Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 3 | THE TRUST HIRES A PROFESSIONAL THIRD-PARTY ADMINISTRATOR TO COLLECT CONTRIBUTIONS, PAY CLAIMS AND MEDICAL INSURANCE PREMIUMS, AND RECORD ACCOUNTING TRANSACTIONS. | |
| FORM 990, PART VI, SECTION A, LINE 6 | PLAN MEMBERS CONSIST OF CURRENT AND FORMER EMPLOYEES COVERED BY COLLECTIVE BARGAINING AGREEMENTS WITH THE BAKERY AND CONFECTIONERY WORKERS INTERNATIONAL UNION, LOCAL 114 AND OTHERS. | |
| FORM 990, PART VI, SECTION B, LINE 11 | THE FORM 990 IS REVIEWED BY THE PLAN ADMINISTRATOR, LEGAL COUNSEL, AND PRESENTED TO A TRUSTEE BEFORE FILING. | |
| FORM 990, PART VI, SECTION B, LINE 12C | TRUSTEES AND SERVICE PROVIDERS OF THE TRUST ARE EXPECTED TO DISCLOSE ANY POTENTIAL OR ACTUAL CONFLICT OF INTEREST. AN INFORMAL REVIEW OF POTENTIAL AND ACTUAL CONFLICTS OF INTERESTS MAY BE CONDUCTED IN ACCORDANCE WITH THE ANNUAL AUDIT OF THE TRUST AND THE CONFLICT OF INTEREST POLICY WILL BE DISCUSSED BY THE TRUSTEES FROM TIME TO TIME. | |
| FORM 990, PART VI, SECTION B, LINE 15 | NONE OF THE BOARD OF TRUSTEES ARE COMPENSATED. HOWEVER, THE PLAN'S PROFESSIONAL SERVICE PROVIDERS' COMPENSATION FOR SERVICES RENDERED IS APPROVED BY THE BOARD OF TRUSTEES AFTER DISCUSSION WITH LEGAL COUNSEL AND OTHER PLAN CONSULTANTS. | |
| FORM 990, PART VI, SECTION C, LINE 19 | AVAILABLE UPON REQUEST. | |
| CONTACT ADDRESSES FOR OFFICERS, DIRECTORS, ETC | FORM 990, PART VII | SHAD CLARK - 7931 NE HALSEY SUITE 205, PORTLAND, OR 97213. TERRY LANSING - 7931 NE HALSEY SUITE 205, PORTLAND, OR 97213. GEORGENE BARRAGAN - 6650 NE 93RD AVENUE, PORTLAND, OR 97266. FORREST CLAYTON - PO BOX 14769, PORTLAND, OR 97293. CARL WOJCIECHOWSKI - PO BOX 42121, PORTLAND, OR 97242. ELLIS JOHNSON - 10750 SW 5TH STREET, BEAVERTON, OR 97005. |
| CHANGES IN NET ASSETS OR FUND BALANCES: | FORM 990, PART XI, LINE 5: | NET UNREALIZED LOSSES ON INVESTMENTS: -65,972. |
| PART XII LINE 2C | AUDITED FINANCIAL STATEMENTS ARE REVIEWED BY THE BOARD OF TRUSTEES. THIS PROCESS HAS NOT CHANGED FROM PRIOR YEARS. |
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