2023-11-09T15:11:53-06:00 2022-12-31 WITHUMSMITHBROWNPC 5000 EXECUTIVE PARKWAY SUITE 400 SAN RAMON CA 94583 990 2022-01-01 936024141 OREGON LABORERS - EMPLOYERS HEALTH & WELFARE TR FUND % WC EARHART CO OREG 5032825581 12029 NE GLENN WIDING DR PORTLAND OR 97220 Jeffrey GRITZ TRUSTEE 5032825581 2023-11-07 true Jeffrey GRITZ 999009999 JAMES N BROWNING P01451906 9252779100 2022 2023-04-26 12:10:37Z Jeffrey GRITZ 12029 NE GLENN WIDING DR PORTLAND OR 97220 81989535 false X N/A X 1954 OR PROVIDE HEALTH AND WELFARE BENEFITS 5 1 0 0 0 0 0 0 37543923 39210779 910844 751312 0 0 38454767 39962091 0 0 29183584 31370876 0 0 0 0 0 2398540 2483323 31582124 33854199 6872643 6107892 48314268 51847499 15133418 16611278 33180850 35236221 PROVIDE HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS. false false PROVIDED HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS. false false false false false false false false false false true false false true true 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 5 1 false true false false false false false true true false false true false true false false false false X WC EARHART CO 5032825581 12029 NE GLENN WIDING DR PORTLAND OR 97220 Jeffrey D GRITZ TRUSTEE 0.5 0.0 X 0 0 0 Zack Culver TRUSTEE 0.5 0.0 X 0 0 0 James R Watts TRUSTEE 0.5 0.0 X 0 0 0 Bob Timmons TRUSTEE 0.5 0.0 X 0 0 0 Ben Nelson TRUSTEE 0.5 0.0 X 0 0 0 Kelly Dixon Trustee - Past 0.5 0.0 X 0 0 0 See Sch o for compensation PAID BY RELATED ORGANIZATIONS 0.0 0.0 X 0 0 0 0 0 0 0 false false false REGENCE BLUE CROSS BLUE SHIELD 100 SW MARKET STREET PORTLAND OR 972015702 Claims ADMIN 1260681 WILLIAM C EARHART CO INC PO BOX 4148 PORTLAND OR 97208 3rd PARTY ADMin 310257 oregon laborers-employers admin llc 12029 NE Glenn Widing Dr poRTLAND OR 97220 coordinator exp 216184 Milliman Inc 1455 SW Broadway St Ste 1600 PORTLAND OR 97201 Consulting 106418 4 0 Employer Contributions 900099 36325581 36325581 Participant Contributions 900099 1492439 1492439 PRESCRIPTION REBATES 900099 1294734 1294734 MEDICARE PART D SUBSIDY 900099 98025 98025 39210779 746813 746813 0 0 0 0 0 42031943 42027444 4499 4499 4499 0 0 0 0 0 0 0 0 0 0 0 39962091 39210779 0 751312 0 0 0 31370876 0 0 0 0 0 0 310503 91574 60750 0 0 115945 1622938 0 134072 0 0 0 0 0 7085 0 0 0 49254 Nat'l Health and Safety Fund 91202 33854199 727606 196691 0 0 0 0 3888223 4534944 0 0 0 0 0 0 0 0 3427 0 0 0 24072572 24704497 19622440 22411367 0 0 0 0 0 0 48314268 51847499 440418 436278 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14693000 16175000 15133418 16611278 X 0 0 0 0 33180850 35236221 33180850 35236221 48314268 51847499 6107892 -4052521 X X false true X true false COMMON/COLLECTIVE TRUST FUNDS 22411367 F 22411367 0 Accumulated Eligibility Credits 12916000 Claims Payable and IBNR 3259000 16175000 X 35793625 -4052521 -4052521 39846146 115945 115945 39962091 32256254 32256254 115945 1482000 1597945 33854199 PART XII, LINE 4B - OTHER ADJUSTMENTS: CHANGE IN BENEFIT OBLIGATIONS 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 tax position that, more likely than not, would not be sustained upon examination by the Internal Revenue Service. The Plan has analyzed the tax positions taken by the Plan and has concluded that, as of December 31, 2022, and 2021 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 WILLIAM C. EARHART CO., INC. TO PROVIDE DAY-TO-DAY ADMINISTRATIVE SERVICES TO THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 11B: ALL MEMBERS OF THE BOARD OF TRUSTEES REVIEWED THE FORM 990 PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION C, LINE 19: THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS 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 INTERAL REVENUE SERVICE BY THE RELATED TAX-EXEMPT ORGANIZATION. IF YOU WOULD LIKE ADDITONAL INFORMATION, PLEASE CONTACT THE THIRD-PARTY ADMINISTRATOR, WILLIAM C. EARHART. CO. FORM 990, PART XII , LINE 2C: THE BOARD OF TRUSTEES IS RESPONSIBLE FOR OVERSIGHT OF THE ANNUAL AUDIT AND FOR SELECTION OF THE INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. Oregon laborers - Employers Pension plan 12029 NE GLENN WIDING DR Portland OR 97220 936075363 PEnsion OR 501(A) N/A na false Oregon Laborers-Employers Defined contri 12029 NE GLENN WIDING DR Portland OR 97220 276434385 PEnsion OR 501(A) N/A NA false Oregon and southern idaho laborers - emp 12029 NE GLENN WIDING DR Portland OR 97220 204626312 Training OR 501(C)(3) N/A NA false oregon and southern idaho District Counc 17230 NE Sacramento St 201 portland OR 97230 930144236 Labor Org OR 501(C)(5) N/A NA false Laborers International Union Local 483 1125 SE Madison St Suite 206 portland OR 97214 930169132 Labor Org OR 501(C)(5) N/A NA false LABORERS LOCAL 737 17230 NE SACRAMENTO ST 201 PORTLAND OR 97230 474408911 Labor Org OR 501(C)(5) N/A NA false LABORERS UNION LOCAL 155 465 W 17TH ST IDAHO FALLS ID 83402 820411490 Labor Org ID 501(C)(5) N/A NA false OREGON LABORERS ADMINISTRATIVE LLC 12029 NE GLENN WIDING DR PORTLAND OR 97220 830431313 ADMIN SERVICES OR NA Related 176421 43212 false 0 false 0.33330 false false false false false false false false false false false false true false false false false false false Oregon Laborers Administrative LLC M 216184 Actual Expense PART II, IDENTIFICATION OF RELATED TAX-EXEMPT ORGANIZATIONS: NAME, ADDRESS, AND EIN OF RELATED ORGANIZATION: OREGON LABORERS-EMPLOYERS DEFINED CONTRIBUTION AND 401(K) PLAN EIN: 27-6434385 12029 NE GLENN WIDING DR PORTLAND, OR 97220 OREGON AND SOUTHERN IDAHO LABORERS - EMPLOYERS TRAINING TRUST EIN: 20-4626312 12029 NE GLENN WIDING DR PORTLAND, OR 97220 OREGON AND SOUTHERN IDAHO DISTRICT COUNCIL OF LABORERS EIN: 93-0144236 17230 NE SACRAMENTO ST, #201 PORTLAND, OR 97230 PART III, IDENTIFICATION OF RELATED ORGANIZATIONS TAXABLE AS PARTNERSHIP: NAME, ADDRESS, AND EIN OF RELATED ORGANIZATION: OREGON LABORERS ADMINISTRATIVE LLC EIN: 83-0431313 12029 NE GLENN WIDING DR PORTLAND, OR 97220 SCHEUDLE R - IDENTIFICATION OF RELATED ORGANIZATIONS: THE FILING ORGANIZATION IS A TAFT-HARTLEY MULTIEMPLOYER TRUST THAT PROVIDES HEALTH AND WELFARE BENEFITS TO ELIGIBLE EMPLOYEES AND THEIR DEPENDENTS. AS OF DECEMBER 31, 2022, THERE ARE APPROXIMATELY 275 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 ADMINISTRATIVE 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. 3 KINGS ENVIRONMENTAL INC A B UTILITY CONTRACTORS A C SCHOMMER & SONS INC AA ASPHALTING ABERCROMBIE PIPELINE ACCESS LIMITED CONST ACCURATE CONCRETE CUTTING ACME CONCRETE PAVING INC ACME PAVING A-CORE OF IDAHO ADEN MASONRY INC ADVANCED GEOSOLUTIONS INC ADVANCED GOVERMENT SERV., INC, ADVANCED TECHNOLOGY GROUP AGC TRUST OF MONTANA WELFARE ALLIED FENCE & SECURITY AMES CONSTRUCTION ANCHOR CONCRETE ANDERSEN STRUCTURES LLC ANKER CONSTRUCTORS LLC ANNING JOHNSON COMPANY APOLLO INC APOLLO MECHANICAL ARMADILLO BORING, INC. AZURI CONSTRUCTION INC B & B TILE & MASONRY B & N CLEARING AND ENVIRONMENTAL B.P.W BANZER CONSTRUCTION BARTKOWSKI LIFE SAFETY, CORP BASELINE INDUSTRIAL CONST BEDROCK COMMERCIAL CONCRETE CUTTING BFC DIVERSIFIED LLC BLASTING TECHNOLOGY INC BLATTNER ENERGY INC BLUEROC, LLC BOB BARKER BOUTEN CONSTRUCTION CO BRANDENBURG INDUSTRIAL SE BRANT FREEMEN & ASSOC. BRATTON MASONRY INC BRIGHTWAY CLEANING INC BROTHERS PIPELINE BROTHERTON CORPORATION BWXT SERVICES INC C & H CONSTRUCTION C & W EXCAVATION LLC CARTER & CO INC CASCADE ACOUSTICS INC CASCADE TOWER & RIGGING CASTLE MASONRY & RESTORATION LLC CELL-CRETE CORPORATION CERTAINTEED CH MURPHY-CLARK ULLMAN INC. CHAMPION CONCRETE CHICK OF ALL TRADES LLC CITY OF PRINEVILLE CITY OF PRINEVILLE RAIL CITY OF UNION CITY OF WOOD VILLAGE COFFMAN EXCAVATION COLAS CONSTRUCTION INC COLUMBIA RIVER CONTRACTOR COLVICO, INC CONCO - GONSALVES & SANTU CONDON-JOHNSON & ASSOC IN CONTECH SERVICES INC CONWAY CONSTRUCTION CO COPELAND SAND & GRAVEL INC CORAL CONSTRUCTION CO CPI ACQUISITIONS LLC CR MEYER AND SONS CO. CRC ENTERPRISES LLC CUPERTINO ELECTRIC INC DALE HUFFAKER TRUCK & BACKHOE LLC DAVIDSONS MASONRY INC DAY & ZIMMERMANN NPS DELHUR INDUSTRIES INC DELTA POINT COMPANY, INC DENNIS SEVEN DEES LANDSCA DESERT PEAK GENERAL CONTRACTORS LLC DEWITT CONSTRUCTION DIRT & AGGREGATE INTRCHG DISTRICT COUNCIL OF LABOR DPR CONSTRUCTION, A GENERAL PARTNER DYKON BLASTING CORP. ELITE CONSTRUCTION & DEVELOPMENT ELTING NORTHWEST INC. EMERICK CONSTRUCTION COMP ENTERPRISE NORTHWEST INC. ESTECH,LLC EXTREME EXCAVATING INC F D THOMAS INC FINE LINE CONCRETE CUTTIN FINISH LINE CONCRETE CUTT FIVE RIVERS CONST INC FLUOR IDAHO LLC FORTIS CONST FOWLER GENERAL CONSTRUCTION FOX EROSION CONTROL & LANDSCAPE FRED SHEARER & SONS INC G & C EQUIPMENT CORP GLACIER DRILLING & DEWATERING LLC GONZALES BORING AND TUNNE GOODFELLOW BROS LLC GOODFELLOW BROS, INC. GORSAGE REFRACTORY SERV, LLC GRANITE CONSTRUCTION CO GREEN MOUNTAIN EXCAVATION GREENSKEEPER LANDSCAPE GUY NIELSON GUY NIELSON CO HANGING H COMPANIES HARDER MECHANICAL CONTRAC HDD COMPANY HODGE WESTERN CORP HOFFMAN STRUCTURES INC HOFFMAN STRUCTURES OF AMERICA HOWARD S WRIGHT, A BALFOU IDAHO ENVIRONMENTAL COALITION, LLC IDAHO MATERIALS & CONSTRUCTION IDAHO/OREGON TRAINING TR INDUSTRIAL CONCRETE LLC INDUSTRIAL CONSTRUCTION INC INFRASOURCE CONST. INTERCON CONSTRUCTION INTERIOR/EXTERIOR SPECIALIST INTERMECH INC INTERMECH-IDAHO FALLS DIV J & S MASONRY INC J E DUNN CONSTRUCTION CO J H KELLY PLUMBING & HTG J R MERIT INC J.T. THORPE & SON INC JEFF CARTER CONSTRUCTION JEFFERSON COUNTY JOHNSON ROCK PRODUCTS JTWA TRUCKING LLC K & E PAVING INC K BARRIER LLC K R SWERDFEGER CONSTR KIEWIT INFRASTRUCTURE WES KINNAN ENGINEERING, INC LABORERS LOCAL 155 LABORERS LOCAL 483 LABORERS LOCAL 737 LABORERS WELFARE OF MONTANA LAKESIDE INDUSTRIES LARGO CONCRETE INC LARUSSO CONCRETE CO INC LASKEY CLIFTON CORP LEASE CRUTCHER LEWIS LEGACY CONTRACTING INC LOY CLARK PIPELINE CO LTM COAST DIV KNIFE RIV LTM MEDFORD DIV KNIFE RIV LTM ROSEBURG PAVING CO M A MORTENSON COMPANY M B STRUCTURES MALCOLM DRILLING CO INC MARION CONSTRUCTION MCDONALD EXCAVATING INC. MCKINSTRY CO LLC MICHELS CONSTRUCTION INC MICHELS CORPORATION MICHELS CORPORATION RECIP. MICHELS PIPELINE, INC. MICHELS TRENCHLESS MICHELS UTILITY SERVICE MILNE MASONRY INC MORELLO CONSTRUCTION MORGAN MILLWRIGHT SERVICE MT CALVARY NAES POWER CONT PMRI DIVI NETCOMPLIANCE ENVIRONMENT NEVADA INCOMING RECIPROCI NORKOTE OF WASHINGTON LLC NORTH WIND CONSTRUCTION SRVCS NORTHSTAR CG, LP NORTHWEST BORING CO INC NORTHWEST METAL FAB NORTHWEST METAL FAB &PIPE NORTHWEST REGION ORGANIZ NW LECET NW SCAFFOLD SERVICE OEG, INC O'NEILL CONSTRUCTION GR ONYX BUILDING GROUP INC OREGON LABORERS COORDINAT OREGON MAINLINE PAVING LL OREGON/IDAHO TRAINING TRU PACIFIC FOUNDATION INC PACIFIC NW ENVIRONMENTAL PALADENI CONCRETE INC PENCE/KELLY CONSTRUCTION PENHALL COMPANY PERFORMANCE ABATEMENT SER PERFORMANCE CONTRACTING I PERLO STRUCTURES LLC PHENIX CONSTRUCTION CO., LLC. PLATINUM INDUSTRIAL PORT OF PORTLAND PRICE GREGORY INTERNATION PRICE GREGORY INTERNATIONAL PULLMAN POWER LLC QUIGLEY HYDRO EXCAVATION R & R GENERAL CONTRACTORS RAGNER BENSON, LLC RAIMORE CONSTRUCTION LLC RAWHIDE EXCAVATING INC. RDF BUILDERS CO RESOLUTE CONSTRUCTION, LLC REV DRILLING, INC. RIO UNDERGROUND CONST LLC RISING RIVER INC RIVER VIEW CEMETERY ASSOC RIVERBEND CONSTRUCTION RIVERS WEST CONSTRUCTION ROGERS ADMINISTRATION INC ROLLING PLAINS CONSTRUCTI ROSE CITY CEMETERY ROYAL ELECTRIC CO S & B JAMES CONST CO SACRAMENTO DRILLING, INC SAFWAY SERVICES LLC SCAFFOLD ERECTORS INC SDB CONTRACTING SERVICES SERVICE MASTER BUILDING SRVCS SKANSKA USA BLDG INC SNELSON COMPANIES SOMMER MASONRY SPECIALTY SYSTEMS ST JOSEPH'S PRECISION PRE STACY & WITBECK INC STEBBINS ENGINEERING CORP STRIPE RITE, INC SUKUT CONSTRUCTION, LLC SUNROC CONSTR CO INC SUPERIOR GUNITE SUULUTAAQ INC SWINERTON BUILDERS TEUFEL NURSERY INC TGC STRUCTURAL THE CITY OF AMITY THE CITY OF DRAIN THE GRANT CO INC THE HDD CO THE RODRIGUEZ CORPORATION THE TUNNELING CO. TITAN UTILITIES LLC TOWN & COUNTRY FENCE CO TRENCHLESS CONST TRUEBECK CONSTRUCTION INC TURNER CONSTRUCTION CO UNITED PIPING, INC. UWD PREBUILD, INC VAN LOM CONCRETE VIGOR MARINE VIGOR-METAL TRADES VIKING ENGINEERING & CONS WALDRON & SONS INC WARD HENSHAW CONST CO INC WEITMAN EXCAVATION WEST COAST CONCRETE RESTORATION WESTERN CONSTRUCTION INC WESTERN PARTITIONS INC WFJ JANITORIAL SERVICES WHITAKER/ELLIS BUILDERS WHITE CONSTRUCTION LLC WILDISH BUILDING CO WILDISH CONSTRUCTION CO WILDISH STANDARD PAVING C WOLVERINE CANYON CONSTRUC YALE CREEK INC ZAVALA CORPORATION INC