BETA

PUGET SOUND ELECTRICAL WORKERS HEALTHCARE TRUST FUND: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
PUGET SOUND ELECTRICAL WORKERS HEALTHCARE TRUST FUND (EIN 91-6029124)
Tax period
2021-08-01 to 2022-07-31
Filed
2023-06-07
IRS object ID
202331589349301518
Schema version
2021v4.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2023-06-07T16:15:51-05:00ReturnTs
Tax Period End2022-07-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN410746749PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line110700 NORTHUP WAY SUITE 200AddressLine1Txt
CityBELLEVUECityNm
State AbbreviationWAStateAbbreviationCd
ZIP98004ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-08-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN916029124EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PUGET SOUND ELECTRICAL WORKERSBusinessNameLine1Txt
Business Name Line2HEALTHCARE TRUST FUNDBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlPUGEBusinessNameControlTxt
Phone2064417574PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 34203AddressLine1Txt
CitySEATTLECityNm
State AbbreviationWAStateAbbreviationCd
ZIP98124ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJANET LEWISPersonNm
Person TitleTRUSTEEPersonTitleTxt
Phone2064417574PhoneNum
Signature2023-06-07SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstJANETPersonFirstNm
Person LastLEWISPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMICHAEL T MEAD CPAPreparerPersonNm
PTINP01893207PTIN
Phone4252506100PhoneNum
Preparation2023-06-06PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer0TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJANET LEWISPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 34203AddressLine1Txt
CitySEATTLECityNm
State AbbreviationWAStateAbbreviationCd
ZIP98124ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$281,493,946GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501cYes (X)Organization501cInd
Website AddressWWW.PSEWTRUSTS.COMWebsiteAddressTxt
Type Of Organization TrustYes (X)TypeOfOrganizationTrustInd
Formation1954FormationYr
Legal Domicile StateWALegalDomicileStateCd
Activity Or MissionPROVIDE HEALTH AND VACATION BENEFITSActivityOrMissionDesc
Voting Members Governing Body6VotingMembersGoverningBodyCnt
Voting Members Independent0VotingMembersIndependentCnt
Total Employee53TotalEmployeeCnt
Total Volunteers6TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$125,743,190PYProgramServiceRevenueAmt
CY Program Service Revenue$123,709,594CYProgramServiceRevenueAmt
PY Investment Income$1,501,153PYInvestmentIncomeAmt
CY Investment Income$3,679,827CYInvestmentIncomeAmt
PY Other Revenue$108,698PYOtherRevenueAmt
CY Other Revenue$670,687CYOtherRevenueAmt
PY Total Revenue$127,353,041PYTotalRevenueAmt
CY Total Revenue$128,060,108CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$125,793,679PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$115,784,923CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$6,185,930PYOtherExpensesAmt
CY Other Expenses$6,779,979CYOtherExpensesAmt
PY Total Expenses$131,979,609PYTotalExpensesAmt
CY Total Expenses$122,564,902CYTotalExpensesAmt
PY Revenues Less Expenses-$4,626,568PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$5,495,206CYRevenuesLessExpensesAmt
Total Assets BOY$90,774,829TotalAssetsBOYAmt
Total Assets EOY$87,862,147TotalAssetsEOYAmt
Total Liabilities BOY$59,051,295TotalLiabilitiesBOYAmt
Total Liabilities EOY$56,790,769TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$31,723,534NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$31,071,378NetAssetsOrFundBalancesEOYAmt
MissionPROVIDED HEALTH AND VACATION BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTSMissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
DescPROVIDED HEALTH AND VACATION BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS AS SPECIFIED BY THE PLAN.Desc
Described In Section501c30DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment0ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document1748IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee53EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members6GoverningBodyVotingMembersCnt
Independent Voting Member0IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1WELFARE & PENSION ADMINISTRATION SERVICE INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone2064417574PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line17525 SE 24TH ST 200AddressLine1Txt
CityMERCER ISLANDCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98040ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (6 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
JANET LEWIS
CHAIRMAN1.00Yes (X)Yes (X)$0$0$0
SEAN BAGSBY
TRUSTEE1.00Yes (X)$0$0$0
GILLIAN BURLINGHAM
TRUSTEE1.00Yes (X)$0$0$0
BARRY SHERMAN
SECRETARY1.00Yes (X)Yes (X)$0$0$0
MICHAEL BROBERG
TRUSTEE1.00Yes (X)$0$0$0
MARV NELSON
TRUSTEE1.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
WELFARE & PENSION ADMINISTRATION SERVICE
7525 SE 24TH ST SUITE 200MERCER ISLANDWA98040THIRD PARTY ADMINISTRATION$3,347,591
PREMERA BLUE CROSS
7001 200TH SWMOUNTLAKE TERRACEWA98043CLAIMS ADMINISTRATION$1,742,972
ELIXIR SOLUTIONS
1100 INVESTMENT BOULEVARDEL DORADO HILLSCA95762PHARMACY BENEFIT MANAGEMENT$310,508
COMAGINE HEALTH
10700 MERIDIAN AVE N SUITE 100SEATTLEWA98133UTILIZATION REVIEW & CASE MANAGEMENT$222,965
CHANGE HEALTHCARE SOLUTIONS
PO BOX 572490MURRAYUT84157CLAIMS ADMINISTRATION$143,891
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K8CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
EMPLOYER CONTRIBUTIONS900099$118,963,829$118,963,829
EMPLOYEE CONTRIBUTIONS900099$4,745,765$4,745,765
FieldValueIRS element (for citing)
Total Program Service Revenue$123,709,594TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,879,581TotalRevenueColumnAmt
Exclusion$1,879,581ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$155,234,084SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$153,433,838SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$1,800,246SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,800,246TotalRevenueColumnAmt
Exclusion$1,800,246ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
ARPA COBRA SUBSIDY900099$642,233$642,233
REFUNDS900099$17,712$17,712
OTHER REVENUE900099$6,113$6,113

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,629TotalRevenueColumnAmt
Related Or Exempt Func Income$4,629RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$670,687OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$128,060,108TotalRevenueColumnAmt
Related Or Exempt Func Income$124,380,281RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$3,679,827ExclusionAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$115,784,923TotalAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$916,844TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$138,127TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$109,734TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$95,178TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$5,201,786TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$260,997TotalAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$5,406TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$9,891TotalAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$42,016TotalAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$122,564,902TotalAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$6,029,738BOYAmt
EOY$4,186,863EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$12,964,897BOYAmt
EOY$10,860,354EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$34,078BOYAmt
EOY$46,178EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$71,746,116BOYAmt
EOY$72,768,752EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$90,774,829BOYAmt
EOY$87,862,147EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$137,762BOYAmt
EOY$266,786EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$790,300BOYAmt
EOY$829,000EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$58,123,233BOYAmt
EOY$55,694,983EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$59,051,295BOYAmt
EOY$56,790,769EOYAmt
FieldValueIRS element (for citing)
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

FieldValueIRS element (for citing)
BOY$31,723,534BOYAmt
EOY$31,071,378EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$31,723,534BOYAmt
EOY$31,071,378EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$90,774,829BOYAmt
EOY$87,862,147EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$5,495,206ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$6,147,362NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDescAmtAmt
UNION DUES PAYABLE$2,207,904
CLAIMS PAYABLE AND INCURRED BUT NOT REPORTED$17,263,000
ACCUMULATED ELIGIBILITY CREDITS$31,704,000
RECIPROCITY PAYABLE$884,895
PRESCRIPTION CLAIMS PAYABLE$1,158,269
VACATION BENEFITS PAYABLE$2,476,915
FieldValueIRS element (for citing)
Total Liability$55,694,983TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$121,817,568TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$6,147,362NetUnrealizedGainsInvstAmt
Revenue Not Reported-$6,147,362RevenueNotReportedAmt
Revenue Subtotal$127,964,930RevenueSubtotalAmt
Investment Expenses Not Incld$95,178InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt$95,178RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$128,060,108TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$124,125,599TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$124,125,599ExpensesSubtotalAmt
Investment Expenses Not Incld2$95,178InvestmentExpensesNotIncld2Amt
Other Expenses Not Included-$1,655,875OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt-$1,560,697ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$122,564,902TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART XII, LINE 4B - OTHER ADJUSTMENTS:CHANGE IN BENEFIT OBLIGATIONS -1,655,875.
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, 2022, 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.
FORM 990, PART VI, SECTION A, LINE 3:THE PLAN HAS CONTRACTED WITH WELFARE & PENSION ADMINISTRATION SERVICE, INC. TO PROVIDE DAY-TO-DAY ADMINISTRATIVE SERVICES TO THE PLAN.
FORM 990, PART VI, SECTION B, LINE 11B:A COMPLETE COPY OF THIS FORM 990 WAS PROVIDED TO ALL OF THE TRUSTEES OF THE TRUST. IN ADDITION, A TRUSTEE REVIEWED THE FORM 990 PRIOR TO FILING THE FORM WITH THE IRS.
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 REQUEST.
FORM 990, PART VII, SECTION A, LINE 1A:TRUSTEES ARE NOT COMPENSATED BY THE TRUST. COMPENSATION PAID TO TRUSTEES EMPLOYED BY OTHER RELATED ORGANIZATIONS IS REPORTED ON THE FORM 990 FILED WITH THE INTERNAL REVENUE SERVICE BY THE RELATED TAX-EXEMPT ORGANIZATION. IF YOU WOULD LIKE ADDITIONAL INFORMATION, PLEASE CONTACT THE THIRD-PARTY ADMINISTRATOR, WELFARE & PENSION ADMINISTRATION SERVICE, INC.
FORM 990, PART XII, LINE 2C:THE BOARD OF TRUSTEES ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT AUDITOR. THE PROCESS HAS NOT CHANGED.
FORM 990, PART V, LINE 2A, AND PART IX, LINE 4THE PLAN PROVIDES TAXABLE DISABILITY PAYMENTS TO ELIGIBLE PARTICIPANTS AND REPORTS THOSE BENEFITS ON FORM W-2. THESE BENEFITS ARE INCLUDED ON FORM 990, PART IX, LINE 4.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 3THE DAY TO DAY OPERATIONS OF THE TRUST ARE MANAGED BY WELFARE & PENSION ADMINISTRATION, INC.
FORM 990, PART VI, SECTION B, LINE 11BA COPY OF FORM 990 IS REVIEWED BY THE TRUSTEES PRIOR TO FILING
FORM 990, PART VI, SECTION B, LINE 12CTHE 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 19ALL 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 CONTRIBUTIONS RECEIVABLE DURING JUNE 30, 2022 PLAN YEAR NOT ON FORM 990 WHICH APPEARED ON AUDITED FINANCIAL STATEMENTS.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationInd
PUGET SOUND ELECTRICAL WORKERS 401(K) SAVINGS PLAN
PO BOX 34203SEATTLEWA98124916180326PROVIDE PENSION BENEFITS FOR ELIGIBLE EMPLOYEESWA501(A)N/AN/A0
PUGET SOUND ELECTRICAL WORKERS PENSION PLAN
2815 SECOND AVE SUITE 300SEATTLEWA98121916180333PROVIDE PENSION BENEFITS FOR ELIGIBLE EMPLOYEESWA501(A)N/AN/A0
INTERNATIONAL BROTHERHOOD OF ELECTRICAL WORKERS LOCAL 46
19802 62ND AVENUE SOUTHKENTWA98032910267931SPONSORING LOCALWA501(C)(5)N/AN/A0
PUGET SOUND CHAPTER NECA
16001 AURORA AVE N SUITE 200SHORELINEWA98133910552828SPONSORING ASSOCIATIONWA501(C)(6)N/AN/A0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE R, IDENTIFICATION OF RELATED ORGANIZATIONS:FormAndLineReferenceDesc
ExplanationTHE FILING ORGANIZATION IS A TAFT-HARTLEY MULTI-EMPLOYER TRUST THAT PROVIDES HEALTH BENEFITS TO ELIGIBLE EMPLOYEES AND THEIR DEPENDENTS. AS OF JULY 31, 2022, THERE ARE APPROXIMATELY 200 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 AAAC ELECTRIC AC ELECTRIC SERVICE ADVANCED HEATING & ADVANCED POWER LLC ALL CITY ELECTRIC INC ALL WIRE ELECTRIC INC ALLIED ELECTRIC SERVIC AMAYA ELECTRIC ANGELES ELECTRIC INC ANM ELECTRIC INC APEX ELECTRICAL GROUP ARC ELECTRIC & LIGHTIN ARDAGH, DBA ST GOBAIN ARTISAN ELECTRIC INC ASHFORD ELEC & CONSTR ASSA ABLOY ENTRANCE ASTOR ELECTRIC LLC ATOMIC ELECTRIC INC AULT ELECTRIC SERVICES BES ELECTRICAL SERVICE BEST TECH INC BETSCHART ELECTRIC BLUECORE POWER, LLC BOWIE ELECTRIC SERVICE BOYER ELECTRIC BRIDGE ELECTRIC BURKE ELECTRIC LLC C3M POWER SYSTEMS, LLC CASCADE MACH-ELECT CHAIN ELECTRIC HOLDING 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 EDLEN ELECTRICAL ELCON CORPORATION ELECTRIC CONST CO OF ELECTRIC SYSTEMS LLC ELECTRIC WEST INC ELECTRICAL CONST CO ELECTRICAL SERVICE INC ELECTRICAL SUPPORT CO ELECTRICAL SYSTEMS ELECTROCOM S&C SYSTEMS ELM SOLUTIONS CORP., EMC ELECTRIC EPIC ELECTRIC INC. EVERGREEN POWER EVERGREEN TECHNOLOGIES EWING ELECTRIC INC E-Z INTERFACE FIRESHIELD, INC FOSS MARITIME COMPANY FOX ELECTRIC CO. FOY INDUST ELECTR CORP FULLER ELECTRIC INC GENESEE FUEL & HEATING GREAT NW ELECTRIC, LLC H&M ELECTRIC INC HAMPTON ELECTRIC INC HANCO ELECTRIC, LLC HMT ELECTRIC NORTH INC HOLADAY-PARKS, INC HOLMES ELECTRIC CO INTEGRATED TECH GROUP INTEGRITY NETWORKS JACOBS TECHNOLOGY INC JAYMARC AV JH KELLY LLC JM CORP & SON, INC. JOHNSON ELECTRIC CO JUSTICE SYSTEMS KIEWIT INFRA WEST KIEWIT-HOFFMAN/AJV KING CTY HOUSING AUTH KOLKAY ELECTRIC INC LAKE UNION DRYDOCK CO LAKES ELECTRIC INC LIBERTY ELECTRIC, LLC LINDER ELECTRIC LOCAL UNION 46 IBEW LONG BUILDING LUNSTRUM ELECTRIC INC MACDONALD MILLER MADSEN ELECTRIC MAIN STREET ELECT INC MARTIN LUTHER KING MASS ELECTRIC CO MASTER ELECTRIC CO MB ELECTRIC MCCOY ELECTRIC CO,INC MCKINSTRY CO. LLC MD MARINE ELECT, LTD. MEYER SIGN MILL PLAIN ELECTRIC MILNE ELECTRIC INC MUZAK LLC NELSON ELECTRIC, INC. NETCOM, INC. NORTH SHORE ELECT INC 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 PORT OF SEATTLE POWERCOM INC PRECISION ELECT GROUP PRIME ELECTRIC INC PSW ELECTRIC PSW ELECTRIC 1 PUGET SOUND APPRENTICE PUGET SOUND CHAPTER PURE POWER LLC RUI REFRIGERATION SABER TECHNOLOGIES LLC SAFARI ELECTRIC LLC SARE ELECTRIC INC SCANR, LLC SCHMIDT FAMILY ELECT 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 SILMAN INDUSTRIES SKYLINE COMMUNICATIONS SKYLINE ELECTRIC SKYLINE ELECTRIC MFG SOLECTRIC LLC SOUND ENERGY SYSTEMS SOUND OIL CO INC SOURCE ELECTRIC LLC SOUTH SOUND ELECT INC SPHERE SOLAR ENERGY STATIC ENERGY, INC STAUDT ELECTRIC STETNER ELECTRIC STONER ELECTRIC INC STREAMLINE SOLUTIONS STRONGHOLD ALARM SYS 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 TOTEM ELECTRIC OF TRANSCON COMPANY, LLC TRANSPORTATION SYSTEMS TRAVERS ELECTRIC INC TRIBAL ELECTRIC, LLC TRI-NAR ELECTRIC TUBE ART DISPLAYS INC UNION SQUARE TENANT UNITED STATES ELECTRIC VALLEY ELECTRIC CO VECA ELECTRIC & TECH VIEWLANDS ELECTRIC VIGOR SHIPYARDS VITAL MECHANICAL, INC VP ELECTRICAL SERVICES WELLS GLOBAL WEST WESTCOAST INDUSTRIAL ZION ELECTRIC LLCExplanationTxt

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