Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| FORM 990, PAGE 1, PART I, LINE 6 | VOLUNTEERS CONSIST OF UNCOMPENSATED BOARD OF TRUSTEES' MEMBERS. |
| FORM 990, PAGE 6, PART VI, LINE 3 | MANAGEMENT OF THE DAY-TO-DAY OPERATIONS HAS BEEN DELEGATED TO TIC INTERNATIONAL CORPORATION, A THIRD PARTY ADMINISTRATOR. |
| FORM 990, PAGE 6, PART VI, LINE 11B | THE CHAIRMAN OF THE BOARD OF TRUSTEES REVIEWS THE TAX RETURN BEFORE SIGNING AND APPROVING TO BE FILED. HE THEN PROVIDES AN UPDATE TO THE BOARD REGARDING THE STATUS. |
| FORM 990, PAGE 6, PART VI, LINE 19 | GOVERNING DOCUMENTS, POLICIES, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART XI, LINE 9 | CHANGE IN IBNR -94,000 CHANGE IN ACCUM. ELIGIBILITY CREDITS 606,000 CHANGE IN SUB 18,170 CHANGE IN DOLLAR BANK CREDITS 362,000 CHANGE IN HRA 22,000 TOTAL 914,170 PROJECTED ACTUARIAL CHANGES FOR THE HEALTH FUND BASED ON THE MOST RECENT ACTUARIAL VALUTATION PRIOR TO THE ISSUE OF THE FINANCIAL STATEMENTS. |
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