Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| FORM 990, PART I, LINE 1: | A VOLUNTARY EMPLOYEE BENEFICIARY ASSOC TRUST TO PROVIDE ELIGIBLE EMPLOYEES WITH CERTAIN HEALTH BENEFITS SUCH AS HOSPITAL, MEDICAL, MENTAL HEALTH, PRESCRIPTION DRUGS AND SURGICAL CARE AND TO MANAGE FUNDS OF THE TRUST. |
| FORM 990, PART VI, SECTION A, LINE 8A | BECAUSE THE OFFICERS WORK FOR THE TRUST'S RELATED COMPANY, ALL ORGANIZATIONAL DECISIONS ARE MADE DURING THE NORMAL COURSE OF BUSINESS. THE MEETINGS WERE NOT CONSIDERED SEPARATE FROM THE DAILY OPERATIONS OF THE COMPANY AND THEREFORE WERE NOT DOCUMENTED. |
| FORM 990, PART VI, SECTION A, LINE 8B | NOT APPLICABLE - NO SEPARATE COMMITTEES |
| FORM 990, PART VI, SECTION B, LINE 11B | A COPY OF THE FORM 990 IS REVIEWED AND APPROVED BY THE CHIEF FINANCIAL OFFICER PRIOR TO FILING. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION'S GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE NOT AVAILABLE TO THE PUBLIC. THIS ENTITY IS A VEBA TRUST WHICH PROVIDES MEDICAL BENEFITS TO OR ON BEHALF OF THE EMPLOYEES OF THE PLAN SPONSOR WHICH IS A PRIVATE ENTERPRISE. THE FORM 990 IS AVAILABLE FOR REVIEW BY PLAN PARTICIPANTS. |
| FORM 990, PART XII, LINE 2C: | NO CHANGE FROM PRIOR YEAR |
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