Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| EXPLANATION FOR WHY FORM 990-T NOT FILED | FORM 990, PAGE 5, PART V, LINE 3B | THERE WAS NOT ANY UNRELATED BUSINESS INCOME EARNED DURING THE YEAR. |
| ADDITIONAL INFORMATION | FORM 990, PART VI | MINUTES OF ALL BOARD MEETINGS ARE MAINTAINED IN WRITTEN FORM. |
| SIGNIFICANT CHANGES TO ORGANIZATIONAL DOCUMENTS | FORM 990, PAGE 6, PART VI, LINE 4 | THE EIGHTH AMENDMENT TO THE PLAN WAS APPROVED WHICH: 1. REDEFINED THE DEFINITION OF DEPENDENT DUE TO REGULATORY CHANGES. 2. REVISED THE THE MONTHS OFFERED UNDER THE SPECIAL EXTENSION OF ELIGIBILITY FROM SIX TO THREE. 3. DEFINED ELIGIBILITY UNDER MEDICAID AND TRICARE FOR PARTICIPANTS & DEPENDENTS. 4. SPECIFYING THE LANGUAGE REGARDING THE BIRTHDAY RULE. |
| ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 | FORM 990, PAGE 6, PART VI, LINE 11B | THE BOARD REVIEWS FORM 990 BEFORE IT IS FILED. |
| ENFORCEMENT OF CONFLICTS POLICY | FORM 990, PAGE 6, PART VI, LINE 12C | THE FUND ENFORCES ITS CONFLICT OF INTEREST POLICY IN ACCORDANCE WITH RULES OF ERISA OF 1974 GOVERNING PROHIBITED TRANSACTIONS. |
| COMPENSATION PROCESS FOR TOP OFFICIAL | FORM 990, PAGE 6, PART VI, LINE 15A | THE ADMINISTRATOR'S COMPENSATION IS REVIEWED ANNUALLY BY INDEPENDENT BOARD MEMBERS. THE BOARD REVIEWS COMPARABLE DATA OF BASE AND VARIABLE COMPENSATION TO INDUSTRY STANDARDS. MEETING MINUTES ARE MAINTAINED IN WRITTEN FORM. |
| COMPENSATION PROCESS FOR OFFICERS | FORM 990, PAGE 6, PART VI, LINE 15B | THE BOARD APPROVES A BUDGET WHERE THE COMPENSATION OF ALL EMPLOYEES ARE LISTED. MEETING MINUTES ARE MAINTAINED IN WRITTEN FORM. |
| GOVERNING DOCUMENTS DISCLOSURE EXPLANATION | FORM 990, PAGE 6, PART VI, LINE 19 | GOVERNING DOCUMENTS, POLICIES, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. |
| RELATED ORGANIZATIONS | FORM 990, PAGE 7, PART VII | DANIEL TRIPP WORKED 40 HOURS A WEEK FOR A RELATED ORGANIZATION. AMOUNT FROM ACTUAL PAYROLL RECORDS. JOSEPH ABDOO WORKED 40 HOURS A WEEK FOR A RELATED ORGANIZATION. AMOUNT FROM ACTUAL PAYROLL RECORDS. DAVID AUSTIN WORKED 40 HOURS A WEEK FOR A RELATED ORGANIZATION. AMOUNT FROM ACTUAL PAYROLL RECORDS. |
| OTHER CHANGES IN NET ASSETS EXPLANATION | FORM 990, PART XI, LINE 5 | CHANGES ARE EXPLAINED ON SCHEDULE D. |
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