2011-11-15T17:21:39-06:00 2010-12-31 MOSS ADAMS LLP 805 SW BROADWAY 1200 PORTLAND OR 97205 990 2010-01-01 931098095 DAIMLER TRUCKS NA LLC UNION EMPLOYEE BENEFIT SUPPLEMENTAL TRUST #2 DAIM 5037456179 2701 NW VAUGHN ST NO 900 PORTLAND OR 97210 MICHAEL KURUC 5037456179 2011-11-09 1 WENDY CAMPOS 5032421447 2010 2016-02-24 21:20:13Z MICHAEL KURUC 2701 NW VAUGHN ST NO 900 PORTLAND OR 97210 11814764 0 X N/A X 1976 OR VEBA TRUST FOR THE PAYMENT OF BENEFITS FOR MEMBERS. 9 9 0 9 0 0 0 0 10411594 11808907 22322 5857 0 0 10433916 11814764 0 0 9519630 11646921 0 0 0 0 0 353804 356540 9873434 12003461 560482 -188697 827949 642119 4535 7403 823414 634716 VEBA TRUST FOR THE PAYMENT OF BENEFITS FOR MEMBERS. 0 0 PROVIDE MEDICAL BENEFITS TO ACTIVE UNION EMPLOYEES. 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 0 1 0 0 0 0 0 0 0 0 0 X 9 9 1 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 0 0 0 X DAVID SWAINSON 5037456179 2701 NW VAUGHN ST SUITE 900 PORTLAND OR 97210 X JUERGEN KRITSCHGAU 0.50 X X 0 0 0 PAUL HURD 0.50 X 0 0 0 ROGER NIELSEN 0.50 X 0 0 0 JOHN O'LEARY 0.50 X 0 0 0 JAMES PICKENS 0.50 X 0 0 0 KELLEY PLATT 0.50 X 0 0 0 BOB ROBERTSON 0.50 X 0 0 0 DAVID SWAINSON 0.50 X 0 0 0 CHARLIE WAIBEL 0.50 X 0 0 0 0 0 0 0 0 0 0 KAISER PERMANENTE 1 KAISER PLZ OAKLAND CA 94612 CONTRACT ADMINISTRATOR 4575609 BLUE CROSS BLUE SHIELD 600 E LAFAYETTE BLVD DETROIT MT 48226 CONTRACT ADMINISTRATOR 106819 2 CONTRIBUTIONS 525100 11807863 11807863 RECOVERY OF BENEFITS 525100 1044 1044 11808907 4721 4721 1136 1136 1136 1136 11814764 11808907 0 5857 11646921 26247 330293 12003461 827846 642072 103 47 827949 642119 4535 7403 4535 7403 X 823414 634716 0 0 0 0 823414 634716 827949 642119 -188697 0 X 0 1 1 X 0 0 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: IN ACCORDANCE WITH GUIDANCE ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES (ASC 740-10), MANAGEMENT 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. FORM 990, PART VI, SECTION A, LINE 2 JUERGEN KRITSCHGAU 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. PAUL HURD 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. 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. JAMES PICKENS 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. 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. CHARLIE WAIBEL 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 15A, LINE 15B: 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 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 C, LINE 19 THE GOVERNING DOCUMENTS AND THE CONFLICT OF INTEREST POLICY ARE NOT MADE AVAILABLE TO THE PUBLIC. FINANCIAL STATEMENTS ARE MADE AVAILABLE TO PARTICIPANTS UPON REQUEST. 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