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 A, LINE 8B | THE ORGANIZATION HAS NO COMMITTEES WITH THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 IS PROVIDED TO THE GOVERNING BODY (BOARD OF TRUSTEES) FOR THEIR REVIEW. AFTER THEIR REVIEW THE FORM IS APPROVED AND FILED. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE FUND HAS A CONFLICT OF INTEREST POLICY TO HELP ENSURE THAT ANY ACTUAL OR POTENTIAL CONFLICTS OF INTEREST ARE DISCLOSED AND ADDRESSED ON A TIMELY BASIS. IT IS THE DUTY OF THE FUND TRUSTEES AND EMPLOYEES TO IDENTIFY ACTUAL OR POTENTIAL CONFLICTS. IN CONNECTION WITH AN ACTUAL OR POTENTIAL CONFLICT, THE PARTY-IN-INTEREST (OR INTERESTED PARTY) WILL IMMEDIATELY DISCLOSE TO THE BOARD OF TRUSTEES THE EXISTENCE OF SUCH CONFLICT. UPON DISCLOSURE, THE BOARD OF TRUSTEES WILL DETERMINE IF THERE IS IN FACT A CONFLICT. THE BOARD OF TRUSTEES MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST AT THE FUND OFFICE. |
| FORM 990, PAGE 1 LINE 5, PAGE 5 LINE 2A AND PAGE 10 LINE 24 | THE REPORTING ENTITY SHARES AN EMPLOYEE WITH PLUMBERS LOCAL UNION NO. 210. THE PAYROLL TAX FILINGS AND FORM W-2 FOR THESE WAGES ARE FILED BY THE LOCAL UNION. THE WELFARE FUNDS SHARE OF SALARY AND RELATED EXPENSES FOR THIS EMPLOYEE APPEARS ON PAGE 10, LINE 24 AS SHARED EMPLOYEE. THE NUMBER OF EMPLOYEES REPORTED ON W-3 FOR PART V QUESTION 2A INCLUDES THE NUMBER OF PLAN PARTICIPANTS WHO RECEIVED THIRD PARTY SICK PAY FROM THIS FUND DURING THE YEAR. |
| Software ID: | |
| Software Version: |