Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| FORM 990 - ORGANIZATION'S MISSION | THIS TRUST FUND IS A COLLECTIVELY BARGAINED TAFT-HARTLEY MULTIEMPLOYER HEALTH AND WELFARE PLAN. IT PROVIDES HEALTH AND WELFARE BENEFITS FOR PARTICIPANTS AND BENEFICIARIES WHO ARE ELIGIBLE UNDER THE TERMS OF THE TRUST AGREEMENT. |
| FORM 990, PAGE 6, PART VI, LINE 3 | YES TO JAS BENEFITS. |
| FORM 990, PAGE 6, PART VI, LINE 11B | THE BOARD OF TRUSTEES RETAINS AN INDEPENDENT CPA FIRM TO PERFORM AN ANNUAL AUDIT AND PREPARES THE ANNUAL TAX FORM 990. THE 990 IS REVIEWED BY THE BOARD OF TRUSTEES AND ONCE THE TRUSTEES ARE SATISFIED THAT THE RETURN IS COMPLETE AND ACCURATE THEY AUTHORIZE THE CPA TO ELECTRONICALLY FILE IT. |
| FORM 990, PAGE 6, PART VI, LINE 12C | THE TRUSTEES ATTEST IN WRITING THAT THEY DO NOT HAVE ANY CONFLICTS OF INTEREST OR DECLARE TO THE BOARD WHAT THE POTENTIAL CONFLICT IS SO THE TRUSTEES CAN REVIEW THE POTENTIAL CONFLICT. |
| FORM 990, PAGE 6, PART VI, LINE 19 | THE TRUST WILL PROVIDE A COPY OF ANY DOCUMENT WHICH IS OPEN FOR PUBLIC INSPECTION ONCE THEY RECEIVE A REQUEST. |
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