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 - ORGANIZATION'S MISSION | THE FUND WAS CREATED, ESTABLISHED AND IS MAINTAINED FOR THE PURPOSE OF PROVIDING LIFE INSURANCE, ACCIDENT, HEALTH, HOSPITALIZATION, SURGICAL, MEDICAL, AND RELATED EXPENSE BENEFITS AND SUCH OTHER WELFARE BENEFITS AS THE BOARD OF TRUSTEES MAY DECIDE FOR PARTICIPANTS AND THIER DEPENDENTS AND/OR BENEFICIARIES AND DEFRAYING THE REASONABLE EXPENSES OF ADMINISTRATION AND OPERATION OF THE FUND. |
| FORM 990, PART VI | LINE 2 - FAMILY RELATIONSHIP OR BUSINESS RELATIONSHIP - THE RELATIONSHIP BETWEEN THE TRUSTEES OF THE FUND IS A "BUSINESS RELATIONSHIP". THE FUND IS ESTABLISHED AND MAINTAINED PURSUANT TO THE EMPLOYEE RETIREMENT INCOME SECURITY ACT OF 1974, AS AMENDED. THE FUND, AS A TAFT-HARTLEY FUND, IS ADMINISTERED BY A BOARD OF TRUSTEES WHICH IS COMPOSED OF AN EQUAL NUMBER OF UNION AND EMPLOYER REPRESENTATIVES. BECAUSE OF THIS ORGANIZATIONAL REQUIREMENT, THERE IS A BUSINESS RELATIONSHIP BETWEEN THE TRUSTEES. LINE 12B - ANNUALLY EACH TRUSTEE MUST ANSWER THE FIDUCIARY LIABILITY INSURANCE RENEWAL QUESTIONAIRE, WHICH CONTAINS QUESTIONS REGARDING POTENTIAL AND ACTUAL CONFLICTS OF INTEREST. |
| FORM 990, PAGE 6, PART VI, LINE 4 | THE BOARD OF TRUSTEES ADOPTED AMENDMENTS TO THE PLAN: TO REFLECT ITS STATUS AS A "GRANDFATHERED GROUP HEALTH PLAN" UNDER THE AFFORDABLE CARE ACT; TO CLARIFY THAT A PARTICIPANT MAY DISENROLL AND RE-ENROLL DEPENDENTS; TO DEMONSTRATE THE COMPLIANCE OF THE FUND'S HRA WITH ACA REQUIREMENTS REGARDING "INTEGRATION" WITH ANOTHER HEALTH PLAN; AND TO INCREASE THE AMOUNT OF THE LOSS-OF-TIME BENEFITS. |
| FORM 990, PAGE 6, PART VI, LINE 11B | THE FORM 990 IS PRESENTED AND APPROVED AT A MEETING OF THE BOARD OF TRUSTEES, SUBJECT TO REVIEW BY AND APPROVAL OF THE FUND LEGAL COUNSEL. IN ADDITION, EACH TRUSTEE IS PROVIDED A COPY OF THE FUND'S FINAL FORM 990 (INCLUDING REQUIRED SCHEDULES), AS ULTIMATELY FILED WITH THE IRS. |
| FORM 990, PAGE 6, PART VI, LINE 19 | THE FUND IS ESTABLISHED AND MAINTAINED PURSUANT TO THE EMPLOYEE RETIREMENT SECURITY ACT OF 1974, AS AMENDED. IT OPERATES IN COMPLIANCE WITH THE REPORTING AND DISCLOSURE REQUIREMENTS OF SUBTITLE B, PART 1 OF ERISA WITH RESPECT TO DISCLOSURE OF ITS GOVERNING DOCUMENTS AND FINANCIAL INFORMATION. IT OPERATES IN COMPLIANCE WITH THE FIDUCIARY RESPONSIBILITY REQUIREMENTS OF SUBTITLE B, PART 4 OF ERISA. |
| FORM 990, PART VII | LINE 1A - ROBERT DONALDSON AND MARK VANAVERY SERVED AS TRUSTEES OF THE FUND WITHOUT COMPENSATION FROM THE FUND FOR THOSE SERVICES. HOWEVER, THEY WERE COMPENSATED AS EMPLOYEES OF THE SHEET METAL WORKERS' LOCAL UNION NO. 292, WHICH WAS A CONTRIBUTING EMPLOYER TO THE FUND AND, AS SUCH, A "RELATED ORGANIZATION" AS THAT TERM IS DEFINED IN THE INSTRUCTIONS. |
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