2016-10-16T15:28:50-05:00 2015-12-31 910614823 SCHOEDEL & SCHOEDEL CPAS PLLC 422 W RIVERSIDE AVE STE 1420 SPOKANE WA 992010395 990 2015-01-01 276838771 Omnitrade Health Trust OMNI 4257717359 PO Box 6 Mukilteo WA 982750006 John B Scates Trustee 4257717359 2016-10-16 1 SCOTT OPPERUD CPA P00542597 5097472158 2016-10-05 2015 2017-02-10 21:41:12Z John B Scates PO Box 6 Mukilteo WA 982750006 33135598 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 39873701 33060231 494 377 74561 74990 39948756 33135598 0 0 39530633 33061547 60360 50397 0 0 0 4067707 3405795 43658700 36517739 -3709944 -3382141 1831358 1707915 10148023 13406721 -8316665 -11698806 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 31 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 Benefit Solutions Inc 4257717359 12121 Harbour Reach Drive Suite 105 Mukilteo WA 98275 John B Scates Trustee 3.00 X X 50397 0 0 50397 0 0 0 0 0 0 Wells Fargo Insurance Services USA Inc 999 Third Avenue Suite 4100 Seattle WA 98104 Consulting manager 1342517 Benefit Solutions Inc 12121 Harbour Reach Drive Suite 10 Mukilteo WA 982750006 Contract administrator 578569 Armfield Harrison & Thomas Technology 600 University St Suite 1300 Seattle WA 98101 Insurance broker 215255 Davis Wright Tremaine LLP 1201 Third Avenue Suite 2200 Seattle WA 98101 Legal services 141906 4 Employer contributions, net 525100 32697802 32697802 Participant contributions, net 525100 362429 362429 33060231 377 377 Employer late fees 525100 74990 74990 74990 33135598 33135221 0 377 33061547 50397 578569 141906 15642 2659885 1402 4271 4120 36517739 1378417 1373113 251187 251564 201754 83238 1831358 1707915 125205 111485 411060 620658 9611758 12674578 10148023 13406721 X 0 0 0 0 -8316665 -11698806 -8316665 -11698806 1831358 1707915 -3382141 0 X 0 1 X 0 0 0 Premiums due to insurers 618389 Contract experience deficits 12056189 12674578 33135598 0 33135598 0 33135598 33454919 9611758 9611758 23843161 12674578 12674578 36517739 Part XII, Line 2d - Other Adjustments: Premiums due insurers at the end of the prior year 853,400. Contract experience deficits at the end of the prior year 8,758,358. Part XII, Line 4b - Other Adjustments: Premiums due insurers at the end of the current year 618,389. Contract experience deficits at the end of the current year 12,056,189. 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 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 11 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 Benefit Solutions, Inc. at: P.O. Box 6, Mukilteo, WA 98275. Habitat for Humanity Tacoma-Pierce County 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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