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 3 | EFFECTIVE JANUARY 1, 2018, ALL FUNDING OF HEALTH AND WELFARE BEENFITS WERE PROCESSED THROUGH THE ANDEAVOR CAFETERIA PLAN." THE PLAN AND TRUST CEASED TO BE USED TO FUND AND PROVIDE PARTICIPANTS AND THEIR COVERED DEPENDENTS ONGOING, FURTHER BENEFITS, BUT DURING 2018, THE PLAN AND TRUST CONTINUED IN OPERATION SO AS TO PROCESS, PAY AND OTHERWISE RUN OUT CLAIMS INCURRED BY PARTICIPANTS AND THEIR COVERED DEPENDENTS (THE "RUN-OUT PROCESS"). THE RUN-OUT PROCESS WAS COMPETED PRIOR TO THE END OF 2018, SUCH THAT NO ASSETS REMAINED IN THE TRUST, NO ASSETS OF THE TRUST REMAINED, AND FURTHER, NO PLAN LIABILITIES REMAINED. |
| FORM 990, PART VI, SECTION B, LINE 11B | PRELIMINARY FORM 990 IS PREPARED AND PRESENTED TO ONE OF THE TRUSTEES FOR REVIEW PRIOR TO THE FINAL SIGNATURE AND SUBMISSION. AFTER THE RETURN HAS BEEN FILED A COPY OF THE RETURN WILL BE PRESENTED TO THE ENTIRE BOARD OF TRUSTEES. FORM 990, PART VI, LINE 12A: THE BOARD HAS NOT ADOPTED A CONFLICT OF INTEREST POLICY; HOWEVER, IF A CONFLICT WERE TO ARISE, IT WOULD BE HANDLED UNDER THE POLICY OF WESTERN REFINING, INC., A RELATED ORGANIZATION. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION'S ARTICLES OF INCORPORATION, BYLAWS, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON PROPER REQUEST TO THE PLAN'S COORDINATING OFFICER/TRUSTEE. |
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