2019-04-25T09:25:34-05:00 2018-06-30 522385296 LINDQUIST LLP 5000 EXECUTIVE PARKWAY SUITE 400 SAN RAMON CA 94583 990 2017-07-01 936029224 UMTA TRUST UMTA 5032358363 1919 NE PACIFIC STREET NO 200 PORTLAND OR 97232 MARTHA COX TRUSTEE 5032358363 2019-04-25 1 JAMES N BROWNING P01451906 9252779100 66.7.226.66 2019-04-25 07:25:22 PD P D85FB602DC4FA66F28A631CB81EF53DF59ECABFA 92C7F91AD246760067C653CBF66B8BF12B4D5FD1 2017 2019-02-21 02:37:17Z MARTHA COX 1919 NE PACIFIC ST STE 200 PORTLAND OR 97232 49562822 0 X N/A X 1950 OR TO ENABLE THE ASSOCIATION, ITS MEMBERS AND AFFILIATES TO MAKE AVAILABLE TO THEIR INTERESTED EMPLOYEES, OFFICERS AND THEIR DEPENDENTS SUCH GROUP BENEFIT PROGRAMS AS MAY BE ESTABLISHED, REQUIRED OR MAINTAINED PURSUANT TO COLLECTIVE BARGAINING OR OTHERWISE DESIRED FROM TIME TO TIME. 4 0 0 0 0 0 0 0 26526458 21361789 1242558 1379505 46911 49799 27815927 22791093 0 0 24033830 17573277 0 0 0 0 0 2651158 2496365 26684988 20069642 1130939 2721451 40280298 41665551 5557579 4980599 34722719 36684952 TO PROVIDE PARTICIPATING EMPLOYER'S EMPLOYEES WITH HEALTH, LIFE, AND DISABILITY BENEFITS AND WELLNESS AND CLINICAL TESTING PROGRAMS. 0 0 PROVIDED DEATH, SICKNESS AND HOSPITALIZATION BENEFITS TO COVERED MEMBERS 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 648 0 1 0 0 0 0 0 0 0 X 4 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 1 1 0 0 0 X REBECCA ANDERSON 5035952163 1919 NE PACIFIC ST STE 200 PORTLAND OR 97232 X MIKE ECKSTEIN TRUSTEE 0.30 X 0 0 0 MARTHA COX TRUSTEE 0.42 X 0 0 0 BRANDON TRUMP TRUSTEE 0.30 X 0 0 0 JOHN RUDI TRUSTEE 0.30 X 0 0 0 0 0 0 0 0 0 0 US BENEFITS INC 1919 NE PACIFIC ST STE 100 PORTLAND OR 97232 CLAIMS ADMINISTRATION 1026194 UEA INC 1919 NE PACIFIC ST STE 200 PORTLAND OR 97232 CONTRACT ADMINISTRATION 685496 ZELIS CLAIMS INTEGRITY 2 CROSSROADS DRIVE BEDMINSTER NJ 07921 CLAIMS EDITING AND COST MANAGEMENT 304103 3 EMPLOYER CONTRIBUTIONS 900099 21222585 21222585 PARTICIPANT CONTRIBUTIONS 900099 139204 139204 21361789 900720 900720 27250514 26771729 478785 478785 478785 PROCESSING FEES & FINANCE INCOME 900099 49799 49799 49799 22791093 21411588 0 1379505 X 17573277 60000 34143 38733 106979 2147506 8731 49017 8041 2865 18072 MISCELLANEOUS 12809 PCORI FEE 9469 20069642 7011034 7817531 391525 507007 152493 17303 32725246 33323710 40280298 41665551 221539 229098 1685292 1824507 3650748 2926994 5557579 4980599 X 0 0 0 0 34722719 36684952 34722719 36684952 40280298 41665551 2721451 -759218 0 X X 0 1 X 1 0 0 CLAIMS PAYABLE AND INCURRED BUT NOT REPORTED 2868640 INSURANCE PREMIUMS PAYABLE 58354 2926994 X 21924896 -759218 -759218 22684114 106979 106979 22791093 20686417 0 20686417 106979 -723754 -616775 20069642 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 JUNE 30, 2018, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE CONSOLIDATED 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. THE PLAN BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR THE FISCAL YEARS PRIOR TO 2015. PART XII, LINE 4B - OTHER ADJUSTMENTS: CHANGES IN BENEFIT OBLIGATIONS -723,754. FORM 990, PART VI, SECTION A, LINE 8B THERE ARE NO COMMITTEES WITH THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B THE DIRECTOR OF OPERATIONS, THE ORGANIZATON'S ACCOUNTANT AND THE TRUSTEES REVIEW THE FORM 990 PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C IF AND WHEN A POTENTIAL CONFLICT OF INTEREST IS DISCLOSED, THE INTERESTED PERSON WILL BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE TRUSTEE, OFFICER OR MEMBER OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. AN INTERESTED PERSON COVERED UNDER THE POLICY INCLUDES ANY TRUSTEE, OFFICER OR MEMBER OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS. THE REMAINING BOARD OR COMMITTEE MEMBERS SHALL DECIDE IF A CONFLICT OF INTEREST EXISTS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND CONSOLIDATED FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST FOR SUCH INFORMATION. FORM 990, PART IX, LINE 11G PLAN ADMINISTRATION 1,582,424. PHARMACY ADMINISTRATION 91,862. CLAIMS EDITING AND COST CONTAINMENT 402,630. CONSULTING AND ACTUARIAL 70,590. FORM 990, PART XII, LINE 2C: THE BOARD OF TRUSTEES HAS RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND SELECTION OF AN INDEPENDENT AUDITOR. THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. UMTA TRUST CAPTIVE LLC 906 NE 19TH AVENUE PORTLAND OR 97232 472319691 CAPTIVE INSURANCE MT 1816616 2674246 UMTA TRUST RETIREMENT PLAN FOR THE EMPLOYEES OF THE UMTA & ITS AFFILIATES 906 NE 19TH AVENUE PORTLAND OR 97232 930302009 DEFINED BENEFIT PENSION PLAN OR 501(A) UNITED METAL TRADES ASSOCIATION 0 UNITED METAL TRADES ASSOCIATION 906 NE 19TH AVENUE PORTLAND OR 97232 930302009 LABOR RELATIONS OR 501(C) NOT APPLICABLE 0 401(K) PLAN OF THE UNITED METAL TRADES ASSOCIATION & ITS AFFILIATES 906 NE 19TH AVENUE PORTLAND OR 97232 930302009 DEFINED CONTRIBUTION PENSION PLAN OR 501(A) UNITED METAL TRADES ASSOCIATION 0 UEA INC 1919 NE PACIFIC STREET SUITE 200 PORTLAND OR 97232 930991444 CONTRACT ADMINISTRATION OR UNITED METAL TRADES ASSOCIATION C 0 US BENEFITS INC 1919 NE PACIFIC STREET SUITE 100 PORTLAND OR 97232 930929070 CLAIMS ADMINISTRATION OR UNITED METAL TRADES ASSOCIATION C 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 FORM 990, SCHEDULE R, IDENTIFICATION OF RELATED ORGANIATIONS: THE FILING ORGANIZATION IS A MULTIEMPLOYER TRUST THAT PROVIDES HEALTH AND WELFARE BENEFITS TO ELIGIBLE EMPLOYEES AND THEIR DEPENDENTS. AS OF JUNE 30, 2018, THERE ARE APPROXIMATELY 39 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. ALLIED SYSTEMS SUPREME GROUP COLUMBIA STEEL CASTING DEPENDABLE PATTERN WORKS FOUGHT & COMPANY INC. GALVANIZERS COMPANY GMP LOCAL #139 GTE METAL FABRICATORS HARDER MECHANICAL HOGAN FAB INC INTEGRATED POWER SERVICES INTERSTATE MANUFACTURING IRONWORKERS SHOPMEN KACH MACHINE WORKS OCHOCO MANUFACTURING OREGON AUTO SPRING OREGON IRON WORKS PACKAGE CONTAINERS PAUL BRONG MACHINE PEERLESS PATTERN WORKS PENINSULA IRON WORKS PIERCE PACIFIC PORTLAND BOLT & MFG CO. PORTLAND PATTERN WORKS PREMIER GEAR & MACHINE PULL IT CORPORATION RIVER CITY PATTERN ROCKMORE INTERNATIONAL ROEMER ELECTRIC RUAN TRANSPORTATION SMALL PARTS MANUFACTURING THE WESTERN GROUP THOMPSON METAL FAB TIDLAND CORPORATION TOM STEVENS BOILER REPAIR UEA INC. WILLAMETTE PATTERN WORKS ZIMMERMAN METALS BOARD OF DIRECTORS