2026-07-30T10:01:24-05:00 2025-09-30 320043599 LEGACY PROFESSIONALS LLP 6800 FRANCE AVENUE SO SUITE 550 EDINA MN 55435 990 2024-10-01 810305103 MONTANA RETAIL EMPLOYEES HEALTH AND WELFARE TRUST MONT 5095340600 1322 N POST PLACE SPOKANE WA 99201 TERRIE TRETTENBACH TRUSTEE 5095340600 2026-07-30 0 LARRY WOOD P00634996 9528413950 2026-07-23 2024 2025-03-06 01:10:19Z TERRIE TRETTENBACH 1322 N POST PLACE SPOKANE WA 99201 15591339 0 X N/A X 1968 MT PROVIDE HEALTH AND WELFARE BENEFITS 8 6 0 0 0 0 0 0 13323147 14967059 564240 624280 0 0 13887387 15591339 0 0 10057370 12812660 0 0 0 0 0 688880 682732 10746250 13495392 3141137 2095947 17635711 19755510 7576 11063 17628135 19744447 PROVIDE HEALTH AND WELFARE BENEFITS. 0 0 THE PLAN PROVIDES COMPREHENSIVE MEDICAL BENEFITS INCLUDING DENTAL, VISION, PRESCRIPTION DRUG, LIFE INSURANCE, ACCIDENTAL DEATH AND DISMEMBERMENT (AD&D) AND TIME LOSS BENEFITS FOR ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 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 1 459 0 1 0 0 0 0 0 0 0 0 0 0 0 X 8 6 0 1 0 0 0 1 0 1 0 0 0 1 1 1 1 0 1 0 0 0 X REHN & ASSOCIATES 5095340600 1322 N POST PLACE SPOKANE WA 99201 TERRIE TRETTENBACH TRUSTEE 1.00 40.00 X 0 92405 15275 TODD CROSBY TRUSTEE 1.00 X 0 0 0 FAYE GUENTHER TRUSTEE 1.00 X 0 0 0 CHANCE STANDISH TRUSTEE 1.00 40.00 X 0 48308 7637 STEVE BREZENSKI TRUSTEE 1.00 X 0 0 0 BRENT BOHN TRUSTEE 1.00 X 0 0 0 KATINA WOOD TRUSTEE 1.00 X 0 0 0 JESSICA KONG TRUSTEE 1.00 X 0 0 0 NICOLAI COCERGINE TRUSTEE - PAST 1.00 40.00 X 0 112723 15275 0 253436 38187 0 0 0 0 A W REHN & ASSOCIATES 1322 N POST PLACE SPOKANE WA 99201 THIRD PARTY ADMINISTRATOR 313575 MEDCOM CARE MANAGEMENT LLC 2100 COVINGTON CENTRE COVINGTON LA 70434 MEDICAL AND UTILIZATION MANAGEMENT 180948 SMITH HEALTH INC 300 BRANNAN STREET SUITE 601 SAN FRANCISCO CA 94107 PRESCRIPTION BENEFIT MANAGER 162094 3 EMPLOYER CONTRIBUTIONS 900099 12251535 12251535 STOP-LOSS REIMBURSEMENTS 900099 1501991 1501991 PARTICIPANT CONTRIBUTIONS 900099 736963 736963 PRESCRIPTION DRUG REBATES 900099 476570 476570 14967059 624280 624280 15591339 14967059 0 624280 12812660 296034 76982 25911 18178 133671 62347 10020 21860 33788 FEES MANDATED BY ACA 3941 13495392 -465314 -306507 10761264 2673815 1358850 2854584 90824 83117 5890087 14450501 17635711 19755510 7576 11063 7576 11063 X 0 0 0 0 17628135 19744447 17628135 19744447 17635711 19755510 2095947 20365 0 X 0 1 X 1 0 0 X 15593526 20365 20365 15573161 18178 18178 15591339 13477214 0 13477214 18178 18178 13495392 PART X, LINE 2: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE THE PLAN TO EVALUATE TAX POSITIONS TAKEN AND RECOGNIZE A TAX LIABILITY IF THE PLAN HAS TAKEN UNCERTAIN TAX POSITIONS THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY TAX AUTHORITIES. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. FORM 990, PART VI, SECTION A, LINE 3 ALTHOUGH THE BOARD OF TRUSTEES RETAINS ULTIMATE CONTROL AND RESPONSIBILITY FOR THE PLAN, THE TRUSTEES HAVE DELEGATED THE DAY-TO-DAY ADMINISTRATIVE DUTIES TO REHN & ASSOCIATES AS THE THIRD PARTY ADMINISTRATOR OF THE PLAN. FORM 990, PART VI, SECTION A, LINE 7A THE PLAN IS GOVERNED BY UP TO EIGHT TRUSTEES; FOUR TRUSTEES ARE APPOINTED BY THE UNION AND FOUR TRUSTEES ARE APPOINTED BY THE EMPLOYERS. THE UNION AND THE EMPLOYERS MAY ALSO APPOINT ALTERNATE TRUSTEES WHO WILL BE QUALIFIED TO ACT ONLY IN THE ABSENCE OF A TRUSTEE. FORM 990, PART VI, SECTION A, LINE 8B THE PLAN HAS NO COMMITTEES WITH THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 IS PROVIDED TO AND REVIEWED BY THE ENTIRE BOARD OF TRUSTEES PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C ANNUAL LETTERS ARE MAILED AND COLLECTED FROM EACH TRUSTEE. TRUST COUNSEL ASKS FOR ANY KNOWN ISSUES AT EACH TRUSTEE MEETING. FORM 990, PART VI, SECTION C, LINE 19 THE PLAN MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. THESE DOCUMENTS ARE LOCATED AT THE THIRD PARTY ADMINISTRATOR'S OFFICE IN SPOKANE, WA. INTERMOUNTAIN RETAIL STORE EMPLOYEES PENSION PLAN 11724 NE 195TH STREET BOTHELL WA 980118242 916187192 PROVIDES PENSION BENEFITS TO PARTICIPANTS AND BENEFICIARIES ID 401(A) N/A 0 UNITED FOOD AND COMMERCIAL WORKERS UNION LOCAL 1889 CONTRIBUTING EMPLOYER 0 BOB WARD'S & SONS INC CONTRIBUTING EMPLOYER 0 SHEEP SHEARERS MERCHANDISE AND COMMISSION COMPANY INC CONTRIBUTING EMPLOYER 0 WESTERN MEAT & SAUSAGE BLOCK INC CONTRIBUTING EMPLOYER 0 SMITH'S FOOD & DRUG CENTERS CONTRIBUTING EMPLOYER 0 VAN'S THRIFTWAY INC CONTRIBUTING EMPLOYER 0 ROSAUERS SUPERMARKETS INC CONTRIBUTING EMPLOYER 0 SAFEWAY INC CONTRIBUTING EMPLOYER 0 ALBERTSONS COMPANIES INC CONTRIBUTING EMPLOYER 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1