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.
Attach to Form 990 or 990-EZ.
 Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2023
Open to Public
Inspection
Name of the organization
HAGADONE EMPLOYEE BENEFIT TRUST
 
Employer identification number

82-0364378
Return Reference Explanation
Form 990, Part III, Line 2 THE PLAN ENGAGED IN A 3 YEAR CONTRACTUAL RELATIONSHIP WITH PREMIER MEDICAL RESOURCES, INC (PMR) TO PROVIDE AN ONSITE MEDICAL CLINIC THAT PROVIDES A RANGE OF MEDICAL SERVICES TO EMPLOYEES AND THEIR DEPENDENTS. THE CLINIC IS STAFFED BY LICENSED HEALTHCARE PROFESSIONALS AND OFFERS SERVICES INCLUDING PRIMARY CARE, PREVENTATIVE CARE, AND WELLNESS PROGRAMS AT NO ADDITIONAL COST TO PLAN PARTICIPANTS
Form 990, Part VI, Section A, Line 2 ALL TRUSTEES ARE OFFICERS OF THE HAGADONE CORPORATION
Form 990, Part VI, Section B, Line 11b THE COMPLETED FORM 990 IS PROVIDED TO THE TRUSTEES FOR REVIEW PRIOR TO FILING
Form 990, Part VI, Section C, Line 19 No documents 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) 2023


Additional Data


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Software Version: 2023v5.1