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
MSSA-ILA WELFARE PLAN
 
Employer identification number

63-0381144
Return Reference Explanation
FORM 990, PART VI, SECTION A, LINE 3 THE PLAN USES THE SERVICES OF A THIRD-PARTY PLAN ADMINISTRATOR, MILLETTE ADMINISTRATORS (T SHANNON MILLETTE) TO PERFORM ADMINISTRATIVE AND MANAGEMENT RESPONSIBILITIES ON BEHALF OF THE BOARD OF TRUSTEES.
FORM 990, PART VI, SECTION B, LINE 11B THE BOARD OF TRUSTEES ARE PROVIDED A COPY OF THE FORM 990 FOR REVIEW PRIOR TO FILING FORM 990.
FORM 990, PART VI, SECTION B, LINE 12C THE BOARD OF TRUSTEES IMPLEMENTED A POLICY OF REQUIRING PERIODIC REVIEWS TO BE CONDUCTED TO DETERMINE WHETHER AGREEMENTS CONFORM TO THE PLAN'S WRITTEN POLICIES. NO INSTANCES OF NONCOMPLIANCE WERE NOTED IN THE CURRENT YEAR.
FORM 990, PART VI, SECTION C, LINE 18 PARTICIPATING UNIONS ARE NOTIFIED THROUGH THEIR OFFICERS THAT FORM 990 IS AVAILABLE AT THE PLAN OFFICE FOR INSPECTION DURING NORMAL BUSINESS HOURS.
FORM 990, PART VI, SECTION C, LINE 19 OFFICERS OF PARTICIPATING UNIONS ARE NOTIFIED OF THE AVAILABILITY AT THE PLAN OFFICE FOR INSPECTION DURING NORMAL BUSINESS HOURS.
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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