2025-05-30T10:13:20-05:00 2024-07-31 410746749 CLIFTONLARSONALLEN LLP 5335 MEADOWS RD 300 LAKE OSWEGO OR 97035 990 2023-08-01 916029124 PUGET SOUND ELECTRICAL WORKERS HEALTHCARE TRUST FUND PUGE 2064417574 PO BOX 34203 SEATTLE WA 98124 GILLIAN BURLINGHAM TRUSTEE 2064417574 2025-05-29 1 0 MICHAEL T MEAD CPA P01893207 5032240860 2025-05-29 2023 2025-03-06 01:10:19Z GILLIAN BURLINGHAM PO BOX 34203 SEATTLE WA 98124 230764167 0 X WWW.PSEWTRUSTS.COM X 1954 WA PROVIDE HEALTH AND VACATION BENEFITS 6 0 32 6 0 0 0 0 126419880 118578739 1757165 4720869 400261 29449 128577306 123329057 0 0 136765053 129342245 0 0 0 0 0 6906907 7022275 143671960 136364520 -15094654 -13035463 82017887 64609122 64928532 66548741 17089355 -1939619 PROVIDED HEALTH AND VACATION BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS 0 0 PROVIDED HEALTH AND VACATION BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS AS SPECIFIED BY 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 1760 0 1 32 1 0 0 0 0 0 0 0 0 X 6 0 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X WELFARE & PENSION ADMINISTRATION SERVICE INC 2064417574 7525 SE 24TH ST 200 MERCER ISLAND WA 98040 X X JANET LEWIS CHAIRMAN 1.00 X X 0 0 0 SEAN BAGSBY TRUSTEE 1.00 X 0 0 0 GILLIAN BURLINGHAM TRUSTEE 1.00 X 0 0 0 BARRY SHERMAN SECRETARY 1.00 X X 0 0 0 MICHAEL BROBERG TRUSTEE 1.00 X 0 0 0 MARV NELSON 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 98040 THIRD PARTY ADMINISTRATION 3628891 PREMERA BLUE CROSS 7001 200TH SW MOUNTLAKE TERRACE WA 98043 CLAIMS ADMINISTRATION 1729032 ZELIS CLAIMS INTEGRITY 2 CROSSROADS DRIVE BEDMINISTER NJ 07921 MANAGED CARE CLAIMS ADMINISTRATION 301521 COMAGINE HEALTH 10700 MERIDIAN AVE N SUITE 100 SEATTLE WA 98133 UTILIZATION REVIEW & CASE MANAGEMENT 230738 ELIXIR SOLUTIONS LLC 1100 INVESTMENT BOULEVARD EL DORADO HILLS CA 95762 PHARMACY BENEFIT MANAGEMENT 213985 9 EMPLOYER CONTRIBUTIONS 900099 113139099 113139099 EMPLOYEE CONTRIBUTIONS 900099 5439640 5439640 118578739 1735412 1735412 110420567 107435110 2985457 2985457 2985457 OTHER REVENUE 900099 12195 12195 LEGAL FEES COLLECTED 900099 11915 11915 LITIGATION INCOME 900099 5339 5339 29449 123329057 118608188 0 4720869 129342245 1043034 114265 175570 82490 5409765 126461 5873 1400 16867 46550 136364520 1990423 1257458 12599312 16821294 43522 42400 67384630 46487970 82017887 64609122 374429 290358 812000 1071400 63742103 65186983 64928532 66548741 X 0 0 0 0 17089355 -1939619 17089355 -1939619 82017887 64609122 -13035463 38489 -6032000 0 X X 0 1 X 1 0 0 UNION DUES PAYABLE 2131637 CLAIMS PAYABLE AND INCURRED BUT NOT REPORTED 20621100 ACCUMULATED ELIGIBILITY CREDITS 36738000 RECIPROCITY PAYABLE 880000 PRESCRIPTION CLAIMS PAYABLE 1999000 VACATION BENEFITS PAYABLE TO PARTICIPANTS 2436305 SECURITY TRANSACTION PAYABLE 380941 65186983 X 123285056 38489 38489 123246567 82490 82490 123329057 141323455 0 141323455 82490 -5041425 -4958935 136364520 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. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE PLAN AND HAS CONCLUDED THAT, AS OF JULY 31, 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 -5,041,425. FORM 990, PART VI, SECTION A, LINE 3 THE DAY TO DAY OPERATIONS OF THE TRUST ARE MANAGED BY WELFARE & PENSION ADMINISTRATION SERVICE, INC. FORM 990, PART VI, SECTION B, LINE 11B A COPY OF FORM 990 IS REVIEWED BY THE TRUSTEES PRIOR TO FILING FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT-OF-INTEREST POLICY APPLIES TO ALL PERSONS DEFINED UNDER ERISA AS PARTIES-IN-INTEREST. ALL PARTIES-IN-INTEREST ARE REQUIRED TO DISCLOSE PROHIBITIED TRANSACTIONS TO THE TRUSTEES. IF AND WHEN A POTENTIAL CONFLICT OF INTEREST IS DISCLOSED, THE BOARD OF TRUSTEES WILL CONDUCT AN INVESTIGATION AND ISSUE A REPORT OF THE FINDINGS. IF A PROHIBITED TRANSACTION HAS OCCURRED, THE TRUSTEES WILL TAKE APPROPRIATE ACTION, INCLUDING REPORTING SUCH OCCURRENCE TO THE APPROPRIATE FEDERAL AGENCY AND DOCUMENTING SUCH ACTION IN THE MINUTES OF THE BOARD OF TRUSTEES MEETING. FORM 990, PART VI, SECTION C, LINE 19 ALL REQUIRED DOCUMENTS, POLICIES, STATEMENTS, ETC. ARE 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 INTERNAL REVENUE SERVICE BY THE RELATED TAX-EXEMPT ORGANIZATION. IF YOU WOULD LIKE ADDITIONAL INFORMATION, PLEASE CONTACT THE PLAN ADMINISTRATOR. FORM 990, PART XII, LINE 2C: THE OVERSIGHT PROCESS AND METHOD FOR SELECTING THE INDEPENDENT AUDITOR HAS NOT CHANGED FROM PRIOR YEARS. FORM 990, PART XI, LINE 8: TO REFLECT RESTATEMENT OF PREVIOUSLY ISSUED AUDITED FINANCIAL STATEMENTS TO CORRECT UNDERSTATEMENT OF ACCUMULATED ELIGIBILITY CREDITS AND CHANGE THEREIN DURING JULY 31, 2023 PLAN YEAR. PUGET SOUND ELECTRICAL WORKERS 401(K) SAVINGS PLAN PO BOX 34203 SEATTLE WA 98124 916180326 PROVIDE PENSION BENEFITS FOR ELIGIBLE EMPLOYEES WA 501(A) N/A N/A 0 PUGET SOUND ELECTRICAL WORKERS PENSION PLAN 2815 SECOND AVE SUITE 300 SEATTLE WA 98121 916180333 PROVIDE PENSION BENEFITS FOR ELIGIBLE EMPLOYEES WA 501(A) N/A N/A 0 INTERNATIONAL BROTHERHOOD OF ELECTRICAL WORKERS LOCAL 46 19802 62ND AVENUE SOUTH KENT WA 98032 910267931 SPONSORING LOCAL WA 501(C)(5) N/A N/A 0 PUGET SOUND CHAPTER NECA 16001 AURORA AVE N SUITE 200 SHORELINE WA 98133 910552828 SPONSORING ASSOCIATION WA 501(C)(6) N/A N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 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 JULY 31, 2024, THERE ARE APPROXIMATELY 207 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. 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. 16 D, LLC A&R SOLAR AC ELECTRIC SERVICE ADVANCED HEATING & ADVANCED POWER LLC ALL CITY ELECTRIC INC ALL WIRE ELECTRIC INC ALLIED ELECTRIC SERVIC AMAYA ELECTRIC AMERICAN EAGLE SYSTEMS ANGELES ELECTRIC INC ANM ELECTRIC INC ANVIL BUILDERS, INC APEX ELECTRICAL GROUP ARC ELECTRIC & LIGHTIN ARDAGH, DBA ST GOBAIN ARTISAN ELECTRIC INC ASHFORD ELEC & CONSTR ASSA ABLOY ENTRANCE ASTOR ELECTRIC LLC AULT ELECTRIC SERVICES BES ELECTRICAL SERVICE BEST TECH INC BETSCHART ELECTRIC BLUE CORE POWER, LLC BOWIE ELECTRIC SERVICE BOYER ELECTRIC BRIDGE ELECTRIC BRINK ELECTRIC LLC BURKE ELECTRIC LLC C3M POWER SYSTEMS, LLC CASCADE MACH-ELECT CDT ELECTRICAL GRP LLC CHAU ELECTRIC LLC CLINTON & SONS ELEC IN COCHRAN ELECTRIC COLVICO INC CONTROL DYNAMICS COSCO FIRE PROTECTION D&R MONITORING NETWRKS DANARD ELECTRIC INC DATSKIY ELECTRIC, LLC DELTA ELECTRIC MOTOR DUNSTON BRADLEY INDUST DUTTON ELECTRIC CO INC E SQUARED SYSTEMS,LLC E2 OPTICS EDLEN ELECTRICAL ELECTRIC CONST CO OF ELECTRIC SMITH INC ELECTRIC SYSTEMS LLC ELECTRIC WEST INC ELECTRICAL CONST CO ELECTRICAL SERVICE INC ELECTRICAL SERVICES NW ELECTRICAL SUPPORT CO ELECTRICAL SYSTEMS ELECTROCOM S&C SYSTEMS ELM SOLUTIONS CORP., EMC ELECTRIC EPIC ELECTRIC INC. EPICC ELECTRICAL CONTR EVERGREEN POWER EVERGREEN SIGN COMPANY EVERGREEN TECHNOLOGIES EWING ELECTRIC INC E-Z INTERFACE FIRESHIELD, INC FOX ELECTRIC CO. FOY INDUST ELECTR CORP FRAHLER MCCOY ELECTRIC FULLER ELECTRIC INC GENESEE FUEL & HEATING GETCHELL ELECTRIC LLC H&M ELECTRICAL CONTRAC HAMPTON ELECTRIC INC HANCO ELECTRIC, LLC HARMONY ELECTRIC, LLC HHS GOVERNMENT, LLC HOLADAY-PARKS, INC HOLMES ELECTRIC CO INTEGRATED TECH GROUP INTEGRITY NETWORKS J5 GROUP, LLC JACOBS TECHNOLOGY INC JH KELLY LLC JM CORP & SON, INC. JOHNSON ELECTRIC CO JUSTICE SYSTEMS KIEWIT GENERAL/J V KIEWIT INFRA WEST KIEWIT-HOFFMAN/AJV KING CTY HOUSING AUTH KOIVU ELECTRIC, LLC KOLKAY ELECTRIC INC LAKE UNION DRYDOCK CO LAKES ELECTRIC INC LIBERTY ELECTRIC, LLC LIGHTING AND POWER LINDER ELECTRIC LOCAL UNION 46 IBEW LONG BUILDING LUNSTRUM ELECTRIC INC MACDONALD MILLER MADSEN ELECTRIC MAIN STREET ELECT INC MASS ELECTRIC CO MATERNITY WAIVER PL2 MB ELECTRIC MCKINSTRY CO. LLC MD MARINE ELECT, LTD. MILL PLAIN ELECTRIC MILNE ELECTRIC INC MUZAK LLC MOOD MEDIA NELSON ELECTRIC, INC. NETCOM, INC. NEW GENERATION NORTH SHORE ELECT INC NORTHWEST EDISON NUUCO ELECTRIC COMPANY NW SIGNAL MAINTENANCE NW UTILITY SVCS., LLC OEG, INC. OLYMPIC ELEC CO., INC. OZZ ELECTRIC WA INC PACIFIC COAST ELECTRIC PACIFIC COMM CABLING PACIFIC FISHERMEN PACIFIC SHIP REPAIR PERIMETER SECURITY GRO PHASE 3 ELECTRIC LLC PORT OF SEATTLE POWERCOM INC PRECISION ELECT GROUP PREMIER POWER ELECTRIC PRIME ELECTRIC INC PRO CIRCUIT PWR &SOLAR PSW ELECTRIC 1 PUGET SOUND APPRENTICE PUGET SOUND CHAPTER PUGET SOUND SOLAR LLC PURE POWER LLC REIGN CITY SERVICES LL RELIABLE ELECTRIC, INC RUI REFRIGERATION SABER TECHNOLOGIES LLC SAFARI ELECTRIC LLC SARE ELECTRIC INC SCANR, LLC SCHMITT ELECTRIC INC SCHNEIDER ELECTRIC INC SCOTT'S ELECTRIC SERV SEACOM CABLING INC SEAHURST ELECTRIC SEATTLE CONVENTION CTR SEATTLE HOUSING AUTHOR SEATTLE TIMES SEATTLE UNIVERSITY SEQUOYAH ELECTRIC LLC SERVICE ELECT CO INC SERVICEMARK TENANT SHIMMICK CONSTR CO INC SHJ ELECTRIC CO, INC SHORELINE CONCRETE SKYLINE COMMUNICATIONS SKYLINE ELECTRIC MFG SOLECTRIC LLC SOLID GROUND ELECTRIC SOUND ENERGY SYSTEMS SOUND OIL CO INC SOURCE ELECTRIC LLC SOUTH SOUND ELECT INC SPHERE SOLAR ENERGY STATIC ENERGY, INC STATUS ELECTRICAL CORP STAUDT ELECTRIC STETNER ELECTRIC STONER ELECTRIC INC STURGEON ELECTRIC CO. SUNDANCER ELECTRIC INC SUNNY ELECTRIC & SYNERGY ELECTRICAL TAPPS ELECTRIC, LLC TEKNON GOV'T SERVICES TESLA ELECTRIC, LLC THE FIBER GUYS LLC THE JUICE COMPANY THOMPSON ELECTR CONST TITAN EARTHWORK LLC TITAN ELECTRIC INC TKK LLC TRANSCON COMPANY, LLC TRANSPORTATION SYSTEMS TRAVERS ELECTRIC INC TRIBAL ELECTRIC, LLC TUBE ART DISPLAYS INC UNION SQUARE TENANT UNITED STATES ELECTRIC VALLEY ELECTRIC CO VECA ELECTRIC & TECH VECTOR ELECTRICAL LLC VIEWLANDS ELECTRIC VIGOR SHIPYARDS VITAL MECHANICAL, INC VP ELECTRICAL SERVICES WESTCOAST INDUSTRIAL WICHERT ELECTRIC