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 WAS PREPARED IN COORDINATION WITH THE EXECUTIVE DIRECTOR. ONCE COMPLETE, THE FORM WAS PROVIDED TO AND REVIEWED BY THE BOARD OF TRUSTEES PRIOR TO SUBMISSION. |
| FORM 990, PART VI, SECTION B, LINE 12C | CONFLICTS OF INTEREST ARE REQUIRED TO BE DISCLOSED ANNUALLY, ANY DISCLOSURES CAN BE MADE AT QUARTERLY TRUSTEE MEETINGS. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION'S GOVERNING DOCUMENTS, POLICIES AND FINANCIAL STATEMENTS ARE AVAILABLE TO ALL PARTICIPANTS UPON REQUEST. DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST TO THE EXTENT REQUIRED BY LAW. |
| FORM 990, PART VII, SECT A-COMPENSATION | DEREK DAVIS RECEIVES COMPENSATION IN HIS CAPACITY AS FUND DIRECTOR OF THIS ENTITY AND THE RELATED RETIREMENT PLAN. COMPENSATION IS PAID BY THE HEALTH FUND WITH REIMBURSEMENTS MADE ACCORDINGLY. THE HEALTH FUND PORTION OF THESE EXPENSES IS 44% ALLOCATED TO PLAN A AND 18% TO PLAN B. |
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