2024-02-14T15:08:03-06:00 2023-03-31 410766749 CLIFTONLARSONALLEN LLP 8101 WEST GRANDRIDGE BLVD SUITE 130 KENNEWICK WA 99336 990 2022-04-01 237170147 AGC HEALTH BENEFIT TRUST FUND AGCH 5036823363 9450 SW COMMERCE CIRCLE 200 WILSONVILLE OR 97070 LEIGH TAPANI TRUSTEE CHAIR 8668736175 2024-02-07 1 LEIGH TAPANI 999009999 0 EMILY MCCANN P01759947 5097351561 2024-02-06 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z LEIGH TAPANI 20915 SW 105TH AVENUE TUALATIN OR 10020 9155920 0 X N/A X 1971 OR TO PROVIDE HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS. 3 3 0 4 0 0 0 0 11372672 7971558 46554 -29274 279 441 11419505 7942725 0 0 10202692 7442529 0 0 0 0 0 695021 538231 10897713 7980760 521792 -38035 1717335 1744399 99470 152593 1617865 1591806 THE PURPOSE OF THE TRUST IS TO PROVIDE FOR THE FUNDING OF HEALTH AND WELFARE BENEFITS FROM THE CONTRIBUTIONS OF EMPLOYERS, EMPLOYEES AND ANY PERSONS ELIGIBLE TO MAKE SELF PAYMENTS UNDER THE APPLICABLE LAW. 0 0 THE PURPOSE OF THE TRUST IS TO PROVIDE FOR THE FUNDING OF HEALTH AND WELFARE BENEFITS FROM THE CONTRIBUTIONS OF EMPLOYERS, EMPLOYEES AND ANY PERSONS ELIGIBLE TO MAKE SELF PAYMENTS UNDER THE APPLICABLE LAW. 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 7 0 1 0 0 0 0 0 0 0 0 0 X 3 3 0 1 0 0 0 0 0 1 0 0 0 1 1 1 1 0 1 0 0 0 X VIMLY BENEFIT SOLUTIONS INC 2068592600 12121 HARBOUR REACH DRIVE MUKILTEO WA 98275 X X LEIGH TAPANI TRUSTEE CHAIR 0.50 X X 0 0 0 STACY LEWALLEN TRUSTEE 0.50 X 0 0 0 ROGER SILBERNAGEL TRUSTEE (THRU 07/2022) 0.50 X 0 0 0 JONATHAN WOOLWORTH TRUSTEE 0.50 X 0 0 0 0 0 0 0 0 0 0 JD FULWILER & CO INSURANCE 5727 SW MACADAM AVE PORTLAND OR 97239 CONSULTANT FEES AND COMMISSIONS 182425 1 EMPLOYER CONTRIBUTIONS 900099 7943659 7943659 PARTICIPANT CONTRIBUTIONS 900099 27899 27899 7971558 23495 23495 1160426 1213195 -52769 -52769 -52769 MISCELLANEOUS INCOME 900099 441 441 441 7942725 7971558 0 -28833 7442529 507740 7905 21514 243 402 427 7980760 524582 136279 32710 22127 20338 4697 1170626 1550375 1717335 1744399 3459 4061 96011 148532 99470 152593 X 0 0 0 0 1617865 1591806 1617865 1591806 1717335 1744399 -38035 11976 0 X X 0 1 X 1 0 0 DOLLAR BANK OBLIGATION 37232 MEDICAL PREMIUMS PAYABLE 12441 ER ADVANCE CONTRIBUTIONS 98859 148532 X 7954701 11976 11976 7942725 0 7942725 8005047 0 8005047 -24287 -24287 7980760 PART X, LINE 2: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE PLAN MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE PLAN AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF THE PLAN HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. PART XII, LINE 4B - OTHER ADJUSTMENTS: CHANGE IN BENEFIT OBLIGATIONS -24,287. FORM 990, PART VI, SECTION A, LINE 3 THE BOARD OF TRUSTEES HAS HIRED A PROFESSIONAL ADMINISTRATION COMPANY TO OPERATE THE TRUST ON A DAY TO DAY BASIS. THE BOARD OF TRUSTEES RETAINS ULTIMATE RESPONSIBILITY OF THE ACTIONS OF THE PROFESSIONAL ADMINISTRATORS ACTIONS. FORM 990, PART VI, SECTION A, LINE 8B THERE IS NO SEPARATE COMMITTEE WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS 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. 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 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 IRS BY RELATED TAX-EXEMPT ORGANIZATION. IF YOU WOULD LIKE ADDITIONAL INFORMATION, PLEASE CONTACT THE PLAN ADMINISTRATOR. FORM 990, PART XII, LINE 2C: THE BOARD OF TRUSTEES IS RESPONSIBLE FOR OVERSEEING THE AUDIT PROCESS AND SELECTING THE INDEPENDENT AUDITOR. THIS PROCESS HAS NOT CHANGED FROM PRIOR YEARS. 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