2022-11-04T14:45:01-05:00 2021-12-31 381357951 PLANTE & MORAN PLLC 2601 CAMBRIDGE CT STE 300 AUBURN HILLS MI 48326 990 2021-01-01 456488442 UAW RETIREES OF MACK TRUCKS HEALTH BENEFIT FUND UAWR 2028570620 1701 PENNSYLVANIA AVE NW 1200 WASHINGTON DC 20006 GARY PETRONI CHAIRPERSON 2028570620 2022-10-27 1 GARY PETRONI 999009999 TINA PETERS P00904574 2483757100 2022-10-27 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z X GARY PETRONI 252195388 0 X OURBENEFITOFFICE.COM/UAWMACKRETIREES/BENEFITS/ X 2011 MI THE TRUST WAS ESTABLISHED AND IS CONTINUED FOR THE PURPOSE OF PROVIDING HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPEDENTS. 7 7 0 2 0 0 0 0 3750369 2784917 25156618 15992108 0 0 28906987 18777025 0 0 22726755 24187955 117250 117250 0 0 0 2344251 2305834 25188256 26611039 3718731 -7834014 643001412 618064056 977070 3856279 642024342 614207777 TO HELP FUND CERTAIN BENEFITS PROVIDED TO CERTAIN MACK RETIREES AND OTHER ELIGIBLE INDIVIDUALS. 0 0 PROVIDE HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS. 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 7 0 1 0 0 0 0 0 0 0 0 0 X 7 7 0 0 0 0 0 1 0 1 1 1 0 1 1 1 1 1 1 0 1 0 X GROOM LAW GROUP CHARTERED 2028570620 1701 PENNSYLVANIA AVE NW SUITE 1200 WASHINGTON DC 20006 SUZANNE DANIELS COMMITTEE MEMBER 0.50 12.00 X 27000 66080 0 TIM BRESSLER COMMITTEE MEMBER 0.50 0.50 X 0 0 0 DAVID PERKINS COMMITTEE MEMBER 0.50 0.00 X 0 0 0 RICHARD SAYLOR COMMITTEE MEMBER 0.50 0.00 X 2250 0 0 JACK MARTIN COMMITTEE MEMBER 0.50 5.50 X 27000 54360 0 FRANCINE PARKER COMMITTEE MEMBER 0.50 5.50 X 27000 54360 0 GARY PETRONI CHAIRPERSON 2.00 5.50 X 34000 54360 0 COMERICA BANK INSTITUTIONAL TRUSTEE 0.50 5.50 X 69263 0 0 186513 229160 0 0 0 0 0 BENESYS INC 700 TOWER DRIVE SUITE 300 TROY MI 48098 PLAN ADMINISTRATION 419068 ROBERT W BAIRD & CO PO BOX 0672 MILWAUKEE WI 532010672 INVESTMENT MANAGEMENT FEES 369614 BRANDYWINE GLOBAL 1735 MARKET STREET PHILADELPHIA PA 19103 INVESTMENT MANAGEMENT FEES 324720 SAGE ADVISORY SERVICES LTD CO 5900 SOUTHWEST PARKWAY BUILDING ON AUSTIN TX 78735 INVESTMENT MANAGEMENT FEES 289431 MADISON INVESTMENT HOLDINGS 550 SCIENCE DR MADISON WI 53711 INVESTMENT MANAGEMENT FEES 195977 7 PARTICIPANT CONTRIBUTIONS 900099 2784917 2784917 2784917 14263452 14263452 235147019 233418363 1728656 1728656 1728656 18777025 2784917 0 15992108 24187955 117250 637510 30630 56097 1344742 117655 31332 73752 LOW INCOME SUB PAYMENTS 13709 SUBSCRIPTIONS 407 26611039 7819070 2328214 14542525 14301825 74073 68958 567367864 60188654 49523060 537778505 3674820 3397900 643001412 618064056 977070 386042 0 3470237 977070 3856279 X 642024342 614207777 0 0 0 0 642024342 614207777 643001412 618064056 -7834014 -19982551 0 X X 0 1 X 1 0 0 PARTNERSHIP 21875819 F HEDGE FUND 30204066 F GOVERNMENT SECURITIES 146894544 F CORPORATE DEBT SECURITIES 269999992 F OTHER INVESTMENT 68804084 F 537778505 DUE TO BROKER 3470237 3470237 -1205526 -19982551 -19982551 18777025 0 18777025 26611039 0 26611039 0 26611039 CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, 0 0 INVESTMENTS NA 33640461 0 0 0 0 0 0 33640461 0 33640461 1 0 1 1 1 0 PART III ACCOUNTING METHOD: FORM 990, PART VI, SECTION A, LINE 7A THERE ARE THREE MEMBERS OF THE BOARD SERVING AT THE DISCRETION OF THE UAW INTERNATIONAL PRESIDENT AND MAY BE REMOVED OR REPLACED, AND A SUCCESSOR DESIGNATED, AT ANY TIME BY WRITTEN NOTICE FROM THE UAW INTERNATIONAL PRESIDENT TO THE COMMITTEE. FORM 990, PART VI, SECTION B, LINE 11B THE CHAIR, LEGAL COUNSEL, AND ADMINISTRATOR REVIEW THE 990 PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE TRUST WAS ESTABLISHED BY COURT SETTLEMENT. THE COURT-APPROVED TRUST WAS ESTABLISHED BY COURT SETTLEMENT. THE COURT-APPROVED TRUST AGREEMENT INCLUDES A CODE OF ETHICS BY WHICH EACH COMMITTEE MEMBER AGREES TO ABIDE. IT IS REGULARLY REVIEWED WITH THE COMMITTEE. IN ADDITION, EACH COMMITTEE MEMBER MUST ANSWER THE FIDUCIARY LIABILITY INSURANCE RENEWAL QUESTIONNAIRE WHICH CONTAINS QUESTIONS REGARDING POTENTIAL AND ACTUAL CONFLICTS OF INTEREST. IF SUCH A CONFLICT IS PRESENT THE INVOLVED MEMBER(S) DO NOT PARTICIPATE IN THE DISCUSSION OR VOTING. FORM 990, PART VI, SECTION B, LINE 15B THE FUND IS COLLECTIVELY-BARGAINED AND WAS ESTABLISHED PURSUANT TO A COURT-APPROVED TRUST AGREEMENT. THE TRUST SETS FORTH THE COMPENSATION OF THE INDEPENDENT MEMBERS OF THE COMMITTEE AND SUCH COMPENSATION IS NOT SUBJECT TO ADJUSTMENT EXCEPT AS SPECIFICALLY PROVIDED THEREIN. FORM 990, PART VI, SECTION C, LINE 19 THE TRUST IS ESTABLISHED AND MAINTAINED PURSUANT TO THE EMPLOYEE RETIREMENT INCOME SECURITY ACT OF 1974, AS AMENDED. IT OPERATES IN COMPLIANCE WITH THE REPORTING AND DISCLOSURE REQUIREMENTS OF SUBTITLE B, PART 1 OF ERISA WITH RESPECT TO DISCLOSURE OF ITS GOVERNING DOCUMENTS AND FINANCIAL INFORMATION. IT OPERATES IN COMPLIANCE WITH THE FIDUCIARY RESPONSIBILITY REQUIREMENTS OF SUBTITLE B, PART 4 OF ERISA. FORM 990, PART XII, LINE 2C: THERE HAS BEEN NO CHANGE IN THE OVERSIGHT OF THE AUDIT IN THE CURRENT YEAR. UAW RETIREES OF THE DANA CORPORATION AND WELFARE TRUST 1701 PENNSYLVANIA AVE NW SUITE 1200 WASHINGTON DC 20006 261851652 PROVIDE HEALTH & WELFARE BENEFITS MI 501(C)(9) N/A N/A 0 UAW ST JOSEPH RETIREES HEALTH AND WELFARE TRUST 1701 PENNSYLVANIA AVE NW SUITE 1200 WASHINGTON DC 20006 271401289 PROVIDE HEALTH & WELFARE BENEFITS MI 501(C)(9) N/A N/A 0 UAW RETIREES OF ACC BENEFIT TRUST 1701 PENNSYLVANIA AVE NW SUITE 1200 WASHINGTON DC 20006 276927927 PROVIDE HEALTH & WELFARE BENEFITS MI 501(C)(9) N/A N/A 0 UAW RETIREES OF DAIMLER TRUCKS NORTH AMERICA WELFARE BENEFIT TRUST 1701 PENNSYLVANIA AVE NW SUITE 1200 WASHINGTON DC 20006 476377585 PROVIDE HEALTH & WELFARE BENEFITS MI 501(C)(9) N/A N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0