Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| FORM 990, PART V, LINE 3B | THIS AMOUNT WAS NOT REPORTED ON FORM 990-T AS THE AMOUNT REPRESENTS PAYMENT RECEIVED FROM PARTICIPANTS AND THE EMPLOYER OF THE PARTICIPATNS FOR HEALTH AND WELFARE COVERAGE. |
| FORM 990, PART VI, SECTION A, LINE 8B | THE TRUST HAS NO COMMITTEES. |
| FORM 990, PART VI, SECTION B, LINE 11B | BOTH TRUSTEES REVIEW THE 990 BEFORE SIGNING AND SENDING THE RETURN. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE TRUST DOES NOT HAVE THESE DOCUMENTS. |
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