2012-11-15T09:48:48-06:00 2011-12-31 381357951 PLANTE & MORAN PLLC 10 S RIVERSIDE PLAZA 9TH FLOOR CHICAGO IL 60606 990 2011-01-01 251755733 PECO ENERGY CO RETIREE MEDICAL TRUST PECO 3123942819 10 SOUTH DEARBORN 51ST FLOOR CHICAGO IL 60603 WILLIAM BERGMAN 3123942819 2012-11-15 1 DAVID LOWENTHAL P00378651 3122071040 2012-11-14 2011 2016-02-24 21:20:13Z X WILLIAM BERGMAN 10 SOUTH DEARBORN 51ST FLOOR CHICAGO IL 60603 164464376 0 X N/A X 1995 PA TO PROVIDE BENEFITS TO ELIGIBLE MEMBERS 1 1 0 0 9718937 4103568 0 0 82074207 70878156 8820687 15980427 0 0 90894894 86858583 0 0 53959780 50899927 70313 40223 0 0 0 653951 4046859 54684044 54987009 36210850 31871574 480208075 494212679 1541703 737869 478666372 493474810 TO PROVIDE HEALTH AND DENTAL BENEFITS TO ELIGIBLE RETIREES. 0 0 VEBA TRUST PROVIDES DENTAL AND MEDICAL BENEFITS TO RETIRED PARTICIPANTS AND THEIR ELIGIBLE DEPENDENTS FROM EMPLOYER AND EMPLOYEE CONTRIBUTION. 0 0 0 0 0 0 0 0 0 0 1 0 0 0 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 0 1 0 0 0 1 0 0 1 0 1 1 0 0 0 0 0 X 1 1 0 0 0 0 1 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X EXELON CORPORATION VP HEALTH AND BENEFITS 3123942819 10 SOUTH DEARBORN 51ST FLOOR CHICAGO IL 60603 X NORTHERN TRUST 0.00 X 19015 0 0 THE BANK OF NEW YORK MELLON 0.00 X 21208 0 0 40223 0 0 0 0 0 0 MORGAN STANLEY 1585 BROADWAY NEW YORK NY 10036 INVESTMENT MANAGEMENT 341875 BGI RUSSEL 1301 SECOND AVENUE SEATTLE WA 98101 INVESTMENT MANAGEMENT 141108 HARRIS INVESTORS 111 WEST MONROE ST CHICAGO IL 60606 INVESTMENT MANAGEMENT 118128 3 EMPLOYER CONTRIBUTIONS 900099 63094401 63094401 EMPLOYEE CONTRIBUTIONS 900099 4396349 4396349 EARLY RETIREMENT CONTR 900099 3387406 3387406 70878156 7722885 1461395 6261490 85863335 77605793 8257542 8257542 8257542 86858583 70878156 9718937 6261490 50899927 40223 669519 ADMINISTRATIVE EXPENSES 3261868 PROFESSIONAL FEES 115472 54987009 187513 0 0 0 4023241 8794350 352652009 368566238 123345312 116852091 480208075 494212679 1541703 737869 1541703 737869 X 478666372 493474810 0 0 0 0 478666372 493474810 480208075 494212679 X 31871574 -17063136 X 0 1 1 X 0 0 INTEREST IN EXELON CORPORATION PENSION MASTER RETIREMENT TRUST 116852091 F 116852091 86858583 54987009 31871574 -10569915 -6493221 -17063136 14808438 76261341 -10569915 -10569915 86831256 27327 27327 86858583 54959682 0 54959682 27327 27327 54987009 PART XI, LINE 8 - OTHER ADJUSTMENTS: NET DECREASE IN 401(H) ACCOUNT -6,493,221. FORM 990, PART VI, SECTION A, LINE 1 AS OF MAY 2011, NORTHERN TRUST SERVES AS DIRECTED TRUSTEE OF THIS TRUST, THE PLAN SPONSOR IS EXELON CORPORATION. THE TRUST IS ADMINISTERED BY THE PLAN SPONSOR IN ACCORDANCE WITH THE TERMS OF THE TRUST AGREEMENT. THUS, THE TRUST HAS NO GOVERNING BODY THAT EXERCISES DISCRETION. FORM 990, PART VI, SECTION A, LINE 6 MEMBERS PARTICIPATE IN THE SPONSOR HEALTH BENEFIT PLANS AND RECEIVE MEDICAL AND DENTAL BENEFITS FROM THE FUNDED VEBA. FORM 990, PART VI, SECTION B, LINE 11 THE ORGANIZATION USES A CPA FIRM TO PREPARE FORM 990. THE RETURN IS REVIEWED BY EXELON ACCOUNTING, CORPORATE BENEFITS AND LEGAL DEPARTMENTS. THE RETURN IS REVIEWED BY THE PARTIES WHO ADMINISTER THE HEALTH AND WELFARE PLANS THAT ARE FUNDED BY THE ORGANIZATION AND MANAGE THE ASSETS OF THE ORGANIZATION. AS SUCH ALL RESPONSIBLE GOVERNING BODIES REVIEW AND APPROVE THE RETURN PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE PLAN HAS THE SAME WRITTEN CONFLICTS OF INTEREST POLICY, WRITTEN WHISTLEBLOWER POLICY, AND WRITTEN DOCUMENTATION, RETENTION AND DESTRUCTION POLICY AS THAT OF EXELON, THE EMPLOYER-PROVIDER OF THE PLAN. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS FORM 1024, FORM 990, GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. FORM 990 PART VII COLUMN B: AVERAGE HOURS WORKED PER WEEK DEVOTED TO POSITION AS TRUSTEE NORTHERN TRUST PROVIDES ADMINISTRATIVE SERVICES SUCH AS ACTING AS INVESTMENT MANAGER FOR THE NAMED ORGANIZATION. THESE SERVICES REQUIRE NUMEROUS INDIVIDUAL BANK EMPLOYEES' INVOLVEMENT IN THE ACTIVITIES OF THE ORGANIZATION, AND THUS CANNOT BE QUANTIFIED ON AN HOURLY BASIS. THEREFORE, THE TRUSTEE'S FEES ARE NOT BASED UPON AN HOURLY BASIS BUT ARE CALCULATED BASED UPON FACTORS SUCH AS THE MARKET VALUE OF THE ACCOUNT AND IN ACCORDANCE WITH OUR AGREEMENT WITH THE CLIENT. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -10,569,915. NET DECREASE IN 401(H) ACCOUNT -6,493,221. TOTAL TO FORM 990, PART XI, LINE 5: -17,063,136. THIS ORGANIZATION IS A VOLUNTARY EMPLOYEES' BENEFICIARY ASSOCIATIONS TRUST UNDER IRC 501(C)(9). THIS ORGANIZATION FUNDS HEALTHCARE BENEFITS PROVIDED UNDER CERTAIN HEALTH AND WELFARE PLANS SPONSORED BY EXELON CORPORATION FOR ITS RETIREES AND THEIR ELIGIBLE DEPENDENTS. THIS ORGANIZATION FOLLOWS EXELON'S CORPORATE POLICIES WHERE APPLICABLE INCLUDING PROPER DOCUMENTATION OF ALL ACTIONS TAKEN ON BEHALF OF THE PLAN. EXELON GENERATION CO LLC 10 S DEARBORN 51ST FLOOR CHICAGO IL 60603 233064219 POWER GENERATION DE EXELON CORPORATION EXELON NUCLEAR SECURITY LLC 10 S DEARBORN 51ST FLOOR CHICAGO IL 60603 261248912 SECURITY TO EXELON'S NUCLEAR POWER PLANTS DE EXELON CORPORATION EXELON BUSINESS SERVICES CO LLC 10 S DEARBORN 51ST FLOOR CHICAGO IL 60603 233063219 PROVIDES SUPPORT TO OPERATING COMPANIES DE EXELON CORPORATION PECO ENERGY COMPANY 10 S DEARBORN 51ST FLOOR CHICAGO IL 60603 230970240 ELECTRIC DISTRIBUTION UTILITY DE EXELON CORPORATION EXELON WIND LLC 10 S DEARBORN 51ST FLOOR CHICAGO IL 60603 273687029 POWER GENERATION DE EXELON CORPORATION PECO ENERY CO RETIREE LIFE INSURANCE TRUST 10 S DEARBORN 51ST FLOOR CHICAGO IL 60603 251755732 VEBA PA 501(C)(9) N/A EXELON CORP 0 EXELON CORPORATION 10 S DEARBORN 51ST FLOOR CHICAGO IL 60603 222990190 GENERATION & DISTRIBUTION DE C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 EXELON GENERATION CO LLC R 30678632 MAINTAINED RECORDS AT FMV EXELON NUCLEAR SECURITY LLC R 2443712 MAINTAINED RECORDS AT FMV EXELON BUSINESS SERVICES CO LLC R 3714726 MAINTAINED RECORDS AT FMV PECO ENERGY COMPANY R 26059452 MAINTAINED RECORDS AT FMV EXELON WIND LLC R 76919 MAINTAINED RECORDS AT FMV