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 990-EZ 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
2016
Open to Public
Inspection
Name of the organization
EMPLOYER CONTRIBUTION VEBA TRUST LYCOMING
 
Employer identification number

04-3838455
Return Reference Explanation
Part II, Line 23-27 Update beginning and ending value for Cash, Savings, and Investments.
Part I, Line 20 Unrealized gain/loss on Investments
Part III, Organization's Primary Exempt Purpose Organization's Primary Exempt Purpose.
Form 990-EZ, Part I, Line 20 Unrealized Gains/Losses on Investme 2888
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2016


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