TY 2015 Form 990

(A) Name and business address	(B) Description of services	(C) Compensation
Wells Fargo Insurance Services USA Inc PO Box 203588 Dallas,TX75320	Consulting/Brokerage	3,141,018
Benefit Solutions Inc PO Box 6 Mukilteo,WA98275	Third-Party Administraor	1,700,787
Greater Seattle Chamber of Commerce 1301 5th Avenue 1500 Seattle,WA98101	Administration	816,777
Davis Wright Tremaine LLP 1201 Third Avenue Suite 2200 Seattle,WA98101	Legal	483,720
Pro-Plan Management LLC 4726 West Roberts Way Seattle,WA98199	Consulting/Brokerage	481,208
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 13

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

Business Health Trust

Employer identification number

36-7481494

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

			(a) Donor advised funds	(b) Funds and other accounts

1	Total number at end of year ....
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ....

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ...........

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ............................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... SchDMd Bullet

(ii)

Assets included in Form 990, Part X ............................... SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2015

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability?

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ........

Part V

Endowment Funds. Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a)Current year	(b)Prior year	(c)Two years back	(d)Three years back	(e)Four years back

1a	Beginning of year balance ....
b	Contributions ...
c	Net investment earnings, gains, and losses
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

Temporarily restricted endowment SchDMd Bullet

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations .................

3a(i)

(ii) related organizations .................

3a(ii)

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land ...
b	Buildings
c	Leasehold improvements
d	Equipment ...
e	Other ...
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..		0

Schedule D (Form 990) 2015

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b)Book value	(c)Method of valuation: Cost or end-of-year market value
(1)Financial derivatives
(2)Closely-held equity interests
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1) Rate stabilization reserves				129,899
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				129,899

Part X

Other Liabilities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
Premiums due to insurers	436,686
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	436,686
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2015

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......		1	94,534,010
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................		2e	0
3	Subtract line 2e from line 1..................		3	94,534,010
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................		4c	0
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5	94,534,010

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........			1	95,875,187
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d	1,893,029
e	Add lines 2a through 2d....................			2e	1,893,029
3	Subtract line 2e from line 1...................			3	93,982,158
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b	436,686
c	Add lines 4a and 4b.....................			4c	436,686
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......			5	94,418,844

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference	Explanation
Part XII, Line 2d - Other Adjustments:	Premiums due to insurers at the end of the prior year 1,893,029.
Part XII, Line 4b - Other Adjustments:	Premiums due to insurers at the end of the current year 436,686.

Schedule D (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

Business Health Trust

Employer identification number

36-7481494

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .........

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? ................

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ...........................

Any related organization?

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization?

Any related organization? .........................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2015

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column(B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1Maud DaudonTrustee	(i) (ii)	0 ------------- 305,485	0 ------------- 0	0 ------------- 0	0 ------------- 0	0 ------------- 0	0 ------------- 305,485	0 ------------- 0

Schedule J (Form 990) 2015

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference	Explanation

Schedule J (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ.
MediumBullet

Information about Schedule L (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

Business Health Trust

Employer identification number

36-7481494

Part I

Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ Bullet Image

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e)Original principal amount	(f)Balance due	(g) In default?		(h) Approved by board or committee?		(i)Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e)Original principal amount	(f)Balance due	Yes	No	Yes	No	Yes	No










Total ............... $

Part III

Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of assistance	(d) Type of assistance	(e) Purpose of assistance

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2015

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) Sarai Childs	Trustee	814,946	Sarai Childs is both a Trustee of this trust and the Chief Administrative Officer of the Greater Seattle Chamber of Commerce (GSCC), the trust settlor, a participating employer contributing to this trust, and a service provider to this trust. During the year ended December 31, 2015, contributions to this trust from GSCC totaled $814,946.		No
(2) Sarai Childs	Trustee	810,715	Sarai Childs is both a Trustee of this trust and the Chief Administrative Officer of the Greater Seattle Chamber of Commerce (GSCC), the trust settlor, a participating employer contributing to this trust, and a service provider to this trust. During the year ended December 31, 2015, fees paid to GSCC for administration totaled $810,715.		No
(3) Emmy Jordan	Trustee	814,946	Emmy Jordan is both a Trustee of this trust and the Senior Vice President of Member Relations and Business Development of the Greater Seattle Chamber of Commerce (GSCC), the trust settlor, a participating employer contributing to this trust, and a service provider to this trust. During the year ended December 31, 2015, contributions to this trust from GSCC totaled $814,946.		No
(4) Emmy Jordan	Trustee	810,715	Emmy Jordan is both a Trustee of this trust and the Senior Vice President of Member Relations and Business Development of the Greater Seattle Chamber of Commerce (GSCC), the trust settlor, a participating employer contributing to this trust, and a service provider to this trust. During the year ended December 31, 2015, fees paid to GSCC for administration totaled $810,715.		No
(5) Maud Daudon	Trustee	814,946	Maud Daudon is both a Trustee of this trust and President and Chief Executive Officer of the Greater Seattle Chamber of Commerce (GSCC), the trust settlor, a participating employer contributing to this trust, and a service provider to this trust. During the year ended December 31, 2015, contributions to this trust from GSCC totaled $814,946.		No
(6) Maud Daudon	Trustee	810,715	Maud Daudon is both a Trustee of this trust and President and Chief Executive Officer of the Greater Seattle Chamber of Commerce (GSCC), the trust settlor, a participating employer contributing to this trust, and a service provider to this trust. During the year ended December 31, 2015, fees paid to GSCC for administration totaled $810,715.		No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference	Explanation

Schedule L (Form 990 or 990-EZ) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization

Business Health Trust

Employer identification number

36-7481494

Return Reference	Explanation
Form 990, Part VI, Section A, line 2	The three Trustees of the Business Health Trust are all employees of the Greater Seattle Chamber of Commerce, the trust settlor and a contributing employer of this trust.
Form 990, Part VI, Section A, line 3	The Trust has contracted with a third-party administrator (Benefit Solutions, Inc.) to provide bookkeeping and administrative services.
Form 990, Part VI, Section A, line 7a	Trustees are appointed by the Greater Seattle Chamber of Commerce, the trust settlor and a contributing employer of this trust.
Form 990, Part VI, Section A, line 8b	There are no committeess with the authority to act on behalf of the Board of Trustees.
Form 990, Part VI, Section B, line 11	The Form 990 was prepared under the guidance of the Trust's consultants, advisors, and legal counsel by the independent accounting firm SCHOEDEL & SCHOEDEL, Certified Public Accountants, PLLC. Draft copies of the organization's financial statements and Form 990 were first provided to the Trust's consultants, advisors, and legal counsel who reviewed the Form 990 for accuracy and completeness. Any questions, concerns, or issues raised by them were addressed, and any necessary revisions were made to the Form 990. The revised Form 990 was then provided to the Board of Trustees for its review and approval. Any additional questions, concerns, or issues raised by the Board of Trustees were addressed, and any necessary revisions were made to the Form 990. The final version of the Form 990 was reviewed, approved, and filed by the Board of Trustees.
Form 990, Part VI, Section C, line 19	The Trust's governing documents, financial statements and Form 990 are available to the public upon written request by contacting the Trust in care of Benefit Solutions, Inc. at: P.O. Box 6, Mukilteo, WA 98275.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

Business Health Trust

Employer identification number

36-7481494

Part I

Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

Identification of Related Tax-Exempt Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)Greater Seattle Chamber of Commerce 1301 Fifth Avenue Suite 2500 Seattle,WA981012611 91-0402330	Business advocacy	WA	501(c)(6)		N/A		No
(2)American Exploration & Mining Assoc
(3)ArtsFund
(4)Bellevue Arts Museum
(5)Boeing Employees Tennis Club
(6)Calvary Cemetery Association
(7)Cares of Washington
(8)Cascade Water Alliance
(9)Church of All Nations
(10)City Club
(11)City of Cashmere
(12)City of Royal City
(13)Clallam Public Defender
(14)Community Center for Education Results
(15)Densho
(16)Earth Ministry
(17)East Wenatchee Water District
(18)Economic DevBoard for TacomaPierce
(19)Equal Opportunity Schools
(20)Fair Housing Center of Washington
(21)Firland Foundation
(22)Flying House Productions
(23)Harbor Montessori School
(24)Humanities Washington
(25)Kawabe Memorial House
(26)Lake Chelan Reclamation District
(27)Lake Washington Youth Soccer Association
(28)Local Development Council
(29)Long Live the Kings
(30)Maltby Christian Assembly
(31)Mt Si Senior Center
(32)Mt View-Edgewood Water Company
(33)National Center for APEC
(34)Northwest Business Development Assoc
(35)Northwest Resource Associates
(36)NW District Council Assemblies of God
(37)Olympic View Baptist Church
(38)Pacific Lumber Inspection Bureau
(39)Pacific Seafood Processors Association
(40)Port of Pend Oreille
(41)Port Susan Camping Club
(42)Rental Housing Association
(43)Seattle 2030 District
(44)Seattle Junior Hockey Association
(45)Skagit Fisheries & Enhancement Group
(46)Sound Life Church
(47)State Highway Credit Union
(48)Tacoma Elks Lodge # 174
(49)Tacoma Pierce County Assoc of Realtors
(50)Terrace Heights Memorial Park Association
(51)The Baker Foundation
(52)The Center for Spiritual Development
(53)The Lake and Park School
(54)Together
(55)Transitional Resources
(56)WA Initiative for Supported Employment
(57)Washington Health Alliance
(58)Washington Physicians Health Program
(59)Youth Eastside Services
(60)Youth for Christ - Tacoma

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2015

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	Yes	No
(1) 1-World Globes & Maps LLC
(2) 43TC LLC
(3) A & B Machine and Hydraulics Inc
(4) A D Swayne Company Inc
(5) APIC Inc
(6) Aasgard Summit Mgmt Service Incorporated
(7) Abbott's Printing Inc
(8) Accents & Interiors Inc
(9) ACFEA Tour Consultants Inc
(10) Ackerley Management LLC
(11) ACME Food Sales
(12) Acorn Advisors
(13) Action Business Furniture
(14) ActX Inc
(15) Acumatica Inc
(16) Adams & Clark Inc
(17) Advance Capital Inc
(18) Advance Management Inc
(19) Advanced Broadcast Solutions LLC
(20) Advanced Technical Marketing Inc
(21) Advanced Traffic Products Inc
(22) Advantac Technologies LLC
(23) AG Enterprise Supply Inc
(24) Agility Audio Video Lighting
(25) Air Locker
(26) Aire Pro Inc
(27) AKS PS Inc
(28) Alaska Air Forwarding Inc
(29) Alaska Longline Company
(30) Alaska Native Industries Co-op Assoc
(31) Alaska Seafood Holdings Inc
(32) Alaska Seavan
(33) Aldridge Marketing Group Inc
(34) Alexander Gow Inc
(35) Allbee Romein Inc
(36) Alliant Securities Inc
(37) Allphaze Commercial Interiors Inc
(38) AM PM Systems Northwest LLC
(39) Amaxra Inc
(40) Amenity Services Inc
(41) AmTest Inc
(42) Anastasi Moore & Martin PLLC
(43) Anesthesia Equipment Supply Inc
(44) Animal Dermatology Services
(45) Animal Hospital of Pasco PS
(46) Ansonia Credit Data
(47) Apex Appliance Inc
(48) Apple King LLC
(49) Applied Manufacturing & Engineering Tech
(50) Aries Northwest LLC
(51) Arlington Machine & Welding
(52) Art Anderson Associates
(53) Ascend Consulting
(54) Asia Discount Center
(55) Aspen Management LLC
(56) Associated Environmental Group LLC
(57) Associated Insurance Brokers Inc
(58) Auburn License Agency Inc
(59) Audio Video Resource Inc
(60) AutoVenture International Inc
(61) Avalanche Distributing LLC
(62) AVG INC
(63) B & C Trucking Inc
(64) B Anderson Construction Inc
(65) B Kirk Robinson Co Inc
(66) Baker Lumber Company
(67) Balancing Service Company
(68) Ballews Hitch Truck and RV
(69) Ballista Consulting LLC
(70) Banlin Construction LLC
(71) Bear Enterprises LLC
(72) Beawest Fasteners Inc
(73) Belco Forest Products
(74) Bel-R Greenhouse Inc
(75) Bennett Industries Inc
(76) Bernd Moving Systems Inc
(77) Best Mortgage Inc
(78) Betz Cellars LLC
(79) BHC Consultants LLC
(80) Big D Enterprises LLC
(81) Bismark Mortgage Company
(82) Blab Inc
(83) Black Lake Timber Inc
(84) Black Star Ranch LLC
(85) Blackstone's Collision Inc
(86) Blake Company Inc
(87) Blue Sky Woodworks Inc
(88) Blue Star Enterprises NW Inc
(89) BlueBin Inc
(90) BM Programming & Machining Service Inc
(91) BoldIQ
(92) Bolton & Carey PS Inc
(93) Brandt's Fruit Trees LLC
(94) Brantley Janson Yost & Ellison
(95) Braseth Construction Company Inc
(96) Bratonia Mechanical LLC
(97) Brian Harris Used Cars
(98) Brink Investment LLC
(99) Bristlecone Advisors LLC
(100) Brookdale Golf Course
(101) Brooks Rand Labs LLC
(102) Brotherton Seed Company Inc
(103) Brown Dog & Betty Corporation
(104) Bruce Dees & Associates
(105) Buckley Recycle Center Inc
(106) Bucky Inc
(107) Budget Batteries Inc
(108) Buildium LLC
(109) Buno Construction LLC
(110) C & D Fuels Inc
(111) C & H Hardware
(112) CF Investments
(113) Cabrini Medical Tower Pharmacy Inc
(114) Camano Mold Inc
(115) Camden Gardens Inc
(116) Cannon Fish Company
(117) Capital Planning LLC
(118) Capitol Hill Housing
(119) Carbide Processors Inc
(120) Carillon Properties
(121) Carmody Company Inc
(122) CarrierTransport Inc
(123) Carrol & Associates Inc
(124) Carrot Medical LLC
(125) Cascade Beef Inc
(126) Cascade Federal Credit Union
(127) Cascade Print Media Inc
(128) Cascadia Archaeology LLC
(129) Cascadian Therapeutics
(130) CBAir LLC
(131) Center Electric Inc
(132) Center for Minimally Invasive Surgery
(133) Center for Prosthetic Orthotics
(134) Center Twist Inc
(135) Charles B Wright
(136) Chehalis Childrens Clinic
(137) China Town Trucking Inc
(138) Citadel Marine Center LLC
(139) CK Worldwide Inc
(140) Clausen Law Firm PLLC
(141) Clay Management Group LLC
(142) Clearwater Supply Inc
(143) Clement & Drotz PLLC
(144) CMF Industries Inc
(145) Coastal Healthcare Consulting Inc
(146) Cocker Fennessy Inc
(147) Code Publishing Company
(148) Codeck Inc
(149) Cohen Occupational Medicine LLC
(150) Columbia Marketing International LLC
(151) Columbia Sheet Metal
(152) Columbia Valley Fruit
(153) COMgroup Inc
(154) Commercial Industries Company Inc
(155) Complete Suite Furniture
(156) Component Concepts Inc
(157) Comprehensive Wealth Management
(158) Concord III LLC
(159) Concordis
(160) Conenza Inc
(161) Conley Engineering Inc
(162) Connect-Air International Inc
(163) Conner Remodeling & Design Inc
(164) Consolidated Bookkeeping & Mgmt Services
(165) Construx Software Builders Inc
(166) Continental Food Sales Inc
(167) Continuex Corporation
(168) Control Technology Inc
(169) Conway Feed Inc
(170) Corporate Computer Inc
(171) Cosmopolitan Engineering Group
(172) CourtTrax Corporation
(173) Covich Williams Co Inc
(174) COWI North America
(175) CPA Consulting Inc PS
(176) Cranberry Venture Partners LLC
(177) Crate Tech
(178) Creach Greenhouse Inc
(179) CRH Medical Corporation
(180) Cristalla Condominium
(181) Critical Power Exchange
(182) Cross Engineers Inc
(183) CSG Services
(184) Currence LLC
(185) Cut Rate Auto Parts
(186) Cutting Technology Inc
(187) CWH Capital Management Inc
(188) D K Boos Glass Inc
(189) Dalys Inc
(190) Dandy Digger & Supply Inc
(191) Danielson Tool & Die Inc
(192) Datec Inc
(193) Dave Anderson Enterprises
(194) David C Goodwin DDS
(195) DB Secure Shred LLC
(196) DEI Electrical Consultants
(197) Delafield Hambrecht Inc
(198) Delta International Technologies Inc
(199) Denice E Rasch
(200) Dependable Medical Equipment
(201) Design Hardwood Products Inc
(202) Designer Decal Inc
(203) Dick's Restaurant Supply of WA Inc
(204) Discovery Institute
(205) Dochnahl Construction Inc
(206) Don Willis Furniture
(207) Doncaster Investments NV Inc
(208) DOriginal Jewelers
(209) Douglas Drachler McKee & Gilbrough LLP
(210) Douglass Certified Prosthetics & Orthot
(211) Dr David L Crouch DDS MSD PS
(212) Dr David T Earl MD Inc PS
(213) Dream Dinners Inc
(214) DreamBox Learning Inc
(215) Drs West West & West PS
(216) Duane Munn & Sons Farms LLC
(217) Duwamish Shipyard Inc
(218) E & L Wilson Farms Inc
(219) E K Riley Investments LLC
(220) Eagle Copters USA Inc
(221) Eastside Ice Machines
(222) Eastside Smiles
(223) Easy Street Records Corporation
(224) Eberle Vivian Inc
(225) Ecco Heating Products LTD
(226) Eclipse Marketing Group Inc
(227) Ed Hume Enterprises Inc
(228) EES Consulting Inc
(229) EISI Ltd
(230) Ekaria LLP
(231) Electric Motor Service & Controls LLC
(232) Electronic Component Sales Inc
(233) Electronic Resourcing Inc
(234) Element Residential Inc
(235) EM Precision LLC
(236) Emerald Christmas Tree Co Inc
(237) Emerald City Engineers Inc
(238) Empire Lighting
(239) Engineered Products A Pape' Co
(240) Environmental Construction Inc
(241) Ephrata Machinery Inc
(242) Erickson McGovern
(243) ESM Consulting Engineers LLC
(244) Essex Laboratories Inc
(245) EventPoint Inc
(246) Everett Steel Inc
(247) Evergreen Forms Service Inc
(248) Evergreen Fountains LLC
(249) Excelsior Design Inc
(250) Exchange Publishing
(251) Exvere Inc
(252) Eyestone Holdings Inc
(253) F V Northern Prince Inc
(254) Falcon Ridge Assisted Living
(255) Falkin Associates
(256) Family Eye Care PS
(257) Family Practice Ctr of Grays Harbor
(258) Farwest Golf Cars of Washington
(259) Fast Yeti Inc
(260) Fastco Inc
(261) Federal Engineers & Constructors Inc
(262) Federal Way Asset Management LP
(263) Ferris-Turney General Contractors Inc
(264) Fesco Integrated Transport NA Inc
(265) Fewel Farms Inc
(266) FGI Seattle LLC
(267) File EZ Folder Inc
(268) Financial Assistance Inc
(269) Finsphere Corporation
(270) Fir Lane Memorial Park & Funeral Home
(271) Fitz Towing
(272) FloScan Instrument Company Inc
(273) Forma Construction Company
(274) Four Star Supply Inc
(275) Fowler General Construction
(276) Fowler LLC
(277) Frank Harkness Trucking & Logging LLC
(278) Freeborn Tool Company
(279) Frost & Company PS
(280) Fruhling Inc
(281) FS & GS Services Inc
(282) Fulcrum Enviornmental Consulting Inc
(283) G & G Inc
(284) Garcia Ink Corp
(285) Garde Capital Inc
(286) Garrison's Home Appliance
(287) Gateway Controls Inc
(288) GB Systems
(289) GCL Technology Research Center
(290) Geminus Technology Development LLC
(291) Gemkow Construction LLC
(292) General Microsystems
(293) GEO Gemeroy & Co Inc
(294) GEO Group Northwest
(295) Geoline Inc
(296) Geotech Consultants Inc
(297) Geyer Coburn Hutchins LLC
(298) GHB Inc
(299) Gitt's Spring Co div of TLI Inc
(300) Glacier Construction Service Inc
(301) Glenn Lee Ostler DDS PS
(302) Global Seafoods North America
(303) Glowforge Inc
(304) Gobo Enterprises LLC
(305) Gold Reserve Corporation
(306) GoldSim Technology Group Inc
(307) Grand Banks Yachts LTD
(308) Graphic Services Inc
(309) Green Baron Inc
(310) Greene Gasaway Architects PLLC
(311) Greene Wealth Management LLC
(312) Greenwood Ohlund & Co LLP
(313) Grocery Outlet of Walla Walla
(314) Grousemont Associates LLC
(315) Guardian Escrow Inc
(316) Guidacent Inc
(317) Gynex Corporation
(318) Haase Landscape Inc
(319) Haehl Sales Inc
(320) Hagel & Company
(321) Hagen Kurth Perman & Co PS
(322) Halco Inc
(323) Halverson Northwest Law Group PC
(324) Hanson Baker Ludlow Drumheller PS
(325) Harold Zeutschel Landscape
(326) Harris Electric Inc
(327) Helliesen Lumber & Supply Company
(328) Helms Hardware LLC
(329) Hemlock Printers USA
(330) Henrybuilt
(331) Hentschell & Associates
(332) Heritage Farms Ag LLC
(333) Heritage Wealth Advisors
(334) Herrenknecht Tunnelling Systems USA Inc
(335) Hexagon Inc
(336) Highmark Investments LLC
(337) Hinshaw's Motorcycle Store Inc
(338) Hi-Rel Laboratories Inc
(339) HLA Engineering & Land Surveying Inc
(340) Hogue Ranches Inc
(341) Hoh Indian Tribal Committee
(342) Holman Kaufman Krahling PLLC
(343) Homchick Smith & Associates PLLC
(344) Hough Beck & Baird Inc
(345) HSA Holdings LLC
(346) Hurley Engineering Co of Tacoma Inc
(347) Husky Ice Cream Inc
(348) Hydraulic Installation & Repair Inc
(349) Hydroacoustic Technology Inc
(350) I-5 Design & Manufacture Inc
(351) ILF Consultants Inc
(352) Image Mill Inc
(353) Image Source Inc
(354) India Tree Inc
(355) Industrial Hydraulics Inc
(356) Industrial Revolution Inc
(357) Industrial Tire Service of WA Inc
(358) Infineddy LLC
(359) Inland Environmental Resources
(360) Inline Steel Fabricators Inc
(361) Innova Nutrition Corporation
(362) Innovative Advantage Inc
(363) Innuity Inc
(364) Integrity Machining Inc
(365) Intellicheck Mobilisa Inc
(366) Inter-City Contractors Inc
(367) International Freight Systems
(368) Interocean Seafoods Company
(369) Interstate Construction Group Inc
(370) Inteum Company
(371) Intracommunication Network Systems Inc
(372) Investors Capital Group LLC
(373) IR Specialty Foam LLC
(374) Irrigation Technology & Control Inc
(375) J & D Machine and Gear Inc
(376) J & K Connectors LLP
(377) J L Leasing & Transportation
(378) Jacobson Jarvis & Company PLLC
(379) James G Murphy Company
(380) JayRay Ads & PR
(381) Jereva Inc
(382) Jewel Hospitality
(383) Jewelry Design Center Inc
(384) JLP Medical Billing Specialists LLC
(385) Johnny's Fine Foods Inc
(386) Johnson Electric Inc
(387) Johnson Lavey and Bell Inc
(388) Johnson Stone & Pagano PS
(389) JPI Worldwide Inc
(390) Justus Bag Company Inc
(391) K Michael Fitzgerald Chapter 13 Trust
(392) KO Investment Group Inc
(393) Kantor Taylor Nelson Evatt & Decina
(394) KBL Inc
(395) Kemp West Inc
(396) Kenco Construction Inc
(397) Kennewick Emergency Physicians
(398) Kilgore Architectural Products Inc
(399) Kirkland Dermatology Associates PLLC
(400) Kitchen Restylers Inc
(401) Knox Enterprises Inc
(402) Kona Medical Inc
(403) Kongsberg Underwater Technology Inc
(404) KRCI LLC
(405) Kunath Karren Rinne & Atkin LLC
(406) LaBonde Land Inc
(407) Lakemont Village Veterinary
(408) Land Expressions
(409) Lane Coburn and Associates LLC
(410) Larry Steele & Associates Inc
(411) Latitude Marine Group
(412) Laughlin Supply Company
(413) Law Offices of Karen Zimmer PS
(414) Lawton Printing Inc
(415) Layman Lumber Co LLC
(416) Le Duc Packaging Inc
(417) Leatherback Publishing Inc
(418) Legacy Capital LLC
(419) Legacy Creative Ventures LLC
(420) Leonard Rickey Investment Advisors PLLC
(421) Level 7 Inc
(422) Liberty Bay Bank
(423) Lighthouse Uniform Company Inc
(424) Limited Productions Inc
(425) Linc Technology Corporation
(426) Livingston Printing Inc
(427) LKD Aerospace
(428) Lorache CAD IT Services LLC
(429) Louis K Cheung DDS PS
(430) Lou's Welding & Fabricating Inc
(431) LSI Logistic Service Soultions LLC
(432) Lucas Engineering & Management Services
(433) Luma Technologies LLC
(434) Lundberg LLC
(435) Lunde Marine Electronics
(436) Mac's Stores Inc
(437) MagnaDrive Corporation
(438) Mainspring Wealth Advisors
(439) Manufacturing Services Inc
(440) Map Ltd
(441) Maple Leaf Hardware
(442) Maple Systems Inc
(443) Marco Global Inc
(444) Marine Treasures International Corp
(445) Maritime Management Services Inc
(446) Mark Taylor & Associates Inc
(447) Marple & Marple Inc PS
(448) Marquiss Construction Company Inc
(449) Marshall Marketing Group Inc
(450) Martin Nelson & Company Inc
(451) MAT Service Inc
(452) Matzke Sales Inc
(453) Mazzetti Inc
(454) McBrown Inc
(455) MEDIAPLANT LLC
(456) Meeco Manufacturing
(457) Meriwether Partners LLC
(458) Metajure Inc
(459) Methodologie Inc
(460) Micro Com Systems Washington Ltd
(461) MicroPlanet Inc
(462) Miller Land & Livestock
(463) Mines Management Inc
(464) MJ Takisaki Inc
(465) MJD Farms LLC
(466) MLFP LLC
(467) Modumetal Inc
(468) Monte Villa Farms LLC
(469) Morad Electronics Inc
(470) Moran & Associates Inc
(471) Mosby Bros Farms Inc
(472) Moshi Mochi LLC
(473) Mountain Crest Enterprises Inc
(474) Mountainside Limited
(475) MRW Advisory LLC
(476) Mt Fuji Gardening & Landscaping Inc
(477) Multi Manufacturing Inc
(478) Myers Inc
(479) Myotronics Noromed Inc
(480) NT Technology Inc
(481) Namaste Of Washington Inc
(482) Nascorp Inc
(483) National Color Graphics
(484) National Credit Services Inc
(485) National Medical Management
(486) National Pipe & Piling
(487) New Era HR Solutions Inc
(488) New Tacoma Cemeteries
(489) New Tech Industries
(490) Newman & Newman Attnys At Law LLP
(491) NEWS DATA Corporation
(492) Nion Co
(493) Nitze-Stagen & Co Inc
(494) NohBell Corporation
(495) Norcliffe Estate LLC
(496) Nordic Construction Inc
(497) Norpoint Entertainment
(498) North City Lumber Company
(499) North Pacific Corporation
(500) North Sound Restaurants
(501) Northern Lights Capital Group LLC
(502) Northwest Anesthesia Seminars
(503) Northwest Automatics Inc
(504) Northwest CPA Group PLLC
(505) Northwest Equipment Sales Inc
(506) NorthWest Fruit & Produce Inc
(507) Northwest Gastroenterology Assoc Inc
(508) Northwest Grain Growers Inc
(509) Northwest Plant Health Care Inc
(510) Northwest Sandblast & Paint LLC
(511) Northwest Technical Resources Inc
(512) NorthWest Wholesale Florists Inc
(513) Notkin Mechanical Engineers
(514) Now Impressions Inc
(515) Numatic Finishing Corporation
(516) NuWest Group Holdings LLC
(517) NW Roofing Solutions LLC
(518) NW Sand & Gravel Products Inc
(519) NW Women's Healthcare Specialist
(520) NWAP II Inc
(521) Nyberg Health Enterprises Inc
(522) Obert Marine Supply Inc
(523) Ocean Park Mechanical Inc
(524) Official Equipment Company
(525) O'Leary Walsh & George Inc
(526) Oles Morrison Rinker & Baker LLP
(527) Olympic Maintenance LLC
(528) Olympic Spine & Sport Therapy
(529) Omni Properties Inc
(530) Ondine Research Laboratories Inc
(531) One Accord LLC
(532) O'Neal & Brokaw Private Retirement Grp
(533) On-Hold Concepts Inc
(534) Ontracor Inc
(535) Orange Commercial Credit Inc
(536) Orca Bay Capital Corporation
(537) Orca Wave LLC
(538) Organization Research Services
(539) Orthodontic and Pediatric Dental Special
(540) Ortlieb USA LLC
(541) OTB Solutions Group LLC
(542) Otis Orchards Hardware
(543) Outdoor Products Inc
(544) Overlake Oil Inc
(545) Overlake Reproductive Health Inc PS
(546) Oxford Computer Group LLC
(547) Pace Material Handling
(548) Pacific CA Systems Inc
(549) Pacific Container Corporation
(550) Pacific Food Importers
(551) Pacific Motor Company Inc
(552) Pacific Northern Construction Company
(553) Pacific Public Affairs Inc
(554) Pacific Terminals
(555) Palmer Coking Coal Company LLP
(556) Pan Pacific Electronics Inc
(557) Panagiotu Pension Advisors Inc
(558) Pangeo Inc
(559) Paradise Pet Lodge
(560) Parker Corporate Services Inc
(561) Paroscientific Inc
(562) Parsec Computer Corporation
(563) Passport Unlimited Inc
(564) Payroll Solutions Inc
(565) PDK Services LLC
(566) Pegasus Global Holdings Inc
(567) Penco Enterprises Inc
(568) Perez Move Management Inc
(569) Perfect Fit - McDonald Inc
(570) Perfection Tire No 2 Inc
(571) Perfection Tire No 21 Inc
(572) Perfection Tire No 36 Inc
(573) Perfection Tire No 45 Inc
(574) Perfection Tire No 6 Inc
(575) Performance Franchising Inc
(576) Performance Reps Northwest Inc
(577) Perrault Farms Inc
(578) Peterson Russell Kelly PLLC
(579) Peterson Strehle Martinson
(580) PhaseRX Inc
(581) Physician Anesthesia Association
(582) Pierce County Medical Society
(583) Pierce County Security Inc
(584) Pinnacle Lumber & Plywood
(585) Pioneer Communications Group LLC
(586) Plants Northwest Inc
(587) Plantscapes Inc
(588) Plaza Bank
(589) Plese Printing
(590) PocketiNet Communications Inc
(591) Poe Construction Inc
(592) Port City Services
(593) Port Townsend Publishing Co Inc
(594) Posera USA Inc
(595) Poth Investigations Inc
(596) Power System Consultants
(597) Powerit Solutions LLC
(598) Pragmatyxs Inc
(599) Precise Tool & Gage Co Inc
(600) Preferred Orthotic & Prosthetic Services
(601) Premier Centers Management
(602) Premier Memorial LLC
(603) Premier Product Management Inc
(604) Pressworks
(605) Princeton L Co DDS PLLC
(606) Privateer Holdings Inc
(607) Prizm Surveying Inc
(608) Production Plating Inc
(609) ProSource of Spokane LLC
(610) Prosser Piano & Organ
(611) Prostock Athletic Supply Inc
(612) PRS Group Inc
(613) Puget Sound Bank
(614) Puget Sound Dispatch LLC
(615) Puget Sound Pilots
(616) Purcell P & C LLC
(617) Q-Mart
(618) Quality Care Physical Therapy
(619) Quantum Consulting Engineers LLC
(620) Queen City Plating Inc
(621) Quinault Land & Timber Enterprises
(622) Quinault Pride
(623) R & R Star Towing Inc
(624) RA Investment Properties LLC
(625) Radach Farms Inc
(626) Radtke Marine Inc
(627) Rafael Carrabba Violins Inc
(628) Rainier Plywood Company
(629) Rainier Wood Recyclers Inc
(630) Rawson Logging
(631) Re Glaze Unlimited Inc
(632) Real Centric Solutions LLC
(633) Recycle Systems LLC
(634) Red-Head Steering Gears Inc
(635) Rees ENTERPRIZES Inc
(636) Regal Financial Bank
(637) Rehberg Law Group PS
(638) Reisner Distributor
(639) Rekdal Hopkins Howard PS
(640) Reliable Commercial Cleaning
(641) Rena International
(642) Repair Technology Inc
(643) Richmond Public Relations Inc
(644) Riverside Engineering PLLC
(645) RJR Inc
(646) RNR RV Center
(647) Robert W Droll Landscape Architect
(648) Rochester Lumber Inc
(649) Rockworks LLC
(650) Rolluda Architects Inc
(651) RoofCorp of WA
(652) Rotovac Corporation
(653) RS Mechanical LLC
(654) RSR Enterprises
(655) RSVP International Inc
(656) RWST Inc
(657) S Martinez Livestock Inc
(658) SK Koehler & Company
(659) Sage Advisors LLC
(660) Sage Fruit Company LLC
(661) Salvus Bain Management (USA) LLC
(662) Sam & Jenny Inc
(663) Sammamish Mortgage Company
(664) Samuel & Company
(665) Sazan Group Inc
(666) Scammahorn Inc
(667) Schreiber Starling Whitehead Architects
(668) SCJ Alliance
(669) Sclater Architects PC
(670) Sea Island Corporation
(671) Searing Electric & Plumbing
(672) Seattle Barrel Company
(673) Seattle Freight Services Inc
(674) Seattle Industrial Motor & Machine Co
(675) Seattle Pottery Supply Inc
(676) Seidelhuber Iron & Bronze Works Inc
(677) Seri-Prep Service Inc
(678) Servicemaster Services
(679) Sessions Plumbing
(680) SGS Glass
(681) Shamrock Landscaping LLC
(682) Shelter Resources Inc
(683) Shinstine Assoc LLC
(684) Siefken & Sons Construction
(685) Sign Associates Inc
(686) Signature Home Sales LLC
(687) Signature Seafoods
(688) Signia Capital Management LLC
(689) Silver Lake Water & Sewer District
(690) Simpson Engineers Inc
(691) Sitts & Hill Engineers Inc
(692) Skagway Street Car Co Inc
(693) Skyline Maintenance Services Inc
(694) Sloane Investment Company
(695) Smart Plug Systems LLC
(696) Smart Portfolio LLC
(697) So Whidbey Physical Therapy & Sports Cl
(698) Sockeye Construction Corporation
(699) Soloy LLC
(700) Sonic Collision Center
(701) Sonshine Collision Service Inc
(702) Sound Wood Products Inc
(703) Soundcare Inc
(704) Specialty Wipers Inc
(705) Spectrum Communications
(706) Spentech Inc
(707) Spokane Forest Products Inc
(708) Star Asia USA LLC
(709) Star Ice & Fuel
(710) State Bank Northwest
(711) Stellar International Inc
(712) Steven Shiflett Orchard Inc
(713) Stewart Industries
(714) Stewart Lumber & Hardware
(715) STJ-CA Inc
(716) Stock & Associates Inc
(717) Stone-Drew Ashe & Jones Inc
(718) Stress-Tek Inc
(719) Stricker Cato Murphy Architects PS
(720) Stubblefields
(721) SubTerra Inc
(722) Subway Development of SW WA Inc
(723) Summit Capital Group LLC
(724) Summit Leasing Inc
(725) Summit Power Group
(726) Sun Liquor
(727) Sunbird Shopping Center
(728) Sunheaven Farms LLC
(729) Sunrise Resorts of Washington Inc
(730) SupportMed Inc
(731) Surgery Center of Olympia LLC
(732) Sushi Town Inc Bonney Lake
(733) SWC Enterprises LLC
(734) Synchronized Enterprises Inc
(735) Syncronex LLC
(736) Synergy Sales Northwest LLC
(737) Systems Auditing USA
(738) Systima Technologies Inc
(739) Tacoma Book Center
(740) Tacoma Dental Lab Inc
(741) Tacoma Pierce County Chamber
(742) Tacoma Symphony Orchestra
(743) Tagmaster North America
(744) Taylor Engineering Inc
(745) Team Eagle Inc
(746) Tech-Marine Enterprises Inc
(747) Teknologic LLC
(748) Telesystems West Inc
(749) Terry Home Inc
(750) TH Seafood Inc
(751) The Andover Company Inc
(752) The Blind Alley Inc
(753) The CashLINQ Group LLC
(754) The Charles H Beresford Company Inc
(755) The CheeseMan Corporation
(756) The Computer Manager
(757) The Controls Group Inc
(758) The Gottman Institute Inc
(759) The Grounds Professionals Inc
(760) The Herbrand Company
(761) The Laurel Group LLC
(762) The Macabe Associates Inc
(763) The Master's Touch
(764) The Mindplace Company
(765) The Myers Associates PC
(766) The Parc-Belltown Condominium Owners Assoc
(767) The Rainier Group Inc
(768) The Riley Group Inc
(769) The Tryline Group LLC
(770) Thomas Capital Group Inc
(771) Thomas Machine & Foundry Inc
(772) Thompson Smitch Consulting Group
(773) Thompsons Custom Orthotics & Prosthetics
(774) Threshold Communications Inc
(775) Thrifty Park Inc
(776) Tierney Electrical Manufacturing Co
(777) Tiin Ma Logging
(778) Tochterman Investment Co Inc
(779) Tokul Creek Marketing
(780) TokuSaku Inc
(781) Tom's Outboard
(782) Total Outdoor Corp
(783) Total Rental Center Inc
(784) Totem Bowl & Investments Inc
(785) TradeWind Services LLC
(786) Transform Inc
(787) Transportation Solutions Inc
(788) Travel Leaders
(789) Travel Leaders Travel Center Inc
(790) Travis Fitzmaurice & Associates
(791) TRCVB
(792) Trebron Co Inc
(793) Tri-Cities Produce Inc
(794) TRInternational Trading Company
(795) TTC Construction LLC
(796) Tucci & Sons Inc
(797) TW Clark Construction LLC
(798) Ultra Risk Advisors
(799) Unique Ingredients LLC
(800) Unisearch Inc
(801) Universal Building Systems
(802) Universal Life Church
(803) Universal Sheet Metal Inc
(804) University Place Refuse Service
(805) US Electrodynamics Inc
(806) Utilikilts LLC
(807) Valkyrie Leasing LLC
(808) Valley Anethesia Associates
(809) Valley Grain Inc
(810) Valley Tractor & Equipment Inc
(811) Vance Lift Truck Service Inc
(812) Vector Engineering Inc
(813) Velocity Partners LLC
(814) Vennworks Inc
(815) Veteran's Northwest Construction LLC
(816) Village Framers
(817) Vision Craft Inc
(818) Vision Municipal Solutions Inc
(819) Vista Precision Solutions Inc
(820) Vittana
(821) Von Harten & Company Inc PS
(822) VWS US Corporation
(823) Wagner Jewelers Inc
(824) Wald Imports
(825) Warden Hutterian Brethren
(826) Washburn's General Merchandise
(827) Washington Management Co Inc
(828) Washington Packaging Supply Inc
(829) Washington Professional Real Estate LLC
(830) Washington Water Heaters
(831) Watson & McDonell PLLC
(832) WayPoint LLC
(833) West Seattle Nursery
(834) Westcott Homes LLC
(835) Western Systems Inc
(836) Western Technical Sales
(837) Western Washington Pathology PS
(838) Westgate Family Medicine Douglas L Atti
(839) Whatcom Builders Inc
(840) Whatcom Meadows Camping
(841) WHH Nisqually Federal Service LLC
(842) White Residential Inc
(843) Whooshh Innovations
(844) Willar Corp
(845) Williams Oil Filter Serv Co Inc
(846) WiserCare Inc
(847) Wrenn Law Group PLLC
(848) Xron Associates Inc
(849) Yakamart
(850) Yakima Ambulatory Surgical Center
(851) Yakima Cooperative Association Inc
(852) Yakima Fresh LLC
(853) Yakima Orthotics & Prosthetics PC
(854) Your Man Friday & Friday People
(855) Youtell Biochemical Inc USA
(856) Ziemek Dental Laboratories
(857) Zipfizz Corporation

Schedule R (Form 990) 2015

Page 3

Part V

Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................

b Gift, grant, or capital contribution to related organization(s) ............................

c Gift, grant, or capital contribution from related organization(s) ............................

d Loans or loan guarantees to or for related organization(s) ............................

e Loans or loan guarantees by related organization(s) ............................

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

k Lease of facilities, equipment, or other assets from related organization(s) ......................

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

m Performance of services or membership or fundraising solicitations by related organization(s) .................

Yes

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

o Sharing of paid employees with related organization(s) ............................

p Reimbursement paid to related organization(s) for expenses ............................

q Reimbursement paid by related organization(s) for expenses ............................

r Other transfer of cash or property to related organization(s) ............................

Yes

s Other transfer of cash or property from related organization(s) ............................

Yes

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved

Schedule R (Form 990) 2015

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2015

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R (see instructions).

Return Reference	Explanation

Schedule R (Form 990) 2015

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: The Trust was established to hold insurance policies through which participating employers can provide programs of health and other insured welfare benefits under the employee benefit plans they maintain for their employees and dependents.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	3
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	3
5	Total number of individuals employed in calendar year 2015 (Part V, line 2a) ......	5	0
6	Total number of volunteers (estimate if necessary) .............	6	0
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	0
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	0	0
9	Program service revenue (Part VIII, line 2g) .........	57,428,727	94,358,687
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	211	367
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	0	174,956
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	57,428,938	94,534,010
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	0	0
14	Benefits paid to or for members (Part IX, column (A), line 4).....	50,898,778	83,496,900
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	0	0
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	6,575,101	10,921,944
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	57,473,879	94,418,844
19	Revenue less expenses. Subtract line 18 from line 12.......	-44,941	115,166
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	3,396,259	2,542,399
21	Total liabilities (Part X, line 26).............	3,002,573	2,033,547
22	Net assets or fund balances. Subtract line 21 from line 20.....	393,686	508,852

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )
	The Trust was established to hold insurance policies through which participating employers can provide insured welfare benefits under the employee benefit plans they maintain for their employees and dependents.

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(D) Reportable compensation from the organization (W- 2/1099-MISC)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and Title
(1) Sarai Childs...................................................................... Trustee	20.00 ................. 20.00	X	0	111,753	14,998
(2) Emmy Jordan...................................................................... Trustee	10.00 ................. 30.00	X	0	102,942	28,116
(3) Maud Daudon...................................................................... Trustee	5.00 ................. 35.00	X	0	305,485	22,684

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	0	520,180	65,798

1a	Federated campaigns..	1a
b	Membership dues..	1b
c	Fundraising events..	1c
d	Related organizations	1d
e	Government grants (contributions)	1e

f	All other contributions, gifts, grants, and similar amounts not included above	1f

g	Noncash contributions included in lines 1a-1f:$
h Total.Add lines 1a-1f.......

			Business Code
2a	Employer contributions	525100	93,806,486	93,806,486
b	Participant contributions	525100	552,201	552,201
c
d
e
f	All other program service revenue.
g Total.Add lines 2a–2f.....			94,358,687

3 Investment income (including dividends, interest, and othersimilar amounts) ..........			367			367
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents
b	Less: rental expenses
c	Rental income or (loss)
d	Net rental income or (loss)......
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory
b	Less: cost or other basis and sales expenses
c	Gain or (loss)
d	Net gain or (loss).....
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
	a
b	Less: direct expenses ...b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
	a
b	Less: cost of goods sold ..b
c	Net income or (loss) from sales of inventory..
Business Code			Miscellaneous Revenue
11a	Other contributions		525100	125,000	125,000
b	Employer late and NSF fees		525100	49,956	49,956
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			174,956
12	Total revenue. See Instructions......			94,534,010	94,533,643	0	367

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21
2	Grants and other assistance to individuals in the United States. See Part IV, line 22
3	Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16
4	Benefits paid to or for members	83,496,900
5	Compensation of current officers, directors, trustees, and key employees ....
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....
7	Other salaries and wages
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....
9	Other employee benefits .......
10	Payroll taxes ...........
11	Fees for services (non-employees):
a	Management ......	2,608,836
b	Legal .........	408,527
c	Accounting ...........	16,368
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	7,809,647
12	Advertising and promotion ....
13	Office expenses .......	5,423
14	Information technology ......	64,046
15	Royalties ..
16	Occupancy ...........
17	Travel ............
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	1,337
20	Interest ...........
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..
23	Insurance ...	7,760
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a
b
c
d
e	All other expenses
25	Total functional expenses. Add lines 1 through 24e	94,418,844
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........		368,365	1	801,019
2	Savings and temporary cash investments .........		2,229,778	2	1,547,986
3	Pledges and grants receivable, net ......			3
4	Accounts receivable, net .............		638,246	4	62,386
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L
				5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
				6
7	Notes and loans receivable, net ....			7
8	Inventories for sale or use ........			8
9	Prepaid expenses and deferred charges ......			9	1,109
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a
b	Less: accumulated depreciation	10b		10c
11	Investments—publicly traded securities .			11
12	Investments—other securities. See Part IV, line 11 .....			12
13	Investments—program-related. See Part IV, line 11 ..			13
14	Intangible assets ...............			14
15	Other assets. See Part IV, line 11 ...........		159,870	15	129,899
16	Total assets. Add lines 1 through 15 (must equal line 34)...		3,396,259	16	2,542,399

17	Accounts payable and accrued expenses .....	329,753	17	149,614
18	Grants payable ...		18
19	Deferred revenue .........	779,791	19	1,447,247
20	Tax-exempt bond liabilities .........		20
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..		22
23	Secured mortgages and notes payable to unrelated third parties ..		23
24	Unsecured notes and loans payable to unrelated third parties ..		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D	1,893,029	25	436,686
26	Total liabilities. Add lines 17 through 25..	3,002,573	26	2,033,547

	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets		27
28	Temporarily restricted net assets ...........		28
29	Permanently restricted net assets		29
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....	0	30	0
31	Paid-in or capital surplus, or land, building or equipment fund ...	0	31	0
32	Retained earnings, endowment, accumulated income, or other funds	393,686	32	508,852
33	Total net assets or fund balances ...........	393,686	33	508,852
34	Total liabilities and net assets/fund balances ........	3,396,259	34	2,542,399