Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| FORM 990, PAGE 6, PART VI, LINE 3 | THE ORGANIZATION HAS DELEGATED MANAGEMENT OF ITS FINANCIAL OPERATIONS, PARTICIPANT ELIGIBILITY DETERMINATIONS, AND MEDICAL CLAIMS PROCESSING TO OTHER BUSINESS ENTITIES |
| FORM 990, PAGE 6, PART VI, LINE 7A | THE STOCKHOLDERS OF AGRI-BUSINESS BENEFIT GROUP, INC. HAVE THE RIGHT TO ELECT THE BOARD OF DIRECTORS OF THE PLAN. |
| FORM 990, PAGE 6, PART VI, LINE 7B | THE STOCKHOLDERS OF AGRI-BUSINESS BENEFIT GROUP, INC. WOULD HAVE THE RIGHT TO APPROVE THE BOARD OF DIRECTORS' DECISION TO DISSOLVE THE ORGANIZATION. |
| FORM 990, PAGE 6, PART VI, LINE 11B | THE FORM 990 AND SUPPORTING SCHEDULES WERE REVIEWED BY CATHERINE PARTINGTON, EXECUTIVE DIRECTOR, AND THE CONTRACT ADMINISTRATOR FOR THE PLAN. THIS REVIEW INCLUDED A REVIEW OF ALL OF THE QUESTIONS ON THE SUPPORTING SCHEDULES AND THE INFORMATION PERTAINING TO THE BOARD OF DIRECTORS. IN ADDITION, THE CONTRACT ADMINISTRATOR REVIEWED THE FINANCIAL INFORMATION REPORTED ON THE RETURN, COMPARING IT TO THE INFORMATION GENERATED INTERNALLY AND TO THE AUDITED FINANCIAL STATEMENTS. THESE REVIEWS WERE CONDUCTED PRIOR TO THE FILING OF THE FORM 990. |
| FORM 990, PAGE 6, PART VI, LINE 12C | THE BOARD OF DIRECTORS REVIEWS THE CONFLICT OF INTEREST POLICY ANNUALLY, AND ANY POTENTIAL CONFLICTS ARE DISCUSSED. |
| FORM 990, PAGE 6, PART VI, LINE 15A | THE BOARD REVIEWS THE EXECUTIVE DIRECTOR'S PERFORMANCE ANNUALY DURING THE LAST QUARTER OF THE PLAN YEAR. THEY COMPLETE AN EVALUATON FORM AND THEN REVIEW THAT WITH EXECUTIVE DIRECTOR AND REVIEW THEIR COMPENSATION AT THAT TIME. |
| FORM 990, PAGE 6, PART VI, LINE 19 | THE PLAN MAKES THE REQUIRED DOCUMENTS AVAILABLE UPON REQUEST. |
| FORM 990, PART XI, LINE 9 | CHANGES IN CLAIMS PAYABLE TO BENEFIT PROVIDERS -214,863 |
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