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 B, LINE 11B | THE FORM 990 IS REVIEWED BY THE SIGNING OFFICER PRIOR TO FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | REQUIRES IMMEDIATE DISCLOSURE OF POTENTIAL CONFLICT OF INTEREST AND ANNUAL REVIEW OF THE CONFLICT OF INTEREST POLICY AND ANNUAL COMPLETION AND SIGNING OF CONFLICT AND ANNUAL REVIEW OF THE CONFLICT OF INTEREST POLICY AND ANNUAL SIGNING OF A CONFLICT OF INTEREST DISCLOSURE FORM. THE POLICY IS REVIEWED BY THE BOARD OF TRUSTEES ON AN ANNUAL BASIS. |
| FORM 990, PART VI, SECTION C, LINE 19 | ALL GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MAINTAINED THE OFFICES OF THE THIRD PARTY AMINISTRATOR (TPA) OFFICE, THESE DOCUMENTS ARE AVAILABLE UPON REQUEST DURING REGULAR BUSINESS HOURS. |
| FORM 990, PART XII, LINE 2C | THIS JOINT BOARD OF TRUSTEES OVERSEES THE AUDIT CONDUCTED BY THE INDEPENDENT OUTSIDE ACCOUNTING FIRM. NO CHANGES TO THE PROCEDURES NOTED IN THE CURRENT YEAR. |
| Software ID: | |
| Software Version: |