2023-05-17T17:31:14-04:00 2022-07-31 931015766 BJORKLUND & MONTPLAISIR CPA'S 10300 SW GREENBURG ROAD STE 470 PORTLAND OR 97223 990 2021-08-01 936021772 ROOFERS LOCAL 49 WELFARE FUND BOARD OF TRUSTEES ROOF 5032825581 PO BOX 4148 PORTLAND OR 97208 ROBERT BOLT TRUSTEE/CHAIRMAN 5032825581 2023-05-11 true ROBERT BOLT 999009999 RICHARD A LAYNE P00359754 5036436400 2023-05-17 2021 2023-04-26 12:10:37Z ROBERT BOLT 17559112 false X X 1953 OR TO PROVIDE HEALTH AND VACATION BENEFITS TO PARTICIPANTS AND THEIR ELIGIBLE DEPENDENTS. 7 7 0 0 0 10448273 9463513 317959 99296 0 10766232 9562809 0 8576609 7480931 0 0 0 476333 480815 9052942 7961746 1713290 1601063 18594666 19375047 4387710 4294185 14206956 15080862 TO PROVIDE HEALTH AND VACATION BENEFITS TO PARTICIPANTS AND THEIR ELIGIBLE DEPENDENTS. false false 7961746 TO PROVIDE HEALTH AND VACATION BENEFITS TO PARTICIPANTS AND THEIR ELIGIBLE DEPENDENTS. 7961746 false false false false false false false false false false false false false true false true false false false false false false false false false false false false false false false false false false false false false false false false true false false true 4 0 true 0 false false false false false false false false X 7 7 true false false false false false false true true false false false true true true true true true true false X X WILLIAM C EARHART CO INC 5032825581 12029 NE GLENN WIDING DRIVE PORTLAND OR 97220 X JASON BARTHEL TRUSTEE 1.00 X 0 0 0 ROBERT BOLT TRUSTEE/CHAI 1.00 X X 0 0 0 TOM BOLT TRUSTEE 1.00 X 0 0 0 RUSS GARNETT TRUSTEE 1.00 X 0 0 0 TRAVIS HOPKINS TRUSTEE 1.00 X X 0 0 0 SNUFFY JONES TRUSTEE 1.00 X 0 0 0 VINCE LIGHTFOOT TRUSTEE 1.00 X 0 0 0 false false false CIGNA 701 5TH AVE STE 4900 SEATTLE WA 98104 PPO 128172 WILLIAM C EARHART CO INC PO BOX 4148 PORTLAND OR 97208 ADMINISTRATION 119953 2 EMPLOYER CONTRIBUTIONS 8266586 8266586 SVNG PLN CNTB WHHD FROM PRTPT 1122489 1122489 PARTICIPANT CONTRIBUTIONS 74438 74438 9463513 241207 241207 7854392 7996303 -141911 -141911 -141911 9562809 9562809 7480931 7480931 10551 10551 31615 31615 38744 38744 5691 5691 25519 25519 27070 27070 CLAIMS ADMINISTRATION 128172 128172 THIRD PARTY ADMINISTRATOR 119953 119953 COST CONTAINMENT 50678 50678 BENEFITS CONSULTANT 33689 33689 9133 9133 7961746 7961746 0 0 3965634 5374404 1198970 1378950 13104156 12507242 325906 114451 18594666 19375047 185043 1381 4202667 4292804 4387710 4294185 X 14206956 15080862 14206956 15080862 18594666 19375047 1601063 -727157 X false true X true false ESTIMATED FUTURE BENEFITS BASED ON 2110000 CLAIMS INCURRED BUT NOT PAID 1805000 INSURANCE PREMIUMS PAYABLE 377804 4292804 8796908 -727157 -727157 9524065 38744 38744 9562809 7832865 7832865 38744 90137 128881 7961746 SCHEDULE D, PAGE 4, PART XII, LINE 4B CHANGE IN BENEFIT LIABILITIES 90,137 FORM 990, PAGE 6, PART VI, LINE 2 ROBERT BOLT THOMAS BOLT TRUSTEE TRUSTEE COUSINS FORM 990, PAGE 6, PART VI, LINE 11B FORM 990 HAS BEEN MAILED TO ALL MEMBERS OF THE GOVERNING BODY (THE BOARD OF TRUSTEES) BEFORE FILING. FORM 990, PAGE 6, PART VI, LINE 12C IT IS INCUMBENT UPON ALL BOARD MEMBERS TO DISCLOSE ANY ACTUAL OR POTENTIAL CONFLICT AS SOON AS THEY BECOME AWARE OF IT. FORM 990, PAGE 6, PART VI, LINE 15A NO COMPENSATION IS PAID FORM 990, PAGE 6, PART VI, LINE 15B NO COMPENSATION IS PAID FORM 990, PAGE 6, PART VI, LINE 19 UPON REQUEST THROUGH THE PLAN'S THIRD PARTY ADMINISTRATOR. ALSO AVAILABLE ON GUIDESTAR.ORG. GREATER PORTLAND ROOFERS TRAINING N/A false ROOFERS LOCAL 49 N/A false ABC ROOFING INC N/A C CORP false ANDERSON ROOFING CO INC N/A C CORP false ARROW ROOFING & SHEETMETAL N/A S CORP false CARLSON ROOFING CO N/A C CORP false FD THOMAS INC N/A false GARON ROOFING & SM INC N/A C CORP false GRIFFITH ROOFING CO N/A S CORP false INTERNATIONAL LEAK DET NW N/A false MCDONALD AND WETLE INC N/A S CORP false MCGILCHRIST & SONS ROOFING N/A false PACIFIC ROOFING CO N/A C CORP false ROTH BROTHERS N/A false SNYDER ROOFING & SM INC N/A false SNYDER ROOFING OF OR LLC N/A false STERLING PACIFIC N/A false UMPQUA ROOFING COMPANY N/A S CORP false false false false false false false false false false false false false false false false false false false false