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AVAYA REPRESENTED EMPLOYEES POSTRETIREMENT HEALTH BENEFITS TR: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
AVAYA REPRESENTED EMPLOYEES POSTRETIREMENT HEALTH BENEFITS TR (EIN 36-7364496)
Tax period
2019-01-01 to 2019-12-31
Filed
2020-04-07
IRS object ID
202010989349300506
Schema version
2019v5.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2020-04-07T08:12:51-05:00ReturnTs
Tax Period End2019-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1EISNERAMPER LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1111 WOOD AVE SO STE 600AddressLine1Txt
CityISELINCityNm
State AbbreviationNJStateAbbreviationCd
ZIP088302700ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN367364496EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1AVAYA INC REPRESENTED EMPLOYEES'BusinessNameLine1Txt
Business Name Line2POSTRETIREMENT HEALTH BENEFITS TRUSTBusinessNameLine2Txt
FieldValueIRS element (for citing)
In Care Of% SONIA GRUNWALDInCareOfNm
Business Name ControlAVAYBusinessNameControlTxt
Phone9089533774PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1350 MT KEMBLE AVEAddressLine1Txt
CityMORRISTOWNCityNm
State AbbreviationNJStateAbbreviationCd
ZIP07960ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonWILLIAM HEPPPersonNm
Person TitleDIRECTOR GEN ACCTNGPersonTitleTxt
Phone9089533774PhoneNum
Signature2020-05-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonPAUL DOUGHERTYPreparerPersonNm
PTINP00200301PTIN
Phone7322437000PhoneNum
Preparation2020-05-15PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address64.238.150.4IPv4AddressTxt
FieldValueIRS element (for citing)
Federal Original Submission Id20870020200985000000FederalOriginalSubmissionId
Federal Original Submission Id2020-04-07FederalOriginalSubmissionIdDt
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id85AB0FF1395F989EC3C45DB40181B31D88A2901AAtSubmissionCreationDeviceId
At Submission Filing Device IdC66DA0A467C49CB5B04D1700640FD9BBB924AD23AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2020-09-23 17:36:50ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerWILLIAM HEPPPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1350 MT KEMBLE AVEAddressLine1Txt
CityMORRISTOWNCityNm
State AbbreviationNJStateAbbreviationCd
ZIP07960ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$23,466,580GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501cYes (X)Organization501cInd
Website AddressNot ApplicableWebsiteAddressTxt
Type Of Organization TrustYes (X)TypeOfOrganizationTrustInd
Formation2001FormationYr
Legal Domicile StateNJLegalDomicileStateCd
Activity Or MissionTo provide funding for the payment of post-retirement benefits to retired employees of Avaya Inc.ActivityOrMissionDesc
Voting Members Governing Body3VotingMembersGoverningBodyCnt
Voting Members Independent3VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$8,990,221PYProgramServiceRevenueAmt
CY Program Service Revenue$9,419,180CYProgramServiceRevenueAmt
PY Investment Income$1,309,813PYInvestmentIncomeAmt
CY Investment Income$1,751,404CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$10,300,034PYTotalRevenueAmt
CY Total Revenue$11,170,584CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$13,467,260PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$13,752,274CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$17,175PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$17,262CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$911,644PYOtherExpensesAmt
CY Other Expenses$894,816CYOtherExpensesAmt
PY Total Expenses$14,396,079PYTotalExpensesAmt
CY Total Expenses$14,664,352CYTotalExpensesAmt
PY Revenues Less Expenses-$4,096,045PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$3,493,768CYRevenuesLessExpensesAmt
Total Assets BOY$70,174,414TotalAssetsBOYAmt
Total Assets EOY$76,978,004TotalAssetsEOYAmt
Total Liabilities BOY$69,406TotalLiabilitiesBOYAmt
Total Liabilities EOY$37,248TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$70,105,008NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$76,940,756NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE FUNDING FOR THE PAYMENT OF POST-RETIREMENT BENEFITS TO RETIRED EMPLOYEES OF AVAYA INC.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
DescThe trust provides funding for the payment of post-retirement benefits to eligible retired employees of Avaya, Inc.Desc
Described In Section501c3falseDescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
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Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
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Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
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More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
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Operate HospitalfalseOperateHospitalInd
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Partial LiquidationfalsePartialLiquidationInd
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Related EntityYes (true)RelatedEntityInd
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Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members3GoverningBodyVotingMembersCnt
Independent Voting Member3IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (true)DelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressYes (true)OfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyfalseConflictOfInterestPolicyInd
Whistleblower PolicyfalseWhistleblowerPolicyInd
Document Retention PolicyfalseDocumentRetentionPolicyInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Other WebsiteYes (X)OtherWebsiteInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonSONIA GRUNWALDPersonNm
Phone9089533774PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1350 MT KEMBLE AVENUEAddressLine1Txt
CityMORRISTOWNCityNm
State AbbreviationNJStateAbbreviationCd
ZIP07960ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp

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PersonBNY MELLONPersonNm
TitleTRUSTEETitleTxt
Average Hours Per Week1.0AverageHoursPerWeekRt
Average Hours Per Week Rltd Org0.0AverageHoursPerWeekRltdOrgRt
Institutional TrusteeYes (X)InstitutionalTrusteeInd
Reportable Comp From Org$17,262ReportableCompFromOrgAmt
Reportable Comp From Rltd Org$0ReportableCompFromRltdOrgAmt
Other Compensation$0OtherCompensationAmt
FieldValueIRS element (for citing)
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Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (3 entries)

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Aetna
151 Farmington AvenueHARTFORDCT06156claims administrator$285,192
MetLife
401 US Highway 22BRIDGEWATERNJ08807claims administrator$329,427
ADP Inc
ONE ADP DRIVE MS-100AUGUSTAGA30909CLAIMS ADMINISTRATOR$171,173
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K3CntrctRcvdGreaterThan100KCnt
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Program Service Revenue ProgramServiceRevenueGrp (2 entries)

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SPONSOR CONTRIBUTIONS900099$9,404,920$9,404,920
PARTICIPANT CONTRIBUTIONS900099$14,260$14,260
FieldValueIRS element (for citing)
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Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

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Total Revenue Column$1,721,609TotalRevenueColumnAmt
Exclusion$1,721,609ExclusionAmt
FieldValueIRS element (for citing)
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Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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Net Income From Gaming NetIncomeFromGamingGrp

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Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
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FieldValueIRS element (for citing)
Total Revenue Column$11,170,584TotalRevenueColumnAmt
Related Or Exempt Func Income$9,419,180RelatedOrExemptFuncIncomeAmt
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Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

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Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

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Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$13,752,274TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

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Total$17,262TotalAmt

Comp Disqual Persons CompDisqualPersonsGrp

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Total$0TotalAmt

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FieldValueIRS element (for citing)
Total$0TotalAmt

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Total$0TotalAmt

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Total$0TotalAmt

Payroll Taxes PayrollTaxesGrp

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Total$0TotalAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$607,791TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

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Fees For Services Accounting FeesForServicesAccountingGrp

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Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

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Total$168,149TotalAmt

Fees For Services Other FeesForServicesOtherGrp

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Total$44,276TotalAmt

Advertising AdvertisingGrp

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Total$0TotalAmt

Office Expenses OfficeExpensesGrp

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Information Technology InformationTechnologyGrp

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Royalties RoyaltiesGrp

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Occupancy OccupancyGrp

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Travel TravelGrp

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Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

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Interest InterestGrp

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Payments To Affiliates PaymentsToAffiliatesGrp

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Depreciation Depletion DepreciationDepletionGrp

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Total$0TotalAmt

Insurance InsuranceGrp

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Other Expenses OtherExpensesGrp

FieldValueIRS element (for citing)
DescIBNR RESERVEDesc
Total$41,650TotalAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
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Cash Non Interest Bearing CashNonInterestBearingGrp

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Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

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FieldValueIRS element (for citing)
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Escrow Account Liability EscrowAccountLiabilityGrp

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Loans From Officers Directors LoansFromOfficersDirectorsGrp

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Total Liabilities TotalLiabilitiesGrp

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FieldValueIRS element (for citing)
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

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BOY$0BOYAmt
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Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$70,105,008BOYAmt
EOY$76,940,756EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$70,174,414BOYAmt
EOY$76,978,004EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$3,493,768ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$10,366,701NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$37,185OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, section A, line 3The trust operates for the exclusive purpose of funding health benefit payments sponsored by Avaya Inc. The trust does not operate independently with respect to conducting business and, as such, does not hold board meetings. All administrative activities involved with respect to the trust are facilitated by the pension and benefit investment committee of Avaya Inc.
Form 990, Part VI, section B, line 11A member of the pension and benefit investment committee of Avaya Inc. reviews the Form 990 prior to filing.
Form 990, Part VI, section C, line 19No documents available to the public.
Form 990, Part VI, line 9BNY Mellon - 135 Santilli Highway, Everett, MA 02149-1950
Form 990 Part XI, line 9Trust to Trust Transfers = -$37,185

Schedule R IRS990ScheduleR

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1AVAYA INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1350 MT KEMBLE AVEAddressLine1Txt
CitymorristownCityNm
State AbbreviationNJStateAbbreviationCd
ZIP07960ZIPCd
FieldValueIRS element (for citing)
EIN223713430EIN
Primary ActivitiesTelecommunicaPrimaryActivitiesTxt
Legal Domicile StateDELegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1Txt
FieldValueIRS element (for citing)
Entity TypeC CorpEntityTypeTxt
Controlled OrganizationfalseControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd