Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| BUSINESS AND FAMILY RELATIONSHIPS | FORM 990, PART VI, SECTION A, LINE 2 BRUCE W. ENGELSMA AND DANIEL W. ENGELSMA HAVE A FAMILY RELATIONSHIP. |
| DELEGATING CONTROL BY ORGANIZATION | FORM 990, PART VI, SECTION A, LINE 3 THE DAY TO DAY OPERATIONS OF THE PLAN ARE DELEGATED TO THE PLAN ADMINISTRATOR. THE PLAN ADMINISTRATOR IS EITHER AN EXTERNAL THIRD PARTY OR KRAUS-ANDERSON COMPANIES, INC. AND HEALTH PARTNERS. |
| CHANGES TO GOVERNING DOCUMENTS | FORM 990, PART VI, LINE 4 DURING 2018, THE BOARD OF DIRECTORS APPROVED SEVERAL CHANGES TO THE HEALTH CARE PLAN DOCUMENTS. THESE CHANGES INCLUDED THE FOLLOWING: -EXTENDED COVERAGE FOR ELIGIBLE PARTICIPANTS THROUGH THE END OF THE MONTH IN WHICH THE PARTICIPANTS ARE NO LONGER ELIGIBLE FOR HEALTH CARE PLAN BENEFITS -EMPLOYER-SPONSORED BENEFIT PLANS WILL BEGIN ON THE FIRST DAY OF THE MONTH FOLLOWING ELIGIBLE EMPLOYEES' DATE OF HIRE -UPDATED PLANS FOR USE OF FLEXIBLE SPENDING ACCOUNT FUNDS -APPROVAL OF CONTRACT ESTABLISHING NO RATE INCREASES FOR EMPLOYER AND EMPLOYEE HEALTH CARE PREMIUMS -APPROVAL OF NEW EMPLOYEE BENEFITS |
| MEMBERS OR STOCKHOLDERS ELECTING MEMBERS OF GOVERNING BOARD | FORM 990, PART VI, LINE 7A KRAUS-ANDERSON COMPANIES, INC. HAS THE AUTHORITY TO APPOINT THE CO-TRUSTEES OF THE ADMINISTRATIVE COMMITTEE WHICH HAVE THE FIDUCIARY RESPONSIBILITY FOR MANAGEMENT OF THE PLAN AND INVESTMENTS WORKING WITH THE INVESTMENT MANAGER. |
| FORM 990 REVIEW PROCESS | FORM 990, PART VI, SECTION B, LINE 11B KRAUS-ANDERSON INCORPORATED HEALTH CARE PLAN FORM 990 IS PREPARED BY AN OUTSIDE ACCOUNTING FIRM. THE RETURN IS THEN REVIEWED BY THE CHIEF FINANCIAL OFFICER OF KRAUS-ANDERSON COMPANIES, INC. A COPY OF THE RETURN IS DISTRIBUTED TO THE TRUSTEES PRIOR TO FILING. |
| CONFLICT OF INTEREST POLICY | FORM 990, PART VI, SECTION B, LINE 12A THE PLAN WILL ADOPT ALL RULES AND PROCEDURES OF THE PLAN ADMINISTRATOR (KRAUS-ANDERSON COMPANIES, INC.). |
| MONITORING & ENFORCEMENT POLICIES | FORM 990, PART VI, SECTION B, LINE 12C THE TRUSTEE HAS ADOPTED A CODE OF BUSINESS CONDUCT AND ETHICS THAT INCLUDES A SECTION ON CONFLICT OF INTEREST. THE TRUSTEE REQUIRES KEY STAFF MEMBERS TO ANNUALLY (A) DISCLOSE THEIR OUTSIDE CONNECTIONS AND OWNERSHIP INTEREST IN A CONFLICT OF INTEREST DISCLOSURE AND RETURN IT TO THE OFFICE OF THE GENERAL COUNSEL AND (B) AFFIRM THAT THEY HAVE REVIEWED AND ARE IN COMPLIANCE WITH A NUMBER OF THE TRUSTEE'S POLICIES INCLUDING THE CODE OF BUSINESS CONDUCT AND ETHICS AND ITS GUIDELINES RELATING TO STANDARDS OF CONDUCT, WHICH ALSO INCLUDES A SECTION ON CONFLICTS OF INTEREST. POTENTIAL CONFLICTS OF INTEREST ARE DISCLOSED IMMEDIATELY. |
| HOW DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC | FORM 990, PART VI, SECTION C, LINE 19 FINANCIAL STATEMENTS AND GOVERNING DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. THE CONFLICT OF INTEREST POLICY, WHISTLE BLOWER POLICY, AND DOCUMENT RETENTION AND DESTRUCTION POLICY ARE NOT AVAILABLE TO THE PUBLIC, AS THESE ARE ADOPTED FROM THE PLAN ADMINISTRATOR. |
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