Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| ALL OTHER ACCOMPLISHMENT DESCRIPTION | FORM 990, PAGE 2, PART III, LINE 4D | TO PROVIDE HEALTH AND WELFARE BENEFITS TO MEMBERS AND DEPENDENTS |
| OFFICERS WHO CANNOT BE REACHED | FORM 990, PAGE 6, PART VI, LINE 9 | JOSEPH R. NOKOVICH 521 HALDEMAN AVENUE NEW CUMBERLAND, PA 17070 MARK A. CUMMINGS 451 ADAMS AVENUE CANONSBURG, PA 15317 DAVID SHAW PO BOX 88, 1087 TAYLORSVILLE ROAD WASHINGTON CROSSING, PA 18977 J.J. CONNOR PO BOX 36 RANDOLPH, NY 14772 WILLIAM SANTA 1595 SMITH TOWNSHIP, STATE RD RTE 18 ATLASBURG, PA 15004 MICHAEL SAPORITO 20 EAST UNION ST REAR 1ST FL STE 120 WILKES-BARRE, PA 18701 THOMAS D. JONES 15292 COVINGTON COURT MILTON, DE 19968 RALPH LIPPART 618 INDIAN ROAD CLEARFIELD, PA 16830 JOSEPH M. PADAVAN 20 EAST UNION ST REAR 1ST FL STE 120 WILKES-BARRE, PA 18701 DEREK VANDERSLICE 1001 PAXTON STREET PO BOX 3331 HARRISBURG, PA 17105 |
| ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 | FORM 990, PAGE 6, PART VI, LINE 11B | THE RETURN REVIEWED AND APPROVED BY THE CO-CHAIRMAN OF THE BOARD OF TRUSTEES BEFORE FILING. |
| GOVERNING DOCUMENTS DISCLOSURE EXPLANATION | FORM 990, PAGE 6, PART VI, LINE 19 | NO DOCUMENTS AVAILABLE TO THE PUBLIC |
| OTHER CHANGES IN NET ASSETS EXPLANATION | FORM 990, PART XI, LINE 9 | UNREALIZED APPRECIATION IN FAIR VALUE OF INV 523,586 |
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