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 EMPLOYEES WITH CERTAIN BENEFITS SUCH AS HEALTH (HOSPITAL, MEDICAL, MENTAL HEALTH, PRESCRIPTION DRUGS, DENTAL AND SURGICAL), LIFE INSURANCE, LONG-TERM DISABILITY, AND ACCIDENTAL DEATH & DISMEMBERMENT AND TO MANAGE FUNDS OF THE TRUST. |
| FORM 990, PART III, LINE 1: | A VOLUNTARY EMPLOYEE BENEFICIARY ASSOC TRUST TO PROVIDE EMPLOYEES WITH CERTAIN BENEFITS SUCH AS HEALTH (HOSPITAL, MEDICAL, MENTAL HEALTH, PRESCRIPTION DRUGS, DENTAL AND SURGICAL), LIFE INSURANCE, LONG-TERM DISABILITY, AND ACCIDENTAL DEATH & DISMEMBERMENT 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 DRAFT COPY OF THE 990 IS GIVEN TO THE TRUSTEES/OFFICERS, AT WHICH TIME THEY REVIEW AND APPROVE THE FORM 990. |
| 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 AND IS AVAILABLE TO THE PUBLIC. |
| FORM 990, PART XII, LINE 2C: | NO CHANGE FROM PRIOR YEAR |
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