2017-05-09T19:10:03-05:00 2016-06-30 410746749 CLIFTONLARSONALLEN LLP 10700 NORTHUP WAY SUITE 200 BELLEVUE WA 98004 990 2015-07-01 916028565 ALASKA LABORERS CONSTRUCTION INDUSTRY HEALTH & SECURITY FUND ALAS 2064417574 PO BOX 34203 SEATTLE WA 98124 DERALD SCHOON CHAIRMAN 2064417574 2017-05-05 1 ANITA BAKER P00890233 4252506100 2017-05-04 2015 2021-01-29 14:40:06Z DERALD SCHOON PO BOX 34203 SEATTLE WA 98124 71925708 0 X N/A X 1953 AK TO PROVIDE HEALTH & WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS OF THE PLAN 8 8 4 8 0 0 0 0 26433549 24283329 -51611 77604 17198 10332 26399136 24371265 0 0 21437025 20519969 0 0 0 0 0 1407313 1368453 22844338 21888422 3554798 2482843 25108794 24442260 14572712 11165631 10536082 13276629 THE PLAN PROVIDES HEALTH AND & WELFARE BENEFITS TO ELIGIBILE MEMBERS. 0 0 THE PLAN PROVIDES HEALTH & WELFARE BENEFITS TO ELIGIBLE MEMBERS. 0 0 0 0 0 0 0 0 0 1 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 1 371 0 1 4 1 0 0 0 0 0 0 X 8 8 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X WELFARE & PENSION ADMIN SVC INC 2064417574 7525 SE 24TH STREET SUITE 200 MERCER ISLAND WA 98040 X X DERALD SCHOON TRUSTEE, CHAIRMAN 1.00 X X 0 0 0 JOEY MERRICK TRUSTEE 1.00 X 0 0 0 MIKE BRADY TRUSTEE 1.00 X 0 0 0 DAN SIMIEN TRUSTEE, SECRETARY 1.00 X X 0 0 0 KEVIN POMEROY TRUSTEE 1.00 X 0 0 0 JAYSEN MATHIESEN TRUSTEE 1.00 X 0 0 0 BRANDON CALCATERRA TRUSTEE 1.00 X 0 0 0 STEVE GERAGHTY TRUSTEE 1.00 X 0 0 0 0 0 0 0 0 0 0 WELFARE AND PENSION ADMIN SERVICES INC 7525 SE 24TH STREET SUITE 200 MERCER ISLAND WA 98040 THIRD-PARTY ADMIN 670324 AETNA 610 UNION STREET SUITE 810 SEATTLE WA 98101 CLAIMS ADMIN 405108 ALERE HEALTH IMPROVEMENT 51 SAWYER ROAD SUITE 200 WALTHAM MA 02453 HEALTH SOLUTIONS 144261 3 EMPLOYER CONTRIBUTIONS 900099 21576620 21576620 EMPLOYEE CONTRIBUTIONS 900099 2706709 2706709 24283329 135962 135962 47496085 47554443 -58358 -58358 -58358 OTHER INCOME 900099 10332 10332 10332 24371265 24293661 0 77604 20519969 670324 100561 61000 20921 176279 128286 6443 9168 13464 5105 ACA TRANSITIONAL REINSU 111959 LABORERS HEALTH & SAFET 55015 PCORI TAX 9928 21888422 530894 493597 2735658 2412224 3495 3495 1159 0 1159 1159 19141086 18623425 2696502 2908360 25108794 24442260 476712 360731 14096000 10804900 14572712 11165631 X 0 0 0 0 10536082 13276629 10536082 13276629 25108794 24442260 2482843 257704 0 X X 0 1 X 1 0 1159 1159 1159 103-12 INVESTMENT ENTITY 2908360 F 2908360 CLAIMS PAYABLE 453900 CLAIMS INCURRED BUT NOT REPORTED 2536000 ACCUMULATED ELIGIBILITY CREDITS 7815000 10804900 X 24608048 257704 257704 24350344 20921 20921 24371265 25158601 0 25158601 20921 -3291100 -3270179 21888422 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: CHANGE IN CLAIMS PAYABLE -408,100. CHANGE IN CLAIMS INCURRED BUT NOT REPORTED -2,151,000. CHANGE IN ACCUMULATED ELIGIBILITY CREDITS -732,000. FORM 990, PART VI, SECTION A, LINE 3 THE DAY TO DAY OPERATION OF THE PLAN IS HANDLED BY A THIRD PARTY ADMINISTRATOR, WELFARE AND PENSION ADMINISTRATION SERVICES, INC. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS REVIEWED BY THE BOARD BEFORE IT IS SIGNED. FORM 990, PART VI, SECTION B, LINE 12C TRUSTEES ARE REQUIRED TO FILE ANNUAL STATEMENTS REGARDING CONFLICTS OF INTEREST. FORM 990, PART VI, SECTION C, LINE 19 THE PLAN PROVIDES ITS DOCUMENTS AND FINANCIAL STATEMENTS UPON REQUEST THROUGH THE PLAN ADMINISTRATOR. FORM 990, PART VII, SECTION A, LINE 6: TRUSTEES ARE NOT COMPENSATED BY THE TRUST. COMPENSATION BY OTHER RELATED TAX-EXEMPT ORGANIZATIONS IS REPORTED ON FORM 990 FILED WITH THE INTERNAL REVENUE SERVICE BY THE RELATED TAX-EXEMPT ORGANIZATION. IF YOU WOULD LIKE ADDITIONAL INFORMATION, PLEASE CONTACT THE PLAN ADMINISTRATOR. FORM 990, PART XII, LINES 2B & 2C: THE BOARD OF TRUSTEES IS RESPONSIBLE FOR OVERSEEING THE ANNUAL AUDIT AND HIRING THE AUDITOR. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. ALASKA STATE DISTRICT ASEAAFSCME LOCAL 52 CITY OF ANDERSON CITY OF FAIRBANKS FAIRBANKS PIPELINE LABORERS LOCAL #341 LABORERS LOCAL #942 LEBPCT NORTHWEST LAB-EMP ALASKA LABORERS-CONSTRUCTION INDUSTRY LEGAL SERVICES FUND ALASKA LABORERS-CONSTRUCTION INDUSTRY TRAINING FUND ALASKA LABORERS-EMPLOYERS RETIREMENT PLAN ALASKA JUNEAU CITY OF WASILLA A & D DRILL AND ALASKA INTERSTATE PRUHS CONSTRUCTION RENEGADE EQUIPMENT SAFWAY SERVICES LLC SCOGGIN EXCAVATING LLC TUTKA LLC ACME FENCE CO ADMIRALTY CONSTRUCTION AGGREGATE CONSTRUCTION AHTNA CONSTRUCTION AK WORKS PARTNERSHIP ALASKA ABATEMENT CORP ALASKA CONCRETE SAWING ALASKA FRONTIER CONST ALASKA ROAD BORING INC ALASKA X INC ALEUT O&M SERVICES ALYESKA LAND SERVICES AMERICAN LANDSCAPING ANCHORAGE SAND ARETE CONSTRUCTION ASRC CIVIL CONST LLC ASRC ENERGY SERVICES BEK OF ALASKA INC BLASTING TECHNOLOGY BRECHAN CONST INC BRICE INC BRISTOL CONSTRUCTION BRISTOL ENGINEERING BRISTOL GENERAL CONT CB&I FEDERAL SERVICES CHANNEL CONST CO INC COLASKA DBA SECON CORAL CONST CO CORNERSTONE CONST CO CRUZ CONSTRUCTION INC DAVIS CONSTRUCTORS DOYON ASSOCIATED LLC DYNAMIC PAINTING EJ BARTELLS EARTH STONE INC EASTSIDE CARPET CO EVER ELECTRIC INC EXCEL CONSTRUCTION EXCLUSIVE PAVING F & W CONST CO FD THOMAS INC FINISHING EDGE FLOWLINE FRAWNER CORPORATION FAIRBANKS NORTHSTAR GBC INC GHEMM CO INC GLACIER STATE CONTRS GMC CONTRACTING INC GRAFF CONTRACTING GRANITE CONSTRUCTION GREAT NORTHWEST INC HASKELL CORP HC CONTRACTORS INC HOUSTON CONTRACTING INDUSTRIAL INSULATION INTERIOR REGIONAL JAFFA CONST INC JOHNSON RIVER KC ALASKA KEN BRADY CONST CO INC K'S CONSTRUCTION KIEWIT BUILDING GROUP KIEWIT INFRASTRUCTURE MC RESOURCE MASS EXCAVATION INC MCKINLEY FENCE CO M-ALASKA CONSTRUCTION MILLER CONSTRUCTION CO MCKENNA BROS PAVING MORLEY ELECTRIC MOWAT CONSTRUCTION NAES POWER CONTRACTORS NANUQ INC NEESER CONST INC NMI ALASKA INC NORCON INC NORTH STAR PAVING NORTHERN CONSTRUCTION OGARD LEASING INC ORION MARINE CONT NOWKA CABINET CO NORTHWEST LANDSCAPE PAVING PRODUCTS INC PCL CIVIL CONSTRUCTORS PCL CONSTRUCTION SERV PERFORMANCE ABATEMENT PREMIER EARTHWORK NORTH PACIFIC ERECTORS PRICE GREGORY INT'L NANA MANAGEMENT PROSSER DAGG CONST QAP R&D MASONRY INC ROADRUNNER FENCE CO ROGER HICKEL CONTRACT S & S GENERAL CONTRS SCARSELLA BROTHERS RICHARDS MASONRY MVP INC MALONE CONSTRUCTION SILVER MOUNTAIN CONST SMITH MASONRY SOCKEYE CONSTRUCTION SOUTHCENTRAL CONST INC SR BALES CONSTRUCTION SWALLING CONST CO INC TANANA CHIEFS CONF TCCVALDEZ TUNISTA INC UNIT COMPANY VERTEX INSULATION INC SNELSON COMPANIES INC WELDIN CONST INC WHITE MOUNTAIN CONST BRISTOL ENVIRONMENTAL A S AND D INC ALASKA ALPINE CONST AVAR CONSTRUCTION AZCO INTEGRATED B & R FISH BY-PRODUCTS BE HAPPY HOME BOREALIS WINDOW BRADSHAW AND ASSOCIATES CAT'S EYE EXCAVATING CHUMLEY CORPORATION CONCRETE AND MASONRY DAWSON CONSTRUCTION CO ENCO ALASKA INC GROUND EFFECTS INC HAULIN' HANNA KC ALASKA SOUTHEAST EARTHMOVERS WEST COAST CONCRETE WOLVERINE SERVICES LLC 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 LABORERS' INTERNATIONAL UNION OF NORTH AMERICA LOCAL 942 M 18195 ACTUAL PAID LABORERS' INTERNATIONAL UNION OF NORTH AMERICA LOCAL 341 M 74989 ACTUAL PAID ALASKA LABORERS-EMPLOYERS RETIREMENT FUND P 32437 ACTUAL PAID JERMAIN DUNNAGAN & OWENS PC M 99858 ACTUAL PAID FORM 990, SCHEDULE R THE FOLLOWING ENTITIES ARE RELATED ORGANIZATIONS FOR WHICH ENTITY TYPE FOR TAX STATUS IS NOT AVAILABLE: AES HOUSTON AHTNA FACILITY ALASKA STONE ASTS, INC. BERING KAYA SUPPORT BERING STRAITS BRICE ENVIRONMENTAL COASTAL EXCAVATION CONSTRUCTION GROUP EVERGREEN CONCRETE FAIRBANKS PIPELINE HASKELL-DAVIS J.V. JERMAIN DUNNAGAN & OWENS KAYA ASSOC. INC. NORTHERN LIGHTS PACIFIC PILE & MARINE PRESTIGE CARE, INC. SAXTON BRADLEY, INC. SEANA CABINETS SPERNAK & SON SWALLING GENERAL CONT. TOUCHED BY ANGELS TRIPLETTE CONSTRUCTION WOLF CREEK SERVICES ZERO WASTE SOLUTIONS