CHS Inc and Local 21 Kalama Welfare Trust

Address
9185 SW Taylor St
Portland, OR 97225
Contact
Phone: +1 (503) 297-3042
Nonprofit
NTEE: Y20 - Insurance Providers, Services
EIN: 91-6184350

Mission

To provide health, dental, prescription drug, vision and short-term disability insurance coverage for eligible participants.
 2013201220112009
Basic features of the organization
Year of formation1964
Metropolitan statistical area6442
Form of organization
TrustTrue
Human resources, including compensation
Summary compensation info
Total compensation of current key personnel$0.00$0.00$0.00 
Number of employees000 
Personnel
Browne, Richard
Title  Trustee 
Name of key/compensated person  Richard Browne 
Position of compensated person
Current individual trustee or director  True 
Average hours per week working for org  005.00 
Reportable compensation from org  $0.00 
Other comp, non-reportable, from org and related orgs  $0.00 
Corresponding comp from related orgs
Reportable compensation from related orgs   $0.00 
Leigh, Duain
TitleTrusteeTrusteeTrustee 
Name of key/compensated personDuain LeighDuain LeighDuain Leigh 
Position of compensated person
Current individual trustee or directorTrueTrueTrue 
Average hours per week working for org005.00005.00005.00 
Reportable compensation from org$0.00$0.00$0.00 
Other comp, non-reportable, from org and related orgs$0.00$0.00$0.00 
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00$0.00 
Paurus, Tim
TitleTrusteeTrusteeTrustee 
Name of key/compensated personTim PaurusTim PaurusTim Paurus 
Position of compensated person
Current individual trustee or directorTrueTrueTrue 
Average hours per week working for org005.00005.00005.00 
Reportable compensation from org$0.00$0.00$0.00 
Other comp, non-reportable, from org and related orgs$0.00$0.00$0.00 
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00$0.00 
Schouvieller, Brian
TitleTrusteeTrustee  
Name of key/compensated personBrian SchouviellerBrian Schouvieller  
Position of compensated person
Current individual trustee or directorTrueTrue  
Average hours per week working for org005.00005.00  
Reportable compensation from org$0.00$0.00  
Other comp, non-reportable, from org and related orgs$0.00$0.00  
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00  
Wilfong, Richard
TitleTrusteeTrusteeTrustee 
Name of key/compensated personRichard Wilfong JrRichard Wilfong JrRichard P Wilfong JR 
Position of compensated person
Current individual trustee or directorTrueTrueTrue 
Average hours per week working for org005.00005.00005.00 
Reportable compensation from org$0.00$0.00$0.00 
Other comp, non-reportable, from org and related orgs$0.00$0.00$0.00 
Corresponding comp from related orgs
Reportable compensation from related orgs $0.00$0.00$0.00 
Purpose: mission, activities, & accomplishments
Mission or significant activitiesTo provide health, dental, prescription drug, vision and short-term disability insurance coverage for eligible participants.To provide health, dental, prescription drug, vision and short-term disability insurance coverage for eligible participants.To provide health, dental, prescription drug, vision and short-term disability insurance coverage for eligible participants. To provide health, dental, prescription drug, vision and short-term disability insurance coverage for eligible participants. 
Program service expenses, total$290,940.00$323,852.00$271,171.00 
Programs, including revenue & expenses
The CHS Inc. and Local 21 Kalama Welfare Trust provides health, dental, prescription drug, vision and short-term disability insurance coverage for eligible participants.
Program expenses$290,940.00$323,852.00$271,171.00 
Program revenue$274,018.00$287,275.00$305,779.00 
Program descriptionThe CHS Inc. and Local 21 Kalama Welfare Trust provides health, dental, prescription drug, vision and short-term disability insurance coverage for eligible participants.The CHS Inc. and Local 21 Kalama Welfare Trust provides health, dental, prescription drug, vision and short-term disability insurance coverage for eligible participants.The CHS Inc. and Local 21 Kalama Welfare Trust provides health, dental, prescription drug, vision and short-term disability insurance coverage for eligible participants. 
Financial data
Revenue
Total revenue$274,018.00$287,275.00$305,779.00 
Revenue from contributions (total) $0.00$0.00$0.00
Investment income, current yr$481.00$622.00$2,383.00 
Total revenue from grants, etc., current yr$0.00$0.00$0.00 
Total unrelated business revenue$0.00$0.00$0.00 
Other revenue, current yr$131.00$0.00$0.00 
Program service revenue (total)$273,406.00$286,653.00$303,396.00$238,287.00
Gross receipts$274,018.00$287,275.00$305,779.00 
Other types of revenue
Miscellaneous revenue (total)$131.00   
Income from dividends, interest, and similar investments$481.00$622.00$2,383.00 
Net rental income $0.00$0.00$0.00
Expense categories (totals)
Total functional expenses: sum of all$290,940.00$339,697.00$286,771.00 
Total functional expenses: program service $271,263.00$323,852.00$271,171.00 
Total functional expenses: management and general$19,677.00$15,845.00$15,600.00 
Fees for services
Lobbying fees (total)$0.00$0.00$0.00 
Legal fees (total)$3,900.00$2,631.00$3,955.00 
Fundraising service fees (total)$0.00$0.00$0.00 
General management fees (total)$0.00$0.00$0.00 
Investment management fees (total)$0.00$0.00$0.00 
Assets and liabilities
Total assets$0.00$224,358.00$276,780.00$243,860.00
Total assets, beginning of year$224,358.00$276,780.00$257,772.00 
Total liabilities$0.00$0.00$0.00$0.00
Net assets$0.00$224,358.00$276,780.00 
Net assets, beginning of year$224,358.00$276,780.00$257,772.00 
Other financial variables
Revenue less expenses-$16,922.00-$52,422.00$19,008.00 
Advertising (total)$0.00$0.00$0.00 
Savings & temp cash investment $194,637.00$250,629.00 
Prepaid expenses & deferred charges $29,721.00$26,151.00 
Total net assets or fund balances$0.00$224,358.00$276,780.00 
Depreciation, depletion, amortization$0.00$0.00$0.00 
Payment to affiliates$0.00$0.00$0.00 
Governance and accountability
Number of voting members444 
Number of independent voting members444 
Financial sheets auditedTrueTrueTrue 
Discontinued or disposed >25% of net assetsTrue   
Accrual accountingTrueTrueTrue 
Tax year start date2012-07-012011-07-012010-07-01 
Tax year end date2013-05-012012-06-012011-06-012009-06-01
Metadata about the filing
E-return type: 990, 990EZ, or 990PF990990990 
Reason for form submission
Final return / terminatedTrue   
Date e-filing submitted2013-10-252012-11-062011-11-10 
IRS schema version2012v2.22011v1.22010v3.4 
Filing identifier201322319349300917201212919349300431201112789349300726 
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