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Form 1024(Rev.1-2018) Page 3 <br /> ( <br /> Part II.Activities and Operational Information(continued) <br /> 3 Give the following information about the organization's governing body: <br /> a Names,addresses,and titles of officers,directors,trustees,etc. b Annual compensation <br /> City of Everett,2930 Wetmore Avenue,Ste.5-A,Everett,WA 98201 $0 <br /> ROLE: Plan Administrator <br /> Hand Benefits&Trust Company,a BPAS Company,820 Gessner Road,Suite 1250,Houston,Texas 77024 $0 <br /> ROLE: Trustee <br /> 4 If the organization is the outgrowth or continuation of any form of predecessor,state the name of each predecessor,the period during which it <br /> was in existence,and the reasons for its termination.Submit copies of all papers by which any transfer of assets was effected. <br /> N/A <br /> 5 If the applicant organization is now,or plans to be,connected in any way with any other organization,describe the other organization and explain <br /> the relationship(for example,financial support on a continuing basis;shared facilities or employees;same officers,directors,or trustees). <br /> The Trust is connected with the City of Everett.The City of Everett sponsors the Plans and the Trust.The participants in the Plans and <br /> the beneficiaries of the Trust (i.e.,those who will receive reimbursement benefits from the assets of the Trust)are active and former <br /> employees of the City of Everett. <br /> 6 If the organization has capital stock issued and outstanding,state:(1)class or classes of the stock;(2)number and par value of the shares; <br /> (3)consideration for which they were issued;and(4)if any dividends have been paid or whether your organization's creating instrument <br /> authorizes dividend payments on any class of capital stock. <br /> N/A <br /> 7 State the qualifications necessary for membership in the organization;the classes of membership(with the number of members in each class); <br /> and the voting rights and privileges received.If any group or class of persons is required to join,describe the requirement and explain the <br /> relationship between those members and members who join voluntarily.Submit copies of any membership solicitation material.Attach sample <br /> copies of all types of membership certificates issued. <br /> See Attachment A. <br /> 8 Explain how your organization's assets will be distributed on dissolution. <br /> Upon termination of the Trust,the assets may be transferred to another qualifying 501(c)(9)trust or otherwise used for the exclusive <br /> benefit of Participants and other persons entitled to benefits under the Plan. In no event shall the assets revert to the City of Everett or <br /> any union named herein. <br /> Form 1024(Rev.1-2018) <br />