2022-10-13T10:04:22-05:00 2021-12-31 731413977 HOGANTAYLOR LLP 516 EAST MILLSAP ROAD SUITE 202 FAYETTEVILLE AR 72703 990 2021-01-01 710569421 WALMART INC ASSOCIATES' HEALTH & WELFARE TRUST WALM 4796212058 508 SW 8TH ST BENTONVILLE AR 727163500 ADAM STAVISKY SENIOR VICE PRESIDENT, US BENEFITS 4796212058 2022-10-10 1 ADAM STAVISKY 999009999 MELANIA D POWELL P01078823 4795219191 2022-10-10 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z ADAM STAVISKY 508 SW 8TH ST BENTONVILLE AR 727163500 3518068224 0 X N/A X 1983 AR TO PROVIDE HEALTH AND WELFARE BENEFITS TO ELIGIBLE ASSOCIATES OF WALMART INC. IN THE UNITED STATES AND PUERTO RICO. THE ASSOCIATES' HEALTH AND WELFARE PLAN PRIMARILY PROVIDES MEDICAL, DENTAL AND OTHER BENEFITS TO ENROLLED PARTICIPANTS WITH CONTRIBUTIONS PROVIDED BY THE PLAN SPONSOR AND ENROLLED PARTICIPANTS. 1 1 0 0 27009 0 0 0 3098327164 3518041215 292208 27009 0 0 3098619372 3518068224 0 0 2895764534 3294351692 0 0 0 0 0 212480926 222050484 3108245460 3516402176 -9626088 1666048 818249805 855770583 751537223 787391953 66712582 68378630 TO RECEIVE CONTRIBUTIONS FROM WALMART INC. AND ITS ASSOCIATES (CURRENT AND FORMER EMPLOYEES) IN ORDER TO FUND AND ADMINISTER THE WALMART ASSOCIATES' HEALTH AND WELFARE PLAN. 0 0 3516402176 3518041215 PROVIDES HEALTH AND WELFARE BENEFITS TO ENROLLED ASSOCIATES AND DEPENDENTS INCLUDING MEDICAL, DENTAL, LIFE INSURANCE, AD&D INSURANCE, AND OTHER BENEFITS FOR OVER 1,300,000 ASSOCIATES DURING THE 2021 PLAN YEAR. 3516402176 0 0 0 0 0 0 0 0 0 0 0 0 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 1 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 X 1 1 0 1 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 X WALMART INC CO BENEFITS ACCOUNTING DEPT 4796212058 508 SW 8TH ST BENTONVILLE AR 727163500 X JP MORGAN CHASE BANK TRUSTEE 40.00 X 0 0 0 0 0 0 0 0 0 0 ARKANSAS BLUE CROSS AND BLUE SHIELD PO BOX 1460 LITTLE ROCK AR 72203 ADMINISTRATIVE SERVICES 205186220 UNITED HEALTHCARE 9900 BREN ROAD EAST MN008-T390 MINNETONKA MN 55343 ADMINISTRATIVE SERVICES 16394897 DELTA DENTAL OF ARKANSAS 1513 COUNTRY CLUB ROAD SHERWOOD AR 721205076 ADMINISTRATIVE SERVICES 10039832 3 EMPLOYER CONTRIBUTIONS 525100 2499461840 2499461840 EMPLOYEE CONTRIBUTIONS 525100 1018579375 1018579375 3518041215 27009 27009 3518068224 3518041215 27009 0 3294351692 3294351692 222050484 222050484 3516402176 3516402176 0 0 48175339 56557915 638645753 631312327 131428713 167900341 818249805 855770583 751537223 787391953 751537223 787391953 X 0 0 0 0 66712582 68378630 66712582 68378630 818249805 855770583 1666048 0 X 0 0 0 0 INSURANCE CLAIM AND REBATE RECEIVABLES 167900341 167900341 FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION DELEGATED ADMINISTRATIVE AUTHORITY TO WALMART INC. GENERAL ACCOUNTING DEPARTMENT TO MAINTAIN ACCOUNTING RECORDS FOR THE TRUST. FORM 990, PART VI, SECTION B, LINE 11B THE BENEFITS ACCOUNTING DEPARTMENT OVERSEES PREPARATION OF THE TAX RETURN AND PROVIDES IT TO THE CHAIRMAN OF THE ADMINISTRATIVE COMMITTEE FOR REVIEW AND SIGNATURE. FORM 990, PART VI, SECTION C, LINE 19 TRUST GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE HELD AT WALMART INC. HOME OFFICE AND WILL BE MADE AVAILABLE UPON REQUEST TO THE ADMINISTRATIVE COMMITTEE. WALMART INC 702 SW 8TH ST BENTONVILLE AR 72716 710415188 RETAIL DE N/A C 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 WALMART INC L 2499461840