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.
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OMB No. 1545-0047
2022
Open to Public
Inspection
Name of the organization
INTERNATIONAL ALLIANCE OF THEATRICAL STAGE
EMPLOYEES LO 33 HEALTH AND WELFARE TRUST FUND
Employer identification number

95-6125213
Return Reference Explanation
PARTS I, LINE 1 AND III, LINES 1 AND 4A: THE I.A.T.S.E. LOCAL NO. 33 HEALTH AND WELFARE FUND IS A MULTI-EMPLOYER HEALTH AND WELFARE BENEFIT PLAN PROVIDING MEDICAL, PRESCRIPTION, VISION, DENTAL, LIFE AND ACCIDENTAL DEATH AND DISMEMBERMENT BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS. THE PLAN PROVIDES MEDICAL AND PRESCRIPTION BENEFITS TO ELIGIBLE RETIREES AND THEIR DEPENDENTS.
PART VI, LINE 11B: FORM 990 IS DISTRIBUTED TO ALL TRUSTEES OF THE PLAN.
PART VI, LINE 12: THE BOARD OF TRUSTEES DECIDED NOT TO ADOPT A CONFLICT OF INTEREST POLICY BECAUSE THE PLAN IS GOVERNED BY TITLE I OF ERISA AND ITS PROVISIONS GOVERNING CONFLICTS OF INTEREST.
PART VI, LINE 15: MEMBERS OF THE GOVERNING BODY DO NOT RECEIVE COMPENSATION.
PART VI, LINE 19: THE PLAN DOCUMENT AND ANY OTHER GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE MAINTAINED AT THE PLAN OFFICE AND ARE AVAILABLE UPON REQUEST. ADDITIONALLY, COPIES OF FINANCIAL STATEMENTS ARE DISTRIBUTED TO THE TRUSTEES OF THE PLAN ON A REGULAR BASIS.
PART VII, SECTION A, LINE 1A, COLUMN E: ANY TRUSTEES' COMPENSATION FROM RELATED TAX-EXEMPT ORGANIZATION IS AVAILABLE ON THAT ORGANIZATION' FORM 990.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990) 2022


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