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
HASTINGS ISD 200 HRA 1050004849
 
Employer identification number

47-2053233
Return Reference Explanation
FORM 990, PART VI, SECTION A, LINE 8A THE GOVERNING BODY CONSISTS OF THE CONTRIBUTING EMPLOYER ONLY, WHO EXECUTES ALL DECISION-MAKING AUTHORITY OVER THE ORGANIZATION BASED ON ITS OWN, INTERNALLY DETERMINED DECISION-MAKING AUTHORITY. AS SUCH, NO MEETINGS OF THE GOVERNING BODY ARE REQUIRED.
FORM 990, PART VI, SECTION A, LINE 8B THE GOVERNING BODY CONSISTS OF THE CONTRIBUTING EMPLOYER ONLY, WHO EXECUTES ALL DECISION-MAKING AUTHORITY OVER THE ORGANIZATION BASED ON ITS OWN, INTERNALLY DETERMINED DECISION-MAKING AUTHORITY. AS THE GOVERNING BODY, THE CONTRIBUTING EMPLOYER HAS ELECTED NOT TO DELEGATE ANY PART OF ITS DECISION-MAKING AUTHORITY TO ONE OR MORE COMMITTEES, AND THEREFORE, NO MEETINGS OF COMMITTEES OCCUR.
FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WAS PREPARED BY THE PLAN ADMINISTRATOR (ONEBRIDGE BENEFITS INC.)DRAFT COPIES OF THE FORM 990 WERE FIRST PROVIDED TO THE REPRESENTATIVES OF THE CONTRIBUTING EMPLOYER (THE GOVERNING BODY) FOR THEIR REVIEW. ANY QUESTIONS OR CONCERNS RAISED BY THE REPRESENTATIVES WERE ADDRESSED AND ANY NECESSARY REVISIONS WERE MADE TO THE FORM 990. THE FINAL VERSION OF THE FORM 990 WAS PROVIDED TO THE INSTITUTIONAL TRUSTEE FOR FINAL REVIEW AND APPROVAL TO FILE.
FORM 990, PART VI, SECTION C, LINE 19 THE ENTITY DOES NOT HAVE A CONFLICT OF INTEREST POLICY OR FINANCIAL STATEMENTS THAT ARE AVAILABLE TO THE PUBLIC. GOVERNING DOCUMENTS ARE RETAINED BY THE CONTRIBUTING EMPLOYER, WHICH SERVES AS THE GOVERNING BODY FOR THE ORGANIZATION, AND A THIRD-PARTY ADMINISTRATOR WHO PROVIDES NON-DISCRETIONARY, MINISTERIAL ADMINISTRATIVE SERVICES FOR THE ORGANIZATION AND THE BENEFIT PLAN FUNDED THROUGH THE ORGANIZATION. GOVERNING DOCUMENTS, AND FORMS 1024, 990, AND 990-T (AS APPLICABLE) FOR THE ORGANIZATION ARE AVAILABLE TO PLAN PARTICIPANTS UPON REQUEST MADE DIRECTLY TO THE CONTRIBUTING EMPLOYER OR BY CALLING THE CUSTOMER CARE CENTER FOR THE THIRD PARTY ADMINISTRATOR AT 1-888-865-1628.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990) 2023


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