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11 <br />MODE 11 .1, ForAgenda Item lo A�ppr,ove Resoluti''011 <br />Action Needed from the Governing Body: <br />TML Multistate IEBP (the "Pool") may have failed to timely file IRS Forms 1094-C and 1095-C (the "Tax Forms") <br />for the 2016 and 2017 federal tax years on behalf of [organization], related to [organization's] provision of <br />minimum essential health coverage to its employees. The Board of Trustees of the Pool have agreed to resolve <br />any proposed imposition of penalties and fines by the IRS for the late filing of the Tax Forms (the "Penalties") on <br />behalf of all affected members of the Pool, including [organization]. The Pool has engaged the law firm of <br />Mitchell, Williams, Selig, Gates & Woodyard, PLLC ("Mitchell Williams") to represent the Pool and its members <br />before the IRS with respect to any such Penalties, and the Pool shall be solely responsible for all communication <br />with and payment of Mitchell Williams with regard to such matter. In order for Mitchell Williams and its <br />attorneys to communicate with the IRS regarding any Penalties proposed to be assessed against [organization], <br />an authorized official of [organization] must execute a Form 2848 IRS Power of Attorney authorizing the <br />attorneys to represent [organization] before the IRS. <br />The proposed resolution authorizes [your organization] to: <br />1. engage Mitchell Williams to represent [organization] before the IRS with respect to resolving the <br />proposed IRS Penalties that have been or may in the future be asserted against [organization]; and <br />2. delegate an authorized [organization official] to execute a Form 2848 IRS Power of Attorney for the <br />purpose of granting the attorneys listed therein the authority to represent [organization] before the <br />IRS solely with respect any such proposed Penalties for tax years 2016 and 2017, <br />1821 Rutherford, Lare, Suite 300 <br />o,n,rI, � . 74,ls0n rexah3 /8`754-5,151 <br />-;,;• „s,, ,, ,�, vi <br />,i , [ (512) 71.91 650D , (i13,00� 282 !,13851 wl{Itt tICIYIrP;V�Et f II (axle <br />