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 | PLAN IS A MULTIEMPLOYER FUND THAT PROVIDES PAYMENT OF MEDICAL, ACCIDENT & DENTAL BENEFITS FOR MEMBERS AND THEIR DEPENDENTS. |
| FORM 990, PAGE 6, PART VI, LINE 11B | THE FORM 990 WAS PRESENTED AT A BOARD MEETING FOR FORMAL APPROVAL PRIOR TO FILING. |
| FORM 990, PAGE 6, PART VI, LINE 12C | THE TRUSTEES ARE REQUIRED TO COMPLETE CONFLICT OF INTEREST STATEMENTS ANNUALLY. |
| FORM 990, PAGE 6, PART VI, LINE 19 | NO DOCUMENTS ARE DIRECTLY AVAILABLE TO THE PUBLIC. |
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