Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| SIGNIFICANT CHANGES TO PROGRAM SERVICES | Form 990, Part III, Line 3 The Trust has ceased conducting all program services effective 12/31/2019. This change was a result of the Trust merging into another VEBA sponsored by Andersen Corporation. |
| DELEGATION OF MANAGEMENT DUTIES | FORM 990, PART VI, LINE 3 ANDERSEN CORPORATION EMPLOYEE BENEFICIARY ASSOCIATION ACTIVE HEALTH BENEFIT TRUST HAS DELEGATED MANAGEMENT DUTIES TO THE MANAGEMENT COMMITTEE. THE MANAGEMENT COMMITTEE, ESTABLISHED BY THE CORPORATION, HAS BEEN GIVEN ALL OF THE PLAN ADMINISTRATIVE AND CERTAIN PLAN SPONSOR (SETTLOR) AUTHORITY AND RESPONSIBILITY. |
| SIGNIFICANT CHANGES TO GOVERNING DOCUMENTS | Form 990, Part VI, Line 4 Representative leadership of Andersen Corporation signed a declaration of Merger and Termination on December 17, 2019 terminating the Voluntary Employee Beneficiary Association Health and Welfare Benefits Trust. The Vice President of the VEBA trustee, U.S. Bank National Association, also signed the declaration. This instrument went into effect as of December 31, 2019. |
| DOCUMENTATION OF MEETINGS HELD OR WRITTEN ACTIONS TAKEN | FORM 990, PART VI, LINE 8B NO SUCH COMMITTEE WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY EXISTS. |
| TRUSTEE WHO CANNOT BE REACHED AT THE TRUST'S MAILING ADDRESS | FORM 990, PART VI, LINE 9 THE TRUSTEE, U.S. BANK NATIONAL ASSOCIATION, CANNOT BE REACHED AT THE ORGANIZATION'S MAILING ADDRESS. CURRENT CONTACT INFORMATION FOR THE TRUSTEE IS: U.S. BANK NATIONAL ASSOCIATION, C/O LISA M. FOSTER, 60 LIVINGSTON AVENUE, ST. PAUL, MN 55107, (651)466-6259. |
| FORM 990 REVIEW PROCESS | FORM 990, PART VI, LINE 11B THE FINAL FORM 990 AND ITS VARIOUS SCHEDULES WERE PREPARED BY A NATIONAL CPA FIRM, AND REVIEWED BY THE KEY OFFICERS AND TRUSTEE OF THE TRUST. IDENTIFIED CHANGES WERE INCORPORATED PRIOR TO FILING FORM 990 WITH THE IRS. TO REVIEW THE FORM 990 FOR THIS TRUST, ANDERSEN CORPORATION AND THE TRUSTEE USED TEMPLATES TO ENSURE CONSISTENCY IN FILINGS FROM YEAR TO YEAR. THESE TEMPLATES DETAIL SOURCE DOCUMENTS FOR VARIOUS DATA FIELDS AND ARE BASED ON FORM 990 FILINGS PREPARED BY CONSULTANTS IN THE PAST. |
| CONFLICT OF INTEREST POLICY | FORM 990, PART VI, 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 POLICY 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, LINE 19 NO DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC. |
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