Attach to Form 990 or 990-EZ.| Identifier | Return Reference | Explanation |
|---|---|---|
| DECISIONS SUBJECT TO APPROVAL OF MEMBERS | FORM 990, PAGE 6, PART VI, LINE 7B | TRUSTEES HAVE APPOINTED A HEALTH BENEFITS COMMITTEE THAT APPROVES CHANGES TO BENEFITS AND PROVIDERS. THE TRUSTEES ARE ALSO MEMBERS OF THE COMMITTEE. |
| ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 | FORM 990, PAGE 6, PART VI, LINE 11B | A DRAFT COPY OF THE FORM 990 IS REVIEWED AND APPROVED BY THE TRUSTEES. |
| GOVERNING DOCUMENTS DISCLOSURE EXPLANATION | FORM 990, PAGE 6, PART VI, LINE 19 | CONTACT INFORMATION FOR TRUSTEE DIRK DAVELINE IS AVAILABLE AT FRONT DESK AND EMPLOYEE BULLETIN BOARDS, FOR VIEWING OF PUBLIC DOUCMENTS. |
| RECONCILIATION OF CHANGES - OTHER | FORM 990, PART XI, LINE 9 | INSURANCE AND REINSURANCE PREMIUMS CONTRIBUTED BY PLAN 987,449 SPONSOR FROM OTHER FUNDS THAN VEBA TRUST 0 TIMING DIFFERENCES - AUDIT ON CALENDAR YEAR, 990 ON FISCAL -719,986 INSURANCE AND REINSURANCE PREMIUMS PAID BY PLAN SPONSOR -987,449 FROM OTHER FUNDS THAN VEBA TRUST 0 TIMING DIFFERENCES - AUDIT ON CALENDAR YEAR, 990 ON FISCAL 678,119 |
| OTHER CHANGES IN NET ASSETS EXPLANATION | FORM 990, PART XI, LINE 9 | NET DECREASE FROM AUDITED FINANCIALS DUE TO TIMING 41,867 |
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