TY 2021 Form 990

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

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

Attach to Form 990.
SchDMd Bullet

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

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization

RETIREE'S WELFARE TRUST

Employer identification number

91-6065367

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.)	3,240,000
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	47,706,243
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a	1,779,571
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	1,779,571
3	Subtract line 2e from line 1..................			3	45,926,672
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	180,227
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................			4c	180,227
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......			5	46,106,899

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	31,994,725
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	31,994,725
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	180,227
b	Other (Describe in Part XIII.) ............	4b	527,258
c	Add lines 4a and 4b.....................			4c	707,485
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......			5	32,702,210

Part XIII

Supplemental Information

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

Return Reference	Explanation
PART X, LINE 2:	THE TRUST ESTABLISHED UNDER THE PLAN TO HOLD THE PLAN'S ASSETS IS QUALIFIED PURSUANT TO THE APPROPRIATE SECTION OF THE INTERNAL REVENUE CODE (IRC) AND, ACCORDINGLY, THE TRUST'S NET INVESTMENT INCOME IS EXEMPT FROM INCOME TAXES. THE PLAN HAS OBTAINED A FAVORABLE DETERMINATION LETTER FROM THE INTERNAL REVENUE SERVICE (IRS), BUT HAS SINCE BEEN AMENDED. HOWEVER, THE PLAN ADMINISTRATOR BELIEVES THAT THE PLAN IS CURRENTLY DESIGNED AND BEING OPERATED IN COMPLIANCE WITH THE APPLICABLE REQUIREMENTS OF THE IRC. THEREFORE, THEY BELIEVE THAT THE PLAN IS QUALIFIED, AND THE RELATED TRUST IS TAX-EXEMPT AS OF THE FINANCIAL STATEMENT DATE. ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN INCLUDED IN THE PLAN'S FINANCIAL STATEMENTS. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE PLAN MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE PLAN AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF THE PLAN HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS. THE PLAN ADMINISTRATOR HAS ANALYZED THE TAX POSITIONS TAKEN BY THE PLAN AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2021, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF THE LIABILITY (OR ASSET) OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS, AND THE PLAN COULD BE SUBJECT TO INCOME TAX IF CERTAIN ISSUES WERE FOUND BY THE IRS THAT COULD RESULT IN THE DISQUALIFICATION OF THE PLAN'S TAX-EXEMPT STATUS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS.
PART XII, LINE 4B - OTHER ADJUSTMENTS:	CHANGE IN CLAIMS PAYABLE 67,258. CHANGE IN CLAIMS IBNR 460,000.

Return Reference

Explanation

PART X, LINE 2:

THE TRUST ESTABLISHED UNDER THE PLAN TO HOLD THE PLAN'S ASSETS IS QUALIFIED PURSUANT TO THE APPROPRIATE SECTION OF THE INTERNAL REVENUE CODE (IRC) AND, ACCORDINGLY, THE TRUST'S NET INVESTMENT INCOME IS EXEMPT FROM INCOME TAXES. THE PLAN HAS OBTAINED A FAVORABLE DETERMINATION LETTER FROM THE INTERNAL REVENUE SERVICE (IRS), BUT HAS SINCE BEEN AMENDED. HOWEVER, THE PLAN ADMINISTRATOR BELIEVES THAT THE PLAN IS CURRENTLY DESIGNED AND BEING OPERATED IN COMPLIANCE WITH THE APPLICABLE REQUIREMENTS OF THE IRC. THEREFORE, THEY BELIEVE THAT THE PLAN IS QUALIFIED, AND THE RELATED TRUST IS TAX-EXEMPT AS OF THE FINANCIAL STATEMENT DATE. ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN INCLUDED IN THE PLAN'S FINANCIAL STATEMENTS. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE PLAN MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE PLAN AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF THE PLAN HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS. THE PLAN ADMINISTRATOR HAS ANALYZED THE TAX POSITIONS TAKEN BY THE PLAN AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2021, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF THE LIABILITY (OR ASSET) OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS, AND THE PLAN COULD BE SUBJECT TO INCOME TAX IF CERTAIN ISSUES WERE FOUND BY THE IRS THAT COULD RESULT IN THE DISQUALIFICATION OF THE PLAN'S TAX-EXEMPT STATUS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS.

PART XII, LINE 4B - OTHER ADJUSTMENTS:

CHANGE IN CLAIMS PAYABLE 67,258. CHANGE IN CLAIMS IBNR 460,000.

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

RETIREE'S WELFARE TRUST

Employer identification number

91-6065367

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)
1LEONARD CROUCH TRUSTEE	(i) (ii)	0 ------------- 118,850	0 ------------- 0	0 ------------- 0	0 ------------- 24,000	0 ------------- 37,000	0 ------------- 179,850	0 ------------- 0
2TED BUNSTINE TRUSTEE	(i) (ii)	0 ------------- 128,044	0 ------------- 0	0 ------------- 0	0 ------------- 27,000	0 ------------- 24,000	0 ------------- 179,044	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

RETIREE'S WELFARE TRUST

Employer identification number

91-6065367

Return Reference	Explanation
FORM 990, PART VI, SECTION A, LINE 3	THE BOARD OF TRUSTEES HAS SELECTED A PROFESSIONAL THIRD PARTY ADMINISTRATOR TO RUN THE DAY TO DAY OPERATIONS OF THE TRUST. THE BOARD OF TRUSTEES RETAINS ULTIMATE RESPONSIBILITY FOR THE ACTIONS OF THE THIRD PARTY ADMINISTRATOR.
FORM 990, PART VI, SECTION B, LINE 11B	THE 990 IS REVIEWED AND APPROVED BY THE SIGNING TRUSTEE AND THIRD-PARTY ADMINISTRATOR BEFORE FILING.
FORM 990, PART VI, SECTION B, LINE 12C	MANAGEMENT MONITORS POLICY FOR CONFLICTS OF INTEREST BY REVIEWING ANNUALLY.
FORM 990, PART VI, SECTION C, LINE 19	PUBLIC MAY EXAMINE WITHOUT CHARGE AT THE PLAN ADMINISTRATOR'S OFFICE AND AT UNION HALLS ALL PLAN DOCUMENTS INCLUDING INSURANCE CONTRACTS, COLLECTIVE BARGAINING AGREEMENTS, AND COPIES OF ALL DOCUMENTS FILED WITH THE U.S. DEPARTMENT OF LABOR, SUCH AS ANNUAL REPORTS AND PLAN DESCRIPTION. PUBLIC MAY OBTAIN COPIES OF ALL PLAN DOCUMENTS AND OTHER PLAN INFORMATION UPON A WRITTEN REQUEST TO THE PLAN ADMINISTRATOR. THE ADMINISTRATOR MAY MAKE A REASONABLE CHARGE FOR THE COPIES. PUBLIC MAY RECEIVE A SUMMARY OF THE PLAN'S ANNUAL FINANCIAL REPORT. THE PLAN ADMINISTRATOR IS REQUIRED BY LAW TO FURNISH EACH PARTICIPANT WITH A COPY OF THIS SUMMARY FINANCIAL REPORT.

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

RETIREE'S WELFARE TRUST

Employer identification number

91-6065367

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)CITY OF CENTRALIA	CONTRIBUTING EMPLOYER						No
(2)CITY OF CLE ELUM	CONTRIBUTING EMPLOYER						No
(3)CITY OF EAST WENATCHEE	CONTRIBUTING EMPLOYER						No
(4)CITY OF ELLENSBURG	CONTRIBUTING EMPLOYER						No
(5)CITY OF FEDERAL WAY	CONTRIBUTING EMPLOYER						No
(6)CITY OF GIG HARBOR	CONTRIBUTING EMPLOYER						No
(7)CITY OF ISSAQUAH	CONTRIBUTING EMPLOYER						No
(8)CITY OF MONROE	CONTRIBUTING EMPLOYER						No
(9)CITY OF MONROE	CONTRIBUTING EMPLOYER						No
(10)CITY OF MONTESANO	CONTRIBUTING EMPLOYER						No
(11)CITY OF MOXEE	CONTRIBUTING EMPLOYER						No
(12)CITY OF OMAK	CONTRIBUTING EMPLOYER						No
(13)CITY OF PACIFIC	CONTRIBUTING EMPLOYER						No
(14)CITY OF PORT ANGELES	CONTRIBUTING EMPLOYER						No
(15)CITY OF PORT TOWNSEND	CONTRIBUTING EMPLOYER						No
(16)CITY OF PROSSER	CONTRIBUTING EMPLOYER						No
(17)CITY OF REDMOND	CONTRIBUTING EMPLOYER						No
(18)CITY OF WESTPORT	CONTRIBUTING EMPLOYER						No
(19)CITY OF YAKIMA	CONTRIBUTING EMPLOYER						No
(20)CITY OF ZILLAH	CONTRIBUTING EMPLOYER						No
(21)GRAYS HARBOR COMMUNICATIONS 911	CONTRIBUTING EMPLOYER						No
(22)GRAYS HARBOR COUNTY	CONTRIBUTING EMPLOYER						No
(23)JOINT COUNCIL NO 28 TEAMSTER'S WOMENS CAUCUS	CONTRIBUTING EMPLOYER						No
(24)KITTITAS COUNTY LINE DEPUTIES	CONTRIBUTING EMPLOYER						No
(25)LEWIS COUNTY	CONTRIBUTING EMPLOYER						No
(26)OKANOGAN COUNTY	CONTRIBUTING EMPLOYER						No
(27)OKANOGAN COUNTY - PUBLIC WORKS ROAD DIVISION	CONTRIBUTING EMPLOYER						No
(28)PACIFIC COUNTY	CONTRIBUTING EMPLOYER						No
(29)PORT OF PORT ANGELES	CONTRIBUTING EMPLOYER						No
(30)PORT OF SEATTLE	CONTRIBUTING EMPLOYER						No
(31)PUD OF WHATCOM COUNTY	CONTRIBUTING EMPLOYER						No
(32)SOUTH CORRECTIONAL ENTITY (SCORE)	CONTRIBUTING EMPLOYER						No
(33)SPEEA	CONTRIBUTING EMPLOYER						No
(34)TEAMSTERS BUILDING ASSOCIATION OF SEATTLE	CONTRIBUTING EMPLOYER						No
(35)TEAMSTERS LOCAL 117	CONTRIBUTING EMPLOYER						No
(36)TEAMSTERS LOCAL 174	CONTRIBUTING EMPLOYER						No
(37)TEAMSTERS LOCAL 231	CONTRIBUTING EMPLOYER						No
(38)TEAMSTERS LOCAL 252	CONTRIBUTING EMPLOYER						No
(39)TEAMSTERS LOCAL 313	CONTRIBUTING EMPLOYER						No
(40)TEAMSTERS LOCAL 38	CONTRIBUTING EMPLOYER						No
(41)TEAMSTERS LOCAL 589	CONTRIBUTING EMPLOYER						No
(42)TEAMSTERS LOCAL 690	CONTRIBUTING EMPLOYER						No
(43)TEAMSTERS LOCAL 763	CONTRIBUTING EMPLOYER						No
(44)TEAMSTERS LOCAL UNION 760	CONTRIBUTING EMPLOYER						No
(45)TEAMSTERS LOCAL UNION NO 839 BUILDING ASSOCIATION	CONTRIBUTING EMPLOYER						No
(46)UEBT	CONTRIBUTING EMPLOYER						No
(47)WASHINGTON-IDAHO CONSTRUCTION TEAMSTERS-EMPLOYER APPRENTICESHIP TRAINING TR	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) A CAUTIONARY TALE LLC	CONTRIBUTING EMPLOYER		N/A				No			No
(2) ALLIED WASTE SERVICES LLC	CONTRIBUTING EMPLOYER		N/A				No			No
(3) ARAMARK UNIFORM SERVICES LLC	CONTRIBUTING EMPLOYER		N/A				No			No
(4) ASCENDENT LLC	CONTRIBUTING EMPLOYER		N/A				No			No
(5) BALL & SON EXCAVATION LLC	CONTRIBUTING EMPLOYER		N/A				No			No
(6) BMC EAST LLC	CONTRIBUTING EMPLOYER		N/A				No			No
(7) CR CONSTRUCTION LLC	CONTRIBUTING EMPLOYER		N/A				No			No
(8) ELITE CONTRUCTION & DEVELOPMENT LLC	CONTRIBUTING EMPLOYER		N/A				No			No
(9) FEDERATED LOGISTICS LLC	CONTRIBUTING EMPLOYER		N/A				No			No
(10) FOSS MARITIME COMPANY LLC	CONTRIBUTING EMPLOYER		N/A				No			No
(11) FURLINED LLC	CONTRIBUTING EMPLOYER		N/A				No			No
(12) HANGING H COMPANIES LLC	CONTRIBUTING EMPLOYER		N/A				No			No
(13) HARBOR FOODSERVICE OF SEATTLE LLC	CONTRIBUTING EMPLOYER		N/A				No			No
(14) INDIAN EYES LLC	CONTRIBUTING EMPLOYER		N/A				No			No
(15) J&M TRANSPORT NW LLC	CONTRIBUTING EMPLOYER		N/A				No			No
(16) JOHANSEN CONSTRUCTION CO LLC	CONTRIBUTING EMPLOYER		N/A				No			No
(17) LINEAGE LOGISTICS LLC	CONTRIBUTING EMPLOYER		N/A				No			No
(18) MERITUS EARTHWORKS LLC	CONTRIBUTING EMPLOYER		N/A				No			No
(19) MERMAN USA LLC	CONTRIBUTING EMPLOYER		N/A				No			No
(20) MILES RESOURCES LLC	CONTRIBUTING EMPLOYER		N/A				No			No
(21) MONDELEZ GLOBAL LLC	CONTRIBUTING EMPLOYER		N/A				No			No
(22) MTC TRUCKING LLC	CONTRIBUTING EMPLOYER		N/A				No			No
(23) OLSON BROTHERS PRO-VAC LLC	CONTRIBUTING EMPLOYER		N/A				No			No
(24) PORTSMOUTH CONSTRUCTION SERVICES LLC	CONTRIBUTING EMPLOYER		N/A				No			No
(25) PULSE COMMERCIALS LLC	CONTRIBUTING EMPLOYER		N/A				No			No
(26) RAIL TERMINAL SERVICES LLC	CONTRIBUTING EMPLOYER		N/A				No			No
(27) RHINE DEMOLITION LLC	CONTRIBUTING EMPLOYER		N/A				No			No
(28) SCI INFRASTRUCTURE LLC	CONTRIBUTING EMPLOYER		N/A				No			No
(29) SEAL TREE LLC	CONTRIBUTING EMPLOYER		N/A				No			No
(30) SERIAL PICTURES LLC	CONTRIBUTING EMPLOYER		N/A				No			No
(31) SITA ENTERPRISES LLC	CONTRIBUTING EMPLOYER		N/A				No			No
(32) SKANSKA CONSTRUCTORS LLC	CONTRIBUTING EMPLOYER		N/A				No			No
(33) SKYLINE LANDSCAPE LLC	CONTRIBUTING EMPLOYER		N/A				No			No
(34) STE MICHELLE WINE ESTATES LLC	CONTRIBUTING EMPLOYER		N/A				No			No
(35) STONEWAY CUSTOM CONCRETE LLC	CONTRIBUTING EMPLOYER						No			No
(36) THE MARTIN-BROWER COMPANY LLC	CONTRIBUTING EMPLOYER						No			No
(37) TRANSCON COMPANY LLC	CONTRIBUTING EMPLOYER						No			No
(38) TUNISTA CONSTRUCTION LLC	CONTRIBUTING EMPLOYER						No			No
(39) WASTE TREATMENT COMPLETION COMPANY LLC	CONTRIBUTING EMPLOYER						No			No
(40) WILLIAMS PLANT SERVICES	CONTRIBUTING EMPLOYER						No			No
(41) YSO MANGEMENT GROUP LLC	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) AAA CONTRACTORS INC	CONTRIBUTING EMPLOYER		N/A						No
(2) ACME CONCRETE PAVING INC	CONTRIBUTING EMPLOYER		N/A						No
(3) ACME FUEL COMPANY	CONTRIBUTING EMPLOYER		N/A						No
(4) ACME POULTRY COMPANY INC	CONTRIBUTING EMPLOYER		N/A						No
(5) ACTIVE CONSTRUCTION INC	CONTRIBUTING EMPLOYER		N/A						No
(6) ALASKA TRAFFIC COMPANY	CONTRIBUTING EMPLOYER		N/A						No
(7) ALIVE AND KICKING INC	CONTRIBUTING EMPLOYER		N/A						No
(8) ALSCO INC	CONTRIBUTING EMPLOYER		N/A						No
(9) AMERICAN ELECTRIC INC	CONTRIBUTING EMPLOYER		N/A						No
(10) ANHEUSER-BUSCH SALES OF WASHINGTON INC	CONTRIBUTING EMPLOYER		N/A						No
(11) ARMSTRONG LUMBER CO INC	CONTRIBUTING EMPLOYER		N/A						No
(12) AUBURN DAIRY PRODUCTS INC	CONTRIBUTING EMPLOYER		N/A						No
(13) BALLARD OIL CO	CONTRIBUTING EMPLOYER		N/A						No
(14) BIG INDIE SOMEBODY INC	CONTRIBUTING EMPLOYER		N/A						No
(15) BIMBO BAKERIES USA INC	CONTRIBUTING EMPLOYER		N/A						No
(16) BLOCH STEEL INC	CONTRIBUTING EMPLOYER		N/A						No
(17) BROTHERS PIPELINE CORP	CONTRIBUTING EMPLOYER		N/A						No
(18) BRUCH & BRUCH CONSTRUCTION INC	CONTRIBUTING EMPLOYER		N/A						No
(19) BUNZL CORPORATION	CONTRIBUTING EMPLOYER		N/A						No
(20) C WATTS TRUCKING CO	CONTRIBUTING EMPLOYER		N/A						No
(21) CADMAN MATERIALS INC	CONTRIBUTING EMPLOYER		N/A						No
(22) CANAM PRODUCTIONS INC	CONTRIBUTING EMPLOYER		N/A						No
(23) CECCANTI INC	CONTRIBUTING EMPLOYER		N/A						No
(24) CENTRAL PREMIX CONCRETE CO	CONTRIBUTING EMPLOYER		N/A						No
(25) CITY TRANSFER INC	CONTRIBUTING EMPLOYER		N/A						No
(26) CLEANSCAPES INC	CONTRIBUTING EMPLOYER		N/A						No
(27) COAST 2 COAST PRODUCTION SUPPORT INC	CONTRIBUTING EMPLOYER		N/A						No
(28) COCA COLA REFRESHMENTS USA INC	CONTRIBUTING EMPLOYER		N/A						No
(29) COCA-COLA BOTTLING CO OF WA	CONTRIBUTING EMPLOYER		N/A						No
(30) COLUMBIA-PACIFIC TRANSPORT CO	CONTRIBUTING EMPLOYER		N/A						No
(31) CONSTRUCTION AHEAD INC	CONTRIBUTING EMPLOYER		N/A						No
(32) CONTINENTAL DIRT CONTRACTORS INC	CONTRIBUTING EMPLOYER		N/A						No
(33) CONTRACTORS EQUIP MAIN INC	CONTRIBUTING EMPLOYER		N/A						No
(34) DARIGOLD INC	CONTRIBUTING EMPLOYER		N/A						No
(35) DEL MONTE CORPORATION	CONTRIBUTING EMPLOYER		N/A						No
(36) DELHUR INDUSTRIES INC	CONTRIBUTING EMPLOYER		N/A						No
(37) DHL EXPRESS (USA) INC	CONTRIBUTING EMPLOYER		N/A						No
(38) DICKSON COMPANY	CONTRIBUTING EMPLOYER		N/A						No
(39) DONALD B MURPHY CONTRACTORS INC	CONTRIBUTING EMPLOYER		N/A						No
(40) EARLE M JORGENSEN CO	CONTRIBUTING EMPLOYER		N/A						No
(41) FARMER BROS CO	CONTRIBUTING EMPLOYER		N/A						No
(42) FEDERAL ENGINEERS & CONSTRUCTORS INC	CONTRIBUTING EMPLOYER		N/A						No
(43) FOWLER GENERAL CONSTRUCTION INC	CONTRIBUTING EMPLOYER		N/A						No
(44) FRANK COLUCCIO CONSTRUCTION INC	CONTRIBUTING EMPLOYER		N/A						No
(45) GARY MERLINO CONSTRUCTION CO INC	CONTRIBUTING EMPLOYER		N/A						No
(46) GENESEE FUEL & HEATING CO INC	CONTRIBUTING EMPLOYER		N/A						No
(47) GLACIER NORTHWEST INC	CONTRIBUTING EMPLOYER		N/A						No
(48) GLENDALE OIL COMPANY	CONTRIBUTING EMPLOYER		N/A						No
(49) GOODMAN & MEHLENBACHER ENTERPRISES INC	CONTRIBUTING EMPLOYER		N/A						No
(50) GRADY EXCAVATING INC	CONTRIBUTING EMPLOYER		N/A						No
(51) GRAHAM HAY CO	CONTRIBUTING EMPLOYER		N/A						No
(52) HIGRADE ASPHALT INC	CONTRIBUTING EMPLOYER		N/A						No
(53) HOGLAND TRANSFER COMPANY A CORPORATION	CONTRIBUTING EMPLOYER		N/A						No
(54) HOS BROS CONSTRUCTION INC	CONTRIBUTING EMPLOYER		N/A						No
(55) HOT MIX PAVERS INC	CONTRIBUTING EMPLOYER		N/A						No
(56) HUTTIG BUILDING PRODUCTS INC	CONTRIBUTING EMPLOYER		N/A						No
(57) I P CALLISON AND SONS INC	CONTRIBUTING EMPLOYER		N/A						No
(58) ICON MATERIALS INC	CONTRIBUTING EMPLOYER		N/A						No
(59) INLAND ASPHALT CO	CONTRIBUTING EMPLOYER		N/A						No
(60) INTERMECH INC	CONTRIBUTING EMPLOYER		N/A						No
(61) INTERWEST CONSTRUCTION COMPANY INC	CONTRIBUTING EMPLOYER		N/A						No
(62) J & D TRUCKING INC	CONTRIBUTING EMPLOYER		N/A						No
(63) J R HAYES & SONS INC	CONTRIBUTING EMPLOYER		N/A						No
(64) JANSEN INC	CONTRIBUTING EMPLOYER		N/A						No
(65) JERVIS B WEBB COMPANY	CONTRIBUTING EMPLOYER		N/A						No
(66) JMR TRUCKING INC	CONTRIBUTING EMPLOYER		N/A						No
(67) JOSEPH T RYERSON & SON INC	CONTRIBUTING EMPLOYER		N/A						No
(68) KENT MERIDIAN DISPOSAL CO	CONTRIBUTING EMPLOYER		N/A						No
(69) KLB CONSTRUCTION INC	CONTRIBUTING EMPLOYER		N/A						No
(70) LAKESIDE HAULING INC	CONTRIBUTING EMPLOYER		N/A						No
(71) LAKESIDE INDUSTRIES INC	CONTRIBUTING EMPLOYER		N/A						No
(72) LAMAR ADVERTISING OF SEATTLE	CONTRIBUTING EMPLOYER		N/A						No
(73) LEHIGH NORTHWEST CEMENT COMPANY	CONTRIBUTING EMPLOYER		N/A						No
(74) LIMBACK LUMBER CO INC	CONTRIBUTING EMPLOYER		N/A						No
(75) LINDE INC	CONTRIBUTING EMPLOYER		N/A						No
(76) LOOKER TRUCKING & CONSTRUCTION INC	CONTRIBUTING EMPLOYER		N/A						No
(77) M BLOCH COMPANY INC	CONTRIBUTING EMPLOYER		N/A						No
(78) MACMILLAN PIPER INC	CONTRIBUTING EMPLOYER		N/A						No
(79) MICHAELIS TRUCKING & EXCAVATING INC	CONTRIBUTING EMPLOYER		N/A						No
(80) MICHEL'S PIPELINE INC	CONTRIBUTING EMPLOYER		N/A						No
(81) MID MOUNTAIN CONTR INC	CONTRIBUTING EMPLOYER		N/A						No
(82) MIDMOUNTAIN CONTRACTORS INC	CONTRIBUTING EMPLOYER		N/A						No
(83) MILNE FRUIT PRODUCTS INC	CONTRIBUTING EMPLOYER		N/A						No
(84) MNG CONSTRUCTION INC	CONTRIBUTING EMPLOYER		N/A						No
(85) NW ASPHALT INC	CONTRIBUTING EMPLOYER		N/A						No
(86) NA DEGERSTROM INC	CONTRIBUTING EMPLOYER		N/A						No
(87) NELSON TRUCKING CO INC	CONTRIBUTING EMPLOYER		N/A						No
(88) NISQUALLY VIEW CONSTRUCTION COMPNAY	CONTRIBUTING EMPLOYER		N/A						No
(89) NORTHWEST UTILITIES INC	CONTRIBUTING EMPLOYER		N/A						No
(90) NW CONSTRUCTION INC	CONTRIBUTING EMPLOYER		N/A						No
(91) NW METALS & SALVAGE SERVICE INC	CONTRIBUTING EMPLOYER		N/A						No
(92) NW PRO CONSTRUCTION INC	CONTRIBUTING EMPLOYER		N/A						No
(93) OCEAN SPRAY CRANBERRIES INC	CONTRIBUTING EMPLOYER		N/A						No
(94) OJEDA INC	CONTRIBUTING EMPLOYER		N/A						No
(95) OLYMPIC PAVING INC	CONTRIBUTING EMPLOYER		N/A						No
(96) OMA CONSTRUCTION INC	CONTRIBUTING EMPLOYER		N/A						No
(97) ORION MARINE CONSTRUCTION INC	CONTRIBUTING EMPLOYER		N/A						No
(98) PACIFIC SHIP REPAIR & FABRICATION INC	CONTRIBUTING EMPLOYER		N/A						No
(99) PAVEMENT SURFACE CONTROL	CONTRIBUTING EMPLOYER		N/A						No
(100) PEIRONE PRODUCE COMPANY	CONTRIBUTING EMPLOYER		N/A						No
(101) PELLCO CONSTRUCTION INC	CONTRIBUTING EMPLOYER		N/A						No
(102) PENHALL COMPANY	CONTRIBUTING EMPLOYER		N/A						No
(103) PENINSULA TRUCK LINES INC	CONTRIBUTING EMPLOYER		N/A						No
(104) PIERCE COUNTY REFUSE CO	CONTRIBUTING EMPLOYER		N/A						No
(105) POE ASPHALT PAVING INC	CONTRIBUTING EMPLOYER		N/A						No
(106) POTTLE & SONS CONSTRUCTION INC	CONTRIBUTING EMPLOYER		N/A						No
(107) POZZI BROS TRANSPORT INC	CONTRIBUTING EMPLOYER		N/A						No
(108) PRAXAIR DISTRIBUTION INC	CONTRIBUTING EMPLOYER		N/A						No
(109) PRAXAIR SURFACE TECHNOLOGIES INC CORPORATION	CONTRIBUTING EMPLOYER		N/A						No
(110) PRAXAIR INC	CONTRIBUTING EMPLOYER		N/A						No
(111) PRICE GREGORY INTERNATIONAL INC	CONTRIBUTING EMPLOYER		N/A						No
(112) PURATOS CORPORATION	CONTRIBUTING EMPLOYER		N/A						No
(113) RL ALIA COMPANY	CONTRIBUTING EMPLOYER		N/A						No
(114) RABANCO LTD	CONTRIBUTING EMPLOYER		N/A						No
(115) RABANCO LTD	CONTRIBUTING EMPLOYER		N/A						No
(116) ROSE CITY PICTURES INC	CONTRIBUTING EMPLOYER		N/A						No
(117) RUBATINO REFUSE REMOVAL INC	CONTRIBUTING EMPLOYER		N/A						No
(118) RYDER INTEGRATED LOGISTICS INC	CONTRIBUTING EMPLOYER		N/A						No
(119) RYERSON TULL INC	CONTRIBUTING EMPLOYER		N/A						No
(120) SR SICILIA INC	CONTRIBUTING EMPLOYER		N/A						No
(121) SAFEWAY INC	CONTRIBUTING EMPLOYER		N/A						No
(122) SALMON BAY SAND & GRAVEL COMPANY	CONTRIBUTING EMPLOYER		N/A						No
(123) SANITARY SERVICE CO INC	CONTRIBUTING EMPLOYER		N/A						No
(124) SCARSELLA BROS INC	CONTRIBUTING EMPLOYER		N/A						No
(125) SEATTLE IRON & METALS CORPORATION	CONTRIBUTING EMPLOYER		N/A						No
(126) SEATTLE SWEEPING INC	CONTRIBUTING EMPLOYER		N/A						No
(127) SERVICE LINEN SUPPLY INC	CONTRIBUTING EMPLOYER		N/A						No
(128) SHAMROCK PAVING INC	CONTRIBUTING EMPLOYER		N/A						No
(129) SHASTA BEVERAGES INC	CONTRIBUTING EMPLOYER		N/A						No
(130) SHORELINE CONSTRUCTION	CONTRIBUTING EMPLOYER		N/A						No
(131) SILGAN CONTAINERS CORPORATION	CONTRIBUTING EMPLOYER		N/A						No
(132) SMITH BROTHERS FARMS INC	CONTRIBUTING EMPLOYER		N/A						No
(133) SNYDERS BAKING CO	CONTRIBUTING EMPLOYER		N/A						No
(134) SOMESUCH INC	CONTRIBUTING EMPLOYER		N/A						No
(135) SOUND OIL CO	CONTRIBUTING EMPLOYER		N/A						No
(136) SPECIALIZED LANDSCAPINGINC	CONTRIBUTING EMPLOYER		N/A						No
(137) STANWOOD REDI-MIX INC	CONTRIBUTING EMPLOYER		N/A						No
(138) STELLAR J CORP	CONTRIBUTING EMPLOYER		N/A						No
(139) SUPERIOR LINEN SERVICE CO	CONTRIBUTING EMPLOYER		N/A						No
(140) SUPERVALU INC	CONTRIBUTING EMPLOYER		N/A						No
(141) SUPPLY & DEMAND INC	CONTRIBUTING EMPLOYER		N/A						No
(142) SWIRE PACIFIC HOLDINGS INC	CONTRIBUTING EMPLOYER		N/A						No
(143) SYSCO SEATTLE INC	CONTRIBUTING EMPLOYER		N/A						No
(144) SYSCO SPOKANE INC	CONTRIBUTING EMPLOYER		N/A						No
(145) SYSTEM TRANSFER & STORAGE CO	CONTRIBUTING EMPLOYER		N/A						No
(146) THE BOEING COMPANY	CONTRIBUTING EMPLOYER		N/A						No
(147) TOTEM FOOD PRODUCTS INC	CONTRIBUTING EMPLOYER		N/A						No
(148) TRAXX EQUIPMENT CO INC	CONTRIBUTING EMPLOYER		N/A						No
(149) TUCCI & SONS INC	CONTRIBUTING EMPLOYER		N/A						No
(150) US FOOD SERVICE CORPORATION	CONTRIBUTING EMPLOYER		N/A						No
(151) UNITED PARCEL SERVICE INC	CONTRIBUTING EMPLOYER		N/A						No
(152) UNITED STATES BAKERY	CONTRIBUTING EMPLOYER		N/A						No
(153) UNITED WAREHOUSE COMPANY	CONTRIBUTING EMPLOYER		N/A						No
(154) UNIVAR SOLUTIONS USA INC	CONTRIBUTING EMPLOYER		N/A						No
(155) UPS CARTAGE SERVICES INC	CONTRIBUTING EMPLOYER		N/A						No
(156) URM GROCERY CO	CONTRIBUTING EMPLOYER		N/A						No
(157) USF REDDAWAY INC	CONTRIBUTING EMPLOYER		N/A						No
(158) UTILITY VAULT COMPANY INC	CONTRIBUTING EMPLOYER		N/A						No
(159) VERITIV OPERATING COMPANY	CONTRIBUTING EMPLOYER		N/A						No
(160) VIGOR SHIPYARDS INC	CONTRIBUTING EMPLOYER		N/A						No
(161) WASTE MANAGEMENT	CONTRIBUTING EMPLOYER		N/A						No
(162) WATTS CONSTRUCTION INC	CONTRIBUTING EMPLOYER		N/A						No
(163) WENATCHEE SAND & GRAVEL INC	CONTRIBUTING EMPLOYER		N/A						No
(164) WESCO DISTRIBUTION INC	CONTRIBUTING EMPLOYER		N/A						No
(165) WONDROS COLLECTIVE	CONTRIBUTING EMPLOYER		N/A						No
(166) ZANETTI BROTHERS INC	CONTRIBUTING EMPLOYER		N/A						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 BENEFITS FOR RETIRED EMPLOYEES WHO MEET THE ELIGIBILITY RULES IN EFFECT WHEN THEY RETIRE AND/OR QUALIFIED MEMBERS OF THEIR FAMILY.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	6
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	2
5	Total number of individuals employed in calendar year 2021 (Part V, line 2a) ......	5	0
6	Total number of volunteers (estimate if necessary) .............	6	2
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) .........	42,056,802	45,186,603
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	1,280,696	920,296
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	0	0
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	43,337,498	46,106,899
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).....	25,589,274	28,913,083
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)....	3,611,222	3,789,127
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	29,200,496	32,702,210
19	Revenue less expenses. Subtract line 18 from line 12.......	14,137,002	13,404,689
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	97,777,796	113,632,369
21	Total liabilities (Part X, line 26).............	4,889,171	5,559,484
22	Net assets or fund balances. Subtract line 21 from line 20.....	92,888,625	108,072,885

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 32,702,210 including grants of $ ) (Revenue $ )
	THE TRUST PROVIDES HEALTH BENEFITS FOR RETIRED PARTICIPANTS AND THEIR SPOUSES AND DEPENDENTS.

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












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












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses32,702,210

(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
(1) JOE TESSIER...................................................................... CHAIRMAN	1.00 .................	X	X	0	0	0
(2) BRIAN PERSON...................................................................... SECRETARY	1.00 ................. 40.00	X	X	0	0	0
(3) ANTHONY DECOSMO...................................................................... TRUSTEE	1.00 ................. 40.00	X		0	0	0
(4) RANDY ZEILER...................................................................... TRUSTEE	1.00 .................	X		0	0	0
(5) LEONARD CROUCH...................................................................... TRUSTEE	1.00 ................. 40.00	X		0	118,850	61,000
(6) TED BUNSTINE...................................................................... TRUSTEE	1.00 ................. 40.00	X		0	128,044	51,000
(7) STEVEN C CHANDLER...................................................................... TRUSTEE (OUTGOING)	1.00 ................. 40.00	X		0	82,007	49,000

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	0	328,901	161,000

(A) Name and business address	(B) Description of services	(C) Compensation
NORTHWEST ADMINISTRATORS INC 2323 EASTLAKE AVENUE E SEATTLE,WA981023393	ADMINISTRATIVE SERVICES	3,056,486
PREMERA BLUE CROSS 7001 220TH STREET SW MS 103 MOUNTLAKE TERRACE,WA98043	PPO NETWORK	376,304



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	27,428,168	27,428,168
b	RETIREE SELF-PAYMENTS	900099	17,758,435	17,758,435
c
d
e
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		45,186,603

3 Investment income (including dividends, interest, and othersimilar amounts) ......			913,123			913,123
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		123,046,873	7a
b	Less: cost or other basis and sales expenses		123,039,700	7b
c	Gain or (loss)		7,173	7c
d	Net gain or (loss).........			7,173			7,173
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a
b	Less: direct expenses ...		8b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a
b	Less: cost of goods sold ..		10b
c	Net income or (loss) from sales of inventory..
Business Code			Miscellaneous Revenue
11a
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......
12	Total revenue. See instructions.....			46,106,899	45,186,603	0	920,296

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 .......	28,913,083
5	Compensation of current officers, directors, trustees, and key employees ...........
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........
7	Other salaries and wages........
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....
9	Other employee benefits .......
10	Payroll taxes ...........
11	Fees for services (non-employees):
a	Management ......	2,908,400
b	Legal .........	23,209
c	Accounting ...........	45,355
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	180,227
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	565,666
12	Advertising and promotion ....
13	Office expenses .......	50,011
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 ....
20	Interest ...........
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..
23	Insurance ...	15,159
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	OTHER ADMINISTRATIVE EX	1,100
b
c
d
e	All other expenses
25	Total functional expenses. Add lines 1 through 24e	32,702,210
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 ........			1
2	Savings and temporary cash investments .........		8,744,350	2	12,408,284
3	Pledges and grants receivable, net ......			3
4	Accounts receivable, net .............		2,308,120	4	3,326,382
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 ......		12,388	9	13,415
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 .		86,712,938	11	97,884,288
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)...		97,777,796	16	113,632,369

17	Accounts payable and accrued expenses .....	649,171	17	829,484
18	Grants payable ...		18
19	Deferred revenue .........	1,460,000	19	1,490,000
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	2,780,000	25	3,240,000
26	Total liabilities. Add lines 17 through 25..	4,889,171	26	5,559,484

	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	92,888,625	31	108,072,885
32	Total net assets or fund balances ...........	92,888,625	32	108,072,885
33	Total liabilities and net assets/fund balances ........	97,777,796	33	113,632,369