Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| Part VI Line 1a | Voting members are elected to the Executive Board each year at the Annual |
| Part VI Line 1a | Convention. They are responsible for managing the affairs of the Society. |
| Part VI Line 2 | Two members of the Executive Board are related (father & daughter) |
| Part VI Line 6 | All policyholders are members and share the same rights. |
| Part VI Line 7a | Policyholders elect delegates to the annual convention, who serve as the |
| Part VI Line 7a | governing body. |
| Part VI Line 11b | This form was provided to the Executive Board for review/approval at their |
| Part VI Line 11b | March 2021 meeting. |
| Part VI Line 12c | All directors and employees are required to submit a signed affidavit |
| Part VI Line 12c | annually. Activities of each individual are monitored. |
| Part VI Line 15a or b | High Secretary - Treasurer |
| Part VI Line 19 | Upon request |
| Part VI Line 2 | Two members of the Executive Board are related (father & daughter) |
| Part VI Line 6 | We are a fraternal benefit society that is organized as non-stock |
| Part VI Line 6 | nonprofit corp. with members/policyholders. They have the right to |
| Part VI Line 6 | participate in the Society's governance. member elect delegates |
| Part VI Line 6 | to the annual convention, who serve as the governing body. |
| Part VI Line 7a | Same response as Question 6 |
| Part VI Line 7b | Same response as Question 6 |
| Part VI Line 11b | High Secretary - Treasurer reviewed with the Executive Board |
| Part VI Line 12c | All directors and employees are required to submit a signed affidavit |
| Part VI Line 12c | annually. Activities of each individual are monitored by the |
| Part VI Line 12c | High Secretary - Treasurer, Council and the Executive Board. |
| Part VI Line 15a | Salary figures are submitted to the delegates at the annual convention for |
| Part VI Line 15a | approval. The salaries submitted are comparable to other salaries of |
| Part VI Line 15a | similar positions at other fraternal benefit societies. |
| Part XII Line 2b | The Society is exempt under MA Insurance Department regulations |
| Part XII Line 2b | from having to prepare an audited statement. MA is the Society's |
| Part XII Line 2b | state of domicile. |
| Software ID: | 20011376 |
| Software Version: | ta20mefv1.0 |