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 | WELFARE FUND FOR THE PURPOSE OF PROVIDING HEALTH,PRESCRIPTION, DENTAL, VISION AND LIFE INSURANCE FOR COVERED PARTICIPANTS. |
| FORM 990, PAGE 6, PART VI, LINE 11B | THE FORM 990 IS REVIEWED AND SIGNED BY THE ADMINISTRATIVE MANAGER OF THE FUND. IN ADDITION THE BOARD OF TRUSTEES OF THE FUND REVIEW AND APPROVE THE FILING AT THE NEXT REGULARLY SCHEDULED TRUSTEES MEETING. |
| FORM 990, PAGE 6, PART VI, LINE 15A | THE COMPENSATION OF THE ADMINISTRATIVE MANAGER IS SUBJECT TO THE REVIEW AND APPROVAL OF THE JOINT BOARD OF TRUSTEES. CURRENTLY THE ADMINISTRATIVE MANAGER IS NOT BEING COMPENSATED BY THE FUND. |
| FORM 990, PAGE 6, PART VI, LINE 19 | THE PLAN MAKES GOVERNING DOCUMENTS, POLICIES AND FINANCIAL STATEMENTS AVAILABLE TO PLAN PARTICIPANTS AS REQUIRED BY LAW. |
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