Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | THE TRUSTEE REVIEWS THE FORM 990 AFTER IT HAS BEEN PREPARED BY THE TRUST'S INDEPENDENT PUBLIC ACCOUNTING FIRM, PRIOR TO SUBMISSION. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE TRUST DOES NOT MAKE ITS GOVERNING DOCUMENTS AVAILABLE TO THE GENERAL PUBLIC. AS THE TRUST ONLY HOLDS ASSETS TO PAY FOR INSURANCE COVERAGE AND OTHER HEALTH BENEFITS FOR EMPLOYEES, THE TRUST HAS NOT ADOPTED A CONFLICT OF INTEREST POLICY FOR ITS TRUSTEES. |
| Software ID: | |
| Software Version: |