Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| PART VI, SECTION A, LINE 2: | MIKE HALEY AND WILLIAM HALEY - FAMILY RELATIONSHIP. | PART VI, SECTION B, LINE 11B: THE PLAN'S CPA PREPARED THE FORM 990 WHICH IS REVIEWED BY THE ASSISTANT FUND ADMINISTRATOR AND LEGAL COUNSEL AND PRESENTED TO A LABOR TRUSTEE AND MANAGEMENT TRUSTEE TO REVIEW AND APPROVE PRIOR TO BEING FILED. THE FULL BOARD CAN REQUEST COPIES OF THE COMPLETED FORM 990. PART VI, SECTION B, LINE 12C: AS PRESCRIBED IN THE CONFLICT OF INTEREST POLICY. PART VI, LINE 19: THE PLAN'S GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE TO PARTICIPANTS UPON REQUEST. ANNUALLY, THE PLAN FILES FORM 5500 ANNUAL RETURN/REPORT OF EMPLOYEE BENEFIT PLAN WITH THE DEPARTMENT OF LABOR. THE FORM 5500 IS AVAILABLE ON THE DOL'S WEBSITE. A SUMMARY ANNUAL REPORT IS ALSO PROVIDED TO PARTICIPANTS ANNUALLY. |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:LEWIS LONG TITLE:LABOR TRUSTEE HOURS:40 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:HARRY ROTZ TITLE:LABOR TRUSTEE HOURS:40 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:WILLIAM HALEY TITLE:LABOR TRUSTEE HOURS:40 |
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