Attach to Form 990 or 990-EZ.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at| Return Reference | Explanation |
|---|---|
| FORM 990, PAGE 2, PART III, LINE 4D | PROVIDING LIFE INSURANCE AND MEDICAL BENEFITS TO MEMBERS AND THEIR DEPENDENTS |
| FORM 990, PAGE 6, PART VI, LINE 3 | AN INDEPENDENT FIDUCIARY WAS APPOINTED BY THE COURT IN JUNE OF 2011 OF THE FUND. THE INDEPENDENT FIDUCIARY APPROVES ALL DISBURSEMENTS AND SUBMITS QUARTERLY FINANCIAL REPORTS TO THE COURT FOR APPROVAL. |
| FORM 990, PAGE 6, PART VI, LINE 6 | THE ORGANIZATION IS ORGANIZED WITH MEMBERS. |
| FORM 990, PAGE 6, PART VI, LINE 7A | THE INDEPENDENT FIDUCIARY WAS APPOINTED BY THE COURT IN JUNE 2011. THERE ARE NO ELECTION OF OFFICERS. |
| FORM 990, PAGE 6, PART VI, LINE 11B | A COPY OF THE ORGANIZATION'S FORM 990 IS AVAILABLE IN THE INDEPENDENT FIDUCIARY'S OFFICES FOR REVIEW BY THE GOVERNING BODY BEFORE AND AFTER FILING. |
| FORM 990, PAGE 6, PART VI, LINE 15A | THE INDEPENDENT FIDUCIARY SUBMITS INVOICES WITH A BREAKDOWN OF SERVICES RENDERED TO THE COURT AND US DEPARTMENT OF LABOR FOR THEIR REVIEW. AFTER THE INVOICES ARE DEEMED REASONABLE THE COURT THEN APPROVES PAYMENT OF INVOICES. |
| FORM 990, PAGE 6, PART VI, LINE 19 | GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC. |
| FORM 990, PART XI, LINE 9 | UNREALIZED GAIN ON INVESTMENTS 700 UNCASHED CLAIM CHECKS 70 |
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