TY 2019 Form 990

- 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.
SchDMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public Inspection

Name of the organization

EVERGREEN SECURITY TRUST

Employer identification number

91-0630779

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 7/25/06, 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 FASB 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 FASB 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 FASB 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) 2019

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

Term 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) 2019

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
(B)
(C)
(D)
(E)
(F)
(G)
(H)
(I)
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

(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
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

(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

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
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	40,415
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) 2019

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	1,481,832
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a	48,544
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	48,544
3	Subtract line 2e from line 1..................			3	1,433,288
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	1,433,288

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	1,450,841
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
e	Add lines 2a through 2d....................			2e	0
3	Subtract line 2e from line 1...................			3	1,450,841
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	7,642
c	Add lines 4a and 4b.....................			4c	7,642
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......			5	1,458,483

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 X, LINE 2:	THE PLAN OBTAINED ITS LATEST EXEMPTION LETTER DATED JANUARY 4, 1978, IN WHICH THE INTERNAL REVENUE SERVICE (IRS) STATED THE PLAN QUALIFIED UNDER SECTION 501(C)(9) OF THE INTERNAL REVENUE CODE (IRC) AND, THEREFORE, IS NOT SUBJECT TO TAX UNDER PRESENT INCOME TAX LAWS. THE PLAN HAS BEEN AMENDED SINCE RECEIVING THE EXEMPTION LETTER. THE PLAN'S ADMINISTRATOR BELIEVES THAT THE PLAN IS CURRENTLY DESIGNED AND BEING OPERATED IN COMPLIANCE WITH THE APPLICABLE REQUIREMENTS OF THE IRC. THEY BELIEVE THAT THE PLAN WAS QUALIFIED AND THE RELATED TRUST WAS TAX-EXEMPT AS OF THE FINANCIAL STATEMENT DATE; THEREFORE, NO PROVISION FOR INCOME TAX HAS BEEN INCLUDED IN THE PLAN'S FINANCIAL STATEMENTS. 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 IRS. THE PLAN ADMINISTRATOR HAS ANALYZED THE TAX POSITIONS TAKEN BY THE PLAN, AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2019 AND 2018, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE FINANCIAL STATEMENTS. 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 PREMIUMS PAYABLE 7,642.

Return Reference

Explanation

PART X, LINE 2:

THE PLAN OBTAINED ITS LATEST EXEMPTION LETTER DATED JANUARY 4, 1978, IN WHICH THE INTERNAL REVENUE SERVICE (IRS) STATED THE PLAN QUALIFIED UNDER SECTION 501(C)(9) OF THE INTERNAL REVENUE CODE (IRC) AND, THEREFORE, IS NOT SUBJECT TO TAX UNDER PRESENT INCOME TAX LAWS. THE PLAN HAS BEEN AMENDED SINCE RECEIVING THE EXEMPTION LETTER. THE PLAN'S ADMINISTRATOR BELIEVES THAT THE PLAN IS CURRENTLY DESIGNED AND BEING OPERATED IN COMPLIANCE WITH THE APPLICABLE REQUIREMENTS OF THE IRC. THEY BELIEVE THAT THE PLAN WAS QUALIFIED AND THE RELATED TRUST WAS TAX-EXEMPT AS OF THE FINANCIAL STATEMENT DATE; THEREFORE, NO PROVISION FOR INCOME TAX HAS BEEN INCLUDED IN THE PLAN'S FINANCIAL STATEMENTS. 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 IRS. THE PLAN ADMINISTRATOR HAS ANALYZED THE TAX POSITIONS TAKEN BY THE PLAN, AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2019 AND 2018, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE FINANCIAL STATEMENTS. 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 PREMIUMS PAYABLE 7,642.

Schedule D (Form 990) 2019

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

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2019

Open to Public
Inspection

Name of the organization

EVERGREEN SECURITY TRUST

Employer identification number

91-0630779

Return Reference	Explanation
FORM 990, PART VI, SECTION A, LINE 3	THE TRUST HAS CONTRACTED WITH VIMLY BENEFIT SOLUTIONS, INC. TO PROVIDE ADMINISTRATIVE SERVICES FOR THE PLAN.
FORM 990, PART VI, SECTION B, LINE 11B	A COPY OF THE TRUST'S FORM 990 WAS PROVIDED TO EACH VOTING MEMBER OF THE GOVERNING BODY OF THE TRUST PRIOR TO IT'S FILING WITH THE IRAS. PRIOR TO FILING THE FORM 990 WITH THE IRS, THE ORGANIZATION'S TRUSTEE REVIEWED THE FORM 990 FOR ACCURACY AND COMPLETENESS.
FORM 990, PART VI, SECTION B, LINE 12C	THE CONFILCT OF INTEREST POLICY COVERS ALL PERSONS DEFINED UNDER ERISA AS PARTIES-IN-INTEREST. ALL PARTIES-IN-INTEREST HAVE A DUTY TO DISCLOSE THE EXISTENCE OR OCCURRENCE OF A PROHIBITED TRANSACTION AS DEFINED BY ERISA TO THE TRUSTEE BY WAY OF CORRESPONDENCE TO THE ADMINISTRATIVE AGENT. ALSO, IN CONJUNCTION WITH THE ANNUAL AUDIT, THE INDEPENDENT AUDITOR HAS A DUTY TO CONTACT IN WRITING ALL PARTIES-IN-INTEREST INQUIRING OF THEIR KNOWLEDGE OR SUSPICION OF ANY ALLEGED PROHIBITED TRANSACTION. ALL RESPONSES ARE REQUIRED TO BE CONFIRMED IN WRITING TO THE AUDITOR. THE AUDITOR IS REQUIRED TO REPORT BY WAY OF SEPARATE CORRESPONDENCE TO THE TRUSTEE ANY ALLEGATIONS OF PROHIBITED TRANSACTION(S). UPON RECEIPT OF INFORMATION ALLEGING A PROHIBITED TRANSACTION, THE TRUSTEE OR SUCH DESIGNATED DIS-INTERESTED ADVISOR IS REQUIRED TO IMMEDIATELY UNDERTAKE AN INVESTIGATION AND REPORT. THE INVESTIGATION IS TO INCLUDE A REVIEW OF ALL APPLICABLE FACTS AND DOCUMENTS, THE SPECIFIC PROVISIONS OF ERISA ALLEGED TO HAVE BEEN VIOLATED, AND ANY APPLICABLE EXEMPTIONS FROM PROHIBITED TRANSACTIONS.
FORM 990, PART VI, SECTION C, LINE 19	NO OTHER DOCUMENTS ARE AVAILABLE TO THE PUBLIC.
FORM 990, PART XII, LINE 2C	NO CHANGE WAS MADE TO THE OVERSIGHT PROCESS OF THE AUDIT OR THE SELECTION PROCESS OF AN INDEPENDENT ACCOUNTANT DURING THE TAX YEAR.

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

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2019

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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public Inspection

Name of the organization

EVERGREEN SECURITY TRUST

Employer identification number

91-0630779

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)BLUE SKY CHURCH 1720 130TH AVE NE BELLEVUE,WA980052272 20-1223609		WA					No
(2)CENTRAL PARK TENNIS CLUB 5820 125TH LN NE KIRKLAND,WA980338764 91-0885105		WA					No
(3)COMMUNITY CENTER FOR EDUCATION RESULTS 1200 12TH AVE S STE 701 SEATTLE,WA981442712 27-1667560		WA					No
(4)DEGREES OF CHANGE 1109 A ST SUITE 101 TACOMA,WA984025003 45-3035382		WA					No
(5)EASTSIDE FOOTBALL CLUB PO BOX 284 PRESTON,WA980500284 91-1716475		WA					No
(6)EVERGREEN COMMUNITY CHURCH 3429 240TH ST SE BOTHELL,WA980218958 91-1647497		WA					No
(7)LAKESIDE BIBLE CAMP ASSOCIATION PO BOX 310 CLINTON,WA982360310 91-1110982		WA					No
(8)STOCKCHARTSCOM 11241 WILLOWS RD NE STE 320 REDMOND,WA980521009 91-1981947		WA					No
(9)TACOMA YACHT CLUB 5401 YACHT CLUB RD TACOMA,WA984073183 91-0435740		WA					No

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

Cat. No. 50135Y

Schedule R (Form 990) 2019

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
(1) ALDERWOOD SURGICAL CENTER LLC 3500188TH ST SW 670 LYNNWOOD,WA98037 20-4979154		WA					No			No
(2) ARCHON CAPITAL MANAGEMENT LLC 1100 19TH AVE E SEATTLE,WA981123505 59-3776072		WA					No			No
(3) ARROW LAW GROUP PLLC 12826 SE 40TH LN STE A11 BELLEVUE,WA980065266 27-3347623		WA					No			No
(4) ASTARTE BIOLOGICS LLC 22122 20TH AVE SE SUITE H/150 BOTHELL,WA980214433 56-2433678		WA					No			No
(5) ATOMIC INFOTECH LLC 371 NE GILMAN BLVD STE 140 ISSAQUAH,WA980272956 27-4530958		WA					No			No
(6) BEHAVIORAL TECH LLC 1107 NE 45TH ST STE 230 SEATTLE,WA981054692 75-3105374		WA					No			No
(7) BELLEVUE MEDICAL IMAGING 1400 116TH AVE NE BELLEVUE,WA980043816 91-2177853		WA					No			No
(8) BIF II DIST ENERGY HOLDINGS III DE LLC 1325 4TH AVE STE 1440 SEATTLE,WA981012509 47-1334175		WA					No			No
(9) BYRON AUTOMATION 70 LOCUST LN NACHES,WA989378801 02-0576955		WA					No			No
(10) CHUN LAI HOSPITALITY LLC 35228 SNOQUALMIE PARKWAY SNOQUALMIE,WA98065 81-2011073		WA					No			No
(11) CMAC LLC 231 MAIN AVE S STE A RENTON,WA980572602 26-2933312		WA					No			No
(12) CONCOURSE HOSTING LLC 3400 188TH ST SW STE 590 LYNNWOOD,WA980374774 35-2189157		WA					No			No
(13) CORY M DEAN LLC 4310 S 131ST PL TUKWILA,WA981683200 26-1413386		WA					No			No
(14) D'ANNUNZIO CONSULTING GROUP LLC 621 PACIFIC AVE STE 216 TACOMA,WA984024619 61-1535400		WA					No			No
(15) DAPAUL CHIP LLC PO BOX 14748 TUMWATER,WA985114748 91-1980547		WA					No			No
(16) DERU CATERING LLC 723 9TH AVE STE D KIRKLAND,WA980335662 27-2923417		WA					No			No
(17) EAGLE ASPHALT SEALCOATING LLC 14017 16TH ST E SUMNER,WA983909632 83-0354320		WA					No			No
(18) ELYSIAN ONE LLC 815 S 28TH ST STE A TACOMA,WA984098128 82-4080659		WA					No			No
(19) ENTIRENET 340 S LEMON AVE 1968 WALNUT,CA917892706 58-2428264		CA					No			No
(20) EXPED LLC 1142 BROADWAY SUITE 400 TACOMA,WA98402 80-0369732		WA					No			No
(21) FAMILY PANCAKE HOUSE MANAGEMENT CORP 2540 CASCADES PASS BLVD STE 200 BREMERTON,WA983122139 91-1026321		WA					No			No
(22) FINANCIAL ADVOCATES AGENCY LLC 1601 COOPER POINT RD NW OLYMPIA,WA985028325 47-4121481		WA					No			No
(23) FIRESTIXS LLC 1911 SW CAMPUS DR 195 FEDERAL WAY,WA980236473 20-2801245		WA					No			No
(24) FORUM SOLUTIONS LLC 6134 160TH AVE SE BELLEVUE,WA980065622 47-3262033		WA					No			No
(25) GLASSWING LLC 1525 MELROSE AVE SEATTLE,WA981223607 45-2325792		WA					No			No
(26) GMD DEVELOPMENT LLC 520 PIKE ST STE 1010 SEATTLE,WA981014058 45-2467449		WA					No			No
(27) GULLEY LOGGING LLC 6616 325TH ST CT S ROY,WA985807657 45-1082144		WA					No			No
(28) HENNEBERG & HSUI PLLC 15701 E SPRAGUE AVE STE F SPOKANE VALLEY,WA990375019 27-0574631		WA					No			No
(29) ICE PROFESSIONAL SERVICES LLC 9116 S MARCH POINT RD ANACORTES,WA98221 11-3642603		WA					No			No
(30) INTEGRA PROPERTY GROUP LLC 520 PIKE ST STE 1004 SEATTLE,WA981014092 45-2283608		WA					No			No
(31) INTERNATIONAL FREIGHT SYSTEMS 19803 1ST AVE S NORMANDY PARK,WA981482472 91-1678512		WA					No			No
(32) INTERPERSONAL FREQUENCY LLC 5325 BALLARD AVE NW STE 203 SEATTLE,WA981074193 90-1035451		WA					No			No
(33) JASON CHANG DDS PLLC 1101 AVENUE D STE C104 SNOHOMISH,WA982902083 20-8425072		WA					No			No
(34) JOHNSON GRAFFE KEAY MONIZ & WICK 925 4TH AVE STE 2300 SEATTLE,WA981041145 91-1351550		WA					No			No
(35) KOMIKO LIMITED 7826 LEARY WAY NE REDMOND,WA980524379 47-3253580		WA					No			No
(36) LAW OFFICES OF BENJAMIN & HEALY PLLC 1201 PACIFIC AVE STE C7 TACOMA,WA984024393 03-0476438		WA					No			No
(37) MANINIS LLC 22408 72ND AVE S KENT,WA980321904 30-0846225		WA					No			No
(38) MILESTONE WORLDWIDE LLC 1001 4TH AVE STE 3200 SEATTLE,WA981541003 91-2190857		WA					No			No
(39) MYLIO LLC 10500 NE 8TH ST STE 1050 BELLEVUE,WA980040016 45-5463412		WA					No			No
(40) NAVALENT LLC 15212 NE 177TH DR WOODINVILLE,WA980726212 46-0798946		WA					No			No
(41) NORMANDY PARTNERS LLC 601 W WISHKAH ST OLYMPIA,WA985025464 20-8982241		WA					No			No
(42) NORTH STAR PARTNERS 640 NW 83RD ST SEATTLE,WA981174058 45-5173588		WA					No			No
(43) OPEN ROAD RV LLC 1175 VILLAGE WAY MONROE,WA982722029 46-3300193		WA					No			No
(44) ORCAS DISTRIBUTING LTD 22430 72ND AVE S TERRENO KENT CORPO KENT,WA980321904 27-0525691		WA					No			No
(45) PACIFIC PATHOLOGY PARTNERS PLLC 550 17TH AVE STE 300 SEATTLE,WA981225789 27-3405887		WA					No			No
(46) PRO VISION WINDOW AND DOOR LLC 910 VALLEY AVE NW UNIT 105 PUYALLUP,WA983712538 47-5325745		WA					No			No
(47) STRICKLAND & SONS EXCAVATION PO BOX 10 BUCKLEY,WA983210010 46-0657352		WA					No			No
(48) TERP SIGN LANGUAGE SERVICES 607 S 17TH ST RENTON,WA980554263 55-0899278		WA					No			No
(49) THE FOUNDATION GROUP LLC 2621 EASTLAKE AVE E SEATTLE,WA981023213 20-3679685		WA					No			No
(50) TOUSLEY BRAIN STEPHENS PLLC 1700 7TH AVE STE 2200 SEATTLE,WA981014416 91-1730595		WA					No			No
(51) VALLEY VISION ASSOCIATES LLP 2201 W DOLARWAY RD STE 2 ELLENSBURG,WA989268228 20-8092204		WA					No			No
(52) VISTA PROPERTIES LLC 117 N TACOMA AVE APT 201 TACOMA,WA984032607 82-0574942		WA					No			No
(53) YOUNG CHILD ACADEMY OF SEATTLE 557 ROY ST SEATTLE,WA981094219 91-2104517		WA					No			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) WASSER AND WINTERS COSSER AND WINTERS CO 2710 1ST AVE S SEATTLE,WA981341831 26-0822859		WA						No
(2) WASSER AND WINTERS COSSER AND WINTERS CO 1150 RAYMOND AVE SW RENTON,WA980573125 91-2071768		WA						No
(3) WASSER AND WINTERS COSSER AND WINTERS CO PO BOX 4058 BREMERTON,WA983120058 91-2065347		WA						No
(4) ALLERGY AND ASTHMA SPECIALTY SERVICES 11203 BRIDGEPORT WAY SW LAKEWOOD,WA984993002 91-1535959		WA						No
(5) ANSWERDASH INC 999 3RD AVE STE 700 SEATTLE,WA981044039 46-2285579		WA						No
(6) ARMSTRONG LUMBER CO INC 2709 AUBURN WAY N AUBURN,WA980022418 91-0748255		WA						No
(7) AUTO B CLEAN INC 24801 E WELLESLEY AVE OTIS ORCHARDS,WA990279769 91-2041918		WA						No
(8) AVIDIAN TECHNOLOGIES INC 14405 SE 36TH ST STE 206 BELLEVUE,WA980061513 20-2501742		WA						No
(9) BATSON ENTERPRISES INC 130 HARRISON RD UNIT 8 SEQUIM,WA983827250 91-2029854		WA						No
(10) BIDADOO INC 1001 3RD AVE S KENT,WA980326124 20-0507870		WA						No
(11) BIOHACKED INC 23007 156TH AVE SE KENT,WA980424024 81-2915063		WA						No
(12) BLUE HERON GROUP INC 5211 1ST AVE S SEATTLE,WA981082205 61-1766363		WA						No
(13) BOLDIQ INC 15821 NE 8TH ST STE 210 BELLEVUE,WA980083957 20-5168354		WA						No
(14) BRAIN INJURY LAW OF SEATTLE INC 437 5TH AVE S STE 103 EDMONDS,WA980203460 82-2022900		WA						No
(15) BUDDY PLATFORM INC 217 PINE ST STE 700 SEATTLE,WA981011520 45-3169059		WA						No
(16) C & S WELDINGINC 22610 85TH PL S KENT,WA980312469 91-1145151		WA						No
(17) CAP CITY LAW PS 2604 12TH CT SW STE B OLYMPIA,WA985026066 26-1466434		WA						No
(18) CERTIFIED INSPECTION SERVICES INC PO BOX 58766 TUKWILA,WA981381766 91-1326692		WA						No
(19) CHINOOK PHARMACY INC 11 S FORKS AVE FORKS,WA983319006 91-1076469		WA						No
(20) COMPUTER POWER & SERVICE INC 11620 AIRPORT RD BLDG C EVERETT,WA982043742 91-1551857		WA						No
(21) CRD DESIGN BUILD INC 3929 STONE WAY N SEATTLE,WA981038017 91-2130942		WA						No
(22) DATAWORKS DEVELOPMENT INC 6608 216TH ST SW STE 100 MOUNTLAKE TER,WA980432084 91-1372586		WA						No
(23) DEAKO INC 4201 ROOSEVELT WAY NE STE 100 SEATTLE,WA981056092 47-3320776		WA						No
(24) DEFIANT INC 800 5TH AVE STE 4100 SEATTLE,WA981043100 20-5245416		WA						No
(25) EIMS TEDROW & LADENBURG PC 600 STEWART ST STE 1500 SEATTLE,WA981011246 91-1677761		WA						No
(26) ETS AUTOMATION INC 1207 E FRANCIS AVE SPOKANE,WA992083646 20-2899125		WA						No
(27) EVERGREEN HARDWOODS INC 2955 80TH AVE SE STE 205 MERCER ISLAND,WA980402975 91-1223608		WA						No
(28) EXPRESSIONS SIGNS INC 17201 BEATON RD SE MONROE,WA982721071 91-2162507		WA						No
(29) FIRST DUE INC 8126 304TH AVE SE PRESTON,WA98050 27-1708179		WA						No
(30) GANIR & CO PACIFIC RIM COMMERCIAL SERVIC 11927 124TH AVE NE KIRKLAND,WA980348112 99-0323367		WA						No
(31) GENERATION GLASS COMPANY INC 39514 TANWAX COUNTY RD ROY,WA98580 91-1693205		WA						No
(32) GUIDE RESOURCE SERVICES INC 3708 AIRPORT WAY S SEATTLE,WA981342217 83-3905538		WA						No
(33) GUIDED PRODUCTS INC 7808 S 228TH ST KENT,WA98032 26-3684051		WA						No
(34) HIGHLAND SPORTS CENTER INC 18005 AURORA AVE N SHORELINE,WA981334419 09-1074150		WA						No
(35) HUB CITY MOTORCYCLES 1337 GOLDENROD RD BURLINGTON,WA982333445 47-1272782		WA						No
(36) HUMAN PERFORMANCE IN INDUSTRY 19007 61ST AVE NE UNIT 5 ARLINGTON,WA982236300 91-1586664		WA						No
(37) HUMBLE & DAVENPORT INSURANCE BROKERS INC 3500 MAPLE VALLEY HWY RENTON,WA980582871 91-1319164		WA						No
(38) HUTTMANN ELECTRIC INC 8502 VALLEY GREEN DR SE OLYMPIA,WA985139008 91-1511292		WA						No
(39) IGOR ELPERIN 2906 W NOB HILL BLVD YAKIMA,WA989024953 27-4758380		WA						No
(40) INTEGRITY ORTHOTIC LABORATORIES INC 19113 63RD AVE NE STE 4 ARLINGTON,WA982234752 91-2167447		WA						No
(41) ITEM HOUSE INC 2920 S STEELE ST TACOMA,WA984097630 91-1013624		WA						No
(42) IUNU 558 1ST AVE S STE 100 SEATTLE,WA981043832 46-3165391		WA						No
(43) KASKEL PSYCHOLOGICAL ASSOCIATES PS 7902 168TH AVE NE STE 101 REDMOND,WA980524445 81-2121640		WA						No
(44) MAGNIX USA INC 6724 185TH AVE NE STE A REDMOND,WA980526733 83-0709687		WA						No
(45) MARKHAM ENTERPRISES INC 14213 NE WOODINVILLE DUVALL RD WOODINVILLE,WA980728564 82-4379991		WA						No
(46) MERRILL & RING INC 813 E 8TH ST PORT ANGELES,WA983626418 91-6033157		WA						No
(47) MOTLEY MOTLEY INC 6901 SR 270 PULLMAN,WA991638717 91-0998237		WA						No
(48) MOVERE INC 14432 SE EASTGATE WAY STE 260 BELLEVUE,WA980076493 26-3430785		WA						No
(49) NATIONAL SIGN CORPORATION 1255 WESTLAKE AVE N SEATTLE,WA981093531 91-0721247		WA						No
(50) NEW TACOMA CEMETERIES 9212 CHAMBERS CREEK RD W UNIVERSITY PL,WA984671023 91-0434820		WA						No
(51) NEWYU INC 801 2ND AVE STE 800 SEATTLE,WA981041573 94-3320500		WA						No
(52) OHANA FIDUCIARY CORPORATION 9725 3RD AVE NE STE 205 SEATTLE,WA981152071 20-8367813		WA						No
(53) OLYMPIA RESPIRATORY SERVICES INC PO BOX 3388 LACEY,WA985093388 91-1990448		WA						No
(54) OUILETTE BROTHERS YACHT SALES INC 1801 ROEDER AVE STE 174 BELLINGHAM,WA982252258 91-1637765		WA						No
(55) OVERLAKE REPRODUCTIVE HEALTH INC PS 11232 NE 15TH PL STE 201 BELLEVUE,WA980043739 91-1796570		WA						No
(56) PAUL J LUND MPH DDS MSD PS 22 95TH DR NE LAKE STEVENS,WA982587975 91-1050537		WA						No
(57) PAYNEGROUP INC 1218 3RD AVE STE 1900 SEATTLE,WA981013051 91-1763349		WA						No
(58) PDM2 INC 11827 E TRENT AVE SPOKANE VALLEY,WA992064636 83-0801925		WA						No
(59) PETER SHALIT MD 901 BOREN AVE STE 850 SEATTLE,WA981043301 91-1469536		WA						No
(60) PIONEER SQUARE BRANDS 321 3RD AVE S STE 403 SEATTLE,WA981044602 82-2240749		WA						No
(61) PLUMB SIGNS INC 909 S 28TH ST TACOMA,WA984098106 91-1185574		WA						No
(62) PLUTOVR 5245 SHILSHOLE AVE NW SEATTLE,WA981074833 47-2780619		WA						No
(63) POTH INVESTIGATIONS INC 1420 NW GILMAN BLVD 2113 ISSAQUAH,WA980275394 91-1487692		WA						No
(64) PREMIER BROADCASTING 1133 KRESKY AVE CENTRALIA,WA985313773 91-0998396		WA						No
(65) RCHAIN COOPERATIVE 12345 LAKE CITY WAY NE 2032 SEATTLE,WA981255401 82-1263092		WA						No
(66) REAMER FAMILY DENTISTRY 12805 E SPRAGUE AVE SPOKANE VALLEY,WA992160795 27-3983098		WA						No
(67) RECOVERY CAFE 2022 BOREN AVE SEATTLE,WA981212703 80-2156463		WA						No
(68) RIBBOND INC 1904 3RD AVE STE 330 SEATTLE,WA981011182 91-1467567		WA						No
(69) RICHMOND PEDIATRIC CLINIC INC PS 357 NW RICHMOND BEACH RD SHORELINE,WA981773101 91-1045617		WA						No
(70) RSVP INTERNATIONAL INC 4435 COLORADO AVE S SEATTLE,WA981342351 91-1269515		WA						No
(71) S R WEST CORPORATION 2101 N 55TH ST STE 120 SEATTLE,WA981036264 91-2034620		WA						No
(72) SEA & SHORE CONSTRUCTION INC 1100 NW LEARY WAY SEATTLE,WA981075133 91-1383823		WA						No
(73) SEATTLE PERFORMANCE MEDICINE 2320 W COMMODORE WAY UNIT 100 SEATTLE,WA981991287 91-2195656		WA						No
(74) SIRRUS7 95 S JACKSON ST STE 405 SEATTLE,WA981043823 81-2687988		WA						No
(75) SMITH BUNDAY BERMAN BRITTON PS 11808 NORTHUP WAY STE 240 BELLEVUE,WA980051959 91-1275259		WA						No
(76) SOHAM INC 15395 SE 30TH PL STE 100 BELLEVUE,WA980076537 46-0997443		WA						No
(77) SOUTH HILL COLLISION 15128 MERIDIAN E PUYALLUP,WA983756621 91-1570231		WA						No
(78) SPARKRED 11241 WILLOWS RD NE STE 220 REDMOND,WA980521009 26-1658811		WA						No
(79) STAGING & DESIGN NETWORK 5901 23RD DR W STE 105 EVERETT,WA982031588 45-4556519		WA						No
(80) STAND TOGETHER PO BOX 8243 BONNEY LAKE,WA983911100 91-2166417		WA						No
(81) STILLWATER DWELLINGS INC 2111 3RD AVE SEATTLE,WA981212321 47-2439870		WA						No
(82) SURE MARINE SERVICES INC 5320 28TH AVE NW SEATTLE,WA981074147 91-0889459		WA						No
(83) T BAR CONSTRUCTION 14590 INTERURBAN AVE S STE B100 TUKWILA,WA981684674 07-0007968		WA						No
(84) THE FEAREY GROUP 1809 7TH AVE STE 1212 SEATTLE,WA981011331 91-1351416		WA						No
(85) THE RIVETER INC 5021 COLORADO AVE S SEATTLE,WA981342404 81-4723832		WA						No
(86) THRESHOLD COMMUNICATIONS INC 17345 164TH AVE NE STE 145-245 REDMOND,WA980527846 91-2173251		WA						No
(87) UNITED MOVING & STORAGE 1770 NE FUSON RD BREMERTON,WA983113729 91-0889271		WA						No
(88) VCITA 10900 NE 8TH ST STE 1490 BELLEVUE,WA980044766 98-1007172		WA						No
(89) VERMEER NORTHWEST SALES & SERVICES INC 2205 112TH ST E TACOMA,WA984453731 91-1466658		WA						No
(90) VITALITY FITNESS INC 3603 S MCCLELLAN ST SEATTLE,WA981445615 72-1583369		WA						No
(91) WASSER AND WINTERS CO 66 PORT WAY LONGVIEW,WA986321019 91-1072799		WA						No
(92) WESTERN STATE STEEL AND FABRICATION 1515 E HOLYOKE AVE SPOKANE,WA992177524 91-1456616		WA						No
(93) WILLIAMS & HELDE INC 2815 ELLIOTT AVE SEATTLE,WA981212990 91-0890820		WA						No
(94) WMI LIQUIDATING TRUST 800 FIFITH AVENUE SUITE 4100 SEATTLE,WA98104 45-6794330		WA						No
(95) WOW TECHNOLOGIES INC 12201 TUKWILA INTERNATIONAL BLVD ST TUKWILA,WA981685124 20-1955077		WA						No
(96) WSB INC 12546 AURORA AVE N SEATTLE,WA981338036 47-1838347		WA						No

Schedule R (Form 990) 2019

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) .................

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) ............................

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
(1) CONTRIBUTIONS FROM TAX-EXEMPT EMPLOYERS	S	13,638,342	CASH
(2) CONTRIBUTIONS FROM EMPLOYERS TAXABLE AS A PARTNERSHIP	S	6,641,932	CASH
(3) CONTRIBUTIONS FROM EMPLOYERS TAXABLE AS A CORPORATION OR TRUST	S	1,301,748	CASH

Schedule R (Form 990) 2019

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) 2019

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) 2019

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: TO PROVIDE HIGH QUALITY, AFFORDABLE EMPLOYEE BENEFITS PROGRAMS TO PARTICIPATING TRUST EMPLOYERS.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	1
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	0
5	Total number of individuals employed in calendar year 2019 (Part V, line 2a) ......	5	0
6	Total number of volunteers (estimate if necessary) .............	6	1
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 39 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	0	0
9	Program service revenue (Part VIII, line 2g) .........	1,405,540	1,418,963
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	25,729	14,325
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	21,000	0
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	1,452,269	1,433,288
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).....	1,236,545	1,254,692
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	48,741	30,121
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)....	244,823	173,670
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	1,530,109	1,458,483
19	Revenue less expenses. Subtract line 18 from line 12.......	-77,840	-25,195
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	429,551	456,593
21	Total liabilities (Part X, line 26).............	42,371	46,064
22	Net assets or fund balances. Subtract line 21 from line 20.....	387,180	410,529

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 1,458,483 including grants of $ ) (Revenue $ )
	PROVIDED DENTAL, VISION, LIFE INSURANCE, AND AD&D BENEFITS FOR ELIGIBLE PARTICIPANTS.

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 expenses1,458,483

(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) ROBERT A BOHRER BEG 2020...................................................................... CHAIRMAN	1.00 ................. 0.00	X	X	0	0	0
(2) GARY LAMARCHE THRU 2019...................................................................... TRUSTEE	8.00 ................. 0.00	X		30,121	0	0

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	30,121	0	0

(A) Name and business address	(B) Description of services	(C) Compensation





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 0

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:$	1g

h Total. Add lines 1a-1f.......

		Business Code
2a	EMPLOYER CONTRIBUTIONS	900099	1,404,850	1,404,850
b	EMPLOYEE CONTRIBUTIONS	900099	14,113	14,113
c
d
e
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		1,418,963

3 Investment income (including dividends, interest, and othersimilar amounts) ......			20,979			20,979
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents			6a
b	Less: rental expenses			6b
c	Rental income or (loss)			6c
d	Net rental income or (loss).......
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory		172,993	7a
b	Less: cost or other basis and sales expenses		179,647	7b
c	Gain or (loss)		-6,654	7c
d	Net gain or (loss).........			-6,654			-6,654
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a
b	Less: direct expenses ...		8b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a
b	Less: cost of goods sold ..		10b
c	Net income or (loss) from sales of inventory..
Business Code			Miscellaneous Revenue
11a
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......
12	Total revenue. See instructions.....			1,433,288	1,418,963	0	14,325

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............
4	Benefits paid to or for members .......	1,254,692	1,254,692
5	Compensation of current officers, directors, trustees, and key employees ...........	30,121	30,121
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 ......	17,060	17,060
b	Legal .........	26,315	26,315
c	Accounting ...........	14,526	14,526
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)	99,218	99,218
12	Advertising and promotion ....
13	Office expenses .......	5,454	5,454
14	Information technology ......
15	Royalties ..
16	Occupancy ...........
17	Travel ............	325	325
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....
20	Interest ...........
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..
23	Insurance ...	10,772	10,772
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	1,458,483	1,458,483	0	0
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 ........		14,865	1	190,301
2	Savings and temporary cash investments .........		18,728	2	12,680
3	Pledges and grants receivable, net ......			3
4	Accounts receivable, net .............		24,373	4	13,519
5	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
				5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
				6
7	Notes and loans receivable, net ...........			7
8	Inventories for sale or use ............			8
9	Prepaid expenses and deferred charges ......		409	9
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 .		371,176	11	240,093
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 ...........			15
16	Total assets. Add lines 1 through 15 (must equal line 33)...		429,551	16	456,593

17	Accounts payable and accrued expenses .....	9,598	17	5,649
18	Grants payable ...		18
19	Deferred revenue .........		19
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 any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
			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	32,773	25	40,415
26	Total liabilities. Add lines 17 through 25..	42,371	26	46,064

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........		27
28	Net assets with donor restrictions ...........		28
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....	0	29	0
30	Paid-in or capital surplus, or land, building or equipment fund ...	0	30	0
31	Retained earnings, endowment, accumulated income, or other funds	387,180	31	410,529
32	Total net assets or fund balances ...........	387,180	32	410,529
33	Total liabilities and net assets/fund balances ........	429,551	33	456,593