2014-02-26T16:13:10-06:00 2013-09-30 911623649 JOHNSON STONE & PAGANO PS 1501 REGENTS BLVD SUITE 100 FIRCREST WA 98466 990 2013-01-01 912107226 WASHINGTON COUNTIES INSURANCE POOL WASH 3602924473 2620 RW JOHNSON ROAD SW NO 300 TUMWATER WA 98512 JON KAINO EXECUTIVE DIRECTOR 3602924473 2014-02-17 1 MICHAEL MCCRABB P00058953 2535667070 2013 2015-11-30 17:44:51Z X JON KAINO 2620 RW JOHNSON ROAD SW TUMWATER WA 98512 6381 0 X WCIF.NET X 2001 WA TO PROVIDE VISION COVERAGE FOR THE PAYMENT OF VISION BENEFITS TO ELIGIBLE EMPLOYEES 10 10 0 0 0 0 0 0 837092 6143 334 238 0 0 837426 6381 0 0 0 0 0 0 0 0 0 749173 -24808 749173 -24808 88253 31189 209983 0 27037 0 182946 0 TO PROVIDE SELF-INSURED INDEMNITY VISION COVERAGE FOR THE PAYMENT OF VISION BENEFITS TO ELIGIBLE EMPLOYEES 0 0 -24808 6143 TO PROVIDE SELF INSURED INDEMNITY VISION COVERAGE FOR ELIGIBLE EMPLOYEES -24808 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 WA X KATHI RAUCH 3602924473 2620 RW JOHNSON ROAD SW STE 300 OLYMPIA WA 98512 X RICH PARK PRESIDENT 1.00 X X 0 0 0 HELEN PRICE JOHNSON TRUSTEE 1.00 X 0 0 0 BRAD MILLER TRUSTEE 1.00 X 0 0 0 DEAN BURTON TRUSTEE 1.00 X 0 0 0 OBIE O'BRIEN TRUSTEE 1.00 X 0 0 0 LISA AYERS TRUSTEE 1.00 X 0 0 0 BLAIR BRADY TRUSTEE 1.00 X 0 0 0 WILLARD RIETZEL TRUSTEE 1.00 X 0 0 0 GREG KNIGHT TRUSTEE 1.00 X 0 0 0 PAUL EICHENBERG VICE PRESIDENT 1.00 X X 0 0 0 KATHI RAUCH FINANCE DIRECTOR 1.00 X 0 0 0 JON KAINO EXECUTIVE DIRECTOR 1.00 X 0 0 0 0 0 0 0 0 0 0 0 PREMIUMS 524292 6143 6143 6143 238 238 6381 6143 0 238 12500 12500 293 293 1647 1647 ADMINISTRATION EXPENSE 7699 7699 CLAIMS EXPENSE IBNR ADJ -46947 -46947 -24808 -24808 0 0 133091 0 841 0 0 36112 0 0 0 0 0 0 0 0 0 0 0 39939 0 209983 0 27037 27037 0 X 0 0 0 0 182946 0 182946 0 209983 0 X 31189 -214135 X 0 0 0 ALL ASSETS AND LIABILITITES WERE TRANSFERED TO THE WASHINGTON COUNTIES INSURANCE FUND. 2013-09-30 214135 916060979 WASHINGTON COUNTIES INSURANCE FUND 2620 RW JOHNSON RD SW SUITE 300 TUMWATER WA 98507 501(C)9 0 0 0 0 1 0 0 1 0 FORM 990, PART VI, SECTION B, LINE 11 A COPY OF THE FORM 990 IS MADE AVAILABLE TO THE WASHINGTON COUNTIES INSURANCE POOL GOVERNING BODY PRIOR TO THE FILING OF THE RETURN. FORM 990, PART VI, SECTION B, LINE 12C FORM 990, PART VI, SECTION B, LINE 12C: THE ORGANIZATION DOES NOT REQUIRE DIRECTORS TO ANNUALLY DISCLOSE ANY INTEREST THAT COULD GIVE RISE TO CONFLICTS. OTHER THAN ANNUALLY WHEN THEY SIGN THE CONFLICT OF INTEREST DISCLOSURE, BOARD MEMBERS ARE EXPECTED TO DISCLOSE ANY POTENTIAL CONFLICTS WHEN ISSUES ARISE DURING THE YEAR AND EXCUSE THEMSELVES FROM THE DISCUSSIONS AND VOTING ON THOSE ISSUES. FORM 990, PART VI, SECTION C, LINE 19 FORM 990 IS AVAILABLE UPON REQUEST BY EMAILING THE EXECUTIVE DIRECTOR. FORM 990, PART XI, LINE 9: TRANSFER OF REMAINING ASSETS UPON TERMINATION -214,135.