WESTERN TEAMSTERS WELFARE TRUST: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
WESTERN TEAMSTERS WELFARE TRUST (EIN 91-6033601)
Tax period
2009-09-01 to 2010-08-31
Filed
2011-06-14
IRS object ID
201111659349300146
Schema version
2009v1.7
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-06-14T18:32:01-05:00Timestamp
Tax Period End Date2010-08-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1MILLER KAPLAN ARASE & CO LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11700 7TH AVENUE SUITE 2100AddressLine1
CitySEATTLECity
StateWAState
ZIP Code981011360ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-09-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN916033601EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Western Teamsters Welfare TrustBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlWESTNameControl
Phone2063294900Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12323 Eastlake Avenue EastAddressLine1
CitySeattleCity
StateWAState
ZIP Code981023305ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameROBERT A KROMMName
TitleADMINISTRATIVE MANAGERTitle
Date Signed2011-06-14DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Namemiller kaplan arase co llpName
Phone2068267180Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonBOB KROMMNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12323 EASTLAKE AVENUE EASTAddressLine1
CitySEATTLECity
StateWAState
ZIP Code981023305ZIPCode
FieldValueIRS element (for citing)
Gross Receipts106679570GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteN/AWebSite
Type Of Organization TrustXTypeOfOrganizationTrust
Year Formation1962YearFormation
State Legal DomicileWAStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS, WHICH INCLUDE ACTIVE AND CASUAL EMPLOYEES OF PARTICIPATING EMPLOYERS AND ELIGIBLE RETIREES.ActivityOrMissionDescription
Nbr Voting Members Governing Body10NbrVotingMembersGoverningBody
Nbr Independent Voting Members10NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year121137240ProgramServiceRevenuePriorYear
Program Service Revenue CY99977171ProgramServiceRevenueCY
Investment Income Prior Year4394102InvestmentIncomePriorYear
Investment Income Current Year2823046InvestmentIncomeCurrentYear
Other Revenue Prior Year3650609OtherRevenuePriorYear
Other Revenue Current Year3879353OtherRevenueCurrentYear
Total Revenue Prior Year129181951TotalRevenuePriorYear
Total Revenue Current Year106679570TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year126748066BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY108327208BenefitsPaidToMembersCY
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year4736470OtherExpensePriorYear
Other Expenses Current Year4508402OtherExpensesCurrentYear
Total Expenses Prior Year131484536TotalExpensesPriorYear
Total Expenses Current Year112835610TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-2302585RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-6156040RevenuesLessExpensesCY
Total Assets BOY156131217TotalAssetsBOY
Total Assets EOY152227522TotalAssetsEOY
Total Liabilities BOY27271313TotalLiabilitiesBOY
Total Liabilities EOY29768714TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY128859904NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY122458808NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS, WHICH INCLUDE ACTIVE AND CASUAL EMPLOYEES OF PARTICIPATING EMPLOYERS AND ELIGIBLE RETIREES.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
DescriptionTO PROVIDE HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS, WHICH INCLUDE ACTIVE AND CASUAL EMPLOYEES OF PARTICIPATING EMPLOYERS AND ELIGIBLE RETIREES.Description
Described In501 C3falseDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Balance Sheet Amounts ReportedtrueBalanceSheetAmountsReported
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredfalseScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10962966NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Nbr Voting Governing Body Members10NbrVotingGoverningBodyMembers
Number Independent Voting Members10NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonBOB KROMMNamePerson
Telephone Number2063294900TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12323 EASTLAKE AVENUE EASTAddressLine1
CitySeattleCity
StateWAState
ZIP Code981023305ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (10 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
JOHN COULSON
TRUSTEE1.0X000
A J PHILLIPS
TRUSTEE1.0X000
JIM ROBERTS
TRUSTEE1.0X000
WILLIAM R DAVIDSON
TRUSTEE1.0X000
JUSTIN BUCK HOLLIDAY
TRUSTEE1.0X000
WALTER MAESTAS
TRUSTEE1.0X000
JOE SILVA
TRUSTEE1.0X000
PATRICK D KELLY
TRUSTEE1.0X000
BOB PAFFENROTH
TRUSTEE1.0X000
TOM WALTERS
TRUSTEE1.0X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Description Of ServicesDescriptionOfServicesCompensationCompensation
NORTHWEST ADMINISTRATORS INC
TPA, INV. MGR. AUDIT2111593
SOUTHWEST ADMINISTRATORS INC
TPA1372556
MILLIMAN
CONSULTANT146916
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K
Total Contributions0TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
EMPLOYER CONTRIBUTIONS9000997392933673929336
RETIREE CONTRIBUTIONS9000992376795023767950
COBRA90009922798852279885
FieldValueIRS element (for citing)
Total Program Service Revenue99977171TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column2823046TotalRevenueColumn
Exclusion$2,823,046ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
REFUNDS AND REIMBURSEMENTS90009938561153856115
MISCELLANEOUS INCOME9000992323823238
FieldValueIRS element (for citing)
Total Other Revenue3879353TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column106679570TotalRevenueColumn
Related Or Exempt Function Income103856524RelatedOrExemptFunctionIncome
Exclusion$2,823,046ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total108327208Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total0Total

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total0Total

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total0Total

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total0Total

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total2932547Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total82754Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total115883Total

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total189303Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total290390Total

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total157335Total

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total0Total

Travel Travel

FieldValueIRS element (for citing)
Total0Total

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total110954Total

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total3625Total

Insurance Insurance

FieldValueIRS element (for citing)
Total65706Total

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotal
HEALTHCARE INSIGHT EXPENSES5351
EDI TRANSACTION EXPENSES19147
PTO INFO. SYSTEM & EDI SUPP.42000
COBRA EXPENSES197528
OTHER EXPENSES295879

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total112835610Total

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY22734BOY
EOY23651EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY14736049BOY
EOY8780267EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY9506821BOY
EOY7926360EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY71971BOY
EOY1791EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis11868LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec4504LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY8787BOY
EOY7364EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY131784855BOY
EOY135488089EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY156131217BOY
EOY152227522EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY262877BOY
EOY6223386EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY1901569BOY
EOY2067184EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY25106867BOY
EOY21478144EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY27271313BOY
EOY29768714EOY
FieldValueIRS element (for citing)
Do Not Follow SFAS117XDoNotFollowSFAS117

Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc

FieldValueIRS element (for citing)
BOY128859904BOY
EOY122458808EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY128859904BOY
EOY122458808EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY156131217BOY
EOY152227522EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
LandLand
BuildingsBuildings
Leasehold ImprovementsLeaseholdImprovements

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis11868OtherCostOrOtherBasis
Depreciation4504Depreciation
Book Value7364BookValue
FieldValueIRS element (for citing)
Other Land BuildingsOtherLandBuildings
Total Of Book Value Land Buildings7364TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionBENEFIT OBLIGATIONSDescription
Amount$21,478,144Amount
FieldValueIRS element (for citing)
Total Of Amounts21478144TotalOfAmounts
Total Revenue106679570TotalRevenue
Total Expenses112835610TotalExpenses
Excess Or Deficit For Year-6156040ExcessOrDeficitForYear
Net Unrealized GL On Investments-245056NetUnrealizedGLOnInvestments
Total Adjustments-245056TotalAdjustments
Excess Or Deficit Per FS-6401096ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt106434514TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-245056NetUnrealizedGainsInvestments
Revenue Not Rptd F990-245056RevenueNotRptdF990
Revenue Subtotal106679570RevenueSubtotal
Total Revenue Per Form990106679570TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt112835610TotExpensesEtcAuditedFinclStmt
Expenses Subtotal112835610ExpensesSubtotal
Total Expenses Per Form990112835610TotalExpensesPerForm990

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation

FieldValueIRS element (for citing)
IdentifierPART VI, LINE 11:Identifier
Return ReferencePRIOR TO FILING, THE FORM 990 WAS DISTRIBUTED TO ALL TRUSTEES AND REVIEWEDReturnReference
ExplanationDURING THE BOARD OF TRUSTEE MEETING. PART VI, LINE 12C: THE TRUST HAS A CONFLICT OF INTEREST POLICY THAT REQUIRES ALL TRUSTEES AND SERVICE PROVIDERS TO CONTACT THE ADMINISTRATIVE OFFICE IF ANY ISSUES ARISE THAT COULD IMPAIR THEIR INDEPENDENCE. PART VI, LINE 19: THE TRUST'S PLAN DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MAINTAINED IN THE ADMINISTRATOR'S OFFICE AND ARE AVAILABLE UPON REQUEST.Explanation

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