Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| ALL OTHER ACCOMPLISHMENT DESCRIPTION | FORM 990, PAGE 2, PART III, LINE 4D | EXPENSES USED TO PROVIDE MEDICAL, VISION & DENTAL BENEFITS TO PARTICIPANTS |
| ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 | FORM 990, PAGE 6, PART VI, LINE 11B | A COPY OF THE 990 WAS SENT TO THE PLAN'S TRUSTEES FOR THEIR REVIEW AND APPROVAL PRIOR TO THE FILING OF THE RETURN |
| GOVERNING DOCUMENTS DISCLOSURE EXPLANATION | FORM 990, PAGE 6, PART VI, LINE 19 | UPON REQUEST |
| Software ID: | |
| Software Version: |