Attach to Form 990 or 990-EZ.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at| Return Reference | Explanation |
|---|---|
| Pt VI, Line 2 | Boyd Sanders is a Trustee and is the father of |
| Pt VI, Line 2 | Alex Sanders a Trustee |
| Pt VI, Line 3 | The trustees have hired ERISA Administrators, LLC |
| Pt VI, Line 3 | a third party administrator to pay claims and handle |
| Pt VI, Line 3 | the day to day operations of the Fund. |
| Pt VI, Line 11b | Copies of Form 990 were provided to the Chairman and |
| Pt VI, Line 11b | Co-Chairman of the Board of Trustees prior to filing. |
| Pt VI, Line 19 | Form 990, governing documents and finacial statements |
| Pt VI, Line 19 | are made available to participants upon request. |
| Pt VI, Line 19 | No documents are available to the public. |
| Pt VI, Line 12c | Trustees annually sign a conflict of interest document. |
| Form 990, Part IX, Line 24e | Stop loss premiums 165939. 165939. |
| Form 990, Part IX, Line 24e | Case management fees 20851. 20851. |
| Form 990, Part IX, Line 24e | Preferred provider fees 384845. 384845. |
| Form 990, Part IX, Line 24e | Prescription admin fees 2144. 2144. |
| Software ID: | 15000272 |
| Software Version: |