2024-10-23T15:03:48-05:00 2023-12-29 570381582 ELLIOTT DAVIS LLCPLLC 2151 PICKENS STREET SUITE 200 COLUMBIA SC 29201 990 2023-01-01 953779392 LEIDOS HEALTH AND WELFARE BENEFITS TRUST LEID 5715266420 1750 PRESIDENTS ST ATTN TAX DEPT RESTON VA 20190 CARL HOMICKI VP 5136324272 2024-10-21 1 1 BRITTANY B OWEN P01317963 8032560002 2024-10-21 2023 2024-10-15 13:58:12Z MARTIN G HAMMOND 425 WALNUT ST CINCINNATI OH 45202 365220064 0 X N/A X 1988 DE TO PROVIDE FOR PAYMENT OF MEDICAL, DENTAL, LIFE, DISABILITY, AND OTHER BENEFITS FOR MEMBERS OR THEIR DEPENDENTS OR DESIGNATED BENEFICIARIES. 0 0 0 0 1204091 0 0 0 296339701 364015973 980214 1204091 0 0 297319915 365220064 0 0 284244839 351266874 0 0 0 0 0 12242247 12772846 296487086 364039720 832829 1180344 13190639 14422095 381354 432466 12809285 13989629 X TO COLLECT CONTRIBUTIONS FROM PARTICIPANTS AND SPONSORING EMPLOYER FOR PAYMENT OF MEDICAL, DENTAL, LIFE, DISABILITY,AND OTHER BENEFITS FOR AND/OR TO MEMBERS OR THEIR DEPENDENTS OR DESIGNATED BENEFICIARIES THROUGH THE EMPLOYEE HEALTH AND WELFARE BENEFIT PLAN (THE PLAN) OF LEIDOS, INC. (THE SPONSORING EMPLOYER). THESE PAYMENTS INCLUDE ADMINISTRATIVE FEES AND CLAIMS. 0 0 364039720 364015973 THE LEIDOS EMPLOYEE HEALTH AND WELFARE PLAN RECEIVED CONTRIBUTIONS AND DISTRIBUTED PAYMENT FOR ADMINISTRATIVE SERVICES, PREMIUMS, CLAIMS AND OTHER COSTS ASSOCIATED WITH THE BENEFITS OF THE PLAN AS DESCRIBED ABOVE. 364039720 0 0 0 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 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 0 0 0 X PATRICIA MILLER 8654255106 301 LABORATORY ROAD OAK RIDGE TN 37831 US BANK INSTITUTIONAL TRUST & CO 555 SW OAK ST, PORTLAND, O 0.50 X 7518 0 0 7518 0 0 0 0 0 0 0 EMPLOYER CONTRIBUTIONS 525100 248152719 248152719 EMPLOYEE CONTRIBUTIONS 525100 115863254 115863254 364015973 1204091 1204091 365220064 364015973 1204091 0 351266874 10409519 7518 2355809 364039720 6914893 6736484 6275746 7685611 13190639 14422095 381354 432466 381354 432466 X 0 0 0 0 12809285 13989629 12809285 13989629 13190639 14422095 1180344 0 X X 0 1 X 1 0 0 365220064 0 365220064 0 365220064 364039720 0 364039720 0 364039720 PAGE 12, PART XII, LINE 2B: THIS TRUST IS ESTABLISHED UNDER THE PLAN TO HOLD THE PLAN'S ASSETS AND IS INTENDED TO QUALIFY AS TAX-EXEMPT PURSUANT TO SECTION 501(C)9 OF THE CODE, AND ACCORDINGLY, THE TRUST'S INVESTMENT INCOME IS EXEMPT FROM INCOME TAXES. THE TRUST OBTAINED AN EXEMPTION LETTER DATED FEBRUARY 3, 1988, FROM THE INTERNAL REVENUE SERVICE, AND THE PLAN SPONSOR BELIEVES THAT THE TRUST, AS AMENDED, QUALIFIES AND OPERATES IN ACCORDANCE WITH THE APPLICABLE REQUIREMENTS OF THE CODE. FORM 990, PART VI, SECTION A, LINE 1A DUE TO THE PURPOSE OF THE ORGANIZATION AS A TRUST HOLDING ASSETS PLEDGED TO AN EMPLOYEE BENEFIT PLAN, THE ORGANIZATION IS GOVERNED BY AN INSTITUTIONAL TRUSTEE UNDER ORDER OF THE TRUST AGREEMENT. THE MANAGEMENT (OR EMPLOYEE BENEFITS COMMITTEE) OF LEIDOS, INC. PROVIDES THE MANAGERIAL FUNCTIONS FOR THE ORGANIZATION FORM 990, PART VI, SECTION B, LINE 11B FORM 990 IS SUBJECT TO MULTIPLE LEVELS OF REVIEW, INCLUDING TWO REVIEWERS INDEPENDENT OF THE PREPARATION PROCESS, IN A MANNER CONSISTENT WITH OVERALL POLICIES OF THE SPONSORING EMPLOYER. FORM 990, PART VI, SECTION B, LINE 12C THE EMPLOYEE BENEFITS COMMITTEE REVIEWS THE ANNUAL DISCLOSURES SUBMITTED BY EACH MEMBER, IF APPLICABLE FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAINTAINS ITS GOVERNING DOCUMENTS, SUMMARY ANNUAL REPORTS, AND AUDITED FINANCIAL STATEMENTS AT LEIDOS BENEFITS ACCOUNTING DEPARTMENT AT 301 LABORATORY ROAD, OAK RIDGE, TN 37831. COPIES OF THESE DOCUMENTS ARE AVAILABLE TO THE PUBLIC AND CAN BE SENT VIA US MAIL, ELECTRONIC MAIL, OR FAX, UPON REQUEST. PART XII, LINE 2C THE LEIDOS, INC. EMPLOYEE BENEFITS COMMITTEE ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT PROCESS. LEIDOS INC - PLAN SPONSOR 1740 PRESIDENTS ST ATTN TAX DEPT RESTON VA 20190 953630868 GOVERNMENT SERVICES DE N/A C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 LEIDOS INC EIN 95-3630868 S 249356810 BANK STATEMENT