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 PROVIDES HEALTH BENEFITS FOR ALL EMPLOYEES AND ELIGIBLE RETIREES OF THE CITY OF PHILADELPHIA AND/OR ANY AGENCY OF THE CITY OF PHILADELPHIA AND OF ANY OTHER PUBLIC EMPLOYER WHO IS THE PARTY TO A COLLECTIVE BARGAINING AGREEMENT WITH AFSCME DISTRICT COUNCIL 47. |
| FORM 990, PAGE 2, PART III, LINE 4D | VISION PLAN BENEFITS |
| FORM 990, PAGE 6, PART VI, LINE 9 | MARSHA GREEN-JONES 1401 JFK BLVD. SUITE 1530 PHILADELPHIA, PA 19102 |
| FORM 990, PAGE 6, PART VI, LINE 11B | 990 FORM IS PREPARED BY ACCOUNTING FIRM, EMAILED TO BOARD MEMBERS FOR THEIR REVIEW PRIOR TO FILING. |
| FORM 990, PAGE 6, PART VI, LINE 12C | IF THE DISCLOSED MATTER IS CONFIRMED AS A CONFLICT OF INTEREST, THE TRUSTEE IN QUESTION WILL RECUSE HIMSELF OR HERSELF FROM ACTING IN CONNECTION WITH THE CONFLICT. THIS MEANS THAT THE TRUSTEE MAY NOT VOTE OR OTHERWISE PARTICIPATE IN ANY DECISION WITH RESPECT TO SUCH ADVERSE PERSON OR ENTITY. THE CHAIR OR ADMINISTRATOR, OR THE FULL BOARD OF TRUSTEES, AS APPROPRIATE,WILL TAKE ALL STEPS NECESSARY UNDER THE CIRCUMSTANCES TO PROTECT THE FUND, ITS PARTICIPANTS AND BENEFICARIES. |
| FORM 990, PAGE 6, PART VI, LINE 15A | COMPENSATION OF CEO/DIRECTOR IS ESTABLISHED BY THE FINANCIAL PRACTICES AND PERSONNEL COMMITTEE OF DISTRICT COUNCIL 47 AND APPROVED BY THE EXECUTIVE BOARD OF DISTRICT COUNCIL 47. |
| FORM 990, PAGE 6, PART VI, LINE 19 | GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE GENERAL PUBLIC BY REQUEST TO THE ADMINISTRATIVE OFFICES OF THE ORGANIZATION AT THE ADDRESS AND PHONE NUMBER LISTED ON THE 990 FORM. |
| FORM 990, PART XI, LINE 9 | REIMBURSEMENT OF OCCUPANCY EXPENSE -60,000 TOTAL -60,000 |
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