Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| EXPLANATION FOR FORM 990, PAGE 2, PART III, LINE 4d | HEALTH RELATED REIMBURSEMENTS TO MEMBERS |
| EXPLANATION FOR FORM 990, PAGE 6, PART VI, LINE 6 | THE PARTICIPANTS OF THE HEALTH REIMBURSEMENT ARRANGEMENT FUNDED BY THE ORGANIZATION ARE MEMBERS OF THE ORGANIZATION. |
| EXPLANATION FOR FORM 990, PAGE 6, PART VI, LINE 7b | THE TRUSTEE, WHICH IS THE GOVERNING BODY OF THE TRUST, IS A DIRECTED TRUSTEE WHO TAKES CERTAIN DIRECTION REGARDING THE TRUST FROM THE PLAN ADMINISTRATOR (OR ITS DESIGNEE) AND THE MEMBERS. |
| FORM 990, PAGE 6, PART VI, LINE 11-DESCRIPTION OF PROCESS FOR REVIEW | THE TRUSTEE REVIEWS THE FORM 990 BASED UPON THE FINANCIAL RECORDS FOR THE YEAR. |
| EXPLANATION FOR FORM 990, PAGE 6, PART VI, LINE 9 | TRUSTEE: TRUST POINT INC, 230 FRONT STREET NORTH, LA CROSSE, WI 54601 |
| FORM 990, PAGE 6, PART VI, LINE 19 | THE ORGANIZATION MAKES GOVERNING DOCUMENTS AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST TO THE ORGANIZATION. THE INFORMATION IS THEN MAILED TO THE REQUESTING PARTY. |
| Software ID: | |
| Software Version: |