Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| FORM 990, PART III, LINE 1: | TO PROVIDE HEALTH BENEFITS (MEDICAL, DENTAL, EAP AND VISION) FOR ELIGIBLE EMPLOYEES OF THE EMPLOYER AND THEIR DEPENDENTS. ALL COVERED EMPLOYEES ARE ALSO ELIGIBLE TO RECEIVE LIFE INSURANCE BENEFITS. FORM 990, PART VI, LINE 11B: THE FORM 990 WAS REVIEWED BY THE TRUSTEES. FORM 990, PART VI, LINE 12C: IN CASE OF A CONFLICT OF INTEREST ISSUE, THE GOVERNING BOARD WOULD REVIEW THE SITUATION. THERE HAVE BEEN NO KNOWN CONFLICTS OF INTEREST FOR THE YEAR ENDED DECEMBER 31, 2018. FORM 990, PART VI, LINE 19: THE PLAN WILL PROVIDE THE GOVERNING DOCUMENTS, POLICIES AND FINANCIAL STATEMENTS TO ANY PARTICPANT WHO REQUESTS THIS INFORMATION IN WRITING. THIS INFORMATION CAN BE OBTAINED IN THE FORM OF PDF DOCUMENTS. |
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