Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| Form 990, Part VI, Section B, Line 11b | The form 990 is reviewed by the Controller and an outside accounting firm before being filed with the IRS. |
| Form 990, Part VI, Section B, Line 12c | The conflict of interest policy is monitored and enforced as an integral part of the Pennsylvania Employees Benefit Trust Fund (PEBTF) corporate compliance program. As such, the corporate compliance office in conjunction with the corporate compliance committee has the primary responsibility for monitoring and enforcement of this policy. In addition, on an annual basis, the Human Resources department requires each employee to sign a conflict of interest statement which provides documentation of any actual or perceived conflict as well as reiterating the PEBTF's policy regarding conflicts of interest. |
| Form 990, Part VI, Section B, Line 15 | The process for determining compensation of the CEO is a process that includes the Compensation Committee of the Board of Directors, the Chair of the Finance Committee, and the Chair of the Board. (1) Independent salary survey information is provided to the Compensation Committee by the Director of Human Resources. (2) A formal review of the CEO is performed by the Chair of the Board comparing performance expectations to the actual performance for the year. (3) A performance increase is recommended by the Compensation Committee for an appropriate increase taking the salary survey range and performance into account. (4) In the eventthe CEO's salary falls significantly outside the independent salary survey range, either on the high or low side, additional information is sought prior to the development of the increase amount. The process of determining compensation for the other officers and key employees of the organization is performed by the CEO using the steps outlined above. |
| Form 990, Part VI, Section C, Line 19 | PEBTF's governing documents, conflict of interest policy, and financial statements are not generally made available to the public. However, if there is a written request for the above information, the request is reviewed by the CEO with assistance from corporate counsel, and a determination is made and rendered in writing to the requestor. |
| Form 990, Part XI, Line 9 | Change in benefit obligations of $369,670. |
| Software ID: | 18007995 |
| Software Version: | v1.00 |