2018-10-12T00:26:10-05:00 2017-12-31 910614823 SCHOEDEL & SCHOEDEL CPAS PLLC 422 W RIVERSIDE AVE STE 1420 SPOKANE WA 992010395 990 2017-01-01 276838771 Omnitrade Health Trust OMNI 4257717359 PO Box 6 Mukilteo WA 982750006 John B Scates Trustee 4257717359 2018-10-11 1 SCOTT OPPERUD CPA P00542597 5097472158 2018-10-11 207.114.231.3 2018-10-11 22:25:46 PD P BD3330E54060A8ABACFA67ECD92C5C02592034B7 BB2AC30269F7780B330423FB8C0571A23705F2F4 2017 2018-06-14 16:35:46Z John B Scates PO Box 6 Mukilteo WA 982750006 23065836 0 X http://omnitradebenefits.com X 2011 WA To provide qualified health and welfare benefits through group insurance arrangements. 1 0 0 0 0 0 0 0 31021225 23030658 379 449 69757 34729 31091361 23065836 0 0 32527409 21258007 47296 34932 0 0 0 3108323 2390791 35683028 23683730 -4591667 -617894 1662210 1154893 17952683 18063260 -16290473 -16908367 To provide a trust under which eligible employers may make certain welfare benefits available for their participants, through group insurance or otherwise. 0 0 The Trust was established to hold insurance policies through which participating employers can provide programs of health and other insurance benefits under the employee benefit plans they maintain for their employees and dependents. 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 0 1 0 0 1 26 0 1 0 0 0 0 0 0 0 X 1 0 0 1 0 0 0 1 0 1 1 0 0 1 0 0 0 0 0 0 X Vimly Benefit Solutions Inc 4257717359 12121 Harbour Reach Drive Suite 105 Mukilteo WA 98275 John B Scates Trustee 3.00 X X 32100 0 0 32100 0 0 0 0 0 0 Wells Fargo Insurance Services USA Inc 999 Third Avenue Suite 4100 Seattle WA 98104 Consulting manager 805305 Benefit Solutions Inc 12121 Harbour Reach Drive Suite 10 Mukilteo WA 982750006 Contract administrator 382264 Armfield Harrison & Thomas Technology 600 University St Suite 1300 Seattle WA 98101 Insurance broker 189726 ABD Insurance & Financial Services Inc 3 Waters Park Drive Suite 100 San Mateo CA 94403 Consulting manager 119326 Davis Wright Tremaine LLP 1201 Third Avenue Suite 2200 Seattle WA 981013045 Legal counsel 110007 5 Employer contributions, net 525100 22749713 22749713 Participant contributions, net 525100 280945 280945 23030658 449 449 Employer late fees 525100 34729 34729 34729 23065836 23065387 0 449 21258007 34932 382264 110007 17843 1862804 611 835 3708 4048 3671 Compliance 5000 23683730 1212014 726329 251943 252340 198253 176224 1662210 1154893 75300 60436 635686 336756 17241697 17666068 17952683 18063260 X 0 0 0 0 -16290473 -16908367 -16290473 -16908367 1662210 1154893 -617894 0 X 0 1 X 0 0 0 Premiums due to insurers 288484 Contract experience deficits 17377584 17666068 23065836 0 23065836 0 23065836 23259359 17241697 17241697 6017662 17666068 17666068 23683730 Part XII, Line 2d - Other Adjustments: Premiums due insurers at the end of the prior year 498,215. Contract experience deficits at the end of the prior year 16,743,482. Part XII, Line 4b - Other Adjustments: Premiums due insurers at the end of the current year 288,484. Contract experience deficits at the end of the current year 17,377,584. Form 990, Part VI, Section A, line 3 The Trust has contracted with a third-party administrator (Vimly Benefit Solutions, Inc.) to provide bookkeeping and administrative services. Form 990, Part VI, Section A, line 7a Trustees are appointed by the Trust Administrative Committee. The Trust Administrative Committee may terminate a trustee. In the event of the termination or resignation of a trustee, a successor trustee will be appointed by the Trust Administrative Committee. The Trust Administrative Committee will notify participating employers of the appointment of a successor trustee. The trustee will consent to and accept appointment in writing. Form 990, Part VI, Section B, line 11b The Form 990 was prepared under the guidance of the Trustee by the independent accounting firm SCHOEDEL & SCHOEDEL, Certified Public Accountants, PLLC. Draft copies of the Trust's financial statements and Form 990 were first provided to the Trust's consultants and advisors, who reviewed the Form 990 for accuracy and completeness. Any questions, concerns or issues raised by the consultants and advisors were addressed and any necessary revisions were made to the Form 990. The revised Form 990 was then provided to the Trustee for his review and approval. Any additional questions, concerns or issues raised by the Trustee were addressed and any necessary revisions were made to the Form 990. The final version of the Form 990 was reviewed, approved and filed by the Trustee. Form 990, Part VI, Section C, line 19 The Trust's governing documents, financial statements and Form 990 are available to the general public upon written request sent to Vimly Benefit Solutions at: P.O. Box 6, Mukilteo, WA 98275. Hope Heart Institute Life Science of Washington 1551 Eastlake Ave E 300 Seattle WA 98102 911453398 Trade association in the life sciences industry of Washington state. WA 501(c)(6) N/A 0 CleanTech Alliance Washington 1301 Fifth Avenue Suite 2500 Seattle WA 98101 320199835 Trade association in the cleantech industry of Washington state. 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