Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| FORM 990, PAGE 2, PART III, LINE 4D | LIFE INSURANCE PREMIUMS AND DISABILITY PAYMENTS |
| FORM 990, PAGE 6, PART VI, LINE 3 | MANAGEMENT OF THE PLAN IS PROVIDED BY A THIRD PARTY ADMINISTRATOR UNDER THE DIRECTION OF THE BOARD. |
| FORM 990, PAGE 6, PART VI, LINE 11B | FORM 990 WAS REVIEWED BY THE FINANCE COMMITTEE PRIOR TO FILING. COPIES OF THE COMPLETED FORM WILL BE DISTRIBUTED TO BOARD MEMBERS PRIOR TO THE NEXT BOARD MEETING. |
| FORM 990, PAGE 6, PART VI, LINE 19 | DOCUMENTS AND STATEMENTS ARE AVAILABLE UPON REQUEST. |
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