TY 2019 Form 990

(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)	(E) Reportable compensation from related organizations (W-2/1099-MISC)
(1) HENRY CELLMER...................................................................... TRUSTEE, CHAIRMAN	0.50 .................	X	X	0
(2) KRISTIN LANE...................................................................... TRUSTEE, VICE CHAIRMAN	0.50 .................	X	X	0
(3) MARK JONES...................................................................... TRUSTEE, TREASURER	0.50 .................	X	X	0
(4) BRADLEY BLOTSKY...................................................................... TRUSTEE, SECRETARY	0.50 .................	X	X	0
(5) DURANT THOEN...................................................................... TRUSTEE	0.50 .................	X		0
(6) SCOTT DICKINSON...................................................................... TRUSTEE	0.50 .................	X		0
(7) JOHN BUKOVATZ...................................................................... TRUSTEE	0.50 .................	X		0
(8) SHANE BERUMEN...................................................................... TRUSTEE	0.50 .................	X		0
(9) BRANDON SHAW...................................................................... TRUSTEE	0.50 .................	X		0
(10) STAN STEVENS...................................................................... TRUSTEE	0.50 .................	X		0
(11) CON SULLIVAN...................................................................... TRUSTEE	0.50 .................	X		0
(12) RANDY NELSON...................................................................... TRUSTEE	0.50 .................	X		0
(13) CHRIS SCHAFF...................................................................... TRUSTEE	0.50 .................	X		0
(14) STEVEN CAREY...................................................................... TRUSTEE	0.50 .................	X		0
(15) DON HALVERSON SR...................................................................... TRUSTEE	0.50 .................	X		0
(16) DON HALVERSON JR...................................................................... TRUSTEE	0.50 .................	X		0
(17) LINDSEY NICHOLS...................................................................... PLAN ADMIN	4.00 .................		X	6,248

- 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

PIPE TRADES TRUST
OF THE NORTHERN ROCKY MOUNTAIN AREA

Employer identification number

81-6009567

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.)	1,082,935
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	17,768,083
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a	249,906
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d	10,128
e	Add lines 2a through 2d .....................			2e	260,034
3	Subtract line 2e from line 1..................			3	17,508,049
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	1,656
b	Other (Describe in Part XIII.) ...........	4b	91,270
c	Add lines 4a and 4b....................			4c	92,926
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......			5	17,600,975

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	15,956,759
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	34,137
e	Add lines 2a through 2d....................			2e	34,137
3	Subtract line 2e from line 1...................			3	15,922,622
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	1,656
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.....................			4c	1,656
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......			5	15,924,278

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:	TEXT OF FOOTNOTE 8: TAX STATUS REFERENCING UNCERTAIN TAX POSITIONS: TRUST MANAGEMENT EVALUATES UNCERTAIN INCOME TAX POSITIONS TAKEN BY THE TRUST. THE FINANCIAL STATEMENT EFFECTS OF A TAX POSITION ARE RECOGNIZED WHEN THE POSITION IS MORE LIKELY THAN NOT, BASED ON THE TECHNICAL MERITS TO BE SUSTAINED UPON EXAMINATION BY THE IRS. THE TRUST ADMINISTRATOR HAS ANALYZED THE TAX POSITION TAKEN BY THE TRUST, AND HAS CONCLUDED THAT AS OF JULY 31, 2020, THERE WERE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN. THE TRUST IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS AND THERE ARE CURRENTLY NO AUDITS IN PROCESS.
PART XI, LINE 2D - OTHER ADJUSTMENTS:	NET RETURN OF CAPITAL FROM PARTNERSHIP 10,128.
PART XI, LINE 4B - OTHER ADJUSTMENTS:	ADJUSTMENT OF GAIN FOR BOOK TO TAX BASIS DIFFERENCE 91,270.
PART XII, LINE 2D - OTHER ADJUSTMENTS:	ADJUSTMENT OF CLAIMS INCURRED BUT NOT REPORTED 5,772. ADJUSTMENT OF EMPLOYER CONTRIBUTIONS 28,365.

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

PIPE TRADES TRUST
OF THE NORTHERN ROCKY MOUNTAIN AREA

Employer identification number

81-6009567

Return Reference	Explanation
FORM 990, PART VI, SECTION A, LINE 2	TWO TRUSTEES ARE FATHER AND SON.
FORM 990, PART VI, SECTION A, LINE 3	THE TRUST ENGAGES PROFESSIONAL HOUR BANK ADMINISTRATION AND ACCOUNTING SERVICES. THE TRUST ENGAGES PROFESSIONAL CLAIMS PAYMENT AND DISEASE MANAGEMENT SERVICES. THE TRUST ENGAGES PROFESSIONAL CONSULTING SERVICES RELATED TO MEDICAL BENEFITS AND ACTUARIAL SERVICES.
FORM 990, PART VI, SECTION A, LINE 6	THE ORGANIZATION REQUIRES PARTICIPANTS TO BE UNION MEMBERS IN GOOD STANDING.
FORM 990, PART VI, SECTION A, LINE 7A	TRUSTEES ARE APPOINTED BY UNION LOCALS AND BY EMPLOYER ORGANIZATIONS SIGNATORY TO THE VARIOUS UNION CONTRACTS. VOTING REPRESENTATION IS EQUAL BETWEEN LABOR AND EMPLOYERS.
FORM 990, PART VI, SECTION B, LINE 11B	THE FORM 990 IS REVIEWED ANNUALLY BY THE BOARD OF TRUSTEES.
FORM 990, PART VI, SECTION B, LINE 12C	THE TRUSTEES ARE ADVISED OF THIS POLICY ANNUALLY AND TRANSACTIONS WITH THE TRUST ARE REVIEWED FOR CONFLICTS OF INTEREST BY INDEPENDENT AUDITORS.
FORM 990, PART VI, SECTION C, LINE 19	ALL GOVERNING DOCUMENTS, POLICIES AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST AT THE OFFICES OF THE TRUST. THE TRUST DOES MAINTAIN A WEBSITE.
FORM 990, PART XI, LINE 9:	RETURN OF CAPITAL CLASSIFIED AS DIVIDENDS 10,128. BOOK TO TAX BASIS ADJUSTMENT -91,270. LOSS ON PLEDGED EMPLOYER CONTRIBUTION -28,365.

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

PIPE TRADES TRUST
OF THE NORTHERN ROCKY MOUNTAIN AREA

Employer identification number

81-6009567

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)UA LOCAL 11-B 4402 AIRPARK BLVD DULUTH,MN55811 41-0235373	LABOR UNION	MN	501(C)(5)		N/A		No
(2)UA LOCAL 30 317 WASHINGTON STREET BILLINGS,MT59101 81-0201347	LABOR UNION	MT	501(C)(5)		N/A		No
(3)UA LOCAL 41 45 E SILVER ST BUTTE,MT59701 81-0151328	LABOR UNION	MT	501(C)(5)		N/A		No
(4)UA LOCAL 300 2101 GREAT NORTHERN DR FARGO,ND58102 41-1902201	LABOR UNION	ND	501(C)(5)		N/A		No
(5)UA LOCAL 459 1026 S 5TH ST W MISSOULA,MT59801 81-0252716	LABOR UNION	MT	501(C)(5)		N/A		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

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) 4G PLBG & HTG	CONTRIBUTING EMPLOYER							No
(2) AC&R SPECIALISTS	CONTRIBUTING EMPLOYER							No
(3) AIR CONTROLS	CONTRIBUTING EMPLOYER							No
(4) AIR MECHANICAL	CONTRIBUTING EMPLOYER							No
(5) ALLIED PLUMBING LLC	CONTRIBUTING EMPLOYER							No
(6) ALPINE PLUMBING HEATING & COOLING	CONTRIBUTING EMPLOYER							No
(7) APOLLO SHEET METAL	CONTRIBUTING EMPLOYER							No
(8) AUGUST WINTER & SONS	CONTRIBUTING EMPLOYER							No
(9) AZCO	CONTRIBUTING EMPLOYER							No
(10) BABCOCK & WILCOX CONSTRUCTION	CONTRIBUTING EMPLOYER							No
(11) BILLINGS PIPE	CONTRIBUTING EMPLOYER							No
(12) BMWC CONSTRUCTORS	CONTRIBUTING EMPLOYER							No
(13) BROTHERS PIPELINE CORP	CONTRIBUTING EMPLOYER							No
(14) BUGNI PLUMBING & HEATING	CONTRIBUTING EMPLOYER							No
(15) BURNN BOLIER & MECHANICAL	CONTRIBUTING EMPLOYER							No
(16) C R MEYER & SONS	CONTRIBUTING EMPLOYER							No
(17) CITY AIR MECHANICAL	CONTRIBUTING EMPLOYER							No
(18) CLARK PLUMBING	CONTRIBUTING EMPLOYER							No
(19) CLEAR CREEK PLUMBING	CONTRIBUTING EMPLOYER							No
(20) CLIMATE MAKERS	CONTRIBUTING EMPLOYER							No
(21) COMBUSTION SERVICE	CONTRIBUTING EMPLOYER							No
(22) CONDITIONED AIR SYSTEMS	CONTRIBUTING EMPLOYER							No
(23) CONSTRUCTION & TURNAROUND SERVICES	CONTRIBUTING EMPLOYER							No
(24) COOL AIR MECHANICAL	CONTRIBUTING EMPLOYER							No
(25) COOLING & HEATING UNLTD	CONTRIBUTING EMPLOYER							No
(26) COP CONSTRUCTION	CONTRIBUTING EMPLOYER							No
(27) CORE CONTROLS INC	CONTRIBUTING EMPLOYER							No
(28) CORVAL CONSTRUCTORS	CONTRIBUTING EMPLOYER							No
(29) COULTER VALVE SERVICE	CONTRIBUTING EMPLOYER							No
(30) DAIKIN APPLIED	CONTRIBUTING EMPLOYER							No
(31) DALE PLBG & HTG INC	CONTRIBUTING EMPLOYER							No
(32) DCT INCORPORATED	CONTRIBUTING EMPLOYER							No
(33) DIAMOND PLBG & HTG INC	CONTRIBUTING EMPLOYER							No
(34) DIRK PLUMBING & HEATING	CONTRIBUTING EMPLOYER							No
(35) DNL SERIVCES	CONTRIBUTING EMPLOYER							No
(36) DRAIN WERKS	CONTRIBUTING EMPLOYER							No
(37) ED BOLAND CONST INC	CONTRIBUTING EMPLOYER							No
(38) EMPIRE HEATING & COOLING	CONTRIBUTING EMPLOYER							No
(39) ENCODE CORP	CONTRIBUTING EMPLOYER							No
(40) ENERGY WEST	CONTRIBUTING EMPLOYER							No
(41) FICO	CONTRIBUTING EMPLOYER							No
(42) G&T PLUMBING	CONTRIBUTING EMPLOYER							No
(43) GALLE PLUMBING	CONTRIBUTING EMPLOYER							No
(44) GARTNER REFRIGERATION	CONTRIBUTING EMPLOYER							No
(45) HANGING H COMPANIES LLC	CONTRIBUTING EMPLOYER							No
(46) HARRIS COMPANIES	CONTRIBUTING EMPLOYER							No
(47) HAUSER CONTROLLS LLC	CONTRIBUTING EMPLOYER							No
(48) HAUSER PLUMBING & HEATING	CONTRIBUTING EMPLOYER							No
(49) HERTZ PLBG & HTG INC	CONTRIBUTING EMPLOYER							No
(50) HIGH PRARIE PLUMBING & HEATING	CONTRIBUTING EMPLOYER							No
(51) HONEYWELL	CONTRIBUTING EMPLOYER							No
(52) HUSSMANNTAYLOR INDUSTRIES	CONTRIBUTING EMPLOYER							No
(53) INGLETT & STUBBS	CONTRIBUTING EMPLOYER							No
(54) J S PLUMBING & HEATING	CONTRIBUTING EMPLOYER							No
(55) JS PLUMBING	CONTRIBUTING EMPLOYER							No
(56) JACKSON UTILITIES	CONTRIBUTING EMPLOYER							No
(57) JACOBS INDUSTRIAL SERVICE	CONTRIBUTING EMPLOYER							No
(58) JAMAR COMPANY	CONTRIBUTING EMPLOYER							No
(59) JOHNSON CONTROLS	CONTRIBUTING EMPLOYER							No
(60) KB PLUMBING	CONTRIBUTING EMPLOYER							No
(61) KINETIC SYSTEMS	CONTRIBUTING EMPLOYER							No
(62) LEADING EDGE MECHANICAL	CONTRIBUTING EMPLOYER							No
(63) LOCKMER PLUMBING	CONTRIBUTING EMPLOYER							No
(64) LOU'S PLUMBING & HEATING	CONTRIBUTING EMPLOYER							No
(65) MAP MECHANICAL	CONTRIBUTING EMPLOYER							No
(66) MCKINSTRY CO LLC	CONTRIBUTING EMPLOYER							No
(67) METROPOLITAN MECHANICAL	CONTRIBUTING EMPLOYER							No
(68) MICHELS CORPORATION	CONTRIBUTING EMPLOYER							No
(69) MICKELSON PLBG & HTG LLC	CONTRIBUTING EMPLOYER							No
(70) MINNESOTA PIPE TRADES ASSOCIATION	CONTRIBUTING EMPLOYER							No
(71) MMC	CONTRIBUTING EMPLOYER							No
(72) MOWBRAY & SON	CONTRIBUTING EMPLOYER							No
(73) MUSKA PLUMBING	CONTRIBUTING EMPLOYER							No
(74) NAC MECHANICAL & ELECTRICAL SERVICES	CONTRIBUTING EMPLOYER							No
(75) NAES POWER CONTRACTORS	CONTRIBUTING EMPLOYER							No
(76) NORMINN INDUSTRIAL LLC	CONTRIBUTING EMPLOYER							No
(77) NORPAC SHEET METAL	CONTRIBUTING EMPLOYER							No
(78) P1 GROUP INC	CONTRIBUTING EMPLOYER							No
(79) PETERSON MECHANICAL INC	CONTRIBUTING EMPLOYER							No
(80) PETERSON SHEET METAL	CONTRIBUTING EMPLOYER							No
(81) PHILS PLUMBING & HEATING	CONTRIBUTING EMPLOYER							No
(82) PLUMBING INNOVATIONS	CONTRIBUTING EMPLOYER							No
(83) POWER MAINTENANCE RES	CONTRIBUTING EMPLOYER							No
(84) POWER SOURCE SERVICES INC	CONTRIBUTING EMPLOYER							No
(85) PRECISION MECHANICAL	CONTRIBUTING EMPLOYER							No
(86) PREMIER PLUMBING	CONTRIBUTING EMPLOYER							No
(87) PROTECH MECHANICAL	CONTRIBUTING EMPLOYER							No
(88) Q3 CONTRACTING	CONTRIBUTING EMPLOYER							No
(89) RM COTTON COMPANY	CONTRIBUTING EMPLOYER							No
(90) RM MECHANICAL	CONTRIBUTING EMPLOYER							No
(91) ROBERT GIBB & SONS	CONTRIBUTING EMPLOYER							No
(92) RYAN PLBG & HTG	CONTRIBUTING EMPLOYER							No
(93) SALTENBERGER PLUMBING	CONTRIBUTING EMPLOYER							No
(94) SAWER PLUMBING & HEATING	CONTRIBUTING EMPLOYER							No
(95) SAWYER PLUMBING & HEATING	CONTRIBUTING EMPLOYER							No
(96) SENTINEL MECHANICAL INC	CONTRIBUTING EMPLOYER							No
(97) SENTINEL MECHANICAL LLC	CONTRIBUTING EMPLOYER							No
(98) SHANNON'S INC	CONTRIBUTING EMPLOYER							No
(99) SILVERBOW JATC	CONTRIBUTING EMPLOYER							No
(100) SIMONEAU STERLING	CONTRIBUTING EMPLOYER							No
(101) SKEELS ELECTRIC CO	CONTRIBUTING EMPLOYER							No
(102) SOUTHWEST PLBG	CONTRIBUTING EMPLOYER							No
(103) STAR SERVICE	CONTRIBUTING EMPLOYER							No
(104) STEVE HOWARD PLUMBING LLC	CONTRIBUTING EMPLOYER							No
(105) STEVENS BROTHERS MECHANICAL	CONTRIBUTING EMPLOYER							No
(106) SUNDANCE PLUMBING & HTNG	CONTRIBUTING EMPLOYER							No
(107) SUNDBERG PLUMBING & HEATING	CONTRIBUTING EMPLOYER							No
(108) SVL SERVICE CORPORATION	CONTRIBUTING EMPLOYER							No
(109) TESSIERS INC	CONTRIBUTING EMPLOYER							No
(110) TIMBERLINE PLUMBING	CONTRIBUTING EMPLOYER							No
(111) TRI-COUNTY MECH & ELEC	CONTRIBUTING EMPLOYER							No
(112) TRI-VALLEY DRILLING	CONTRIBUTING EMPLOYER							No
(113) VALLEY ELECTRICAL	CONTRIBUTING EMPLOYER							No
(114) VECA ELECTRIC & TECHNOLOGIES	CONTRIBUTING EMPLOYER							No
(115) WALTS PLBG & HTNG	CONTRIBUTING EMPLOYER							No
(116) WELDTECH SERVICES	CONTRIBUTING EMPLOYER							No
(117) WESTERN MT PLUMBING	CONTRIBUTING EMPLOYER							No
(118) WOLF CREEK WELDING	CONTRIBUTING EMPLOYER							No
(119) WRIGLEY MECHANICAL INC	CONTRIBUTING EMPLOYER							No
(120) Y BAR	CONTRIBUTING EMPLOYER							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) 4G PLBG & HTG	S	505,386	CASH RECEIVED
(2) AC&R SPECIALISTS	S	1,588	CASH RECEIVED
(3) AIR CONTROLS	S	542,421	CASH RECEIVED
(4) AIR MECHANICAL	S	40,482	CASH RECEIVED
(5) ALLIED PLUMBING LLC	S	26,313	CASH RECEIVED
(6) ALPINE PLUMBING HEATING & COOLING	S	66,110	CASH RECEIVED
(7) APOLLO SHEET METAL	S	540,302	CASH RECEIVED
(8) AUGUST WINTER & SONS	S	1,029	CASH RECEIVED
(9) AZCO	S	17,177	CASH RECEIVED
(10) BABCOCK & WILCOX CONSTRUCTION	S	7,993	CASH RECEIVED
(11) BILLINGS PIPE	S	23,829	CASH RECEIVED
(12) BMWC CONSTRUCTORS	S	290,129	CASH RECEIVED
(13) BROTHERS PIPELINE CORP	S	9,773	CASH RECEIVED
(14) BUGNI PLUMBING & HEATING	S	12,495	CASH RECEIVED
(15) BURNN BOLIER & MECHANICAL	S	58,056	CASH RECEIVED
(16) C R MEYER & SONS	S	26,932	CASH RECEIVED
(17) CITY AIR MECHANICAL	S	256,326	CASH RECEIVED
(18) CLARK PLUMBING	S	12,495	CASH RECEIVED
(19) CLEAR CREEK PLUMBING	S	15,168	CASH RECEIVED
(20) CLIMATE MAKERS	S	7,122	CASH RECEIVED
(21) COMBUSTION SERVICE	S	40,326	CASH RECEIVED
(22) CONDITIONED AIR SYSTEMS	S	26,008	CASH RECEIVED
(23) CONSTRUCTION & TURNAROUND SERVICES	S	17,805	CASH RECEIVED
(24) COOL AIR MECHANICAL	S	1,573	CASH RECEIVED
(25) COOLING & HEATING UNLTD	S	81,214	CASH RECEIVED
(26) COP CONSTRUCTION	S	123,835	CASH RECEIVED
(27) CORE CONTROLS INC	S	220,460	CASH RECEIVED
(28) CORVAL CONSTRUCTORS	S	242,631	CASH RECEIVED
(29) COULTER VALVE SERVICE	S	1,411	CASH RECEIVED
(30) DAIKIN APPLIED	S	31,903	CASH RECEIVED
(31) DALE PLBG & HTG INC	S	71,563	CASH RECEIVED
(32) DCT INCORPORATED	S	45,432	CASH RECEIVED
(33) DIAMOND PLBG & HTG INC	S	335,322	CASH RECEIVED
(34) DIRK PLUMBING & HEATING	S	63,736	CASH RECEIVED
(35) DNL SERIVCES	S	13,230	CASH RECEIVED
(36) DRAIN WERKS	S	4,344	CASH RECEIVED
(37) ED BOLAND CONST INC	S	15,288	CASH RECEIVED
(38) EMPIRE HEATING & COOLING	S	10,202	CASH RECEIVED
(39) ENCODE CORP	S	154,018	CASH RECEIVED
(40) ENERGY WEST	S	238,377	CASH RECEIVED
(41) FICO	S	479,929	CASH RECEIVED
(42) G&T PLUMBING	S	215,484	CASH RECEIVED
(43) GALLE PLUMBING	S	93,639	CASH RECEIVED
(44) GARTNER REFRIGERATION	S	9,228	CASH RECEIVED
(45) HANGING H COMPANIES LLC	S	72,074	CASH RECEIVED
(46) HARRIS COMPANIES	S	44,394	CASH RECEIVED
(47) HAUSER CONTROLLS LLC	S	12,495	CASH RECEIVED
(48) HAUSER PLUMBING & HEATING	S	27,489	CASH RECEIVED
(49) HERTZ PLBG & HTG INC	S	83,922	CASH RECEIVED
(50) HIGH PRARIE PLUMBING & HEATING	S	12,495	CASH RECEIVED
(51) HONEYWELL	S	69,164	CASH RECEIVED
(52) HUSSMANNTAYLOR INDUSTRIES	S	69,235	CASH RECEIVED
(53) INGLETT & STUBBS	S	37,827	CASH RECEIVED
(54) J S PLUMBING & HEATING	S	3,495	CASH RECEIVED
(55) JS PLUMBING	S	1,474	CASH RECEIVED
(56) JACKSON UTILITIES	S	17,645	CASH RECEIVED
(57) JACOBS INDUSTRIAL SERVICE	S	273,968	CASH RECEIVED
(58) JAMAR COMPANY	S	610,344	CASH RECEIVED
(59) JOHNSON CONTROLS	S	554,609	CASH RECEIVED
(60) KB PLUMBING	S	14,480	CASH RECEIVED
(61) KINETIC SYSTEMS	S	121,670	CASH RECEIVED
(62) LEADING EDGE MECHANICAL	S	50,617	CASH RECEIVED
(63) LOCAL 41	S	29,988	CASH RECEIVED
(64) LOCKMER PLUMBING	S	162,185	CASH RECEIVED
(65) LOU'S PLUMBING & HEATING	S	786	CASH RECEIVED
(66) MAP MECHANICAL	S	12,510	CASH RECEIVED
(67) MCKINSTRY CO LLC	S	1,066	CASH RECEIVED
(68) METROPOLITAN MECHANICAL	S	309,740	CASH RECEIVED
(69) MICHELS CORPORATION	S	31,362	CASH RECEIVED
(70) MICKELSON PLBG & HTG LLC	S	42,903	CASH RECEIVED
(71) MINNESOTA PIPE TRADES ASSOCIATION	S	17,199	CASH RECEIVED
(72) MMC	S	456	CASH RECEIVED
(73) MOWBRAY & SON	S	365,710	CASH RECEIVED
(74) MUSKA PLUMBING	S	1,580	CASH RECEIVED
(75) NAC MECHANICAL & ELECTRICAL SERVICES	S	3,109	CASH RECEIVED
(76) NAES POWER CONTRACTORS	S	107,539	CASH RECEIVED
(77) NORMINN INDUSTRIAL LLC	S	4,403	CASH RECEIVED
(78) NORPAC SHEET METAL	S	55,478	CASH RECEIVED
(79) P1 GROUP INC	S	10,929	CASH RECEIVED
(80) PETERSON MECHANICAL INC	S	204,929	CASH RECEIVED
(81) PETERSON SHEET METAL	S	66,014	CASH RECEIVED
(82) PHILS PLUMBING & HEATING	S	11,246	CASH RECEIVED
(83) PLUMBING INNOVATIONS	S	15,229	CASH RECEIVED
(84) POWER MAINTENANCE RES	S	69,451	CASH RECEIVED
(85) POWER SOURCE SERVICES INC	S	13,164	CASH RECEIVED
(86) PRECISION MECHANICAL	S	43,350	CASH RECEIVED
(87) PREMIER PLUMBING	S	2,734	CASH RECEIVED
(88) PROTECH MECHANICAL	S	220,397	CASH RECEIVED
(89) Q3 CONTRACTING	S	117,094	CASH RECEIVED
(90) RM COTTON COMPANY	S	15,406	CASH RECEIVED
(91) RM MECHANICAL	S	66,995	CASH RECEIVED
(92) ROBERT GIBB & SONS	S	569,805	CASH RECEIVED
(93) RYAN PLBG & HTG	S	14,994	CASH RECEIVED
(94) SALTENBERGER PLUMBING	S	63,747	CASH RECEIVED
(95) SAWER PLUMBING & HEATING	S	37,889	CASH RECEIVED
(96) SAWYER PLUMBING & HEATING	S	4,028	CASH RECEIVED
(97) SENTINEL MECHANICAL INC	S	13,076	CASH RECEIVED
(98) SENTINEL MECHANICAL LLC	S	94,532	CASH RECEIVED
(99) SHANNON'S INC	S	22,491	CASH RECEIVED
(100) SILVERBOW JATC	S	14,994	CASH RECEIVED
(101) SIMONEAU STERLING	S	41,623	CASH RECEIVED
(102) SKEELS ELECTRIC CO	S	39,732	CASH RECEIVED
(103) SOUTHWEST PLBG	S	16,244	CASH RECEIVED
(104) STAR SERVICE	S	434,405	CASH RECEIVED
(105) STEVE HOWARD PLUMBING LLC	S	27,651	CASH RECEIVED
(106) STEVENS BROTHERS MECHANICAL	S	275,125	CASH RECEIVED
(107) SUNDANCE PLUMBING & HTNG	S	29,020	CASH RECEIVED
(108) SUNDBERG PLUMBING & HEATING	S	1,610	CASH RECEIVED
(109) SVL SERVICE CORPORATION	S	23,442	CASH RECEIVED
(110) TESSIERS INC	S	148,123	CASH RECEIVED
(111) TIMBERLINE PLUMBING	S	9,408	CASH RECEIVED
(112) TRI-COUNTY MECH & ELEC	S	551,882	CASH RECEIVED
(113) TRI-VALLEY DRILLING	S	100,004	CASH RECEIVED
(114) U A LOCAL UNION #459	S	16,244	CASH RECEIVED
(115) UA LOCAL 300	S	118,703	CASH RECEIVED
(116) UA LOCAL UNION 30	S	31,083	CASH RECEIVED
(117) UNITED ASSOCIATION OF JOURNEYMAN & MT-WY PIPE TRADES ASSOC	S	14,994	CASH RECEIVED
(118) VALLEY ELECTRICAL	S	79,349	CASH RECEIVED
(119) VECA ELECTRIC & TECHNOLOGIES	S	12,418	CASH RECEIVED
(120) WALTS PLBG & HTNG	S	28,377	CASH RECEIVED
(121) WELDTECH SERVICES	S	568,043	CASH RECEIVED
(122) WESTERN MT PLUMBING	S	13,379	CASH RECEIVED
(123) WOLF CREEK WELDING	S	706	CASH RECEIVED
(124) WRIGLEY MECHANICAL INC	S	704,416	CASH RECEIVED
(125) Y BAR	S	15,156	CASH RECEIVED

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: PROVIDE HEALTH AND WELFARE BENEFITS TO UNION MEMBERS (ERISA TRUST)
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	16
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	16
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	16
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	75,454
b	Net unrelated business taxable income from Form 990-T, line 39 .........	7b	13,156

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	0	0
9	Program service revenue (Part VIII, line 2g) .........	18,947,747	16,804,702
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	364,061	341,632
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	380,969	454,641
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	19,692,777	17,600,975
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).....	14,342,182	14,677,102
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	9,996	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)....	1,163,776	1,247,176
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	15,515,954	15,924,278
19	Revenue less expenses. Subtract line 18 from line 12.......	4,176,823	1,676,697
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	19,476,584	21,334,030
21	Total liabilities (Part X, line 26).............	1,401,862	1,442,212
22	Net assets or fund balances. Subtract line 21 from line 20.....	18,074,722	19,891,818

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 14,696,746 including grants of $ ) (Revenue $ )
	MEDICAL, DENTAL AND VISION CLAIMS, DEATH AND DISABILITY BENEFITS

4b	(Code: ) (Expenses $ 1,001,962 including grants of $ ) (Revenue $ )
	INSURANCE PREMIUMS FOR TRANSPLANT COVERAGE AND SPECIFIC STOP-LOSS COVERAGE

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












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses15,698,708

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	0	0	6,248

(A) Name and business address	(B) Description of services	(C) Compensation
BLUE CROSS BLUE SHIELD OF MONTANA 560 N PARK AVENUE HELENA,MT59604	CLAIMS ADMIN	607,478
JUNKERMIER CLARK CAMPANELLA STEVENS CP 501 PARK DRIVE SOUTH GREAT FALLS,MT59405	TRUST OFFICE, HOUR BANK ADMINISTRATION,	194,508



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 2

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	525100	15,192,649	15,192,649
b	EMPLOYEE CONTRIBUTIONS	525100	1,073,725	1,073,725
c	MEDICARE ADVANTAGE PREMIUMS COLLE	525100	549,719	549,719
d	RECIPROCITY AGREEMENTS, NET	525100	-11,391	-11,391
e
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		16,804,702

3 Investment income (including dividends, interest, and othersimilar amounts) ......			480,997			480,997
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	310,160	8,450,977	7a
b	Less: cost or other basis and sales expenses	233,363	8,667,139	7b
c	Gain or (loss)	76,797	-216,162	7c
d	Net gain or (loss).........			-139,365		75,454	-214,819
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	REFUNDS AND REBATES		525100	454,641	454,641
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			454,641
12	Total revenue. See instructions.....			17,600,975	17,259,343	75,454	266,178

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 .......	14,677,102
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 ......
b	Legal .........	2,639
c	Accounting ...........	78,386
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	1,656
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	88,100
12	Advertising and promotion ....
13	Office expenses .......	12,695
14	Information technology ......	437
15	Royalties ..
16	Occupancy ...........	876
17	Travel ............
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	23,641
20	Interest ...........
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..
23	Insurance ...	8,403
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	CLAIMS ADMINISTRATION	729,593
b	HOUR BANK ADMINISTRATIO	141,563
c	COST MANAGEMENT	130,446
d	WELLNESS SCREENINGS	20,005
e	All other expenses	8,736
25	Total functional expenses. Add lines 1 through 24e	15,924,278
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 ........		55,986	1	0
2	Savings and temporary cash investments .........		10,936,842	2	15,256,012
3	Pledges and grants receivable, net ......			3
4	Accounts receivable, net .............		1,823,995	4	1,525,015
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 ......			9	55,103
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 .		6,659,761	11	4,497,900
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)...		19,476,584	16	21,334,030

17	Accounts payable and accrued expenses .....	313,155	17	359,277
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	1,088,707	25	1,082,935
26	Total liabilities. Add lines 17 through 25..	1,401,862	26	1,442,212

	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 .....	9,004,367	29	8,027,341
30	Paid-in or capital surplus, or land, building or equipment fund ...	0	30	0
31	Retained earnings, endowment, accumulated income, or other funds	9,070,355	31	11,864,477
32	Total net assets or fund balances ...........	18,074,722	32	19,891,818
33	Total liabilities and net assets/fund balances ........	19,476,584	33	21,334,030