NYISO MEDICAL DENTAL AND LIFE BENEFITS PLAN TRUST

DETROIT, MI 48275

EIN: 27-1623493

Mutual/Membership Benefit Organizations, Other

DEMOGRAPHIC

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ADDRESS
PO BOX 75000
48275

IN CARE OF NAME
PATRICIA PUTMAN

CLASSIFICATION

ORGANIZATION CODE
2: Trust

DEDUCTIBILITY CODE
2: Contributions are not deductible

AFFILIATION CODE
3: Independent

SUBSECTION/CLASSIFICATION CODES
Voluntary Employees' Beneficiary Association (Non-Govt. Emps.)

ACTIVITY CODES
N/A

NTEE COMMON CODE
Y: Mutual/Membership Benefit Organizations, Other

NTEE CODE
Y43: Voluntary Employees Beneficiary Associations (Non-Government)

FOUNDATION CODE
00: All organizations except 501(c)(3)

EXEMPT ORGANIZATION STATUS CODE
1: Unconditional Exemption

FINANCIALS

TAX PERIOD
12/2018

ACCOUNTING PERIOD
12

INCOME CODE
6: $1,000,000 to $4,999,999

INCOME AMOUNT
$2,090,717.00

FORM 990 REVENUE AMOUNT
$561,373.00

RULING DATE
09/2010

ASSET CODE
7: $5,000,000 to $9,999,999

ASSET AMOUNT
$5,260,498.00

FILING REQUIREMENT CODE
990 (all other) or 990EZ return

PF FILING REQUIREMENT CODE
No 990-PF return

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NYISO MEDICAL DENTAL AND LIFE BENEFITS PLAN TRUST

DETROIT, MI 48275

EIN: 27-1623493

Mutual/Membership Benefit Organizations, Other

DEMOGRAPHIC

ADDRESS PO BOX 75000 48275

IN CARE OF NAME PATRICIA PUTMAN

CLASSIFICATION

ORGANIZATION CODE 2: Trust

DEDUCTIBILITY CODE 2: Contributions are not deductible

AFFILIATION CODE 3: Independent

SUBSECTION/CLASSIFICATION CODES Voluntary Employees' Beneficiary Association (Non-Govt. Emps.)

ACTIVITY CODES N/A

NTEE COMMON CODE Y: Mutual/Membership Benefit Organizations, Other

NTEE CODE Y43: Voluntary Employees Beneficiary Associations (Non-Government)

FOUNDATION CODE 00: All organizations except 501(c)(3)

EXEMPT ORGANIZATION STATUS CODE 1: Unconditional Exemption