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
2019
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, PAGE 6, PART VI, LINE 11-DESCRIPTION OF PROCESS FOR REVIEW TIAA, FSB AS TRUSTEE IS RESPONSIBLE FOR PREPARATIONOF FORM 990 BASED ON THE INFORMATION CONTAINED IN OUR RECORDS.UPON COMPLETION, A COPY OF FORM 990 IS FORWARDED TO THE PLAN SPONSORFOR REVIEW AND APPROVAL. ONCE APPROVED, FORM 990 IS THEN FILED WITHTHE FEDERAL TAXING AUTHORITY BY THE REGULATORY DEADLINE.
FORM 990, PAGE 6, PART VI, LINE 19 THE ORGANIZATION MAKES ITS DOCUMENTS AND POLICIES AVAILABLE UPONREQUEST.
Form 990-EZ, Part I, Line 20 Unrealized Gains/Losses on Investme 42605
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2019


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