STRATEGY STUDIO / PUBLIC DATA EXPLORER

DANA NON-UNION RETIREE VEBA TRUST: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
DANA NON-UNION RETIREE VEBA TRUST (EIN 20-7392576)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-14
IRS object ID
201203199349303440
Schema version
2011v1.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-11-14T12:44:40-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN135381590EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BDO USA LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1100 PARK AVENUE 9TH FLOORAddressLine1
CityNEW YORKCity
StateNYState
ZIP Code10017ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN207392576EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1DANA NON-UNION RETIREE VEBA TRUSTBusinessNameLine1
Business Name Line2C/O CT CORPORATIONBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlDANANameControl
Phone3126410060Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11300 EAST 9TH STREETAddressLine1
CityCLEVELANDCity
StateOHState
ZIP Code44114ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDONNA R DOYLEName
TitleCHAIRPERSONTitle
Phone3126410060Phone
Date Signed2012-11-14DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameI PETER DIMSUYUName
PTINP00321193PTIN
Phone2128858000Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonDONNA R DOYLENameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11300 EAST 9TH STREETAddressLine1
CityCLEVELANDCity
StateOHState
ZIP Code44114ZIPCode
FieldValueIRS element (for citing)
Gross Receipts41608147GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteWWW.DANARETIREES.COMWebSite
Type Of Organization TrustXTypeOfOrganizationTrust
Year Formation2007YearFormation
State Legal DomicileOHStateLegalDomicile
Activity Or Mission DescriptionTHE PLAN WAS ESTABLISHED AS A VOLUNTARY EMPLOYEE BENEFITS ASSOCIATION ("VEBA") TO PROVIDE CERTAIN MEDICAL AND PRESCRIPTION DRUG BENEFITS TO ELIGIBLE NON-UNION RETIRED EMPLOYEES, SURVIVING SPOUSES AND DEPENDENTS.ActivityOrMissionDescription
Nbr Voting Members Governing Body5NbrVotingMembersGoverningBody
Nbr Independent Voting Members5NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year5154149ProgramServiceRevenuePriorYear
Program Service Revenue CY5547177ProgramServiceRevenueCY
Investment Income Prior Year4699824InvestmentIncomePriorYear
Investment Income Current Year2307446InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year9853973TotalRevenuePriorYear
Total Revenue Current Year7854623TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year9389970BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY9783486BenefitsPaidToMembersCY
Salaries Etc Prior Year25900SalariesEtcPriorYear
Salaries Etc Current Year25900SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year1128943OtherExpensePriorYear
Other Expenses Current Year1067946OtherExpensesCurrentYear
Total Expenses Prior Year10544813TotalExpensesPriorYear
Total Expenses Current Year10877332TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-690840RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-3022709RevenuesLessExpensesCY
Total Assets BOY65006350TotalAssetsBOY
Total Assets EOY59309324TotalAssetsEOY
Total Liabilities BOY1384525TotalLiabilitiesBOY
Total Liabilities EOY1345084TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY63621825NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY57964240NetAssetsOrFundBalancesEOY
Mission DescriptionTHE PLAN WAS ESTABLISHED AS A VOLUNTARY EMPLOYEE BENEFITS ASSOCIATION ("VEBA") TO PROVIDE CERTAIN MEDICAL AND PRESCRIPTION DRUG BENEFITS TO ELIGIBLE NON-UNION RETIRED EMPLOYEES, SURVIVING SPOUSES AND DEPENDENTS.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
DescriptionPROVIDES CERTAIN MEDICAL AND PRESCRIPTION DRUG BENEFITS TO ELIGIBLE NON-UNION RETIRED EMPLOYEES, SURVIVING SPOUSES AND DEPENDENTS.Description
Described In501 C30DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip0ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10965NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Form8899 Filed0Form8899Filed
Form1098 C Filed0Form1098CFiled
Taxable Distributions0TaxableDistributions
Distribution To Donor0DistributionToDonor
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members5NbrVotingGoverningBodyMembers
Number Independent Voting Members5NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy0ConflictOfInterestPolicy
Whistleblower Policy0WhistleblowerPolicy
Document Retention Policy0DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1COMPREHENSIVE BENEFITS CONSULTANTSBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number8669143768TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11800 WALT WHITMAN ROADAddressLine1
CityMELVILLECity
StateNYState
ZIP Code11747ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (5 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
MICHAEL R CARRIGAN
CHAIRMAN12.00X670000
THOMAS SCHLEMMER
TRUSTEE12.00X480000
EDWARD BALCAR
TRUSTEE12.00X480000
JOHN BLACK
TRUSTEE12.00X480000
DONNA R DOYLE
TRUSTEE12.00X480000
FieldValueIRS element (for citing)
Total Reportable Comp From Org25900TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
COMPREHENSIVE BENEFITS CONSULTANTS
1800 WALT WHITMAN ROADMELVILLENY11747CONTRACT AND CLAIMS ADMINISTRATOR508469
THE SEGAL COMPANY
1920 N STREET NW SUITE 400WASHINGTONDC200361659ACTUARY169664
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPARTICIPANTS CONT.Description
Business Code525100BusinessCode
Total Revenue Column5547177TotalRevenueColumn
Related Or Exempt Function Income5547177RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue5547177TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1885767TotalRevenueColumn
Exclusion$1,885,767ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities34175203Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities33753524Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities421679Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column421679TotalRevenueColumn
Exclusion$421,679ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column7854623TotalRevenueColumn
Related Or Exempt Function Income5547177RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$2,307,446ExclusionAmount

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total9783486Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total25900Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total86231Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total26693Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total194826Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total693366Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total28683Total

Travel Travel

FieldValueIRS element (for citing)
Total1622Total

Insurance Insurance

FieldValueIRS element (for citing)
Total36525Total

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total10877332Total

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY877713BOY
EOY1094710EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY2046110BOY
EOY2215208EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY293445BOY
EOY18985EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY52326697BOY
EOY46043691EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY9297137BOY
EOY9812948EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY165248BOY
EOY123782EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY65006350BOY
EOY59309324EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY15525BOY
EOY20084EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1369000BOY
EOY1325000EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1384525BOY
EOY1345084EOY
FieldValueIRS element (for citing)
Do Not Follow SFAS117XDoNotFollowSFAS117

Cap Stck Trst Prin Current Funds CapStckTrstPrinCurrentFunds

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Paid In Cap Srpls Land Bldg Eqp Fund PaidInCapSrplsLandBldgEqpFund

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc

FieldValueIRS element (for citing)
BOY63621825BOY
EOY57964240EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY63621825BOY
EOY57964240EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY65006350BOY
EOY59309324EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-3022709ReconcilationRevenueExpenses
Reconcilation Other Changes-2634876ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Total Of Book Value Land Buildings0TotalOfBookValueLandBuildings

Other Securities OtherSecurities (3 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
HEDGE FUND - COMMON SENSE LONG-BIASED OFFSHORE LTD.3195831F
U.S. GOVERNMENT OBLIGATIONS - MORTGAGE POOLED SECURITIES5027400F
CORPORATE BONDS - COLLATERALIZED MORTG OBLIG'S AND ASSET BACKED SECURITIES1589717F
FieldValueIRS element (for citing)
Total Of Book Value Securities9812948TotalOfBookValueSecurities

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionBENEFIT CLAIMS PAYABLEDescription
Amount$1,325,000Amount
FieldValueIRS element (for citing)
Total Of Amounts1325000TotalOfAmounts
Total Revenue7854623TotalRevenue
Total Expenses10877332TotalExpenses
Excess Or Deficit For Year-3022709ExcessOrDeficitForYear
Net Unrealized GL On Investments-2634876NetUnrealizedGLOnInvestments
Total Adjustments-2634876TotalAdjustments
Excess Or Deficit Per FS-5657585ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt5024921TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-2634876NetUnrealizedGainsInvestments
Revenue Not Rptd F990-2634876RevenueNotRptdF990
Revenue Subtotal7659797RevenueSubtotal
Investment Expenses Not Included194826InvestmentExpensesNotIncluded
Revenue Not Rptd On Fin Stmt194826RevenueNotRptdOnFinStmt
Total Revenue Per Form9907854623TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt10726506TotExpensesEtcAuditedFinclStmt
Other Expenses Included44000OtherExpensesIncluded
Expenses Not Rptd F99044000ExpensesNotRptdF990
Expenses Subtotal10682506ExpensesSubtotal
Investment Expenses Not Included2194826InvestmentExpensesNotIncluded2
Expenses Not Rptd On Fin Stmt194826ExpensesNotRptdOnFinStmt
Total Expenses Per Form99010877332TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X: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. PLAN MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE PLAN AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2011, THERE ARE NO UNCERTAIN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. PLAN MANAGEMENT BELIEVES THE PLAN IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR THE YEARS ENDED PRIOR TO 2008.
PART XIII, LINE 2D - OTHER ADJUSTMENTS:CHANGE IN BENEFIT CLAIMS PAYABLE 44,000.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION B, LINE 11THE FORM 990 IS PROVIDED TO AND REVIEWED BY THE ADMINISTRATIVE BOARD BEFORE IT IS FILED.
FORM 990, PART VI, SECTION B, LINE 15THE PROCESS INVOLVED COMPARISON OF COMPENSATION IN SIMILAR VEBA'S FOR CHAIRMAN AND OTHER TRUSTEES. THIS PROCESS WAS LAST UNDERTAKEN FOR ALL THE TRUSTEES IN 2008.
FORM 990, PART VI, SECTION C, LINE 18THE DOCUMENTS OF THE PLAN ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART VI, SECTION C, LINE 19THE DOCUMENTS OF THE PLAN ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XI, LINE 5:NET UNREALIZED LOSSES ON INVESTMENTS: -2,634,876.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XII, LINE 2CTHE PROCESS HAS NOT CHANGED FROM PRIOR YEAR.