Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| ALL OTHER ACHIEVEMENTS DESCRIPTION | FORM 990, PAGE 2, PART III, LINE 4D | MONTHLY ADMINISTRATION FEES PAID TO THE PPO ADMINISTRATOR. |
| DOCUMENTATION BY GOVERNING BODY | FORM 990, PAGE 6, PART VI, LINE 8A | ALL ACTIONS PERFORMED WERE PURSUANT TO THE PLAN DOCUMENT. OTHER THAN NECESSARY WRITTEN AMENDMENTS, NO CHANGES WERE MADE TO THE PLAN. THEREFORE, NO MEETINGS WERE DEEMED NECESSARY. |
| DOCUMENTATION BY COMMITTEE | FORM 990, PAGE 6, PART VI, LINE 8B | THE GOVERNING BODY HAS NO SEPARATE COMMITTEES. |
| ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 | FORM 990, PAGE 6, PART VI, LINE 11B | THE TRUSTEE REVIEWS FORM 990 IN ITS ENTIRETY AND CHECKS FOR MISTAKES AND IRREGULARARITIES. |
| GOVERNING DOCUMENTS DISCLOSURE EXPLANATION | FORM 990, PAGE 6, PART VI, LINE 19 | NO DOCUMENTS AVAILABLE TO THE PUBLIC. |
| Software ID: | |
| Software Version: |