2024-07-18T16:21:49-05:00 2023-09-30 410746749 CLIFTONLARSONALLEN LLP 10700 NORTHUP WAY SUITE 200 BELLEVUE WA 98004 990 2022-10-01 237013313 NORTHWEST IAM BENEFIT TRUST NORT 2064417574 PO BOX 34203 SEATTLE WA 98124 ROBERT PETROFF CHAIRMAN 2064417574 2024-07-18 1 ROBERT PETROFF 999009999 0 MICHAEL T MEAD CPA P01893207 4252506100 2024-07-11 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z ROBERT PETROFF PO BOX 34203 SEATTLE WA 98124 13666421 0 X N/A X 1967 WA TO PROVIDE DENTAL BENEFITS. 6 3 0 6 0 0 0 0 3161679 3237569 95516 -330602 6100 0 3263295 2906967 0 0 2418376 2572212 0 0 0 0 0 453117 480248 2871493 3052460 391802 -145493 7352892 7961374 789404 855318 6563488 7106056 TO PROVIDE DENTAL BENEFITS TO QUALIFIED PARTICIPANTS AS SPECIFIED IN THE PLAN. 0 0 TO PROVIDE DENTAL BENEFITS TO QUALIFIED PARTICIPANTS AS SPECIFIED IN THE PLAN. 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 0 0 1 634 0 1 0 0 0 0 0 0 0 0 0 X 6 3 0 1 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 X HEIDI CAMPBELL WPAS 2064417574 7525 SE 24TH STEET SUITE 200 MERCER ISLAND WA 98040 X ROBERT PETROFF CHAIRMAN 1.00 X X 0 0 0 RUSS COLE SECRETARY 1.00 X X 0 0 0 KIERSTIN CAVNER TRUSTEE 1.00 X 0 0 0 RICHARD KAFER TRUSTEE 1.00 X 0 0 0 BRANDON HEMMING TRUSTEE 1.00 X 0 0 0 TOMMY HUNT TRUSTEE 1.00 X 0 0 0 0 0 0 0 0 0 0 WELFARE & PENSION ADMINISTRATION SERVICE 7525 SE 24TH ST SUITE 200 MERCER ISLAND WA 98124 THIRD-PARTY ADMINISTRATOR 304097 1 EMPLOYER CONTRIBUTIONS 900099 3227533 3227533 PARTICIPANT CONTRIBUTIONS 900099 10036 10036 3237569 155727 155727 10273125 10759454 -486329 -486329 -486329 2906967 3237569 0 -330602 2572212 278842 18031 31706 25046 37981 23993 17919 32977 8938 BANK SERVICE CHARGES 4815 3052460 1852770 697445 110016 533597 268325 321425 7807 6461 5113974 6402446 7352892 7961374 31990 25283 757414 830035 789404 855318 X 0 0 0 0 6563488 7106056 6563488 7106056 7352892 7961374 -145493 688061 0 X X 0 1 X 1 0 0 ESTIMATED LAG MONTHS ELIGIBILITY COVERAGE 428000 ESTIMATED CLAIMS INCURRED BUT NOT REPORTED 306000 CHECKING OVERDRAFT 96035 830035 X 3569982 688061 688061 2881921 25046 25046 2906967 2938414 0 2938414 25046 89000 114046 3052460 PART X, LINE 2: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE 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 UNDERTAKEN AN UNCERTAIN TAX POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISTICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. PART XII, LINE 4B - OTHER ADJUSTMENTS: CHANGE IN LAG MONTHS ELIGIBILITY COVERAGE 56,000. CHANGE IN CLAIMS INCURRED BUT NOT REPORTED 33,000. FORM 990, PART VI, SECTION A, LINE 3 THE DAY TO DAY OPERATIONS OF THE PLAN ARE MANAGED BY WELFARE & PENSION ADMINISTRATION SERVICE, INC., THIRD PARTY ADMINISTRATOR. FORM 990, PART VI, SECTION A, LINE 8B THE ORGANIZATION DOES NOT HAVE COMMITTEES THAT ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B A COPY IS PROVIDED TO THE BOARD OF TRUSTEES PRIOR TO FILING. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS, POLICIES AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST FORM 990, PART XII, LINE 2C: THE OVERSIGHT PROCESS AND METHOD FOR SELECTING THE INDEPENDENT AUDITOR HAS NOT CHANGED FROM PRIOR YEARS. AEROSPACE DISTRICT BOILERMAKERS LOCAL 242 CITY OF FERNDALE COMMUNITY TRANSIT IAM & AW LL 568 IAM DISTRICT 160 MACHINISTS INSTITUTE PIERCE TRANSIT PORT OF PORTLAND PORT OF SEATTLE 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 SCHEDULE R, IDENTIFICATION OF RELATED ORGANIZATIONS: THE FILING ORGANIZATION IS A TAFT-HARTLEY MULTI-EMPLOYER TRUST THAT PROVIDES HEALTH BENEFITS TO ELIGIBLE EMPLOYEES AND THEIR DEPENDENTS. AS OF SEPTEMBER 30, 2023, THERE ARE APPROXIMATELY 66 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 ADMINISTRATION OFFICE AND IT COULD NOT BE REASONABLY OBTAINED. 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