TY 2021 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)
(1) KORY RAWSTERN...................................................................... TRUSTEE	1.00 ................. 40.00	X	101,996	29,849
(2) RANDY BARTSCH...................................................................... CHAIRMAN	1.00 ................. 48.00	X	134,588	23,974
(3) RANDY STAINBROOK...................................................................... TRUSTEE	1.00 ................. 55.00	X	102,245	27,492
(4) CHRIS CALLIHAN...................................................................... TRUSTEE	1.00 ................. 48.00	X	88,054	29,599
(5) DON BRUEMMER...................................................................... TRUSTEE	1.00 .................	X	89,002	15,458
(6) CHRIS BAKER...................................................................... TRUSTEE	1.00 ................. 50.00	X	100,053	37,524
(7) JAMIE HELGESON...................................................................... TRUSTEE	1.00 ................. 40.00	X	119,171	22,212
(8) BRIAN SPADER...................................................................... TRUSTEE	1.00 .................	X	0	0
(9) EDWARD CHRISTIAN...................................................................... SECRETARY	1.00 ................. 40.00	X	161,768	23,460
(10) ALLAN HALE...................................................................... TRUSTEE - PAST	1.00 .................	X	0	0
(11) DUANE HAERTLING...................................................................... TRUSTEE	1.00 .................	X	0	0
(12) TOM KECK...................................................................... TRUSTEE	1.00 .................	X	0	0
(13) ANGELA BOWERSOX...................................................................... TRUSTEE	1.00 .................	X	0	0
(14) JILL CLARK...................................................................... TRUSTEE	1.00 .................	X	0	0
(15) JASON BOWMAN...................................................................... TRUSTEE	1.00 ................. 40.00	X	100,799	29,997
(16) CHARLES KACHER...................................................................... TRUSTEE	1.00 ................. 40.00	X	85,784	25,683
(17) ROBERT JARDING...................................................................... TRUSTEE	1.00 .................	X	0	0

- 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

2021

Open to Public Inspection

Name of the organization

DAKOTAS & WESTERN MN ELECTRICAL INDUSTRY
HEALTH AND WELFARE FUND

Employer identification number

45-6038633

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) 2021

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) 2021

Page 3

Part VII

Investments - Other Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

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

Part VIII

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

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

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

Part IX

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

(a) Description				(b) Book value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
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.)
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) 2021

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	55,076,368
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a	4,285,826
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	4,285,826
3	Subtract line 2e from line 1..................			3	50,790,542
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	99,788
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................			4c	99,788
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......			5	50,890,330

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	52,423,174
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	52,423,174
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	99,788
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.....................			4c	99,788
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......			5	52,522,962

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:	ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE THE PLAN TO EVALUATE TAX POSITIONS TAKEN AND RECOGNIZE A TAX LIABILITY IF THE PLAN HAS TAKEN UNCERTAIN TAX POSITIONS THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY TAX AUTHORITIES. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS.

Return Reference

Explanation

PART X, LINE 2:

ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE THE PLAN TO EVALUATE TAX POSITIONS TAKEN AND RECOGNIZE A TAX LIABILITY IF THE PLAN HAS TAKEN UNCERTAIN TAX POSITIONS THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY TAX AUTHORITIES. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS.

Schedule D (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

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

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

Attach to Form 990.
SchJMediumBullet

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

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization

DAKOTAS & WESTERN MN ELECTRICAL INDUSTRY
HEALTH AND WELFARE FUND

Employer identification number

45-6038633

Part I

Questions Regarding Compensation

Yes

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

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

Travel for companions Payments for business use of personal residence

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

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

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

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

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

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Cat. No. 50053T

Schedule J (Form 990) 2021

Page 2

Part II

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

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

(A) Name and Title		(B) Breakdown of W-2, 1099-MISC compensation, and/or 1099-NEC			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column (B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1EDWARD CHRISTIAN SECRETARY	(i) (ii)	0 ------------- 161,768	0 ------------- 0	0 ------------- 0	0 ------------- 10,500	0 ------------- 12,960	0 ------------- 185,228	0 ------------- 0
2RANDY BARTSCH CHAIRMAN	(i) (ii)	0 ------------- 134,588	0 ------------- 0	0 ------------- 0	0 ------------- 12,381	0 ------------- 11,593	0 ------------- 158,562	0 ------------- 0

Schedule J (Form 990) 2021

Page 3

Part III

Supplemental Information

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

Return Reference	Explanation

Schedule J (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990)

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

2021

Open to Public
Inspection

Name of the organization

DAKOTAS & WESTERN MN ELECTRICAL INDUSTRY
HEALTH AND WELFARE FUND

Employer identification number

45-6038633

Return Reference	Explanation
FORM 990, PART VI, SECTION A, LINE 3	ALTHOUGH THE TRUSTEES RETAIN THE ULTIMATE RESPONSIBILITY, THE TRUSTEES HAVE DELEGATED THE DAY TO DAY ADMINISTRATIVE DUTIES TO BLUECROSS BLUESHEILD OF NORTH DAKOTA DBA AS THE THIRD PARTY ADMINISTRATOR OF THE PLAN.
FORM 990, PART VI, SECTION A, LINE 7A	NINE TRUSTEES ARE APPOINTED BY THE UNIONS AND NINE TRUSTEES ARE APPOINTED BY THE EMPLOYER CONTRACTORS ASSOCIATIONS.
FORM 990, PART VI, SECTION B, LINE 11B	FORM 990 IS PROVIDED TO AND REVIEWED BY THE ENTIRE BOARD OF TRUSTEES PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12C	THE TRUSTEES REVIEW THE PLAN'S CONFLICT OF INTEREST POLICY ANNUALLY WITH THE PLAN ATTORNEY AND ARE REQUIRED TO SIGN AN ANNUAL CERTIFICATION OF COMPLIANCE WITH THE POLICY. IN ADDITION, TO ENSURE THE PLAN OPERATES IN A MANNER CONSISTENT WITH ITS PURPOSES AND DOES NOT ENGAGE IN ACTIVITIES THAT COULD JEOPARDIZE ITS LAWFUL STATUS AND FIDUCIARY OBLIGATIONS, PERIODIC REVIEWS OF COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY ARE CONDUCTED.
FORM 990, PART VI, SECTION C, LINE 19	THE PLAN MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST AT THE PLAN'S OFFICE.

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

Cat. No. 51056K

Schedule O (Form 990) 2021

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

2021

Open to Public Inspection

Name of the organization

DAKOTAS & WESTERN MN ELECTRICAL INDUSTRY
HEALTH AND WELFARE FUND

Employer identification number

45-6038633

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)DAKOTAS AREAWIDE IBEW-NECA SAVINGS AND RETIREMENT PLAN 2901 1ST AVE N FARGO,ND58102 45-0348980	PROVIDES RETIREMENT BENEFITS	ND	401(A)	N/A	N/A		No
(2)LOCAL UNION 95	CONTRIBUTING EMPLOYER						No
(3)LOCAL UNION 231	CONTRIBUTING EMPLOYER						No
(4)LOCAL UNION 257	CONTRIBUTING EMPLOYER						No
(5)LOCAL UNION 265	CONTRIBUTING EMPLOYER						No
(6)LOCAL UNION 288	CONTRIBUTING EMPLOYER						No
(7)LOCAL UNION 350	CONTRIBUTING EMPLOYER						No
(8)LOCAL UNION 426	CONTRIBUTING EMPLOYER						No
(9)LOCAL UNION 453	CONTRIBUTING EMPLOYER						No
(10)LOCAL UNION 545	CONTRIBUTING EMPLOYER						No
(11)LOCAL UNION 1250	CONTRIBUTING EMPLOYER						No
(12)LOCAL UNION 1426	CONTRIBUTING EMPLOYER						No
(13)LOCAL UNION 13	CONTRIBUTING EMPLOYER						No

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

Cat. No. 50135Y

Schedule R (Form 990) 2021

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?		(k) Percentage ownership
(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	(k) Percentage ownership
(1) BURLINGTON ELECTRIC	CONTRIBUTING EMPLOYER						No			No
(2) CITYWIDE ELECTRIC	CONTRIBUTING EMPLOYER						No			No
(3) DARROW ELECTRIC	CONTRIBUTING EMPLOYER						No			No
(4) ELECTRIC SERVICE	CONTRIBUTING EMPLOYER						No			No
(5) FIRST NATION ELECTRIC	CONTRIBUTING EMPLOYER						No			No
(6) GARY & SON ELECTRIC SERV	CONTRIBUTING EMPLOYER						No			No
(7) GOODMAN ELECTRIC	CONTRIBUTING EMPLOYER						No			No
(8) GUARANTEE ELECTRICAL CONST	CONTRIBUTING EMPLOYER						No			No
(9) NEMO ELECTRIC	CONTRIBUTING EMPLOYER						No			No
(10) REHAGEN ELECTRICAL CONTRACTORS	CONTRIBUTING EMPLOYER						No			No
(11) SANDE ELECTRIC	CONTRIBUTING EMPLOYER						No			No
(12) SCHNEIDER ELEC OF JEFF CITY	CONTRIBUTING EMPLOYER						No			No
(13) SCHNEIDER ELECTRIC ST LOUIS	CONTRIBUTING EMPLOYER						No			No
(14) TRINITY ELECTRICAL SERVICES	CONTRIBUTING EMPLOYER						No			No
(15) WESTERN EDGE ELECTRIC	CONTRIBUTING EMPLOYER						No			No
(16) DAVENPORT ELECTRIC	CONTRIBUTING EMPLOYER						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	(h) Percentage ownership	(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	(h) Percentage ownership	Yes	No
(1) A1 ELECTRIC SERVICE INC	CONTRIBUTING EMPLOYER								No
(2) ABC ELECTRIC COMPANY INC	CONTRIBUTING EMPLOYER								No
(3) ABC ELECTRICAL SERVICES LLC	CONTRIBUTING EMPLOYER								No
(4) ACE ELECTRIC LLC	CONTRIBUTING EMPLOYER								No
(5) ACTION ELECTRIC CORP	CONTRIBUTING EMPLOYER								No
(6) AE2S CONSTRUCTION LLC	CONTRIBUTING EMPLOYER								No
(7) AID ELECTRIC	CONTRIBUTING EMPLOYER								No
(8) ALL SPARKS ELECTRIC LLC	CONTRIBUTING EMPLOYER								No
(9) AMBITION ELECTRIC INC	CONTRIBUTING EMPLOYER								No
(10) AMICK SOUND INC	CONTRIBUTING EMPLOYER								No
(11) APOLLO ELECTRIC INC	CONTRIBUTING EMPLOYER								No
(12) ARCHKEY TECHNOLOGIES	CONTRIBUTING EMPLOYER								No
(13) ARROW ELECTRIC INC	CONTRIBUTING EMPLOYER								No
(14) ASCHINGER ELECTRIC COMPANY	CONTRIBUTING EMPLOYER								No
(15) AUTOMATION & ELECTRONICS INC	CONTRIBUTING EMPLOYER								No
(16) AZCO INC	CONTRIBUTING EMPLOYER								No
(17) B&G ELECTRIC LLC	CONTRIBUTING EMPLOYER								No
(18) BACKBONE INC	CONTRIBUTING EMPLOYER								No
(19) BAKER ELECTRIC INC	CONTRIBUTING EMPLOYER								No
(20) BAKER GROUP	CONTRIBUTING EMPLOYER								No
(21) BENSON ELECTRIC COMPANY	CONTRIBUTING EMPLOYER								No
(22) BLACK HAWK ELECTRIC	CONTRIBUTING EMPLOYER								No
(23) BRIONS ELECTRIC LLC	CONTRIBUTING EMPLOYER								No
(24) BROWN ELECTRIC CONSTRUCTION	CONTRIBUTING EMPLOYER								No
(25) BURNHAM ELECTRICAL SERVICES	CONTRIBUTING EMPLOYER								No
(26) CAPITOL CITY ELECTRIC INC	CONTRIBUTING EMPLOYER								No
(27) COASTAL ELECTRIC INC	CONTRIBUTING EMPLOYER								No
(28) COLSTRIP ELECTRIC INC	CONTRIBUTING EMPLOYER								No
(29) COMEAU ELECTRIC INC	CONTRIBUTING EMPLOYER								No
(30) COMMONWEALTH ELECTRIC CO	CONTRIBUTING EMPLOYER								No
(31) COSSETTE ELECTRIC LLC	CONTRIBUTING EMPLOYER								No
(32) DAKOTA ELECTRIC CONSTRUCTION	CONTRIBUTING EMPLOYER								No
(33) DCT INC	CONTRIBUTING EMPLOYER								No
(34) DECKER ELECTRIC INC	CONTRIBUTING EMPLOYER								No
(35) DIVISION 17 ELECTRIC LLC	CONTRIBUTING EMPLOYER								No
(36) DOWNS ELECTRIC	CONTRIBUTING EMPLOYER								No
(37) EDLING ELECTRIC INC	CONTRIBUTING EMPLOYER								No
(38) ELECTRIC CONSTRUCTION CO	CONTRIBUTING EMPLOYER								No
(39) ELECTRIC SUPPLY CO	CONTRIBUTING EMPLOYER								No
(40) ELECTRICAL BUILDERS INC	CONTRIBUTING EMPLOYER								No
(41) ELECTRICAL CORP OF AMERICA	CONTRIBUTING EMPLOYER								No
(42) ELECTRICAL SYSTEMS INC	CONTRIBUTING EMPLOYER								No
(43) ENERFAB POWER & INDUSTRIAL INC	CONTRIBUTING EMPLOYER								No
(44) ENVISION ELECTRIC LLC	CONTRIBUTING EMPLOYER								No
(45) ESCO ELECTRIC	CONTRIBUTING EMPLOYER								No
(46) FAGAN ELECTRIC CO INC	CONTRIBUTING EMPLOYER								No
(47) FARGO ELECTRIC CONSTRUCTION	CONTRIBUTING EMPLOYER								No
(48) FE MORAN INC	CONTRIBUTING EMPLOYER								No
(49) FRANK MILLARD & CO INC	CONTRIBUTING EMPLOYER								No
(50) GEFROH ELECTRIC	CONTRIBUTING EMPLOYER								No
(51) GPR WEGMAN COMPANY	CONTRIBUTING EMPLOYER								No
(52) GRASSER ELECTRIC CORP	CONTRIBUTING EMPLOYER								No
(53) GREGG ELECTRIC COMPANY	CONTRIBUTING EMPLOYER								No
(54) GROSCHE ELECTRIC INC	CONTRIBUTING EMPLOYER								No
(55) HANSON ELECTRIC OF BEMIDJI INC	CONTRIBUTING EMPLOYER								No
(56) HAWKEYE ELECTRIC	CONTRIBUTING EMPLOYER								No
(57) HC DETERMAN ELECTRIC CO	CONTRIBUTING EMPLOYER								No
(58) HEITHOLD ELECTRIC LLC	CONTRIBUTING EMPLOYER								No
(59) HILLER ELECTRIC CO	CONTRIBUTING EMPLOYER								No
(60) HIPOTENTIAL POWER SERVICES	CONTRIBUTING EMPLOYER								No
(61) HOLDEN ELECTRIC CO INC	CONTRIBUTING EMPLOYER								No
(62) HORTON ELEC SERVICE CO LLC	CONTRIBUTING EMPLOYER								No
(63) HUNT ELECTRIC CORPORATION	CONTRIBUTING EMPLOYER								No
(64) HY ELECTRIC INC	CONTRIBUTING EMPLOYER								No
(65) INDUSTRIAL AUTOMATION	CONTRIBUTING EMPLOYER								No
(66) INDUSTRIAL CONTRACTORS INC	CONTRIBUTING EMPLOYER								No
(67) INDUSTRIAL ELECTRICAL CONTROLS	CONTRIBUTING EMPLOYER								No
(68) J MUELLER ELECTRIC	CONTRIBUTING EMPLOYER								No
(69) J VANGEL ELECTRIC INC	CONTRIBUTING EMPLOYER								No
(70) JEFFRIES ELECTRICAL SERVICES	CONTRIBUTING EMPLOYER								No
(71) JESSE BRAUN ELECTRIC LLC	CONTRIBUTING EMPLOYER								No
(72) JF EDWARDS CONSTRUCTION CO	CONTRIBUTING EMPLOYER								No
(73) JOPLIN INDUSTRIAL ELECTRIC	CONTRIBUTING EMPLOYER								No
(74) JW KOEHLER ELECTRIC INC	CONTRIBUTING EMPLOYER								No
(75) K&R ELECTRIC INC	CONTRIBUTING EMPLOYER								No
(76) KAB ELECTRIC	CONTRIBUTING EMPLOYER								No
(77) KAISER ELECTRIC	CONTRIBUTING EMPLOYER								No
(78) KAISER ELECTRIC OF CENTRAL MO	CONTRIBUTING EMPLOYER								No
(79) KAISER ELECTRICAL CONTRACTORS	CONTRIBUTING EMPLOYER								No
(80) KAY BEE ELECTRIC	CONTRIBUTING EMPLOYER								No
(81) KEMP ELECTRIC LLC	CONTRIBUTING EMPLOYER								No
(82) KEVIN ODELL ELECTRIC INC	CONTRIBUTING EMPLOYER								No
(83) KING ELECTRIC	CONTRIBUTING EMPLOYER								No
(84) KW ELECTRICAL SERVICES LLC	CONTRIBUTING EMPLOYER								No
(85) LARSON ELECTRIC INC	CONTRIBUTING EMPLOYER								No
(86) LAYNE ELECTRIC CO INC	CONTRIBUTING EMPLOYER								No
(87) LIGHTING MAINTENANCE INC	CONTRIBUTING EMPLOYER								No
(88) LUMOS ELECTRIC INC	CONTRIBUTING EMPLOYER								No
(89) MAIN ELECTRIC CONST	CONTRIBUTING EMPLOYER								No
(90) MARKET ELECTRIC	CONTRIBUTING EMPLOYER								No
(91) MAYER ELECTRIC INC	CONTRIBUTING EMPLOYER								No
(92) MD ELECTRIC LLC	CONTRIBUTING EMPLOYER								No
(93) MEDIUM VOLTAGE SERVICES LLC	CONTRIBUTING EMPLOYER								No
(94) METRO ELECTRIC INC	CONTRIBUTING EMPLOYER								No
(95) MEYER ELECTRIC INC	CONTRIBUTING EMPLOYER								No
(96) MICHELS CORPORATION	CONTRIBUTING EMPLOYER								No
(97) MICHELS POWER INC	CONTRIBUTING EMPLOYER								No
(98) MIDSTATES ENERGY COMPANY	CONTRIBUTING EMPLOYER								No
(99) MILJAVAC ELECTRIC CORP	CONTRIBUTING EMPLOYER								No
(100) MILLER ELECTRIC COMPANY	CONTRIBUTING EMPLOYER								No
(101) MILLER ELECTRICAL CONTRACTING	CONTRIBUTING EMPLOYER								No
(102) MINOT ELECTRIC INC	CONTRIBUTING EMPLOYER								No
(103) MISSOURI ELECTRIC INC	CONTRIBUTING EMPLOYER								No
(104) MITCHELL ELECTRIC LLC	CONTRIBUTING EMPLOYER								No
(105) MOOREHEAD ELECTRIC	CONTRIBUTING EMPLOYER								No
(106) MORRIS ELECTRIC	CONTRIBUTING EMPLOYER								No
(107) MORSE ELECTRIC INC	CONTRIBUTING EMPLOYER								No
(108) MUNSON ELECTRIC INC	CONTRIBUTING EMPLOYER								No
(109) N VALLEY ELEC SERVICE INC	CONTRIBUTING EMPLOYER								No
(110) NATIONAL CONDUCTOR CONSTRUCTOR	CONTRIBUTING EMPLOYER								No
(111) NEI ELECTRIC INC	CONTRIBUTING EMPLOYER								No
(112) NEW AGE ELECTRIC LLC	CONTRIBUTING EMPLOYER								No
(113) NEW HORIZONS ELECTRIC INC	CONTRIBUTING EMPLOYER								No
(114) NORTH IOWA ELECTRIC	CONTRIBUTING EMPLOYER								No
(115) NORTH KANSAS CITY ELECTRIC CO	CONTRIBUTING EMPLOYER								No
(116) NORTHLAND ELECTRIC INC	CONTRIBUTING EMPLOYER								No
(117) NORTHWESTERN ELECTRIC INC	CONTRIBUTING EMPLOYER								No
(118) NYSTROM ELECTRIC COMPANY	CONTRIBUTING EMPLOYER								No
(119) OAK ELECTRIC INC	CONTRIBUTING EMPLOYER								No
(120) OPTIMIZE ELECTRIC INC	CONTRIBUTING EMPLOYER								No
(121) ORTMEIER TECHNICAL SERVICE	CONTRIBUTING EMPLOYER								No
(122) OTTER ELECTRIC LLC	CONTRIBUTING EMPLOYER								No
(123) P&D ELECTRIC INC	CONTRIBUTING EMPLOYER								No
(124) P1 CONSTRUCTION LLC	CONTRIBUTING EMPLOYER								No
(125) PARALLEL TECHNOLOGIES	CONTRIBUTING EMPLOYER								No
(126) PARSONS ELECTRIC LLC	CONTRIBUTING EMPLOYER								No
(127) PAULSON ELECTRIC CO	CONTRIBUTING EMPLOYER								No
(128) PAYNECREST ELECTRIC	CONTRIBUTING EMPLOYER								No
(129) PEAK ELECTRIC INC	CONTRIBUTING EMPLOYER								No
(130) PEC SOLUTIONS LLC	CONTRIBUTING EMPLOYER								No
(131) PEC SOLUTIONS OF THE DAKOTAS	CONTRIBUTING EMPLOYER								No
(132) PINNACLE ELECTRIC INC	CONTRIBUTING EMPLOYER								No
(133) PRECISION MECHANICAL GROUP INC	CONTRIBUTING EMPLOYER								No
(134) PREMIER ELECTRICAL	CONTRIBUTING EMPLOYER								No
(135) PRICE ELECTRIC CO LLC	CONTRIBUTING EMPLOYER								No
(136) PRO ELECTRIC INC	CONTRIBUTING EMPLOYER								No
(137) QNEC CONTRIBUTION	CONTRIBUTING EMPLOYER								No
(138) QUALITY POWER & CONTROL ELEC	CONTRIBUTING EMPLOYER								No
(139) RS ELECTRIC CORP	CONTRIBUTING EMPLOYER								No
(140) RA HOWERTON ELECTRIC	CONTRIBUTING EMPLOYER								No
(141) RAFTER ELECTRIC	CONTRIBUTING EMPLOYER								No
(142) RENEW ENERGY ELECTRICAL LLC	CONTRIBUTING EMPLOYER								No
(143) RF FISHER ELECTRIC CO LLC	CONTRIBUTING EMPLOYER								No
(144) RICK ELECTRIC INC	CONTRIBUTING EMPLOYER								No
(145) RICKARD ELECTRIC INC	CONTRIBUTING EMPLOYER								No
(146) ROBERT GIBB & SONS INC	CONTRIBUTING EMPLOYER								No
(147) ROCK RIVER ELECTRIC	CONTRIBUTING EMPLOYER								No
(148) ROSENDIN ELECTRIC	CONTRIBUTING EMPLOYER								No
(149) RUYLE MECH SERVICES INC	CONTRIBUTING EMPLOYER								No
(150) SACHS ELECTRIC CO	CONTRIBUTING EMPLOYER								No
(151) SAEC ELECTRIC	CONTRIBUTING EMPLOYER								No
(152) SAND ELECTRIC LLC	CONTRIBUTING EMPLOYER								No
(153) SCHRAMM ELECTRIC LLC	CONTRIBUTING EMPLOYER								No
(154) SCOTT CONTRACTING	CONTRIBUTING EMPLOYER								No
(155) SEITHER & CHERRY COMPANY	CONTRIBUTING EMPLOYER								No
(156) SKEELS ELECTRIC CO	CONTRIBUTING EMPLOYER								No
(157) SMC ELECTRIC	CONTRIBUTING EMPLOYER								No
(158) STACO ELECTRIC CONSTRUCTION CO	CONTRIBUTING EMPLOYER								No
(159) STOKES ELECTRIC CO INC	CONTRIBUTING EMPLOYER								No
(160) STRATEGIC SERVICE LLC	CONTRIBUTING EMPLOYER								No
(161) STREFF ELECTRIC INC	CONTRIBUTING EMPLOYER								No
(162) SUMMIT TECHNICAL SOLUTIONS LLC	CONTRIBUTING EMPLOYER								No
(163) SUN ELECTRIC INC	CONTRIBUTING EMPLOYER								No
(164) SUPERIOR ELECTRIC TN VALLEY	CONTRIBUTING EMPLOYER								No
(165) SUTTERFIELD ELECT CONT	CONTRIBUTING EMPLOYER								No
(166) THE STATE GROUP INDUSTRIAL	CONTRIBUTING EMPLOYER								No
(167) THE WALDINGER CORPORATION	CONTRIBUTING EMPLOYER								No
(168) THOMPSON ELECTRIC CO	CONTRIBUTING EMPLOYER								No
(169) THOMPSON TELEDATA	CONTRIBUTING EMPLOYER								No
(170) TITAN ELECTRIC INC	CONTRIBUTING EMPLOYER								No
(171) TRIANGLE ELECTRIC INC	CONTRIBUTING EMPLOYER								No
(172) TRI-CITY ELECTRIC	CONTRIBUTING EMPLOYER								No
(173) TRINITY ELECTRIC INC	CONTRIBUTING EMPLOYER								No
(174) UNITED ELECTRIC SERVICE LLC	CONTRIBUTING EMPLOYER								No
(175) VAKULSKAS ELECTRIC LLC	CONTRIBUTING EMPLOYER								No
(176) VAN ERT ELECTRIC CO INC	CONTRIBUTING EMPLOYER								No
(177) VEC INC	CONTRIBUTING EMPLOYER								No
(178) VECA ELECTRIC & TECHNOLOGIES	CONTRIBUTING EMPLOYER								No
(179) VOYAGER ELECTRIC LLC	CONTRIBUTING EMPLOYER								No
(180) WALDINGER CORP	CONTRIBUTING EMPLOYER								No
(181) WARD ELECTRIC COMPANY INC	CONTRIBUTING EMPLOYER								No
(182) WARRIOR ENERGY LLC	CONTRIBUTING EMPLOYER								No
(183) WHEELER CONSTRUCTION INC	CONTRIBUTING EMPLOYER								No
(184) WHEELER CONTRACTING INC	CONTRIBUTING EMPLOYER								No
(185) WILLIAMS PLANT SERVICES LLC	CONTRIBUTING EMPLOYER								No
(186) WINGER MECHANICAL CO	CONTRIBUTING EMPLOYER								No
(187) WIRED INC	CONTRIBUTING EMPLOYER								No
(188) WMC MECHANICAL	CONTRIBUTING EMPLOYER								No
(189) XCEL AUTOMATION & ELECTRIC	CONTRIBUTING EMPLOYER								No
(190) ZELLER ELECTRIC INC	CONTRIBUTING EMPLOYER								No
(191) RICKARD ELECTRIC INC	CONTRIBUTING EMPLOYER								No
(192) ROBERT GIBB & SONS INC	CONTRIBUTING EMPLOYER								No
(193) ROCK RIVER ELECTRIC	CONTRIBUTING EMPLOYER								No
(194) ROSENDIN ELECTRIC	CONTRIBUTING EMPLOYER								No
(195) SAEC ELECTRIC	CONTRIBUTING EMPLOYER								No
(196) SCOTT CONTRACTING	CONTRIBUTING EMPLOYER								No
(197) SEITHER & CHERRY COMPANY	CONTRIBUTING EMPLOYER								No
(198) SMC ELECTRIC	CONTRIBUTING EMPLOYER								No
(199) SUMMIT TECHNICAL SOLUTIONS LLC	CONTRIBUTING EMPLOYER								No
(200) SUPERIOR ELECTRIC TN VALLEY	CONTRIBUTING EMPLOYER								No
(201) SUTTERFIELD ELECTRIC	CONTRIBUTING EMPLOYER								No
(202) THE STATE GROUP INDUSTRIAL	CONTRIBUTING EMPLOYER								No
(203) THOMPSON ELECTRIC OF OMAHA	CONTRIBUTING EMPLOYER								No
(204) THOMPSON TELEDATA	CONTRIBUTING EMPLOYER								No
(205) TRI-CITY ELECTRIC	CONTRIBUTING EMPLOYER								No
(206) VECA ELECTRIC & TECHNOLOGIES	CONTRIBUTING EMPLOYER								No
(207) VOYAGER ELECTRIC LLC	CONTRIBUTING EMPLOYER								No
(208) WARRIOR ENERGY LLC	CONTRIBUTING EMPLOYER								No
(209) WHEELER CONSTRUCTION INC	CONTRIBUTING EMPLOYER								No
(210) WMC MECHANICAL	CONTRIBUTING EMPLOYER								No
(211) XCEL AUTOMATION & ELECTRIC	CONTRIBUTING EMPLOYER								No

Schedule R (Form 990) 2021

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

Schedule R (Form 990) 2021

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?		(k) Percentage ownership
(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	(k) Percentage ownership

Schedule R (Form 990) 2021

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) 2021

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: TO PROVIDE HEALTH AND WELFARE BENEFITS
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	18
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	3
5	Total number of individuals employed in calendar year 2021 (Part V, line 2a) ......	5	165
6	Total number of volunteers (estimate if necessary) .............	6	0
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	0
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	0	0
9	Program service revenue (Part VIII, line 2g) .........	42,427,227	48,082,796
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	1,597,625	2,803,915
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	0	3,619
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	44,024,852	50,890,330
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).....	49,572,793	51,414,724
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	0	0
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	957,280	1,108,238
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	50,530,073	52,522,962
19	Revenue less expenses. Subtract line 18 from line 12.......	-6,505,221	-1,632,632
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	75,125,454	77,871,417
21	Total liabilities (Part X, line 26).............	552,350	645,119
22	Net assets or fund balances. Subtract line 21 from line 20.....	74,573,104	77,226,298

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )
	THE PLAN PROVIDES HEALTH CARE AND PRESCRIPTION DRUG, DEATH BENEFITS, ACCIDENTAL DEATH AND DISMEMBERMENT, AND DISABILITY BENEFITS FOR ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS OR BENEFICIARIES.

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












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












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

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	0	1,083,460	265,248

(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/1099-NEC)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and title
(18) PAUL COMEAU........................................................................ TRUSTEE	1.00 .......................	X	0	0	0
(19) MICHAEL BUNACH........................................................................ TRUSTEE	1.00 .......................	X	0	0	0

(A) Name and business address	(B) Description of services	(C) Compensation
NORIDIAN MUTUAL INSURANCE COMPANY 2000 - 44TH STREET SUITE 104 FARGO,ND58103	PLAN ADMINISTRATION AND CLAIMS PROCESSIN	2,357,686
OPTUMRX 2300 MAIN STREET IRVINE,CA92614	CLAIMS PROCESSING	107,895



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	900099	40,928,747	40,928,747
b	PRESCRIPTION DRUG REBATE	900099	3,498,368	3,498,368
c	PARTICIPANT CONTRIBUTIONS	900099	3,403,682	3,403,682
d	SUBROGATION SETTLEMENTS	900099	227,066	227,066
e	LIQUIDATED DAMAGES	900099	24,933	24,933
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		48,082,796

3 Investment income (including dividends, interest, and othersimilar amounts) ......			1,848,676			1,848,676
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		14,815,084	7a
b	Less: cost or other basis and sales expenses		13,859,845	7b
c	Gain or (loss)		955,239	7c
d	Net gain or (loss).........			955,239			955,239
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	OTHER INCOME		900099	3,619			3,619
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			3,619
12	Total revenue. See instructions.....			50,890,330	48,082,796	0	2,807,534

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 .......	51,414,724
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 ......	584,518
b	Legal .........	112,236
c	Accounting ...........	15,000
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	99,788
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	63,500
12	Advertising and promotion ....
13	Office expenses .......	98,141
14	Information technology ......
15	Royalties ..
16	Occupancy ...........
17	Travel ............
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	37,694
20	Interest ...........
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..
23	Insurance ...	69,673
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	ACA TAX	27,688
b
c
d
e	All other expenses
25	Total functional expenses. Add lines 1 through 24e	52,522,962
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 ........		-577,191	1	1,305,136
2	Savings and temporary cash investments .........		1,620,378	2	2,380,624
3	Pledges and grants receivable, net ......			3
4	Accounts receivable, net .............		5,192,867	4	7,197,281
5	Loans and other receivables from 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
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 .		68,889,400	11	66,988,376
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)...		75,125,454	16	77,871,417

17	Accounts payable and accrued expenses .....	211,336	17	86,969
18	Grants payable ...		18
19	Deferred revenue .........	341,014	19	558,150
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		25
26	Total liabilities. Add lines 17 through 25..	552,350	26	645,119

	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	74,573,104	31	77,226,298
32	Total net assets or fund balances ...........	74,573,104	32	77,226,298
33	Total liabilities and net assets/fund balances ........	75,125,454	33	77,871,417