2015-11-16T11:26:51-06:00 2014-12-31 910189318 MOSS ADAMS LLP 805 SW BROADWAY STE 1200 PORTLAND OR 97205 990 2014-01-01 943067499 DAIMLER TRUCKS NA LLC EMPLOYEE BENEFIT BASIC TRUST DAIM 5037458479 2701 NW VAUGHN ST NO 900 PORTLAND OR 97210 MICHAEL KURUC DIRECTOR OF TAXES 5037458479 2015-11-11 1 WENDY CAMPOS P00448102 5032421447 2014 2016-02-25 16:41:14Z MICHAEL KURUC 2701 NW VAUGHN ST NO 900 PORTLAND OR 97210 37886875 0 X N/A X 1981 OR VEBA TRUST FOR THE PAYMENT OF BENEFITS FOR MEMBERS. 6 6 0 15 0 0 0 0 40830097 37885895 2861 980 0 0 40832958 37886875 0 0 39126866 42280716 0 0 0 0 0 2339233 2368632 41466099 44649348 -633141 -6762473 13387250 6619869 105918 101010 13281332 6518859 VEBA TRUST FOR THE PAYMENT OF BENEFITS FOR MEMBERS. 0 0 PROVIDE MEDICAL AND SICK PAY COVERAGE FOR ACTIVE EMPLOYEES. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 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 1 0 0 1 0 0 0 0 0 0 0 0 0 X 6 6 1 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 0 0 0 X ERIK LINVOG 5037458479 2701 NW VAUGHN ST SUITE 900 PORTLAND OR 97210 X JOHN O'LEARY CHAIR, MEMBER 0.50 X X 0 0 0 BRIAN BURTON MEMBER 0.50 X 0 0 0 ROGER NIELSEN MEMBER 0.50 X 0 0 0 KELLEY PLATT MEMBER 0.50 X 0 0 0 BOB ROBERTSON MEMBER 0.50 X 0 0 0 DAVID SWAINSON MEMBER 0.50 X 0 0 0 0 0 0 0 0 0 0 BLUE CROSS BLUE SHIELD 600 E LAFAYETTE BLVD DETROIT MI 48226 CONTRACT ADMINISTRATOR 1808210 ADP 2835 S DECKER LAKE DR SALT LAKE CITY UT 84119 CONTRACT ADMINISTRATOR 203754 MODA HEALTH 601 SW SECOND AVE PORTLAND OR 97240 CONTRACT ADMINISTRATOR 176015 3 CONTRIBUTIONS 525100 37885895 37885895 37885895 7 7 973 0 973 973 973 37886875 37885895 0 980 42280716 28425 2340207 44649348 13387250 6619869 13387250 6619869 105918 101010 105918 101010 X 13281332 6518859 0 0 0 0 13281332 6518859 13387250 6619869 -6762473 0 X 0 1 X 1 0 0 X PART X, LINE 2: THE PLAN IS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(9) OF THE IRC EXCEPT TO THE EXTENT OF UNRELATED BUSINESS TAXABLE INCOME AS DEFINED UNDER IRC SECTIONS 511 THROUGH 515. HOWEVER, UNDER CERTAIN PROVISIONS OF THE DEFICIT REDUCTION ACT (DEFRA), INCOME GENERATED AFTER JANUARY 1, 1986 ON CERTAIN SUPPLEMENTAL TRUST INVESTMENTS IS SUBJECT TO TAXATION. IN ACCORDANCE WITH GUIDANCE ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES, THE PLAN ADMINISTRATOR EVALUATED THE PLAN'S TAX POSITIONS AND DOES NOT BELIEVE THE PLAN HAS ANY UNCERTAIN TAX POSITIONS THAT REQUIRE DISCLOSURE OR ADJUSTMENT TO THE FINANCIAL STATEMENTS. THE PLAN USES THE ASSET AND LIABILITY METHOD TO ACCOUNT FOR INCOME TAXES. UNDER THIS METHOD, DEFERRED TAX ASSETS AND LIABILITIES ARE DETERMINED BASED ON DIFFERENCES BETWEEN THE FINANCIAL REPORTING AND THE INCOME TAX BASES OF ASSETS AND LIABILITIES. DEFERRED TAX ASSETS AND LIABILITIES ARE MEASURED USING ENACTED TAX RATES AND LAWS THAT WILL BE IN EFFECT WHEN THE DIFFERENCES ARE EXPECTED TO REVERSE. VALUATION ALLOWANCES ARE ESTABLISHED, WHEN NECESSARY, TO REDUCE DEFERRED TAX ASSETS TO THE AMOUNT EXPECTED TO BE REALIZED. THERE WERE NO VALUATION ALLOWANCES AS OF DECEMBER 31, 2014. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. THE PLAN ADMINISTRATOR BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO 2011. FORM 990, PART VI, SECTION A, LINE 2 BRIAN BURTON IS RELATED TO ALL OTHER MEMBERS OF THE INVESTMENT COMMITTEE THROUGH A BUSINESS RELATIONSHIP. ALL INVESTMENT COMMITTEE MEMBERS ARE EMPLOYED BY DAIMLER TRUCKS NORTH AMERICA, THE SPONSOR OF THE BENEFIT PLAN AND TRUST. JOHN O'LEARY IS RELATED TO ALL OTHER MEMBERS OF THE INVESTMENT COMMITTEE THROUGH A BUSINESS RELATIONSHIP. ALL INVESTMENT COMMITTEE MEMBERS ARE EMPLOYED BY DAIMLER TRUCKS NORTH AMERICA, THE SPONSOR OF THE BENEFIT PLAN AND TRUST. DAVID SWAINSON IS RELATED TO ALL OTHER MEMBERS OF THE INVESTMENT COMMITTEE THROUGH A BUSINESS RELATIONSHIP. ALL INVESTMENT COMMITTEE MEMBERS ARE EMPLOYED BY DAIMLER TRUCKS NORTH AMERICA, THE SPONSOR OF THE BENEFIT PLAN AND TRUST. ROGER NIELSEN IS RELATED TO ALL OTHER MEMBERS OF THE INVESTMENT COMMITTEE THROUGH A BUSINESS RELATIONSHIP. ALL INVESTMENT COMMITTEE MEMBERS ARE EMPLOYED BY DAIMLER TRUCKS NORTH AMERICA, THE SPONSOR OF THE BENEFIT PLAN AND TRUST. KELLEY PLATT IS RELATED TO ALL OTHER MEMBERS OF THE INVESTMENT COMMITTEE THROUGH A BUSINESS RELATIONSHIP. ALL INVESTMENT COMMITTEE MEMBERS ARE EMPLOYED BY DAIMLER TRUCKS NORTH AMERICA, THE SPONSOR OF THE BENEFIT PLAN AND TRUST. BOB ROBERTSON IS RELATED TO ALL OTHER MEMBERS OF THE INVESTMENT COMMITTEE THROUGH A BUSINESS RELATIONSHIP. ALL INVESTMENT COMMITTEE MEMBERS ARE EMPLOYED BY DAIMLER TRUCKS NORTH AMERICA, THE SPONSOR OF THE BENEFIT PLAN AND TRUST. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS REVIEWED BY THE CORPORATE TAX DIRECTOR AND THE PLAN ADMINISTRATOR PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION RELIES ON THE SARBANES-OXLEY ACT, INTERNAL CONTROLS, AND OUTSIDE AUDITS TO ENSURE THAT THE CONFLICT OF INTEREST POLICY IS ENFORCED. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION DOES NOT COMPENSATE INTERESTED PERSONS. THEREFORE, THE ORGANIZATION DOES NOT HAVE A PROCESS IN PLACE FOR DETERMINING AND REVIEWING COMPENSATION. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE PUBLIC. FINANCIAL STATEMENTS ARE MADE AVAILABLE TO PARTICIPANTS UPON REQUEST. DTNA EMPLOYEE BENEFIT SUPPLEMENTAL TRUST 2701 NW VAUGHN ST SUITE 900 PORTLAND OR 97210 930886584 VEBA TRUST FOR THE PAYMENT OF BENEFITS FOR MEMBERS. OR 501 (C) (9) DAIMLER TRUCKS NORTH AMERICA 0 DTNA UNION EMPLOYEE BENEFIT BASIC TRUST 2701 NW VAUGHN ST SUITE 900 PORTLAND OR 97210 931092580 VEBA TRUST FOR THE PAYMENT OF BENEFITS FOR MEMBERS. 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OR 501 (C) (9) DAIMLER TRUCKS NORTH AMERICA 0 DAIMLER TRUCKS NORTH AMERICA LLC 2701 NW VAUGHN ST SUITE 900 PORTLAND OR 97210 930790608 VEHICLE MANUFACTURER OR N/A N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 DAIMLER TRUCKS NORTH AMERICA LLC S 25155789 EMPLOYER CONTRIBUTIONS - FMV