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
INT'L BROTHERHOOD OF ELECTRICAL
WORKERS LOCAL 17 WELFARE PLAN
Employer identification number

23-7080551
Return Reference Explanation
FORM 990 FORM 990, PART V- ADDITIONAL INFORMATION LINE 2A 58 ISSUED W-2'S REPRESENT DISABILITY PAYMENTS TO FUND PARTICIPANTS AS NOTED IN PART I, LINE 5, THE FUND DOES NOT HAVE EMPLOYEES.
FORM 990, PAGE 6, PART VI, LINE 11B FORM 990 IS PRESENTED AND APPROVED AT A MEETING OF THE BOARD OF TRUSTEES PRIOR TO FILING.
FORM 990, PAGE 6, PART VI, LINE 19 THE FUND IS ESTABLISHED AND MAINTAINED PURSUANT TO THE EMPLOYEE RETIREMENT SECURITY ACT OF 1974, AS AMENDED. IT OPERATES IN COMPLIANCE WITH THE REPORTING AND DISCLOSURE REQUIREMENTS OF SUBTITLE B, PART 1 OF ERISA WITH RESPECT TO DISCLOSURE OF ITS GOVERNING DOCUMENTS AND FINANCIAL INFORMATION. IT OPERATES IN COMPLIANCE WITH THE FIDUCIARY RESPONSIBILITY REQUIREMENTS OF SUBTITLE B, PART 4 OF ERISA. THE FUND DOES NOT HAVE A CONFLICT OF INTEREST POLICY.
FORM 990, PART XI, LINE 9 INCREASE IN RESERVE FOR EXTENDED ELIGIBILITY 646,000 INCREASE IN ESTIMATED CLAIMS PAYABLE 740,000
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

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