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 | TO PROVIDE HEALTH AND WELFARE BENEFITS TO MEMBERS AND DEPENDENTS |
| 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, 1246 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 18701-2715 ROSS MCCLELLAN 1945 LINCOLN HIGHWAY NORTH VERSAILLES, PA 15137 THOMAS D. JONES 15292 COVINGTON COURT MILTON, DE 19968 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 |
| FORM 990, PAGE 6, PART VI, LINE 11B | THE RETURN REVIEWED AND APPROVED BY THE CHAIRMAN OF THE BOARD OF TRUSTEES BEFORE FILING. |
| FORM 990, PAGE 6, PART VI, LINE 19 | NO DOCUMENTS AVAILABLE TO THE PUBLIC |
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