2023-03-14T14:51:33-05:00 2022-04-30 410746749 CLIFTONLARSONALLEN LLP 10700 NORTHUP WAY SUITE 200 BELLEVUE WA 98004 990 2021-05-01 510200917 PUBLIC EMPLOYEES L 71 TRUST LOCAL UNION NO 71 TRUST FUND PUBL 9072767611 2510 ARCTIC BLVD ANCHORAGE AK 995032515 JORDAN ADAMS CHAIRMAN 9072767611 2023-03-14 1 JORDAN ADAMS 999009999 MICHAEL T MEAD CPA P01893207 4252506100 2023-03-14 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z JORDAN ADAMS 2510 ARCTIC BLVD ANCHORAGE AK 995032515 35879195 0 X LOCAL71.COM/BENEFITS X 1976 AK TO PROVIDE HEALTH AND WELFARE BENEFITS TO QUALIFIED PARTICIPANTS AS SPECIFIED IN THE PLAN. 5 0 0 5 0 0 0 0 35918526 34470814 1170010 1322941 25859 0 37114395 35793755 0 0 27552259 28475469 0 0 0 0 0 3209523 3649553 30761782 32125022 6352613 3668733 50243566 50903786 7262246 7203790 42981320 43699996 TO PROVIDE HEALTH AND WELFARE BENEFITS TO QUALIFIED PARTICPANTS OF THE PLAN 0 0 TO PROVIDE HEALTH AND WELFARE BENEFITS TO QUALIFIED PARTICIPANTS AS SPECIFIED IN THE PLAN 0 0 0 0 0 0 0 0 0 1 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 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 X 5 0 0 1 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 0 0 0 X ZENITH AMERICAN SOLUTIONS INC 2062824100 11724 NE 195TH STREET SUITE 300 BOTHELL WA 98011 X X JORDAN ADAMS CHAIRMAN 1.00 X X 0 0 0 WILLIAM MEERS TRUSTEE 1.00 X 0 0 0 DESIREE WILSON TRUSTEE 1.00 X 0 0 0 ERIC CANADY TRUSTEE 1.00 X 0 0 0 KRISTINA ROCHE TRUSTEE 1.00 X 0 0 0 0 0 0 0 0 0 0 ZENITH AMERICAN SOLUTIONS INC 11724 NE 195TH STREET SUITE 300 BOTHELL WA 98011 ADMINISTRATION SERVICES 856654 AETNA 601 UNION STREET 810 SEATTLE WA 98101 CLAIMS ADMIN SERVICES 408066 PARKER SMITH AND FEEK PO BOX 84232 SEATTLE WA 98124 BENEFIT CONSULTING 116872 3 EMPLOYER CONTRIBUTIONS 900099 30120643 30120643 EMPLOYEE CONTRIBUTIONS 900099 4323835 4323835 COBRA 900099 26336 26336 34470814 1055795 1055795 352586 85440 267146 267146 267146 35793755 34470814 0 1322941 28475469 853249 55221 17798 132391 122055 183621 12000 3266 26906 1086 43318 PPO & MANAGED CARE FEES 1730223 AETNA ADMIN FEE 401674 AK VACCINE ASSESSMENT F 59204 PCORI FEES 7541 32125022 7365757 8903560 3308392 3444311 16784 19128 39057 34681 5462 4376 39499839 38532411 47332 0 50243566 50903786 198569 109831 7063677 7093959 7262246 7203790 X 0 0 0 0 42981320 43699996 42981320 43699996 50243566 50903786 3668733 -3100057 150000 0 X 0 0 0 39057 34681 4376 4376 CLAIMS PAYABLE 1289482 CLAIMS INCURRED BUT NOT REPORTED 5495000 PREMIUMS PAYABLE 197960 DUE TO RELATED PARTY 79576 DEFERRED CONTRIBUTIONS 31941 7093959 FORM 990, PART VI, SECTION A, LINE 3 ZENITH AMERICAN SOLUTIONS SERVES AS THE THIRD PARTY ADMINISTRATOR OF THE PLAN AND HANDLES DAY TO DAY MANAGMENT. FORM 990, PART VI, SECTION A, LINE 8B THE GOVERNING BODY HAS NOT DELEGATED BROAD AUTHORITY TO ANY COMMITTEES. FORM 990, PART VI, SECTION B, LINE 11B A COPY OF THE 990 IS PROVIDED TO THE FULL BOARD OF TRUSTEES FOR REVIEW AND DISCUSSION PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE TRUST ATTORNEY OBTAINS WRITTEN RESPONSES FROM TRUSTEES TO DETERMINE ANY ISSUES WITH RESPECT TO CONFLICT OF INTEREST. ANY PERSON THAT IS DETERMINED TO HAVE A CONFLICT OF INTEREST IS EXCLUDED IN THE VOTING PROCESS REGARDING DECISIONS INVOLVING THE TRANSACTION OR RELATED PARTY TRIGGERING THE CONFLICT OF INTEREST. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON WRITTEN 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. STATE OF ALASKA PUBLIC EMPLOYEES LOCAL 71 MUNICIPALITY OF ANCHORAGE HAINES BOROUGH ANCHORAGE SCHOOL DISTRICT 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 PUBLIC EMPLOYEES LOCAL 71 P 190223 CASH PUBLIC EMPLOYEES LOCAL 71 K 12000 CASH