2026-05-28T11:11:57-05:00 2025-07-31 410746749 CLIFTONLARSONALLEN LLP 10700 NORTHUP WAY SUITE 200 BELLEVUE WA 98004 990 2024-08-01 916029124 PUGET SOUND ELECTRICAL WORKERS HEALTHCARE TRUST FUND PUGE 2064417574 PO BOX 34203 SEATTLE WA 98124 GILLIAN BURLINGHAM TRUSTEE 2064417574 2026-05-27 1 0 IANN M SEEL CPA P03444537 4252506100 2026-05-27 2024 2025-03-06 01:10:19Z GILLIAN BURLINGHAM PO BOX 34203 SEATTLE WA 98124 207703630 0 X WWW.PSEWTRUSTS.COM X 1954 WA PROVIDE HEALTH AND VACATION BENEFITS 6 0 32 9 0 0 0 0 118578739 134478693 4720869 3512634 29449 67649 123329057 138058976 0 0 129342245 132798112 0 0 0 0 0 7022275 9366344 136364520 142164456 -13035463 -4105480 64609122 54080888 66548741 60577356 -1939619 -6496468 PROVIDED HEALTH AND VACATION BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS 0 0 PROVIDED HEALTH AND VACATION BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS AS SPECIFIED BY 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 1 1769 0 1 32 1 0 0 0 0 0 0 0 0 X 6 0 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X WELFARE & PENSION ADMINISTRATION SERVICE INC 2064417574 7525 SE 24TH ST 200 MERCER ISLAND WA 98040 X X JANET LEWIS END 01012025 CHAIRMAN 1.00 X X 0 0 0 SEAN BAGSBY TRUSTEE 1.00 X 0 0 0 GILLIAN BURLINGHAM START 08012024 CHAIRMAN 1.00 X X 0 0 0 BARRY SHERMAN END 01012025 SECRETARY 1.00 X X 0 0 0 MICHAEL BROBERG END 08012024 TRUSTEE 1.00 X 0 0 0 MARV NELSON TRUSTEE 1.00 X 0 0 0 JAMESON SCHWETZ START 01012025 SECRETARY 1.00 X X 0 0 0 LISA KENYON START 08012024 TRUSTEE 1.00 X 0 0 0 NICOLE GRANT START 08012024 TRUSTEE 1.00 X 0 0 0 0 0 0 0 0 0 0 WELFARE & PENSION ADMINSTRATION SERVICE 7525 SE 24TH ST SUITE 200 MERCER ISLAND WA 98040 THIRD PARTY ADMINISTRATION 3658254 PREMERA BLUE CROSS 7001 200TH SW MOUNTLAKE TERRACE WA 98043 CLAIMS ADMINISTRATION 1756986 ELIXIR RX SOLUTIONS LLC 1100 INVESTMENT BOULEVARD EL DORADO HILLS CA 95762 PHARMACY BENEFIT MANAGEMENT 306533 COMAGINE HEALTH 10700 MERIDIAN AVE N SUITE 100 SEATTLE WA 98133 UTILIZATION REVIEW & CASE MANAGEMENT 218372 ZELIS CLAIMS INTEGRITY 2 CROSSROADS DRIVE BEDMINISTER NJ 07921 MANAGED CARE CLAIMS ADMINISTRATION 207681 6 EMPLOYER CONTRIBUTIONS 900099 129196094 129196094 EMPLOYEE CONTRIBUTIONS 900099 5282599 5282599 134478693 1156111 1156111 72001177 69644654 2356523 2356523 2356523 LEGAL FEES COLLECTED 900099 49658 49658 OTHER REVENUE 900099 14426 14426 LITIGATION INCOME 900099 3565 3565 67649 138058976 134546342 0 3512634 132798112 1054267 195411 241242 86115 7464192 252387 6167 19279 47284 142164456 1257458 4447783 16821294 16524572 42400 41797 46487970 33066736 64609122 54080888 290358 359241 1071400 1584360 65186983 58633755 66548741 60577356 X 0 0 0 0 -1939619 -6496468 -1939619 -6496468 64609122 54080888 -4105480 -451369 0 X X 0 1 X 1 0 0 UNION DUES PAYABLE 2698660 CLAIMS PAYABLE AND INCURRED BUT NOT REPORTED 16072300 ACCUMULATED ELIGIBILITY CREDITS 34679000 RECIPROCITY PAYABLE 794340 PRESCRIPTION CLAIMS PAYABLE 2058700 VACATION BENEFITS PAYABLE TO PARTICIPANTS 2314000 PREMIUMS PAYABLE 16755 58633755 X 137521492 -451369 -451369 137972861 86115 86115 138058976 148731991 0 148731991 86115 -6653650 -6567535 142164456 PART X, LINE 2: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE THE TAX POSITIONS TAKEN BY THE PLAN AND TO RECOGNIZE A TAX LIABILITY IF THE PLAN HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE PLAN AND HAS CONCLUDED THAT, AS OF JULY 31, 2025, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY THE TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. PART XII, LINE 4B - OTHER ADJUSTMENTS: CHANGE IN BENEFIT OBLIGATIONS -6,653,650. FORM 990, PART VI, SECTION A, LINE 3 THE DAY TO DAY OPERATIONS OF THE TRUST ARE MANAGED BY WELFARE & PENSION ADMINISTRATION SERVICE, INC. FORM 990, PART VI, SECTION B, LINE 11B A COPY OF FORM 990 IS REVIEWED BY THE TRUSTEES PRIOR TO FILING FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT-OF-INTEREST POLICY APPLIES TO ALL PERSONS DEFINED UNDER ERISA AS PARTIES-IN-INTEREST. ALL PARTIES-IN-INTEREST ARE REQUIRED TO DISCLOSE PROHIBITIED TRANSACTIONS TO THE TRUSTEES. IF AND WHEN A POTENTIAL CONFLICT OF INTEREST IS DISCLOSED, THE BOARD OF TRUSTEES WILL CONDUCT AN INVESTIGATION AND ISSUE A REPORT OF THE FINDINGS. IF A PROHIBITED TRANSACTION HAS OCCURRED, THE TRUSTEES WILL TAKE APPROPRIATE ACTION, INCLUDING REPORTING SUCH OCCURRENCE TO THE APPROPRIATE FEDERAL AGENCY AND DOCUMENTING SUCH ACTION IN THE MINUTES OF THE BOARD OF TRUSTEES MEETING. FORM 990, PART VI, SECTION C, LINE 19 ALL REQUIRED DOCUMENTS, POLICIES, STATEMENTS, ETC. ARE AVAILABLE UPON REQUEST 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 INTERNAL REVENUE SERVICE BY THE RELATED TAX-EXEMPT ORGANIZATION. IF YOU WOULD LIKE ADDITIONAL INFORMATION, PLEASE CONTACT THE PLAN ADMINISTRATOR. FORM 990, PART XII, LINE 2C: THE OVERSIGHT PROCESS AND METHOD FOR SELECTING THE INDEPENDENT AUDITOR HAS NOT CHANGED FROM PRIOR YEARS. PUGET SOUND ELECTRICAL WORKERS 401(K) SAVINGS PLAN PO BOX 34203 SEATTLE WA 98124 916180326 PROVIDE PENSION BENEFITS FOR ELIGIBLE EMPLOYEES WA 501(A) N/A N/A 0 PUGET SOUND ELECTRICAL WORKERS PENSION PLAN 2815 SECOND AVE SUITE 300 SEATTLE WA 98121 916180333 PROVIDE PENSION BENEFITS FOR ELIGIBLE EMPLOYEES WA 501(A) N/A N/A 0 INTERNATIONAL BROTHERHOOD OF ELECTRICAL WORKERS LOCAL 46 19802 62ND AVENUE SOUTH KENT WA 98032 910267931 SPONSORING LOCAL WA 501(C)(5) N/A N/A 0 PUGET SOUND CHAPTER NECA 16001 AURORA AVE N SUITE 200 SHORELINE WA 98133 910552828 SPONSORING ASSOCIATION WA 501(C)(6) N/A N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 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 JULY 31, 2025, THERE ARE APPROXIMATELY 204 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. 16 D, LLC 1WAY ELECTRICAL SER A&R SOLAR AC ELECTRIC SERVICE ADVANCED HEATING & ADVANCED POWER LLC ALL CITY ELECTRIC I ALL WIRE ELECTRIC I ALLIED ELECTRIC SER AMAYA ELECTRIC AMERICAN EAGLE SYST ANGELES ELECTRIC IN ANM ELECTRIC INC ANVIL BUILDERS, INC APEX ELECTRICAL GRO ARC ELECTRIC & LIGH ARDAGH, DBA ST GOBA ARTISAN ELECTRIC IN ASHFORD ELEC & CONS ASSA ABLOY ENTRANCE ASTOR ELECTRIC LLC ATLAS ELECTRICAL CO AULT ELECTRIC SERVI BES ELECTRICAL SERV BEST TECH INC BETSCHART ELECTRIC BLUE CORE POWER, LL BOWIE ELECTRIC SERV BOYER ELECTRIC BRIDGE ELECTRIC BURKE ELECTRIC LLC C3M POWER SYSTEMS, CASCADE MACH-ELECT CDT ELECTRICAL GRP COCHRAN ELECTRIC COLUMBIA LAND SERVI COLVICO INC CONTACT ELECTRIC SY CONTROL DYNAMICS COSCO FIRE PROTECTI DANARD ELECTRIC INC DATSKIY ELECTRIC, L DELTA ELECTRIC MOTO DIVERSE SERVICES LL DUNSTON BRADLEY IND DUTTON ELECTRIC CO E SQUARED SYSTEMS,L EDLEN ELECTRICAL ELECTRIC CONST CO O ELECTRIC SMITH INC ELECTRIC WEST INC ELECTRICAL CONST CO ELECTRICAL SERVICES ELECTRICAL SUPPORT ELECTRICAL SYSTEMS ELECTROCOM S&C SYST ELM SOLUTIONS CORP. EMC ELECTRIC EPIC ELECTRIC INC. EPICC ELECTRICAL CO EVERGREEN POWER EVERGREEN SIGN COMP EVERGREEN TECHNOLOG EWING ELECTRIC INC E-Z INTERFACE FACILITY SERVICE MA FIRESHIELD, INC FIRETEK LLC FOX ELECTRIC CO. FOY INDUST ELECTR C FRAHLER MCCOY ELECT FROULA ALARM SYSTEM FULLER ELECTRIC INC GASTON ELECTRICAL C GB MANCHESTER, INC GENESEE FUEL & HEAT GETCHELL ELECTRIC L H&M ELECTRICAL CONT HAMPTON ELECTRIC IN HANCO ELECTRIC, LLC HARMONY ELECTRIC, L HHS GOVERNMENT, LLC HOLADAY-PARKS, INC HOLMES ELECTRIC CO INTEGRATED TECH GRO INTEGRITY NETWORKS JACOBS TECHNOLOGY I JH KELLY LLC JM CORP & SON, INC. JOHNSON ELECTRIC CO JUSTICE SYSTEMS KIEWIT GENERAL/J V KIEWIT INFRA WEST KING CTY HOUSING AU KOIVU ELECTRIC, LLC KOLKAY ELECTRIC INC LAKE UNION DRYDOCK LAKES ELECTRIC INC LIBERTY ELECTRIC, L LIGHTING AND POWER LINDER ELECTRIC LOCAL UNION 46 IBEW LONG BUILDING LOVOLT COMMUNICATIO LUNSTRUM ELECTRIC I MACDONALD MILLER MADSEN ELECTRIC MAIN STREET ELECT I MASS ELECTRIC CO MB ELECTRIC MCKINSTRY CO. LLC MD MARINE ELECT, LT MILL PLAIN ELECTRIC MILNE ELECTRIC INC MUZAK LLC MOOD MEDI NELSON ELECTRIC, IN NETCOM, INC. NEW GENERATION NORTH SHORE ELECT I NUUCO ELECTRIC COMP NW SIGNAL MAINTENAN OCTOPUS ENERGY OEG, INC. OLYMPIC ELEC CO., I OZZ ELECTRIC WA INC PACIFIC COAST ELECT PACIFIC COMM CABLIN PACIFIC FISHERMEN PHASE 3 ELECTRIC LL PORT OF SEATTLE POWER CITY ELECTRIC POWERCOM INC PRECISION ELECT GRO PREMIER POWER ELECT PRIME ELECTRIC INC PRO CIRCUIT PWR &SO PSW ELECTRIC 1 PUGET SOUND APPRENT PUGET SOUND CHAPTER PURE POWER LLC REIGN CITY SERVICES RELIABLE ELECTRIC, RUI REFRIGERATION SABER TECHNOLOGIES SAFARI ELECTRIC LLC SARE ELECTRIC INC SCHMITT ELECTRIC IN SCHNEIDER ELECTRIC SCOTT'S ELECTRIC SE SEACOM CABLING INC SEAHURST ELECTRIC SEATTLE CONVENTION SEATTLE HOUSING AUT SEATTLE TIMES SEATTLE UNIVERSITY SECURITY SOLUTIONS SEQUOYAH ELECTRIC L SERVICE ELECT CO IN SERVICEMARK TENANT SHIMMICK CONSTR CO SHJ ELECTRIC CO, IN SHORELINE CONCRETE SKYLINE COMMUNICATI SKYLINE ELECTRIC MF SOLID GROUND ELECTR SOUND ENERGY SYSTEM SOUND OIL CO INC SOURCE ELECTRIC LLC SOUTH SOUND ELECT I SPHERE SOLAR ENERGY STATIC ENERGY, INC STATUS ELECTRICAL C STAUDT ELECTRIC STETNER ELECTRIC STONER ELECTRIC INC STURGEON ELECTRIC C SUNDANCER ELECTRIC SUNNY ELECTRIC & SYNERGY ELECTRICAL TAPPS ELECTRIC, LLC TEKNON GOV'T SERVIC TEKNON INFRASTRUCTU TESLA ELECTRIC, LLC THE FIBER GUYS LLC THE JUICE COMPANY THOMPSON ELECTR CON TITAN EARTHWORK LLC TITAN ELECTRIC INC TRANSCON COMPANY, L TRANSPORTATION SYST TRAVERS ELECTRIC IN TRIBAL ELECTRIC, LL TUBE ART DISPLAYS I UNION SQUARE TENANT VALLEY ELECTRIC CO VECA ELECTRIC & TEC VECTOR ELECTRICAL L VETS POWER ELECTRIC VIEWLANDS ELECTRIC VIGOR SHIPYARDS VITAL MECHANICAL, I VP ELECTRICAL SERVI WEST COAST MECHANIC WESTCOAST INDUSTRIA