SCHEDULE O
(Form 990)

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
2021
Open to Public
Inspection
Name of the organization
HASTINGS ISD 200 HRA 1050004849
 
Employer identification number

47-2053233
Return Reference Explanation
FORM 990, PAGE 6, PART VI, LINE 9 THE MATRIX TRUST COMPANY 717 17TH STREET, SUITE 1300 DENVER, CO 80202
FORM 990, PAGE 6, PART VI, LINE 11B THE ENTITY FILING THIS FORM 990 IS A HEALTH REIMBURSEMENT ACCOUNT (HRA), ORGANIZED UNDER SECTION 501(C)(9) OF THE INTERNAL REVENUE CODE. THE ORGANIZATION IS GOVERNED BY A TRUSTEE, A PLAN ADMINISTRATOR, AND THE GOVERNING BODY OF THE HASTINGS ISD 200 SCHOOL DISTRICT. THE ORGANIZATION DOES NOT HAVE A FORM ORGANIZATIONAL STRUCTURE, AS IT HAS NO EMPLOYEES AND IS MANAGED ENTIRELY BY THE ABOVE-MENTIONED PARTIES.
FORM 990, PAGE 6, PART VI, LINE 19 THE ENTITY DOES NOT HAVE GOVERNING DOCUMENTS, A CONFLICT OF INTEREST POLICY, OR FINANCIAL STATEMENTS THAT AVAILABLE TO THE PUBLIC.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990) 2021


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