Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| FORM 990, PAGE 1, PART I, LINE 1 | TO PROVIDE HEALTH AND WELFARE BENEFITS TO ELIGIBILE PARTICIPANTS AND DEPENDENTS. |
| FORM 990, PART VI, SECTION A, LINE 2 | RYAN ANDERSON, TRUSTEE, IS THE BROTHER OF AARON ANDERSON, FUND ADMINISTRATOR. |
| FORM 990, PART VI, SECTION A, LINE 6 | THE ORGANIZATION IS MADE UP OF ELIGIBLE PARTICIPANTS. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 IS REVIEWED BY THE CONTROLLER AND FUND ADMINISTRATOR. |
| FORM 990, PART VI, SECTION C, LINE 18 | THE ORGANIZATION MAKES ITS FORM 990 AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART VII CONTACT ADDRESSES FOR OFFICERS, DIRECTORS, ETC | WILLIAM NIELSEN - 1033 OLIVER AVENUE, AURORA, IL 60506. ROY DENNIS - 44W108 US HIGHWAY 20, HAMPSHIRE, IL 60140. KELLEY OATES - 3486 YALE BRIDGE DRIVE, ROCKTON, IL 61072. KURT HAND - 2216 W ALTORFER DR., PEORIA, IL 61615. |
| FORM 990, PAGE 12, PART XII, LINE 2C | THE PROCESS HAS NOT CHANGED FROM PRIOR YEAR FOR THE OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS OR SELECTION OF INDEPENDENT AUDITORS. |
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