2012-03-02T17:40:40-06:00 2011-03-31 CLIFTONLARSONALLEN LLP 3000 NORTHUP WAY SUITE 200 BELLEVUE WA 980041446 990 2010-04-01 910589283 NORTHWEST SHEET METAL WORKERS WELFARE FUND NORT 5095340600 1322 NORTH POST SPOKANE WA 99201 RICK SCHRADER 5095340600 2012-03-02 1 KENNETH L CLENIN CPA 4252506100 2012-03-02 2010 2016-02-24 21:20:13Z RICK SCHRADER 1322 NORTH POST SPOKANE WA 99201 91770074 0 X N/A X 1976 WA HEALTH AND WELFARE BENEFITS 10 10 164 10 0 0 0 0 55870082 53398960 1658505 2373177 0 0 57528587 55772137 0 0 53202758 56212644 0 0 0 0 0 1979687 1879439 55182445 58092083 2346142 -2319946 68956607 68531307 31329534 30033414 37627073 38497893 TO PROVIDE HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS AS SPECIFIED IN THE PLAN. 0 0 TO PROVIDE HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS AS SPECIFIED IN THE PLAN. 0 0 0 0 0 0 0 0 0 0 0 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 0 1 5213 0 1 164 1 0 0 0 0 0 0 X 10 10 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 0 0 0 0 0 X REHN AND ASSOCIATES 5095340600 1322 NORTH POST SPOKANE WA 99201 X RICK SCHRADER X X 0 0 0 BARON W DERR X 0 0 0 JERRY KINSLEY X 0 0 0 BRENT MOORE X X 0 0 0 TIM KESTER X 0 0 0 JIM RYAN X 0 0 0 JOHN GARRETT X 0 0 0 RANDY FRISBEE X 0 0 0 ERIC MARTINSON X 0 0 0 JOHN MERK X 0 0 0 SHANNON MCENTIRE X 0 0 0 0 0 0 0 0 0 0 AW REHN AND ASSOCIATES 1322 NORTH POST SPOKANE WA 99201 ADMINISTRATION 907062 FIRST CHOICE HEALTH NETWORK 600 UNVERSITY ST SUITE 1400 SEATTLE WA 98101 CLAIMS 477362 EVISON RX 2181 E AURORA RD SUITE 201 TWINSBURG OH 44087 RX CLAIMS ADMINSTRATOR 162986 RAINIER INVESTMENT MANAGEMENT 601 UNION ST SUITE 2801 SEATTLE WA 98101 INVESTMENT MANAGER 118981 LOCKITCH CLEMENTS & RICE PS 3000 NORTHUP WAY SUITE 200 BELLEVUE WA 98004 AUDIT AND AUP WORK 101809 5 EMPLOYER CONTRIBUTIONS 525100 44857689 44857689 EMPLOYEE CONTRIBUTIONS 525100 4487933 4487933 SUPP. BENEFIT CONTRIBS 525100 4005163 4005163 LIQUIDATED DAMAGES 525100 48175 48175 53398960 1880546 1880546 36490568 35997937 492631 492631 492631 55772137 53398960 0 2373177 56212644 1070048 76857 110809 118981 134294 215013 48528 13120 21057 BANK CHARGES 57952 CUSTODIAL BANK FEES 12780 58092083 -612941 0 1444554 1016030 640053 806084 4289677 4323380 53658 53658 63141606 62332155 68956607 68531307 899441 1015168 30430093 29018246 31329534 30033414 X 0 0 0 0 37627073 38497893 37627073 38497893 68956607 68531307 X -2319946 3190766 X X 0 1 1 X 0 0 ACCUMULATED ELIGIBILITY CREDITS 9685519 LIABILITY FOR INCURRED BUT UNREPORTED CLAIMS 8300000 LIABILITY FOR EXTENDED MEDICAL COVERAGE 9296342 LIABILITY FOR SEVERANCE BENEFITS 1736385 29018246 55772137 58092083 -2319946 3190766 3190766 870820 58831142 3190766 3190766 55640376 131761 131761 55772137 59372169 0 59372169 131761 -1411847 -1280086 58092083 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: THE PLAN ADMINISTRATOR HAS ANALYZED THE TAX POSITIONS TAKEN BY THE PLAN, AND HAS CONCLUDED THAT AS OF MARCH 31, 2011, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. THE PLAN ADMINISTRATOR BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR ANY YEARS PRIOR TO 2008. PART XIII, LINE 4B - OTHER ADJUSTMENTS: CHANGE IN HOUR BANK RESERVE -835,686. CHANGE IN IBNR RESERVE 550,000. CHANGE IN EXTENDED BENEFIT RESERVE -1,133,132. CHANGE IN SEVERANCE BENEFITS RESERVE 6,971. FORM 990, PART VI, SECTION A, LINE 3 THE DAY TO DAY OPERATIONS OF THE PLAN ARE MANAGED BY AW REHN & ASSOCIATES FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS PRESENTED TO THE BOARD OF TRUSTEES AND LEGAL COUNSEL BEFORE SIGNATURE AND FILING FORM 990, PART VI, SECTION B, LINE 12C TRUSTEES ARE ASKED ANNUALLY IN WRITING IF ANY CONFLICTS EXIST. ANY CONFLICTS ARE BROUGHT TO THE BOARD OF TRUSTEES FOR RESOLUTION. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATIONS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE NOT AVAILABLE TO THE PUBLIC. A SUMMARY ANNUAL REPORT REQUIRED BY ERISA IS SENT TO THE PARTICIPANTS ANNUALLY. ACCORDING TO THE REGULATIONS OF THE EBSA, PARTICIPANTS CAN REQUEST THE FULL ANNUAL REPORT AND FORM 5500 FROM THE PLAN ADMINISTRATOR. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 3,190,766. THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR NORTHWEST SHEET METAL WORKERS PENSION PLAN 1220 SW MORRISON SUITE 300 PORTLAND OR 97205 916061344 PROVIDE RETIREMENT BENEFITS TO ELIGIBLE PARTICIPANTS WA 1.401-1(B)(3) 0 NORTHWEST SHEET METAL WORKERS SUPPLEMENTAL PENSION PLAN 1220 SW MORRISON SUITE 300 PORTLAND OR 97205 911702340 PROVIDE RETIREMENT BENEFITS TO ELIGIBLE PARTICIPANTS WA 1.401-1(B)(3) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 THIS RETURN IS BEING FILED BETWEEN MARCH 1, 2012, AND MARCH 30, 2012, AS DIRECTED BY THE IRS IN NOTICE 2012-4, BECAUSE ELECTRONIC FILING WAS NOT AVAILABLE JANUARY 1, 2012 THROUGH FEBRUARY 29, 2012. WE REQUEST THAT PENALTIES BE WAIVED BECAUSE IT WOULD BE INEQUITABLE TO IMPOSE A PENALTY ON US DUE TO THE UNUSUAL CIRCUMSTANCES REQUIRING US TO DELAY THE FILING OF THIS RETURN.