2011-01-14T11:25:06-06:00 2010-03-31 lindquist llp 5000 executive parkway suite 400 san ramon CA 94583 990 2009-04-01 916028570 LOCALS 302 & 612 INTL UNION OF OP ENG CONST IND HEALTH AND SECURITY PLAN LOCA 2064417574 PO Box 34203 Seattle WA 981241203 daren konopaski 2064417574 2011-01-14 1 9252779100 2009 2016-02-24 21:20:13Z Daren Konopaski PO Box 34203 Seattle WA 981241203 264316881 0 X http://www.wpas-inc.com/IUOE302and612 X 1953 WA PROVIDE HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS. 10 10 19 0 0 0 0 107831350 101323810 -4089654 5837209 222363 189322 103964059 107350341 0 92346427 86206229 0 0 0 4388580 4335652 96735007 90541881 7229052 16808460 134785545 162749771 67626382 66362040 67159163 96387731 PROVIDE HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS, THEIR DEPENDENTS, AND RETIREES. 0 0 PROVIDE HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS, THEIR DEPENDENTS, AND RETIREES. 0 0 0 0 0 0 0 0 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 5365 0 1 19 1 0 0 0 0 0 10 10 0 1 0 0 0 0 0 1 1 0 0 1 1 0 0 1 1 0 0 0 X Welfare & Pension Administration Se 2064417574 2815 SECOND AVENUE SUITE 300 seattle WA 98121 X richard dickson 1.00 X 0 0 0 brett ferullo 1.00 X 0 0 0 mike tucci 1.00 X 0 0 0 doug peterson 1.00 X 0 0 0 mike miller 1.00 X 0 0 0 Malcolm Auble 1.00 X 0 0 0 ernest evans 1.00 X 0 0 0 daren konopaski 1.00 X 0 0 0 robert peterson 1.00 X 0 0 0 michael sean jeffries 1.00 X 0 0 0 0 0 0 0 0 0 0 Welfare & Pension Administration Service po box 34203 seattle WA 98124 Administration 2151122 first choice health 600 university street suite 1400 seattle WA 98101 ppo network provider 589725 mercer 1301 fifth avenue suite 1900 seattle WA 98101 consulting services 287925 asmed health partnership 3230 w commercial blvd suite 350 fort lauderdale FL 33309 ppo network provider 254119 rainier investment management 601 union street suite 2801 seattle WA 98101 investment manager 211644 6 Employer Contributions 900099 78666037 78666037 Participant Contributi 900099 16107808 16107808 MEDICARE PART D-DRUG S 900099 2350120 2350120 FORMULARY AND OTHER RE 900099 2072501 2072501 ARRA COBRA reimburseme 900099 1274467 1274467 852877 852877 101323810 4284051 4284051 158519698 156966540 1553158 1553158 1553158 LEGAL FEES COLLECTED 900099 118866 118866 Securities lending inc 900099 62070 62070 SECURITIES LITIGATION 900099 8386 8386 189322 107350341 101323810 0 6026531 86206229 774914 223197 155415 260940 2329499 534246 10358 22880 24203 90541881 2354083 3511148 8751493 6290609 10042127 11461461 23125 6000 96469822 124239119 17144895 17241434 134785545 162749771 17282117 18579606 50344265 47782434 67626382 66362040 X 0 0 0 0 67159163 96387731 67159163 96387731 134785545 162749771 X 0 1 1 X 0 0 FAIR VALUE OF COLLATERAL HELD FOR SECURITIES ON LOAN 17241434 17241434 ACCUMULATED ELIGIBILITY CREDITS 30541000 OBLIGATIONS UNDER SECURITIES LENDING AGREEMENT 17241434 47782434 107350341 90541881 16808460 12420108 -1477950 10942158 27750618 119509509 12420108 12420108 107089401 260940 260940 107350341 91758891 0 91758891 260940 -1477950 -1217010 90541881 Part XI, Line 8 - Other Adjustments: decrease in Benefit Obligations Part XIII, Line 4b - Other Adjustments: decrease in Benefit Obligations Form 990, Part VI, Section A, line 3 the plan has contracted with Welfare & Pension Administration Service, Inc to provide day to day administrative services to the PLAN. Form 990, Part VI, Section B, line 11 A TRUSTEE REVIEWED THE FORM 990 PRIOR TO FILING WITH THE IRS. PRIOR TO FILING THE FORM 990 THE GOVERNING BODY IS NOTIFIED VIA EMAIL THAT A COPY OF THE FORM 990 IS AVAILABLE UPON REQUEST FOR THEIR REVIEW. Form 990, Part VI, Section C, line 19 the organization does not make its governing documents, conflict of interest policy, and financial statements available to the public. FORM 990, PART XI, LINE 2C: The organization has a board of trustees that assumes responsibility for oversight of the audit of its financial statements and selection of an independent accountant. Form 990, Part V, Line 2a: The plan provides taxable disability benefit payments to eligible participants and reports those benefits on form w-2. These benefits are included on form 990 part IX line 4. Western WA Operating Engineers - Employers Training Trust 16921 vantage highway ellensburg WA 98926 916134083 to provide training benefits WA 501(c)3 9 N/A Locals 302 & 612 of the IUOE Retirement Plan po box 34203 seattle WA 981241203 916028571 to provide pension benefits WA 501(A) N/A N/A Locals 302 & 612 of the IUOE DC Plan po box 34203 seattle WA 981241203 916387291 to provide pension benefits WA 501(A) N/A N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0