Form990


Department of the TreasuryInternal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)
MediumBullet Do not enter social security numbers on this form as it may be made public.
MediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public Inspection
A For the 2021 calendar year, or tax year beginning 01-01-2022 , and ending 12-31-2022
BCheck if applicable:
CName of organization
Business Health Trust
 
 
Doing business as
 
 
Number and street (or P.O. box if mail is not delivered to street address)
PO Box 6
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
Mukilteo, WA98275
D Employer identification number

36-7481494
E Telephone number

G Gross receipts $ 114,295,689
F Name and address of principal officer:
Sarai Childs
PO Box 6
Mukilteo,WA98275
I
Tax-exempt status: ( 9 ) LeftBullet (insert no.) or
J
Website:MediumBullet
www.businesshealthtrust.com
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. See instructions.
H(c)
Group exemption number MediumBullet  
K Form of organization:  
L Year of formation: 2007
M State of legal domicile: WA
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: The Trust was established to hold insurance policies through which participating employers can provide programs of health and other insured welfare benefits under the employee benefit plans they maintain for their employees and dependents.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 12
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 12
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 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
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 0 0
9 Program service revenue (Part VIII, line 2g) ......... 118,777,896 114,161,902
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 16,185 49,063
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 235,641 84,724
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12) 119,029,722 114,295,689
Expenses; 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)..... 104,630,792 101,378,575
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) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 13,398,922 12,960,906
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 118,029,714 114,339,481
19 Revenue less expenses. Subtract line 18 from line 12....... 1,000,008 -43,792
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 13,505,686 13,074,782
21 Total liabilities (Part X, line 26)............. 8,081,046 7,492,780
22 Net assets or fund balances. Subtract line 21 from line 20..... 5,424,640 5,582,002
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name MediumBullet

Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ..........
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y Form 990 (2021)
Form 990 (2021)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III..............
1
Briefly describe the organization’s mission: To maintain insurance policies through which participating employers can provide insured welfare benefits under the employee benefit plans they maintain for their employees and dependents.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? .....................
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program
services? ...........................
If "Yes," describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
The Trust was established to hold insurance policies through which participating employers can provide insured welfare benefits under the employee benefit plans they maintain for their employees and dependents.
4b (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4c (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4d Other program services (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet  
Form 990 (2021)
Form 990 (2021)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule A.....................
1
 
No
2
Is the organization required to complete Schedule B, Schedule of Contributors? See instructions. ...
2
 
No
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part I.............
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part II.........
4
 
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Rev. Proc. 98-19? If "Yes," complete Schedule C, Part III..
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part IClick to see attachment
List of Attached Documents:
// Content
.........................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part IIClick to see attachment
List of Attached Documents:
// Content
....
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes,"
complete Schedule D, Part IIIClick to see attachment
List of Attached Documents:
// Content
..............
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IVClick to see attachment
List of Attached Documents:
// Content
..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi endowments? If "Yes," complete Schedule D, Part V......
10
 
No
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X, as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10? If "Yes," complete
Schedule D, Part VI. Click to see attachment
List of Attached Documents:
// Content
...................
11a
 
No
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIClick to see attachment
List of Attached Documents:
// Content
.......
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIIClick to see attachment
List of Attached Documents:
// Content
.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IXClick to see attachment
List of Attached Documents:
// Content
............
11d
Yes
 
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part XClick to see attachment
List of Attached Documents:
// Content
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part XClick to see attachment
List of Attached Documents:
// Content
11f
 
No
12a
Did the organization obtain separate, independent audited financial statements for the tax year? If "Yes," complete
Schedule D, Parts XI and XIIClick to see attachment
List of Attached Documents:
// Content
......................
12a
Yes
 
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
List of Attached Documents:
// Content
12b
 
No
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States? .....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV.....
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV...
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I. See instructions. ....
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III...................
19
 
No
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H....
20a
 
No
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return?
20b
 
 
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.....
21
 
No
Form 990 (2021)
Form 990 (2021)
Page 4
Part IV
Checklist of Required Schedules (continued)
Yes
No
22
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........
22
 
No
23
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5, about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J.......................
23
 
No
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a...............
24a
 
No
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds? ...............
24c
 
 
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
 
25a
Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I ....
25a
 
 
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I.......................
25b
 
 
26
Did the organization report any amount on Part X, line 5 or 22 for receivables from or 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? If "Yes," complete Schedule L, Part IIClick to see attachment
List of Attached Documents:
// Content
...........
26
 
No
27
Did the organization provide a grant or other assistance to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or employee thereof, a grant selection committee member, or to a 35% controlled entity (including an employee thereof) or family member of any of these persons?
If "Yes," complete
Schedule L, Part IIIClick to see attachment
List of Attached Documents:
// Content
.........................
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see the Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, key employee, creator or founder, or substantial contributor? If "Yes," complete Schedule L, Part IV......................Click to see attachment
List of Attached Documents:
// Content
28a
 
No
b
A family member of any individual described in line 28a? If "Yes," complete Schedule L, Part IV.....Click to see attachment
List of Attached Documents:
// Content
28b
 
No
c
A 35% controlled entity of one or more individuals and/or organizations described in line 28a or 28b? If "Yes," complete Schedule L, Part IV.....................
28c
Yes
 
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M .................
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N, Part I
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II........................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I............Click to see attachment
List of Attached Documents:
// Content
33
 
No
34
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1.........................Click to see attachment
List of Attached Documents:
// Content
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
 
No
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2 ...
35b
 
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2.............
36
 
 
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VIClick to see attachment
List of Attached Documents:
// Content
37
 
No
38
Did the organization complete Schedule O and provide explanations on Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V...........
Yes
No
1a
Enter the number reported in box 3 of Form 1096. Enter -0- if not applicable ..
1a
60
b
Enter the number of Forms W-2G included on line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
Form 990 (2021)
Form 990 (2021)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance (continued)
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
0
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file. See instructions.
2b
 
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
 
No
b
If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...
3b
 
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)? ..
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? ..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions? ...
6a
 
No
b
If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible? ......................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor? ....................
7a
 
 
b
If "Yes," did the organization notify the donor of the value of the goods or services provided? .....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282? .........................
7c
 
 
d
If "Yes," indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?
7e
 
 
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ..
7f
 
 
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required? ......................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C? ..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds. Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year? ........
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the sponsoring organization make any taxable distributions under section 4966?........
9a
 
 
b
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?...
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources. (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If "Yes," enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state? .........
Note. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
15
Is the organization subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or excess parachute payment(s) during the year? ....................
If "Yes," see the instructions and file Form 4720, Schedule N.
15
 
No
16
Is the organization an educational institution subject to the section 4968 excise tax on net investment income? ..
If "Yes," complete Form 4720, Schedule O.
16
 
No
17
Section 501(c)(21) organizations. Did the trust, any disqualified person, or mine operator engage in any activities that would result in the imposition of an excise tax under section 4951, 4952, or 4953? ..
If "Yes," complete Form 6069.
17
 
 
Form 990 (2021)
Form 990 (2021)
Page 6
Part VI
Governance, Management, and Disclosure. For each "Yes" response to lines 2 through 7b below, and for a "No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response or note to any line in this Part VI..............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year
1a
12
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent
1b
12
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
Yes
 
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? .
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
 
No
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
 
No
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .......................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
 
No
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe on Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If "No," go to line 13.......
12a
 
No
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
 
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe on Schedule O how this was done...................
12c
 
 
13
Did the organization have a written whistleblower policy? ...............
13
 
No
14
Did the organization have a written document retention and destruction policy? .........
14
 
No
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
 
No
b
Other officers or key employees of the organization ................
15b
 
No
If "Yes" to line 15a or 15b, describe the process on Schedule O. See instructions.
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
 
No
b
If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
 
Section C. Disclosure
17
List the states with which a copy of this Form 990 is required to be filedMediumBullet
18
Section 6104 requires an organization to make its Form 1023 (1024 or 1024-A, if applicable), 990, and 990-T (section 501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, address, and telephone number of the person who possesses the organization's books and records:
MediumBulletVimly Benefit Solutions Inc12121 Harbour Reach Drive Suite 105   Mukilteo,WA98275 (425) 771-7359
Form 990 (2021)
Form 990 (2021)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line in this Part VII..............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See the instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (box 5 of Form W-2, Form 1099-MISC, and/or box 1 of Form 1099-NEC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

See the instructions for the order in which to list the persons above.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(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
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) Evelyn Lemoine......................................................................
Trustee
 0.50
.................
  		X           0 0 0
(2) Tony Williams......................................................................
Trustee
 0.50
.................
  		X           0 0 0
(3) Jen Crofton......................................................................
Trustee
 0.50
.................
  		X           0 0 0
(4) Cary Badger......................................................................
Trustee
 0.50
.................
  		X           0 0 0
(5) Nancy Giunto......................................................................
Trustee
 0.50
.................
  		X           0 0 0
(6) Kayla DeMonte......................................................................
Trustee
 0.50
.................
  		X           0 0 0
(7) Mary Byrne......................................................................
Trustee
 0.50
.................
  		X           0 0 0
(8) Beth Damis......................................................................
Trustee
 0.50
.................
  		X           0 0 0
(9) Barbara Andrews......................................................................
Trustee
 0.50
.................
  		X           0 0 0
(10) Simone Loban......................................................................
Trustee
 0.50
.................
  		X           0 0 0
(11) Denise Giambalvo......................................................................
Trustee
 0.50
.................
  		X           0 0 0
(12) Matt Kolacz......................................................................
Trustee
 0.50
.................
  		X           0 0 0
(13) Sarai Childs......................................................................
Contracted Executive Direc
 40.00
.................
4.00 		    X       0 0 0








Form 990 (2021)
Form 990 (2021)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(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
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;


























1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)...........MediumBullet 0 0 0
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization MediumBullet0
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ..............
3
 
No
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such
individual...........................
4
 
No
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
ABD Insurance & Financial Services Inc

777 Mariners Island Blvd Suite 250
San Mateo,CA94404 		Consulting/Brokerage 2,914,548
Vimly Benefit Solutions Inc

PO Box 6
Mukilteo,WA982750006 		Third-Party Administrator 1,978,714
Greater Seattle Chamber of Commerce

1301 5th Avenue 1500
Seattle,WA981012632 		Administration 1,036,474
Impact Accounting Services LLC

1315 11th Court SW
North Bend,WA98045 		Consulting 758,505
Digital Insurance Inc

200 Galleria Parkway Suite 1950
Atlanta,GA30339 		Insurance broker 656,419
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet15
Form 990 (2021)
Form 990 (2021)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII.............
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512 - 514
Contributions, Gifts, Grants, and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues..1b  
c Fundraising events..1c  
d Related organizations1d  
e Government grants (contributions)1e  
f All other contributions, gifts, grants, and similar amounts not included above1f  
g Noncash contributions included in lines 1a - 1f:$ 1g  
h Total. Add lines 1a-1f.......MediumBullet  
Program Service RevenueAmt Business Code
2a Employer contributions 525100 113,335,718 113,335,718    
b Participant contributions 525100 826,184 826,184    
c
d
e
f All other program service revenue.        
g Total. Add lines 2a–2f .....MediumBullet 114,161,902
OtherAmtRevenueAmt 3 Investment income (including dividends, interest, and othersimilar amounts) ......MediumBullet 49,063     49,063
4 Income from investment of tax-exempt bond proceedsMediumBullet        
5 Royalties...........MediumBullet        
(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).......MediumBullet        
(ii) Other (i) Securities
7a Gross amount from sales of assets other than inventory     7a
b Less: cost or other basis and sales expenses     7b
c Gain or (loss)     7c
d Net gain or (loss).........MediumBullet        
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..MediumBullet      
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..MediumBullet        
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..MediumBullet        
Business Code Miscellaneous Revenue
11a Employer late and NSF fees 525100 54,724 54,724    
b Other 525100 30,000 30,000    
c            
d All other revenue ....        
e Total. Add lines 11a–11d ...... MediumBullet 84,724
12 Total revenue. See instructions.....MediumBullet 114,295,689 114,246,626 0 49,063
Form 990 (2021)
Form 990 (2021)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response or note to any line in this Part IX..............
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII. 		(A)
Total expenses 		(B)
Program service expenses 		(C)
Management and general expenses 		(D)
Fundraising
expenses
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 ....... 101,378,575  
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 ...... 3,132,013      
b Legal ......... 71,247      
c Accounting ........... 30,600      
d Lobbying ...........        
e Professional fundraising services. See Part IV, line 17    
f Investment management fees ......        
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) 9,242,628      
12 Advertising and promotion .... 66,199      
13 Office expenses ....... 28,092      
14 Information technology ...... 3,920      
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 .... 5,068      
20 Interest ...........        
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization ..        
23 Insurance ... 50,749      
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 Outreach and communicat 325,476      
b Dues and subscriptions 4,914      
c
d
e All other expenses        
25 Total functional expenses. Add lines 1 through 24e 114,339,481      
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 MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2021)
Form 990 (2021)
Page 11
Part X
Balance Sheet
Check if Schedule O contains a response or note to any line in this Part IX..............
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash–non-interest-bearing ........ 1,278,932 1 705,371
2 Savings and temporary cash investments ......... 10,511,647 2 10,700,920
3 Pledges and grants receivable, net ......   3  
4 Accounts receivable, net ............. 469,165 4 349,638
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 ...... 5,911 9 17,188
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a  
b Less: accumulated depreciation 10b     10c  
11 Investments—publicly traded securities .   11  
12 Investments—other securities. See Part IV, line 11 .....   12  
13 Investments—program-related. See Part IV, line 11 ..   13  
14 Intangible assets ...............   14  
15 Other assets. See Part IV, line 11 ........... 1,240,031 15 1,301,665
16 Total assets. Add lines 1 through 15 (must equal line 33)... 13,505,686 16 13,074,782
Liabilities 17 Accounts payable and accrued expenses ..... 123,808 17 141,457
18 Grants payable ...   18  
19 Deferred revenue ......... 7,139,414 19 6,681,557
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 817,824 25 669,766
26 Total liabilities. Add lines 17 through 25.. 8,081,046 26 7,492,780
Net Assets or Fund Balance Organizations that follow FASB ASC 958, check here MediumBullet 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 MediumBullet 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 5,424,640 31 5,582,002
32 Total net assets or fund balances ........... 5,424,640 32 5,582,002
33 Total liabilities and net assets/fund balances ........ 13,505,686 33 13,074,782
Form 990 (2021)
Form 990 (2021)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
114,295,689
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
114,339,481
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
-43,792
4
Net assets or fund balances at beginning of year (must equal Part X, line 32, column (A)) ..
4
5,424,640
5
Net unrealized gains (losses) on investments ...............
5
 
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
201,154
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 32, column (B))
10
5,582,002
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII.............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain on
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
 
No
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?
3a
 
No
b
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
 
 
Form 990 (2021)
Form 990 (2021)
Additional Data


Software ID:  
Software Version:  
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet 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
Business Health Trust
 
Employer identification number

36-7481494
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .........    
2 Aggregate value of contributions to (during year)    
3 Aggregate value of grants from (during year)    
4 Aggregate value at end of year ........    
5
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? ............
6
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? ...................................
Part II
Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
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.
Held at the End of the 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  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............
6
Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet $  
8
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)? .............................
9
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.
1a
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.
b
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 $  
2
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:
a
Revenue included on Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
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

Schedule D (Form 990) 2021
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
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):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
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?...
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.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
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  
2a
Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...
b
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 ......          
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet  
b
Permanent endowment SchDMd Bullet  
c
Term endowment SchDMd Bullet  
The percentages on lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) Unrelated organizations .................
3a(i)
 
 
(ii) Related organizations .................
3a(ii)
 
 
b
If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
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).)..SchDMdBullet 0
Schedule D (Form 990) 2021

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.)Small Bullet  
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.)Small Bullet  
Part IX
Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1)Rate stabilization reserves 1,301,665
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet 1,301,665
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.)Small Bullet 669,766
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

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 ....... 1 114,295,689
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains (losses) on investments .... 2a  
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d ..................... 2e 0
3 Subtract line 2e from line 1.................. 3 114,295,689
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIII.) ........... 4b  
c Add lines 4a and 4b.................... 4c 0
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5 114,295,689
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 ........... 1 114,487,539
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 817,824
e Add lines 2a through 2d.................... 2e 817,824
3 Subtract line 2e from line 1................... 3 113,669,715
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIII.) ............ 4b 669,766
c Add lines 4a and 4b..................... 4c 669,766
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5 114,339,481
Part XIII
Supplemental Information
Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
Return Reference Explanation
Part XII, Line 2d - Other Adjustments: Premiums due to insurers at the beginning of the year 817,824.
Part XII, Line 4b - Other Adjustments: Premiums due to insurers at the end of the year 669,766.
Schedule D (Form 990) 2021


Additional Data


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Software Version:  




Schedule L
(Form 990)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c, or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ.
MediumBulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public Inspection
Name of the organization
Business Health Trust
 
Employer identification number

36-7481494
Part I
Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and section 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1(a) Name of disqualified person (b) Relationship between disqualified person and organization (c) Description of transaction (d) Corrected?
Yes No
2
Enter the amount of tax incurred by the organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image$
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ Bullet Image$
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22
(a) Name of interested person (b) Relationship with organization (c) Purpose of loan (d) Loan to or from the organization? (e) Original principal amount (f) Balance due (g) In default? (h) Approved by board or committee? (i) Written agreement?
To From Yes No Yes No Yes No
Total ...............Small Bullet $  
Part III
Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of assistance (d) Type of assistance (e) Purpose of assistance
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990) 2021
Schedule L (Form 990) 2021
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
(1) Greater Seattle Chamber of Commerce
  		Trust settlor and a service provider to this trust 1,036,474 During the year ended December 31, 2022, the Trust collected participation fees payable to the Plan sponsor, GSCC. This is not a plan asset and is to paid exclusively by the employer. This fee is billed jointly for the convenience of the employer and collected by the Trust for remittance to GSCC as soon as administratively possible. Fees collected and remitted in this manner totaled $1,036,474.   No
(2) Impact Accounting & Consulting Services LLC
  		Provides trust Executive Director and management consulting services 758,506 The Trust is provided with contracted Executive Director, management consulting, and member outreach services through Impact Accounting & Consulting Services, LLC. Fees paid are inclusive of direct expenses incurred for the operations and efficiency of the Trust.   No
(3) Greater Seattle Chamber of Commerce
  		Participating employer in this trust 756,719 During the year ended December 31, 2022, GSCC made contributions to this trust which totaled $756,719.   No
Part V
Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).
Return Reference Explanation
Schedule L (Form 990) 2021


Additional Data


Software ID:  
Software Version:  




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
Business Health Trust
 
Employer identification number

36-7481494
Return Reference Explanation
Form 990, Part VI, Section A, line 3 The Trust has contracted with a third-party administrator (Vimly Benefit Solutions, Inc.) to provide bookkeeping and administrative services. The Trust has also contracted with Impact Accounting & Consulting Services, LLC to provide management consulting services.
Form 990, Part VI, Section A, line 7a Trustees for Business Health Trust are appointed by the Board of Trustees of the Greater Seattle Chamber of Commerce, the trust settlor and a service provider to this trust. Trustees for each Industry Health Trust are ratified by vote of the respective Industry Health Trust membership.
Form 990, Part VI, Section A, line 8b There are no committees with the authority to act on behalf of the Board of Trustees.
Form 990, Part VI, Section B, line 11b The Form 990 was prepared under the guidance of the Trust's consultants, advisors, and legal counsel by the independent accounting firm SCHOEDEL & SCHOEDEL, Certified Public Accountants, PLLC. Draft copies of the organization's financial statements and Form 990 were provided to the Trust's executive director, consultants, advisors, and legal counsel who reviewed the Form 990 for accuracy and completeness. Any questions, concerns, or issues raised by them were addressed, and any necessary revisions were made to the Form 990. The revised Form 990 was then provided to the Board of Trustees of the Business Health Trust and the Board of Trustees of the Industry Health Trust for review and approval. Any additional questions, concerns, or issues raised by either Board of Trustees were addressed, and any necessary revisions were made to the Form 990. The final version of the Form 990 was reviewed and approved for filing by the Boards of Trustees jointly.
Form 990, Part VI, Section C, line 19 The Trust's governing documents, financial statements and Form 990 are available to the public upon written request by contacting the Trust in care of Vimly Benefit Solutions, Inc. at: P.O. Box 6, Mukilteo, WA 98275.
Form 990, Part XI, line 9: Transfer of assets from other trusts 201,154.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990) 2021


Additional Data


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SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach 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
Business Health Trust
 
Employer identification number

36-7481494
Part I
Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) of disregarded entity


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Total income


 		(e)
End-of-year assets


 		(f)
Direct controlling
entity










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


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Exempt Code section


 		(e)
Public charity status
(if section 501(c)(3))

 		(f)
Direct controlling
entity

 		(g)
Section 512(b)(13) controlled entity?
Yes No
(1)Greater Seattle Chamber of Commerce
1301 Fifth Avenue Suite 2500

Seattle,WA981012611
91-0402330 		Business advocacy WA 501(c)(6)   N/A
 
No
(2)ArtsFund
 
 
         
 
 
(3)Broadway Bound Children's Theatre
 
 
         
 
 
(4)Business Education Fund
 
 
         
 
 
(5)Calvary Chapel Eastside
 
 
         
 
 
(6)Calvary Spokane
 
 
         
 
 
(7)Child's Play
 
 
         
 
 
(8)Choose 180
 
 
         
 
 
(9)Church on the Ridge
 
 
         
 
 
(10)CIELO Project
 
 
         
 
 
(11)Citizen University
 
 
         
 
 
(12)City of Royal City
 
 
         
 
 
(13)Clallam County Economic Development Council
 
 
         
 
 
(14)Columbia Choirs Association
 
 
         
 
 
(15)Community School of West Seattle
 
 
         
 
 
(16)Composite Recycling Technology Center
 
 
         
 
 
(17)Densho
 
 
         
 
 
(18)EarthGen
 
 
         
 
 
(19)Eastside Legal Assistance Program
 
 
         
 
 
(20)Economic DevBoard for TacomaPierce
 
 
         
 
 
(21)Enlearn
 
 
         
 
 
(22)Evangelical Chinese Church of Seattle
 
 
         
 
 
(23)Fairwood Golf & Country Club
 
 
         
 
 
(24)Faith Baptist Church
 
 
         
 
 
(25)Friends of the Children Seattle
 
 
         
 
 
(26)Glass Art Society
 
 
         
 
 
(27)Greater Redmond Transportation Management Association
 
 
         
 
 
(28)Greater Seattle Partners
 
 
         
 
 
(29)Greater Yakima Chamber of Commerce
 
 
         
 
 
(30)Grunewald Guild
 
 
         
 
 
(31)Hillside Academy
 
 
         
 
 
(32)Humanities Washington
 
 
         
 
 
(33)Interlake Child Center & Learning Center
 
 
         
 
 
(34)Intiman Theatre
 
 
         
 
 
(35)Kaleidoscope School
 
 
         
 
 
(36)Kawabe Memorial House
 
 
         
 
 
(37)Lake Sawyer Christian Church
 
 
         
 
 
(38)Lake Washington Youth Soccer Association
 
 
         
 
 
(39)Lavender Rights Project
 
 
         
 
 
(40)Lifetime Advocacy Plus
 
 
         
 
 
(41)Long Live the Kings
 
 
         
 
 
(42)Lutheran School Assoc of Greater Seattle
 
 
         
 
 
(43)Maltby Christian Assembly
 
 
         
 
 
(44)New Impact
 
 
         
 
 
(45)North Helpline
 
 
         
 
 
(46)Northwest Choirs
 
 
         
 
 
(47)Northwest Intertribal Court System
 
 
         
 
 
(48)Northwest Mountain Minority Supplier Development Council
 
 
         
 
 
(49)NW District Council Assemblies of God
 
 
         
 
 
(50)Olympic View Baptist Church
 
 
         
 
 
(51)OneRedmond Foundation
 
 
         
 
 
(52)Pacific Northwest Soccer Club
 
 
         
 
 
(53)Pacific Seafood Processors Association
 
 
         
 
 
(54)PetSavers
 
 
         
 
 
(55)Philathropia Foundation
 
 
         
 
 
(56)Pierce County Fire District #5
 
 
         
 
 
(57)Pike Market Child Care & Preschool
 
 
         
 
 
(58)Rainbow Center
 
 
         
 
 
(59)Rental Housing Association
 
 
         
 
 
(60)Seattle 2030 District
 
 
         
 
 
(61)Senior Services of Island County
 
 
         
 
 
(62)Sound Life Church
 
 
         
 
 
(63)St Demetrios Greek Orthodox Church
 
 
         
 
 
(64)State Highway Credit Union
 
 
         
 
 
(65)Tacoma Community House
 
 
         
 
 
(66)Tacoma Urban League
 
 
         
 
 
(67)Tacoma-Pierce County Bar Foundation
 
 
         
 
 
(68)The Attic Learning Community
 
 
         
 
 
(69)The Baker Foundation
 
 
         
 
 
(70)The Members Club at Aldarra
 
 
         
 
 
(71)The University Club of Seattle
 
 
         
 
 
(72)Transitional Resources
 
 
         
 
 
(73)Tri-Cities Visitor & Convention Bureau
 
 
         
 
 
(74)Vine Maple Place
 
 
         
 
 
(75)Vista Hermosa Foundation
 
 
         
 
 
(76)Voices of Tomorrow
 
 
         
 
 
(77)Washington Filmworks
 
 
         
 
 
(78)Washington Health Alliance
 
 
         
 
 
(79)Washington Physicians Health Program
 
 
         
 
 
(80)Local Development Council
 
 
         
 
 
(81)Washington Public Affairs Network
 
 
         
 
 
(82)Washington Women's Foundation
 
 
         
 
 
(83)Women's University Club of Seattle
 
 
         
 
 
(84)Youth for Christ Tacoma Area
 
 
         
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2021
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



 		(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(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
Yes No Yes No












Part IV
Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
 		(b)
Primary activity
 		(c)
Legal
domicile
(state or foreign
country)
 		(d)
Direct controlling
entity
 		(e)
Type of entity
(C corp, S corp,
or trust) 		(f)
Share of total income
 		(g)
Share of end-of-year
assets
 		(h)
Percentage
ownership
 		(i)
Section 512(b)(13) controlled entity?
Yes No
(1) 12th Avenue Iron Inc

 
 
     
           
(2) 180 Wealth Advisors Inc

 
 
     
           
(3) 2Adaptive LLC

 
 
     
           
(4) 30 North LLC

 
 
     
           
(5) 415 Commons LLC

 
 
     
           
(6) 47 Degrees LLC

 
 
     
           
(7) 4D Architects

 
 
     
           
(8) A & B Machine and Hydraulics Inc

 
 
     
           
(9) A & W Paving Inc

 
 
     
           
(10) A Brave New Collective LLC

 
 
     
           
(11) A La Mode Spa & Salon

 
 
     
           
(12) A Machin MD PA

 
 
     
           
(13) APIC Inc

 
 
     
           
(14) A1 Welding Inc

 
 
     
           
(15) Abbott's Printing Inc

 
 
     
           
(16) ABC Architects A Washington Corporation

 
 
     
           
(17) AboutGolf Global Inc

 
 
     
           
(18) Absco Alarms Inc

 
 
     
           
(19) Accelya US

 
 
     
           
(20) Accountant Smart LLC

 
 
     
           
(21) Accurate Auto Body

 
 
     
           
(22) Accurate Industries Inc

 
 
     
           
(23) ACFEA Tour Consultants Inc

 
 
     
           
(24) ACG Builds Inc

 
 
     
           
(25) Adelstein Sharpe & Serka LLP

 
 
     
           
(26) Advaiya Solutions Inc

 
 
     
           
(27) Advanced Component Services Inc

 
 
     
           
(28) Advanced Fire Systems Inc

 
 
     
           
(29) Advanced Government Services Inc

 
 
     
           
(30) Advanced Mechanical Electrical Inc

 
 
     
           
(31) Advanced Refining Concepts LLC

 
 
     
           
(32) Advanced Sewer Solutions Inc

 
 
     
           
(33) Aero Law Group

 
 
     
           
(34) Aeroforge Inc

 
 
     
           
(35) AG Consulting Partners Inc

 
 
     
           
(36) Agate Cove Enterprises

 
 
     
           
(37) AgriShop Inc

 
 
     
           
(38) AH Dinsmore Inc

 
 
     
           
(39) Ahmed & Kang PS

 
 
     
           
(40) Air Masters Inc

 
 
     
           
(41) Airey Benefits Company LLC

 
 
     
           
(42) Airmark Corporation

 
 
     
           
(43) AK Accounting Services LLC

 
 
     
           
(44) AKS PS Inc

 
 
     
           
(45) Aldridge Marketing Group Inc

 
 
     
           
(46) Alexander Exhibit

 
 
     
           
(47) Alexander Gow Inc

 
 
     
           
(48) All City Escrow

 
 
     
           
(49) All Seasons Landscaping of Mason County

 
 
     
           
(50) All Service Glass Inc

 
 
     
           
(51) All Star Heating and Air Conditioning Inc

 
 
     
           
(52) Allemandi Construction Inc

 
 
     
           
(53) Allied Construction Associates Inc

 
 
     
           
(54) Allphaze Commercial Interiors Inc

 
 
     
           
(55) Alpenglow Digital LLC

 
 
     
           
(56) Alpine Ascents International

 
 
     
           
(57) Al's Electric and Plumbing

 
 
     
           
(58) AltaSource Group LLC

 
 
     
           
(59) Altavair LP

 
 
     
           
(60) Aluminum & Bronze Fabricators Inc

 
 
     
           
(61) AM Test Laboratories

 
 
     
           
(62) Amaxra Inc

 
 
     
           
(63) American Cabinet Doors Inc

 
 
     
           
(64) American Pipe and Fabrication

 
 
     
           
(65) AMES International Inc

 
 
     
           
(66) Anesthesia Equipment Supply Inc

 
 
     
           
(67) Animal Hospital of Pasco PS

 
 
     
           
(68) Anko Retail Incorporated

 
 
     
           
(69) Anthony Cellars LLC

 
 
     
           
(70) Antioch Adoptions

 
 
     
           
(71) Apex Appliance Service Inc

 
 
     
           
(72) APEX Maritime Co (PNW) Inc

 
 
     
           
(73) AppViewX Inc

 
 
     
           
(74) APS Survey & Mapping Inc

 
 
     
           
(75) Aqua Rec's Fireside Hearth N' Home

 
 
     
           
(76) Aquasense

 
 
     
           
(77) Arable Capital Partners

 
 
     
           
(78) Archer Construction Inc

 
 
     
           
(79) Arcus Data LLC

 
 
     
           
(80) Arellano Horvath LLC

 
 
     
           
(81) Armstrong Services

 
 
     
           
(82) Art Anderson Associates

 
 
     
           
(83) Artistic Plastic Surgery

 
 
     
           
(84) Ashton Capital Corporation

 
 
     
           
(85) Aspen Management LLC

 
 
     
           
(86) Associated Insurance Brokers Inc

 
 
     
           
(87) Asteroidea Ventures LLC

 
 
     
           
(88) Astute Imaging LLC

 
 
     
           
(89) Atlas Networks

 
 
     
           
(90) Atlas Staffing Inc

 
 
     
           
(91) ATS Accounting & Tax Services Inc

 
 
     
           
(92) August Wine Group LLC

 
 
     
           
(93) Aukema & Associates

 
 
     
           
(94) Aurick Construction Group

 
 
     
           
(95) Aurion Biotech

 
 
     
           
(96) Aurora Veterinary Hospital

 
 
     
           
(97) Avant Physical Therapy

 
 
     
           
(98) Axis Survey & Mapping

 
 
     
           
(99) Bakala Insurance Agency Inc

 
 
     
           
(100) Baker Lumber Company

 
 
     
           
(101) Ballard Consignment LLC

 
 
     
           
(102) Ballews Hitch Truck and RV

 
 
     
           
(103) Ballista Consulting LLC

 
 
     
           
(104) Baluster Discovery LLC

 
 
     
           
(105) Banlin Construction LLC

 
 
     
           
(106) Barlas Chiropractic

 
 
     
           
(107) Barre Northwest LLC

 
 
     
           
(108) Barton Dental LLC

 
 
     
           
(109) Basic Beginnings LLC

 
 
     
           
(110) Bassetti Architects

 
 
     
           
(111) Bataleon

 
 
     
           
(112) BDP Networks

 
 
     
           
(113) Beawest Fasteners Inc

 
 
     
           
(114) Behind the Gavel LLC

 
 
     
           
(115) Bell Anderson Agency Inc

 
 
     
           
(116) Bellevue Capital

 
 
     
           
(117) Bellworth LLC

 
 
     
           
(118) Benefit Design Services LLC

 
 
     
           
(119) Beresford Booth PLLC

 
 
     
           
(120) Bergman Draper Oslund Udo PLLC

 
 
     
           
(121) Bernardo E Taina DDS

 
 
     
           
(122) Best Tire

 
 
     
           
(123) Betschart Mechanical Inc

 
 
     
           
(124) BHC Consultants LLC

 
 
     
           
(125) Big Dipper Wax Works Inc

 
 
     
           
(126) Big Sky Industrial

 
 
     
           
(127) Bilingual Books Inc

 
 
     
           
(128) Bizango LLC

 
 
     
           
(129) BJ's II Incorporated

 
 
     
           
(130) Black Lake Timber Inc

 
 
     
           
(131) Black Rapid Inc

 
 
     
           
(132) Blackdog Industries LLC

 
 
     
           
(133) Blankenship Equipment Repair

 
 
     
           
(134) Blaze King Industries Inc

 
 
     
           
(135) Blue Mountain Heart to Heart

 
 
     
           
(136) Blue Mountain Mechanical Inc

 
 
     
           
(137) Blue Nest Organizing LLC

 
 
     
           
(138) Bogey Enterprises LLC

 
 
     
           
(139) Bolles Construction Inc

 
 
     
           
(140) Branch Partners PLLC

 
 
     
           
(141) Brands on Fire

 
 
     
           
(142) BrandWatch Technologies Inc

 
 
     
           
(143) Brantley Janson Yost & Ellison

 
 
     
           
(144) Brightwire Networks LLC

 
 
     
           
(145) Brink Investment LLC

 
 
     
           
(146) Bristlecone Advisors LLC

 
 
     
           
(147) Bruce Dees & Associates

 
 
     
           
(148) Brueske Advisory Services LLC

 
 
     
           
(149) BrunswikSt LLC

 
 
     
           
(150) BTG Benefits

 
 
     
           
(151) Buckley Recycle Center Inc

 
 
     
           
(152) Budd & Company

 
 
     
           
(153) Business Support Services Northwest LLC

 
 
     
           
(154) C&K Family Enterprises

 
 
     
           
(155) CF Investments Inc

 
 
     
           
(156) C22SMB Inc

 
 
     
           
(157) Calligan Transportation Services Inc

 
 
     
           
(158) Camber Collective LLC

 
 
     
           
(159) Camden Homes Inc

 
 
     
           
(160) Cancer Treatment Navigator Inc

 
 
     
           
(161) Canviz LLC

 
 
     
           
(162) Care Medical Group Inc PS

 
 
     
           
(163) Carillon Properties

 
 
     
           
(164) Carmichael Clark PS

 
 
     
           
(165) Carrol & Associates Inc

 
 
     
           
(166) Carsoe US Inc

 
 
     
           
(167) Caruso's Floors

 
 
     
           
(168) Cary Kopczynski & Co Inc

 
 
     
           
(169) Cascade Concrete Products Co Inc

 
 
     
           
(170) Cascade Precision Inc

 
 
     
           
(171) Castohn LLC

 
 
     
           
(172) CBAir LLC

 
 
     
           
(173) CBI Services LLC

 
 
     
           
(174) CD Strategic

 
 
     
           
(175) Celsius Capital Inc

 
 
     
           
(176) Center Electric Inc

 
 
     
           
(177) Center for Pediatric Therapy

 
 
     
           
(178) Center ID Corp

 
 
     
           
(179) Centerpoint Aviation Law PLLC

 
 
     
           
(180) Central Washington Eye Clinic PLLC

 
 
     
           
(181) CESCO SOLUTIONS INC

 
 
     
           
(182) Chamberlin Distributing Company Inc

 
 
     
           
(183) Chan Healthcare Group PS

 
 
     
           
(184) Chemstation Seattle

 
 
     
           
(185) Cherry Street Coffee House LLC

 
 
     
           
(186) Chess4Life LLC

 
 
     
           
(187) Child Enrichment Center

 
 
     
           
(188) Chinn GYN LLC

 
 
     
           
(189) Chronus LLC

 
 
     
           
(190) Chun Lai Hospitality LLC

 
 
     
           
(191) Claffrey's Corporation

 
 
     
           
(192) Classic Home Electric

 
 
     
           
(193) Clothier & Willsey LLC

 
 
     
           
(194) Columbia Valley Fruit LLC

 
 
     
           
(195) CoMedical

 
 
     
           
(196) Commercial Filter Sales and Service Inc

 
 
     
           
(197) Community Clinic Contracting Network

 
 
     
           
(198) Component Concepts Inc

 
 
     
           
(199) Computer Hale

 
 
     
           
(200) Concord Construction Inc

 
 
     
           
(201) Construction Loan Services LLC

 
 
     
           
(202) Continental Food Sales Inc

 
 
     
           
(203) Continental Van Lines Inc

 
 
     
           
(204) Cook & Bartlett PLLC

 
 
     
           
(205) Cooks Auto Rebuild

 
 
     
           
(206) Corbel Solutions LLC

 
 
     
           
(207) Core One Consulting USA LTD

 
 
     
           
(208) Corr Cronin LLP

 
 
     
           
(209) Corr Downs PLLC

 
 
     
           
(210) Country Save Products Corporation

 
 
     
           
(211) CR Floors & Interiors Inc

 
 
     
           
(212) CR2 Properties LLC

 
 
     
           
(213) Creative Sprouts Preschool and Kindegarten

 
 
     
           
(214) Credit International Corp

 
 
     
           
(215) Creekside Physical Therapy

 
 
     
           
(216) CRH Medical Corporation

 
 
     
           
(217) Cross Engineers Inc

 
 
     
           
(218) Crown Distributing Co of Aberdeen Inc

 
 
     
           
(219) Currence LLC

 
 
     
           
(220) Custom Prescription Shoppe

 
 
     
           
(221) Cut Rate Auto Parts

 
 
     
           
(222) Cutcom Inc

 
 
     
           
(223) DIT LLC

 
 
     
           
(224) Dandy Digger & Supply Inc

 
 
     
           
(225) Darling Sons International LLC

 
 
     
           
(226) Datec Inc

 
 
     
           
(227) Datum Tech Solutions LLC

 
 
     
           
(228) David D Hawthorne CPA PS

 
 
     
           
(229) Davidson Kilpatric and Krislock PLLC

 
 
     
           
(230) Day One Consulting LLC

 
 
     
           
(231) DC Power Technologies Inc

 
 
     
           
(232) DCL Management

 
 
     
           
(233) Dedicated Electrical Services

 
 
     
           
(234) Delightful Communications

 
 
     
           
(235) Delphi Precision Imaging

 
 
     
           
(236) Delta International Technologies Inc

 
 
     
           
(237) Denice E Rasch

 
 
     
           
(238) Denny's Auto Service

 
 
     
           
(239) Derian Inc

 
 
     
           
(240) Dermahealth Dermacare

 
 
     
           
(241) Design Hardwood Products Inc

 
 
     
           
(242) Design Stone LLC

 
 
     
           
(243) Dewey Scientific

 
 
     
           
(244) Diamond Machine Works

 
 
     
           
(245) Dibble Street Design Company LLC

 
 
     
           
(246) Dick's Restaurant Supply

 
 
     
           
(247) Digital Arts and Sciences

 
 
     
           
(248) Direct Source Seafood LLC

 
 
     
           
(249) Discovery Institute

 
 
     
           
(250) Dockside Cannabis

 
 
     
           
(251) Docugami Inc

 
 
     
           
(252) Dogs Are Barkin

 
 
     
           
(253) Dogtopia

 
 
     
           
(254) DOHJ LLC

 
 
     
           
(255) Doncaster Investments NV Inc

 
 
     
           
(256) DOT Innovation

 
 
     
           
(257) DotDotDot Inc

 
 
     
           
(258) Double DD Meats

 
 
     
           
(259) Dreamland Foods

 
 
     
           
(260) Drifting Lotus Inc

 
 
     
           
(261) Drs West West & West PS

 
 
     
           
(262) Dualos LLC

 
 
     
           
(263) Duwamish Shipyard Inc

 
 
     
           
(264) East Seattle Partners LLC

 
 
     
           
(265) Eastside Addiction Professionals

 
 
     
           
(266) Eastside Vocational Services Inc

 
 
     
           
(267) Easy Metrics Inc

 
 
     
           
(268) Easy Street Records Corporation

 
 
     
           
(269) EasyXAFS

 
 
     
           
(270) eBenefits Consulting Group

 
 
     
           
(271) Eclipse Marketing Group Inc

 
 
     
           
(272) EcoChem Inc

 
 
     
           
(273) EDC Engineering LLC

 
 
     
           
(274) Ekaria LLP

 
 
     
           
(275) Elemental NW LLC

 
 
     
           
(276) Elevated Systems

 
 
     
           
(277) EMedia Corporation

 
 
     
           
(278) Emergency Physicians Services

 
 
     
           
(279) Emery Reddy PLLC

 
 
     
           
(280) Empirical Financial Services LLC

 
 
     
           
(281) Encore Vision Inc

 
 
     
           
(282) Enterprise Installation Inc

 
 
     
           
(283) Envelope Converting Service Inc

 
 
     
           
(284) Envision Telephony Inc

 
 
     
           
(285) Eran J Gutkin DMD PS

 
 
     
           
(286) Eustis Co Inc

 
 
     
           
(287) Evergreen Capital Management

 
 
     
           
(288) Evergreen Social Impact

 
 
     
           
(289) Evergreen State Electric Inc

 
 
     
           
(290) EVT Solutions Inc

 
 
     
           
(291) Excel Services LLC

 
 
     
           
(292) Excelsior Design Inc

 
 
     
           
(293) EZ Dental Clinic Inc

 
 
     
           
(294) Falkin Associates

 
 
     
           
(295) Family Foot and Ankle Care Inc PS

 
 
     
           
(296) Family Pancake House Mgmt Corp

 
 
     
           
(297) Farwest Operating LLC

 
 
     
           
(298) Fast Cats LLC

 
 
     
           
(299) Fast Penny Spirits

 
 
     
           
(300) FCP Insight Inc

 
 
     
           
(301) FEMME AND THEM PLLC

 
 
     
           
(302) Fidelis Inc

 
 
     
           
(303) Fig 1 Patents PLLC

 
 
     
           
(304) Fir Lane Memorial Park & Funeral Home

 
 
     
           
(305) Fitz Towing

 
 
     
           
(306) FiveBy Solutions Inc

 
 
     
           
(307) Flamespray Northwest

 
 
     
           
(308) Flatstick Pub LLC

 
 
     
           
(309) Flex Physical Therapy PS

 
 
     
           
(310) FlexCharging

 
 
     
           
(311) Flooring Solutions LLC

 
 
     
           
(312) Floyd Snider Inc

 
 
     
           
(313) Forbes Anderson PLLC

 
 
     
           
(314) Foremost Construction Inc

 
 
     
           
(315) Forma Construction Company

 
 
     
           
(316) Four Ponds LLC

 
 
     
           
(317) Fox Ballard PLLC

 
 
     
           
(318) Fox's Gem Shop Inc

 
 
     
           
(319) FR McAbee

 
 
     
           
(320) Franklin Pacific Construction Company

 
 
     
           
(321) Fraxion Spend Management LLC

 
 
     
           
(322) Frazier Management LLC

 
 
     
           
(323) Frey Buck PS

 
 
     
           
(324) Friendly Earth International Inc

 
 
     
           
(325) Frontier Auto Center Inc

 
 
     
           
(326) Fruhling Inc

 
 
     
           
(327) Full Speed Ahead Inc

 
 
     
           
(328) Fuller Anderson Co Inc

 
 
     
           
(329) Galvanic Games

 
 
     
           
(330) Ganir Co Wahington LLC

 
 
     
           
(331) Geminus Technology Development LLC

 
 
     
           
(332) General Consulting Service Inc

 
 
     
           
(333) Geopier Northwest Inc

 
 
     
           
(334) Gerber Engineering Inc

 
 
     
           
(335) Gere Auto Repair LLC

 
 
     
           
(336) Geyer Coburn Hutchins LLC

 
 
     
           
(337) GIGS 4 U LLC

 
 
     
           
(338) Gil's Aluminum & Shell Core Shop LLC

 
 
     
           
(339) Girl Friday Productions

 
 
     
           
(340) Girling Kelly Design

 
 
     
           
(341) Glacier Environmental Services Inc

 
 
     
           
(342) Glint Car Wash

 
 
     
           
(343) Global Machine Works Inc

 
 
     
           
(344) GN Northern Inc

 
 
     
           
(345) Goldfinch Partners

 
 
     
           
(346) Good Neighbor Tire & Auto Service Inc

 
 
     
           
(347) Graf Investments Inc

 
 
     
           
(348) Green Baron Inc

 
 
     
           
(349) Green Vault Systems LLC

 
 
     
           
(350) Greenbank Development

 
 
     
           
(351) Greene Information Systems Inc

 
 
     
           
(352) Greenwood-Phinney Electric Company Inc

 
 
     
           
(353) Grindline Skateparks Inc

 
 
     
           
(354) Groff Murphy

 
 
     
           
(355) Groopit Inc

 
 
     
           
(356) Groves & Co Inc

 
 
     
           
(357) Gudmundson Company Painting Contractors

 
 
     
           
(358) Guide Property Management

 
 
     
           
(359) H Tree LLC

 
 
     
           
(360) Haase Landscape Inc

 
 
     
           
(361) Hagen Kurth Perman & Co PS

 
 
     
           
(362) Halfon Candy Company

 
 
     
           
(363) Hans Solo Support Services LLC

 
 
     
           
(364) Hansen Family Dental PLLC

 
 
     
           
(365) HaptX Inc

 
 
     
           
(366) Harolds Plumbing

 
 
     
           
(367) Hatch & Kirk

 
 
     
           
(368) HCON Incorporated

 
 
     
           
(369) Healthy Future Pediatrics

 
 
     
           
(370) Heath Landscape Services Inc

 
 
     
           
(371) Hemlock Printers USA

 
 
     
           
(372) Henry Gallery Association Inc

 
 
     
           
(373) Here LLC

 
 
     
           
(374) Heverley Services LLC

 
 
     
           
(375) Hewitt Architects Inc

 
 
     
           
(376) Hey LLC

 
 
     
           
(377) Hi Rel Laboratories Inc

 
 
     
           
(378) Highland Veterinary Hospital

 
 
     
           
(379) Highline Medical Services Organization

 
 
     
           
(380) Highmark Investments LLC

 
 
     
           
(381) Hoffman Manufacturing

 
 
     
           
(382) Hoh Indian Tribe

 
 
     
           
(383) Hohimer Wealth Management LLC

 
 
     
           
(384) Hola Paola LLC

 
 
     
           
(385) Homer Smith Insurance

 
 
     
           
(386) Horeco Inc

 
 
     
           
(387) Hospitality Online Inc

 
 
     
           
(388) Hot Tub Boat Rentals Seattle LLC

 
 
     
           
(389) HSA Holdings LLC

 
 
     
           
(390) HsbCAD North America

 
 
     
           
(391) Hudson Taylor Enterprise LLC

 
 
     
           
(392) Huebner Dooley & McGinnes PS

 
 
     
           
(393) Hurley Engineering Co of Tacoma Inc

 
 
     
           
(394) Hy-Grade Glass Inc

 
 
     
           
(395) I Match

 
 
     
           
(396) Ian Fitness LLC

 
 
     
           
(397) Ignition Ventures Management II LLC

 
 
     
           
(398) Implant Periodontic and Specialist

 
 
     
           
(399) In Full Feather LLC

 
 
     
           
(400) InCity Properties

 
 
     
           
(401) Infomine USA Inc

 
 
     
           
(402) Inland Capital LLC

 
 
     
           
(403) Inland Empire Drywall Company

 
 
     
           
(404) Inland Sign & Lighting Inc

 
 
     
           
(405) Inline Steel Fabricators Inc

 
 
     
           
(406) Innova Architects Inc

 
 
     
           
(407) Innovation Arts Group

 
 
     
           
(408) Innovative Salon Products Inc

 
 
     
           
(409) Insite Builders LLC

 
 
     
           
(410) Insta-Pipe Inc

 
 
     
           
(411) Integral Fabrications LLC

 
 
     
           
(412) Integrity Machining Inc

 
 
     
           
(413) Intellitecture Corp

 
 
     
           
(414) Inter-City Contractors Inc

 
 
     
           
(415) Interlock Industries Inc

 
 
     
           
(416) Inteum Company

 
 
     
           
(417) Invictus Global Services Inc

 
 
     
           
(418) IPP PC

 
 
     
           
(419) Iron Mountain Quarry LLC

 
 
     
           
(420) ITrellis LLC

 
 
     
           
(421) J & J Golf LLC

 
 
     
           
(422) J & L Enterprises

 
 
     
           
(423) J&K Connectors LLLP

 
 
     
           
(424) Jack Mountain Meats LLC

 
 
     
           
(425) Jacobson Jarvis & Company PLLC

 
 
     
           
(426) James G Murphy Company

 
 
     
           
(427) Jassmarketing LLC

 
 
     
           
(428) JayRay Ads & PR

 
 
     
           
(429) JB Neufeld

 
 
     
           
(430) Jereva Inc

 
 
     
           
(431) Jerry's Iron Works Inc

 
 
     
           
(432) Jet City Holdings Inc

 
 
     
           
(433) Jetstream Software Inc

 
 
     
           
(434) Jetty Communications Solutions

 
 
     
           
(435) Jiymapa Consulting LLC

 
 
     
           
(436) Jobscan Corporation

 
 
     
           
(437) Johansen Construction Company

 
 
     
           
(438) Johansen Mechanical Inc

 
 
     
           
(439) Johnny's Fine Foods Inc

 
 
     
           
(440) Jonas Jensen Studios Inc

 
 
     
           
(441) Journey School Lynnwood

 
 
     
           
(442) JR Newhouse & Co PLLP

 
 
     
           
(443) Junk Boys Inc

 
 
     
           
(444) KO Investment Group Inc

 
 
     
           
(445) Kaikai Kiki USA LLC

 
 
     
           
(446) Karmichael Delivery Inc

 
 
     
           
(447) Katalyst Interactive Inc

 
 
     
           
(448) Kathryn J Morrison

 
 
     
           
(449) KBC Advisors LLC

 
 
     
           
(450) Keithly Electric Company

 
 
     
           
(451) Kennelly Keys Music & Dance Inc

 
 
     
           
(452) Key Trucking Inc

 
 
     
           
(453) Keyhole Security Inc

 
 
     
           
(454) Kiley Juergens Wealth Management LLC

 
 
     
           
(455) Kinetic West

 
 
     
           
(456) Kings Heating

 
 
     
           
(457) Kings Trees Incorporated

 
 
     
           
(458) Kitsap Podiatry PLLC

 
 
     
           
(459) Kitsap RV LLC

 
 
     
           
(460) Kiwico LLC

 
 
     
           
(461) KMEW USA Inc

 
 
     
           
(462) Knauf Santos Law PLLC

 
 
     
           
(463) KOM Consulting PLLC

 
 
     
           
(464) Kontent Partners

 
 
     
           
(465) Korrio Inc

 
 
     
           
(466) Kovarik and Kim PLLC

 
 
     
           
(467) Kunath Karren Rinne & Atkin LLC

 
 
     
           
(468) KuppingerCole Inc

 
 
     
           
(469) La Belle France LLC

 
 
     
           
(470) Labkey Corporation

 
 
     
           
(471) Lake Chelan Reclamation District

 
 
     
           
(472) Lake Shore Electric Inc

 
 
     
           
(473) Lake Washington Windows and Exteriors Inc

 
 
     
           
(474) Lakemont Village Veterinary

 
 
     
           
(475) Lakeview Mortgage Inc

 
 
     
           
(476) Lander Electric Company Inc

 
 
     
           
(477) Laserfab Inc

 
 
     
           
(478) Law Office of Heather Z Bliss Inc PS

 
 
     
           
(479) Layers Sandwich Co LLC

 
 
     
           
(480) LCL Enterprises Inc

 
 
     
           
(481) Lee Smart PS Inc

 
 
     
           
(482) Leslie & Campbell Inc

 
 
     
           
(483) Level 5 Inc

 
 
     
           
(484) Lew Rents Inc

 
 
     
           
(485) Liberty at Home Dialysis LLC

 
 
     
           
(486) Liberty Bank

 
 
     
           
(487) Licorice LLC

 
 
     
           
(488) LIGHTER CAPITAL

 
 
     
           
(489) Limited Productions Inc

 
 
     
           
(490) Lincoln Bay Company

 
 
     
           
(491) Linda Werner & Associates Inc

 
 
     
           
(492) Live Wire Enterprises LLC

 
 
     
           
(493) LKE Corporation

 
 
     
           
(494) Logis Solutions

 
 
     
           
(495) Lone Warrior Holdings Inc

 
 
     
           
(496) Long Shadows Vintners LLC

 
 
     
           
(497) Lotus United LLC

 
 
     
           
(498) Lower Valley Machine Shop Inc

 
 
     
           
(499) Ludtke Pacific LLC

 
 
     
           
(500) Lund Faucett LLC

 
 
     
           
(501) Lyons Painting & Design LLC

 
 
     
           
(502) M2 Industrial Inc

 
 
     
           
(503) Machine Works Inc

 
 
     
           
(504) Madronna Hospice AZ

 
 
     
           
(505) Madsen Enterprise Inc

 
 
     
           
(506) Magna Lifting Products

 
 
     
           
(507) MagnaDrive Corporation

 
 
     
           
(508) Magnolia Behavior Therapy

 
 
     
           
(509) Magnolia Hardware Company

 
 
     
           
(510) Magnolia Medical Technologies

 
 
     
           
(511) Mainspring Wealth Advisors LLC

 
 
     
           
(512) Maneater LLC

 
 
     
           
(513) Marian Built LLC

 
 
     
           
(514) Marine Surveys & Assessments Cooperative

 
 
     
           
(515) Markham Investigation and Protection

 
 
     
           
(516) Mar-Ku Inc

 
 
     
           
(517) Marquiss Construction Company Inc

 
 
     
           
(518) Martin Morris Agency

 
 
     
           
(519) Martin Nelson & Company Inc

 
 
     
           
(520) Matzke Sales Inc

 
 
     
           
(521) Mavrik Marine Inc

 
 
     
           
(522) McCutchen Group LLC

 
 
     
           
(523) MEECO Manufacturing Company

 
 
     
           
(524) Merchant AI Incorporated

 
 
     
           
(525) Mercurio's Heating & Air Conditioning

 
 
     
           
(526) Mercury Commercial Cleaning

 
 
     
           
(527) Meridian Capital LLC

 
 
     
           
(528) Merrick Hofstedt & Lindsey PS

 
 
     
           
(529) Merrill & Week PLLC

 
 
     
           
(530) Metajure Inc

 
 
     
           
(531) Metal Tech Inc

 
 
     
           
(532) MetricStory Incorporated

 
 
     
           
(533) Meydenbauer Investments Incorporated

 
 
     
           
(534) MG Farming Group

 
 
     
           
(535) Micro Chem Laboratories

 
 
     
           
(536) MicroForensics LLC

 
 
     
           
(537) Miramac Metals Inc

 
 
     
           
(538) ML Machine & Design

 
 
     
           
(539) MLB Inc

 
 
     
           
(540) Modelremodel LLC

 
 
     
           
(541) Modumetal Inc

 
 
     
           
(542) Momentum Inc

 
 
     
           
(543) Monsoon Solutions Inc

 
 
     
           
(544) Montlake Bicycle Shop Inc

 
 
     
           
(545) Motive Search Inc

 
 
     
           
(546) Motors and Controls Corp

 
 
     
           
(547) Mt Fuji Gardening & Landscaping Inc

 
 
     
           
(548) MTI Worldwide Logistics Corporation

 
 
     
           
(549) Munson & Rude PS

 
 
     
           
(550) Musang Seattle

 
 
     
           
(551) Myotronics Noromed Inc

 
 
     
           
(552) N2uitive Inc

 
 
     
           
(553) Nacon Gaming

 
 
     
           
(554) Namloc Corporation

 
 
     
           
(555) National Credit Services Inc

 
 
     
           
(556) New Era HR Solutions Inc

 
 
     
           
(557) New Tacoma Cemeteries

 
 
     
           
(558) New Winebid LLC

 
 
     
           
(559) Newman DuWors LLP

 
 
     
           
(560) Next Biometrics Inc

 
 
     
           
(561) Nicholson Drilling Inc

 
 
     
           
(562) Nielsen Commercial Inc

 
 
     
           
(563) Niemen Glass of Washington

 
 
     
           
(564) NLS Holdings LLC

 
 
     
           
(565) Non-Ferrous Metals Inc

 
 
     
           
(566) North Bend Bar & Grill

 
 
     
           
(567) North Bend Bar & Grill

 
 
     
           
(568) Northern Lights Capital Group LLC

 
 
     
           
(569) Northstar Sea Foods Inc

 
 
     
           
(570) Northway Construction Inc

 
 
     
           
(571) Northwest Arboriculture LLC

 
 
     
           
(572) Northwest Equipment Sales Inc

 
 
     
           
(573) Northwest GeoDimensions Inc

 
 
     
           
(574) Northwest Harley-Davidson

 
 
     
           
(575) Northwest Propane LLC

 
 
     
           
(576) Northwest Sandblast and Paint LLC

 
 
     
           
(577) Northwest Shippers

 
 
     
           
(578) Northwest Transport Inc

 
 
     
           
(579) Northwest Wholesale Florist Inc

 
 
     
           
(580) Notebleu Design Inc

 
 
     
           
(581) NRG Fire Consulting LLC

 
 
     
           
(582) NRG Services LLC

 
 
     
           
(583) Nu-Ray Metal Products

 
 
     
           
(584) NW Transmission Inc

 
 
     
           
(585) Oakridge Homes Inc

 
 
     
           
(586) Oasis Freight Transport LLC

 
 
     
           
(587) Ockerman Automation Consulting

 
 
     
           
(588) Olympia Emergency Services PLLC

 
 
     
           
(589) Olympia Physical Therapy & Industrial Rehab

 
 
     
           
(590) Olympic Community of Health

 
 
     
           
(591) Olympic Maintenance LLC

 
 
     
           
(592) On the Go Moving LLC

 
 
     
           
(593) OncoResponse

 
 
     
           
(594) Ondine Research Laboratories Inc

 
 
     
           
(595) One Accord LLC

 
 
     
           
(596) Onesta LLC

 
 
     
           
(597) On-Hold Concepts Inc

 
 
     
           
(598) Onpoint Real Estate

 
 
     
           
(599) Orange Commercial Credit Inc

 
 
     
           
(600) Orca Bay Capital Corporation

 
 
     
           
(601) Outdoor Products Inc

 
 
     
           
(602) Outpac Designs Inc

 
 
     
           
(603) Overlake EyeCare PS

 
 
     
           
(604) Owens Davies PS

 
 
     
           
(605) Paceline Anesthesia PLLC

 
 
     
           
(606) Pacific Asset Advisors Inc

 
 
     
           
(607) Pacific Construction Consultants

 
 
     
           
(608) Pacific Container Corporation

 
 
     
           
(609) Pacific Equity and Loan LLC

 
 
     
           
(610) Pacific Integrated Handling

 
 
     
           
(611) Pacific Motor Company Inc

 
 
     
           
(612) Pacific NW Periodontics

 
 
     
           
(613) Pacific Orthotic Laboratory

 
 
     
           
(614) Pacific Rim CR LLC

 
 
     
           
(615) Pacific Rim Environmental Inc

 
 
     
           
(616) Pacific Standard Corporation

 
 
     
           
(617) Pacific Terminals

 
 
     
           
(618) Pacific Trim Inc

 
 
     
           
(619) PAI Life Sciences Inc

 
 
     
           
(620) Palmer Coking Coal Company LLP

 
 
     
           
(621) Pangallo & Associates CPAS

 
 
     
           
(622) Pangeo Inc

 
 
     
           
(623) Parcion Private Wealth LLC

 
 
     
           
(624) Parker Remick LLC

 
 
     
           
(625) Paukert & Troppmann PLLC

 
 
     
           
(626) Peak Internet Inc

 
 
     
           
(627) Peak Performance Sports & Spine LLC

 
 
     
           
(628) Pediatric Dental Associates

 
 
     
           
(629) Pediatric Optometry and Vision Therapy

 
 
     
           
(630) Pegasus Global Holdings Inc

 
 
     
           
(631) Pendleton-Gilchrist Funeral Homes

 
 
     
           
(632) Peninsula Bottling

 
 
     
           
(633) Penny Arcade Inc

 
 
     
           
(634) PeoplePath Inc

 
 
     
           
(635) People's Memorial Association

 
 
     
           
(636) Perfection Tire No 6 Inc

 
 
     
           
(637) Performance Wheel LLC

 
 
     
           
(638) Perrault Farms Inc

 
 
     
           
(639) Perry Shelton Walker & Associates PLLC

 
 
     
           
(640) Petersen CPA and Advisors PLLC

 
 
     
           
(641) Petersen Hastings Investment Management

 
 
     
           
(642) Peterson Strehle Martinson

 
 
     
           
(643) Phillips Real Estate LLC

 
 
     
           
(644) Phishcloud Inc

 
 
     
           
(645) Photon Biosciences

 
 
     
           
(646) PHYTEC America LLC & Subsidiary Phytools

 
 
     
           
(647) Pike Brewing Company

 
 
     
           
(648) Pillar Product Design Group LLC

 
 
     
           
(649) Pinnacle Lumber & Plywood

 
 
     
           
(650) Pioneer Post Frame Inc

 
 
     
           
(651) Pioneer Square Brands

 
 
     
           
(652) Piroshky Baking Company LLC

 
 
     
           
(653) Piroshky Piroshky Bakery LLC

 
 
     
           
(654) Pitch CPA LLC

 
 
     
           
(655) Plants Northwest Inc

 
 
     
           
(656) Playful Software Inc

 
 
     
           
(657) PMA Direct Marketing LLC

 
 
     
           
(658) PocketiNet Communications Inc

 
 
     
           
(659) Podworks Corporation

 
 
     
           
(660) Polhamus Heating and Air Conditioning

 
 
     
           
(661) Polyarc Inc

 
 
     
           
(662) Pomeroy Grain Growers Inc

 
 
     
           
(663) Pool to Spa Services LLC

 
 
     
           
(664) Pot O'Gold Inc

 
 
     
           
(665) Powder Vision Inc

 
 
     
           
(666) Power System Consultants

 
 
     
           
(667) PPR Industries Corporation

 
 
     
           
(668) Pragmatyxs Inc

 
 
     
           
(669) Premier Collision Services Inc

 
 
     
           
(670) Premier Physical Therapy

 
 
     
           
(671) Prevail Wealth Management LLC

 
 
     
           
(672) PRIDE POLYMERS LLC

 
 
     
           
(673) Prime Express LLC

 
 
     
           
(674) PRO Consulting LLC

 
 
     
           
(675) Pro Roofing NW Inc

 
 
     
           
(676) Process Solutions Corporation

 
 
     
           
(677) Proctor Products

 
 
     
           
(678) Professional Medical Corp

 
 
     
           
(679) Professional Travel Service Inc

 
 
     
           
(680) Progressive Machine

 
 
     
           
(681) PRS Group Inc

 
 
     
           
(682) Ptera Inc

 
 
     
           
(683) Puget Sound Food Hub Cooperative

 
 
     
           
(684) Puget Sound Physicians PLLC

 
 
     
           
(685) Puget Sound Pilots

 
 
     
           
(686) Puget Sound Transfer & Storage

 
 
     
           
(687) Pugh Capital Management

 
 
     
           
(688) Pure Line Seeds LLC

 
 
     
           
(689) QCC Quality Controls Corporation

 
 
     
           
(690) QNorthwest LLC

 
 
     
           
(691) Quantum Consulting Engineers

 
 
     
           
(692) R & R Electrical Services Inc

 
 
     
           
(693) R L Cook Sales & Supply Co

 
 
     
           
(694) RA Investment Properties LLC

 
 
     
           
(695) Rafi USA Inc

 
 
     
           
(696) Rail Power Services

 
 
     
           
(697) Rainier Plastics Inc

 
 
     
           
(698) Rainier Welding LLC

 
 
     
           
(699) Ramage Management North LLC

 
 
     
           
(700) Ranta CPA & Associates LLC

 
 
     
           
(701) Raven Hill Color LLC

 
 
     
           
(702) RD Barnett PLLC

 
 
     
           
(703) Re Sources

 
 
     
           
(704) Red Dingo Inc

 
 
     
           
(705) Redhawk Group LLC

 
 
     
           
(706) Redmond Ridge Spirits LLC

 
 
     
           
(707) Redwood Valuation Inc

 
 
     
           
(708) Reflections Aquatic Services Inc

 
 
     
           
(709) Regional Glass LLC

 
 
     
           
(710) Rena International

 
 
     
           
(711) Ressler & Tesh PLLC

 
 
     
           
(712) Retina Specialists Northwest PLLC

 
 
     
           
(713) Reuben's Brews LLC

 
 
     
           
(714) Revolution Civil Builders LLC

 
 
     
           
(715) Revolution Custom Builders LLC

 
 
     
           
(716) RF Company CPAS PS

 
 
     
           
(717) Rhema Electric LLC

 
 
     
           
(718) Rhino Construction

 
 
     
           
(719) Richard Repass MD PLLC

 
 
     
           
(720) Richardson Holdings LLC

 
 
     
           
(721) Rich's Car Corner Inc

 
 
     
           
(722) Ridolfi Inc

 
 
     
           
(723) RIPU Mittal 4 LLC

 
 
     
           
(724) Rising Way Inc

 
 
     
           
(725) Ristorante Paradiso Inc

 
 
     
           
(726) Riverside Roofing LLC

 
 
     
           
(727) RNW Distribution Inc

 
 
     
           
(728) Roal Amniel Enterprises Inc

 
 
     
           
(729) Robert M Trask Agency Inc

 
 
     
           
(730) Robert Moon DDS PLLC

 
 
     
           
(731) Rock PM Services

 
 
     
           
(732) Romero Park PS

 
 
     
           
(733) ROQ Fitness

 
 
     
           
(734) Rotovac Corporation

 
 
     
           
(735) RoundGlass LLC

 
 
     
           
(736) Rowe's Tractor LLC

 
 
     
           
(737) Roy K Johnston Inc

 
 
     
           
(738) Royse Hydroseeding

 
 
     
           
(739) RSSA Inc

 
 
     
           
(740) Rumway One LLC

 
 
     
           
(741) Russell Landscaping LLC

 
 
     
           
(742) RWT Enterprises LLC

 
 
     
           
(743) S & S Concrete

 
 
     
           
(744) S Martinez Livestock Inc

 
 
     
           
(745) S3 Maritime

 
 
     
           
(746) Sadler Services and Consulting LLC

 
 
     
           
(747) Safe Routes LLC

 
 
     
           
(748) Safe Systems Inc

 
 
     
           
(749) Sagedog LLC

 
 
     
           
(750) Sam & Jenny Inc

 
 
     
           
(751) Samantha's Both Ways Catering Co

 
 
     
           
(752) Sameday Inc

 
 
     
           
(753) Samuel & Company

 
 
     
           
(754) San Francisco Street Bakery Inc

 
 
     
           
(755) Santa Inc

 
 
     
           
(756) Sapper Insurance LLC

 
 
     
           
(757) Scammahorn Inc

 
 
     
           
(758) Scanselect

 
 
     
           
(759) Scharrer Architecture and Design PLLC

 
 
     
           
(760) Screen Tek Inc

 
 
     
           
(761) SEA Construction LLC

 
 
     
           
(762) Sea Painters Inc

 
 
     
           
(763) SeaTac Express Inc

 
 
     
           
(764) Seattle Bar Supply LLC

 
 
     
           
(765) Seattle Barrel Company

 
 
     
           
(766) Seattle Cider Company LLC

 
 
     
           
(767) Seattle Construction Resources Inc

 
 
     
           
(768) Seattle Green Earth Cleaning

 
 
     
           
(769) Seattle Market Places Co

 
 
     
           
(770) Seattle Pacific Homes Inc

 
 
     
           
(771) Seattle Pottery Supply Inc

 
 
     
           
(772) Seattle Powder Coat

 
 
     
           
(773) Second Avenue Partners LLC

 
 
     
           
(774) Seidelhuber Iron & Bronze Works Inc

 
 
     
           
(775) Send A Cake LLC

 
 
     
           
(776) Sensibility III LLC

 
 
     
           
(777) Sensibility Squared LLC

 
 
     
           
(778) Sensibility Inc

 
 
     
           
(779) Sessions Plumbing

 
 
     
           
(780) SGS Glass

 
 
     
           
(781) ShareBuilder Advisors LLC

 
 
     
           
(782) Sharpe & Preszler

 
 
     
           
(783) Shaw & Scott

 
 
     
           
(784) Shea Staffing LLC

 
 
     
           
(785) Sheffield Towing Services

 
 
     
           
(786) SHG Group LLC

 
 
     
           
(787) Shiftboard Inc

 
 
     
           
(788) Shipium Corp

 
 
     
           
(789) Shoff Orthodontics

 
 
     
           
(790) SiDx Inc

 
 
     
           
(791) Siefken & Sons Construction

 
 
     
           
(792) Sign Pros Inc

 
 
     
           
(793) Signal4D Inc

 
 
     
           
(794) Simone David Barbershop

 
 
     
           
(795) Singh Services LLC

 
 
     
           
(796) Sita Enterprises

 
 
     
           
(797) Six Walls Inc

 
 
     
           
(798) SJS Mechanical Services LLC

 
 
     
           
(799) SK Moto

 
 
     
           
(800) SK MOTO LLC

 
 
     
           
(801) SK Motorsport Inc

 
 
     
           
(802) Skacel Collection Inc

 
 
     
           
(803) Skinner Landscape Service Inc

 
 
     
           
(804) Sky City Trucking

 
 
     
           
(805) Sloane Investment Company

 
 
     
           
(806) SmartPlug Systems LLC

 
 
     
           
(807) Smith & DeKay

 
 
     
           
(808) Smokey Point Electric Inc

 
 
     
           
(809) Soloman Insurance Agency

 
 
     
           
(810) Sonic Concepts

 
 
     
           
(811) Soniq Services Inc

 
 
     
           
(812) Sound Cleaning Resources Inc

 
 
     
           
(813) Sound Fertility Care PLLC

 
 
     
           
(814) Sound Floors LLC

 
 
     
           
(815) Sound Produce

 
 
     
           
(816) Sound View Window & Door Inc

 
 
     
           
(817) SoundView Advisors

 
 
     
           
(818) South Whidbey Physical Therapy

 
 
     
           
(819) Special Interest Auto Works

 
 
     
           
(820) Specialty Wipers Inc

 
 
     
           
(821) Spee West Construction Co

 
 
     
           
(822) Square One Distribution Inc

 
 
     
           
(823) Star Steel

 
 
     
           
(824) Starman Metal Fabrications

 
 
     
           
(825) State Bank Northwest

 
 
     
           
(826) Steel Stud Structures Inc

 
 
     
           
(827) Stein Lotzkar & Starr PS Inc

 
 
     
           
(828) Stellar Delivery Service LLC

 
 
     
           
(829) Sterlink LLC

 
 
     
           
(830) Stewart Lumber & Hardware

 
 
     
           
(831) Storer Enterprises Inc

 
 
     
           
(832) Stray Bombay Company

 
 
     
           
(833) Substantial Inc

 
 
     
           
(834) Summit West Equipment

 
 
     
           
(835) Sunrise Disposal

 
 
     
           
(836) Sunrise Resorts of Washington Inc

 
 
     
           
(837) Sure Shot Ale House

 
 
     
           
(838) Swiftwater Technology Inc

 
 
     
           
(839) Symphony Tacoma

 
 
     
           
(840) Synchronicity Events LLC

 
 
     
           
(841) Synect LLC

 
 
     
           
(842) Synergy Financial Services Inc

 
 
     
           
(843) Synthetic Resources

 
 
     
           
(844) Systems Auditing USA

 
 
     
           
(845) Systems Interface Inc

 
 
     
           
(846) Tacoma Dental Lab Inc

 
 
     
           
(847) Tacoma Pierce County Chamber

 
 
     
           
(848) TagMaster North America

 
 
     
           
(849) Tam O'Shanter Golf

 
 
     
           
(850) Tara Unlimited

 
 
     
           
(851) Tasso Inc

 
 
     
           
(852) Taylor Made Services Inc

 
 
     
           
(853) TCF Architecture PLLC

 
 
     
           
(854) Tech Marine Enterprises Inc

 
 
     
           
(855) TechSmart Inc

 
 
     
           
(856) Tek Line Construction

 
 
     
           
(857) Temporal Technologies

 
 
     
           
(858) TERRA DYNAMICS INC

 
 
     
           
(859) Terrain Seattle Co

 
 
     
           
(860) Terrane Inc

 
 
     
           
(861) Terry Home Inc

 
 
     
           
(862) The Andover Company Inc

 
 
     
           
(863) The Automated Parking Company

 
 
     
           
(864) The BERC Group Inc

 
 
     
           
(865) The Cottage Schools Inc

 
 
     
           
(866) The Design Collective Inc

 
 
     
           
(867) The Escrow Source Inc

 
 
     
           
(868) The Glazers LLC

 
 
     
           
(869) The Ladies Room LLC

 
 
     
           
(870) The Laurel Group LLC

 
 
     
           
(871) The Law Office of Dominick V Driano PLLC

 
 
     
           
(872) The Legacy Group Inc

 
 
     
           
(873) The Metalsmiths Inc

 
 
     
           
(874) The Mindplace Company

 
 
     
           
(875) The Napoleon Co

 
 
     
           
(876) The Parkinson's Fitness Project

 
 
     
           
(877) The Perfect Push

 
 
     
           
(878) The Rabourn Company Inc

 
 
     
           
(879) The Seattle Area German American School

 
 
     
           
(880) The Sotello Company Inc

 
 
     
           
(881) The Tall Chef

 
 
     
           
(882) The True Patriot Network

 
 
     
           
(883) The Watershed Company

 
 
     
           
(884) Thermogenesis Group Inc

 
 
     
           
(885) Third Place Design Cooperative Inc

 
 
     
           
(886) Thomas Capital Group

 
 
     
           
(887) Thompson Consulting Group

 
 
     
           
(888) Three Peaks Gourmet

 
 
     
           
(889) Three S Inc

 
 
     
           
(890) Threshold Philanthropy LLC

 
 
     
           
(891) Thrifty Park Inc

 
 
     
           
(892) Tiny Build LLC

 
 
     
           
(893) Tiscareno Associates PS

 
 
     
           
(894) TLDR Insights LLC

 
 
     
           
(895) To Wei Inc

 
 
     
           
(896) Tokul Creek Marketing

 
 
     
           
(897) Tollhouse Energy Company

 
 
     
           
(898) Total Freight Logistics International LLC

 
 
     
           
(899) Total Lawn Care LLC

 
 
     
           
(900) Tovani Hart PC

 
 
     
           
(901) TransACT Communications LLC

 
 
     
           
(902) Travel Center Inc

 
 
     
           
(903) Travis Fitzmaurice Wartelle Balangue Engineers Inc

 
 
     
           
(904) Trebron Co Inc

 
 
     
           
(905) Treiber Farms

 
 
     
           
(906) Treinen Associates Inc

 
 
     
           
(907) Trinity Tree Farm LLC

 
 
     
           
(908) Tri-Way Industries

 
 
     
           
(909) TRM Wood Products Inc

 
 
     
           
(910) Tru Mechanical

 
 
     
           
(911) True North Collective LLC

 
 
     
           
(912) True North Relocation LLC

 
 
     
           
(913) Tucci & Sons Inc

 
 
     
           
(914) TuneTech

 
 
     
           
(915) Tuohy Physical Therapy LLC

 
 
     
           
(916) Twelve Thirty-One Inc

 
 
     
           
(917) Ubio Labs Inc

 
 
     
           
(918) Underwater Sports

 
 
     
           
(919) United Western Supply Co

 
 
     
           
(920) United Wound Healing PS

 
 
     
           
(921) Unitized Industries West LLC

 
 
     
           
(922) UTILIGI LLC

 
 
     
           
(923) Valkyrie Leasing LLC

 
 
     
           
(924) Valley Animal Hospital of Auburn Inc

 
 
     
           
(925) Valley Nut & Bolt Inc

 
 
     
           
(926) Valley Painting Inc

 
 
     
           
(927) Valley Pump Inc

 
 
     
           
(928) Valley Tractor & Equipment Inc

 
 
     
           
(929) Vertical World Inc

 
 
     
           
(930) Veteran's Northwest Construction LLC

 
 
     
           
(931) Viking Electric Sales and Service Inc

 
 
     
           
(932) Viking Food

 
 
     
           
(933) Virtuozzo

 
 
     
           
(934) Vista Precision Solutions Inc

 
 
     
           
(935) Viva Tierra Organic Inc

 
 
     
           
(936) VMRD Inc

 
 
     
           
(937) Vobis

 
 
     
           
(938) Walls & Windows Inc

 
 
     
           
(939) Washington Center for Nursing

 
 
     
           
(940) Washington Iron Works

 
 
     
           
(941) Washington Technology University

 
 
     
           
(942) Weaver Architects Inc

 
 
     
           
(943) Weintek USA Inc

 
 
     
           
(944) Westbank Projects US Corp

 
 
     
           
(945) Western Washington Pathology PS

 
 
     
           
(946) Wholesail Networks LLC

 
 
     
           
(947) Whooshh Innovations LLC

 
 
     
           
(948) Willar Corp

 
 
     
           
(949) Windermere Real Estate

 
 
     
           
(950) Windwood Enterprises Inc

 
 
     
           
(951) Winsor Fireform LLC

 
 
     
           
(952) Wipro Givon USA Inc

 
 
     
           
(953) Wireless Applications Corporation

 
 
     
           
(954) WiserCare Inc

 
 
     
           
(955) WJA PLLC

 
 
     
           
(956) Wonderbelly Games

 
 
     
           
(957) Woodcrafters Construction LLC

 
 
     
           
(958) Woodinville Pediatrics

 
 
     
           
(959) Woodland Trade Company Inc

 
 
     
           
(960) Woodlawn Optical of Bothell

 
 
     
           
(961) World Famous LLC

 
 
     
           
(962) WOW Distributing

 
 
     
           
(963) Wrecker Accessories LLC

 
 
     
           
(964) WTE Tree Service LLC

 
 
     
           
(965) Yakima Worker Care PLLC

 
 
     
           
(966) Yokohama Aerospace

 
 
     
           
(967) Zarmada

 
 
     
           
(968) Ziemek Dental Laboratories

 
 
     
           
(969) Ziontz Chestnut Law Firm

 
 
     
           
(970) Zuhause Design LLC

 
 
     
           
Schedule R (Form 990) 2021
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
No
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 .....................
1a
 
No
b Gift, grant, or capital contribution to related organization(s) ............................
1b
 
No
c Gift, grant, or capital contribution from related organization(s) ............................
1c
 
No
d Loans or loan guarantees to or for related organization(s) ............................
1d
 
No
e Loans or loan guarantees by related organization(s) ............................
1e
 
No
f Dividends from related organization(s) ............................
1f
 
No
g Sale of assets to related organization(s) ............................
1g
 
No
h Purchase of assets from related organization(s) ............................
1h
 
No
i Exchange of assets with related organization(s) ............................
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) .......................
1j
 
No
k Lease of facilities, equipment, or other assets from related organization(s) ......................
1k
 
No
l Performance of services or membership or fundraising solicitations for related organization(s) .....................
1l
 
No
m Performance of services or membership or fundraising solicitations by related organization(s) .................
1m
Yes
 
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................
1n
 
No
o Sharing of paid employees with related organization(s) ............................
1o
 
No
p Reimbursement paid to related organization(s) for expenses ............................
1p
 
No
q Reimbursement paid by related organization(s) for expenses ............................
1q
 
No
r Other transfer of cash or property to related organization(s) ............................
1r
 
No
s Other transfer of cash or property from related organization(s) ............................
1s
Yes
 
2
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
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) 		(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(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
Yes No Yes No Yes No






























Schedule R (Form 990) 2021
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


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