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, Part VI, Line 11b: Form 990 Review Process | FORM 990 WAS SENT TO THE TRUSTEES FOR REVIEW. UPON APPROVAL A WAIVER IS SIGNED AUTHORIZING THE ELECTRONIC SUBMISSION OF THE FORM. |
| Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees | INCREASES IN COMPENSATION ARE APPROVED BY THE BOARD AND ARE COMPARED TO INDUSTRY STANDARDS. |
| Form 990, Part VI, Line 19: Other Organization Documents Publicly Available | UPON REQUEST GOVERNING DOCUMENTS, POLICIES AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC. |
| Part IX - Statement of Functional Expenses | Line 4 - Benefits Paid to or for membersMedical Claims per FS $262,451Prescription Claims per FS 98,111Dental Claims per FS 3,103Vision Claims per FS 35Health Claims Payable at 9/30/14 per FS (78,275)Health Claims Payable at 9/30/15 per FS 11,320Total Benefits Paid per 990 $296,745 |
| Part X - Balance Sheet | Line 25 - Other LiabilitiesDeferred Compensation Payable per FS - $51,815Health Claims Payable per 9/30/15 FS 11,320Total Other Liabilities $63,135 |
| Part XI - Reconciliation of Net Assets | Line 4 - Net Assets or Fund Balances at Beginning of YearNet Assets per 9/30/14 FS $8,300,192Health Claims Payable per 9/30/14 FS (78,275)Total per Line 4 of 990 $8,221,917 |
| Software ID: | 14000265 |
| Software Version: | 2014v6.0 |