2024-11-15T02:13:01-06:00 2023-12-31 910614823 SCHOEDEL & SCHOEDEL CPAS PLLC 422 W RIVERSIDE AVE STE 1420 SPOKANE WA 992010395 990 2023-01-01 916056560 Washington State Auto Dealers Insurance Trust WASH 4257717359 PO Box 6 Mukilteo WA 98275 Connor Ryan Chairman 4257717359 2024-11-15 1 1 SCOTT OPPERUD CPA P00542597 5097472158 2024-11-15 2023 2024-10-15 13:58:12Z Connor Ryan PO Box 6 Mukilteo WA 98275 4313695 0 X www.wsaditbenefits.com X 1948 WA To provide health and welfare benefits on behalf of and for the benefit of the participating employers and their employees and dependents. 2 2 0 0 0 0 0 0 6819123 4285355 20656 19951 0 0 6839779 4305306 0 0 6371907 4052098 0 0 0 0 0 539634 389050 6911541 4441148 -71762 -135842 1000765 716401 356201 152920 644564 563481 The Trust was established to receive contributions from participating employers and employees, and to provide a means by which the Board of Trustees can create and administer a plan for participants and their beneficiaries. 0 0 This trust holds the assets of the Washington State Auto Dealers Insurance Trust Benefit Plan (the Plan) for employees of eligible employers. The Plan provides qualified dental, vision, life, accidental death and dismemberment, short-term disability, and long-term disability benefits to its participants and their dependents. Through August 31, 2023, the Plan also provided qualified medical, hospital, and surgical benefits to its participants and their dependents. 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 4 0 1 0 0 0 0 0 0 0 0 0 X 2 2 0 1 0 0 0 1 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X Vimly Benefit Solutions Inc 4257717359 12121 Harbour Reach Drive Mukilteo WA 98275 X X Connor Ryan Chair 2.00 X X 0 0 0 Mike Blade Trustee 1.00 X 0 0 0 0 0 0 0 0 0 0 PayneWest Insurance Inc 2925 Palmer Suite B Missoula MT 59806 Consulting and brokerage 258058 1 Employer contributions 525100 4263740 4263740 Participant contributi 525100 21615 21615 4285355 13840 13840 14500 8389 6111 6111 6111 4305306 4285355 0 19951 4052098 55217 20160 20600 6178 278815 1277 6803 4441148 378205 124889 63620 10316 55646 4342 1836 1686 501458 575168 1000765 716401 67344 189 231986 152438 56871 293 356201 152920 X 0 0 0 0 644564 563481 644564 563481 1000765 716401 -135842 54759 0 X 0 1 X 0 0 0 Premiums due to insurers 293 293 4360065 54759 54759 4305306 0 4305306 4497726 56871 56871 4440855 293 293 4441148 Part XII, Line 2d - Other Adjustments: Premiums due to insurers at the beginning of the year 56,871. Part XII, Line 4b - Other Adjustments: Premiums due to insurers at the end of the year 293. 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. Form 990, Part VI, Section A, line 7a An individual who satisfies the qualification of a Trustee may be nominated as a candidate for Trustee by a majority of the Trustees; or by written petition submitted to the Board of Trustees signed by the lesser of ten participating employers or at least 10% of all participating employers. A Trustee in the final year of office and who satisfies the qualification of a Trustee may be nominated for a successive term. Individuals who are nominated as candidates for Trustee are elected by vote of the participating employers, who each have only one vote. If no candidate receives a majority of the votes cast by participating employers, a runoff election between the two candidates who received the most votes is held until a single candidate receives a majority of votes cast by participating employers. Once elected, each Trustee consents to and accepts the election as a Trustee in writing, which includes electronic communication. The election for Trustees is conducted by mail ballot at the expense of the Trust. Form 990, Part VI, Section B, line 11b The Form 990 was prepared under the guidance of the Board of Trustees by the independent accounting firm SCHOEDEL & SCHOEDEL, Certified Public Accountants, PLLC. Draft copies of the Trust's financial statements and Form 990 were first provided to the Trust's consultants and advisors, who reviewed the Form 990 for accuracy and completeness. Any questions, concerns or issues raised by the consultants and advisors were addressed and any necessary revisions were made to the Form 990. The revised Form 990 was then provided to the Board of Trustees for its review and approval. Any additional questions, concerns or issues raised by the 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 Board of Trustees. Form 990, Part VI, Section B, line 12c In connection with any actual or possible conflict of interest, an interested person must disclose the existence of the financial or affiliated interest and be given the opportunity to disclose all material facts to the Board of Trustees considering the proposed transaction or arrangement. Such disclosure will be reflected in the minutes of the meeting. The interested person will make such disclosure promptly upon learning of the proposed transaction. Trustees will generally disclose non-financial interests in their annual statement, and specifically as individual interests arise. Non-financial interests are expected and will not be reviewed unless a Trustee requests the interest be reviewed. If the Board of Trustees has reasonable cause to believe a member has failed to disclose an actual or possible conflict of interest, it will inform the member of the basis for such belief and afford the member an opportunity to explain the alleged failure to disclose. If, after hearing the member's response and after making further investigation as warranted by the circumstances, the Trustees determines the member has failed to disclose an actual or possible conflict of interest, it will take appropriate disciplinary and corrective action. Each Trustee and member of a committee with governing board-delegated powers will annually sign a statement that affirms such person: has received a copy of the conflicts of interest policy, has read and understands the policy, agrees to comply with the policy, discloses the person's financial interests and personal relationships that could give rise to conflicts of interest, and understands that, in order for the Trust to maintain its federal tax exemption, it must engage primarily in activities which accomplish one or more of its tax-exempt purposes. Form 990, Part VI, Section B, line 15 The Trust has no compensated management officials, officers or key employees. If the organization had such compensated individuals, policies and procedures would be developed to determine compensation. Form 990, Part VI, Section C, line 19 The Trust's governing documents, financial statements, and Form 990 are available to the general public upon written request sent to Vimly Benefit Solutions, Inc. at: P.O. Box 6, Mukilteo, WA 98275. Form 990, Part VII, Section A, Line 1A: The Trust does not compensate any of the members of the Board of Trustees. The Board is composed of at least one and not more than eight individuals. In their roles as Trustees, all are fiduciaries and understand their obligations under the Trust Agreement and the Trust's policies and procedures. The Trustees serve on a voluntary basis, and receive no known compensation adjustment from their employers, or any other party, for their services on the Board. Washington State Auto Dealers Association Chipman & Taylor Chevrolet-Oldsmobile Co Brotherton Cadillac Good Chevrolet Inc Oak Harbor Motors Inc In Town Car Sales Inc University Auto Center Blade Chevrolet Inc Overturf Motor Company Jerry L Smith Inc Bill Robertson Nissan Town Auto Group - Nissan Pat Armstrong Ford Town Auto Group - Chrysler Dodge Town Auto Group - Toyota BMW of Tri Cities DOCNS LLC Van Cleve Ford Inc Leskovar Lincoln Mercury Roy Robinson Inc Younker Motors Inc Brotherton Cadillac NW GMC of Riverfront Park 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1