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
SOUTHERN CALIF SOFT DRINK INDUSTRY
HEALTH AND WELFARE TRUST FUND
Employer identification number

95-3248029
Return Reference Explanation
Form 990, Part VI, Section A, line 3 THE ORGANIZATION HAS DELEGATED MANAGEMENT DUTIES TO A THIRD-PARTY ADMINISTRATOR.
Form 990, Part VI, Section A, line 8b THE ORGANIZATION DOES NOT HAVE COMMITTEES WITH THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY.
Form 990, Part VI, Section B, line 11b A copy of Form 990 was presented to the trustees for review and signatures.
Form 990, Part VI, Section C, line 19 Summary Annual Reports are provided to all participants annually. SPD's and audited financial statements are available from the administrator upon request, as well as the DOL website.
Form 990, Part VII Contact Addresses for Officers, Directors, Etc APRIL PARKER - 6250 N RIVER RD, SUITE 9000, ROSEMONT, IL 60018. ERIN HALDORSON WEBER - 6250 N RIVER RD, SUITE 9000, ROSEMONT, IL 60018. PHILIP COOPER - 2050 LINCOLN AVENUE, PASADENA, CA 91103. GIL BALTAZAR - 731 EAST ARROW HIGHWAY #A, GLENDORA, CA 91740.
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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