Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
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| PARTS I AND III, LINE 1 - ORGANIZATION'S MISSION: | THE PLAN IS A MULTI-EMPLOYER HEALTH AND WELFARE PLAN ASSIGNED TO PROVIDE | MEDICAL, DENTAL, PRESCRIPTION, DISABILITY AND VISION CARE BENEFITS TO ELIGIBLE EMPLOYEES AND THEIR DEPENDENTS. ALSO, THE PLAN OFFERS LIFE INSURANCE AND ACCIDENTAL DEATH AND DISMEMBERMENT BENEFITS TO ACTIVE EMPLOYEES. PART VI, SECTION A, LINE 2: FRED W. CORRELL AND RYAN SHERARD ARE BOTH UNION TRUSTEES AND HAVE A FAMILY RELATIONSHIP: FRED W. CORRELL IS RYAN SHERARD'S FATHER-IN-LAW. PART VI, SECTION B, LINE 11B: THE ADMINISTRATIVE OFFICE REVIEWS THE FORM 990 AND WILL NOTIFY THE BOARD OF TRUSTEES IF ANY UNUSUAL OR SIGNIFICANT ITEMS ARE NOTED. PART VI, SECTION B, LINE 12C: ANY TRUSTEE OR SERVICE PROVIDER AUTHORIZED TO CONDUCT TRANSACTIONS ON BEHALF OF THE TRUST WHO HAS REASON TO BELIEVE THAT A PROPOSED TRANSACTION MIGHT CONSTITUTE A PROHIBITED TRANSACTION IS OBLIGATED TO CONSULT WITH TRUST COUNSEL. TRUSTEES ARE ALSO REQUIRED TO NOTIFY THE TRUST FUND OF ANY CHANGES IN THEIR INTERESTS THAT COULD GIVE RISE TO CONFLICTS. PART VI, SECTION C, LINE 19: THE PLAN'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MAINTAINED BY THE ADMINISTRATIVE OFFICE AND ARE AVAILABLE UPON REQUEST. ADDITIONALLY, FINANCIAL STATEMENTS ARE DISTRIBUTED TO THE TRUSTEES ON A REGULAR BASIS. |
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