2017-11-14T16:13:25-06:00 2016-12-31 341878512 CBIZ MHM LLC 175 S WEST TEMPLE STE 650 SALT LAKE CITY UT 84101 990 2016-01-01 371542425 Health and Welfare Benefits Trust for Certain Retired Employees of KUCC HEAL 8669519403 60 Boulevard of the Allies 5th fl Pittsburgh PA 15222 thomas duzak co-chairman 8669519403 2017-11-13 1 Clair A Rood Jr P00106081 8013649300 65.156.155.102 2017-11-13 12:49:24 MS P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 6F0D6A764325D78DA8EEF00D74D4982763945B79 2016 2021-01-29 14:40:06Z thomas duzak 60 Boulevard of the Allies 5th fl Pittsburgh PA 15222 5860402 0 X n/a X 2006 UT To Provide Medical Benefits to retirees of Kennecott Utah Copper LLC 6 6 0 0 0 0 0 0 2542509 2444160 900176 685633 0 0 3442685 3129793 0 0 4492130 4309271 0 0 0 0 0 142668 149010 4634798 4458281 -1192113 -1328488 22065192 21730077 6406 4543 22058786 21725534 To provide medical beneits to retirees of Kennecott Utah Copper LLC 0 0 Provision of medical benefits to retirees of Kennecott Utah Copper LLC 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 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 X 6 6 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X Jennifer deklever 8669519403 60 boulevard of the allies 5th pittsburgh PA 15222 X THOMAS F DUZAK co-chairman 5.00 X 0 0 0 wayne holland trustee 0.30 X 0 0 0 david kins trustee 0.30 X 0 0 0 JASON COMBES Co-chairman 0.30 X 0 0 0 CORI PETERSEN TRustee 0.30 X 0 0 0 ADAM TANNER Trustee 0.30 X 0 0 0 CHRISTOPHER SEPP TRustee 0.30 X 0 0 0 CLAY COLLINS CO-CHairman 0.30 X 0 0 0 0 0 0 0 0 0 0 0 employer contributions 900099 1579527 1579527 employee contributions 900099 864633 864633 2444160 731621 731621 2684621 2730609 -45988 -45988 -45988 3129793 3129793 0 0 4309271 10663 18900 21143 31498 2225 674 20922 administrative expense 41158 bank fees 1397 fees 291 PHONE EXPENSE 139 4458281 62077 167039 517272 394443 14351 14129 21471492 21154466 22065192 21730077 6406 4543 6406 4543 X 0 0 0 0 22058786 21725534 22058786 21725534 22065192 21730077 -1328488 995236 0 X 0 1 X 1 0 0 X 4125029 995236 995236 3129793 0 3129793 4458281 0 4458281 0 4458281 Part X, Line 2: U.S. GAAP requires Plan management to evaluate tax positions taken by the Plan and recognize a tax liability (or asset) if the Plan has taken an uncertain position that more likely than not would not be sustained upon examination by the IRS. The Plan is subject to routine audits by taxing jurisdictions; however, there are currently no audits for any tax periods in progress. Form 990, Part VI, Section B, line 11b A copy of the Form 990 is distributed to the Board of Trustees and to administrators at Kennecott Utah Copper for their review and approval before being filed. Form 990, Part VI, Section B, line 12c on a periodic basis the trustees review the requirements and discuss any questions and issues with legal counsel. Form 990, Part VI, Section C, line 19 Publicly disclosable documents, policies and other memoranda are available upon request from any member of the board or by request from the VEBA's administration office. kennecott utah copper llc 4700 daybreak parkway south jordan UT 84096 133108078 Mining UT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1