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City of Everett VEBA Trust
<br /> c/o City of Everett
<br /> 2930 Wetmore Avenue,Ste.5-A,Everett,WA 98201
<br /> EIN: 83-6346037
<br /> Part III,Financial Data Schedule
<br /> Attachment to Part Ill,Part A,Form 1024: Financial Data(2019)
<br /> A.5 Gain From Sale of Assets: Gain of$5,311 on sale of mutual funds
<br /> A.7.Other Revenue: Unrealized gain$2,980
<br /> Cash earnings$-.75
<br /> A.12 Disbursements to Members: Disbursements in the form of reimbursements of medical expenses paid to plan
<br /> participants of$102,043
<br /> A.18 Other Expenses: Expenses paid to Service Providers of$8,723
<br /> Attachment to Part Ill, Part A,Form 1024: Financial Data(1/1/20-06/30/20)
<br /> A.5 Loss From Sale of Assets: Loss of$585 on sale of mutual funds
<br /> A.7.Other Revenue: Unrealized gain$9,056
<br /> Shares forfeiture$167
<br /> A.12 Disbursements to Members: Disbursements in the form of reimbursements of medical expenses paid to plan
<br /> participants of$150,517
<br /> A.18 Other Expenses: Expenses paid to Service Providers of$6,468
<br /> Attachment to Part Ill,Part B,Form 1024: Financial Data
<br /> Assets: See Asset Summary(below)from the 2020 Quarter 2 trust statements:
<br /> Asset Summary Asset Summary
<br /> FOR THE ACCOUNT OF: FOR THE PB000. FOR THE ACCOUNT OF FOR THE PER100
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<br /> 2020 2C20
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