US Dept of Treasury IRS 10/14/2020

Form 1024(Rev.1-2018) Page 2 Part II.Activities and Operational Information (Must be completed by all applicants) 1 Provide a detailed narrative description of all the activities of the organization—past,present,and planned.Do not merely refer to or repeat the language in the organizational document.List each activity separately in the order of importance based on the relative time and other resources devoted to the activity.Indicate the percentage of time for each activity.Each description should include,as a minimum,the following:(a)a detailed description of the activity including its purpose and how each activity furthers your exempt purpose;(b)when the activity was or will be initiated;and(c)where and by whom the activity will be conducted. The sole purpose and activity of the City of Everett Fire VEBA Trust("Trust")is to fund the benefits provided through four benefit plans(the "Plans")sponsored by the City of Everett.The Plans are Health Reimbursement Arrangements pursuant to Revenue Ruling 2002-41 and IRS Notice 2002-45. They provide to certain employees and former employees of the City of Everett benefits consisting of reimbursement of certain health care expenses.Contributions to the Plans by the City of Everett are placed in the Trust for the purpose of paying benefits under the Plans when due.The assets of the Trust may be invested with the intent that any earnings will accrue on a tax-free basis under section 501(c)(9)of the Internal Revenue Code. The City of Everett is the plan administrator of the Plans. Benefit Plans Administrative Services,Inc.acts as a third-party claims administrator under the Plans. The trustee of the Trust is Hand Benefits&Trust Company. The Trust was initially funded by the City of Everett on 01/10/2019. Therefore,although the Trust Agreement indicates it was effective on January 1,2019,the Trust was actually formed on 01/10/2019. 1 2 List the organization's present and future sources of financial support,beginning with the largest source first. Employer contributions Form 1024(Rev.1-2018)