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 Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2017
Open to Public
Inspection
Name of the organization
Alaska Pipe Trades UA 367 Health and
Security Plan
Employer identification number

92-0035263
Return Reference Explanation
Form 990, Part VI, Line 3: Description of Delegated Duties to Management Company the day to day operations of the trust were performed by a professional management company
Form 990, Part VI, Line 11b: Form 990 Review Process No review was or will be conducted.
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts Monitors expenses and activities of members of the governing body.
Form 990, Part VI, Line 19: Other Organization Documents Publicly Available Plan information is made available upon request.
Other Changes In Net Assets Or Fund Balances - Other Increases Change in accumulated eligibility credits = $1020000
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2017


Additional Data


Software ID: 17005038
Software Version: 2017v2.2