2025-10-31T15:37:00-05:00 2024-12-31 410746749 CLIFTONLARSONALLEN 10700 NORTHUP WAY SUITE 200 BELLEVUE WA 98004 990 2024-01-01 916028312 PUGET SOUND BENEFITS TRUST PUGE 2064417574 PO BOX 34203 SEATTLE WA 98124 ADAM KECK TRUSTEE 2064417574 2025-10-30 1 0 TODD M STOKES CPA P01451940 4252506100 2025-10-30 2024 2025-03-06 01:10:19Z ADAM KECK PO BOX 1929 SEATTLE WA 98111 8774723 0 X WWW.PSBENEFITSTRUST.COM X 1960 WA TO PROVIDE HEALTH AND WELFARE BENEFITS TO ELIGIBLE MEMBERS 4 1 3 4 0 0 0 0 5456307 5868020 179977 293725 4547 352 5640831 6162097 0 0 5466388 6330695 0 0 0 0 0 508605 552653 5974993 6883348 -334162 -721251 6817186 6588653 1439823 1877146 5377363 4711507 TO PROVIDE HEALTH AND WELFARE BENEFITS TO ELIGIBLE MEMBERS 0 0 TO PROVIDE HEALTH AND WELFARE BENEFITS TO ELIGIBLE MEMBERS 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 1 8 0 1 3 1 0 0 0 0 0 0 0 0 X 4 1 0 1 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 0 0 0 X ADAM KECK 2064417574 7525 SE 24TH STREET SUITE 200 MERCER ISLAND WA 98040 X SUZANNE MODE END 1124 UNION TRUSTEE - CHAIR 1.00 X X 0 0 0 ADAM KECK EMPLOYER TRUSTEE - CHAIR 1.00 X X 0 0 0 ERIN ADAMSON UNION TRUSTEE- SECRETARY 1.00 X X 0 0 0 FRANK BENISH EMPLOYER TRUSTEE 1.00 X 0 0 0 CORINNE COSENTINO START 1124 UNION TRUSTEE 1.00 X 0 0 0 0 0 0 0 0 0 0 WELFARE & PENSION ADMIN SERVICE INC PO BOX 34203 SEATTLE WA 98124 THIRD PARTY ADMINISTRATOR 241599 1 EMPLOYER CONTRIBUTIONS 900099 5757549 5757549 EMPLOYEE CONTRIBUTIONS 900099 110471 110471 5868020 175228 175228 2731123 2612626 118497 118497 118497 LITIGATION INCOME 900099 352 352 352 6162097 5868372 0 293725 6330695 381182 10200 22265 15660 48433 51360 3342 2162 10995 7054 6883348 100295 355515 189865 309935 580473 748553 2987 10208 5943566 5164442 6817186 6588653 13251 24186 1426572 1852960 1439823 1877146 X 0 0 0 0 5377363 4711507 5377363 4711507 6817186 6588653 -721251 55395 0 X X 0 1 X 1 0 0 LAG MONTHS ELIGIBILITY COVERAGE 1085260 CLAIMS PAYABLE AND INCURRED BUT NOT REPORTED 767700 1852960 X 6201832 55395 55395 6146437 15660 15660 6162097 6441300 0 6441300 15660 426388 442048 6883348 PART X, LINE 2: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE PLAN MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE PLAN AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF THE PLAN HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. PART XII, LINE 4B - OTHER ADJUSTMENTS: CHANGE IN ESTIMATED LAG MONTHS ELIGIBILITY COVERAGE 116,688. CHANGE IN CLAIMS PAYABLE AND INCURRED BUT NOT REPORTED CLAIMS 309,700. FORM 990, PART VI, SECTION A, LINE 3 THE PLAN HIRED WELFARE & PENSION ADMINISTRATION SERVICE, INC. (WPAS) AS THE THIRD PARTY ADMINISTRATOR OF THE PLAN. WPAS EXECUTES AND OVERSEES ALL THE DAY TO DAY OPERATIONS INLUDING COLLECTION OF CONTRIBUTIONS, PAYMENT OF ADMINISTRATION AND CLAIMS EXPENSES AND PREPARING FINANCIAL STATEMENTS. FORM 990, PART VI, SECTION A, LINE 8B THE ORGANIZATION DOES NOT HAVE COMMITTEES THAT ACT ON BEHALF OF THE GOVERNING BODY FORM 990, PART VI, SECTION B, LINE 11B THE DRAFT FORM 990 IS SENT TO EACH TRUSTEE AND THE TRUST ATTORNEY FOR REVIEW PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE PLAN'S ADMINISTRATOR PERIODICALLY UPDATES A LIST OF PARTIES-IN-INTEREST. THE TRUST ATTORNEY REVIEWS ALL PROPOSED SERVICE PROVIDER RELATIONSHIPS FOR COMPLIANCE WITH ERISA. SERVICE PROVIDER AGREEMENTS ARE REVIEWED BY THE TRUST ATTORNEY PRIOR TO EXECUTION OF THE AGREEMENTS. FORM 990, PART VI, SECTION C, LINE 19 PARTICIPANTS AND BENEFICIARIES OF THE PLAN MAY REQUEST COPIES OF THE GOVERNING DOCUMENTS, CONFLICT IN INTEREST POLICIES AND FINANCIAL STATEMENTS FROM THE PLAN'S ADMINISTRATOR. FORM 990: PART VII, SECTION A, LINE 6 TRUSTEES ARE NOT COMPENSATED BY THE TRUST. COMPENSATION PAID TO TRUSTEES EMPLOYED BY OTHER RELATED TAX EXEMPT ORGANIZATIONS IS REPORTED ON FORM 990 FILED WITH THE IRS, BY THE RELATED TAX-EXEMPT ORGANIZATION. IF YOU WOULD LIKE ADDITIONAL INFORMATION PLEASE CONTACT THE PLAN ADMINISTRATOR. FORM 990, PART XI, LINE 2C THERE HAS BEEN NO CHANGE FROM THE PRIOR YEAR. THE ANNUAL AUDIT IS PRESENTED TO THE FULL BOARD OF TRUSTEES FOR REVIEW AND DISCUSSION AT THE FIRST SCHEDULED MEETING FOLLOWING COMPLETION OF THE AUDIT. THE INDEPENDENT AUDITORS ARE PRESENT TO DISCUSS THE REPORT AND ANSWER ANY QUESTIONS POSED BY THE TRUSTEES. FORM 990, PART V, LINE 2A AND PART IX, LINE 4 THE PLAN PROVIDES TAXABLE TIME LOSS BENEFITS TO ELIGIBLE PARTICIPANTS AND REPORTS THOSE BENEFITS ON FORM W-2. THESE BENEFITS ARE INCLUDED ON FORM 990, PART IX, LINE 4. OFFICE & PROFESSIONAL EMPLOYEES INT UNION LOCAL 8 2900 EASTLAKE AVE E SUITE 200 SEATTLE WA 98102 910344245 SPONSORING LOCAL UNION WA 501(C)(5) N/A N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 SCHEDULE R, IDENTIFICATION OF RELATED ORGANIZATIONS THE FILING ORGANIZATION IS A TAFT-HARTLEY MULTI-EMPLOYER TRUST THAT PROVIDES HEALTH BENEFITS TO ELIGIBLE EMPLOYEES AND THEIR DEPENDENTS. AS OF DECEMBER 31, 2024, THERE ARE APPROXIMATELY 33 EMPLOYERS THAT CONTRIBUTE TO THE TRUST. THE ADMINISTRATIVE OFFICE MAINTAINS A DATABASE OF THESE CONTRIBUTING EMPLOYERS, INCLUDING NAMES, ADDRESSES, AND OTHER CONTACT INFORMATION. THE FEDERAL TAX CLASSIFICATION (DISREGARDED ENTITY, TAX-EXEMPT ORGANIZATION, PARTNERSHIP, TAXABLE CORPORATION OR TRUST) FOR EACH CONTRIBUTING EMPLOYER IS NOT ON FILE WITH THE ADMINISTRATION OFFICE AND IT COULD NOT BE REASONABLY OBTAINED. AS A RESULT, THE NAMES OF THE CONTRIBUTING EMPLOYERS ARE LISTED ON PART VII BELOW AND NOT ON PARTS II THROUGH IV BY FEDERAL TAX CLASSIFICATION. AEROSPACE DISTRICT AEROSPACE MACHINISTS AFT WASHINGTON AMALGAMATED TRANSIT BARLOW COUGHRAN CWA LOCAL 7800 ELEVATOR CONSTRUCTORS HEAT&FROST INSULATORS HOD CARRIERS AND GEN IAM & AW DISTRICT IBEW LOCAL 46 IBEW LOCAL 89 ILWU LOCAL 19 ILWU LOCAL 52 IRONWORKER LOCAL 14 IRONWORKERS APPR TRUST IRONWORKERS LOCAL 86 IUPAT DIST COUNCIL 5 KING COUNTY LABOR-HMO NW SHEET METAL WORKERS PACIFIC NW IRONWKERS & EMPLOYERS APPR &TRAIN PILE DRIVERS & DIVERS PLUMBERS & FITTERS PUBLIC SAFETY EMPLOYEE REBOUND - PLAN A SHEET METAL WORKERS SPEEA SPRINKLER FITTERS UA LOCAL #26 WA STATE LABOR COUNCIL WASH ST BUILDING AND WELFARE & PENSION WEST WA SHEET METAL