2023-11-07T13:28:51-06:00 2022-12-31 MILLER KAPLAN ARASE LLP 600 STEWART ST STE 618 SEATTLE WA 981011261 990 2022-01-01 916029049 NORTHWEST CARPENTERS HEALTH AND SECURITY PLAN % GENE PRICE NORT 2064416514 2200 6TH AVE STE 300 SEATTLE WA 98121 JAMES GLEASON TRUSTEE 2064416514 2023-10-19 true JAMES GLEASON 999009999 Catalina Kirby P02018896 2065963930 3 2022 2023-04-26 12:10:37Z X JAMES GLEASON 2200 6TH AVE STE 300 SEATTLE WA 98121 356333292 false X N/A X 1960 WA THE PLAN IS A MULTIEMPLOYER HEALTH AND WELFARE PLAN DESIGNED TO PROVIDE BENEFITS FOR ELIGIBLE PARTICIPANTS AND BENEFICIARIES AS SPECIFIED IN THE PLAN DOCUMENT. 15 0 0 0 0 0 0 0 199721639 248571521 20048912 11912035 112978 9577418 219883529 270060974 0 0 253211411 218025757 3549327 3756140 0 0 0 4171563 3615637 260932301 225397534 -41048772 44663440 419009389 403357835 133190796 129740959 285818593 273616876 THE PLAN IS A MULTIEMPLOYER HEALTH AND WELFARE PLAN DESIGNED TO PROVIDE BENEFITS FOR ELIGIBLE PARTICIPANTS AND BENEFICIARIES AS SPECIFIED IN THE PLAN DOCUMENT. false false THE PLAN IS A MULTIEMPLOYER HEALTH AND WELFARE PLAN DESIGNED TO PROVIDE BENEFITS FOR ELIGIBLE PARTICIPANTS AND BENEFICIARIES AS SPECIFIED IN THE PLAN DOCUMENT. false false false false false false false false true false false false true true true false false false false false false false false false false false false true false false false false false false false false false false false true false false true 0 0 true 0 false false false false false false false false X 15 0 false false false false false false false true true false false true true true true true true true true false X GENE PRICE 2064416514 2200 6TH AVE STE 300 SEATTLE WA 98121 X EMPLOYEE 01 ADMINISTRATOR 0.0 40.0 X 0 223072 50165 EMPLOYEE 03 EMPLOYEE SERVICES MANAGER 0.0 40.0 X 0 169844 42181 EMPLOYEE 04 RETIREMENT MANAGER 0.0 40.0 X 0 167145 41776 EMPLOYEE 09 IT MANAGER 0.0 40.0 X 0 147710 38861 EMPLOYEE 13 CLAIMS MANAGER 0.0 40.0 X 0 142890 38137 JAMES GLEASON TRUSTEE 1.0 0.0 X 0 0 0 MARTIN HOLBERG TRUSTEE 1.0 0.0 X 0 0 0 DALE DVORAK TRUSTEE 1.0 0.0 X 0 0 0 PEDRO ESPINOZA TRUSTEE 1.0 0.0 X 0 0 0 JESSE SCOTT-KANDOLL TRUSTEE 1.0 0.0 X 0 0 0 MARK PORTIN TRUSTEE 1.0 0.0 X 0 0 0 TIM O'NEILL TRUSTEE 1.0 0.0 X 0 0 0 ANTHONY PENA TRUSTEE 1.0 0.0 X 0 0 0 SCOTT SCHAEFER TRUSTEE 1.0 0.0 X 0 0 0 FRANK SPENCER TRUSTEE 1.0 0.0 X 0 0 0 ANDREW LEDBETTER TRUSTEE 1.0 0.0 X 0 0 0 BOB TIMMONS TRUSTEE 1.0 0.0 X 0 0 0 HEATH HANSON TRUSTEE 1.0 0.0 X 0 0 0 ERIC JONES TRUSTEE 1.0 0.0 X 0 0 0 RANDY BOETTCHER TRUSTEE 1.0 0.0 X 0 0 0 ALBERT MARTIN TRUSTEE 1.0 0.0 X 0 0 0 0 850661 211120 0 false true false Delta Dental of Washington 400 Fairview Ave STE 800 SEATTLE WA 98109 Dental Care 708129 EXPRESS SCRIPTS 1 EXPRESS WAY ST LOUIS MO 63121 CLAIMS NEGOTIATION 1860181 REGENCE BLUESHIELD 100 SW MARKET ST PORTLAND OR 97201 CLAIMS NEGOTIATION 5070627 CLISE AGENCY 1700 Seventh Ave Ste 1800 SEATTLE WA 98101 Office Rent 342578 WELLINGTON MANAGEMENT COMPANY 280 Congress St BOSTON MA 02210 INVESTMENT MGMT 562320 5 0 EMPLOYER CONTRIBUTIONS 900099 238237319 238237319 0 0 PARTICIPANT CONTRIBUTIONS 900099 10334202 10334202 0 0 248571521 8434854 0 0 8434854 0 0 0 0 0 89749499 86272318 3477181 3477181 0 0 3477181 0 0 0 0 0 0 0 0 0 EXPENSE REIMBURSEMENT 900099 167789 167789 0 0 SETTLEMENT INCOME 900099 9409629 9409629 0 0 9577418 270060974 258148939 0 11912035 0 0 0 218025757 0 0 2653615 0 887076 215449 7576 519716 326188 0 0 683254 391437 0 611287 353876 0 344400 4642 0 16186 41722 0 44410 135027 PCORI FEES 118634 DUES AND SUBSCRIPTION 11170 TEMPORARY LABOR CONTRACTS 4124 PERSONAL PROPERTY TAX 1988 225397534 31165442 72206717 0 0 0 0 21627862 22920744 0 0 0 0 0 0 0 0 64074 45824 7365096 5825405 78963 1539691 366073048 306644859 0 0 0 0 0 0 0 0 419009389 403357835 8505702 13822477 0 0 4363594 5362982 0 0 0 0 0 0 0 0 0 0 120321500 110555500 133190796 129740959 X 0 0 0 0 285818593 273616876 285818593 273616876 419009389 403357835 44663440 -56865157 X false true X true 7365096 5825405 1539691 1539691 0 BENEFIT OBLIGATIONS 110555500 110555500 X 213375817 -56685157 -56685157 270060974 270060974 235163534 235163534 -9766000 -9766000 225397534 PART X, LINE 2: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE PLAN AND RECOGNIZE A TAX LIABILITY IF THE PLAN HAS TAKEN A TAX POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY A TAX AUTHORITY. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. PART XII, LINE 4B: ADJUSTMENTS FOR BENEFITS PAID FROM ACCRUAL BASIS (FORM 990) TO CASH BASIS (FINANCIAL STATEMENTS) = $9,766,000 X false false false EMPLOYEE 01 ADMINISTRATOR 0 223072 0 0 0 0 0 33461 0 16704 0 273237 EMPLOYEE 03 EMPLOYEE SERVICES MANAGER 0 169844 0 0 0 0 0 25477 0 16704 0 212025 EMPLOYEE 04 RETIREMENT MANAGER 0 167145 0 0 0 0 0 25072 0 16704 0 208921 EMPLOYEE 09 IT MANAGER 0 147710 0 0 0 0 0 22157 0 16704 0 186571 EMPLOYEE 13 CLAIMS MANAGER 0 142890 0 0 0 0 0 21433 0 16704 0 181027 part vi, line 11b: THE BOARD OF TRUSTEES ARE PROVIDED A COPY OF THE COMPLETED FORM 990 FOR REVIEW. UPON APPROVAL, THE FORM 990 IS FILED IN ACCORDANCE WITH FORM 990 INSTRUCTIONS. PART VI, LINE 12C: THE PLAN ADMINISTRATOR PERIODICALLY UPDATES A LIST OF PARTIES-IN-INTEREST. THE ATTORNEY REVIEWS ALL PROPOSED SERVICE PROVIDER RELATIONSHIPS FOR COMPLIANCE WITH ERISA. ALL SERVICE PROVIDER AGREEMENTS ARE REVIEWED BY THE TRUST ATTORNEY PRIOR TO EXECUTION. PARTY-IN-INTEREST INQUIRIES ARE MADE ANNUALLY BY THE PLAN ADMINISTRATOR IN COORDINATION WITH THE ANNUAL AUDIT. PART VI, LINES 15A AND 15B: EMPLOYEES ARE SUBJECT TO ANNUAL PERFORMANCE AND COMPENSATION REVIEW BY A COMMITTEE APPOINTED BY THE BOARD OF TRUSTEES. THE EXECUTIVE COMMITTEE REVIEWS DETAILS OF THE EMPLOYEES PERFORMANCE AND SETS COMPENSATION BASED UPON THE CONSENSUS OPINION OF LEVEL OF RESPONSIBILITY, SKILL AND QUALIFICATIONS. THE COMMITTEE MAY SEEK COMPARABILITY DATA WHEN DEEMED NECESSARY TO GUIDE THE PROCESS. PART VI, LINE 19: THE PLAN MAINTAINS COPIES OF THE DOCUMENTS AND PROVIDES THE AVAILABLE DOCUMENTS UPON WRITTEN REQUEST. PART VII, LINE 1A, columns (E), (F): THE BOARD OF TRUSTEES SERVE WITHOUT COMPENSATION. THE PLAN DOES NOT MAINTAIN THE INFORMATION ON COMPENSATION FROM RELATED ORGANIZATIONS BUT BELIEVES THAT SUCH COMPENSATION, IF ANY, IS APPROPRIATELY REPORTED ON THE RETURNS OF THOSE ORGANIZATIONS. CARP TR OF WW IAP PLAN 2200 6TH AVE STE 300 SEATTLE WA 98121 911160641 PENSION BEN. WA 1.401-1(B)3 NA false CARP RETIREMENT PLAN OF WW 2200 6TH AVE STE 300 SEATTLE WA 98121 916029051 PENSION BEN. WA 1.401-1(B)3 NA false CARP-EMP A&T TR OF WA-ID 2200 6TH AVE STE 300 SEATTLE WA 98121 237163057 TRAINING BEN. WA 501(C)(3) NA false PACIFIC NW RCC 25120 Pacific Hwy S Ste 200 KENT WA 98032 911704240 LABOR ORG. WA 501(C)(5) NA false CARP-ERS VACATION 2200 6TH AVE STE 300 SEATTLE WA 98121 237163058 VACATION WA 501(C)(9) NA false CARP TRUSTS OF WW 2200 6TH AVE STE 300 SEATTLE WA 98121 910715926 ADMIN. WA 1.401-1(B)3 NA false SEE PART VII - SUPPLEMENTAL INFORMATION NA SEE PART VII - SUPPl info NA SEE PART VII - SUPPLEMENTAL INFORMATION NA false false false false false false false false false false false false false false false false true true false parts ii, iii and vi: identification of related TAX-EXEMPT organizations, organizations taxable as partnership, corporation or trust: THE ADMINISTRATIVE OFFICE OF THE PLAN MAINTAINS CERTAIN INFORMATION REGARDING THE PLAN'S CONTRIBUTING EMPLOYERS. THE BOARD OF TRUSTEES DEEMS SUCH INFORMATION CONFIDENTIAL AND WILL MAKE IT AVAILABLE IF IT IS DETERMINED TO BE REQUIRED.