2018-11-13T18:57:50-06:00 2017-12-31 410746749 CLIFTONLARSONALLEN LLP 3000 NORTHUP WAY SUITE 200 BELLEVUE WA 980041446 990 2017-01-01 936041903 THE NELSON TRUST NELS 5032240048 5331 SW MACADAM AVE NO 220 PORTLAND OR 97239 NOEL WILLET CO-CHAIRMAN 5032240048 2018-11-09 1 MICHAEL T MEAD CPA P01893207 4252506100 2018-11-08 67.137.57.251 2018-11-09 06:52:17 PS P 7CCED69CC7F7DA8765ED5670943801882D3A7A21 AA627A63F630E2EFD1435F04ECCF881DFF3D020E 2017 2019-02-21 02:37:17Z X NOEL WILLET 5331 SW MACADAM AVE NO 220 PORTLAND OR 97239 94639630 0 X WWW.NELSON.AIBPA.COM X 1967 WA PROVIDE HEALTH & WELFARE BENEFITS. 9 9 151 9 0 0 0 0 32274529 29473130 847541 4375318 101507 10246 33223577 33858694 0 0 45228132 34895473 0 0 0 0 0 3102759 2833072 48330891 37728545 -15107314 -3869851 61749881 53839208 13160347 9530354 48589534 44308854 TO PROVIDE HEALTH & WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS AS SPECIFIED IN THE PLAN. 0 0 TO PROVIDE HEALTH & WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS AS SPECIFIED IN THE PLAN. 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 151 1 0 0 0 0 0 0 X 9 9 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 1 0 0 0 X BENESYS INC 5032240048 5331 SW MACADAM AVE SUITE 220 PORTLAND OR 97239 X X BROOKS BURTON CO-CHAIRMAN 0.50 X X 0 0 0 KELLYE WISE TRUSTEE 0.50 X 0 0 0 CARYN KAUFMANN TRUSTEE 0.50 X 0 0 0 MARY SINGER TRUSTEE 0.50 X 0 0 0 WAYNE THOMPSON TRUSTEE 0.50 X 0 0 0 BRITT CORNMAN TRUSTEE 0.50 X 0 0 0 BRANDON BRYANT TRUSTEE 0.50 X 0 0 0 KIM ECKROTH TRUSTEE 0.50 X 0 0 0 NOEL WILLET CO-CHAIRMAN 0.50 X X 0 0 0 0 0 0 0 0 0 0 PREMERA BLUE CROSS 7001 220TH ST SW BLDG 1 MOUNTLAKE TERRACE WA 98043 CLAIMS PAYER 1421040 BENESYS INC 5331 SW MACADAM AVE 200 PORTLAND OR 97239 THIRD PARTY ADMINISTRATOR 493964 MERCER HEALTH & BENEFITS 1301 FIFTH AVE SUITE 1900 SEATTLE WA 98101 CONSULTING 234533 MODA HEALTH PO BOX 40384 PORTLAND OR 97240 CLAIMS PAYER 164336 4 EMPLOYER CONTRIBUTIONS 900099 28184368 28184368 EMPLOYEE CONTRIBUTIONS 900099 1267884 1267884 LIQUIDATED DAMAGES & INTERST 900099 20878 20878 29473130 1461833 1461833 63694421 60780936 2913485 2913485 2913485 SECURITIES LITIGATION PROCEEDS 900099 10246 10246 10246 33858694 29483376 0 4375318 34895473 493964 92086 55871 72269 259533 60295 10767 39895 CLAIMS ADMINISTRATION 1748392 37728545 173789 374085 2820422 2498615 34032 34032 39369711 35662921 19351927 15269555 61749881 53839208 293582 161963 12866765 9368391 13160347 9530354 X 0 0 0 0 48589534 44308854 48589534 44308854 61749881 53839208 -3869851 -410829 0 X X 0 1 X 0 0 0 LIMITED PARTNERSHIP 15269555 F 15269555 AMOUNTS DUE TO INSURANCE COMPANIES 94126 LAG MONTHS ELIGIBILITY COVERAGE 5955265 CLAIMS INCURRED BUT NOT REPORTED 3319000 9368391 X 33375596 -410829 -410829 33786425 72269 72269 33858694 41154650 0 41154650 72269 -3498374 -3426105 37728545 PART X, LINE 2: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE PLAN MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE PLAN AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF THE PLAN HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS. 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 - OTHER ADJUSTMENTS: DECREASE IN BENEFIT OBLIGATIONS -3,498,374. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WAS REVIEWED BY THE PLAN'S BOARD OF TRUSTEES BEFORE IT WAS FILED. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION REQUIRES ANNUAL CERTIFICATION FROM BOARD MEMBERS AND REVIEWS THEIR RESPONSES. FORM 990, PART VI, SECTION C, LINE 19 THE PLAN MADE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. FORM 990, PART VII, SECTION A, LINE 6 TRUSTEES ARE NOT COMPENSATED BY THE TRUST. COMPENSATION PAID TO TRUSTEES EMPLOYED BY OTHER TAX-EXEMPT ORGANIZATIONS IS REPORTED ON FORM 990 FILED WITH THE IRS BY THE RELATED TAX-EXEMPT ORGANIZATION. IF YOU WOULD LIKE ADDITIONAL INFORMATION, PLEASE CONTACT THE PLAN ADMINISTRATOR. FORM 990, PART X, LINE 2C: THE PROCESS AND METHODS USED BY THE BOARD OF DIRECTORS TO SELECT THE INDEPENDENT AUDIT FIRM HAS NOT CHANGED FROM THE PRIOR YEAR. CITY OF ELKTON CITY OF INTERNATIONAL FALLS CITY OF REEDSPORT CITY OF WINSTON DIST LODGE W24 IAMAW LEWIS COUNTY WATER DIST 2 WOODWORKERS DIST LOD W2 WOODWORKERS DIST LOD W3 WOODWORKERS LOC LODG W-12 WOODWORKERS LOC LODG W38 WOODWORKERS LOC LODG W-2 BUTTE SCHOOL DIST #1 MASON COUNTY CORRECTIONS BELL LUMBER & POLE CO CASTLE & COLEMAN LOGGING CLEARWATER PAPER CORP COLLINS PRODUCTS LLC GRAYS HRBR PAC CO FOOD GREEN DIAMOND RESOURCE KOONTZ MACHINE & WELDING KOPPERS COMPANY NW CONTEXT CONGREGA OLYMPIC PANEL PRODUCTS ROSEBURG FOREST PRODUCTS SIERRA PINE SIMPSON LUMBER CO WEBFOOT TRUCK & EQUIPMENT WEYERHAEUSER COLUMBIA FORD NIPPON DYNAWARE PACKAGING 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0