J Gallagher & Co 5098385571 906 W 2nd Avenue Suite 400 Spokane WA 99201 Washington Trust Bank Trustee 1.00 X 0 64 0 0 64 0 0 0 0 0 0 Plan contributions 525100 359094 359094 359094 4893 4893 363987 359094 0 4893 6529 7034 13563 350424 0 350424 0 0 X 350424 0 350424 0 350424 350424 0 X 0 1 X 0 0 0 Investment in HealthInvest Master Trust 350424 F 350424 Form 990, Part VI, Section A, line 7a The Trust holds the assets of the HealthInvest HRA VEBA Trust Plan for Employees of Trace, Inc. (the Plan). The Plan sponsor is the administrator of the Plan. The corporate trustee executes certain directives of the administrator. The Plan sponsor may replace the corporate trustee at any time upon a majority vote. Form 990, Part VI, Section A, line 7b The Trust holds the assets of the HealthInvest HRA VEBA Trust Plan for Employees of Trace, Inc. (the Plan). The Plan sponsor is the administrator of the Plan. The corporate trustee executes certain directives of the administrator. The Plan sponsor retains responsibility for the oversight and administration of the Plan. Form 990, Part VI, Section A, line 8a The Trust holds the assets of the HealthInvest HRA VEBA Trust Plan for Employees of Trace, Inc. (the Plan). The Plan sponsor is the administrator of the Plan. The corporate trustee executes certain directives of the administrator. No trustee meetings are held; however, all directives and communications between the trustee and administrator are documented and retained. In addition, any changes in the administration of the Plan, or in policies or procedures of the Plan and all amendments to the Plan are communicated in writing to all participants. Form 990, Part VI, Section A, line 8b The Trust does not have any committees with the authority to act on behalf of the governing body. Form 990, Part VI, Section B, line 11b The Form 990 was prepared by the independent accounting firm of SCHOEDEL & SCHOEDEL, Certified Public Accountants, PLLC based on information provided by the third-party administrators. Draft copies of the Trust's Form 990 were first provided to the Trust's consultants and advisors, who reviewed the Form 990 for accuracy and completeness. Any questions, concerns or issues raised by the consultants and advisors were addressed and any necessary revisions were made to the Form 990. The revised Form 990 was then provided to the Plan sponsors and Trustee for their review and approval. Any additional questions, concerns, or issues raised were addressed, and any necessary revisions were made to the Form 990. The final version of the Form 990 was reviewed, approved, and authorized to be filed by the Trustee. Form 990, Part VI, Section C, line 19 The Trust makes its governing documents and Form 990 available to the pubic upon written request by contacting the Trust at 906 W 2nd Avenue, Suite 400, Spokane, WA 99201. Trace Inc PO Box 140309 Garden City ID 83714 820460224 Hires disabled ind. for stocking & custodial svcs at govmt commissary sites ID 501(c)(3) Line 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1