SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
IUPAT DISTRICT COUNCIL NO 11 HEALTH
FUND
Employer identification number

06-0683942
Return Reference Explanation
Form 990, Part VI, Line 11b: Form 990 Review Process The Form 990 was reviewed by the Trustee signing the return and legal counsel prior to filing the return. Form 990 was provided to the Organization's governing body via paper copy or email.
Form 990, Part VI, Line 19: Other Organization Documents Publicly Available The Organization's governing documents, instruments under which the organization is operated or established, and financial statements are available upon request, to participants, employers and others in accordance with the provisions of ERISA, but are not available to the general public.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2013

Additional Data


Software ID: 13000170
Software Version: 2013v4.0