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 | PROVIDED HEALTH AND WELFARE BENEFITS FOR 8073 PLAN PARTICIPANTS AND THEIR ELIGIBLE DEPENDENTS. |
| FORM 990, PART V | FORM 990, PART V, LINE 2A - NUMBER OF W-3 EMPLOYEES THE FORM W-3 INCLUDED 14 EMPLOYEES OF THE ITPEU HEALTH AND WELFARE FUND AS WELL AS 775 PARTICIPANTS TO WHOM THE FUND PAID DISABILITY BENEFITS DURING THE YEAR. FORM 990, PART V, LINE 1A - NUMBER REPORTED IN BOX 3 FORM 1096 THE 2018 FORM 1096 INCLUDED 633 MEDICAL PROVIDERS OF THE ITPEU HEALTH AND WELFARE FUND TO WHOM THE FUND PAID DEATH BENEFITS AS WELL AS 1 INDEPENDENT CONTRACTORS WHO PROVIDED SERVICES TO THE FUND. |
| FORM 990, PART VI | FORM 990, PART VI, LINE 12A - CONFLICT OF INTEREST POLICY THE ORGANIZATION IS SUBJECT TO THE EMPLOYEES RETIREMENT INCOME SECURITY ACT OF 1974 WHICH CONTAINS CONFLICT OF INTEREST RESTRICTIONS. |
| FORM 990, PAGE 6, PART VI, LINE 11B | THE ADMINISTRATOR, ACCOUNTANT, ATTORNEY AND THE BOARD OF DIRECTORS REVIEW THE FORM 990 BEFORE IT IS FILED. |
| FORM 990, PAGE 6, PART VI, LINE 15A | BOARD OF TRUSTEES DETERMINES COMPENSATION FOR PLAN ADMINISTRATOR. |
| FORM 990, PAGE 6, PART VI, LINE 15B | BOARD OF TRUSTEES DETERMINES COMPENSATION FOR THE PLAN'S ACCOUNTANT. |
| FORM 990, PAGE 6, PART VI, LINE 19 | THE FORM 990 IS AVAILABLE TO THE PUBLIC ON THE GUIDESTAR WEBSITE, WWW.GUIDESTAR.ORG. OTHER GOVERNING DOCUMENTS ARE MADE AVAILABLE UPON WRITTEN REQUEST. |
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