2017-10-14T13:56:35-05:00 2016-12-31 910614823 SCHOEDEL & SCHOEDEL CPAS PLLC 422 W RIVERSIDE AVE STE 1420 SPOKANE WA 992010395 990 2016-01-01 367481494 Business Health Trust BUSI 4257717359 PO Box 6 Mukilteo WA 98275 Maud Daudon Trustee 4257717359 2017-10-14 1 SCOTT OPPERUD CPA P00542597 5097472158 2017-10-04 207.114.231.3 2017-10-14 11:56:23 PD P EAA85A5A994FC1B40A7BAFE45112DA338BF4BF54 EAA85A5A994FC1B40A7BAFE45112DA338BF4BF54 2016 2018-03-14 21:41:22Z Sarai Childs PO Box 6 Mukilteo WA 98275 70317605 0 X www.businesshealthtrust.com X 2007 WA The Trust was established to hold insurance policies through which participating employers can provide programs of health and other insured welfare benefits under the employee benefit plans they maintain for their employees and dependents. 4 4 0 0 0 0 0 0 94358687 70225811 367 361 174956 91433 94534010 70317605 0 0 83496900 62034667 0 0 0 0 0 10921944 8016267 94418844 70050934 115166 266671 2542399 2809590 2033547 2034067 508852 775523 To maintain insurance policies through which participating employers can provide insured welfare benefits under the employee benefit plans they maintain for their employees and dependents. 0 0 The Trust was established to hold insurance policies through which participating employers can provide insured welfare 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 1 0 0 0 0 0 1 0 0 0 0 0 1 0 0 1 61 0 1 0 0 0 0 0 0 0 X 4 4 1 1 0 0 0 1 0 1 0 0 0 1 0 0 0 0 0 0 X Benefit Solutions Inc 4257717359 12121 Harbour Reach Drive Suite 105 Mukilteo WA 98275 Sarai Childs Trustee 20.00 20.00 X 0 122372 20479 Evelyn Lemoine Trustee 10.00 30.00 X 0 97176 20144 Maud Daudon Trustee 5.00 35.00 X 0 296333 45869 Mary O McWilliams Trustee 5.00 0.00 X 0 0 0 0 515881 86492 0 0 1 0 Wells Fargo Insurance Services USA Inc PO Box 203588 Dallas TX 75320 Consulting/Brokerage 1954651 Benefit Solutions Inc PO Box 6 Mukilteo WA 982750006 Third-Party Administrator 1272418 Greater Seattle Chamber of Commerce 1301 5th Avenue 1500 Seattle WA 98101 Administration 660070 Pro-Plan Management LLC 4726 West Roberts Way Seattle WA 98199 Consulting/Brokerage 354236 Digital Insurance Inc 200 Galleria Parkway Ste 1950 Atlanta GA 30339 Brokerage 219724 5 Employer contributions 525100 69723289 69723289 Participant contributions 525100 502522 502522 70225811 361 361 Employer late and NSF fees 525100 91433 91433 91433 70317605 70317244 0 361 62034667 2022047 66403 15032 5880193 16997 658 14937 70050934 801019 639513 1547986 1907066 62386 195229 1109 1976 129899 65806 2542399 2809590 149614 439549 1447247 1001927 436686 592591 2033547 2034067 X 0 0 0 0 508852 775523 508852 775523 2542399 2809590 266671 0 X 0 1 X 0 0 0 Premiums due to insurers 592591 592591 70317605 0 70317605 0 70317605 69895029 436686 436686 69458343 592591 592591 70050934 Part XII, Line 2d - Other Adjustments: Premiums due to insurers at the end of the prior year 436,686. Part XII, Line 4b - Other Adjustments: Premiums due to insurers at the end of the current year 592,591. 0 0 0 Maud Daudon Trustee 0 296333 0 0 0 0 0 0 0 0 0 296333 0 0 Sarai Childs Trustee 660070 Sarai Childs is both a Trustee of this trust and the Chief Operating Officer of the Greater Seattle Chamber of Commerce (GSCC), the trust settlor and a service provider to this trust. During the year ended December 31, 2016, fees paid to GSCC for administration totaled $660,070. 0 Maud Daudon Trustee 660070 Maud Daudon is both a Trustee of this trust and President and Chief Executive Officer of the Greater Seattle Chamber of Commerce (GSCC), the trust settlor and a service provider to this trust. During the year ended December 31, 2016, fees paid to GSCC for administration totaled $660,070. 0 Evelyn Lemoine Trustee 660070 Evelyn Lemoine is both a Trustee of this trust and was the Vice President of People Programs of the Greater Seattle Chamber of Commerce (GSCC), the trust settlor and a service provider to this trust. During the year ended December 31, 2016, fees paid to GSCC for administration totaled $660,070. 0 Form 990, Part VI, Section A, line 2 Three of the Trustees of the Business Health Trust are/were employees of the Greater Seattle Chamber of Commerce, the trust settlor and a service provider to this trust. Form 990, Part VI, Section A, line 3 The Trust has contracted with a third-party administrator (Benefit Solutions, Inc.) to provide bookkeeping and administrative services. Form 990, Part VI, Section A, line 7a Trustees are appointed by the Greater Seattle Chamber of Commerce, the trust settlor and a service provider to this trust. Form 990, Part VI, Section A, line 8b There are no committeess with the authority to act on behalf of the Board of Trustees. Form 990, Part VI, Section B, line 11b The Form 990 was prepared under the guidance of the Trust's consultants, advisors, and legal counsel by the independent accounting firm SCHOEDEL & SCHOEDEL, Certified Public Accountants, PLLC. Draft copies of the organization's financial statements and Form 990 were first provided to the Trust's consultants, advisors, and legal counsel who reviewed the Form 990 for accuracy and completeness. Any questions, concerns, or issues raised by them were addressed, and any necessary revisions were made to the Form 990. The revised Form 990 was then provided to the Board of Trustees for its review and approval. Any additional questions, concerns, or issues raised by the Board of Trustees 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 Board of Trustees. Form 990, Part VI, Section C, line 19 The Trust's governing documents, financial statements and Form 990 are available to the public upon written request by contacting the Trust in care of Benefit Solutions, Inc. at: P.O. Box 6, Mukilteo, WA 98275. 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