2017-01-11T14:28:54-06:00 2016-05-31 450250958 EIDE BAILLY LLP 5929 S FASHION POINTE DR STE 300 OGDEN UT 84403 990 2015-06-01 206002062 THE OVERLAND WEST INC WELFARE BENEFIT TRUST OVER 8013375231 2805 WASHINGTON BLVD OGDEN UT 84401 ERIK PETERSEN VICE PRESIDENT 8013375231 2017-01-10 1 SKIP SCHENCK CPA P01695065 8016211575 2015 2021-01-29 14:40:06Z ERIK PETERSEN 2805 WASHINGTON BLVD OGDEN UT 84401 2586404 0 X N/A X 2003 UT TO PROVIDE BENEFITS TO EMPLOYEES OF OVERLAND 4 0 0 0 0 0 0 0 2485046 2586404 0 0 0 0 2485046 2586404 0 0 1985118 1921515 0 0 0 0 0 151984 154401 2137102 2075916 347944 510488 1529541 2037445 2584 0 1526957 2037445 TO PROVIDE BENEFITS TO EMPLOYEES OF OVERLAND. 0 0 1921515 2586404 PROVIDE STATED BENEFITS 1921515 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 X 4 0 1 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 UT X CLAUDIA ALLRED 8013375231 2805 WASHINGTON BLVD OGDEN UT 84401 X JERRY H PETERSEN TRUSTEE 0.00 X 0 0 0 MORGAN KEYES TRUSTEE 0.50 X 0 0 0 CLAUDIA ALLRED TRUSTEE 0.50 X 0 0 0 TREVOR STEENBLK TRUSTEE 0.50 X 0 0 0 ERIK PETERSEN TRUSTEE 0.50 X 0 0 0 0 0 0 0 0 0 0 MERITAIN HEALTH 4246 S RIVERBOAT RD STE 200 TAYLORSVILLE UT 84123 PREMIUMS AND CLAIMS 2068765 1 EMPLOYER CONTRIBUTIONS 900099 1959943 1959943 EMPLOYEE CONTRIBUTIONS 900099 626461 626461 2586404 2586404 2586404 0 0 1921515 1921515 154401 154401 2075916 1921515 154401 0 120498 1529541 1916947 1529541 2037445 2584 0 2584 0 X 1526957 2037445 1526957 2037445 1529541 2037445 510488 0 X 0 1 X 1 0 0 X 2586404 0 2586404 0 2586404 2075916 0 2075916 0 2075916 PART X, LINE 2: THE TRUST ESTABLISHED UNDER THE PLAN TO HOLD THE PLAN'S ASSETS IS INTENDED TO QUALIFY PURSUANT TO SECTION 501(C)(9) OF THE INTERNAL REVENUE CODE (IRC), AND ACCORDINGLY, THE PLAN'S RELATED INVESTMENT INCOME IS EXEMPT FROM INCOME TAXES. THE TRUST HAS OBTAINED A FAVORABLE TAX DETERMINATION LETTER DATED SEPTEMBER 23, 2003 FROM THE INTERNAL REVENUE SERVICES, AND THE PLAN SPONSOR BELIEVES THAT THE TRUST QUALIFIES AND OPERATED IN ACCORDANCE WITH APPLICABLE PROVISIONS OF THE IRC. THEREFORE, NO PROVISION FOR INCOME TAXES HAS BEEN INCLUDED IN THE PLAN'S FINANCIAL STATEMENTS. U.S. GAAP REQUIRES PLAN MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE PLAN AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF THE ORGANIZATION HAS TAKEN AN UNCERTAIN TAX POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS IN PROGRESS FOR ANY TAX PERIODS. THE PLAN ADMINISTRATOR BELIEVES THE PLAN IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO 2012. FORM 990, PART VI, SECTION A, LINE 2 ALL TRUSTEES WORK FOR OVERLAND WEST FORM 990, PART VI, SECTION B, LINE 11 TRUSTEES REVIEW PRIOR TO FILING FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS ARE AVAILABLE UPON REQUEST 1